JPWO2020264425A5 - - Google Patents

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JPWO2020264425A5
JPWO2020264425A5 JP2021577919A JP2021577919A JPWO2020264425A5 JP WO2020264425 A5 JPWO2020264425 A5 JP WO2020264425A5 JP 2021577919 A JP2021577919 A JP 2021577919A JP 2021577919 A JP2021577919 A JP 2021577919A JP WO2020264425 A5 JPWO2020264425 A5 JP WO2020264425A5
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[0641]本発明の好ましい実施形態が、本明細書において示され、記載される一方、このような実施形態が例示のみの目的で提供されることは、当業者に明らかであろう。本発明が、明細書内で提供される具体的な実施例により限定されることは、意図されていない。本発明は、上述の明細書を参照して記載される一方、本明細書における実施形態の記載および説明は、限定的な意味で作成されるつもりはない。多数のバリエーション、変更、および置換は、本発明から逸脱することなく、当業者に思い浮かび得る。さらに、本発明のすべての態様は、様々な条件および変数に依存する、本明細書において記載される具体的な描写、配置または相対的比率に限定されないことは、理解されるだろう。本明細書において記載される本発明の実施形態の様々な代替が、本発明の実施において利用され得ることは、理解されるべきである。故に、本発明はまた、任意のかかる代替、改変、バリエーションまたは均等物をカバーすることが企図される。以下の特許請求の範囲が、本発明の範囲を定義すること、およびこれらの請求の範囲内の方法および構造物ならびにそれらの均等物が、これによりカバーされることが、意図される。本明細書は以下の発明の開示を包含する。
[項目1]a.カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックスと、
b.活性剤または診断剤と
を含む眼科用物品であって、眼内レンズ(IOL)のハプティクスに結合するように構成されている眼科用物品。
[項目2]前記コポリマーが、約20重量%~約60重量%の前記カプロラクトンモノマーおよび約40重量%~80重量%の前記少なくとも1種の他のモノマーに由来する、項目1に記載の眼科用物品。
[項目3]前記コポリマーが、約40重量%の前記カプロラクトンモノマーおよび約60重量%の前記少なくとも1種の他のモノマーに由来する、項目1または2に記載の眼科用物品。
[項目4]前記少なくとも1種の他のモノマーが、ラクチド、グリコリド、またはトリメチレンカーボネートである、前記項目のいずれか一項に記載の眼科用物品。
[項目5]前記コポリマーが、ランダムコポリマーを含む、前記項目のいずれか一項に記載の眼科用物品。
[項目6]前記活性剤が、デキサメタゾン、ケトロラック、ジクロフェナク、モキシフロキサシン、トラボプロスト、5-フルオロウラシル、またはメトトレキセートである、前記項目のいずれか一項に記載の眼科用物品。
[項目7]a.生体適合性材料と、
b.活性剤または診断剤と
を含む眼科用物品であって、約40重量%のカプロラクトンモノマーおよび約60重量%のラクチドモノマーに由来するコポリマーを含む生体適合性マトリックスを含む別の物品と等価な弾性、圧縮性、引張強さ、形状回復性、または再成形性を有し、眼内レンズ(IOL)のハプティクスに結合するように構成されている眼科用物品。
[項目8]前記生体適合性マトリックスを含む前記別の物品が、少なくとも約0.5メガパスカル(MPa)の引張強さを有する、項目7に記載の眼科用物品。
[項目9]前記生体適合性マトリックスを含む前記別の物品が、示差走査熱量測定法によって測定して最大でも約24℃のガラス転移温度を有する、項目7または8に記載の眼科用物品。
[項目10]前記生体適合性マトリックスを含む前記別の物品が、示差走査熱量測定法によって測定して約-20℃~24℃のガラス転移温度を有する、前記項目のいずれか一項に記載の眼科用物品。
[項目11]前記生体適合性マトリックスを含む前記別の物品が、最大でも約3MPaの弾性率を有する、前記項目のいずれか一項に記載の眼科用物品。
[項目12]前記生体適合性マトリックスを含む前記別の物品が、約0.5MPa~3MPaの弾性率を有する、前記項目のいずれか一項に記載の眼科用物品。
[項目13]前記生体適合性マトリックスを含む前記別の物品が、約18℃~24℃で測定して少なくとも約100%の破断点伸びを有する、前記項目のいずれか一項に記載の眼科用物品。
[項目14]前記生体適合性マトリックスを含む前記別の物品が、約18℃~24℃で約500%~1500%の破断点伸びを有する、前記項目のいずれか一項に記載の眼科用物品。
[項目15]前記IOLの前記ハプティクスの周囲に結合するための内部構造を含む、前記項目のいずれか一項に記載の眼科用物品。
[項目16]前記内部構造の周囲長または最大幅が、前記IOLの前記ハプティクスの周囲長または最大幅以下である、項目15に記載の眼科用物品。
[項目17]a.(1)カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックス、ならびに(2)1種または複数の活性剤または診断剤を含む1つまたは複数の眼科用物品と、
b.1つまたは複数のハプティクスを含む1つまたは複数の眼内レンズ(IOL)と
を含む眼科用送達システムであって、前記1つまたは複数の眼科用物品が、前記IOLの前記1つまたは複数のハプティクスに結合している、眼科用送達システム。
[項目18]前記1つまたは複数の眼科用物品の約1つが、前記IOLの前記1つまたは複数のハプティクスと結合している、項目17に記載の眼科用送達システム。
[項目19]前記1つまたは複数の眼科用物品の約1つが、前記IOLの前記1つまたは複数のハプティクスの1つと結合している、項目17または18に記載の眼科用送達システム。
[項目20]前記コポリマーが、約20重量%~約60重量%の前記カプロラクトンモノマーおよび約40重量%~80重量%の前記少なくとも1種の他のモノマーに由来する、前記項目のいずれか一項に記載の眼科用送達システム。
[項目21]前記コポリマーが、約40重量%の前記カプロラクトンモノマーおよび約60重量%の前記少なくとも1種の他のモノマーに由来する、前記項目のいずれか一項に記載の眼科用送達システム。
[項目22]前記少なくとも1種の他のモノマーが、ラクチド、グリコリド、またはトリメチレンカーボネートである、前記項目のいずれか一項に記載の眼科用送達システム。
[項目23]前記1種または複数の活性剤が、デキサメタゾン、ケトロラック、ジクロフェナク、モキシフロキサシン、トラボプロスト、5-フルオロウラシル、またはメトトレキセートである、前記項目のいずれか一項に記載の眼科用送達システム。
