TWI396562B - Method for regulating release of drug, drug delivery composition, and medical device - Google Patents

Method for regulating release of drug, drug delivery composition, and medical device Download PDF

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TWI396562B
TWI396562B TW95130135A TW95130135A TWI396562B TW I396562 B TWI396562 B TW I396562B TW 95130135 A TW95130135 A TW 95130135A TW 95130135 A TW95130135 A TW 95130135A TW I396562 B TWI396562 B TW I396562B
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agent
drug
drug delivery
polyelectrolyte complex
polymer
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TW200810795A (en
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Li-Chien Hsu
Sun-De Tong
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Biovention Holdings Ltd
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Description

藥物釋放的調節方法、藥物輸送組合物及醫療裝置Drug release regulation method, drug delivery composition and medical device

本發明係關於藥物輸送組合物;特別一種藥物輸送組合物,其包括:一聚合物,分散在該聚合物內的一個或以上藥物與一生物活性聚合電解質複合物,其中該生物活性聚合電解質複合物會調節來自該聚合物的藥物釋放。該生物活性聚合電解質複合物包含有一聚合電解質與一帶相反電荷成分,其中該聚合電解質及/或該帶相反電荷成分具有生物活性。The present invention relates to a drug delivery composition; particularly a drug delivery composition comprising: a polymer, one or more drugs dispersed in the polymer and a bioactive polyelectrolyte complex, wherein the bioactive polyelectrolyte complex The substance will regulate the release of the drug from the polymer. The bioactive polyelectrolyte complex comprises a polyelectrolyte and an oppositely charged component, wherein the polyelectrolyte and/or the oppositely charged component are biologically active.

將治療或預防藥物輸送至體內特定標的位置之控制能力,已成為藥物輸送領域的目標,因為若體內存有受到控制的藥物劑量,即能提供最佳的疾病治療或預防效果,故各種不同型態的藥物輸送模式漸被開發,以便將藥物輸送至體內或外部之特定位置。The ability to control the delivery of therapeutic or prophylactic drugs to specific sites in the body has become a goal in the field of drug delivery, as there are controlled drug doses in the body that provide optimal disease treatment or prevention, so different types The mode of drug delivery has evolved to deliver drugs to specific locations in the body or outside.

例如,在一個基質藥物輸送系統內,藥物分子會溶解或分散於聚合物基質中。藥物分子會藉由聚合物基質擴散至基質表面而釋放到外界環境。藥物的釋放率通常依藥物輸送系統中所使用的聚合物而定,對於非生物可分解與生物可分解的聚合物,其釋放率通常與聚合物內所溶解的藥物分子擴散係數成正比。對生物可分解聚合物而言,藥物的釋放率亦取決於聚合物的降解率。此外,為進一步控制藥物的釋放,各種添加物如鹽、金屬陽離子與脂質等均會包含在聚合物基質之內。For example, in a matrix drug delivery system, drug molecules will dissolve or disperse in the polymer matrix. Drug molecules are released into the environment by diffusion of the polymer matrix to the surface of the substrate. The release rate of the drug is usually determined by the polymer used in the drug delivery system. For non-biodegradable and biodegradable polymers, the release rate is usually proportional to the diffusion coefficient of the drug molecule dissolved in the polymer. For biodegradable polymers, the release rate of the drug also depends on the degradation rate of the polymer. In addition, in order to further control the release of the drug, various additives such as salts, metal cations and lipids, etc., are contained within the polymer matrix.

儘管藥物輸送系統會適當地釋放藥物,然而當藥物輸送系統持續長時間與組織或生物液接觸時,有可能產生與穩定、相容性有關的併發症。舉例來說,在與血或組織接觸時,含有合成聚合物的藥物輸送系統可能會引起嚴中的凝血反應活化、不利於細胞液的體液與發炎反應。因血/組織與物質間的相互作用所引起的這些不良反應,便可能嚴重影響植入醫療裝置的安全與效力,並可能造成所植入的裝置無法發揮效用。Although the drug delivery system will properly release the drug, when the drug delivery system continues to contact tissue or biological fluid for extended periods of time, complications associated with stability and compatibility may result. For example, in the case of contact with blood or tissue, a drug delivery system containing a synthetic polymer may cause a severe clotting reaction activation, a bodily fluid and an inflammatory response that is detrimental to the cell fluid. These adverse reactions caused by blood/tissue-substance interactions can seriously affect the safety and efficacy of implanted medical devices and may render the implanted devices ineffective.

因此,對於能釋放大範圍治療藥物劑量且具有所需血液及/或組織相容性的聚合物基質,便有持續性的需要。Thus, there is a continuing need for polymer matrices that are capable of releasing a wide range of therapeutic agents and having the desired blood and/or tissue compatibility.

簡單地說,通常各種實施例均是關於調節藥物釋放的藥物輸送組合物。在一實施例中,該藥物輸送組合物包括:一聚合物;分散在該聚合物內的一個或以上藥物與一生物活性聚合電解質複合物,其中該生物活性聚合電解質複合物會調節來自該聚合物的藥物釋放。該生物活性聚合電解質複合物含有一聚合電解質與一帶相反電荷成分,其中該聚合電解質及/或該帶相反電荷成份具有生物活性。Briefly, various embodiments are generally directed to drug delivery compositions that modulate drug release. In one embodiment, the drug delivery composition comprises: a polymer; one or more drugs dispersed in the polymer and a bioactive polyelectrolyte complex, wherein the bioactive polyelectrolyte complex modulates from the polymerization Drug release. The bioactive polyelectrolyte complex comprises a polyelectrolyte and an oppositely charged component, wherein the polyelectrolyte and/or the oppositely charged component are biologically active.

除了一種藥物輸送組合物外,在此並揭露一醫療裝置的各種實施例。根據一項實施例得知,該醫療裝置含有一個或以上的表面,其中至少有一個表面含有一生物相容性藥物輸送組合物。該藥物輸送組合物包括:一聚合物;分散在該聚合物內的一個以上藥物與一生物活性聚合電解質複合物,其中該生物活性聚合電解質複合物會調節來自該聚合物的藥物釋放。該生物活性聚合電解質複合物含有一聚合電解質與一帶相反電荷成分,其中該聚合電解質及/或該帶相反電荷成分具有生物活性。In addition to a drug delivery composition, various embodiments of a medical device are disclosed herein. According to one embodiment, the medical device contains one or more surfaces, at least one of which contains a biocompatible drug delivery composition. The drug delivery composition comprises: a polymer; more than one drug dispersed within the polymer and a bioactive polyelectrolyte complex, wherein the bioactive polyelectrolyte complex modulates drug release from the polymer. The bioactive polyelectrolyte complex comprises a polyelectrolyte and an oppositely charged component, wherein the polyelectrolyte and/or the oppositely charged component are biologically active.

另外,在此亦揭露一個或以上藥物之各種調節釋放的方法。根據一項方法得知,設有一藥物輸送系統,該藥物輸送系統包含分散在一聚合物基質的一個或以上藥物與一生物活性聚合電解質複合物。其中該生物活性聚合電解質複合物含有一帶電荷生物活性成分與一帶相反電荷成分。藉由調整該生物活性聚合電解質複合物的濃度,可調節來自該藥物輸送系統的藥物釋放率。此外,可自該藥物輸送系統沖提生物活性聚合電解質複合物,以提供額外的治療或預防效果。Additionally, various methods of modulating release of one or more drugs are also disclosed herein. According to one method, there is provided a drug delivery system comprising one or more drugs dispersed in a polymer matrix and a bioactive polyelectrolyte complex. Wherein the bioactive polyelectrolyte complex contains a charged bioactive component and an oppositely charged component. The drug release rate from the drug delivery system can be adjusted by adjusting the concentration of the bioactive polyelectrolyte complex. Additionally, the bioactive polyelectrolyte complex can be eluted from the drug delivery system to provide additional therapeutic or prophylactic effects.

其他特色與優點將可透過以下詳細描述及說明實施例特色的各種附圖進一步闡明。Other features and advantages will be further clarified by the following detailed description of the various embodiments of the embodiments.

