Classifications

• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G18/00—Polymeric products of isocyanates or isothiocyanates
  • C08G18/06—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen
  • C08G18/28—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen characterised by the compounds used containing active hydrogen
  • C08G18/40—High-molecular-weight compounds
  • C08G18/48—Polyethers
  • C08G18/4854—Polyethers containing oxyalkylene groups having four carbon atoms in the alkylene group
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G18/00—Polymeric products of isocyanates or isothiocyanates
  • C08G18/06—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen
  • C08G18/28—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen characterised by the compounds used containing active hydrogen
  • C08G18/65—Low-molecular-weight compounds having active hydrogen with high-molecular-weight compounds having active hydrogen
  • C08G18/66—Compounds of groups C08G18/42, C08G18/48, or C08G18/52
  • C08G18/6666—Compounds of group C08G18/48 or C08G18/52
  • C08G18/667—Compounds of group C08G18/48 or C08G18/52 with compounds of group C08G18/32 or polyamines of C08G18/38
  • C08G18/6674—Compounds of group C08G18/48 or C08G18/52 with compounds of group C08G18/32 or polyamines of C08G18/38 with compounds of group C08G18/3203
• • C—CHEMISTRY; METALLURGY
  • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
  • C08G—MACROMOLECULAR COMPOUNDS OBTAINED OTHERWISE THAN BY REACTIONS ONLY INVOLVING UNSATURATED CARBON-TO-CARBON BONDS
  • C08G18/00—Polymeric products of isocyanates or isothiocyanates
  • C08G18/06—Polymeric products of isocyanates or isothiocyanates with compounds having active hydrogen
  • C08G18/83—Chemically modified polymers
  • C08G18/836—Chemically modified polymers by phosphorus containing compounds

Definitions

• the field of the invention is improved polyurethane compositions for in vitro and in vivo use, including calcification-resistant, thrombogenesis-resistant, and degradation-resistant polyurethanes.
• Polyurethanes are polymers which can be made by condensing a diisocyanate with a diol, with two or more diols having different structures, or with both a diol and a diamine.
• polyurethanes can be made as illustrated in Figures 1 A and IB.
• a diisocyanate OCN-A-CNO
• HO-X-OH diol
• the proportion of end groups corresponding to the diisocyanate and the diol can be controlled by using an excess of the desired end group. For example, if the reaction in Figure 1 A is performed in the presence of an excess of the diisocyanate, then the resulting polyurethane will have isocyanate (-NCO) groups at each end.
• polyurethanes can behave as elastomers or as rigid, hard thermosets. If the diisocyanate depicted in Figure 1 A is, for example, 4,4'-methylenebis(phenylisocyanate), which has the following structure,
• segmented polyurethanes are also known in the art.
• one or more types of polyurethane precursors OCN-P-NCO
• a chain extending compound HZ-Y-ZH
• the composition of polyurethane segments in the segmented polymer can be controlled, as is known in the art.
• Medical grade segmented polyurethanes are usually prepared as depicted in
• Figures 1A and IB by condensing a diisocyanate with a polymeric diol having a molecular weight of about 1,000 to 3,000 (e.g., polytetramethyleneoxide for polyether-urethanes or polycarbonatediols for polycarbonate-urethanes) in order to form a polyurethane precursor which is subsequently reacted with an approximately equivalent amount of a chain extender (e.g., a diol such as 1 ,4-butanediol or a diamine such as a mixture of diaminocyclohexane isomers).
• a chain extender e.g., a diol such as 1 ,4-butanediol or a diamine such as a mixture of diaminocyclohexane isomers.
• Polyurethanes can be used to form bulk polymers, coatings, fillings, and films. They are also readily machinable once set. The properties of polyurethanes have rendered them useful for medical and non-medical purposes, and they have been used for such purposes since at least the beginning of the twentieth century. Medical uses of polyurethanes have, however, been heretofore limited by the tendency of polyurethane products which contact the blood stream or other biological fluids to calcify, induce thrombogenesis, and/or chemically and mechanically deteriorate. It is believed that polyurethane deterioration results, at least in part, from chemical breakdown of the block- copolymer structure of the polyurethane molecule.
• Prior art methods of improving polyurethane stability have relied primarily upon two approaches.
• One approach involves incorporation into the polyurethane backbone of chain extending compound having groups to which substituents can be added. For example, condensation of the di-hydroxy compound l,2-di-hydroxy-l,2- bis(diethoxyphosphinyl)ethane with diisocyanates yields a polyurethane having reduced flammability and having esterified phosphonic groups attached to the polymer backbone, as described (Mikroyannidis, 1984, J. Polymer Sci., Polymer Chem. Ed. 22:891-903).
• the second approach to stabilizing polyurethanes is based on N-alkylation of urethane amine groups of the polyurethane chain.
• a polyurethane with an alkylating agent in the presence of a strong base results in alkylation of the urethane amine groups of the chain to yield additionally-substituted amine groups. It is believed that the strong base serves to extract protons from the urethane nitrogen. It has been demonstrated that moderate grades of metallation with sodium hydride at temperatures not significantly exceeding 0°C do not induce significant polymer degradation (Adibi et al., 1979, Polymer 20:483-487). The polyanions remain soluble in aprotic solvents like dimethyl formamide and N,N-dimethylacetamide (DMA).
• DMA dimethyl formamide
• DMA N,N-dimethylacetamide
• the first application of this N-alkylation method to medical grade polyurethanes involved N-alkylation of sodium hydride-activated polymer using alkyl iodides to attach C2 to C ⁇ g alkyl chains to the polymer backbone (Grasel et al., 1987, J. Biomed. Mat. Res. 21:815-842). It is believed that addition of such alkyl chains to polyurethanes improves the blood compatibility of the polymers. Grasel et al. pre-treated the polyurethane with sodium hydride at a temperature of from -5°C to 0°C, and the reaction of the activated polymer with alkyl iodides was performed at a temperature of about 50°C.
• the present invention satisfies this need by providing polyurethane compositions which exhibit reduced thrombogenesis, reduced calcification, and greater resistance to chemical and mechanical deterioration.
• the invention relates to apolyurethane composition
• a polyurethane having a geminal bisphosphonate substituent pendant therefrom e.g., from a urethane nitrogen of the backbone of the polyurethane.
• the geminal bisphosphonate substituent can, for example, be a sulfur-containing substituent or a nitrogen-containing substituent.
• Examples of the geminal bisphosphonate include moieities having the structural formula
• R is an organic radical
• X is selected from the group consisting of a C ⁇ to C ⁇ g alkylene, a Cj to C] 8 alkenylene, a C ⁇ to Cj8 arylene, a C] to Ci alkylene having one or more O, S, or N atoms incorporated into the alkylene chain, a C ⁇ to Cj8 alkenylene having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic radical
• Y is selected from the group consisting of hydrogen, hydroxyl, amino, Ci to Ci8 alkyl, C] to Cj8 alkylamino, Cj to C ⁇ g alkoxy, C ⁇ to C]8 haloalkyl, C ⁇ to Cj8 thioalkyl, C] to Cj alkenyl, C ⁇ to Cj8 aryl, Cj to Cj8 alkyl having one or more O
• R can, for example, be selected from the group consisting of C2 to C ⁇ alkyl (preferably C2 to C alkyl or C2 to C4 alkyl), C2 to C ⁇ g alkylamino, C2 to Ci alkoxy, C2 to Cj haloalkyl, C2 to s thioalkyl, C to C]8 alkenyl, C2 to Cj8 aryl, C2 to C1 alkyl having one or more O, S, or N atoms incorporated into the alkylene chain, C2 to Cj8 alkenyl having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic compound.
