THERMALLY RESPONSIVE POLYMERS
This invention relates to thermally responsive polymers, and more particularly to thermally responsive biodegradable polymers suitable for use in a composition for the controlled release of bioactive substances, to therapeutic compositions comprising such polymers and to a method of controlled delivery of bioactive substances using thermally responsive biodegradable polymers .
It is known to obtain controlled release of a bioactive substance, e.g. a pharmaceutically active substance, by embedding it in a matrix of an insoluble substance from which the active substance will gradually diffuse. Controlled release of an active substance contained in a tablet core may also be achieved by applying to the core a semi-permeable coating through which water and dissolved active substance may diffuse or an insoluble coating provided with a hole through which the active substance is released. Gradual release of an active substance may furthermore be obtained by microencapsulating particles of an active substance in one or more layers of film which may be of different types, e.g. of a type which mediates diffusion of the active substance or release thereof in the intestines.
These conventional ways of providing controlled release of an active substance have certain drawbacks, in that it is difficult to maintain a constant concentration of the active substance, for example a constant concentration of a pharmaceutically active substance in plasma for the entire period when the dosage form is present in the body. In particular, this may be the problem with drugs which have a brief half-life in the body. Furthermore, the penetration of water through diffusion coatings may cause hydrolysis of active substances which are unstable in an aqueous environment.
Biodegradable polymers have been used in parenteral controlled release formulations of bioactive compounds. In one approach the polymer is fabricated into microspheres that may be injected via syringe, and the bioactive compound is entrapped within the microspheres. This approach has not proved to be practical in part due to difficulties in the manufacturing procedure for producing sterile and reproducible products, and the high cost of manufacturing. In another approach the biodegradable polymer and
the bioactive material are dissolved in a biocompatible water-miscible solvent to provide a liquid composition. When the liquid composition is injected into the body, the solvent dissipates into the surrounding aqueous environment, and the polymer forms a solid depot from which the bioactive material is released.
European Patent Application 0537559 concerns polymeric compositions having a thermoplastic polymer, rate modifying agent, water soluble bioactive material and water-miscible organic solvent. Upon exposure to an aqueous environment (e.g. body fluids) the liquid composition is capable of forming a biodegradable microporous, solid polymer matrix for controlled release of water soluble or dispersible bioactive materials over about four weeks. The thermoplastic polymer may be, among many others listed, polylactide, polyglycolide, polycaprolactone or copolymers thereof, and is used in high concentration (45 to 50%).
Other patent documents providing compositions that form a solid, gel or coagulated mass, akin to European Patent Application 0537559, include US patents: 4,150,108, 4,329,332 , 4,331,652, 4,333,919, 4,389,330, 4,489,055, 4,526,938, 4,530,840, 4,542,025, 4,563,489, 4,675,189, 4,677,191, 4,683,288, 4,758,435, 4,857,335, 4,931,287, 5,178,872, 5,252,701, 5,275,820, 5,478,564, 5,540,912, 5,447,725, 5,599,852, 5,607,686, 5,609,886, 5,631,015, 5,654,010, 5,700,485, 5,702,717, 5,711,968, 5,733,566, 4,938,763, 5,077,049, 5,278,201, 5,278,202, 5,288,496, 5,324,519, 5,324,520, 5,340,849, 5,368,859, 5,401,507, 5,419,910, 5,427,796, 5,487,897, 5,599,552, 5,632,727, 5,643,595, 5,660,849, 5,686,092, 5,702,716, 5,707,647, 5,717,030, 5,725,491, 5,733,950, 5,736,152, 5,744,153, 5,759,563, 5,780,044,
US 6790460 describes a controlled release delivery system for delivery to biological surfaces comprising an oral cavity or mucous membranes of various tissues, said system comprising a plurality of solid nano-particles, each of said solid nano-particles comprising a core formed of a hydrophobic material and an effective amount of a first active agent contained therein and a bioadhesive positively charged surfactant entrapped on a surface of each of said solid nano-particles surrounding said core
wherein the positively charged surfactant is cetylpyridinium chloride, and the hydrophobic material comprises carnauba wax.