圖1係以圖示描述在含有生物活性聚合電解質複合物(BPEC)的一藥物輸送組合物實施例中非水溶性藥物釋放率,以及在不含有生物活性聚合電解質複合物的一對照樣品中一水溶性藥物釋放率,其兩者之間的關係;圖2係以圖示描述在含有不同生物活性聚合電解質複合物(BPEC)的一藥物輸送組合物不同的實施例中之藥物釋放率;圖3係以圖示描述在含有生物活性聚合電解質複合物(BPEC)的一藥物輸送組合物實施例中一水溶性藥物釋放率,以及在不含有生物活性聚合電解質複合物的一對照樣品中一水溶性藥物釋放率,其兩者之間的關係;圖4係以圖示描述在一藥物輸送組合物實施例中,一生物活性聚合電解質複合物(BPEC)的釋放率;圖5係以圖示描述在含有不同類型聚合物的一藥物輸送組合物兩實施例中的非水溶性藥物釋放率。1 is a graphical representation of the release rate of a water-insoluble drug in an embodiment of a drug delivery composition containing a biologically active polyelectrolyte complex (BPEC), and a control sample in the absence of a bioactive polyelectrolyte complex. Water-soluble drug release rate, the relationship between the two; Figure 2 is a graphical representation of drug release rates in different embodiments of a drug delivery composition containing different bioactive polyelectrolyte complexes (BPEC); 3 is a graphical depiction of a water-soluble drug release rate in a drug delivery composition embodiment containing a bioactive polyelectrolyte complex (BPEC), and a water-soluble solution in a control sample containing no bioactive polyelectrolyte complex. Drug release rate, the relationship between the two; Figure 4 is a graphical representation of the release rate of a bioactive polyelectrolyte complex (BPEC) in a drug delivery composition embodiment; Figure 5 is illustrated The rate of release of water-insoluble drugs in two embodiments of a drug delivery composition containing different types of polymers is described.

在此所揭露的各種實施例,係針對用於調節生物活化劑(在此亦稱之為「藥物」)釋放的藥物輸送組合物。通常該組合物包含有溶解或分散於聚合物基質內的生物活化劑與聚合電解質複合物。聚合電解質複合物能藉由調整聚合電解質複合物相對濃度,以控制藥物釋放率,並調節生物活化劑的初始爆發點以及其後的持續釋放。此外,聚合電解質複合物具有生物活性,藉以提供所需的血液及/或組織相容性。而生物活性聚合電解質複合物亦可經由聚合物基質釋放,額外提供不受生物活化劑影響的預防或治療效果,此外,其亦會改變聚合物基質的物性。例如,聚合電解質複合物的存在能使聚合物更有彈性,故適用於需要彎曲與擴張的應用上。The various embodiments disclosed herein are directed to drug delivery compositions for modulating the release of biological activators (also referred to herein as "drugs"). Typically the composition comprises a bioactivator and a polyelectrolyte complex dissolved or dispersed in a polymer matrix. The polyelectrolyte complex can control the drug release rate by adjusting the relative concentration of the polyelectrolyte complex and modulate the initial burst point of the bioactivator and subsequent sustained release. In addition, the polyelectrolyte complex is biologically active to provide the desired blood and/or tissue compatibility. The bioactive polyelectrolyte complex can also be released via the polymer matrix, additionally providing a prophylactic or therapeutic effect that is unaffected by the bioactivator and, in addition, altering the physical properties of the polymer matrix. For example, the presence of a polyelectrolyte complex can make the polymer more elastic and is therefore suitable for applications requiring bending and expansion.

通常,適用於生物活化劑的藥物輸送組合物中至少含有一聚合物、一生物活性聚合電解質複合物(BPEC)以及一治療劑,其中該治療劑可溶解或分散在聚合物與聚合電解質複合物的混合物內。根據一實施例得知,適用於調節藥物釋放的生物活性聚合電解質複合物乃由帶正電荷與負電荷的聚合電解質所形成。聚合電解質的定義是帶有兩個以上帶電荷群組的一化合物。生物活性聚合電解質複合物含有一聚合電解質與一帶相反電荷分子。在這些不同的實施例中,若將一聚合電解質與一帶相反電荷分子複合,則會形成可與聚合物複合的一複合物。Generally, a drug delivery composition suitable for a bioactive agent comprises at least one polymer, a bioactive polyelectrolyte complex (BPEC), and a therapeutic agent, wherein the therapeutic agent is soluble or dispersible in the polymer and polyelectrolyte complex Within the mixture. According to one embodiment, a bioactive polyelectrolyte complex suitable for regulating drug release is formed from a positively and negatively charged polyelectrolyte. A polyelectrolyte is defined as a compound with more than two charged groups. The bioactive polyelectrolyte complex contains a polyelectrolyte and an oppositely charged molecule. In these various embodiments, if a polyelectrolyte is combined with an oppositely charged molecule, a complex that can be complexed with the polymer is formed.

與藥物輸送系統一併使用的非限定聚合電解質實例包含有雙股與單股DNA鈉鹽;諸如葡聚糖硫酸酯、軟骨硫素、軟骨素硫酸鹽、重硫酸軟骨素、硫酸乙醯肝素、硫酸角質素、琉璃醣碳基酸、類肝素、肝素等的葡萄糖胺聚合醣;陰性多醣;玉米糖膠;聚丙烯酸;聚苯乙烯苯磺酸鹽;諸如聚L-離胺基酸的多胺基酸;聚L-蛋白氨酸;聚麩酸;聚L-組胺酸;寡性肽;胰島素;單株抗體;硫酸魚精蛋白;鹽酸聚六亞甲基雙胍;甲殼素;聚乙烯亞胺;聚二甲基二烯丙基氯化銨;聚(N-甲基-4-乙烯基-啶鹽);聚合物(紫精-6,3);甲基丙烯酸二甲基胺基乙酯的四級聚合物或共聚物;其他含有帶電荷群的其他聚合物或共聚物,但不限於上述者。Examples of non-limiting polyelectrolytes for use with drug delivery systems include double-stranded and single-stranded DNA sodium salts; such as dextran sulfate, chondroitin, chondroitin sulfate, chondroitin sulfate, heparin sulfate, Glucosamine polymeric sugars such as keratan sulfate, glacial sugar, heparin, heparin, etc.; negative polysaccharide; corn syrup; polyacrylic acid; polystyrene besylate; polyamine such as poly-L-amino acid Acid; poly L-proline; polyglutamic acid; poly-L-histidine; oligopeptide; insulin; monoclonal antibody; protamine sulfate; polyhexamethylene biguanide hydrochloride; chitin; Polydimethyldiallyl ammonium chloride; poly(N-methyl-4-vinyl-pyridine salt); polymer (viologen-6,3); dimethylaminoethyl methacrylate A quaternary polymer or copolymer; other polymers or copolymers containing a charged group, but are not limited thereto.

帶相反電荷、可與生物活性聚合電解質複合物結合的非限定小分子實例包括:維他命A酸;含有氨基或胺類(如一級、二級、三級與四級胺類)官能基的化合物,諸如阿密替替林、盤尼西林、安莫西林、酪胺、溴化抗肝素靈、三(十二烷基)銨、三甲基十四烷基氯化胺、正烷二甲苯甲基氯化銨,三-十二烷基氯化銨;其他陽離子性、陰離子性與兩性離子型界面活化劑,但不限於上述者。Examples of non-limiting small molecules that are oppositely charged and can bind to a bioactive polyelectrolyte complex include: vitamin A acid; compounds containing amino or amine (eg, primary, secondary, tertiary, and tertiary amines) functional groups, Such as amitidine, penicillin, amoxicillin, tyramine, brominated anti-heparin, tris(dodecyl)ammonium, trimethyltetradecylamine chloride, n-hexane xylene methyl chloride Ammonium, tri-dodecyl ammonium chloride; other cationic, anionic and zwitterionic interfacial activators, but not limited to those described above.

如前所述,聚合電解質複合物也可具有至少一種與藥物輸送系統所設置之藥物無關的生物活性成分。因此,聚合電解質及/或複合劑可具有生物活性。舉例來說,肝素、類肝素與硫酸乙醯肝素均獲得證實為抗凝血物質,而硫酸軟骨素可加速肝素輔因子與凝血酵素間的相互作用。在另一實施例中,使用維他命A酸可以增生及分化上皮組織,並抑制惡性腫瘤。As mentioned previously, the polyelectrolyte complex may also have at least one biologically active ingredient that is not associated with the drug set by the drug delivery system. Thus, the polyelectrolyte and/or complexing agent can be biologically active. For example, heparin, heparin and acesulfate heparin have been confirmed to be anticoagulant substances, and chondroitin sulfate accelerates the interaction between heparin cofactor and thrombin. In another embodiment, the use of vitamin A acid can proliferate and differentiate epithelial tissue and inhibit malignancy.