• C2 to C ⁇ alkyl preferably C2 to C alkyl or C2 to C4 alkyl
• C2 to C ⁇ g alkylamino C2 to Ci alkoxy
• C2 to Cj haloalkyl C2 to s thioalkyl
• the polyurethane comprises at least about 10 micromoles of the geminal bisphosphonate substituent per gram of the polyurethane, such as a polyurethane wherein the geminal bisphosphonate substituent is pendant from at least about 0.5 to 40 % of the urethane nitrogens of the backbone of the polyurethane. Also included in the invention are polyurethane compositions, wherein the polyurethane has at least two different geminal bisphosphonate substituents pendant therefrom.
• the polyurethane has both a geminal bisphosphonate substituent and a cationic substituent (e.g. a thioalkylamine moiety) pendant therefrom.
• a cationic substituent e.g. a thioalkylamine moiety
• the cationic substituent can, for example, be a quaternary amine moiety or a moiety having the structural formula
• R 1 ⁇ ⁇ X— N 1
• R is an organic radical, wherein X is selected from the group consisting of a C] to Cj alkylene, a C ⁇ to
• the invention further includes polyurethane composition as described herein, wherein the polyurethane is blended with a non-polyurethane polymer, and foams or implantable devices comprising a polyurethane composition described herein.
• the invention in another aspect, relates to amethod of making a geminal bisphosphonate-derivatized polyurethane.
• This method comprises i) grafting a l, ⁇ -dibromoalkyl compound (e.g., a C2-C6 1 , ⁇ -dibromoalkyl compound) with a urethane amino moiety of a polyurethane to form an ⁇ -bromoalkyl- substituted polyurethane and ii) grafting a geminal bisphosphonate thiol with the ⁇ -bromoalkyl-substituted polyurethane to form the geminal bisphosphonate-derivatized polyurethane.
• a l, ⁇ -dibromoalkyl compound e.g., a C2-C6 1 , ⁇ -dibromoalkyl compound
• a geminal bisphosphonate thiol grafting a geminal bisphosphonate thio
• One advantage of this synthetic method is that it can be performed at a reasonable rate at a temperature lower than about 40 degrees Celsius.
• the method can be modified such that it further comprises grafting a thioalkylamine with the ⁇ -bromoalkyl-substituted polyurethane, in order to yield a derivatized polyurethane having both geminal bisphosphonate substituents and cationic substituents pending from its backbone.
• Another method of making a geminal bisphosphonate-derivatized polyurethane comprises i) grafting a ⁇ -bromocarboxylic acid (e.g., a C2-Cg ⁇ -bromocarboxylic acid) with a urethane amino moiety of a polyurethane to form an ⁇ -carboxyalkyl-substituted polyurethane and ii) grafting a geminal bisphosphonate amine with the ⁇ -carboxyalkyl-substituted polyurethane to form the geminal bisphosphonate-derivatized polyurethane.
• a ⁇ -bromocarboxylic acid e.g., a C2-Cg ⁇ -bromocarboxylic acid
• a geminal bisphosphonate amine grafting a geminal bisphosphonate amine with the ⁇ -carboxyalkyl-substituted polyurethane to form the geminal bisphosphon
• This method can also be performed at a temperature lower than about 40 degrees Celsius, and can, like the method mentioned in the preceding paragraph, be modified such that it further comprises grafting a thioalkylamine with the ⁇ -carboxyalkyl-substituted polyurethane, in order to yield a derivatized polyurethane having both geminal bisphosphonate substituents and cationic substituents pending from its backbone.
• a 1 , ⁇ -dibromoalkyl compound is grafted with a urethane amino moiety of a polyurethane to form an ⁇ -bromoalkyl-substituted polyurethane; ii) the ⁇ -bromoalkyl-substituted polyurethane is contacted with an ⁇ -thiocarboxylic acid to form an ⁇ -carboxyl-thioalkyl-substituted polyurethane; and iii) the ⁇ -carboxyl-thioalkyl-substituted polyurethane is grafted with a geminal bisphosphonate amine in order to form the geminal bisphosphonate-derivatized polyurethane.
• the invention includes still another method of making a geminal bisphosphonate-derivatized polyurethane.
• This method comprises i) grafting a bromo-epoxyalkyl compound (e.g., a C3-C6 bromo-epoxyalkyl compound) with a urethane amino moiety of a polyurethane to form an bromo-epoxyalkyl- substituted polyurethane and ii) grafting a geminal bisphosphonate thiol with the bromo-epoxyalkyl-substituted polyurethane to form the geminal bisphosphonate-derivatized polyurethane.
• a bromo-epoxyalkyl compound e.g., a C3-C6 bromo-epoxyalkyl compound
• this method can be performed at a reasonable rate at a temperature lower than about 40 degrees Celsius, and can be modified such that it further comprises grafting a thioalkylamine with the bromo-epoxyalkyl-substituted polyurethane, in order to yield a derivatized polyurethane having both geminal bisphosphonate substituents and cationic substituents pending from its backbone.
• the invention in still another aspect, relates to a method of preparing a polyurethane derivative.
• This method comprises contacting a polyurethane with a bi- functional linker reagent in the presence of an aprotic solvent and a strong base to form an activated polyurethane derivative.
• the bi-functional linker reagent has a bromine substituent and a second functional group, and can, for example, be selected from the group consisting of a dibromoalkyl compound, a bromo-carboxyalkyl compound, and a bromo-epoxyalkyl compound.
• bi-functional linker reagents examples include 1,6- dibromohexane, 1 ,4-dibromobutane, ⁇ -bromobutanoic acid, ⁇ -bromohexanoic acid, ⁇ - bromoimdecanoic acid, and bromoalkyl oxirane compounds.
• the second functional group can, for example, be a geminal bisphosphonate group.
• Figure 1 is a pair of reaction schemes for generating a polyurethane (Figure 1 A) and a segmented polyurethane (Figure IB).
• T refers to a terminal group (e.g., either -H or -CO-NH-A-NCO).
• Figure 2 is a reaction scheme described herein for derivatization of a polyurethane using a 1 , ⁇ -dibromoalkane and a geminal bisphosphonate thiol.
• n can, for example be 2 to 18, and X and Y are as described in the text.
• the wavy lines represent the polyurethane backbone.
• Figure 3 is a reaction scheme described herein for derivatization of a polyurethane using an ⁇ -bromocarboxylic acid and a geminal bisphosphonate amine.
• n can, for example be 2 to 18, and X and Y are as described in the text.
• the wavy lines represent the polyurethane backbone.
• Figure 4, comprising Figures 4A and 4B, is a pair of reaction schemes which illustrate how geminal bisphosphonate thiols described herein were generated.
• Figure 5 is a reaction scheme described herein for derivatization of a polyurethane using a bromo-epoxyalkyl compound and a geminal bisphosphonate amine.
• n can, for example be 2 to 18, and X and Y are as described in the text.
• the wavy lines represent the polyurethane backbone.
