JP2014515028A - ナノ粒子組成物の脈管内送達およびそれらの使用 - Google Patents
ナノ粒子組成物の脈管内送達およびそれらの使用 Download PDFInfo
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Abstract
Description
本願は、2011年4月28日に提出した米国仮出願第61/518,084号および2011年11月9日に提出した米国仮出願第61/557,851号の優先権の利益を主張する。これらの出願の内容は、その全体が本明細書に援用される。
本発明は、マクロライドおよびアルブミンを含むナノ粒子を含む組成物を、血管壁または血管壁を取り囲む組織内にナノ粒子組成物を直接注射することによって送達する方法、およびこの組成物の使用に関する。
冠動脈疾患は、世界中で死亡の主要原因の1つになっている。冠動脈バイパス手術は、アテローム性動脈硬化症および他の原因から生じる狭窄動脈の有効な治療であるが、これは、非常に侵襲的な手順であり、相当な入院期間および回復時間を要する。経皮経管冠動脈形成術(PTCA)は、一般にバルーン血管形成術と呼ばれ、バイパス手術より低侵襲性、低外傷性であり、かなり安価である。バルーン血管形成術の有効性は、バルーン血管形成術によって処置された動脈内に骨格構造を配置するステント留置術の導入により、著しく改善された。ステントは、動脈の急激な再閉鎖を阻害し、過形成に起因する後続の再狭窄の低減においていくらかの利点を有する。このような改善にもかかわらず、血管形成術手順とその後のステント留置術を受けた患者は、過形成に起因する再狭窄の高い発病率に依然として悩まされている。抗増殖薬で被覆されたステントを移植することにより、過形成の発生を著しく低減することができる。
本願は、いくつかの実施形態において、アルブミンおよびマクロライドを含むナノ粒子を含む組成物を血管に送達する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法を提供する。いくつかの実施形態では、血管におけるネガティブリモデリングを阻害する必要のある個体において血管におけるネガティブリモデリングを阻害する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法が提供される。いくつかの実施形態では、血管における血管線維症(中膜線維症(medial fibrosis)または外膜線維症など)を阻害する必要のある個体において血管における血管線維症を阻害する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法が提供される。いくつかの実施形態では、血管における増殖指数を低減する必要のある個体において血管における増殖指数を低減する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法が提供される。いくつかの実施形態では、血管におけるポジティブリモデリングを促進する必要のある個体において血管におけるポジティブリモデリングを促進する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法が提供される。
本願は、マクロライドおよびアルブミンを含むナノ粒子を含む組成物(「ナノ粒子組成物」)を血管に送達する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法を提供する。このような方法は、例えば、血管におけるネガティブリモデリングの阻害および/または血管における血管線維症の阻害に有用となり得、したがって、ネガティブリモデリングおよび/または血管線維症に関連する様々な疾患を治療するのに有用である。
用語「個体」は、哺乳動物を指し、それだけに限らないが、ヒト、ウシ、ウマ、ネコ、イヌ、げっ歯類、または霊長類を含む。
本願は、いくつかの実施形態では、アルブミンおよびマクロライド(ラパマイシンまたはその誘導体など、例えば、ラパマイシン)を含むナノ粒子を含む組成物を血管に送達する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法を提供する。いくつかの実施形態では、アルブミンおよびマクロライド(ラパマイシンなど)を含むナノ粒子を含む組成物を血管に送達する方法であって、マクロライドおよびアルブミン(ヒト血清アルブミンなど)を含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含み、ナノ粒子中のマクロライドは、アルブミンで被覆されている、方法が提供される。いくつかの実施形態では、アルブミンおよびマクロライド(ラパマイシンなど)を含むナノ粒子を含む組成物を血管に送達する方法であって、マクロライドおよびアルブミン(ヒト血清アルブミンなど)を含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含み、組成物中のナノ粒子のアベレージ粒径は、約200nm以下(約200nm未満など、例えば、約100nm以下)である、方法が提供される。