下列是藥物輸送組合物內所使用的具體但非限定之聚合電解質複合物實例:維生素A酸(維他命A酸)複合物;聚L-離胺基酸;胰島素與聚甲基丙烯酸;胰島素與醣醛酸,以及肝素與二甲基烷基苯基氯化銨。The following are examples of specific but non-limiting polyelectrolyte complexes used in drug delivery compositions: vitamin A acid (vitamin A acid) complex; poly L-amino acid; insulin and polymethacrylic acid; insulin and sugar Aldehydic acid, as well as heparin and dimethylalkylphenyl ammonium chloride.

如前所述,來自該組合物的生物活化劑釋放率是可控制的,藉由改變聚合電解質複合物相對濃度即可加以調節。在此所定義的生物活化劑控制性釋放,即是由含有生物活性聚合電解質複合物的聚合物基質釋放出生物活化劑。與不含聚合電解質複合物的聚合物基質相較之下,聚合物基質內存有聚合電解質複合物時會改變一種或以上的藥物輸送特性,像是初始藥物釋放程度、持續藥物釋放程度、藥物釋放總量及/或釋放期範圍。As previously mentioned, the bioactivator release rate from the composition is controllable and can be adjusted by varying the relative concentration of the polyelectrolyte complex. The controlled release of the bioactivator as defined herein, that is, the release of the bioactivator from the polymer matrix containing the bioactive polyelectrolyte complex. Compared to a polymer matrix that does not contain a polyelectrolyte complex, the presence of a polyelectrolyte complex in the polymer matrix alters one or more drug delivery properties, such as initial drug release, sustained drug release, drug release. Total and/or release period range.

視生物活化劑的物性(如溶解度)而定,生物活性聚合電解質複合物對藥物釋放率可能有不同的影響。例如,在存有生物活性的聚合電解質複合物中,非水溶性藥物的釋放率可能會增加。反之,在存有生物活性聚合電解質複合物中,水溶性藥物的釋放率則可能會降低。熟悉該項技術的相關人員將可察知,生物活性聚合電解質複合物的適當濃度,亦即可調整從聚合物基質的生物活化劑的釋放並改善生物相容性者,將取決於聚合物、聚合電解質複合物與生物活化劑的物性與化性。在一實施例中,生物活性聚合電解質複合物的適當數量落在重量百分比約0.1%到90%的範圍內。然而,熟悉該項技術之相關人員將可察知,在藥物輸送系統中均可能使用到任何範圍或濃度的生物活性聚合電解質複合物。Depending on the physical properties of the bioactivating agent (eg, solubility), the bioactive polyelectrolyte complex may have different effects on drug release rates. For example, in a bioactive polyelectrolyte complex, the release rate of a water-insoluble drug may increase. Conversely, in the presence of a bioactive polyelectrolyte complex, the release rate of the water-soluble drug may be reduced. Those skilled in the art will recognize that the appropriate concentration of the bioactive polyelectrolyte complex, that is, the release of the bioactive agent from the polymer matrix and the improvement of biocompatibility, will depend on the polymer, polymerization. The physical properties and chemical properties of the electrolyte complex and the biological activator. In one embodiment, the appropriate amount of bioactive polyelectrolyte complex falls within the range of from about 0.1% to about 90% by weight. However, those skilled in the art will recognize that any range or concentration of bioactive polyelectrolyte complexes may be used in a drug delivery system.

除了改善生物相容性與調節藥物釋放外,生物活性聚合電解質複合物亦可修改聚合物基質的物性。例如,若將生物活性聚合電解質複合物併入聚合物基質,便會降低聚合物基質的玻璃轉換溫度(參閱實例)。熟悉該項技術的相關人員將可察知,聚合物基質物性的改變可能對植入期間及/或植入後的植入移動、屈曲、振動或伸展的應用有所幫助。此外,生物活性聚合電解質成分亦可修改聚合物基質的親水性及/或疏水性,致使聚合物可更相容或更不相容(例如可膨脹、可滲透或可潤濕)於水性或有機溶劑。再者,生物活性聚合電解質複合物可改變聚合物基質的擴散率,亦即能夠增加或減少藥物經由聚合物基質的擴散率。In addition to improving biocompatibility and regulating drug release, bioactive polyelectrolyte complexes can also modify the physical properties of the polymer matrix. For example, if a bioactive polyelectrolyte complex is incorporated into a polymer matrix, the glass transition temperature of the polymer matrix is lowered (see examples). Those familiar with the art will appreciate that changes in the physical properties of the polymer matrix may be useful for implant movement, buckling, vibration or stretching during implantation and/or after implantation. In addition, the bioactive polyelectrolyte component can also modify the hydrophilicity and/or hydrophobicity of the polymer matrix, rendering the polymer more compatible or less compatible (eg, swellable, permeable, or wettable) to aqueous or organic Solvent. Furthermore, the bioactive polyelectrolyte complex can alter the diffusivity of the polymer matrix, i.e., can increase or decrease the diffusion rate of the drug through the polymer matrix.

藥物輸送組合物另一成分為包含聚合物基質的聚合物。通常,不論是生物可分解還是非生物可分解、與聚合電解質複合物及藥物可物理結合(例如可混合、可溶解或可分散)的任何聚合物或聚合物混合物(例如混合物或共聚物),均適用於此處所揭露的藥物輸送組合物。合適的生物可分解聚合物包括:聚乳酸、聚乙醇酸、乳酸乙醇酸共聚物、聚酸酐、聚原酸酯、聚醚酯、聚己內酯、聚酯醯胺,其混合物及其共聚物,但不限於上述者。非生物可分解聚合物則包括:聚烯烴、聚苯乙烯、聚醋酸乙烯酯、丙烯酸聚合物、聚醚、含氟聚合物、聚酯、聚醯胺、聚胺基甲酸乙酯、矽酮聚合物、聚二烯、纖維素及其衍生物、混合物或其共聚物,但不限於上述者。其他實例則包括交聯性水溶性聚合物,例如聚乙二醇,聚乙烯醇,聚乙烯吡咯酮、明膠與澱粉。Another component of the drug delivery composition is a polymer comprising a polymer matrix. Generally, any polymer or mixture of polymers (eg, a mixture or copolymer), whether biodegradable or non-biodegradable, physically bondable (eg, miscible, soluble, or dispersible) to the polyelectrolyte complex and drug, Both are suitable for use in the drug delivery compositions disclosed herein. Suitable biodegradable polymers include: polylactic acid, polyglycolic acid, lactic acid glycolic acid copolymer, polyanhydride, polyorthoester, polyether ester, polycaprolactone, polyester decylamine, mixtures thereof and copolymers thereof , but not limited to the above. Non-biodegradable polymers include: polyolefin, polystyrene, polyvinyl acetate, acrylic polymers, polyethers, fluoropolymers, polyesters, polyamines, polyurethanes, anthrone polymerizations. , polydiene, cellulose and derivatives, mixtures or copolymers thereof, but are not limited thereto. Other examples include crosslinkable water soluble polymers such as polyethylene glycol, polyvinyl alcohol, polyvinylpyrrolidone, gelatin and starch.

下列是藥物輸送組合物內所使用的具體但非限定之聚合物實例。舉例來說,可使用聚(烷基甲基丙烯酸)基底的均一聚合物或共聚物來形成聚合物基質。可用以形成聚合物基質的其他聚合物包括:聚乳酸、乳酸乙醇酸共聚物、聚烷基甲基丙烯酸、聚(乙烯-醋酸乙烯脂)與苯乙烯二烯共聚物。The following are examples of specific but non-limiting polymers used in drug delivery compositions. For example, a uniform polymer or copolymer of a poly(alkyl methacrylate) substrate can be used to form the polymer matrix. Other polymers that can be used to form the polymer matrix include polylactic acid, lactic acid glycolic acid copolymers, polyalkyl methacrylic acid, poly(ethylene vinyl acetate), and styrene diene copolymers.

