Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
  • A61L27/28—Materials for coating prostheses
  • A61L27/30—Inorganic materials
  • A61L27/306—Other specific inorganic materials not covered by A61L27/303 - A61L27/32
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
  • A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
  • A61L27/54—Biologically active materials, e.g. therapeutic substances
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
  • A61L31/08—Materials for coatings
  • A61L31/082—Inorganic materials
  • A61L31/088—Other specific inorganic materials not covered by A61L31/084 or A61L31/086
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
  • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
  • A61L31/16—Biologically active materials, e.g. therapeutic substances
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
  • A61L2300/60—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
  • A61L2300/606—Coatings
  • A61L2300/608—Coatings having two or more layers

Definitions

• This invention is related to bioactive material-containing self-assembled sol-gel compositions. Specifically the invention relates to the use of such sol-gel compositions as drug reservoirs on implantable medical devices, and also the use of such sol-gel compositions to improve adhesion between organic and inorganic surfaces.
• sol-gel processes are generally used to fabricate porous materials including self-assembled films.
• a sol is a liquid solution containing a colloid suspension of a material of interest dissolved in an appropriate solvent. Condensation reactions between the dissolved precursor molecules result in structures (particles, branched chains, linear chains, etc.) forming within the sol. The size, growth rate and morphology of these structures depend on the kinetics of the reactions within the solvent, which in turn are determined by parameters such as solution concentration, amount of water present, the temperature and pH of the solvent, agitation of the solvent and other parameters. Given enough time, condensation reactions will lead to the aggregation of growing particles or chains until eventually, a gel is formed.
• the gel can be visualized as a very large number of cross-linked precursor molecules forming a continuous, macroscopic-scale, solid phase, which encloses a continuous liquid phase consisting of the remaining solution.
• the enclosed solvent is removed (generally by drying) and the precursor molecules cross-link (a process called aging) resulting in the desired solid.
• Sol-gel synthesis of materials offers several advantages over other synthetic routes. These advantages can include mild processing conditions (low temperature, low pressure, mild pH), inexpensive raw materials, no need for vacuum processing or other expensive equipment, and a high level of control over the resulting structure, particularly as it pertains to porosity. Regarding shape of the final product, there is essentially no limitation, because the liquid sol can be cast in any conceivable form before allowed to gel, including monoliths, thin films, fibers and micro- or nano-scale particles.
• Porosity of materials produced in sol-gel processes can be controlled in a number of different ways.
• no special porogen is added to the sol and the porosity of the final solid is determined by the amount of precursor branching or aggregation before gelling.
• Average pore size, volume and surface area of porous sol-gel compositions increase with the size of the precursor molecules prior to the sol-gel processing.
• Porosity can also be manipulated by the presence of additional materials within the solvent during the sol-gel process.
• the incorporation of sacrificial porogens in the sol is generally viewed as an efficient method to obtain porous solids when using sol-gel processes. Historically, these efforts were focused upon the fabrication of low dielectric constant (low-k) insulating films for the microelectronics industry.
• Sacrificial templates can also be used to create pores in inorganic materials formed using sol-gel processes. Sacrificial templates are usually amphiphilic molecules (i.e. those having hydrophilic and hydrophobic properties) capable of self-assembling in solution. These amphiphilic molecules create a highly- ordered structure that guides the precursor molecules to co-assemble around the structure. Once the precursor molecules co-assemble around the structure, it can be removed, leaving a negative image void.
• MCM-41 is synthesized using a cationic surfactant, quaternary alkyltrimethylammonium salts and various silica sources, such as sodium silicates, tetraethyl orthosilicate, or silica gel, under hydrothermal conditions (Beck et al., 1992, J. Am. Chem. Soc. 114, 10834).
• the pore size of MCM-41 can be adjusted from about 1.6 nm up to about 10 nm by using different surfactants or altering synthesis conditions.
• template-assisted mesoporous materials are fabricated using two broad classes of self-assembling amphiphilic templates: short molecule surfactants (see Brinker et al.
• Porous materials made using sol-gel processes can be used to deliver bioactive materials.
• Vallet-Regi et al. (Chem. Mater. 2001 , 13, 308- 311) described charging powdered MCM-41 with ibuprofen.
• the ibuprofen was loaded into MCM-41 by dissolving the ibuprofen in hexane and adding the MCM-41 compound to the hexane in a powdered form.
• Munoz et al. (Chem. Mater. 2003, 15 500-503) described an experiment which demonstrated that ibuprofen could be delivered at a different rate from two different formulations of MCM-41 , one made using a 16 carbon surfactant and one made using a 12 carbon surfactant.
• PCT '270 Prior to International Patent Application Number PCT/US2004/040270 (PCT '270), which is fully incorporated by reference herein, no reference described an implantable medical device or bioactive material delivery device comprising a triblock copolymer template-based sol-gel composition formed surface coating with substantially continuously interconnected channels designed to function as a bioactive material reservoir. Moreover, no reference described a triblock copolymer template-based sol-gel composition surface coating with bioactive material found within the coating itself before being applied to the surface of an implantable medical device as well as having substantially continuously interconnected channels that could further function as a bioactive material reservoir after being applied to the surface of an implantable medical device. Thus, the invention described in PCT '270 provided at least two additional mechanisms through which bioactive materials could be loaded onto the surface of an implantable medical device.
• bioactive materials and bioactive material-containing coatings to the surfaces of implantable devices so that the bioactive materials will be released over time once the device is implanted.
• One approach to adhering bioactive materials to substrates, such as the surface of implantable medical devices has been to include the bioactive materials in polymeric coatings.
• Polymeric coatings can hold bioactive materials onto the surface of implantable medical devices, and release the bioactive materials via degradation of the polymer or diffusion into liquid or tissue (in which case the polymer is non-degradable). While polymeric coatings can be used to adhere bioactive materials to implanted medical devices, there are problems associated with their use.
• a polymeric coating to a substantially different substrate, such as a stent's metallic substrate, is difficult due to differing characteristics of the materials (such as differing thermal expansion properties).
• most inorganic solids are covered with a hydrophilic native surface oxide that is characterized by the presence of surface hydroxyl groups (M- OH, where M represents an atom of the inorganic material, such as silicon or aluminum).
• M- OH surface hydroxyl groups
• At ambient conditions then, at least a monolayer of adsorbed water molecules covers the surface, forming hydrogen bonds with these hydroxyl groups. Therefore, due to this water layer, hydrophobic organic polymers cannot spontaneously adhere to the surface of the implantable medical device.