• Figure 6 is a reaction scheme described herein for derivatization of a polyurethane using both a thiol bisphosphonate compound and a thiol compound having
• FIG. 7 is an example of a reaction scheme by which a thiol-containing quaternary ammonium salt (tributyl-4-mercaptobutyammonium bromide ⁇ compound V ⁇ ) can be prepared.
• a thiol-containing quaternary ammonium salt tributyl-4-mercaptobutyammonium bromide ⁇ compound V ⁇
• the present invention is based on the discovery of a new, low temperature (i.e., less than 40°C, less than 30°C, less than 15°C, and preferably less than 5°C, but preferably not less than -20°C) method for preparing polyurethane derivatives which are amenable to further derivatization using, for example, anti-calcification, anti-coagulant, and stabilizing agents.
• This method has the advantages that a high percentage (i.e., at least about 1%, and preferably at least about 2% of the urethane amine groups of the polyurethane chain) can be modified, and that the temperature during the reaction mixture can be maintained sufficiently low to avoid significant degradation of polyurethane chains.
• the derivatization reagent used in the method of the invention can be selected to have more than one functional group, leading to formation of polyurethane derivatives having functional groups (e.g., bromo- or carboxyl-groups) with which additional derivatization reagents may be reacted.
• functional groups e.g., bromo- or carboxyl-groups
• the invention thus includes methods of making improved polyurethane derivatives, polyurethane derivatives made using such methods, devices comprising such derivatives, and particular derivatized polyurethanes described herein.
• polyurethane is a polymer which comprises repeating units having a urethane group in the polymer backbone.
• Such polymers include, for example, polyurethane homopolymers, block co-polymers comprising at least one polyurethane block, and polymer blends comprising such homopolymers and block co-polymers.
• a “urethane group” is a chemical structure which is part of the backbone of a polymer and which has the following formula, wherein the wavy lines represent the rest of the backbone.
• the "backbone” of a polymer is the collection of atoms and chemical bonds therebetween which link the repeating units of the polymer to one another.
• a chemical substituent is "pendant" from the backbone of a polymer if it is attached to an atom of a monomeric unit of the polymer.
• a “stabilizing agent” is a chemical compound which, when pendant from the backbone of a polyurethane or added to a composition comprising a polyurethane, decreases at least one of the following properties of the polyurethane, relative to the same polyurethane or composition which does not comprise the agent:
• a "geminal bisphosphonate” compound is a compound having two phosphonate groups bound, via their respective phosphorus atoms, to a single carbon atom of the compound.
• a "heparin” is any of the well-known class of sulfated glycosaminoglycans, including heparan sulfate, among others.
• an “antioxidant” is a chemical compound (e.g., vitamin E) which inhibits or reduces oxidative damage to a polyurethane when attached thereto.
• a composition is "grafted" to a polymer when it is covalently bound thereto.
• An “implantable” device is one which is adapted for permanent or temporary insertion into or application against a tissue of an animal such as a human.
• a “foam” is a polymeric composition having gas- or liquid-filled cells within the bulk thereof.
• foams include both "open cell” foams, in which passages exist among the cells and the exterior of the foam, and “closed cell” foams, in which some or all of the cells are isolated from all other cells and from the exterior of the foam.
• the method of the invention for preparing a polyurethane derivative that is amenable to further derivatization comprises contacting a polyurethane with a multi- functional linker reagent in the presence of an aprotic solvent an a strong base to form the polyurethane derivative.
• the linker can be a bi-functional linker (e.g., as with one of the linkers described herein in the Examples), a tri-functional linker, a quadri-functional linker, and the like.
• the derivative is herein referred to as an 'activated' polyurethane derivative, because it is amenable to further derivatization. This is so because the multi-functional linker reagent has a bromine substituent and at least a second functional group. Additional groups (e.g., geminal bisphosphonate compounds, heparins, or anti-oxidants) can be added to the polymer by reacting the groups with this second functional group.
• the chemical identity of the multi-functional linker is not critical, except that it must have at least one bromine substituent and at least one other functional group (which can, for example, be another bromine substituent, a carboxyl substituent, a sulfonate ester substituent, or the like).
• the multi-functional linker is preferably an organic compound, and the bromine substituent and the second functional group are preferably attached to different carbon atoms of the linker.
• the multi-functional linker can be represented by the following general formula: Br - R L - (FG) n wherein Br is bromine; n is an integer from 1 to 3 or more (preferably an integer from 1 to 3); each FG is, independently, a functional group such as a halogen (not necessarily Br), a carboxyl group, a sulfonate ester (e.g., a mesylate ⁇ CH3SO2O- ⁇ , triflate ⁇ CF3SO2O- ⁇ , or tosylate substituent), or an epoxy ring (e.g., an oxirane ring); and
• RL is an (n+l)-valent organic radical comprising at least one carbon atom.
• RL can, for example, be a C ⁇ to C] 8 straight or branched chain alkylene group (e.g., methylene, ethylene, hexylene, -(CH2) ⁇ o- etc.), a compound having two or more alkylene regions having a cycloalkane group, a cycloaryl group, or a heterocyclic group interposed therebetween.
• FG is a halogen or sulfonate ester group
• any carbon atom to which it can be attached is preferably an aliphatic carbon.
• FG is an epoxy ring
• any carbon atom to which it is attached can be aliphatic, unsaturated, or aromatic.
• RL is a methylene group, n is 1 and FG is an epoxide ring (i.e., the linker is epibromohydrin, which has the following structure).
• the multifunctional linker reagent is a dibromoalkyl compound, a bromo-carboxyalkyl compound, or a bromo-epoxyalkyl compound.
• Particularly preferred dibromoalkyl compounds include l, ⁇ -dibromoalkyl compounds such as 1 ,6-dibromohexane (e.g., as exemplified in Example 1), 1,4-dibromobutane (e.g., as exemplified in Example 14), and substituted l, ⁇ - dibromoalkyl compounds.
• Particularly preferred bromo-carboxyalkyl compounds include ⁇ -bromocarboxylic acids such as ⁇ -bromohexanoic acid and ⁇ -bromoundecanoic acid (e.g., as exemplified in Example 2) and substituted ⁇ -bromocarboxylic acids.
• Particularly preferred bromo-epoxyalkyl compounds include bromo-oxiranealkyl compounds such as epibromohydrin (e.g., as exemplified in Example 3).
• dibromoalkyl compounds having relatively short alkyl chain lengths e.g., dibromo-C2, -C3, -C4, -C5, and -Cg compounds
• bromo-carboxyalkyl and bromo-epoxyalkyl compounds having relatively short alkyl chain lengths can exhibit greater reactivity with urethane anionic moieties.
• a less strong base e.g., lithium tert-butoxide
• base-mediated degradation of the polyurethane can be reduced.
• the polyurethane which is derivatized according to the method of the invention can be substantially any polyurethane which has at least one urethane nitrogen in its backbone.
• the aprotic solvent can be substantially any aprotic solvent.
• Use of N,N- dimethylacetamide is exemplified herein, but it is understood that a wide variety of other aprotic solvents can be used in place thereof, including, for example, N,N-dimefhyl formamide, l-methyl-2-pyrrolidinone, tetrahydrofuran, dioxane, and dimethyl sulfoxide (DMSO).
• the strong base can likewise be substantially any strong base that is soluble in the aprotic solvent used.