[項目24]前記1つまたは複数の眼科用物品が、前記IOLの前記1つまたは複数のハプティクスの周囲に結合するための内部構造を含む、前記項目のいずれか一項に記載の眼科用送達システム。
[項目25]前記内部構造の周囲長または最大幅が、前記IOLの前記1つまたは複数のハプティクスの周囲長または最大幅以下である、項目24に記載の眼科用送達システム。
[項目26]疾患を処置または予防する方法であって、それを必要とする対象の眼に持続性眼内薬物送達のための眼内レンズ(IOL)を埋め込むステップを含み、IOLが、それに結合している1つまたは複数の薬物放出物品を含み、前記1つまたは複数の薬物放出物品が、1種または複数の活性剤を含み、埋め込み後7日以内に、前記1つまたは複数の薬物放出物品が、前記1種または複数の活性剤を放出し、その結果、細隙灯生体顕微鏡法を使用して前房細胞スコアによって測定して炎症スコアが最大でも1になり、または10点視覚的アナログ尺度によって測定して眼痛がなくなる、方法。
[項目27]埋め込み後7日以内に、前記1つまたは複数の薬物放出物品が、前記1種または複数の活性剤を放出し、その結果、細隙灯生体顕微鏡法を使用して前房細胞スコアによって測定して炎症スコアが最大でも1になる、項目26に記載の方法。
[項目28]埋め込み後7日以内に、前記1つまたは複数の薬物放出物品が、前記1種または複数の活性剤を放出し、その結果、10点視覚的アナログ尺度によって測定して眼痛がなくなる、項目26または27に記載の方法。
[項目29]前記1つまたは複数の薬物放出物品が、前記IOLの1つまたは複数のハプティクスに結合している、前記項目のいずれか一項に記載の方法。
[項目30]前記1つまたは複数の薬物放出物品の1つが、前記IOLの前記1つまたは複数のハプティクスの1つと結合している、項目29に記載の方法。
[項目31]前記1つまたは複数の薬物放出物品の2つが、前記IOLの前記1つまたは複数のハプティクスの1つと結合している、項目29に記載の方法。
[項目32]前記1つまたは複数の薬物放出物品が、生体適合性マトリックスを含む、前記項目のいずれか一項に記載の方法。
[項目33]前記生体適合性マトリックスが、約20重量%~約60重量%のカプロラクトンモノマーおよび約40重量%~80重量%の少なくとも1種の他のモノマーに由来するコポリマーを含む、項目32に記載の方法。
[項目34]前記1つまたは複数の薬物放出物品が、約1μg~800μgの前記1種または複数の活性剤を含む、前記項目のいずれか一項に記載の方法。
[項目35]前記1種または複数の活性剤が、デキサメタゾン、ケトロラック、ジクロフェナク、モキシフロキサシン、トラボプロスト、5-フルオロウラシル、またはメトトレキセートである、前記項目のいずれか一項に記載の方法。
[項目36]前記対象が、眼科手術を同時に受けているまたは受けたことがある、前記項目のいずれか一項に記載の方法。
[項目37]前記対象が、白内障手術を同時に受けているまたは受けたことがある、前記項目のいずれか一項に記載の方法。
[項目38]少なくとも1つの作用剤放出眼内レンズを調製する方法であって、
(a)1種または複数の活性剤または診断剤を、カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックスと組み合わせ、それによって1つまたは複数の眼科用物品を生成するステップと、
(b)前記1つまたは複数の眼科用物品を少なくとも1つの眼内レンズ(IOL)の1つまたは複数のハプティクスに結合させるステップと
を含む方法。
[項目39]前記1つまたは複数の眼科用物品の約1つが、前記IOLの前記1つまたは複数のハプティクスの1つと結合している、項目38に記載の方法。
[項目40]前記1つまたは複数の眼科用物品の約2つが、前記IOLの前記1つまたは複数のハプティクスの1つと結合している、項目38または39に記載の方法。
[項目41]前記生体適合性マトリックスが、約20重量%~約60重量%のカプロラクトンモノマーおよび約40重量%~80重量%の少なくとも1種の他のモノマーに由来するコポリマーを含む、前記項目のいずれか一項に記載の方法。
[項目42]前記1つまたは複数の眼科用物品が、引張試験によって測定して少なくとも約100%の破断点伸びを有する、前記項目のいずれか一項に記載の方法。
[項目43]前記1種または複数の活性剤が、デキサメタゾン、ケトロラック、ジクロフェナク、モキシフロキサシン、トラボプロスト、5-フルオロウラシル、またはメトトレキセートである、前記項目のいずれか一項に記載の方法。
[項目44]前記結合が、前記1つまたは複数の眼科用物品と前記1つまたは複数のハプティクスとの間の間接的結合を含む、前記項目のいずれか一項に記載の方法。
[項目45]前記1つまたは複数の眼科用物品が、前記1つまたは複数のハプティクスの周囲に結合するための内部構造を含む、前記項目のいずれか一項に記載の方法。
[項目46]前記内部構造の周囲長または最大幅が、前記1つまたは複数のハプティクスの周囲長または最大幅以下である、項目45に記載の方法。
[項目47]活性剤または診断剤を投与する方法であって、
(a)1つまたは複数の眼科用物品が結合している眼内レンズ(IOL)を約0.5mm~3mmのインジェクターチップ内径を含むIOLインジェクターを通して圧縮し、それによって1つまたは複数の眼科用物品が結合している圧縮されたIOLを生成するステップであって、1つまたは複数の眼科用物品が、1種または複数の活性剤または診断剤を含む、ステップと、
(b)活性剤または診断剤の投与を必要とする対象の眼に、1つまたは複数の眼科用物品が結合している前記圧縮されたIOLを持続性眼内活性剤または診断剤送達のために埋め込むステップと
を含む方法。
[項目48]前記1つまたは複数の眼科用物品が、生体適合性マトリックスを含む、項目47に記載の方法。
[項目49]前記生体適合性マトリックスが、約20重量%~約60重量%のカプロラクトンモノマーおよび約40重量%~80重量%の少なくとも1種の他のモノマーに由来するコポリマーを含む、項目48に記載の方法。
[項目50]前記生体適合性マトリックスが、約0.5mm~3mmのインジェクターチップ内径を含むIOLインジェクターによる注入と適合するように十分に圧縮可能である、項目48または49に記載の方法。
[項目51]前記1つまたは複数の眼科用物品が、少なくとも約0.5メガパスカル(MPa)の引張強さを有する、項目48から50のいずれか一項に記載の方法。
[項目52]前記1つまたは複数の眼科用物品が、示差走査熱量測定法によって測定して最大でも約24℃のガラス転移温度を有する、前記項目のいずれか一項に記載の方法。
[項目53]前記1つまたは複数の眼科用物品が、最大でも約3MPaの弾性率を有する、前記項目のいずれか一項に記載の方法。
[項目54]前記1つまたは複数の眼科用物品が、引張試験によって測定して少なくとも約100%の破断点伸びを有する、前記項目のいずれか一項に記載の方法。