In Rimmer et al ACS Polym. Preprints (2002) 43, 971 there is described a synthesis of poly(methyl vinyl ether) oligomers by ab initio cationic polymerisation with silyl ketal ethers. In Rimmer et al ACS Polym. Preprints (2002) 43, 1075 there is described a synthesis of end-functionalised oligo (vinyl ether)s via alkylation of silyl enol ethers in an ab initio cationic polymerisation. These syntheses result in the formation of poly(methyl vinyl ether) oligomers with ester end groups.
Despite the vast amount of work that has been carried out hitherto, difficulties in delivery of bioactive substances still subsist and relatively few site-specific controlled release systems have been developed. Accordingly there remains a need for a long term site-specific sustained-release composition, especially for parenteral administration.
The present invention provides polymers and polymer compositions and methods of manufacturing and administering such compositions, wherein a thermally responsive colloidal suspension is converted into a biodegradable gel capable of permitting controlled release of a bioactive substance.
In a first aspect, the present invention provides a therapeutic composition comprising particles of a biodegradable thermally responsive vinyl ether polymer or copolymer in a physiologically acceptable fluid, the particles comprising an entrapped bioactive substance releasably bound to the polymer, the polymer forming a stable colloidal suspension at a first temperature T1, wherein T1 is less than 370C5 and forming a gel at a temperature T2, wherein T2 is not greater than 37°C, and wherein T2 - T1 > 50C and wherein 37°C - T2 < 50C5 the polymer in use permitting controlled release of the bioactive substance when in its gel form.
In a second aspect, the present invention provides a method for adrninistration of a bioactive substance, which comprises forming a stable colloidal suspension of particles of a biodegradable thermally responsive vinyl ether polymer or copolymer in
a physiologically acceptable fluid at a first temperature T1, wherein T1 is less than 37°C, the particles comprising an entrapped bioactive substance releasably bound to the polymer, administering the colloidal suspension to a subject such that after administration the suspension is warmed by body heat to a temperature T2 at which the polymer forms a gel, the polymer gel in use permitting controlled release of the bioactive substance.
In this specification, a "stable colloidal suspension" is one that is stable at a temperature T1 which is below normal body temperature, but which at a temperature T2, which is greater than T1 but not greater than body temperature, is converted to an insoluble gel.
"Thermally responsive" means that the polymer, or some component of the polymer, responds to a change in temperature by a steric or conformational change, by a change in protonation, by a change in solvation, or by a change in hydration, such that it can no longer maintain a colloidal suspension.
"Controlled release of a bioactive substance" means that the bioactive substance is released into a biological environment over a prolonged period of time.
"Biodegradable" means that the polymer breaks down over a prolonged period of time into inert or physiologically acceptable components.
"Releasably bound" means that the bioactive substance is entrapped within or on the surface of the polymer by ionic or covalent bonds, or by Van der Waals forces, or by physical entanglement, but can be released when the polymer is contacted with a biological environment.
The expression "alkyl group" is intended to include alkyl groups having either a straight or a branched chain configuration. Alkyl groups having up to 30 carbon atoms in the alkyl chain can be used, although lower alkyl groups having up to six carbon atoms are generally preferred. Exemplary of such alkyl groups are methyl, ethyl, propyl, isopropyl, butyl, sec-butyl, tertiary butyl, pentyl, isopentyl, hexyl,
isohexyl and the like. The expression "alkylene group" is intended to include divalent alkyl groups having either a straight or a branched chain configuration. Alkylene groups having up to 30 carbon atoms in the alkylene chain can be used, although lower alkylene groups having up to six carbon atoms are generally preferred. Exemplary of such alkylene groups are methylene, ethylene, propylene, isopropylene, butylene, sec-butylene, tertiary butylene, pentylene, isopentylene, hexylene, isohexylene and the like.