藥物輸送組合物另一成分為能夠經由該組合物控制釋放的生物活化劑或藥物。在此所定義的生物活化劑,乃是指在體內具有治療、預防或診斷特性的藥劑。合適治療及/或預防的生物活化劑實例包括:抗炎藥劑、抗增生藥劑、防止惡性腫瘤發生藥劑、抑制細胞分裂藥劑、防止移動藥劑、影響細胞外基質之產生與器化的藥劑、促進癒合與再內皮化藥劑、抗凝血藥劑、抗栓塞藥劑、血管細胞生長促進藥劑、血管的細胞生長抑制藥劑、降低膽固醇藥劑、血管舒張藥劑、麻醉藥劑、潤滑或濕潤藥劑、抗青光眼藥劑、抗白內障藥劑、抗殼化作用藥劑、止痛藥、止喘藥、抗生素、抗抑鬱劑、抗糖尿病藥;抗黴菌藥劑、抗高血壓藥劑、抗癌症藥劑、抗焦慮藥劑、免疫抑制藥劑、抗偏頭痛藥劑、抗氣塞藥劑;精神抑制藥劑;抗躁狂藥劑;治關節炎藥劑、抗痛風藥劑;抗凝血藥劑、溶解血栓藥劑,分解纖維蛋白藥劑;破壞血小板藥劑;抗筋鑾藥劑;抗帕金森氏症藥劑;抗組織胺藥劑;抗病毒藥劑、抗微生物藥劑、鎮靜藥劑、抗血流藥劑、支氣管擴張藥劑、類固醇化合物、血糖過低藥劑、血脂肪過低藥劑、蛋白質、核酸與維生素;診斷性藥劑,包含諸如放射性同位素與不透射線藥劑的顯影劑,但不限於上述者。Another component of the drug delivery composition is a biological activator or drug that is capable of controlled release via the composition. A biological activator as defined herein refers to an agent having therapeutic, prophylactic or diagnostic properties in vivo. Examples of suitable biological activators for treatment and/or prevention include: anti-inflammatory agents, anti-proliferative agents, agents for preventing malignant tumors, agents for inhibiting cell division, drugs for preventing migration, agents for affecting the production of extracellular matrices, and for promoting healing. And re-endothelializing agents, anticoagulant agents, anti-embolic agents, vascular cell growth promoting agents, vascular cell growth inhibitors, cholesterol lowering agents, vasodilators, anesthetics, lubricating or moisturizing agents, anti-glaucoma agents, anti-cataracts Medicament, anti-chicken agent, analgesic, anti-asthmatic, antibiotic, antidepressant, antidiabetic; antifungal, antihypertensive, anticancer, anti-anxiety, immunosuppressive, anti-migraine Anti-airlocking agent; antipsychotic agent; anti-manic agent; arthritis agent, anti-gout agent; anticoagulant, thrombolytic agent, fibrinolytic agent; platelet agent; anti-muscle agent; anti-Parkinson Agents; antihistamines; antiviral agents, antimicrobial agents, sedatives Agent, anti-blood agent, bronchodilator, steroid compound, hypoglycemic agent, hypolipidemic agent, protein, nucleic acid and vitamin; diagnostic agent, including developer such as radioisotope and radiopaque agent, but not Limited to the above.

下列是藥物輸送組合物內所使用的具體但非限定之藥物實例,其包括:異丁苯丙酸、水楊酸、ticlopidine防止血劑、clopidogrel抗血小板劑、prasugrel抗血小板聚集劑、glycoprotein IIbllla抑制劑、statin降低膽固醇劑、肝素、水蛭素、尿激酶、溶栓酶、組織胞漿素原活化劑、氧化氮、血管緊縮素轉變抑制劑、地塞米松、斥消靈(sirolimus)、everolimus增生抑制劑、zatarolimus、pimecrolimus、tacrolimus、biolimus、紫杉醇、雌二醇、tranilast、tripidal、angiopeptin、brimonidine、timiolol、碳酸酐酶抑制劑、其類似物與其衍生物,但不限於上述者。The following are specific but non-limiting examples of drugs used in drug delivery compositions, including: ibuprofen, salicylic acid, ticlopidine anti-blood, clopidogrel antiplatelet, prasugrel anti-platelet aggregator, glycoprotein II bllla inhibition Agent, statin lowering cholesterol, heparin, hirudin, urokinase, thrombolytic enzyme, tissue plasminogen activator, nitric oxide, angiotensin transition inhibitor, dexamethasone, sirolimus, everolimus hyperplasia Inhibitor, zatarolimus, pimecrolimus, tacrolimus, biolimus, paclitaxel, estradiol, tranilast, tripidal, angiopeptin, brimonidine, timiolol, carbonic anhydrase inhibitors, analogs thereof and derivatives thereof, but are not limited thereto.

熟悉該項技術之相關人員將可察知,在藥物輸送組合物的聚合物基質內包含有效數量的生物活化劑。生物活化劑的有效數量定義為具有治療或預防效果的數量,可由熟悉該項技術之相關人員決定之,列入考量的因素包括有病患重量、年齡、生理狀態、治療或預防或診斷目的、所用的藥劑類型、所用的聚合物類型與要求的釋放率(例如初始爆發點與持續釋放率),但不限於上述因素。生物活化劑的合適數量將落在重量百分比約0.01%至70%之間。然而,熟悉該項技術之相關人員將可察知,在藥物輸送系統中均有可能使用到未具體詳述的任何範圍或濃度之生物活化劑。Those skilled in the art will recognize that an effective amount of bioactivator is included within the polymer matrix of the drug delivery composition. The effective amount of a biological activator is defined as the amount of therapeutic or prophylactic effect, and may be determined by the person familiar with the technique, including factors such as the patient's weight, age, physiological state, therapeutic or prophylactic or diagnostic purpose, The type of agent used, the type of polymer used, and the desired release rate (e.g., initial burst point and sustained release rate), but are not limited to the above factors. A suitable amount of bioactivator will fall between about 0.01% and 70% by weight. However, those skilled in the art will recognize that it is possible to use biological activators of any range or concentration not specifically described in the drug delivery system.

除了藥物輸送組合物之外,在此揭露的各種實施例將針對能夠控制生物活化劑輸送的醫療裝置。根據一實施例得知,藥物輸送組合物係包含在一醫療裝置內,有可能是裝置上的一薄膜或一部分,亦可能是裝置的一個或以上表面所結合的塗層。通常,可插入或可植入體內之醫療裝置至少有一部分會包含該藥物輸送組合物。在另一實施例中,藥物輸送組合物本身可置於一醫療裝置或其部分之內。In addition to drug delivery compositions, the various embodiments disclosed herein will be directed to medical devices capable of controlling the delivery of biological activators. According to one embodiment, the drug delivery composition is contained within a medical device, possibly as a film or portion of the device, or it may be a coating of one or more surfaces of the device. Typically, at least a portion of the medical device that can be inserted or implantable will contain the drug delivery composition. In another embodiment, the drug delivery composition itself can be placed within a medical device or portion thereof.

熟悉該項技術之相關人員將能察知,可應用或設置藥物輸送組合物的醫療裝置包括隱形眼鏡;眼內鏡片;口頜面植入物;骨水泥、支架、支架移植物;尿用支架;血管內或血管間氣球、分流器、吻合設備;心臟瓣膜、導管、導線、氣球、過濾器;血管移植物;血管膏藥;或管腔內鋪底系統,但不限於上述者。Those skilled in the art will recognize that medical devices that can be used or provided with drug delivery compositions include contact lenses; intraocular lenses; oral and maxillofacial implants; bone cement, stents, stent grafts; Intravascular or intervascular balloon, shunt, anastomotic device; heart valve, catheter, lead, balloon, filter; vascular graft; vascular plaster; or intraluminal underlaying system, but not limited to the above.

在此亦揭露形成藥物輸送組合物的各種方法。藥物輸送組合物通常係經由溶劑蒸發過程而形成:將含有生物活性聚合電解質複合物與至少一生物活化劑的聚合物溶液澆鑄在模型內,或施加在裝置之一個或以上的表面上。使溶劑蒸發,以便留下含有一聚合物基質、一生物活性聚合電解質複合物與至少一生物活化劑的藥物輸送組合物。熟悉該項技術的相關人員將可察知,生物活化劑、生物活性聚合電解質複合物與聚合物的要求數量可依所要求的藥物釋放程度與藥物釋放間隔時間而改變。Various methods of forming a drug delivery composition are also disclosed herein. The drug delivery composition is typically formed via a solvent evaporation process: a polymer solution containing the bioactive polyelectrolyte complex and at least one bioactivating agent is cast into a mold or applied to one or more surfaces of the device. The solvent is evaporated to leave a drug delivery composition comprising a polymer matrix, a bioactive polyelectrolyte complex and at least one bioactivating agent. Those skilled in the art will appreciate that the required amount of bioactivator, bioactive polyelectrolyte complex, and polymer can vary depending upon the desired degree of drug release and drug release interval.

