US20050031667A1 - Implantable polymeric device for sustained release of dopamine agonist - Google Patents

Implantable polymeric device for sustained release of dopamine agonist Download PDF

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Publication number
US20050031667A1
US20050031667A1 US10/815,481 US81548104A US2005031667A1 US 20050031667 A1 US20050031667 A1 US 20050031667A1 US 81548104 A US81548104 A US 81548104A US 2005031667 A1 US2005031667 A1 US 2005031667A1
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Prior art keywords
dopamine agonist
implantable device
implantable
matrix
apomorphine
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US10/815,481
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English (en)
Inventor
Rajesh Patel
Louis Bucalo
Lauren Costantini
Sofie Kleppner
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Titan Pharmaceuticals Inc
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Titan Pharmaceuticals Inc
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Priority to US10/815,481 priority Critical patent/US20050031667A1/en
Application filed by Titan Pharmaceuticals Inc filed Critical Titan Pharmaceuticals Inc
Assigned to TITAN PHARMACEUTICALS, INC. reassignment TITAN PHARMACEUTICALS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BUCALO, LOUIS R., COSTANTINI, LAUREN, KLEPPNER, SOFIE, PATEL, RAJESH A.
Publication of US20050031667A1 publication Critical patent/US20050031667A1/en
Priority to US12/119,334 priority patent/US20080311171A1/en
Priority to US12/341,766 priority patent/US20090162412A1/en
Assigned to OXFORD FINANCE CORPORATION reassignment OXFORD FINANCE CORPORATION SECURITY AGREEMENT Assignors: TITAN PHARMACEUTICALS, INC.
Assigned to TITAN PHARMACEUTICALS, INC. reassignment TITAN PHARMACEUTICALS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: OXFORD FINANCE CORPORATION
Priority to US13/525,193 priority patent/US8852623B2/en
Priority to US14/506,426 priority patent/US9278163B2/en
Assigned to TITAN PHARMACEUTICALS, INC. reassignment TITAN PHARMACEUTICALS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: OXFORD FINANCE LLC
Assigned to TITAN PHARMACEUTICALS, INC. reassignment TITAN PHARMACEUTICALS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: OXFORD FINANCE CORPORATION
Abandoned legal-status Critical Current

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Definitions

  • an implantable device of the invention includes ethylene vinyl acetate (EVA) as a biocompatible, nonerodible polymer for formation of the polymeric matrix.
  • EVA ethylene vinyl acetate
  • the vinyl acetate content of EVA used for preparation of the polymeric matrix is often about 2 to about 40, more often about 10 to about 35, most often about 30 to about 35%.
  • the vinyl acetate content is about 33%.
  • An implantable device of the invention includes about 10 to about 85% dopamine agonist.
  • the dopamine agonist is apomorphine, lisuride, pergolide, bromocriptine, pramipexole, ropinerole, or rotigotine.
  • each device releases at least about 0.1 mg of dopamine agonist per day in vitro.
  • one or a multiplicity of devices is subcutaneously implanted in an individual, for example, on the upper arm, the back, and/or the abdomen.
  • one or more anti-inflammatory agents are coadministered along with dopamine agonist.
  • the anti-inflammatory agent may be encapsulated within the same polymeric device as dopamine agonist or in a separate polymeric device that does not contain dopamine agonist, or may be administered via a different route, such as orally or via injection, either simultaneously with implantation of the dopamine agonist-containing devices or at a different time, or on a different schedule such as for example multiple dosing of an oral or injectable formulation.
  • the anti-inflammatory agent may be a steroid, a NSAID, and/or an antihistamine.
  • the invention provides a biocompatible, nonerodible polymeric device, which permits controlled, sustained release of one or more dopamine agonists over extended periods of time when implanted subcutaneously in an individual in need of treatment.
  • the invention includes implantable devices for treatment of Parkinson's disease or other conditions for which administration of a dopamine agonists is therapeutically beneficial.
  • Devices of the invention include one or more dopamine agonists encapsulated in a polymeric, nonerodible matrix.
  • a coating that is impermeable to the drug is placed over at least a portion of the device to further regulate the rate of release.
  • a coating of a nonerodible polymeric material e.g., EVA
  • a coating of a nonerodible polymeric material with a lower drug loading than the remainder of the implantable device may be used.
  • Such a coating may be formed, for example, by co-extrusion with the device.
  • Implantable devices of the invention are typically formulated with dopamine agonist loading of about 10% to about 85%.
  • Devices are often formulated as compositions that include a polymeric matrix that includes EVA (33% acetate) and any of at least about 10, 20, 30, 40, 50, 55, 60, 65, 70, 75, or 80 to about 85%, or any of about 10 to about 20, about 20 to about 30, about 30 to about 40, about 40 to about 50, about 50 to about 60, about 60 to about 70, about 70 to about 80, or about 80 to about 85% dopamine agonist by weight.
  • Devices may be produced using an extrusion process, wherein ground EVA is blended with dopamine agonist, melted, and extruded into rod-shaped structures.
  • Rods are cut into individual implantable devices of the desired length, packaged, and sterilized prior to use.
  • Other methods for encapsulating therapeutic compounds in implantable polymeric, nonerodible matrices are well known to those of skill in the art. Such methods include, for example, solvent casting (see, e.g., U.S. Pat. Nos. 4,883,666, 5,114,719, and 5,601,835). A skilled artisan would be able to readily determine an appropriate method of preparing such an implantable device, depending on the shape, size, drug loading, and release kinetics desired for a particular type of patient or clinical indication.
  • Methods of the invention may be used, for example, to decrease motor fluctuations and dyskinesias for treatment of “late stage” patients with motor fluctuations. Continuous dosing via an implantable device of the invention may decrease “off” time and decrease dyskinesias. The methods may also be used, for example, to prevent motor fluctuations and dyskinesias in “early stage” patients who are undergoing pharmacologic therapy for the first time. This group often received monotherapy with a dopamine agonist. Administration via an implantable device of the invention may allow continuous dopamine agonist receptor stimulation, thus decreasing the risk of motor fluctuations and dyskinesias later in treatment.
  • An HPLC method was used to determine the rate of in vitro release of apomorphine HCl (“ApoH”) or loratidine (“LA”) from the implants. Chromatography was performed using a Zorbax SB-C 18 (250 mm ⁇ 4.6 mm) column and 60% 0.1 trifluoro acetic acid in water, 15% methanol, 25% acetonitrile as the mobile phase, and a flow rate of 1 ml/min. The injection volume was 10 ⁇ l. Detection was accomplished by means of a UV/VIS detector at a wavelength of 270 nm. Instrument control and data acquisition were facilitated using a Waters Millennium (V 2.15) software package. The external calibration was obtained using ApoH or LA standard solutions.
  • V 2.15 Waters Millennium
  • the implants were then washed by placing them on an aluminum screen and immersing them in ethanol (approximately 50 ml per implant). The implants were washed for approximately 30, 60, or 120 minutes in the ethanol bath. The washed implants were air dried for 10 minutes and oven dried at 40° C. for 1 hour before drying in a vacuum over for 24 hours at 30° C. The implants were packaged into 20 ml glass vials in the presence of argon gas, sealed, and then sterilized by gamma irradiation.
  • Extruded rods prepared as described above were characterized for total drug load and for rate of drug release.
  • the average ApoH content for unwashed, washed, and sterilized rods was between 66.9 and 67.9% ApoH, corresponding to 95.6 to 97% recovery.

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US13/525,193 US8852623B2 (en) 2003-03-31 2012-06-15 Implantable polymeric device for sustained release of dopamine agonist
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