• the present invention provides methods of creating sol-gel compositions with enhanced bioactive material incorporation and methods to further control the rate of bioactive material release into the physiological environment from medical devices during clinical use.
• the methods also provide for enhanced adhesion between inorganic and organic substrates and materials.
• These methods provide sol-gel compositions that can be used as sustained-release bioactive material reservoirs and/or as bioactive material coatings on implantable medical devices.
• the present invention allows for enhanced bioactive material incorporation by modifying the chemical environment during sol-gel processing which alters the hydrophobicity or hydrophilicity of the forming material (among other characteristics), which affects how bioactive material molecules interact with the forming material and its chemical environment during sol-gel processing.
• Modification of the chemical environment during sol-gel processing can also affect the characteristics of the formed material after removal from the sol-gel environment in such a way to affect the release rate of bioactive materials into the physiological environment once implanted in a patient.
• the chemical environment of the sol-gel process is adjusted to control how the bioactive materials will interact with the environment during the sol- gel process.
• the addition of an organically modified silane to the sol-gel mixture can increase the hydrophobicity of the forming gel (meaning the structure forming during sol-gel processing).
• an increase in the hydrophobicity of the forming gel will impede the bioactive material's ability to move between the forming gel and the aqueous environment during sol-gel processing, holding the bioactive material more tightly to the forming gel, leading to better retention of the bioactive material within the forming sol-gel composition.
• the enhanced hydrophobic content of the ultimately formed material can better control the rate of release of bioactive materials into the physiological environment once implanted in a patient.
• Methods according to the present invention can even further enhance the ability to control bioactive material release into the physiological environment following device implantation by treating the surface of a formed sol-gel composition with an organically modified silane.
• the hydrophobic trimethyl group of an organically modified silane can help to prevent liquids in the physiological environment of the implanted medical device from diffusing into the composition and solubilizing the bioactive materials causing their early release.
• sol-gel compositions of the present invention can also enhance adhesion to a substrate by providing pores in the form of continuously interconnected channels that allow for strong interdigitation between inorganic substrates and organic coatings.
• one embodiment according to the present invention includes a medical device comprising a structural element and a bioactive material reservoir, wherein the bioactive material reservoir comprises a coating applied to the surface of the structural element, wherein the coating comprises one or more layers wherein at least one of the layers comprises a matrix composition formed using a sol-gel process wherein the environment of the sol-gel process was tailored to the characteristics of a bioactive material to be incorporated into the matrix composition, the tailoring affecting the amount of the bioactive material within the matrix composition once formed and/or the rate of release of the bioactive material into the physiological environment once implanted in a patient.
• Matrix compositions can comprise, without limitation, a material selected from the group consisting of a sol- gel derived inorganic oxide; a sol-gel derived organically modified silane; a hybrid oxide comprising an organically modified silane; and an oxide having mesopores created using a template.
• matrix compositions according to the present invention will comprise an inorganic oxide fabricated via the above described sol-gel process.
• the inorganic oxide can be selected from the group consisting of an oxide of silicon and an oxide of titanium.
• the matrix composition can also be a mesoporous inorganic oxide.
• Mesoporous inorganic oxides can be obtained using a sacrificial pore-generating template component and a self-assembly or guided- assembly fabrication process.
• the template component can be selected from the group consisting of an amphiphilic block copolymer, an ionic surfactant, and a non- ionic surfactant.
• the template component can also be a polyethylene oxide/polypropylene oxide/polyethylene oxide triblock copolymer.
• Mesoporous inorganic oxides according to the present invention can comprise substantially continuous interconnected channels.
• the inner surfaces of the substantially continuous interconnected channels can be coated with an organically modified silane that modifies a characteristic of the mesoporous oxide selected from the group consisting of hydrophobicity, charge, biocompatibility, mechanical properties, bioactive material affinity, storage capacity, and combinations thereof.
• one or more bioactive materials can be loaded into the interconnected channels after the coating is applied to the surface of the structural element.
• the oxide of the matrix composition can be compounded with an agent that modifies a characteristic of the oxide selected from the group consisting of hydrophobicity, charge, biocompatibility, mechanical properties, bioactive material affinity, storage capacity and combinations thereof.
• the modifying agent is an organically modified silane.
• Organically modified silences can be selected from the group consisting of alkylsilanes; methyltrimethoxysilane; methyltriethoxysilane; dimethyldiethoxysilane; trimethylethoxysilane; vinyltrimethoxysilane; vinyltriethoxysilane; ethyltriethoxysilane; isopropyltriethoxysilane; butyltriethoxysilane; octyltriethoxysilane; dodecyltriethoxysilane; octadecyltriethoxysilane; aryl-functional silanes; phenyltriethoxysilane; aminosilanes; aminopropyltriethoxysilane; aminophenyltrimethoxysilane; aminopropyltrimethoxysilane; acrylate functional silanes; methacrylate-functional silanes; acryloxypropyltrimethoxysilane;
• One embodiment according to the present invention includes a medical device comprising a structural element and a bioactive material-eluting coating, wherein the bioactive material-eluting coating comprises at least one layer applied over the surface of the medical device wherein the at least one layer is formed using a sol-gel process and comprises an organically modified silane.
• this at least one layer is a base coat applied to the surface of the medical device and the medical device further comprises a top coat applied over the base coat.
• Bioactive material-containing spheres can be found in a location selected from the group consisting of within the base coat, within the top coat, between the base coat and the top coat and combinations thereof.
• the bioactive material- containing spheres can comprise of a biodegradable polymer.
• the base coat and/or the top coat comprise a sol-gel inorganic oxide composition.
• the base coat comprises a mesoporous oxide with substantially continuous interconnected channels.
• Yet another embodiment according to the present invention includes a medical device comprising a structural element and a bioactive material-eluting coating, wherein the bioactive material-eluting coating comprises at least two layers wherein at least one of the at least two layers comprises a matrix composition formed using a sol-gel process wherein the environment of the sol-gel process was tailored to the characteristics of a bioactive material to be incorporated into the matrix composition, the tailoring affecting the amount of the bioactive material within the matrix composition once formed and/or the rate of release of the bioactive material into the physiological environment once implanted in a patient.
• These two layers can comprise, without limitation, a base coat and a top coat.