[項目55]前記圧縮が、前記1つまたは複数の眼科用物品が結合している前記IOLを、約0.5mm~3mmの前記インジェクターチップ内径を含む前記IOLインジェクターを通して管状に折り畳むステップを含む、前記項目のいずれか一項に記載の方法。
[項目56](1)カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックス、ならびに(2)1種または複数の活性剤または診断剤を含む1つまたは複数の眼科用物品を含む容器と、
使用説明書と
を含むキット。
[項目57]1つまたは複数の眼内レンズを含む別の容器をさらに含み、前記1つまたは複数の眼内レンズのそれぞれが、1つまたは複数のハプティクスを含む、項目56に記載のキット。
[項目58]前記容器が、前記1つまたは複数の眼科用物品と結合している1つまたは複数のハプティクスを含む1つまたは複数の眼内レンズをさらに含む、項目56に記載のキット。
[項目59]前記1つまたは複数の眼科用物品の1つが、前記1つまたは複数のハプティクスと結合している、項目57または58に記載のキット。
[項目60]前記1つまたは複数の眼科用物品の2つが、前記1つまたは複数のハプティクスと結合している、項目57または58に記載のキット。
[項目61]前記コポリマーが、約20重量%~約60重量%の前記カプロラクトンモノマーおよび約40重量%~80重量%の前記少なくとも1種の他のモノマーに由来する、前記項目のいずれか一項に記載のキット。
[項目62]前記1種または複数の活性剤が、デキサメタゾン、ケトロラック、ジクロフェナク、モキシフロキサシン、トラボプロスト、5-フルオロウラシル、またはメトトレキセートである、前記項目のいずれか一項に記載のキット。
[項目63]1つまたは複数の眼内デバイスインジェクターをさらに含む、前記項目のいずれか一項に記載のキット。
[項目64]眼の疾患または状態を診断する方法であって、それを必要とする対象の眼に、1種または複数の診断剤を対象の眼に送達するための眼内レンズ(IOL)を投与するステップを含み、IOLが、それに結合している1つまたは複数の眼科用物品を含み、前記1つまたは複数の眼科用物品が、常磁性分子、蛍光化合物、磁性分子、放射性核種、x線イメージング剤、および造影剤からなる群から選択される前記1種または複数の診断剤を含む、方法。
[項目65]前記疾患または状態を示す前記1種または複数の診断剤を含むイメージを捕獲するステップをさらに含む、項目64に記載の方法。
[項目66]1つまたは複数の眼科用物品が結合している前記IOLを投与するより前に、前記1つまたは複数の眼科用物品を前記IOLの1つまたは複数のハプティクスに結合させるステップを含む、項目64または65に記載の方法。
[項目67]前記1つまたは複数の眼科用物品が結合している前記IOLを投与するより前に、1種または複数の診断剤を生体適合性マトリックスと組み合わせ、それによって前記1つまたは複数の眼科用物品を生成するステップを含む、前記項目のいずれか一項に記載の方法。
[項目68]前記1つまたは複数の眼科用物品が結合している前記IOLを投与するより前に、前記1つまたは複数の眼科用物品が結合している前記IOLを、約0.5~3mmのインジェクターチップ内径を含むIOLインジェクターを通して圧縮するステップを含む、前記項目のいずれか一項に記載の方法。
[項目69]前記1種または複数の診断剤が、蛍光化合物である、前記項目のいずれか一項に記載の方法。
[項目70]前記1つまたは複数の眼科用物品が、生体適合性コポリマーマトリックスを含む、前記項目のいずれか一項に記載の方法。
[項目71]前記生体適合性マトリックスが、約20重量%~約60重量%のカプロラクトンモノマーおよび約40重量%~80重量%の少なくとも1種の他のモノマーに由来するコポリマーを含む、項目70に記載の方法。
[0641] While preferred embodiments of the present invention have been shown and described herein, it will be apparent to those skilled in the art that such embodiments are provided for purposes of illustration only. It is not intended that the invention be limited by the specific examples provided within the specification. While the present invention has been described with reference to the foregoing specification, the descriptions and illustrations of the embodiments herein are not meant to be taken in a limiting sense. Numerous variations, modifications, and substitutions may occur to those skilled in the art without departing from the invention. Furthermore, it will be understood that all aspects of the present invention are not limited to the specific depictions, arrangements or relative proportions set forth herein which are dependent on various conditions and variables. It should be understood that various alternatives to the embodiments of the invention described herein may be utilized in practicing the invention. Accordingly, the invention is also intended to cover any such alternatives, modifications, variations or equivalents. It is intended that the following claims define the scope of the invention and that methods and structures within the scope of these claims and their equivalents be covered thereby. This specification includes the disclosure of the following inventions.