根據一方法得知,藥物輸送組合物可設置於一醫療裝置內。此方法是將聚合物溶解在溶劑系統內,以形成聚合物溶液;將生物活性聚合電解質複合物溶解或分散於聚合物溶液內。接著,將生物活化劑溶解或分散在該聚合物溶液。此外,將生物活性聚合電解質複合物添加到聚合物溶液時,可同時將生物活化劑溶解或分散在聚合物溶液中。將含有生物活性聚合電解質複合物與生物活化劑的聚合物溶液澆鑄在一模型內。然後讓聚合物溶液凝固,以形成含有生物活性聚合電解質複合物與生物活化劑分散一聚合物基質。According to one method, the drug delivery composition can be disposed within a medical device. The method is to dissolve the polymer in a solvent system to form a polymer solution; the bioactive polyelectrolyte complex is dissolved or dispersed in the polymer solution. Next, the bioactivating agent is dissolved or dispersed in the polymer solution. Further, when the bioactive polyelectrolyte complex is added to the polymer solution, the bio activator can be simultaneously dissolved or dispersed in the polymer solution. A polymer solution containing the bioactive polyelectrolyte complex and the bioactivator is cast into a mold. The polymer solution is then allowed to set to form a polymer matrix comprising a bioactive polyelectrolyte complex and a bioactivator dispersed.

根據另一方法得知,可將合適聚合物溶解在溶劑內,以形成聚合物溶液:將生物活性聚合電解質溶解或分散在聚合物溶液內。熟悉該項技術之相關人員將可察知,藉由將聚合物與聚合電解質複合物同時溶解在互溶劑中,即可獲得將聚合電解質複合物溶解在聚合物溶液內的適當方法,或是將聚合電解質複合物添加至聚合物溶液內,然後利用攪動或混合,將聚合電解質複合物分散在聚合物溶液內。不論是溶解或分散法,在聚合物溶液製備之前、製備期間或製備之後均可添加固體或液體的聚合電解質複合物,並可將聚合電解質複合物溶解或分散於第二溶劑中,然後將該溶液添加到聚合物溶液。熟悉該項技術之相關人員將可察知,若第二溶劑可與聚合物溶液混溶,其便為合適者。According to another method, a suitable polymer can be dissolved in a solvent to form a polymer solution: the bioactive polyelectrolyte is dissolved or dispersed in the polymer solution. Those skilled in the art will recognize that by dissolving the polymer and the polyelectrolyte complex simultaneously in a mutual solvent, a suitable method for dissolving the polyelectrolyte complex in the polymer solution can be obtained, or polymerization can be achieved. The electrolyte complex is added to the polymer solution, and then the polyelectrolyte complex is dispersed in the polymer solution by agitation or mixing. Whether it is a dissolution or dispersion method, a solid or liquid polyelectrolyte complex may be added before, during or after the preparation of the polymer solution, and the polyelectrolyte complex may be dissolved or dispersed in the second solvent, and then The solution is added to the polymer solution. Those skilled in the art will recognize that the second solvent is suitable if it is miscible with the polymer solution.

根據一方法得知,可將至少一生物活化劑與生物活性聚合電解質複合物分開添加至聚合物溶液內。有一方法是將生物活化劑直接添加到含有生物活性聚合電解質複合物的聚合物溶液,而另一方法則是將生物活化劑溶解或分散在可與聚合物溶液混溶的溶劑內,然後再將此溶液混合到聚合物溶液中。According to one method, at least one bioactivating agent can be added to the polymer solution separately from the bioactive polyelectrolyte complex. One method is to add the biological activator directly to the polymer solution containing the bioactive polyelectrolyte complex, and the other method is to dissolve or disperse the bio activator in a solvent miscible with the polymer solution, and then The solution is mixed into the polymer solution.

熟悉該項技術之相關人員將可察知,透過作為醫療裝置的移植物或插入物藥劑,可將藥物輸送組合物內所含的藥物提供給人體或其他動物。醫療裝置可由藥物輸送組合物製成。而藥物輸送組合物可當作裝置上的一薄膜或塗層,其中該裝置適用於皮下、肌肉、腹腔、皮內、靜脈內、動脈內、椎管內或鼻內施用。例如,藥物輸送組合物是滲入或塗佈於像是支架的血管內的裝置之上,此外,可將藥物輸送組合物施予病患局部處。藥物輸送組合物可包含於乳霜、水凝膠、膏藥等物中。Those skilled in the art will recognize that the drug contained in the drug delivery composition can be provided to a human or other animal through a graft or insert agent as a medical device. The medical device can be made from a drug delivery composition. The drug delivery composition can be considered as a film or coating on the device, wherein the device is suitable for subcutaneous, intramuscular, intraperitoneal, intradermal, intravenous, intraarterial, intraspinal or intranasal administration. For example, the drug delivery composition is infiltrated or coated onto a device such as a blood vessel of a stent, and in addition, the drug delivery composition can be administered to a patient. The drug delivery composition can be included in a cream, hydrogel, plaster, and the like.

使用時,可透過相關技術中任何已知或成熟的步驟,將此處所揭露、含有藥物輸送組合物的植入物或醫療裝置輸送到標的位置,例如透過一根導管將含有藥物輸送組合物的支架輸送到血管系統內。一旦植入後,即讓藥物輸送組合物暴露於物理應力(如流動的血液)與化學試劑(如血液內的各種酵素與蛋白質)兩者之下。視藥物輸送組合物各成分的相對濃度而定,可依本說明書之指導所規劃的期望藥物沖提量變曲線,將生物活化劑與生物活性聚合電解質複合物從醫療裝置中釋放出來。In use, the implant or medical device disclosed herein, containing the drug delivery composition, can be delivered to the target location by any known or mature step in the art, such as by a catheter containing the drug delivery composition. The stent is delivered into the vascular system. Once implanted, the drug delivery composition is exposed to both physical stress (such as flowing blood) and chemical agents (such as various enzymes and proteins in the blood). Depending on the relative concentrations of the components of the drug delivery composition, the bioactivating agent and the bioactive polyelectrolyte complex can be released from the medical device in accordance with the desired drug elution profile as outlined in the instructions herein.

以下實例可說明在此所揭露的各種實施例。這些實例僅作為例證之用,而非限定範圍之用。The following examples illustrate various embodiments disclosed herein. These examples are for illustrative purposes only and are not intended to be limiting.

實例1Example 1

在本實例內所使用的生物活性聚合電解質複合物(BPEC)係由硫酸鹽軟骨素與氯化正烷二甲苯甲基銨所形成的一種複合物。紫杉醇為一種非水溶性藥物,其可作為適用於生物活化劑的模型化合物使用。將適當數量的非生物可分解性聚丁基丙烯酸甲酯、生物活性聚合電解質複合物以及紫杉醇,溶解於甲苯與醇類的溶劑系統內,藉以產生含量為15%的生物活性聚合電解質複合物。而對照溶液則以聚丁基丙烯酸甲酯與紫杉醇製備而成,但其並不包括生物活性聚合電解質複合物。The bioactive polyelectrolyte complex (BPEC) used in this example is a complex formed by sulfate chondroitin and chloroalkylxylene methylammonium chloride. Paclitaxel is a water-insoluble drug that can be used as a model compound for biological activators. An appropriate amount of the non-biodegradable polybutyl methacrylate, the bioactive polyelectrolyte complex, and paclitaxel are dissolved in a solvent system of toluene and an alcohol to produce a bioactive polyelectrolyte complex having a content of 15%. The control solution was prepared with polybutyl methacrylate and paclitaxel, but it did not include the bioactive polyelectrolyte complex.

將上述各種溶液噴塗在一條不鏽鋼絲線上。控制每條絲線上所噴塗的溶液量,以便使每條絲線上含有與藥物輸送基質大約相當的數量。接著將經過塗佈的絲線加以乾燥,直到重量維持固定為止。在完成乾燥處理後,再於不銹鋼絲線上設置一薄膜。The various solutions described above were sprayed onto a stainless steel wire. The amount of solution sprayed on each wire is controlled so that each wire contains approximately the same amount as the drug delivery matrix. The coated wire is then dried until the weight remains fixed. After the drying process is completed, a film is placed on the stainless steel wire.