• each layer can individually comprise a form selected from the group consisting of a sol-gel oxide layer without bioactive material; a sol-gel oxide layer with bioactive material incorporated in the oxide; a sol-gel oxide compounded with an organically modified silane without bioactive material; a sol-gel oxide compounded with an organically modified silane with bioactive material; an organically modified silane layer without bioactive material; an organically modified silane layer with bioactive material; a mesoporous oxide without bioactive material; a mesoporous oxide with bioactive material incorporated in the oxide; a mesoporous oxide with bioactive material incorporated in the oxide and additional bioactive material loaded into its interconnected channels after the mesoporous oxide is applied to the surface of the medical device; a mesoporous oxide with no bioactive material incorporated in the oxide but with bioactive material loaded into its interconnected channels after the oxide is applied to the surface of the medical device; and a collection of bioactive material-containing poly
• a further embodiment according to the present invention includes a medical device comprising a structural element and a bioactive material reservoir, wherein the bioactive material reservoir comprises a coating applied to the surface of the structural element, wherein the coating comprises a matrix composition formed using a sol-gel process wherein the environment of the sol-gel process was tailored to the characteristics of a bioactive material to be incorporated into the matrix composition, the tailoring affecting the amount of the bioactive material within the matrix composition once formed and/or the rate of release of the bioactive material into the physiological environment once implanted in a patient and wherein when the coating is applied to the surface of the structural element, the coating enhances adhesion between an inorganic surface and an organic surface selected from the group consisting of polymers, tissue, bone and combinations thereof.
• Bioactive materials used in accordance with the present invention can, in one embodiment, be selected from the group consisting of an anti-restenotic agent, an anti-inflammatory agent, an HMG-CoA reductase inhibitor, an antimicrobial agent, an antineoplastic agent, an angiogenic agent, an anti-angiogenic agent, a thrombolytic agent, an antihypertensive agent, an anti-arrhythmic agent, a calcium channel blocker, a cholesterol-lowering agent, a psychoactive agent, an anti- depressive agent, an anti-seizure agent, a contraceptive, an analgesic, a bone growth factor, a bone remodeling factor, a neurotransmitter, a nucleic acid, an opiate antagonist and combinations thereof.
• Bioactive materials can also be is selected from the group consisting of paclitaxel, rampamycin, everolimus, tacrolimus, sirolimus, des-aspartate angiotensin I, nitric oxide, apocynin, gamma-tocopheryl, pleiotrophin, estradiol, aspirin, atorvastatin, cerivastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, simvastatin, and combinations thereof.
• Medical devices of the present invention can include, without limitation, a vascular conduit, a stent, a plate, a screw, a spinal cage, a dental implant, a dental filling, a brace, an artificial joint, an embolic device, a ventricular assist device, an artificial heart, a heart valve, a venous filter, a staple, a clip, a suture, a prosthetic mesh, a pacemaker, a pacemaker lead, a defibrillator, a neurostimulator, a neurostimulator lead, an implantable sensor, and an external sensor.
• Fig. 1 shows a schematic representation of one attainable template structure with cubic symmetry.
• Fig. 2 shows a schematic representation of a mesoporous sol-gel SiO 2 film, where the pores exhibit cubic symmetry, on a substrate surface.
• Figs. 3A-3D show four different magnifications of SEM images of implantable medical devices coated with sol-gel compositions according to the teachings of the present invention.
• Fig. 4 shows the rate of elution of des-aspartate angiotensin I (DAA-I) from an implantable medical device coated with a sol-gel composition according to the teachings of the present invention.
• DAA-I des-aspartate angiotensin I
• Figs. 5A-5B show the amount of DAA-I released after 72 hours from implantable medical devices coated with sol-gel compositions according to the teachings of the present invention.
• Fig. 6 shows the amount of cervistatin eluted from implantable medical devices coated with sol-gel compositions according to the teachings of the present invention.
• Figs. 7A-7B show additional cervistatin release profiles.
• Fig. 8 shows the release profiles of cervistatin from implantable medical devices treated with an organically modified silane according to the teachings of the present invention.
• implantable medical device refers to an entity not produced by an organism's body, which performs a function inside or on the surface of the organism's body.
• Implantable medical devices include but are not limited to: biomaterials, bioactive material delivery apparatuses, vascular conduits, stents, plates, screws, spinal cages, dental implants, dental fillings, braces, artificial joints, embolic devices, ventricular assist devices, artificial hearts, heart valves, venous filters, staples, clips, sutures, prosthetic meshes, pacemakers, pacemaker leads, defibrillators, neurostimulators, neurostimulator leads, and implantable or external sensors.
• Implantable medical devices are not limited by size and include micromechanical systems and nanomechanical systems. Embodiments of the invention include such implantable medical devices.
• bioactive material reservoir refers not only to a space that can hold bioactive materials, but also to a coating that comprises a sol-gel matrix composition wherein the matrix composition encapsulates one or more bioactive materials and wherein the reservoir or bioactive material reservoir can be applied to the surface of a substrate including, in one example, an implantable medical device.
• bioactive material(s) refers to any organic, inorganic, or living agent that is biologically active or relevant.
• a bioactive material can be a protein, a polypeptide, a polysaccharide (e.g.
• heparin an oligosaccharide, a mono- or disaccharide, an organic compound, an organometallic compound, or an inorganic compound.
• It can include a biologically active molecule such as a hormone, a growth factor, a growth factor-producing virus, a growth factor inhibitor, a growth factor receptor, an anti-inflammatory agent, an antimetabolite, an integrin blocker, or a complete or partial functional insense or antisense gene.
• It can also include a man-made particle or material, which carries a biologically relevant or active material.
• An example is a nanoparticle comprising a core with a drug and a coating on the core. Such nanoparticles can be post-loaded into pores or co-deposited with metal ions.
• Bioactive materials also can include drugs such as chemical or biological compounds that can have a therapeutic effect on a biological organism.
• Bioactive materials include those that are especially useful for long-term therapy such as hormonal treatment. Examples include drugs for contraception and hormone replacement therapy, and for the treatment of diseases such as osteoporosis, cancer, epilepsy, Parkinson's disease and pain.
• Suitable biological materials can include, without limitation, an anti-restenotic agent, an anti-inflammatory agent, an HMG-CoA reductase inhibitor, an antimicrobial agent, an antineoplastic agent, an angiogenic agent, an anti-angiogenic agent, a thrombolytic agent, an antihypertensive agent, an anti-arrhythmic agent, a calcium channel blocker, a cholesterol-lowering agent, a psychoactive agent, an anti-depressive agent, an antiseizure agent, a contraceptive, an analgesic, a bone growth factor, a bone remodeling factor, a neurotransmitter, a nucleic acid, an opiate antagonist and combinations thereof.