いくつかの実施形態では、アルブミンおよびマクロライド(ラパマイシンなど)を含むナノ粒子を含む組成物を血管に送達する方法であって、ラパマイシンおよびアルブミン(ヒト血清アルブミンなど)を含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含み、ナノ粒子中のラパマイシンは、アルブミンで被覆されており、組成物中のナノ粒子のアベレージ粒径は、約200nm以下(約200nm未満など、例えば、約100nm以下)である、方法が提供される。いくつかの実施形態では、Nab−ラパマイシンを血管に送達する方法であって、有効量のNab−ラパマイシンを血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法が提供される。いくつかの実施形態では、ナノ粒子組成物は、疾患部位(または病変部位)に、または疾患部位(または病変部位)から約2cm以下、約1cm以下、もしくは約0.5cm以下など離れた場所に、これに隣接して注射される。いくつかの実施形態では、ナノ粒子組成物は、疾患部位から遠く離れた場所に(例えば、疾患部位から少なくとも約1、2、3、4、5、6、7、8、9、または10cmなどのいずれかで離れた場所に)注射される。
個体(ヒトなど)に注射されるマクロライドナノ粒子組成物の用量は、注射をする血管の種類、方法の目的、および治療される疾患の種類によって変更することができる。いくつかの実施形態では、注射されるマクロライドナノ粒子組成物の量は、約5%超、約10%超、約15%超、約20%超、約25%超、約30%超、約35%超、約40%超、約45%超、約50%超、約55%超、約60%超、約64%超、約65%超、約70%超、約75%超、約80%超、約85%超、または約90%超のいずれかでネガティブリモデリングを阻害するのに十分である。ネガティブリモデリングの阻害は、例えば、血管の血管径または内腔径を測定することによって査定することができる。いくつかの実施形態では、注射されるマクロライドナノ粒子組成物の量は、約5%超、約10%超、約15%超、約20%超、約25%超、約30%超、約35%超、約40%超、約45%超、約50%超、約55%超、約60%超、約64%超、約65%超、約70%超、約75%超、約80%超、約85%超、または約90%超のいずれかでポジティブリモデリングを促進するのに十分である。
本明細書に記載のナノ粒子組成物は、マクロライド(ラパマイシンなど)およびアルブミン(ヒト血清アルブミンなど)を含む(様々な実施形態では、これらから本質的になる、またはこれらからなる)ナノ粒子を含む。水難溶性薬物(マクロライドなど)のナノ粒子は、例えば、米国特許第5,916,596号、同第6,506,405号、同第6,749,868号、同第6,537,579号、同第7,820,788号、ならびにまた米国特許公開第2006/0263434号、および同第2007/0082838号、PCT特許出願第WO08/137148号に記載されている。これらのそれぞれは、その全体が参照により組み込まれている。
本明細書に記載のナノ粒子は、他の作用物質、賦形剤、または安定剤を含む組成物中に存在し得る。例えば、ナノ粒子の負のゼータ電位を増大させることによって安定性を増大させるために、負に帯電した成分の1つまたは複数を添加することができる。このような負に帯電した成分としては、それだけに限らないが、グリココール酸、コール酸、ケノデオキシコール酸、タウロコール酸、グリコケノデオキシコール酸、タウロケノデオキシコール酸、リトコール酸(litocholic acid)、ウルソデオキシコール酸、デヒドロコール酸などからなる胆汁酸の胆汁塩、以下のホスファチジルコリン、すなわち、パルミトイルオレオイルホスファチジルコリン、パルミトイルリノレオイルホスファチジルコリン、ステアロイルリノレオイルホスファチジルコリン、ステアロイルオレオイルホスファチジルコリン、ステアロイルアラキドイルホスファチジルコリン、およびジパルミトイルホスファチジルコリンを含むレシチン(卵黄)系リン脂質を含めたリン脂質がある。L−α−ジミリストイルホスファチジルコリン(DMPC)、ジオレオイルホスファチジルコリン(DOPC)、ジステアロイルホスファチジルコリン(distearyolphosphatidylcholine)(DSPC)、水素化大豆ホスファチジルコリン(HSPC)、および他の関連化合物を含めた他のリン脂質。例えば、硫酸コレステリルナトリウムなどの負に帯電した界面活性剤または乳化剤も、添加剤として適している。
本発明は、本明細書に記載の方法のいずれかで使用するためのキットおよびデバイスも提供する。
マイクロ注入カテーテルを用いて外膜周囲に注射するための方法
本実施例では、外膜周囲組織へのNab−ラパマイシンの注射を実証する。Nab−ラパマイシン(Celgene Corporation)を生理食塩水中に再構成して5mg/mlにした後、注射した。
ブタ大腿動脈バルーン傷害モデルにおけるNab−ラパマイシンの外膜周囲送達
本実験は、Nab−ラパマイシンを外膜周囲に送達することにより、ブタ大腿動脈バルーン血管形成術傷害モデルにおいて管腔狭窄を減少させることができるか否かを判定するために行った。
Claims (41)
- 血管におけるネガティブリモデリングを阻害する必要のある個体において血管におけるネガティブリモデリングを阻害する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法。
- 血管における血管線維症を阻害する必要のある個体において血管における血管線維症を阻害する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法。