In a third aspect, the present invention provides certain novel poly (alkyl vinyl ether) block co-polymers, graft co-polymers, and micro- and nano-suspensions thereof, suitable for use in the compositions and method of the first and second aspects of the invention.
Suitable vinyl ether polymers and copolymers for use in the present invention can be prepared by known methods, for example, by solution, suspension or emulsion polymerisation of the appropriate monomers and/or oligomers. Preferred vinyl ether polymers and copolymers for use in the present invention include polymers and copolymers of alkyl vinyl ethers, especially C1 _6 alkyl vinyl ethers, for example methyl vinyl ether, ethyl vinyl ether, n-propyl vinyl ether, isopropyl vinyl ether, n- butyl vinyl ether, isobutyl vinyl ether, t-butyl vinyl ether, n-pentyl vinyl ether and n- hexyl vinyl ether. Copolymers of alkyl vinyl ethers can also be used, for example, copolymers of any of the above alkyl vinyl ethers with styrene, α-methyl styrene, 2- methyl styrene, 3, -methyl styrene, 4-methyl styrene, isobutylene, vinyl caprolactam or any other suitable monomer capable of being copolymerized by cationic polymerization..
Other copolymers that may be used include graft co-polymers in which poly (alkyl vinyl ether) side chains are introduced onto a second polymer backbone comprising, for example, polymer backbones formed from polystyrenes, polymethacrylates, polyacrylates, poly(vinyl alkonate)s, poly( N- vinyl pyrolidinone), polyacrylamide, polyamides, or polyesters. Such modified alkyl vinyl ether copolymers are new materials and are accordingly also included within the invention.
In colloidal suspension such co-polymers can form thermally responsive micelle particles or larger particles (with diameters from 100 nm to 5mm) in which the poly (alkyl vinyl ether) side chains form a thermally responsive outer shell and the second polymer component forms an inner core that releasably binds the bioactive substance. On warming, the poly (alkyl vinyl ether) side chains can no longer stabilise the colloidal suspension and the suspension collapses to form an insoluble gel. In another aspect the poly (alkyl vinyl ether) side chains can also, or alternatively, form thermally responsive arms that can be used to regulate the diffusion of bioactive substances from out of the particle outer shell or inner core.
Another especially preferred class of vinyl ether polymers for use in the present invention includes block copolymers based on poly (alkyl vinyl ether) oligomers. Such block copolymers wherein the poly (alkyl vinyl ether) oligomer is copolymerised with a peptide or a poly (alkyl carbonate) are also new materials and are also included within the scope of the invention, together with methods for manufacturing such block copolymers by reacting a poly (alkyl vinyl ether) oligomer with another polymer or oligomer, for example, a peptide, or by polymerising a monomer, for example, a N-carboxy anhydride, a cyclic carbonate or a diol and an activated formate (where the latter are the components of polycarbonate polycondensation) in the presence of a poly (alkyl vinyl ether) oligomer.
Syntheses of preferred reactive poly (alkyl vinyl ether) oligomers are set out in Scheme 1 below. The starting material, compound (1), can be prepared as described in "Ab initio cationic polymerization of vinyl ethers" Stephen Rimmer, Weihong Lang, Prodip Sarker,ACS Polym. Preprints 43, 971 (2002) and "Synthesis of end- functionalised oligo(vinyl ether)s via alkylation of silyl enol ethers in an ab initio cationic polymerization" Prodip Kumar Sarker, Stephen Rimmer, ACS Polym. Preprints 43, 1075 (2. The reactive end groups of the oligomers are respectively alcohol (2), carboxylic acid (3), anhydride (4) and amine (5).
wherein R, R1, Rπ and R111 are each independently an alkyl group, and wherein n is an integer.
Scheme 1
Two syntheses of preferred poly (alkyl vinyl ether) - peptide block copolymers using the oligomers prepared in Scheme /are set out in Scheme 2 below.