• Additional bioactive materials include, without limitation, paclitaxel, rampamycin, everolimus, tacrolimus, sirolimus, des-aspartate angiotensin I, nitric oxide, apocynin, gamma-tocopheryl, pleiotrophin, estradiol, aspirin, atorvastatin, cerivastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, simvastatin, and combinations thereof.
• Bioactive materials also can include precursor materials that exhibit the relevant biological activity after being metabolized, broken-down (e.g. cleaving molecular components), or otherwise processed and modified within the body. These can include such precursor materials that might otherwise be considered relatively biologically inert or otherwise not effective for a particular result related to the medical condition to be treated prior to such modification.
• sol-gel processing refers to a process wherein a soluble precursor of a material of interest is dissolved in a liquid solvent with optional secondary materials (including, without limitation, bioactive materials) in an appropriate solvent. Condensation reactions between the dissolved precursor molecules result in structures (particles, branched chains, linear chains, etc) forming within the solution (the "sol”). The forming structures develop into the "gel” of the sol-gel process which can contain optional secondary materials within it. Once all or substantially all of the liquid solvent has been removed from the gel, certain embodiments of a matrix composition according to the present invention will have been formed.
• pores ranging in size refers to a sol-gel composition made in accordance with the methods of the present invention wherein the sol-gel composition has pores ranging in size from about 2 nm to about 50 nm.
• organic (carbon-based) ligand in one embodiment a direct metal-carbon (or semiconductor-carbon) bond.
• organically modified silane refers to a compound that contains at least one non-hydrolysable carbon-based ligand bonded to silicon.
• This class of compounds is also referred to as ORMOSILs, silane coupling agents, silane couplers, silane adhesion promoters, or simply silanes. These compounds represent a wide variety of compounds because the non-hydrolysable ligand(s) can be any conceivable organic group(s) synthesized according to the principles of organic chemistry.
• Non-limiting examples include alkylsilanes (such as, but not limited to, methyltrimethoxysilane, methyltriethoxysilane, dimethyldiethoxysilane, trimethylethoxysilane, vinyltrimethoxysilane, vinyltriethoxysilane, ethyltriethoxysilane, isopropyltriethoxysilane, butyltriethoxysilane, octyltriethoxysilane, dodecyltriethoxysilane, octadecyltriethoxysilane, etc), aryl-functional silanes (e.g.
• phenyltriethoxysilane, etc. aminosilanes (e.g. aminopropyltriethoxysilane, aminophenyltrimethoxysilane, aminopropyltrimethoxysilane, etc.), acrylate- and methacrylate-functional silanes (e.g. acryloxypropyltrimethoxysilane, ect), carboxylate, phosphonate, ester, sulfonate, isocyanate, and epoxy functional silanes.
• aminosilanes e.g. aminopropyltriethoxysilane, aminophenyltrimethoxysilane, aminopropyltrimethoxysilane, etc.
• acrylate- and methacrylate-functional silanes e.g. acryloxypropyltrimethoxysilane, ect
• carboxylate phosphonate, ester, sulfonate, isocyanate
• epoxy functional silanes e
• sol-gel precursors can be used as sol-gel precursors, or they can be used in combination with a fully hydrolysable sol-gel precursor, such as tetraethoxy silane (TEOS) or titanium isopropoxide.
• TEOS tetraethoxy silane
• the sol-gel composition thus obtained will not be a stoichiometric inorganic oxide. Instead it will be a hybrid sol-gel material that will exhibit bulk chemical, mechanical, physical and other properties characteristic of the particular combination of constituent components.
• Exemplary organically modified silanes that can be particularly useful in this aspect include chlorosilanes; chlorotrimethylsilane; chlorotriethylsilane; chlorotrihexylsilane; dichlorodimethylsilane; trichloromethylsilane; N,O-Bis (trimethylsilyl)-acetamide (BSA); N.O-Bis (trimethylsilyl) trifluoroacetamide (BSTFA); hexamethyldisilazane (HMDS); N-methyltrimethylsilyltrifluoroacetamide (MSTFA); N- methyl-N-(t-butyldimethylsilyl)trifluoroacetamide (MTBSTFA); trimethylchlorosilane (TMCS); trimethylsilyimidazole (TMSI); and combinations thereof.
• This group listed as particularly useful for surface treatments is similar to compounds included in the previous paragraphs but differ in that they do not contain alkoxy ligands
• the present invention encompasses sol-gel compositions and their uses.
• the sol-gel compositions of the present invention have properties that make them useful as: (1) bioactive material reservoirs and in certain embodiments, controlled release bioactive material reservoirs, and (2) as coatings used to enhance adhesion between organic and inorganic surfaces.
• Methods used to produce the sol-gel compositions of the present invention can enhance the incorporation of bioactive materials into a forming gel during sol-gel processing and can also provide the formed sol-gel composition with characteristics that help control the rate of bioactive material release into the physiological environment once the composition has been implanted in a patient.
• the chemical environment of the sol-gel process is adjusted to control how the bioactive material interacts with the environment during the sol-gel process and how it will be released from the formed composition to the physiological environment once implanted.
• the rate of elution of various bioactive materials entrapped in the forming gel and from the sol-gel composition once it is formed can be more finely controlled by changing the composition of the solutions used during sol-gel processing.
• treatment of the formed sol-gel composition with an organically modified silane can help prevent the bioactive materials from being solubilized and released from the sol-gel composition into the physiological environment after implantation.
• the present invention encompasses sol-gel compositions that can be applied to the surface of an implantable medical device to function as a bioactive material reservoir or as a bioactive material coating.
• the sol-gel composition can be a mesoporous inorganic oxide fabricate via a template-based sol- gel synthetic route, the mesoporous material having substantially continuously interconnected channels that are adapted to act as a bioactive material reservoir capable of retaining a bioactive material and releasing it over a defined period of time.
• the sol-gel compositions of the present invention can act as a bioactive material reservoir by having bioactive material within the substance of the material itself before application to the surface of an implantable medical device and/or by having bioactive material loaded into the material's interconnected channels after application onto the surface of an implantable medical device.
• Bioactive material incorporation into the sol-gel compositions of the present invention can be enhanced or more finely controlled in one embodiment by adding an organically modified silane to the solvent during the sol-gel process.
• Organically modified silanes can alter the chemical environment of the sol-gel process, including the hydrophobicity/hydrophilicity of the process and the forming gel material so that the bioactive material cannot move as freely between the forming gel and aqueous environment.