為確認藥物釋放率,需將每個經過塗佈的不銹鋼絲線置於37℃、含有1%聚氧乙稀己六醇油酸酯(Tween-80)的含鹽溶液中進行培養,並透過一式三份的樣品進行測試。於不同的時間點取出部分培養溶液,分析其釋放的藥量,並以新的溶液來取代移出的溶液數量。使用高壓液相層析儀,測定各時間點時釋放到培養溶液內的紫杉醇數量(分離管柱型號為Supelco supelcosil LCF,採用氰甲烷與水的混合物作為移動相)。In order to confirm the drug release rate, each coated stainless steel wire was placed in a salt solution containing 1% polyoxyethylene hexahexyl oleate (Tween-80) at 37 ° C, and passed through a type. Three samples were tested. A portion of the culture solution was taken at different time points, the amount of drug released was analyzed, and the amount of the removed solution was replaced with a new solution. The amount of paclitaxel released into the culture solution at each time point was measured using a high pressure liquid chromatography (the separation column type was Supelco supelcosil LCF, and a mixture of cyanomethane and water was used as the mobile phase).

圖1顯示從生物活性聚合電解質複合物含量為0%到15%的藥物輸送系統所釋放的紫杉醇累積數量。如圖1所示,相較於不含生物活性聚合電解質複合物的對照樣品,生物活性聚合電解質複合物的存在會導致初始藥物釋放程度、持續藥物釋放程度與藥物釋放總量的增加。Figure 1 shows the cumulative amount of paclitaxel released from a drug delivery system with a bioactive polyelectrolyte complex content of 0% to 15%. As shown in Figure 1, the presence of the bioactive polyelectrolyte complex resulted in an increase in initial drug release, sustained drug release, and total drug release compared to a control sample containing no bioactive polyelectrolyte complex.

實例2Example 2

除了以肝素取代硫酸鹽軟骨素之外,樣品製備及分析技術均與實例1中所提及者相同。適當數量的非生物可分解性聚丁基丙烯酸甲酯、生物活性聚合電解質複合物與紫杉醇,均溶解於甲苯與醇類的溶劑系統內,以便形成生物活性聚合電解質複合物含量分別為15%與20%且藥物含量維持7%定值的藥物輸送系統。而對照溶液則以聚丁基丙烯酸甲酯與紫杉醇製備而成,但其並不包括生物活性聚合電解質複合物。The sample preparation and analysis techniques were identical to those mentioned in Example 1, except that heparin was substituted for sulfate chondroitin. Appropriate amount of non-biodegradable polybutyl methacrylate, bioactive polyelectrolyte complex and paclitaxel are dissolved in a solvent system of toluene and alcohol to form a bioactive polyelectrolyte complex with a content of 15% and 20% drug delivery system with a drug content maintained at 7%. The control solution was prepared with polybutyl methacrylate and paclitaxel, but it did not include the bioactive polyelectrolyte complex.

將上述每種溶液噴塗於一條不鏽鋼絲線上。接著將經過塗佈的絲線加以乾燥,直到重量維持固定為止。完成乾燥處理後,再於不銹鋼絲線上設置一薄膜。控制每條絲線上所噴塗的溶液量,以便使每條絲線上均含有與以下所示的藥物輸送基質相當的數量: Each of the above solutions was sprayed onto a stainless steel wire. The coated wire is then dried until the weight remains fixed. After the drying process is completed, a film is placed on the stainless steel wire. The amount of solution sprayed on each wire is controlled so that each wire contains an amount equivalent to the drug delivery matrix shown below:

圖2顯示從含有0%、15%與20%組合內所釋放的藥物釋放率。如圖2所示,相較於不含生物活性聚合電解質複合物的對照樣品,生物活性聚合電解質複合物的存在會導致初始藥物釋放程度、持續藥物釋放程度與藥物釋放總量的增加。此外,如圖2所示,相較於生物活性聚合電解質複合物含量為15%的藥物輸送系統,生物活性聚合電解質複合物含量較高(20%)時會增加藥物釋放特性,包括初始藥物釋放程度、持續藥物釋放程度與藥物釋放總量。Figure 2 shows the release rate of the drug released from the combination containing 0%, 15% and 20%. As shown in Figure 2, the presence of the bioactive polyelectrolyte complex resulted in an increase in initial drug release, sustained drug release, and total drug release compared to a control sample containing no bioactive polyelectrolyte complex. In addition, as shown in Figure 2, the bioactive polyelectrolyte complex content (20%) increases drug release characteristics, including initial drug release, compared to a drug delivery system with a bioactive polyelectrolyte complex content of 15%. Degree, duration of drug release, and total drug release.

實例3Example 3

除了將伊紅染劑作為模型化合物使用以代表水溶性藥物外,溶液製備方法與實例2中所提及者相同。使用如實例2所述的相同聚合物及類似技術,將含有與不含生物活性聚合電解質複合物的聚合物基質溶液塗佈在鋁製圓盤上。The solution preparation method was the same as that mentioned in Example 2, except that the eosin dye was used as a model compound to represent a water-soluble drug. The polymer matrix solution containing the complex with the bioactive polyelectrolyte-free composite was coated on an aluminum disk using the same polymer as described in Example 2 and similar techniques.

為確認伊紅染劑釋放率,需將每個經過塗佈的圓盤置於已知含有1%聚氧乙稀己六醇油酸酯(Tween-80)的含鹽溶液中進行培養。於不同的時間點以紫外/可見光光譜儀測定釋放到培養溶液內的伊紅染劑數量;在各個時間點抽出部分培養溶液介質以分析伊紅染劑含量,並以新的溶液取代移出數量。圖3顯示從含有與不含BPEC的聚合物基質內所釋放的伊紅染劑數量。To confirm the red dye release rate, each coated disk was placed in a salt solution containing 1% polyoxyethylene hexahexitol oleate (Tween-80) for cultivation. The amount of eosin dye released into the culture solution was measured by ultraviolet/visible spectrometer at different time points; a part of the culture solution medium was taken out at each time point to analyze the eosin dye content, and the removed amount was replaced by a new solution. Figure 3 shows the amount of eosin dye released from the polymer matrix containing and not containing BPEC.

圖3說明在一對照樣品與含有BPEC的樣品間之差異。在不含生物活性聚合電解質複合物的情況下,立即讓所有伊紅染劑從聚合物基質內釋放,亦即在採用僅有聚合物的藥物輸送系統時,沒有任何藥物釋放率的調整作用。在含有26%生物活性聚合電解質複合物的藥物輸送系統中,使初始伊紅染劑釋放程度、持續伊紅染劑釋放程度以及伊紅染劑釋放總量因生物活性聚合電解質複合物的存在而有實質上的減少,並獲得調整作用。此外,生物活性聚合電解質複合物對於水溶性藥物與非水溶性藥物釋放率亦有不同影響。比較圖2與3所示的釋放率即可得知,聚合物基質內存有生物活性聚合電解質複合物時,會降低水溶性藥物的釋放率,並增加非水溶性藥物的釋放率。Figure 3 illustrates the difference between a control sample and a sample containing BPEC. In the absence of a bioactive polyelectrolyte complex, all eosin dyes are immediately released from the polymer matrix, i.e., when a polymer-only drug delivery system is employed, there is no adjustment of drug release rate. In a drug delivery system containing 26% bioactive polyelectrolyte complex, the degree of initial eosin dye release, the duration of sustained eosin dye release, and the total amount of eosin release are due to the presence of bioactive polyelectrolyte complexes. There is a substantial reduction and adjustment. In addition, bioactive polyelectrolyte complexes have different effects on the release rate of water-soluble drugs and water-insoluble drugs. Comparing the release rates shown in Figures 2 and 3, it can be seen that when a bioactive polyelectrolyte complex is present in the polymer matrix, the release rate of the water-soluble drug is lowered and the release rate of the water-insoluble drug is increased.

實例4Example 4

除了以肝素取代硫酸鹽軟骨素之外,本實例中的樣品製備方法與實例1中所揭露者相同。為證明生物活性聚合電解質複合物也是在控制下從含有藥物、聚合物與生物活性聚合電解質複合物的藥物輸送系統內釋放,需將每個經過塗佈的不銹鋼絲線放置在37℃、含有1%聚氧乙稀己六醇油酸酯(Tween-80)的含鹽溶液中進行培養。在不同時間點抽出部分溶液,並分析釋放到溶液的的生物活性聚合電解質複合物數量。以色原抽出物S2237測量肝素的生物活性,即可確認生物活性聚合電解質複合物的釋放數量。The sample preparation method in this example was the same as that disclosed in Example 1, except that heparin was substituted for sulfate chondroitin. To demonstrate that bioactive polyelectrolyte complexes are also released under controlled release from drug delivery systems containing drugs, polymers and bioactive polyelectrolyte complexes, each coated stainless steel wire is placed at 37 ° C with 1% The polyoxyethylene hexahexanol oleate (Tween-80) is cultured in a saline solution. A portion of the solution was withdrawn at various time points and the amount of bioactive polyelectrolyte complex released into the solution was analyzed. The amount of release of the bioactive polyelectrolyte complex can be confirmed by measuring the biological activity of heparin with the chromogen extract S2237.