• exemplary strong bases include sodium hydride, lithium diisopropylamide, sodium or potassium tert-butoxide, dimsyl sodium, lithium hydride, sodium amide, lithium N,N-dicyclohexylamide, and other lithium N,N-dialkylamides. It is important to consider the effect that a counter-ion of the base may have upon the multifunctional linker, the derivatized polyurethane, or both. It is important that the multifunctional linker not be precipitated from solution, since this would complicate reaction of the linker with the polyurethane.
• a base should be chosen which does not have a counter-ion which would precipitate the derivatized polymer.
• the multi-functional linker comprises one or more carboxyl groups and several methylene groups, it can be preferably to avoid strong bases which have sodium counter-ions. The same base having lithium counter-ions can be preferable.
• the strength of the base can be lower than when a multi-functional linker having a lower reactivity is used.
• a base such as lithium diisopropylamide when the linker is 1,6-dibromohexane; it can be advisable to use a relatively less strong base (e.g., lithium tert-butoxide) when the linker is more reactive (e.g., 1,4-dibromobutane).
• a polyurethane is dissolved or suspended in an aprotic solvent and treated with a strong base in order to withdraw protons from one or more of the urethane amino moieties of the polyurethane backbone.
• This treatment causes the polyurethane backbone to become polyanionic. It is believed that the nucleophilicity of the ionized nitrogen atoms of the polyurethane backbone is thereby enhanced.
• ⁇ -Bromoalkylated Polyurethanes Various stabilizing agents can be attached to an activated polyurethane derivative of the invention which has been made using a 1 , ⁇ -dibromoalkane linker.
• Such agents include, for example, geminal bisphosphonate compounds, heparins, and anti- oxidants.
• the linker used to make the activated derivative was a 1 , ⁇ -dibromoalkane, it is preferred that the geminal bisphosphonate compound is a geminal bisphosphonate thiol.
• the reaction between the ⁇ -bromoalkylated polyurethane and the geminal bisphosphonate thiol is performed in the presence of a proton scavenger that is not susceptible to alkylation (e.g., a sterically-hindered tertiary amine, a tetraalkylammonium hydroxide or a tetraalkylammonium salt of a week acid, such as a tetraalkylammonium borate).
• a proton scavenger binds hydrogen bromide formed by the reaction, thereby maintaining basic reaction conditions.
• the identity of the geminal bisphosphonate thiol is not critical, except that it should be selected such that the desired group is added to the activated polyurethane derivative.
• the geminal bisphosphonate thiol can be one having the structural formula
• X is selected from the group consisting of C 1 to C ⁇ 8 alkylene, C ⁇ to C ⁇ 8 alkenylene, C ⁇ to Ci8 arylene, Ci to Cj8 alkylene having one or more O, S, or N atoms incorporated into the alkylene chain (e.g., -CH2CH2CH2SCH2-), Cj to Ci8 alkenylene having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic radical, and Y is selected from the group consisting of hydrogen, hydroxyl, amino, C] to
• alkylene chain e.g., - CH2CH2CH2SCH3
• Exemplary compounds of this type include a compound wherein X is methylene and Y is hydrogen (i.e., 2-mercaptoethylidene-l,l-bisphosphonic acid) and a compound in which X is
• Y is hydrogen (i.e., 2-(3-mercaptopropylthio)-ethylidene-l,l- bisphosphonic acid).
• polyurethane is dissolved or suspended in an aprotic solvent and treated with a strong base in order to withdraw protons from one or more of the urethane amino moieties of the polyurethane backbone.
• This treatment causes the polyurethane backbone to become polyanionic. It is believed that the nucleophilicity of the ionized nitrogen atoms of the polyurethane backbone is thereby enhanced.
• the strong base be a potassium-containing or, preferably, a lithium-containing base (e.g., lithium diisopropylamide), in order to avoid decreasing the solubility of the acidic ⁇ -bromocarboxylic acid in the solvent.
• a lithium-containing base e.g., lithium diisopropylamide
• salts of the acid they should also be potassium or, preferably, lithium salts.
• Carboxyalkylated polyurethanes can also be generated by derivatizing a polyurethane using a 1 , ⁇ -dibromoalkyl compound to yield an ⁇ -bromoalkyl derivatized polyurethane and then reacting that compound with a compound comprising a carboxyl group and a group capable of displacing the ⁇ -bromo group and binding with the alkyl group of the ⁇ -bromoalkyl substituent, thus yielding a carboxyalkyl-derivatized
• polyurethane For example an ⁇ -bromoalkyl derivatized polyurethane can be reacted
• Carboxylate groups linked to the activated polymer can be activated by formation of esters in the presence of a suitable carbodiimide.
• esters include, for example, N-hydroxysuccinimide esters, N-hydroxymaleimide esters, and N- hydroxyphthalimide esters.
• dicyclohexylcarbodiimide is preferred, owing to its good solubility in most organic solvents.
• the carbodiimide and N-hydroxysuccinimide (or other ester precursor) are removed from the reaction mixture (e.g., by rinsing the polymer with solvent not containing these compounds).
• a stabilizing agent having at least one group (e.g., an amine group) which is capable of forming a bond with the activated carboxyl group is then contacted with the polymer, resulting in attachment of the agent to the polymer.
• the stabilizing agent is a geminal bisphosphonate
• the identity of the geminal bisphosphonate amine and can, for example, have the chemical formula
• X is selected from the group consisting of C ⁇ to Cj8 alkylene, C ⁇ to Ci8 alkenylene, C ⁇ to Cj arylene, Cj to Cj alkylene having one or more O, S, or N atoms incorporated into the alkylene chain (e.g., -CH2CH2CH2SCH2-), Cj to C] alkenylene having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic radical, and
• Y is selected from the group consisting of hydrogen, hydroxyl, amino, C ⁇ to Ci8 alkyl, C ⁇ to Ci8 alkylamino, C ⁇ to C] alkoxy, Cj to Cj8 haloalkyl, C] to Ci thioalkyl, Cj to Ci8 alkenyl, Ci to C] aryl, Cj to C] 8 alkyl having one or more O, S, or N atoms incorporated into the alkylene chain (e.g., - CH2CH2CH2SCH3), C 1 to C 18 alkenyl having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic substituent.
• Y is preferably not amino.
• a particular example of a suitable geminal bisphosphonate amine is one in which X is ethylene and Y is hydroxyl (i.e., 3-amino-l- hydroxypropylidene-l,l-bisphosphonic acid; pamidronic acid). If the geminal bisphosphonate amine is not soluble in the solvent in which the polymer is dissolved, a soluble salt form of the amine can used (e.g., a mono-tetrabutylammonium salt).
• the compound used to open the epoxide ring (and further derivatize the polymer) has a bisphosphonate group.
• compounds having both a thiol substituent (for opening the epoxide ring and binding with a carbon atom thereof) and a bisphosphonate group can be used.
• Such compounds include compound I and compound II, as described elsewhere herein.
• Thiol bisphosphonate compounds e.g., compounds I and II
• Geminal Bisphosphonate-Derivatized Polyurethane Derivatives The invention includes a number of polyurethane derivatives, including those made by the methods of the invention.
• polyurethane derivatives having a geminal bisphosphonate substituent pendant therefrom exhibit outstanding properties in medical uses.
• geminal bisphosphonate-derivatized polyurethanes exhibit excellent anti-calcification properties, which is significant, given the tendency of polyurethanes to calcify when used in contact with biological fluids.