• the bioactive material is retained near the gel as it forms due to electrostatic forces and/or chemical or hydrogen bonding.
• the mesoporous sol-gel compositions of the present invention exhibit a highly ordered surface-accessible pore channel network including substantially continuously interconnected channels in three dimensions throughout the film. This ordered interconnected structure provides one mechanism through which the sol-gel compositions of the present invention can act as a bioactive material reservoir. A bioactive material applied to the surface of the film will penetrate the porous film, loading the interconnected channels with bioactive materials that are later released by diffusion, osmotic or electrochemical inducement or other means.
• the mesoporous sol-gel compositions of the present invention are made using a triblock copolymer template that, when mixed with a sol-gel precursor (without limitation an alkoxide silica precursor), can self-assemble into a highly- ordered 3-dimensional structure (Fig. 1).
• a sol-gel precursor without limitation an alkoxide silica precursor
• Thermal treatment or room temperature exposure to a UV lamp/ozone source
• a final sol-gel composition is the negative of what is shown in Fig. 1 , with the block copolymer being removed to leave a network of interconnected channels.
• the channels so formed have predictable uniformity.
• the pores and channels have diameters in the mesoscopic range, generally from about 2-30 nm and more usually from about 5-30 nm. Diameter of the channels can be precisely controlled via hydrothermal treatment or the addition of hydrophobic swelling agents in the initial solution.
• pores and channels of the present invention can be made to have any desired diameter including, without limitation, from about 2-100 nm, about 3-75 nm, about 5-50 nm, about 7-30 nm or about 10-20 nm.
• sustained, controlled and time-release bioactive material delivery can be achieved using the sol-gel composition bioactive material delivery reservoir (and corresponding bioactive material delivery devices) of the present invention.
• a bioactive material can be released with about first order or about second order kinetics. Delivery can begin upon implantation of the bioactive material delivery device, or at a particular time after implantation, and can increase rapidly from zero to a maximal rate over a short period of time, for example less than an about an hour, less than about 30 minutes, less than about 15 minutes or less than about 5 minutes. Such maximal delivery can continue for a predetermined period until the delivery rate suddenly drops.
• delivery can continue at a maximal rate for at least about 8 hours, about 2 days, about 4 days, about 7 days, about 10 days, about 15 days, about 30 days, about 60 days or at least about 90 days.
• the bioactive material delivery rate can follow an about bell- shaped curve over time, with an initially slow but exponentially increasing delivery rate rising to a maximal rate and wherein the rate then exponentially decreases over time, finally tailing off to zero.
• burst a large bioactive material delivery "burst" wherein the majority of the bioactive material is delivered in a short amount of time.
• Embodiments adopting treating the surface and/or channels of the sol-gel composition with an organically modified silane can also be used to slow the rate of drug elution.
• the hydrophobic group of the organically modified silane inhibits the ability of liquids to diffuse into the sol-gel composition and solubilize the bioactive materials leading to their early release.
• a variety of parameters can be adjusted to produce numerous variations in delivery profiles depending on what is desirable for a particular bioactive material/disease/patient combination.
• Bioactive material loading and release properties are dependant upon the properties of both the sol- gel composition bioactive material reservoir (including whether the bioactive material is found within the material itself (pre-application to bioactive material delivery device), within the interconnected channels of the material (loaded after application to the bioactive material delivery device) or both) and the bioactive material formulation. Release kinetics can be altered by altering bioactive material formulation, changing pore size of the sol-gel materials, coating the interior of the channels, treating the surface and/or channels of the sol-gel composition with an organically modified silane and by doping the material with various substances.
• Pore size can be altered by altering the type of template material used and the amount used in the sol, since the size of the hydrophobic part of the amphiphilic molecule dictates, to a significant degree, the pore diameter.
• the pore size of MCM-41 can be adjusted in a range of from about 1.6 nm up to about 10 nm (U.S. Patent Nos. 5,057,296 and 5,102,643, and Beck et al., 1992, J. Am. Chem. Soc. 114, 10834).
• TMB 1,3,5 trimethylbenzene
• Bioactive material release kinetics can also be altered by modifying the surface properties of the channels within the sol-gel composition.
• the interior surface of the pore channels can be modified to impart the desired surface functionality.
• the channels can be coated with a hydrophobic or a hydrophilic coating or with a charged surface coating to better interact with a bioactive material or other substance to be carried within the channels.
• One method for achieving this is by using an organically modified silane.
• Organically modified silanes can be used as linker agents to impart either a more hydrophobic or more hydrophilic property to a surface, depending on what termination moiety is used.
• a hydrophilic property will be imparted, but if a long-chain fatty acid or a thyol is used, then a more hydrophobic property will be imparted.
• Various hydrophilic and hydrophobic moieties are well known in the art.
• the channel walls can be modified by exposure to a Cl 2 working gas rendered reactive (Cl 2 -> Cl*) by UV light, so that the channel surface becomes covered by chlorosilyl (Si-Cl) groups, which could then be further transformed to any desired functionality by processing according to the principles of organic chemistry.
• a Cl 2 working gas rendered reactive (Cl 2 -> Cl*) by UV light so that the channel surface becomes covered by chlorosilyl (Si-Cl) groups, which could then be further transformed to any desired functionality by processing according to the principles of organic chemistry.
• SOCI phosgene
• malamides malamides and others.
• One or more of the above methods can be chosen based on the particular bioactive material or bioactive materials that will be loaded into the channels because different bioactive materials have different properties in terms of size, hydrophobicity and charge. This will influence bioactive material loading and release from a sol-gel composition.
• paclitaxel is a hydrophobic (lipophilic) molecule of about 1-2 nm in size.
• Other hydrophobic bioactive materials include, for example and without limitation, most antipsychotics, antibiotics such as amphotericin, dexamethasone and flutamide. Paclitaxel is somewhat more hydrophobic than rapamycin, and corticosteroids are generally less hydrophobic than rapamycin or paclitaxel.
• hydrophobic bioactive material it could be desirable to coat the channels with a hydrophobic coating to maximize bioactive material loading.
• Hydrophilic bioactive materials include, without limitation, most hormonal peptides, antibiotics such as vancomycin, and phenobarbital, cimetidine, atenolol, aminoglycosides, hormones (e.g., thyrotropin-releasing hormone), p-nitrophenyl beta-cellopentaoside and leutinizing hormone-releasing hormone, and many others.