[Item 1] a. a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer;
b. An ophthalmic article comprising an active agent or diagnostic agent, the ophthalmic article configured to bind to haptics of an intraocular lens (IOL).
[Item 2] The ophthalmic product of item 1, wherein the copolymer is derived from about 20% to about 60% by weight of the caprolactone monomer and about 40% to 80% by weight of the at least one other monomer. Goods.
3. The ophthalmic article of claim 1 or 2, wherein said copolymer is derived from about 40% by weight of said caprolactone monomer and about 60% by weight of said at least one other monomer.
[Item 4] The ophthalmic article according to any one of the above items, wherein the at least one other monomer is lactide, glycolide, or trimethylene carbonate.
[Item 5] The ophthalmic article of any one of the preceding items, wherein the copolymer comprises a random copolymer.
[Item 6] The ophthalmic article of any one of the preceding items, wherein the active agent is dexamethasone, ketorolac, diclofenac, moxifloxacin, travoprost, 5-fluorouracil, or methotrexate.
[Item 7] a. a biocompatible material;
b. an ophthalmic article comprising an active agent or diagnostic agent, the elasticity equivalent to another article comprising a biocompatible matrix comprising a copolymer derived from about 40% by weight caprolactone monomers and about 60% by weight lactide monomers; An ophthalmic article that is compressible, tensile strength, shape recoverable, or remoldable and configured to bond to the haptics of an intraocular lens (IOL).
8. The ophthalmic article of claim 7, wherein said another article comprising said biocompatible matrix has a tensile strength of at least about 0.5 megapascals (MPa).
9. The ophthalmic article of claim 7 or 8, wherein said another article comprising said biocompatible matrix has a glass transition temperature of at most about 24°C as measured by differential scanning calorimetry.
[Item 10] Any one of the preceding items, wherein the another article comprising the biocompatible matrix has a glass transition temperature of about -20°C to 24°C as measured by differential scanning calorimetry. ophthalmic articles.
[Item 11] The ophthalmic article of any one of the preceding items, wherein the another article comprising the biocompatible matrix has a modulus of elasticity of at most about 3 MPa.
[Item 12] The ophthalmic article of any one of the preceding items, wherein the another article comprising the biocompatible matrix has an elastic modulus of about 0.5 MPa to 3 MPa.
[Item 13] The ophthalmic use of any one of the preceding items, wherein the another article comprising the biocompatible matrix has an elongation at break of at least about 100% measured at about 18°C to 24°C. Goods.
[Item 14] The ophthalmic article of any one of the preceding items, wherein the another article comprising the biocompatible matrix has an elongation at break of about 500% to 1500% at about 18°C to 24°C. .
[Item 15] The ophthalmic article of any one of the preceding items, including an internal structure for coupling around the haptics of the IOL.
[Item 16] The ophthalmic article of item 15, wherein the perimeter or maximum width of the internal structure is equal to or less than the perimeter or maximum width of the haptics of the IOL.
[Item 17] a. (1) a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer; and (2) one or more ophthalmic articles comprising one or more active or diagnostic agents;
b. and one or more intraocular lenses (IOLs) containing one or more haptics, wherein the one or more ophthalmic articles are the one or more lenses of the IOLs. An ophthalmic delivery system coupled to haptics.
[Item 18] The ophthalmic delivery system of Item 17, wherein about one of the one or more ophthalmic articles is associated with the one or more haptics of the IOL.
[Item 19] The ophthalmic delivery system of item 17 or 18, wherein about one of the one or more ophthalmic articles couples with one of the one or more haptics of the IOL.
[Item 20] Any one of the preceding items, wherein the copolymer is derived from about 20% to about 60% by weight of the caprolactone monomer and about 40% to 80% by weight of the at least one other monomer. The ophthalmic delivery system according to .
[Item 21] The ophthalmic delivery system of any one of the preceding items, wherein the copolymer is derived from about 40% by weight of the caprolactone monomer and about 60% by weight of the at least one other monomer.