• the invention therefore includes a polyurethane composition, comprising a polyurethane having a geminal bisphosphonate substituent pendant therefrom.
• the geminal bisphosphonate substituent is pendant from a urethane nitrogen of the backbone of the polyurethane.
• the geminal bisphosphonate substituent can, for example, be a sulfur- containing substituent or a nitrogen-containing substituent.
• the geminal bisphosphonate substituent is a sulfur-containing substituent, it can have the structural formula
• R is an organic radical, such as one of a C] to Cj8 (preferably C2 to Cj8) straight or branched chain alkylene (e.g., methylene, ethylene, hexylene, -(CH2) ⁇ o- etc), alkylamino, alkoxy, haloalkyl, thioalkyl, alkenyl, alkyl (having one or more O, S, or N atoms incorporated into the alkylene chain), alkenyl (having one or more
• X is selected from the group consisting of C ⁇ to Ci8 alkylene, C ⁇ to Cj8 alkenylene, C ⁇ to C] 8 arylene, C ⁇ to Ci 8 alkylene having one or more O, S, or N atoms incorporated into the alkylene chain (e.g., -CH2CH2CH2SCH2-), C] to Cj8 alkenylene having one or more O, S, or N atoms incorporated into the alkenylene chain, a heterocyclic radical, and
• Y is selected from the group consisting of hydrogen, hydroxyl, amino, C ⁇ to Cig alkyl, C ⁇ to Cj8 alkylamino, C ⁇ to C ⁇ g alkoxy, C] to C ⁇ haloalkyl, C ⁇ to Cj thioalkyl, C] to Cj8 alkenyl, C ⁇ to Cj8 aryl, C ⁇ to C] 8 alkyl having one or more O, S, or N atoms incorporated into the alkylene chain (e.g., -CH2CH2CH2SCH3), C] to Ci 8 alkenyl having one or more O, S, or N atoms incorporated into the alkenylene chain, and a heterocyclic compound.
• the geminal bisphosphonate substituent is a nitrogen-containing substituent, it can, for example, have the structural formula
• the geminal bisphosphonate-derivatized polyurethanes of the invention are characterized in that at least one and preferably about 0.5 to 40% of the urethane nitrogens (more preferably 1 to 20% or 5 to 10% of the urethane nitrogens) of the backbone of the polyurethane have a geminal bisphosphonate substituent pendant therefrom.
• the geminal bisphosphonate-derivatized polyurethanes of the invention are characterized in that the polyurethanes comprise about 10 to 400 (more preferably 20 to 200) micromoles of the substituent per gram of polyurethane.
• the polyurethane can comprise geminal bisphosphonate substituents of only a single type, or it can comprise more than one type of geminal bisphosphonate substituent.
• the geminal bisphosphonate-derivatized polyurethane of the invention can be a homopolymer, a block co-polymer comprising at least one block of geminal bisphosphonate-derivatized polyurethane, or a blend of such a homopolymer or block co- polymer with another polymer.
• the geminal bisphosphonate-derivatized polyurethane of the invention exhibits decreased calcification in vivo, and is therefore useful for making implantable devices.
• the device can be entirely or partially made from the polyurethane of the invention, coated with the polyurethane, impregnated with the polyurethane, and the like.
• the polyurethane of the invention can be present as a bulk polymer, a film, as a particulate, or as a foam, for example.
• Implantable devices which can be made using the polyurethane of the invention include, but are not limited to, degradable and non-degradable sutures, orthopedic protheses such as supporting rod implants, joint protheses, pins for stabilizing fractures, bone cements and ceramics, tendon reconstruction implants, prosthetic implants, cardiovascular implants such as heart valve prostheses, pacemaker components, defibrillator components, angioplasty devices, intravascular stents, acute and in-dwelling catheters, ductus arteriosus closure devices, implants deliverable by cardiac catheters such as atrial and ventricular septal defect closure devices, urologic implants such as urinary catheters and stents, neurosurgical implants such as neurosurgical shunts, ophthalmologic implants such as lens prosthesis, thin ophthalmic sutures, and corneal implants, dental prostheses, internal and external wound dressings such as bandages and hernia repair meshes, and other implantable devices, as will be readily apparent to the skilled artisan.
• orthopedic protheses such as supporting
• the invention further includes polyurethane derivatives which have both geminal bisphosphonate substituents and cationic substituents pendant therefrom.
• polyurethane derivatives can exhibit improved stability, water retention, and anti- calcification properties, relative to non-derivatized polyurethanes or to geminal bisphosphonate-derivatized polyurethanes.
• side effects associated with implantation of such geminal bisphosphonate-/cationic moiety-derivatized polyurethanes can be less significant than the side effects associated with implantation of geminal bisphosphonate-derivatized polyurethanes or non-derivatized polyurethanes.
• the polyurethane When a polyurethane is derivatized with a bisphosphonate moiety, the polyurethane exhibits a negative charge at physiological pH, and can be associated with cations which neutralize this charge.
• geminal bisphosphonate-derivatized polyurethanes can exhibit relatively low solubility in the solvents in which they are prepared or processed (e.g., in solvents such as DMA during film casting using the polyurethane) in the presence of physiologically relevant cations such as sodium ions.
• Counter-ions which enhance the solubility of geminal bisphosphonate- derivatized polyurethanes in the solvents in which they can be synthesized can lend undesirable properties to the polyurethane.
• organic cations (e.g., tetrabutylammonium ions) associated with the polyurethane can inhibit the rate, the extent, or both, of water uptake by the polyurethane, thereby rendering the polyurethane less stable upon implantation than it would be if it exhibited faster or more extensive water uptake.
• Cation exchange can be achieved by maintaining a polyurethane comprising organic or other hydrophobic cations in contact with a solution containing a physiologically relevant cation (e.g., a buffer comprising sodium or potassium ions).
• a physiologically relevant cation e.g., a buffer comprising sodium or potassium ions.
• this method of cation exchange can be very slow, and may not achieve a desirable degree of cation exchange (e.g., leading to separation of the polyurethane coating from its substrate).
• Another method of cation exchange involves use of a solvent (e.g., ethanol) in which physiologically relevant cations exhibit at least limited solubility, and in which organic or other hydrophobic cations present in the polyurethane also exhibit solubility greater than their aqueous solubility.
• a solvent e.g., ethanol
• organic or other hydrophobic cations present in the polyurethane also exhibit solubility greater than their aqueous solubility.
• this cation exchange method can be undesirable, since the use of non-aqueous solvents can lead to unacceptable swelling or other distortion of the polyurethane.
• the inventors have discovered a method of synthesizing geminal bisphosphonate-derivatized polymers which reduces or eliminates the need for cation exchange.
• the polyurethane is substituted with one or more geminal bisphosphonate moieties, as described above.
• the polyurethane is also derivatized with one or more types of cationic moiety, such that the finished polyurethane comprises both geminal bisphosphonate moieties pendant from the polyurethane backbone and cationic moieties pendant from the polyurethane backbone.
• the timing of the two derivatization procedures is not critical.
• the polyurethane can be derivatized with the geminal bisphosphonate moieties before, after, or during derivatization with the cationic moiety (ies).
• the precise nature and structure of the cationic moieties which are attached to the polyurethane is not critical.
• the moieties can have a permanent charge (e.g., quaternary ammonium group-containing moieties), or they can have a structure which is charged only below certain pH values (e.g., ternary, binary, or primary amine group- containing moieties).