• Well known cationic bioactive materials include, without limitation, vincristine, amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, vancomycin and the aminoglycosides.
• Anionic bioactive materials include, without limitation, penicillin and many diuretics.
• bioactive materials can be eluted in several ways. Simple diffusion can be used to release bioactive material, in which case the bioactive material moves down a concentration gradient into the environmental solution (body fluid). Osmotic effects can also be used whereby a dissolved bioactive material can be carried by bulk fluid flow from an area of higher to lower osmotic potential. Osmotic effects can also be used to force bioactive material from the matrix. For example, a hydrophobic bioactive material can be forced from the matrix by filling the matrix with an increasing volume of an aqueous solution.
• Bioactive material release kinetics can also be adjusted by altering the physical characteristics of the bioactive material formulation itself such as net charge, hydrophobicity and rheological properties of the bioactive material formulation.
• Other methods used to elute a bioactive material from the sol-gel composition include the use of electrophoretic mechanisms for charged bioactive material particles, physical gating, such as controlling the surface area of the bioactive material reservoir exposed to the environment, and the use of various biodegradable and semi-permeable membranes that can be used to control the rate of release of a bioactive material from the reservoir.
• One important aspect of the current invention is the delivery of anti- restenosis bioactive materials.
• One especially effective anti-restenosis bioactive material appears to be the lipophilic bioactive material paclitaxel (N-benzyl-beta- phenylisoserine ester, M.W. 853.9), an anti-tumor agent isolated from the bark of the yew tree.
• the sol-gel compositions according to the present invention are very well suited for enhancing adhesion between organic and inorganic surfaces because of the highly ordered, open, surface-accessible channel network that is continuously interconnected throughout the entire film volume.
• organic bioactive material-containing polymers deposited on the top surface of an inorganic sol-gel composition of the present invention can access and penetrate the porous film throughout its thickness, creating a tough nanocomposite phase that extends all the way to the underlying inorganic substrate surface.
• Such molecular interdigitation of the polymer and the sol-gel composition creates a very strong bond, resistant to corrosion and mechanical removal.
• Fig. 2 illustrates the tri-layer structure 10 of the present invention used to enhance adhesion between organic and inorganic surfaces.
• a sol-gel composition 110 is deposited on an inorganic substrate 100.
• An organic polymer 120 is interdigitated through the sol-gel composition 110.
• the average diameter of the pores 130 can be between about 5-30 nm and the surface density of pores (access points to the channel network) from the film top can be on the order of about 10 12 /cm 2 .
• the polymer to which adhesion is sought can be deposited on top of the sol-gel composition by the spin-coating of a precursor formulation or any other suitable method.
• the polymer material then enters the pores of the sol-gel composition by, without limitation, capillary action or pressure or thermal treatment, thereby penetrating the sol-gel composition substantially, in one embodiment through its entire thickness.
• This penetration is followed by cross-linking of the polymer via thermal curing, by photocontrolled reaction or other suitable methods.
• this step can be accompanied or followed by formation of covalent or other chemical bonds between the organic polymer 120 and the modified walls of the pores 130 and the surface of the inorganic substrate 100 so as to further improve adhesion.
• the sol-gel compositions of the present invention can be produced and deposited onto a substrate by the following non-limiting method: (1) first, a substrate is provided, for example and without limitation surgical steel, a nickel- titanium alloy (NiTi), a cobalt-chrome alloy (Co-Cr), a carbon-fiber material, a plastic or other suitable biocompatible material; (2) the substrate surface is then cleaned of any undesired contamination; (3) the substrate is microblasted; (4) the sol-gel composition is produced by mixing the inorganic precursor with amphiphilic tri-block co-polymer templating agent, one or more bioactive materials and an organically modified silane.
• a substrate for example and without limitation surgical steel, a nickel- titanium alloy (NiTi), a cobalt-chrome alloy (Co-Cr), a carbon-fiber material, a plastic or other suitable biocompatible material
• the substrate surface is then cleaned of any undesired contamination
• the substrate is microblasted
• the sol-gel composition is produced by mixing the inorganic
• Non-limiting examples of typical inorganic precursors include Si ⁇ 2 and Ti ⁇ 2 such as tetraethoxysilane and titanium orthopropoxide.
• other solvents can also be added e.g., a rheology modifier such as ethanol or the swelling agent such as 1 ,3,5 trimethylbenzene; and (5) the template-assisted sol-gel composition is then deposited on the surface of the substrate, generally by, without limitation, spin-coating, dip-coating or spray-coating or painting of the object to be coated.
• the sol-gel composition can be treated on its surface or within its channels with an organically modified silane.
• Appropriate organically modified silanes for use in accordance with the present invention include, without limitation, alkylsilanes (such as, but not limited to, methyltrimethoxysilane, methyltriethoxysilane, dimethyldiethoxysilane, trimethylethoxysilane, vinyltrimethoxysilane, vinyltriethoxysilane, ethyltriethoxysilane, isopropyltriethoxysilane, butyltriethoxysilane, octyltriethoxysilane, dodecyltriethoxysilane, octadecyltriethoxysilane, etc), aryl-functional silanes (e.g.
• phenyltriethoxysilane, etc. aminosilanes (e.g. aminopropyltriethoxysilane, aminophenyltrimethoxysilane, aminopropyltrimethoxysilane, etc.), acrylate- and methacrylate-functional silanes (e.g. acryloxypropyltrimethoxysilane, ect), carboxylate, phosphonate, ester, sulfonate, isocyanate, epoxy functional silanes, chlorosilanes, (e.g.
• Dip-coating or spray-coating can be easily used for coating objects with complex shapes and arbitrary curvature, such as stents.
• the final thickness of the sol-gel composition can be controlled and optimized by diluting the solution, specifically by adding more solvent (typically ethanol) to the solution, so that in the final working solution the concentration of all the ingredients is reduced by the same amount and their relative concentration and molar ratios remain constant.
• Sol-gel composition thickness can also be adjusted by changing the spin-coating or dip- coating rate, or both, as described in the examples.
• the template material that defines the channels is then removed by thermal treatment or by room-temperature exposure to a UV lamp/ozone source. This will remove the template and induce cross-linking of the surrounding inorganic phase into a mechanically robust network. UV/ozone treatment is particularly useful if the inorganic precursor is heat sensitive.
• patterning techniques to template the sol-gel compositions at multiple length-scales can be used.
• coating with a sol-gel mesoporous oxide such as silica requires a hydrophilic surface with available -OH moieties that can partake in condensation reactions with the sol-gel precursor molecules.