[Item 22] The ophthalmic delivery system of any one of the preceding items, wherein the at least one other monomer is lactide, glycolide, or trimethylene carbonate.
[Item 23] The ocular delivery of any one of the preceding items, wherein the one or more active agents is dexamethasone, ketorolac, diclofenac, moxifloxacin, travoprost, 5-fluorouracil, or methotrexate. system.
[Item 24] The ophthalmic delivery of any one of the preceding items, wherein the one or more ophthalmic articles comprise an internal structure for coupling around the one or more haptics of the IOL. system.
25. The ophthalmic delivery system of claim 24, wherein the perimeter or maximum width of the internal structure is less than or equal to the perimeter or maximum width of the one or more haptics of the IOL.
[Item 26] A method of treating or preventing a disease comprising implanting an intraocular lens (IOL) for sustained intraocular drug delivery in the eye of a subject in need thereof, wherein the IOL is associated with wherein said one or more drug-releasing articles comprise one or more active agents, said one or more drug-releasing articles within 7 days after implantation The article releases said one or more active agents resulting in an inflammation score of at most 1 as measured by an anterior chamber cell score using slit lamp biomicroscopy, or a 10 point visual A method that eliminates eye pain as measured by an analogue scale.
[Item 27] Within 7 days after implantation, the one or more drug-releasing articles release the one or more active agents, resulting in anterior chamber cell cytotoxicity using slit-lamp biomicroscopy. 27. The method of item 26, wherein the inflammation score is at most 1 as measured by the score.
[Item 28] Within 7 days after implantation, said one or more drug-releasing articles release said one or more active agents resulting in ocular pain as measured by a 10-point visual analogue scale. 28. The method of item 26 or 27, wherein
[Item 29] The method of any one of the preceding items, wherein the one or more drug-releasing articles are coupled to one or more haptics of the IOL.
[Item 30] The method of Item 29, wherein one of the one or more drug-releasing articles is associated with one of the one or more haptics of the IOL.
[Item 31] The method of item 29, wherein two of the one or more drug-releasing articles are coupled to one of the one or more haptics of the IOL.
[Item 32] The method of any one of the preceding items, wherein the one or more drug release articles comprise a biocompatible matrix.
[Item 33] Item 32, wherein the biocompatible matrix comprises a copolymer derived from about 20% to about 60% by weight caprolactone monomer and about 40% to 80% by weight of at least one other monomer. described method.
[Item 34] The method of any one of the preceding items, wherein said one or more drug release articles comprises about 1 μg to 800 μg of said one or more active agents.
[Item 35] The method of any one of the preceding items, wherein the one or more active agents is dexamethasone, ketorolac, diclofenac, moxifloxacin, travoprost, 5-fluorouracil, or methotrexate.
[Item 36] The method of any one of the preceding items, wherein the subject is undergoing or has undergone concurrent eye surgery.
[Item 37] The method of any one of the preceding items, wherein the subject is undergoing or has undergone concurrent cataract surgery.
[Item 38] A method of preparing at least one active agent-releasing intraocular lens, comprising:
(a) combining one or more active or diagnostic agents with a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer, thereby producing one or more ophthalmic articles; and
(b) coupling said one or more ophthalmic articles to one or more haptics of at least one intraocular lens (IOL).
[Item 39] The method of Item 38, wherein about one of the one or more ophthalmic articles couples with one of the one or more haptics of the IOL.
[Item 40] The method of Item 38 or 39, wherein about two of the one or more ophthalmic articles are coupled to one of the one or more haptics of the IOL.
[Item 41] The above items, wherein the biocompatible matrix comprises a copolymer derived from about 20% to about 60% by weight caprolactone monomer and about 40% to 80% by weight of at least one other monomer. A method according to any one of paragraphs.
42. The method of any one of the preceding items, wherein the one or more ophthalmic articles have an elongation to break of at least about 100% as measured by a tensile test.
[Item 43] The method of any one of the preceding items, wherein the one or more active agents is dexamethasone, ketorolac, diclofenac, moxifloxacin, travoprost, 5-fluorouracil, or methotrexate.
[Item 44] The method of any one of the preceding items, wherein the coupling comprises an indirect coupling between the one or more ophthalmic articles and the one or more haptics.
[Item 45] The method of any one of the preceding items, wherein the one or more ophthalmic articles include an internal structure for coupling around the one or more haptics.
[Item 46] The method of item 45, wherein the perimeter or maximum width of the internal structure is less than or equal to the perimeter or maximum width of the one or more haptics.
[Item 47] A method of administering an active agent or a diagnostic agent, comprising:
(a) compressing an intraocular lens (IOL) to which one or more ophthalmic articles are attached through an IOL injector comprising an injector tip inner diameter of about 0.5 mm to 3 mm, thereby compressing one or more ophthalmic producing a compressed IOL to which the articles are attached, wherein the one or more ophthalmic articles comprise one or more active or diagnostic agents;
(b) administering said compressed IOL having one or more ophthalmic articles attached thereto for sustained intraocular active or diagnostic agent delivery to the eye of a subject in need of administration of the active agent or diagnostic agent; and embedding in the method.
[Item 48] The method of item 47, wherein the one or more ophthalmic articles comprise a biocompatible matrix.
[Item 49] Item 48, wherein the biocompatible matrix comprises a copolymer derived from about 20% to about 60% by weight caprolactone monomer and about 40% to 80% by weight of at least one other monomer. described method.