- 前記血管線維症が中膜血管線維症または外膜線維症である、請求項2に記載の方法。
- 血管におけるポジティブリモデリングを促進する必要のある個体において血管におけるポジティブリモデリングを促進する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法。
- 前記血管が動脈である、請求項1から4のいずれか一項に記載の方法。
- 前記動脈が冠動脈または末梢動脈である、請求項5に記載の方法。
- 前記動脈が、腎動脈、脳動脈、肺動脈、および脚の動脈からなる群から選択される、請求項6に記載の方法。
- 前記血管が静脈である、請求項1から4のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、前記血管壁内に注射される、請求項1から8のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、前記血管壁を取り囲む前記組織内に注射される、請求項1から8のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、前記血管の外膜組織内に注射される、請求項10に記載の方法。
- 前記ナノ粒子組成物が、約0.001mg〜約100mgの用量で注射される、請求項1から11のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、約0.05mg〜約5mgの用量で注射される、請求項12に記載の方法。
- 前記ナノ粒子組成物の注射量が、約0.01ml〜約50mlである、請求項1から13のいずれか一項に記載の方法。
- 前記ナノ粒子組成物の前記注射量が、約0.5ml〜約5mlである、請求項14に記載の方法。
- 前記ナノ粒子組成物が、針付きカテーテルを通して注射される、請求項1から15のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、少なくとも年1回注射される、請求項1から16のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、疾患部位の遠位または近位に注射される、請求項1から17のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、疾患部位から少なくとも約2cm離れた場所に注射される、請求項1から17のいずれか一項に記載の方法。
- 前記ナノ粒子組成物が、疾患部位に、または疾患部位に隣接して注射される、請求項1から17のいずれか一項に記載の方法。
- 前記個体が、狭心症、心筋梗塞、うっ血性心不全、心不整脈、末梢動脈疾患、跛行、または慢性肢虚血のうちのいずれか1つを有する、請求項1から20のいずれか一項に記載の方法。
- アルブミンおよびマクロライドを含むナノ粒子を含む組成物を血管に送達する方法であって、マクロライドおよびアルブミンを含むナノ粒子を含む有効量の組成物を血管壁または血管壁を取り囲む組織内に注射するステップを含む、方法。
- 前記ナノ粒子組成物が、前記血管壁を取り囲む前記組織内に注射される、請求項22に記載の方法。
- 前記ナノ粒子組成物が、前記血管の外膜組織内に注射される、請求項22に記載の方法。
- 前記注射が、針付きカテーテルを介するものである、請求項22から24のいずれか一項に記載の方法。
- 前記マクロライドがラパマイシンである、請求項1から25のいずれか一項に記載の方法。
- 前記組成物中の前記ナノ粒子が、約200nm以下のアベレージ直径を有する、請求項1から26のいずれか一項に記載の方法。
- 前記組成物中の前記ナノ粒子が、約100nm以下のアベレージ直径を有する、請求項27に記載の方法。
- 前記組成物中の前記ナノ粒子が、約70nm以上のアベレージ直径を有する、請求項28に記載の方法。
- 前記ナノ粒子中の前記マクロライドが、アルブミンで被覆されている、請求項1から29のいずれか一項に記載の方法。
- 前記個体がヒトである、請求項1から30のいずれか一項に記載の方法。
- 血管介入手順中に実施される、請求項1から31のいずれか一項に記載の方法。
- 血管介入手順後に実施される、請求項1から31のいずれか一項に記載の方法。
- 前記介入手順が、血管形成術、ステント留置術、またはアテローム切除術である、請求項32または33に記載の方法。
- 針付きカテーテルであって、前記針が、マクロライドおよびアルブミンを含むナノ粒子を含む組成物を含有する、カテーテル。
- 前記マクロライドがラパマイシンである、請求項35に記載のカテーテル。
- 前記組成物中の前記ナノ粒子が、約200nm以下のアベレージ直径を有する、請求項35または36に記載のカテーテル。
- 前記組成物中の前記ナノ粒子が、約100nm以下のアベレージ直径を有する、請求項37に記載のカテーテル。
- 前記組成物中の前記ナノ粒子が、約70nm以上のアベレージ直径を有する、請求項38に記載のカテーテル。
- 前記ナノ粒子が、アルブミンで被覆された前記マクロライドを含む、請求項35から39のいずれか一項に記載のカテーテル。
- 前記針が展開可能である、請求項35から40のいずれか一項に記載のカテーテル。
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