• traditional lithography, or soft lithography (Whitesides et a/., Angew. Chem. Intl. Ed, 1998, 37, p. 550) or any other surface patterning method is used to strip selected surface regions of -OH functionality before deposition, the mesoporous coating would be patterned accordingly.
• the sol-gel composition coating can be patterned via, for example, micro-molding in capillaries (Trau et al., Nature. 1997, 390, p. 674) where a limited amount of the liquid sol can be compressed between a flexible silicone mold and the substrate surface.
• a second sacrificial porogen can be employed to pattern the deposition of a sol-gel composition coating.
• macroporous inorganic materials 100nm ⁇ d ⁇ 10 ⁇ m
• Another embodiment according to the present invention is the use of mesoporous materials that are relatively easy to obtain (such as silica) as intermediate molds for patterning other inorganic solids for which no appropriate sol- gel precursor exists, including noble metals such as, without limitation, gold and platinum and extending all the way to even carbon-based polymers.
• mesoporous materials that are relatively easy to obtain (such as silica) as intermediate molds for patterning other inorganic solids for which no appropriate sol- gel precursor exists, including noble metals such as, without limitation, gold and platinum and extending all the way to even carbon-based polymers.
• a mesoporous silica coating could be first deposited on an implantable device, followed by "casting" via a volatile precursor or liquid-based suspension of, without limitation, Pd or Au nanoparticles, followed by dissolution of the mesoporous silica via, for example, hydrofluoric acid treatment, thus resulting in a mesoporous noble- metal replica of the silica framework (Schuth, in Studies in Surface Science and Catalysis, v. 135, p. 1-12).
• a 0.1 M tetraethoxy silane (TEOS) sol-gel solution was prepared by first making 0.3M ethanolic hydrochloric acid in a 2OmL glass scintillation vial by mixing ethanol. In a 1.5-mL microcentrifuge tube 1mL of ethanol and 112 ⁇ l_ TEOS were combined. The TEOS solution was added dropwise to the acidified ethanol over 30 seconds and the resulting TEOS solution was allowed to hydrolyze for 45 minutes. At the end of the hydrolysis period, 2 mL of the hydrolyzed TEOS solution were added to des-aspartate angiotensin I (DAA-I) (2.5mg) in a glass vial (1 dram).
• DAA-I des-aspartate angiotensin I
• Either two cleaned 12mm or four cleaned 6mm stents were mounted onto the coating mandrel using grooved cones for suspension.
• the mandrel was attached to the spraying apparatus and the stents were sprayed with sufficient amounts of the sol-gel solution containing the DAA-I in repeated passes of the mandrel past the spray head to deposit approximately 20 ⁇ g of gel on the surface after 30 minutes of drying at 4O 0 C.
• a topcoat of 0.1 M TEOS was applied to serve as an additional barrier to provide a desired rate of release of the DAA-I.
• a 0.1 M TEOS solution was prepared as previously described, but with no DAA-I added.
• the stents were sprayed with sufficient TEOS to result in a topcoat of 50 ⁇ g after drying for 30 minutes at 4O 0 C.
• FIGs. 3A-3D scanning electron micrographs (SEMs) of the DAA-I coated stents were captured using a Hitachi S-3000N Scanning Electron Microscope with Oxford Instruments INCA X-Sight Model 7021.
• SEMs scanning electron micrographs
• Several previously DAA-l/TEOS-coated stents were placed on a rotating stage within the scanning electron microscope prior to evacuation of the chamber using double sided conducting adhesive discs.
• a map of the individual stents was drawn indicating location and subsequent identification based upon orientation of the individual stents to one another. No surface preparation of the stents was performed prior to imaging. Stents were oriented in the SEM field using an internal visual camera, and external controls.
• the electronic imaging system was energized and the various areas of interest were imaged at magnifications of 6OX (Fig. 3A); 500X (Fig. 3B); 1000X (Fig. 3C); and 2000X (Fig. 3D).
• 6OX Fig. 3A
• 500X Fig. 3B
• 1000X Fig. 3C
• 2000X Fig. 3D
• elution of DAA-I from the TEOS coated stents was measured by analyzing the amount of DAA-I found in 0.1% solutol in ammonium acetate buffer, pH 5.0, as a function of time, when the stents were incubated in this medium at 37 0 C.
• the amount of DAA-I was determined by integrating the DAA-I peak in high performance liquid chromatography (HPLC) profiles using a Altima C-8 column (Altech, Chicago IL.) and comparison to standard curves.
• HPLC high performance liquid chromatography
• Altima C-8 column Altima C-8 column
• Sol-gels composed solely of hydrolyzed TEOS or tetramethoxy silane (MEOS) are relatively hydrophilic and even though they more effectively entrap bioactive materials, they do not provide a chemically compatible environment for most hydrophobic drugs such as paclitaxel, rapamycin, cyclosporin, and other compounds with limited water solubility.
• hydrophobic drugs such as paclitaxel, rapamycin, cyclosporin, and other compounds with limited water solubility.
• alkylated ethoxy silanes can be added to the sol-gel forming solution.
• Sol-gel solutions were made by mixing varying concentrations of either phenyl, octyl, and dodecyl triethoxy silane from 10-90% with TEOS, with the total concentration of (TEOS+silane) being 0.1 M.
• Each of the solutions contained an amount of cerivastatin sufficient to coat the stents with 10 ⁇ g of drug. After the stents were sprayed and dried, they were separately immersed into 1 ml_ of water in a polypropylene microfuge tube. Aliquots of the solutions were analyzed for cerivastatin content after five minutes. As seen in Fig. 6, less bioactive material eluted when increasingly more hydrophobic silane was incorporated into the gel. The most effective was dodecyl triethoxy silane, with an optimal content being greater than about 30% and less than about 90%.
• stents were prepared that directly compared the elution profile of cerivastatin when coated in either 0.5M 100% TEOS or 0.2M 40% dodecyl triethoxy silane/60% TEOS. Interestingly, higher concentrations of the latter composition were not structurally stable. Significant flaking and particle formation was observed on stents coated with 0.3M and higher concentrations of 40% dodecyl triethoxy silane/60% TEOS.
• Another non-limiting method of modulating release of bioactive materials from sol-gel matrix compositions is to chemically treat the sol gel with a reactive chlorosilane.