[Item 50] The method of item 48 or 49, wherein the biocompatible matrix is sufficiently compressible to be compatible with injection by an IOL injector containing an injector tip inner diameter of about 0.5 mm to 3 mm.
[Item 51] The method of any one of items 48-50, wherein the one or more ophthalmic articles have a tensile strength of at least about 0.5 megapascals (MPa).
[Item 52] The method of any one of the preceding items, wherein the one or more ophthalmic articles have a glass transition temperature of at most about 24°C as measured by differential scanning calorimetry.
[Item 53] The method of any one of the preceding items, wherein the one or more ophthalmic articles have a modulus of elasticity of at most about 3 MPa.
54. The method of any one of the preceding items, wherein the one or more ophthalmic articles have an elongation to break of at least about 100% as measured by a tensile test.
[Item 55] The compressing comprises tubularly collapsing the IOL with the one or more ophthalmic articles coupled thereto through the IOL injector comprising an injector tip inner diameter of about 0.5 mm to 3 mm. A method according to any one of the preceding items.
[Item 56] (1) a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer; and (2) one or more ophthalmic agents comprising one or more active agents or diagnostic agents. a container containing an article for
Kit including instructions for use.
[Item 57] The kit of item 56, further comprising another container comprising one or more intraocular lenses, each of said one or more intraocular lenses comprising one or more haptics.
[Item 58] The kit of item 56, wherein the container further comprises one or more intraocular lenses comprising one or more haptics associated with the one or more ophthalmic articles.
[Item 59] The kit of items 57 or 58, wherein one of said one or more ophthalmic articles is associated with said one or more haptics.
[Item 60] The kit of items 57 or 58, wherein two of said one or more ophthalmic articles are associated with said one or more haptics.
[Item 61] Any one of the preceding items, wherein the copolymer is derived from about 20% to about 60% by weight of the caprolactone monomer and about 40% to 80% by weight of the at least one other monomer. Kit described in .
[Item 62] The kit of any one of the preceding items, wherein the one or more active agents is dexamethasone, ketorolac, diclofenac, moxifloxacin, travoprost, 5-fluorouracil, or methotrexate.
[Item 63] The kit of any one of the preceding items, further comprising one or more intraocular device injectors.
[Item 64] A method of diagnosing an ocular disease or condition comprising providing an intraocular lens (IOL) to the eye of a subject in need thereof for delivering one or more diagnostic agents to the eye of the subject. administering, wherein the IOL comprises one or more ophthalmic articles attached thereto, said one or more ophthalmic articles comprising a paramagnetic molecule, a fluorescent compound, a magnetic molecule, a radionuclide, x A method comprising said one or more diagnostic agents selected from the group consisting of line imaging agents and contrast agents.
65. The method of claim 64, further comprising capturing an image containing said one or more diagnostic agents indicative of said disease or condition.
[Item 66] Prior to administering said IOL having one or more ophthalmic articles attached thereto, coupling said one or more ophthalmic articles to one or more haptics of said IOL. 66. The method of item 64 or 65, comprising:
[Item 67] Prior to administering said IOL to which said one or more ophthalmic articles are attached, one or more diagnostic agents are combined with a biocompatible matrix, thereby A method according to any one of the preceding items, comprising producing an ophthalmic article.
[Item 68] Prior to administering the IOL to which the one or more ophthalmic articles are attached, reduce the IOL to which the one or more ophthalmic articles are attached by about 0.5 to A method according to any one of the preceding items comprising compressing through an IOL injector comprising an injector tip inner diameter of 3 mm.
[Item 69] The method of any one of the preceding items, wherein the one or more diagnostic agents is a fluorescent compound.
[Item 70] The method of any one of the preceding items, wherein the one or more ophthalmic articles comprises a biocompatible copolymer matrix.
[Item 71] In Item 70, wherein the biocompatible matrix comprises a copolymer derived from about 20% to about 60% by weight caprolactone monomer and about 40% to 80% by weight of at least one other monomer. described method.

Claims (25)

a.カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックス;および
b.活性剤または診断剤
を含む眼科用物品であって、眼内レンズ(IOL)のハプティクスの外表面に接触し、眼内レンズ(IOL)のハプティクスの外表面の周囲に隣接して包含されるように構成されている眼科用物品。
a. a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer; and b. An ophthalmic article comprising an active agent or diagnostic agent for contacting and contained adjacent to the outer surface of the intraocular lens (IOL) haptics. An ophthalmic article comprising:
前記コポリマーが、約20重量%~約60重量%の前記カプロラクトンモノマーおよび約40重量%~80重量%の前記少なくとも1種の他のモノマーに由来する、請求項1に記載の眼科用物品。 The ophthalmic article of claim 1, wherein said copolymer is derived from about 20% to about 60% by weight of said caprolactone monomer and about 40% to 80% by weight of said at least one other monomer. 前記コポリマーが、約40重量%の前記カプロラクトンモノマーおよび約60重量%の前記少なくとも1種の他のモノマーに由来する、請求項1または2に記載の眼科用物品。 3. The ophthalmic article of claim 1 or 2, wherein said copolymer is derived from about 40% by weight of said caprolactone monomer and about 60% by weight of said at least one other monomer. 前記少なくとも1種の他のモノマーが、ラクチド、グリコリド、またはトリメチレンカーボネートである、および/または活性剤が、コルチコステロイド、非ステロイド性抗炎症薬、または抗生物質である、請求項1~3のいずれか一項に記載の眼科用物品。 Claims 1-3, wherein said at least one other monomer is lactide, glycolide, or trimethylene carbonate, and/or the active agent is a corticosteroid, a non-steroidal anti-inflammatory drug, or an antibiotic. The ophthalmic article according to any one of . 前記物品が:
(i)示差走査熱量測定法によって測定して最大でも約24℃のガラス転移温度を有する、および/または
(ii)動的機械分析によって測定して最大でも約10MPaの弾性率を有する、
請求項1~4のいずれか一項に記載の眼科用物品。
Said goods are:
(i) has a glass transition temperature of at most about 24° C. as measured by differential scanning calorimetry; and/or (ii) has an elastic modulus of at most about 10 MPa as measured by dynamic mechanical analysis.