• Derivatization of polyurethane with amine (quaternary, ternary, binary, or primary) moieties is preferred, although other cationic moieties can be used.
• the polyurethane is preferably derivatized therewith such that the net positive charge imparted to the polyurethane by the cationic moieties is approximately equal to the net negative charge imparted to the polyurethane by bisphosphonate moieties, at a pH that is convenient for synthesis, cation exchange, or implantation of the polyurethane.
• a pH value convenient for implantation is physiological pH.
• pH values that are convenient for synthesis or cation exchange are preferably pH values at which insignificant (or no) degradation of the polyurethane occurs during the time frame of the synthesis or exchange.
• the ratio of bisphosphonate moities: cationic moieties can be from 1 :1 to 1 :5, and is preferably 1 :2 (i.e., at which ratio the net charge on the polymer is about zero).
• a polyurethane can be derivatized with both geminal bisphosphonate moieties and with cationic moieties is shown in Figure 6.
• Thiol group- containing alkylamines can be used, in a manner analogous to the use of thiol group- containing geminal bisphosphonate compounds described above, to attach cationic groups to the polyurethane backbone.
• An example of a commercially available thiol-containing alkylamine compound is 2-diethylaminoethanethiol.
• Such compounds can also be synthesized as shown in Figure 7.
• a polyurethane compound can be modified such that it comprises pendant substituents having the structure
• R is an organic radical
• X is selected from the group consisting of a C] to Cj8 alkylene, a C ⁇ to Ci8 alkenylene, a C ⁇ to Cj8 arylene, a C ⁇ to Cj8 alkylene having one or more O, S, or N atoms incorporated into the alkylene chain, a C ⁇ to C ⁇ 8 alkenylene having one or more O,
• Nj is selected from the group consisting of -NH3, a primary organic amine moiety, a secondary organic amine moiety, and a tertiary organic amine moiety.
• the identity of the organic amine moiety that can be present at Nj is not critical.
• this amine moiety has a generally hydrophilic character (e.g., having a hydrophobicity not greater than that of a tributylamine moiety).
• N ⁇ moieties examples include C 1 - C4 alkylamine moieties (e.g., diethylamine moieties and tributylamine moieties) and heterocyclic moieties (e.g., an N-morpholino moiety).
• a polyurethane can be derivatized simultaneously with a thiol group- containing amine compound and a thiol group-containing geminal bisphosphonate compound.
• the relative amounts of the two types of compounds can be adjusted, using methods known to the skilled artisan (e.g., taking into account the reactivity of the compounds with the polyurethane), to achieve the desired ratio of geminal bisphosphonate- and cationic group-substituted polyurethane moieties.
• the thiol group-containing compounds should be used in significant excess (e.g., 3- to 20-fold excess) to the amount of bromoalkyl group
• polyurethane derivatizing agents other than fhioalkylamines can be used to modify a polyurethane such that it has cationic moieties attached to the polyurethane backbone.
• Polyurethane F2000 PEU was thoroughly dried and dissolved in dry N,N- dimethylacetamide under an argon atmosphere.
• Polyurethane F2000 PEU was a batch of medical grade polyether-urethane prepared by Sulzer Carbomedics, Inc. (Austin, TX) using 4,4-methylenebis (phenylisocyanate), polytetramethyleneoxide having a molecular weight of about 1,000, and 1 ,4-butanediol as a chain extender, according to the method depicted in Figures 1 A and IB. The molar ratio of these components was 5:2:3, with the hydroxyl excess being about 1.7%.
• the intrinsic viscosity of this polymer at 25°C in N,N- dimethylacetamide was 1.04 dl/g.
• the polyurethane preparation had the following elemental content: C 67.27 %; H 9.56%; N 2.62%, and contained 1.87 millimoles of urethane groups per gram.
• the solution of polyurethane F2000 PEU in N,N-dimethylacetamide was maintained at -5°C and was stirred vigorously.
• Sodium hydride or, in some experiments, lithium diisopropylamide; LD A was added to the solution in an amount equal to 5 to 15 mole percent relative to the molar amount of urethane amino groups in the polyurethane solution (as calculated by elemental analysis of F2000 PEU). Stirring was continued and the solution was maintained at -5°C for up to about 15 minutes, after which time formation of polyanionic polyurethane was assumed to be complete.
• the precipitated polymer was washed thoroughly with methanol, washed thoroughly with water, and then dried. Next, the dried polymer was dissolved in N,N-dimethylformamide (DMF), and the resulting solution was filtered to remove insoluble impurities. The polymer was precipitated from the DMF using cold methanol, washed with methanol, washed with water, and then dried in a lyophilizer until its weight was constant over time.
• DMF N,N-dimethylformamide
• Lyophilized polymers prepared in this manner in various experiments contained from 0.3 to 1.7 weight % bromine (i.e., 37.5 to 212.5 micromoles of ⁇ - bromoalkyl groups per gram of polymer), corresponding to addition of an ⁇ -bromoalkyl substituent to 2 to 12% percent of the urethane nitrogens of the polyurethane backbone.
• H nuclear magnetic resonance (NMR) spectroscopy-derived estimates of the degree of ⁇ - bromoalkylation of the polymer yielded similar results. Substantially no change was detected in the intrinsic viscosity of the ⁇ -bromoalkylated polyurethane, relative to non- reacted polyurethane.
• a 2- to 3 -fold molar excess (relative to the molar amount of the bisphosphonate thiol) of N,N-diisopropylethylamine was added to the mixture, and the resulting reaction mixture was maintained under an argon atmosphere at 20°C to 25°C for 20 to 30 hours, and then at 37°C to 39°C for 25 to 40 hours. After this period, the excess amine was neutralized using acetic acid, and the polymer was precipitated, washed, and dried as described above.
• the phosphorous content of the resulting polymer was determined to be 0.17 to 0.63 weight %, and the content depended upon the extent of ⁇ -bromoalky 1 substitution of the polymer. These data indicate that attachment of the bisphosphonate thiol to ⁇ -bromoalkyl groups was substantially quantitative.
• Polyurethane F2000 PEU was dissolved in dry N,N-dimethylacetamide and maintained under an argon atmosphere.
• An ⁇ -bromocarboxylic acid ( ⁇ -bromohexanoic acid in some experiments, ⁇ -bromoundecanoic acid in other experiments) was added to the solution in an amount equal to 5 to 10 molar percent relative to the molar amount of urethane amino groups in the polyurethane solution (as calculated by elemental analysis).
• the mixture was cooled to -5°C, and a solution of LDA was added, in an amount equal to a 2.5-fold molar excess relative to the amount of the ⁇ -bromocarboxylic acid.
• the precipitated polymer was thoroughly washed with hexane and dried in vacuo.
• the dried polymer i.e., wherein the carboxyl groups had been activated by N-hydroxysuccinimide esterification
• a solution of 3 -amino- 1 -hydroxypropylidene- 1,1- bisphosphonic(pamidronic) acid mono-tetrabutylammonium salt in dry N,N- dimethylacetamide was added in an amount equal to a 10- to 25 -molar excess relative to the number of carboxyl groups in the polymer.
• N,N-dimethylformamide is used as a solvent for both steps of the reaction.
• Excess 1,3-dicyclohexylcarbodiimide is removed by precipitation of the polymer with very cold (i.e., -50°C to -60°C) methanol.