圖4顯示生物活性聚合電解質複合物的釋放率。此外,圖4亦說明生物活性聚合電解質複合物的存在不僅能調整藥物的釋放率(如實例1至3所示),同時能控制生物活性聚合電解質複合物在一段時期內的釋放,以便在不受藥物釋放影響下發揮治療效果。如圖4所示,約40%的有效生物活性聚合電解質複合物會在200天後釋放出來。Figure 4 shows the release rate of the bioactive polyelectrolyte complex. In addition, Figure 4 also illustrates that the presence of the bioactive polyelectrolyte complex not only modulates the release rate of the drug (as shown in Examples 1 to 3), but also controls the release of the bioactive polyelectrolyte complex over a period of time so that The therapeutic effect is exerted under the influence of drug release. As shown in Figure 4, about 40% of the effective bioactive polyelectrolyte complex will be released after 200 days.

實例5Example 5

為證明生物可分解聚合物與藥物輸送組合物相容性以及不同聚合物對藥物釋放率的影響,需使用DL減水乳酸乙醇酸共聚物或聚L減水乳酸作為組合中的聚合物。除了使用DL減水乳酸乙醇酸共聚物或聚L減水乳酸當作聚合物外,樣品製備技術與藥物釋放率的測定方法均與實例1與2中所提及者相同。如圖5所示,相較於含有聚L減水乳酸者,含有DL減水乳酸乙醇酸共聚物的藥物輸送組合物會增加藥物的釋放率。To demonstrate the compatibility of the biodegradable polymer with the drug delivery composition and the effect of the different polymers on the drug release rate, a DL water-reduced lactic acid glycolic acid copolymer or poly-L water-reduced lactic acid is used as the polymer in the combination. The sample preparation technique and the drug release rate were determined in the same manner as those mentioned in Examples 1 and 2 except that DL water-reduced lactic acid glycol copolymer or poly-L water-reduced lactic acid was used as the polymer. As shown in Fig. 5, the drug delivery composition containing the DL water-reduced lactic acid glycolic acid copolymer increases the release rate of the drug compared to the one containing the poly-L water-reducing lactic acid.

實例6Example 6

為說明生物活性聚合電解質複合物對於聚合物基質物性的影響,需比較聚丁基丙烯酸甲酯的玻璃轉變溫度與聚丁基丙烯酸甲酯及一複合物的玻璃轉變溫度,其中該複合物係由2:1比率的肝素與烷基二甲基苯甲基氯化銨所形成。樣品維持在-30℃達5分鐘後,再以20℃/分鐘速度加熱到75℃。接著使樣品維持75℃達5分鐘後,再以淬火冷卻到-30℃。當樣品維持在-30℃達5分鐘後,再於氮氣環境下以20℃/分鐘速度加熱到70℃。依照ISO 113572-2的DSC熱像分析法進行樣品分析。In order to illustrate the effect of the bioactive polyelectrolyte complex on the physical properties of the polymer matrix, it is necessary to compare the glass transition temperature of polybutyl methacrylate with the glass transition temperature of polybutyl methacrylate and a composite, wherein the composite is composed of A 2:1 ratio of heparin to alkyl dimethylbenzylammonium chloride is formed. The sample was maintained at -30 ° C for 5 minutes and then heated to 75 ° C at a rate of 20 ° C / minute. The sample was then held at 75 ° C for 5 minutes and then quenched to -30 ° C. After the sample was maintained at -30 ° C for 5 minutes, it was heated to 70 ° C at a rate of 20 ° C / minute under a nitrogen atmosphere. Sample analysis was performed in accordance with DSC Thermal Image Analysis of ISO 113572-2.

相較於不含複合物的樣品,含有生物活性聚合電解質複合物的樣品在玻璃轉變溫度上有顯著的下降。換句話說,僅含有聚丁基丙烯酸甲酯之樣品的玻璃轉變溫度(為聚合物彈性指標)約21℃,而含有聚丁基丙烯酸甲酯與生物活性聚合電解質複合物之混合物的樣品,其玻璃轉變溫度則約為11。C玻璃轉變溫度的下降顯示出聚合物剛性因生物活性聚合電解質複合物的存在而降低。此外,單一玻璃轉變溫度亦會使人聯想到生物活性聚合電解質複合物與聚丁基丙烯酸甲酯的相容(反之,不相容組成通常會產生兩個玻璃轉變溫度)。Samples containing bioactive polyelectrolyte complexes showed a significant decrease in glass transition temperature compared to samples without complexes. In other words, a sample containing only polybutyl methacrylate has a glass transition temperature (indicator of polymer elasticity) of about 21 ° C, and a sample containing a mixture of polybutyl methacrylate and a bioactive polyelectrolyte complex, The glass transition temperature is about 11. A decrease in the C glass transition temperature indicates that the polymer stiffness is reduced by the presence of the bioactive polyelectrolyte complex. In addition, a single glass transition temperature would also be associated with the compatibility of bioactive polyelectrolyte complexes with polybutyl methacrylate (instead, incompatible compositions typically produce two glass transition temperatures).

上述各種實施例僅供說明之用,不應解釋限定為專利申請範圍。對於熟悉該項技術的相關人員而言,在不遵照此處說明與提及的實例實施例與應用且在不脫離下述專利申請範圍所載主張發明的真正精神與範圍下,他們皆能輕易確認出各種修飾與變化。The various embodiments described above are for illustrative purposes only and are not to be construed as limiting the scope of the patent application. For those skilled in the art, they can easily follow the example embodiments and applications described herein and without departing from the true spirit and scope of the claimed invention contained in the scope of the following patent application. Confirm various modifications and changes.

Claims (13)