X is an activating group
wherein R and R1 are each independently an alkyl group, and wherein n is an integer.
Scheme 2
Two syntheses of preferred poly (methyl vinyl ether) - poiy(alkyi carbonate) block copolymers using the oligomers prepared in Scheme 1 are set out in Scheme 3 below.
Y is any good leaving group
wherein R, R
1, R
11 and R
111 are each independently an alkyl group and R
IV is an alkylene group, and wherein m and n are integers that can be the same or different.
Scheme 3
The vinyl ether polymers and copolymers used in the present invention preferably form stable colloidal suspensions at ambient temperatures and, for example, T1 is preferably in the range of from 0 to 3O0C, more preferably from 40C to 250C, and most preferably from 80C to 2O0C. The particle size of the polymer particles is preferably in the range of from 10 to 5000 nm, more preferably from 20 to 1000 nm, most preferably from 100 to 500 nm.
The therapeutic composition can be formulated to be compatible with its intended route of administration. Examples of routes of administration include parenteral, e.g., intravenous, intradermal, subcutaneous, oral (e.g., inhalation), transdermal (topical), transmucosal, and rectal administration. Suspensions used for parenteral, intradermal, or subcutaneous application can include the following components: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.
Therapeutic compositions suitable for injectable use include sterile aqueous dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, NJ) or phosphate buffered saline (PBS). In all cases, the composition must be sterile and should be fluid to the extent that easy syringability exists. It
should be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a suspension medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyetheylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the suspension and by the use of surfactants. Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as manitol, sorbitol, sodium chloride in the composition. An increase in the time for absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.
Generally, suspensions are prepared by incorporating the polymer and bioactive substance into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and freeze-drying which yields a powder of the polymer and bioactive substance plus any additional desired ingredient from a previously sterile-filtered solution thereof.
It is advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the subject to be treated; each unit containing a predetermined quantity of bioactive substance calculated to produce the desired therapeutic effect in association with the polymer gel.
Toxicity and therapeutic efficacy of such compositions can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the LD5O (the dose lethal to 50% of the population) and the ED50 (the dose therapeutically effective in 50% of the population). The dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio
LD5Q/ED5Q. Bioactive substances which exhibit high therapeutic indices are preferred. An advantage of the present invention is that substances that exhibit toxic side effects may be used, since the invention can provide a delivery system that targets such substances to the site of affected tissue in order to minimize potential damage to uninfected cells and, thereby, reduce side effects.
The data obtained from the cell culture assays and animal studies can be used in formulating compositions for use in humans. The delivered dosage of such compositions lies preferably within a range of circulating concentrations that include the ED50 with little or no toxicity. The dosage may vary within this range depending upon the bioactive substance employed and the route of administration utilized. For any bioactive substance used in the method of the invention, the therapeutically effective dose can be estimated initially from cell culture assays. A dose may be formulated in animal models to achieve a circulating plasma concentration range that includes the IC50 (i.e., the concentration of the test compound which achieves a half- maximal inhibition of symptoms) as determined in cell culture. Such information can be used to more accurately determine useful doses in humans. Levels in plasma may be measured, for example, by high performance liquid chromatography.
When the temperature of the colloidal suspension is raised from T1 to T2 the temperature responsive polymer loses its ability to remain as a colloid and the particles coalesce to form" a gel. T2 is preferably at or close to normal body temperature, but does not significantly exceed normal body temperature, which in this specification is defined as 370C. T2 can, for example, be 33°C, 34°C, 350C, 36°C or 370C. In gel form the polymer is swollen with a physiologically acceptable fluid, and molecules of the bioactive substance can migrate from the polymer as they are released. The release mechanism can be activated by the influence of the biological environment or can result from the biodegradation of the polymer, or both.