• This variant can be preferable in order to avoid reaction of carboxyl groups with hydroxyl-containing impurities. Such impurities are often present in THF due to oxidation of THF. Decomposition of N-hydroxysuccinimide esters does not occur in cold methanol in the absence of a basic catalyst.
• the extent of carboxyl group modification activated in N,N- dimethylformamide is greater than the extent of modification achieved using polymer activated in THF, and nears 100%).
• Phosphorous content in polymer made using this modified procedure was about 0.65 weight %, corresponding to modification of about 6% of nitrogen atoms in the polyurethane backbone.
• the geminal bisphosphonate-derivatized polyurethanes of the invention are able to absorb significant amounts of water (i.e., 7%> to 20% by weight of dry polymer, depending on the extent of derivatization). Hydrated films of the geminal bisphosphonate- derivatized polyurethanes of the invention retain a significant portion of their dry mechanical strength. In this regard, the derivatized polyurethanes resemble structural extracellular matrix biopolymers such as collagen.
• VBP vinylidenebisphosphonic acid
• aqueous tetrabutylammonium hydroxide i.e., about 22.4 millimoles of the anhydrous base
• the solution was vacuum dried at 50°C and 20 millimeters of mercury.
• the residue was co-evaporated with 30 milliliters of 1-butanol in vacuo at 60°C and 20 millimeters of mercury.
• the residual syrup, containing VBP tetrabutylammonium salts (13.52 grams) was diluted with about 6 milliliters of 1-butanol, maintained under a stream of argon, mixed with about 75 millimoles of 1,3-propanedithiol, and stirred at 120 to 122°C for 2.5 hours.
• BIO-SPANTM Medical grade polyurethane-urea designated BIO-SPANTM was obtained from Polymer Technology Group Medical, LLC (Berkeley, CA) as a 24 % (w/w) solution in DMA. The polymer was precipitated using cold methanol, thoroughly washed with methanol and then with water, and lyophilized to constant weight. The polyurethane preparation had the following elemental content: C 66.62%>; H 9.79%; N 2.99%>, exhibited a ration of urethane :urea of 1.5:1 (as assessed by 1H NMR), and contained 0.91 millimoles of urethane groups per gram.
• the methanol mixture was warmed to 10°C, and coagulated polymer was removed by filtration.
• the polymer was washed with 600 milliliters of methanol in several aliquots and with 1 liter of water thereafter.
• the polymer was stirred with about 600 milliliters of water for 2 hours, collected, washed with water, and lyophilized.
• the mixture was stirred at 0 to 5°C for 30 minutes and then acidified by addition of 3.2 milliliters (56 millimoles) of acetic acid.
• the resulting polymer was precipitated using about 600 milliliters of cold (-60°C) methanol, filtered, washed with about 300 milliliters of methanol, washed with about 1 liter of water, and stirred in about 500 milliliters of water for 2 hours.
• the polymer was once again collected, washed with about 1 liter of water, and lyophilized to constant weight (2.17 grams).
• Example 7 Bisphosphonate Derivatization of a Commercially Available Polycarbonate-Urethane
• a commercially available polyurethane was bromoalkylated and then derivatized with a bisphosphonate-containing compound.
• BIONATETM 80A Medical grade polycarbonate-urethane designated BIONATETM 80A was obtained from Polymer Technology Group Medical, LLC (Berkeley, CA) as solid pellets.
• the polyurethane preparation had the following elemental content: C 62.46%; H 7.48%>; N 3.41%), and contained 2.43 millimoles of urethane groups per gram.
• About 15.5 grams (i.e., containing about 38 millimoles of urethane groups) of the pellets were soaked overnight in about 150 milliliters of toluene. Excess toluene was removed, and the swollen pellets were rinsed with about 50 milliliters of toluene and then evacuated at 35 to 45°C and 1 millimeter of mercury for 4 hours.
• the polymer Under dry argon flow, the polymer was dissolved in about 330 milliliters of anhydrous DMA, and about 5.0 milliliters (i.e., about 32 millimoles) of 1 ,6-dibromohexane was added. This mixture was cooled to -7°C, stirred vigorously, and then a solution of 5.0 millimoles of LDA in 18 milliliters of dry DMA was added dropwise during a 5 minute period. Stirring continued and the mixture was maintained at -1 to 1°C for 2 hours. After this period, the mixture was neutralized using about 2.4 (i.e., about 44 millimoles) of acetic acid. Argon flow was discontinued, and the reaction mixture was poured into about 1.2 liters of cold (-70°C) methanol.
• the polymer was washed and lyophilized as described in the ⁇ - bromoalkylation portion of Example 6.
• the yield of ⁇ -bromoalkylated polymer was 15.1 grams, containing 1.07 weight % bromine, which corresponds to about 134 micromoles of bromoalkyl groups per gram of polymer.
• the solution was acidified with about 8 milliliters (i.e., about 140 millimoles) of acetic acid.
• the resulting solution was passed through a fritted glass filter, and the polymer was precipitated using about 500 milliliters of cold (-60°C) methanol.
• the precipitated polymer was washed with about 250 milliliters of water, then with about 500 milliliters of water, and then stirred in about 500 milliliters of water for 23 hours.
• the polymer was once again collected, washed with about 500 milliliters of water, and lyophilized to constant weight (4.88 grams).
• Phosphorous analysis of the derivatized polymer indicated that it contained 0.73 weight % phosphorous, corresponding to addition of 118 micromoles of bisphosphonyl groups per gram of polymer.
• a film was cast using the polymer, as described in Example 6. In its sodium salt form, the film absorbed about 15% of its weight in water.
• the methanol mixture was warmed to 0°C, and coagulated polymer was removed by filtration.
• the polymer was washed with 400 milliliters of methanol in several aliquots and with 1.3 liter of water thereafter.
• the polymer was stirred with about 600 milliliters of water for 1 hour, collected, washed with water, and lyophilized.
• the resulting product weighed 14.95 grams and contained 0.40 millimoles of epoxy groups per gram of polymer.
• Example 9 Glycidylation of a Commercially Available Polycarbonate-Urethane
• a commercially available polyurethane was glycidylated such that it could subsequently be derivatized with a bisphosphonate-containing compound.
• Example 10 Carboxyl Derivatization of the ⁇ -Bromoalkylated Polycarbonate-Urethane of Example 7
• the ⁇ -bromoalkylated polyurethane described in Example 7 was further derivatized to yield a polyurethane having carboxyl-containing moieties in place of the bromine atoms.
• ⁇ -bromoalkylated polycarbonate-urethane i.e., about 0.54 millimoles of ⁇ -bromohexyl groups; derived from BIONATETM 80A, as described in Example 7
• DMA dry dimethyl methacrylate
• ⁇ -bromohexyl groups derived from BIONATETM 80A, as described in Example 7
• 20 milliliters (i.e., about 15 millimoles) of a freshly prepared 0.7 molar solution of 3- mercaptopropionic acid tetrabutlyammonium salt in DMA was added to the solution.
• the column packings had pore diameters of (from pump to detector) 10 , 10 , 10 , and
• a WATERSTM model 410 refractometer was used as a detector. The
• M n Number average molecular weight (M n ) values were calculated using polystyrene standards having narrow molecular weight distributions in the range 9,000 to 600,000. These number average molecular weights are presented in Table I.