• stents were spray coated with 10 ⁇ g cerivastatin in 0.5M TEOS and then dried. Next, a second layer of 0.5M TEOS was applied without any bioactive materials. The stents were then treated by immersion in 1 M solutions of chlorotrimethyl silane for either about ten minutes or about thirty minutes and then dried in a 40 0 C oven overnight.
• the present invention is ideal for secure femoral component fixation with a polymeric cement.
• the sol-gel compositions can be selected according to the implant material of choice. SiO 2 films can be deposited on Co-Cr-Mo, while TiO 2 films would likely be ideal on Ti6-A14-V components. In combination with the appropriate silane adhesion promoter, excellent bonding between the implant and the pre-coated PMMA material can be established. Additionally, the roughness of the surface of the sol-gel compositions is several orders of magnitude smaller. This characteristic should be beneficial in preventing debris generation and bone loss.
• a SiO 2 mesoporous film deposited on Ti6-A14-V alloy substrates and exposed to simulated body fluid have been shown to induce precipitation of hydroxyapatite crystals.
• Pores with sizes in the range of 50-100 ⁇ m have been reported as the necessary minimum to allow bone tissue in-growth throughout a porous coating.
• the mesoporous regime is ideal for accommodating polymer molecular chains.
• the matrix can be composed by an inorganic oxide derived via sol- gel synthesis (as described above), an ionic or non-ionic surfactant and a block- copolymer, or any combination thereof in any of a wide variety of molar ratios.
• this material system can be induced to self-assemble so that the matrix encapsulates the drug and regulates its sustained release via diffusion.
• the self-assembly process can also involve phase-separation of the matrix ingredients, where the surfactant and/or the block copolymer acts as a template and can guide the assembly of the sol-gel inorganic material (as described above). Subsequent removal of the template component(s) can provide an optional mechanism for regulating the drug release through the resulting interconnected pore channel networks in the inorganic matrix.
• the matrix is composed exclusively of sol-gel silicon oxide and the paclitaxel/TEOS molar ratio is ranging from about 10:1 to about 1 :200.
• a solution with paclitaxel/TEOS molar ratio of about 1 :10 and drug concentration of about 5 ⁇ g/ ⁇ l_ is prepared by dissolving about 5mg paclitaxel and about 50 ⁇ l_ of TEOS in a solvent composed of about 0.9mL ethanol and about 50 ⁇ L de-ionized water.
• the stent can be coated with about 2 ⁇ L of solution via capillary-assisted painting resulting in about 10 ⁇ g of total drug load.
• the paclitaxel (or other bioactive materials) can be first encapsulated in poly-lactic acid (PLA) or block(poly-lactic acid)-block(poly- glycolic acid) (PLGA) polymer spheres, where the polymer/drug molar ratio can be anywhere from about 200:1 to about 1:1 or, in another embodiment, from about 10:1 to about and 3:1.
• the polymer/drug spheres can be suspended in de-ionized (Dl) water so as to form a stable suspension.
• the spheres can then be deposited on a stent via, for example, spray coating of the aqueous solution, followed by a top coat of sol-gel composition.
• the biodegradable polymer spheres can provide sustained drug release while the sol-gel composition top coat can provide mechanical strength and improved adhesion of the spheres to the device surface, as well as act as a diffusion barrier to further control the drug elution.
• PLA/paclitaxel spheres drug concentration at about 18% wt
• Stents are then spray-coated by about 20 passes through an aerosol-beam obtained by dispensing this solution at a rate of about 40 ⁇ L/min and operating the vibrating component at about 2.0 Watts. This procedure results in a total drug load of about 20 ⁇ g.
• a sol-gel silicon oxide top coat can be spray-coated using a hydrolyzed TEOS solution.
• the hydrolysis can be performed in an aqueous solution, and optionally facilitated by, for example, acidic or basic conditions, agitation via stirring or ultra-sound vibration, the addition of an organic solvent, or any combination of the above.
• the top coat solution has a pH « 3 and can be prepared by mixing about 210 ⁇ L of TEOS, about 9.25mL Dl water, about 0.5mL ethanol and about 100 ⁇ L of dilute (0.1M) hydrochloric acid (HCI) and vigorously stirring at about 1500 rpm with a magnetic stir-bar for about 1 hour.
• Top coating involves about 20 stent passes through the spray beam while the solution is dispensed at about 40 ⁇ l_/min and aerosolized with about 2.0W of power.
• an intermediate layer of PLA/cerivastatin spheres can be sandwiched between a base coat containing drug and sol-gel composition top coat.
• This intermediate layer can be obtained by dissolving, for example, about 20mg of PLA/cerivastatin spheres in about 1mL Dl water and spraying about 20 passes at a dispensing rate of about 40 ⁇ l_/min and about 1W aerosolizing power.
• the purpose of this intermediate layer is to further prolong drug release via interactions of the diffusing molecules with the spheres.
• the base coat in these embodiments of the present invention can, but need not, also contain additional bioactive materials.
• the bioactive materials contained in the base coat can be the same or different from other bioactive materials found in the spheres or optionally in the inorganic sol-gel composition top coat.
• the base coat can be a bioactive material-free metallic layer as described in co-pending U.S. Patent Publication No. 2006-0051397 which is incorporated by reference herein for all it discloses regarding the deposition of drug- free metallic layers.
• the base coat can be a metallic layer with bioactive materials deposited into the metallic layer directly through an electrochemical process or loaded into pores created through the use of an electrochemical process as described in co-pending U.S. Patent Publication Nos.
• the base coat can be an inorganic sol-gel composition that is bioactive material free, contains bioactive materials within the composition before it is applied to the surface of the medical device, free of bioactive materials until it is applied to the device and bioactive materials loaded into its interconnected channels, or this form of a sol-gel composition can include bioactive materials through both mechanisms.
• the base coats of the present invention can also be applied according the methodologies described in U.S. Patent No.
• one layer could contain two different bioactive materials, two different layers could contain two different bioactive materials or multiple layers could contain the same bioactive material at different concentrations.
• one device could comprise three layers: the base layer could contain paclitaxel; the middle layer could contain no bioactive materials; and the outer layer top coat could comprise an antiinflammatory bioactive material such as statin.
• the statin would be released quickly upon implantation of the device while the release of the paclitaxel would be delayed.
• an outer layer top coat can be made hydrophobic with, without limitation, dodecyl silane, to provide a water barrier.
• sol-gel compositions of any layer can be a sol-gel derived inorganic oxide; a sol- gel derived organically modified silane; a hybrid oxide comprising an organically modified silane; and an oxide having mesoscale pores created using a template.

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