一種一個或以上藥物釋放的調節方法,其所包含的步驟為:設置一藥物輸送系統,該藥物輸送系統包括分散在一聚合物基質的一個或以上藥物與一生物活性聚合電解質複合物,其中該生物活性聚合電解質複合物包含有一聚合電解質與一帶相反電荷成分,其中該聚合電解質為葡萄糖胺聚合醣,及該帶相反電荷成分為四級銨類化合物;藉由調整該生物活性聚合電解質複合物的濃度,調節該藥物輸送系統的藥物釋放率;以及,沖提該藥物輸送系統的生物活性聚合電解質複合物。An adjustment method for one or more drug release, comprising the steps of: providing a drug delivery system comprising one or more drugs dispersed in a polymer matrix and a bioactive polyelectrolyte complex, wherein The bioactive polyelectrolyte complex comprises a polyelectrolyte and an oppositely charged component, wherein the polyelectrolyte is a glucosamine polymerized sugar, and the oppositely charged component is a quaternary ammonium compound; by adjusting the bioactive polyelectrolyte complex The concentration, the drug release rate of the drug delivery system is adjusted; and the bioactive polyelectrolyte complex of the drug delivery system is flushed. 根據申請專利範圍第1項的一個或以上藥物釋放之調節方法,其中,釋放率調節步驟更包含有調整藥物初始釋放率或藥物持續釋放率。The method for regulating release of one or more drugs according to item 1 of the patent application scope, wherein the release rate adjustment step further comprises adjusting an initial release rate of the drug or a sustained release rate of the drug. 根據申請專利範圍第1項的一個或以上藥物釋放之調節方法,其中,該藥物濃度落在約0.1%(重量百分比)到約70%(重量百分比)範圍內。A method of regulating release of one or more drugs according to item 1 of the scope of the patent application, wherein the concentration of the drug falls within a range of from about 0.1% by weight to about 70% by weight. 根據申請專利範圍第1項的一個或以上藥物釋放之調節方法,其中,該聚合電解質複合物濃度落在約0.1%(重量百分比)到約90%(重量百分比)範圍內。The method of regulating release of one or more drugs according to item 1 of the scope of the patent application, wherein the concentration of the polyelectrolyte complex falls within a range of from about 0.1% by weight to about 90% by weight. 根據申請專利範圍第1項的一個或以上藥物釋放之調節方法,其中,該聚合物基質包括:聚乳酸、聚乙醇酸、乳酸乙醇酸共聚物、聚酸酐、聚原酸酯、聚醚酯、聚己內酯、聚酯醯胺、聚烯烴、聚苯乙烯、聚醋酸乙烯酯、 丙烯酸聚合物、聚醚、含氟聚合物、聚酯、聚醯胺、聚胺基甲酸乙酯、矽酮聚合物、聚二烯、纖維素及其衍生物、交聯性水溶性聚合物、混合物或其共聚物。The method for regulating release of one or more drugs according to claim 1, wherein the polymer matrix comprises: polylactic acid, polyglycolic acid, lactic acid glycolic acid copolymer, polyanhydride, polyorthoester, polyether ester, Polycaprolactone, polyester decylamine, polyolefin, polystyrene, polyvinyl acetate, Acrylic polymers, polyethers, fluoropolymers, polyesters, polyamines, polyurethanes, anthrone polymers, polydienes, celluloses and their derivatives, crosslinkable water-soluble polymers, Mixture or copolymer thereof. 根據申請專利範圍第1項的一個或以上藥物釋放之調節方法,其中該生物活性聚合電解質複合物係由比例為2:1的肝素與烷基二甲基苯甲基氯化銨所形成,可藉以降低該聚合物基質之玻璃轉變溫度。The method for regulating release of one or more drugs according to item 1 of the scope of the patent application, wherein the bioactive polyelectrolyte complex is formed by a ratio of 2:1 heparin and alkyldimethylbenzylammonium chloride, Thereby reducing the glass transition temperature of the polymer matrix. 一種生物相容性藥物輸送組合物,其包含:一聚合物基質;分散在該聚合物基質內的一個或以上藥物;以及,分散在該聚合物基質內的一生物活性聚合電解質複合物,用以調節來自該聚合物的藥物釋放,其中該生物活性聚合電解質複合物包含有一聚合電解質與一帶相反電荷組成,其中該聚合電解質為葡萄糖胺聚合醣,及該帶相反電荷成分為四級銨類化合物,且該聚合電解質及/或該帶相反電荷組成具有生物活性,其中,該聚合電解質複合物濃度落在約0.1%(重量百分比)到約90%(重量百分比)範圍內,該藥物濃度落在約0.1%(重量百分比)到約70%(重量百分比)範圍內,以及該藥物輸送組合物的全部成分總和不超過100%。A biocompatible drug delivery composition comprising: a polymer matrix; one or more drugs dispersed in the polymer matrix; and a bioactive polyelectrolyte complex dispersed in the polymer matrix, To regulate drug release from the polymer, wherein the bioactive polyelectrolyte complex comprises a polyelectrolyte having an opposite charge composition, wherein the polyelectrolyte is a glucosamine polymerized sugar, and the oppositely charged component is a quaternary ammonium compound And the polyelectrolyte and/or the oppositely charged composition is biologically active, wherein the polyelectrolyte complex concentration falls within a range of from about 0.1% by weight to about 90% by weight, the concentration of the drug falling From about 0.1% by weight to about 70% by weight, and the total amount of all components of the drug delivery composition does not exceed 100%. 根據申請專利範圍第7項的生物相容性藥物輸送組合物,其中,該聚合物基質包括:聚乳酸、聚乙醇酸、乳酸乙醇酸共聚物、聚酸酐、聚原酸酯、聚醚酯、聚己內酯、聚酯醯胺、聚烯烴、聚苯乙烯、聚醋酸乙烯酯、丙 烯酸聚合物、聚醚、含氟聚合物、聚酯、聚醯胺、聚胺基甲酸乙酯、矽酮聚合物、聚二烯、纖維素及其衍生物、交聯性水溶性聚合物、混合物或其共聚物。The biocompatible drug delivery composition according to claim 7, wherein the polymer matrix comprises: polylactic acid, polyglycolic acid, lactic acid glycolic acid copolymer, polyanhydride, polyorthoester, polyether ester, Polycaprolactone, polyester decylamine, polyolefin, polystyrene, polyvinyl acetate, C Alkene polymer, polyether, fluoropolymer, polyester, polyamine, polyurethane, fluorenone polymer, polydiene, cellulose and its derivatives, crosslinkable water-soluble polymer , a mixture or a copolymer thereof. 根據申請專利範圍第7項的生物相容性藥物輸送組合物,其係透過皮下、肌肉、腹腔內、皮內、靜脈內、動脈內、椎管內或鼻內施用而投予。The biocompatible drug delivery composition according to item 7 of the patent application is administered by subcutaneous, intramuscular, intraperitoneal, intradermal, intravenous, intraarterial, intraspinal or intranasal administration. 根據申請專利範圍第7項的生物相容性藥物輸送組合物,其係透過醫療裝置投予,該醫療裝置具有植入其中的該藥物輸送組合物。The biocompatible drug delivery composition according to claim 7 of the patent application, which is administered through a medical device having the drug delivery composition implanted therein. 根據申請專利範圍第7項的生物相容性藥物輸送組合物,其係透過醫療裝置投予,該醫療裝置具有包含該藥物輸送組合物的塗層或薄膜。The biocompatible drug delivery composition according to claim 7 of the patent application, which is administered through a medical device having a coating or film comprising the drug delivery composition. 一種植入式醫療裝置,其包含有:一個或以上表面,其中至少一表面塗佈有一如申請專利範圍第7或8項所述之生物相容性藥物輸送組合物。An implantable medical device comprising: one or more surfaces, wherein at least one surface is coated with a biocompatible drug delivery composition as described in claim 7 or 8. 根據申請專利範圍第12項的植入式醫療裝置,其中,該藥物為抗炎藥劑、抗增生藥劑、防止惡性腫瘤發生藥劑、抑制細胞分裂藥劑、防止移動藥劑、影響細胞外基質之產生與器化藥劑、促進癒合與再內皮化藥劑、抗凝血藥劑、抗栓塞藥劑、血管細胞生長促進藥劑、降低膽固醇藥劑、血管的細胞生長抑制藥劑、血管舒張藥劑、麻醉藥劑、潤滑或濕潤藥劑、抗青光眼藥劑、抗白內障藥劑、抗殼化作用藥劑、止痛藥、止喘藥、抗生素、抗抑鬱劑、 抗糖尿病藥;抗黴菌藥劑、抗高血壓藥劑、抗癌症藥劑、抗焦慮藥劑、免疫抑制藥劑、抗偏頭痛藥劑、抗氣塞藥劑;精神抑制藥劑;抗躁狂藥劑;治關節炎藥劑、抗痛風藥劑;抗凝血藥劑、溶解血栓藥劑,分解纖維蛋白藥劑;破壞血小板藥劑;抗痙攣藥劑;抗帕金森氏症藥劑;抗組織胺藥劑;抗病毒藥劑、抗微生物藥劑、鎮靜藥劑、抗血流藥劑、支氣管擴張藥劑、類固醇化合物、血糖過低藥劑、血脂肪過低藥劑、蛋白質、核酸與維生素。The implantable medical device according to claim 12, wherein the drug is an anti-inflammatory agent, an anti-proliferative agent, an agent for preventing malignant tumors, a drug for inhibiting cell division, a drug for preventing migration, and a device for influencing an extracellular matrix. Chemical agent, promoting healing and re-endothelializing agent, anticoagulant agent, anti-embolic agent, vascular cell growth promoting agent, cholesterol lowering agent, vascular cell growth inhibitory agent, vasodilator, anesthetic agent, lubricating or moisturizing agent, anti-drug Glaucoma agents, anti-cataract agents, anti-chicken agents, analgesics, anti-asthmatics, antibiotics, antidepressants, Antidiabetic agent; antifungal agent, antihypertensive agent, anticancer agent, anti-anxiety agent, immunosuppressive agent, anti-migraine agent, anti-airlocking agent; antipsychotic agent; anti-manic agent; arthritis agent, anti-arthritis Gout agent; anticoagulant, thrombolytic agent, fibrinolytic agent; platelet agent; anti-caries; anti-Parkinson's agent; antihistamine; antiviral, anti-microbial, sedative, anti-blood Flowing agents, bronchodilators, steroid compounds, hypoglycemic agents, hypolipidemic agents, proteins, nucleic acids and vitamins.
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