An ophthalmic article according to any one of claims 1-4.
前記物品が、約18℃~24℃で測定して少なくとも約100%の破断点伸びを有し、約18℃~24℃で約500%~1500%の破断点伸びを有していてもよい、請求項1~5のいずれか一項に記載の眼科用物品。 The article may have an elongation at break of at least about 100% measured from about 18°C to 24°C and an elongation at break of about 500% to 1500% at about 18°C to 24°C. The ophthalmic article according to any one of claims 1-5. 前記IOLの前記ハプティクスの外表面に接触し、前記IOLのハプティクスの外表面の周囲に隣接して包含されるための内部構造を含み、前記内部構造の周囲長または最大幅が、前記IOLの前記ハプティクスの周囲長または最大幅以下であってもよい、請求項1~6のいずれか一項に記載の眼科用物品。 an inner structure for contacting the outer surface of the haptics of the IOL and being contained adjacent the outer surface of the haptics of the IOL, wherein the perimeter or maximum width of the inner structure is the An ophthalmic article according to any one of claims 1 to 6, which may be less than or equal to the perimeter or maximum width of the haptics. 眼科用送達のためのキットであって、
a.(1)カプロラクトンモノマーおよび少なくとも1種の他のモノマーに由来するコポリマーを含む生体適合性マトリックス;および(2)活性剤または診断剤を含む1つまたは複数の眼科用物品;および
b.1つまたは複数のハプティクスを含む1つまたは複数の眼内レンズ
を含み、眼科用物品が、眼内レンズのハプティクスの外表面に接触し、眼内レンズ(のハプティクスの外表面の周囲に隣接して包含されるように構成されている、前記キット。
A kit for ophthalmic delivery comprising:
a. (1) a biocompatible matrix comprising a copolymer derived from a caprolactone monomer and at least one other monomer; and (2) one or more ophthalmic articles comprising an active agent or diagnostic agent; and b. Including one or more intraocular lenses including one or more haptics, wherein the ophthalmic article contacts the outer surface of the haptics of the intraocular lens and is adjacent to the periphery of the outer surface of the haptics of the intraocular lens. The kit, wherein the kit is configured to be contained in a
前記1つまたは複数の眼科用物品の約1つが、前記1つまたは複数の眼内レンズの前記1つまたは複数のハプティクスの約1つに結合する、請求項8に記載のキット。 9. The kit of claim 8, wherein about one of the one or more ophthalmic articles binds to about one of the one or more haptics of the one or more intraocular lenses. 前記コポリマーが、約20重量%~約60重量%の前記カプロラクトンモノマーおよび約40重量%~80重量%の前記少なくとも1種の他のモノマーに由来する、請求項8または9に記載のキット。 10. The kit of claim 8 or 9, wherein said copolymer is derived from about 20% to about 60% by weight of said caprolactone monomer and about 40% to 80% by weight of said at least one other monomer. 前記少なくとも1種の他のモノマーが、ラクチド、グリコリド、またはトリメチレンカーボネートである、および/または活性剤が、コルチコステロイド、非ステロイド性抗炎症薬、または抗生物質である、請求項8~10のいずれか一項に記載のキット。 Claims 8-10, wherein said at least one other monomer is lactide, glycolide, or trimethylene carbonate, and/or the active agent is a corticosteroid, a non-steroidal anti-inflammatory drug, or an antibiotic. The kit according to any one of . 前記1つまたは複数の眼科用物品が、前記1つまたは複数の眼内レンズの前記1つまたは複数のハプティクスの周囲に結合するための内部構造を含む、請求項8~11のいずれか一項に記載のキット。 12. Any one of claims 8-11, wherein said one or more ophthalmic articles comprise an internal structure for coupling around said one or more haptics of said one or more intraocular lenses. Kit described in . 疾患を処置または予防する方法において使用するための請求項1~7のいずれか一項に記載の眼科用物品であって、該方法が、それを必要とする対象の眼に持続性眼内薬物送達のための眼内レンズ(IOL)を埋め込むステップを含み、IOLが、それに結合している1つまたは複数の薬物放出物品を含み、前記1つまたは複数の薬物放出物品が、1種または複数の活性剤を含み、埋め込み後7日以内に、前記1つまたは複数の薬物放出物品が、前記1種または複数の活性剤を放出し、その結果、細隙灯生体顕微鏡法を使用して前房細胞スコアによって測定して炎症スコアが最大でも1になり、または10点視覚的アナログ尺度によって測定して眼痛がなくなる、眼科用物品。 8. An ophthalmic article according to any one of claims 1 to 7 for use in a method of treating or preventing disease, said method comprising administering a long-acting intraocular drug to the eye of a subject in need thereof. implanting an intraocular lens (IOL) for delivery, the IOL comprising one or more drug-releasing articles associated therewith, said one or more drug-releasing articles comprising one or more and within 7 days after implantation, the one or more drug-releasing articles release the one or more active agents such that the active agent(s) can be detected using slit-lamp biomicroscopy. An ophthalmic article that results in an inflammation score of at most 1 as measured by a tuft cell score or no eye pain as measured by a 10-point visual analogue scale. 1種または複数の活性剤が、コルチコステロイド、非ステロイド性抗炎症薬、または抗生物質である、請求項13に記載の眼科用物品。 