A particular advantage of the therapeutic compositions of the invention is that when administered to a particular site in a human or animal body the colloidal suspension rapidly breaks down, forming a gel mass which can remain at the administration site and is not dissipated throughout the body. Thus the therapeutic composition can
release the bioactive substance at the site of administration over lengthy periods. The therapeutic compositions of the invention find particular application in the administration of bioactive substances to the eye, and especially the vitreous humour, which has proved very difficult to treat in the past. The therapeutic composition can be injected into the vitreous humour and can form a gel mass that remain at the site of injection, delivering a therapeutic substance, for example, to the retina, for prolonged periods. In another preferred embodiment of a method according to the invention, the therapeutic composition can be injected into a lymph gland to deliver, for example, an anti-cancer drug.
Therapeutic compositions in accordance with the invention can be used to treat a wide variety of diseases and conditions, including, but not limited to, macular degeneration and other retinal diseases, and cell proliferation diseases including cancer, especially lymphatic cancer.
Embodiments of vinyl ether polymers and colloidal polymer suspensions in accordance with the invention will now be described and illustrated in the following Examples:
EXAMPLE 1
A polystyrene with a poly (methyl vinyl ether) shell
A suspension of styrene copolymer particles containing a monomer feed of styrene (80 mol%), divinyl benzene (10 mol%) and chloromethyl styrene (10 mol %) are produced using the known suspension polymerization art. These are then used to initiate a polymerization of methyl vinyl ether. The polymerization was conducted at -780C in dichloro methane. (l-Methoxy-2-methyl-propenyloxy)-trimethyl-silane is added together with the methyl vinyl ether at the start of the polymerization, which is initiated by the addition of titanium tetrachloride. The reaction is run for 1.5 hours before quenching with ammonia in methanol (2.0 mol dm-3). The presence of poly (methyl vinyl ether) at the surface of the particles is demonstrated using XPS.
EXAMPLE 2
A polystyrene with a poly (ethyl vinyl ether) shell
The procedure of Example 1 is repeated replacing methyl vinyl ether with ethyl vinyl ether.
EXAMPLE 3
A polystyrene with a poly (isobutyl vinyl ether) shell
The procedure of Example 1 is repeated replacing methyl vinyl ether with isobutyl vinyl ether.
In all the above examples, XPS showed unequivocal evidence for poly (vinyl ether) formation due to the presence of oxygen at the surface of the styrene copolymer particles that was not present prior to polymerization.
EXAMPLE 4
Gel formation
The polymer suspensions of Examples 1 to 3 are stable at temperatures below 30 0C. In each case the suspension is warmed to body temperature (370C) whereupon the polymer precipitates as an insoluble gel.
EXAMPLE 5
Release of a bioactive substance.
5-fluorouracil is added to the polymer suspensions of Examples 1 to 3 at a temperature below 30 0C, for example, ambient temperature, and absorbed into the polymer particles. The suspensions are then warmed to body temperature (370C) and the formation of an insoluble gel precipitate is observed. The gel precipitate degrades
and releases the 5-fluorouracil into a physiologically acceptable phosphate buffered saline solution over an extended period.
The reader's attention is directed to all papers and documents which are filed concurrently with or previous to this specification in connection with this application and which are open to public inspection with this specification, and the contents of all such papers and documents are incorporated herein by reference.
All of the features disclosed in this specification (including any accompanying claims, abstract and drawings), and/or all of the combination, except combinations where at least some of such features and/or steps are mutually exclusive.
Each feature disclosed in this specification (including any accompanying claims, abstract and drawings), may be replaced by alternative features serving the same, equivalent or similar purpose, unless expressly stated otherwise. Thus, unless expressly stated otherwise, each feature disclosed is one example only of a generic series of equivalent or similar features.
The invention is not restricted to the details of the foregoing embodiments. The invention extends to any novel one, or any novel combination, of the features disclosed in this specification (including any accompanying claims, abstract and drawings), or to any novel one, or any novel combination, of the steps of any method or process so disclosed.