• Example 12 Water Uptake by Bisphosphonate-Derivatized Polyurethane
• Bisphosphonate-derivatized polyurethane (prepared as described herein) were cast as films in a dry, room temperature air atmosphere on a TEFLONTM-coated surface from filtered solutions of 3-4% (w/v) derivatized PEU or PCU polymers in THF or from filtered solutions of 3-4% (w/v) derivatized PUU in DMA.
• Polymer amounts were selected to form films having a thickness of 0.1 to 0.2 millimeters. Once formed, the films were contacted with water, and the water uptake was assessed. The results of these experiments are presented in Table II.
• Films cast from polyurethane or from bisphosphonate-derivatized (0.09 millimoles bisphosphonate per gram of polymer) PUU were implanted subdermally into rats which to which dihydrotachysterol had been administered 24 hours previously, as described (Joshi et al., 1996, J. Biomed. Mater. Res. 31 :201-207). The films were maintained in the rats for 60 days, and were then retrieved for assessment of calcification thereon. Calcification upon the non-modified polyurethane film amounted to 387.44 ⁇ 154.7 nanograms per milligram of film. Calcification upon the bisphosphonate-derivatized PUU film amounted to 72.33 ⁇ 26.8 nanograms per milligram of film.
• PUU (BIOSPANTM; 24.6 grams of dry polymer, containing about 22 millimoles of urethane linkages) was prepared for reaction as described in Example 6, dissolved in 400 milliliters DMA, and maintained under dry argon flow. Freshly distilled
• 1,4-dibromobutane (19 milliliters, 159 millimoles) was mixed with this solution, and the mixture was cooled to -5°C.
• a solution comprising 11 millimoles of lithium diisopropylamide (LDA) in 35 milliliters of dry DMA was added drop wise over the course of 15 minutes, while the mixture was maintained at -5 to -7°C and vigorously stirred.
• the mixture was thereafter maintained, with stirring, at -1 to 1°C for 1 hour, and then neutralized using 6.5 milliliters (114 millimoles) of acetic acid.
• Argon flow was halted, the reaction solution was filtered, and the filtrate was poured into 1700 milliliters of cold (- 40°C) methanol.
• the polymer was filtered off, thoroughly washed using 600 milliliters of methanol, 300 milliliters of isopropanol, 500 milliliters methanol, and then 1500 milliliters of water.
• the resulting sponge-like coagulate of polymer was stirred in the presence of 2000 milliliters of water for 10 hours, collected, washed with water, and lyophilized to a constant weight of 22.1 grams.
• H NMR spectral analysis of the product (using DMF-d ⁇ as a solvent) indicated that the bromoalkylated polymer contained about 0.2 millimole of bromoalkyl groups per gram of polymer
• TECOTHANETM TT-1074A Medical grade polyether-urethane (TECOTHANETM TT-1074A, Thermedics, Inc., Woburn, MA) was obtained in the form of solid pellets.
• the polymer was manufactured from 4,4-methylenebis (phenyl isocyanate), polytetramethylene oxide, and 1 ,4-butanediol as a chain extender.
• 7.6 milliliters of a 1 molar solution of lithium tert-butoxide in hexanes i.e., 7.6 millimoles lithium tert-butoxide
• the pieces were separated from the dibromobutane-containing isopropanol, rinsed with fresh isopropanol, and maintained for 1 hour at room temperature and a pressure of 0.1 millimeter of mercury, in order to remove most of the solvent.
• the polymer was dissolved in 275 milliliters of DMF, filtered, precipitated with 1200 milliliters of cold methanol as described above, separated, and thoroughly washed with 300 milliliters of methanol.
• Example 16 Preparation of Bisphosphonate-Diethylamino-Modified Polyurethane-Urea 15.5 Grams of bromoalkylated polyurethane-urea (BIOSPANTM; prepared as described in Example 14; containing about 3.1 millimoles of bromobutyl groups) was dissolved in 255 milliliters of dry DMA and maintained under constant flow of argon. The mixture was cooled to -2°C, and 40 milliliters of a DMA-solution comprising 0.365 grams of commercial 96%> 2-diethylaminoethanethiol hydrochloride salt (about 2.1 millimoles of aminothiol hydrochloride) was added thereto.
• BIOSPANTM bromoalkylated polyurethane-urea
• the base was neutralized using 8.5 milliliters (i.e., 148 millimoles) of acetic acid, and the reaction solution was filtered.
• the polymer was precipitated using 1500 milliliters of cold (-65°C) methanol.
• the polymer coagulate was filtered off, washed with multiple aliquots of methanol (500 milliliters total), and then with a solution consisting of 300 milliliters methanol, 150 milliliters water, and 10 milliliters triethylamine. After additional washing with 400 milliliters of methanol, the polymer was washed with 200 milliliters of a 3% solution of acetic acid in methanol, with 250 milliliters of methanol, and with water.
• the resulting flocks of polymer were stirred with a large volume of water for 15 hours, collected on a filter, and lyophilized to a constant weight of 15.1 grams. Phosphorus analysis of the collected polymer indicated a composition comprising 0.366%) phosphorus, by weight. This value corresponds to modification of polymer with 59
• Example 17 About 1.1 grams of the polymer was dissolved in DMA and used to cast a film. The film was treated with copious amounts of water for several days and air-dried. Water absorption of the film was only 2.6% (by weight, calculated for the dry film).
• a mixture comprising 9.53 milliliters of tributylamine (i.e., 40 millimoles), 24 milliliters of 1 ,4-dibromobutane (i.e., 200 millimoles), and 50 milliliters of ethanol was refluxed for 5 hours.
• the solvent and most of the 1,4-dibromobutane were distilled off in vacuo. The residue was dissolved in water and exhaustively extracted with hexanes to remove non-polar impurities.
• tributyl-4-bromobutylammonium bromide compound IV
• TLC-analysis using silica gel, CHCl3:methanol, 9:1 by volume, spot detection in 12-chamber; compound IV having an Rf of about 0.3).
• the filtrate was dried in vacuo, dissolved in DMA, and diluted to 9.77 using with the same solvent. According to iodometric analysis, the solution contained about 0.74 millimoles of tributyl-4-mercaptobutylammonium bromide (compound V) per gram of solution.
• Thiol groups were activated by adding 25 milliliters of a freshly prepared 0.2 molar solution of (Bu4N)2B4 ⁇ y (i.e., about 5 millimoles) in DMA. The resulting (homogeneous) mixture was stirred for 1 hour at 0°C under constant argon flow. Excess base was neutralized by addition of 8.5 milliliters (149 millimoles) of acetic acid, and the polymer was precipitated in 800 milliliters of cold (-60°C) methanol.
• the flocks of polymer were filtered off, thoroughly washed with methanol, and then with water.
• the polymer was dried in vacuo and dissolved in 85 milliliters of DMA.
• the solution was filtered, the polymer was precipitated, washed as described above, and lyophilized to a constant weight of 4.08 grams.
• Phosphorus analysis indicated that the polymer comprised 0.465%) phosphorus, by weight. This value corresponds to 75 micromoles of bisphosphonate groups per gram of polymer.

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• 2000
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  • 2000-07-21 US US09/620,857 patent/US6320011B1/en not_active Expired - Lifetime
• 2001
  • 2001-11-02 US US09/985,316 patent/US6689861B2/en not_active Expired - Fee Related

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