14. The ophthalmic article of Claim 13, wherein the one or more active agents is a corticosteroid, non-steroidal anti-inflammatory drug, or antibiotic. 前記生体適合性マトリックスが、約0.5mm~3mmのインジェクターチップ内径を含むIOLインジェクターによる注入と適合するように十分に圧縮可能である、および/または前記眼科用物品が、少なくとも約0.5メガパスカル(MPa)の引張強さを有する、請求項1~7、13および14のいずれか一項に記載の眼科用物品。 The biocompatible matrix is sufficiently compressible to be compatible with injection by an IOL injector having an injector tip inner diameter of about 0.5 mm to 3 mm, and/or the ophthalmic article has a diameter of at least about 0.5 mm. An ophthalmic article according to any one of claims 1-7, 13 and 14, having a tensile strength of Pascals (MPa). 1つまたは複数の薬物放出物品が、示差走査熱量測定法によって測定して最大でも約24℃のガラス転移温度を有する、請求項1~7、および13~15のいずれか一項に記載の眼科用物品。 The ophthalmology of any one of claims 1-7 and 13-15, wherein the one or more drug-releasing articles has a glass transition temperature of at most about 24°C as measured by differential scanning calorimetry. goods. 前記生体適合性マトリックスが、約0.5mm~3mmのインジェクターチップ内径を含むIOLインジェクターによる注入と適合するように十分に圧縮可能である、請求項1~7、および13~16のいずれか一項に記載の眼科用物品。 17. Any one of claims 1-7 and 13-16, wherein the biocompatible matrix is sufficiently compressible to be compatible with injection by an IOL injector comprising an injector tip inner diameter of about 0.5 mm to 3 mm. The ophthalmic article described in . 前記生体適合性マトリックスが、約0.5mm~3mmのインジェクターチップ内径を含むIOLインジェクターによる注入後に元の形状に戻るように十分に圧縮可能である、請求項1~7、および13~17のいずれか一項に記載の眼科用物品。 18. Any of claims 1-7 and 13-17, wherein the biocompatible matrix is sufficiently compressible to return to its original shape after injection with an IOL injector comprising an injector tip inner diameter of about 0.5 mm to 3 mm. or the ophthalmic article according to item 1. コポリマーが、ランダムコポリマー、ブロックコポリマー、またはグラジエントコポリマーである、請求項1~7、および13~18のいずれか一項に記載の眼科用物品。 The ophthalmic article of any one of claims 1-7 and 13-18, wherein the copolymer is a random, block or gradient copolymer. 眼科用物品が前記IOLの前記ハプティクスの周囲に結合すると、前記IOLのハプティクスを超えて約0.32mm以下に伸長する、請求項1~7、および13~19のいずれか一項に記載の眼科用物品。 20. The ophthalmology of any one of claims 1-7 and 13-19, wherein the ophthalmic article extends no more than about 0.32 mm beyond the haptics of the IOL when bound around the haptics of the IOL. goods. 最大で約1.5mmの外径を含む、請求項1~7、および13~20のいずれか一項に記載の眼科用物品。 An ophthalmic article according to any one of claims 1-7 and 13-20, comprising an outer diameter of up to about 1.5 mm. 対象の眼内の眼科用物品の埋め込み後少なくとも7日以内に形状を著しく変化させないように、生理学的な環境において十分に物理的に安定である、請求項1~7、および13~21のいずれか一項に記載の眼科用物品。 22. Any of claims 1-7 and 13-21, wherein the ophthalmic article is sufficiently physically stable in a physiological environment so as not to significantly change shape within at least 7 days after implantation of the ophthalmic article in the eye of a subject. or the ophthalmic article according to item 1. 約1μg~800μgの活性剤および/または診断剤を含む、請求項1~7、および13~22のいずれか一項に記載の眼科用物品。 23. The ophthalmic article of any one of claims 1-7 and 13-22, comprising from about 1 μg to 800 μg of active agent and/or diagnostic agent. 1つまたは複数の薬物放出物品が、眼内レンズの1つまたは複数のハプティクスの外表面に接触し、眼内レンズの1つまたは複数のハプティクスの外表面の周囲に隣接して包含され、少なくとも2つの薬物放出物品が、眼内レンズの1つまたは複数のハプティクスの外表面に接触し、眼内レンズの1つまたは複数のハプティクスの外表面の周囲に隣接して包含されていてもよい、請求項13~22のいずれか一項に記載の眼科用物品。 one or more drug-releasing articles in contact with the outer surface of the one or more haptics of the intraocular lens and are contained adjacently around the outer surface of the one or more haptics of the intraocular lens, at least Two drug-releasing articles contact the outer surface of one or more haptics of the intraocular lens and may be contained adjacently around the outer surface of the one or more haptics of the intraocular lens. An ophthalmic article according to any one of claims 13-22. 少なくとも2つの眼科用物品が、眼内レンズの1つまたは複数のハプティクスの外表面に接触し、眼内レンズの1つまたは複数のハプティクスの外表面の周囲に隣接して包含されている、請求項8~12のいずれか一項に記載の眼科用物品。 wherein at least two ophthalmic articles are in contact with the outer surface of the one or more haptics of the intraocular lens and are contained adjacently around the outer surface of the one or more haptics of the intraocular lens. Item 13. The ophthalmic article according to any one of items 8 to 12.
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