Classifications

• • C—CHEMISTRY; METALLURGY
  • C09—DYES; PAINTS; POLISHES; NATURAL RESINS; ADHESIVES; COMPOSITIONS NOT OTHERWISE PROVIDED FOR; APPLICATIONS OF MATERIALS NOT OTHERWISE PROVIDED FOR
  • C09D—COATING COMPOSITIONS, e.g. PAINTS, VARNISHES OR LACQUERS; FILLING PASTES; CHEMICAL PAINT OR INK REMOVERS; INKS; CORRECTING FLUIDS; WOODSTAINS; PASTES OR SOLIDS FOR COLOURING OR PRINTING; USE OF MATERIALS THEREFOR
  • C09D5/00—Coating compositions, e.g. paints, varnishes or lacquers, characterised by their physical nature or the effects produced; Filling pastes
  • C09D5/02—Emulsion paints including aerosols
  • C09D5/024—Emulsion paints including aerosols characterised by the additives
  • C09D5/025—Preservatives, e.g. antimicrobial agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
  • A61L31/08—Materials for coatings
  • A61L31/10—Macromolecular materials
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
  • A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
  • A61L31/16—Biologically active materials, e.g. therapeutic substances
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
  • A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
  • A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
  • A61L2300/404—Biocides, antimicrobial agents, antiseptic agents

Definitions

• This invention related to methods for applying coatings comprising recombinant gelatin and an antimicrobial agent to a surface.
• the invention is concerned with methods for coating medical devices.
• the invention is also concerned with coated surfaces and medical devices, and compositions comprising gelatin and an antimicrobial agent.
• Bacteria are present on the surface of the skin and throughout the bodies of humans and animals. Not all of these bacteria are harmful, but medical instruments must be sterilized to prevent harmful bacteria from infecting wounds or incisions. Sterilization before use is sufficient for short-term use medical instruments, i.e., those that remain in contact with the body for less than forty- eight hours, because those medical instruments are generally removed before significant bacterial growth can occur.
• Medical devices that remain in the body of humans or animals for longer periods of time create an ideal attachment surface and growth area for bacteria. Furthermore, introduction of medical devices into the body allows bacteria to bypass the subcutaneous layers. The resulting infections often are harmful and can even be deadly.
• Coating material suitable for such coatings are proteinaceous coating materials comprising gelatin or collagen. Coatings comprising gelatins and collagens are commonly heated at temperatures higher than 50 ° C in order to achieve sufficient fluidity of the gelling proteins.
• antimicrobial compounds are sensitive to high temperatures (e.g., above 50 ° C), which makes their use for coatings in combination with gelatins and collagens difficult. Such high temperatures have a detrimental effect on temperature sensitive antibiotics, for example, beta-lactam antibiotics. This results in antimicrobial coatings having a limited amount of antimicrobial compounds and a limited effectiveness. It is a goal of the present invention to provide a method of applying a proteinaceous coating material so that it has prolonged antimicrobial activity and allows incorporation of antimicrobial compounds into gelatin or collagen coatings without reduction of their activity.
• This invention related to methods for applying coatings comprising recombinant gelatin and an antimicrobial agent to a surface.
• the invention is concerned with methods for coating medical devices.
• the inventors surprisingly found that a coating comprising recombinant gelatin reduces the adherence and colonisation of a medical device surface by known microbial pathogens.
• the use of non-gelling recombinant gelatin allows the use of relatively low temperatures during the coating procedure, which is beneficial to the incorporation of antibiotics, in particular temperature sensitive antibiotics, to enhance the anti-microbial properties of the coating.
• a medical device as is used herein means a device or product for human body reconstruction and/or an object which is implanted in the body to control drug release. This term includes absorbable devices and products.
• antimicrobial and “antibiotic” are used interchangeably and refer to any natural, synthetic, and semi-synthetic compound that has been identified as possessing antibacterial, antifungal, antiviral, or antiparasitic activity.
• activity means decreasing the chance of contamination and subsequent infection of the medical device with microorganisms upon prolonged use in vivo. This can mean for example, but is not limited to, limiting, preventing or delaying attachment of micro-organisms to the medical device and/or killing micro-organisms and/or limiting, preventing or inhibiting the growth of micro-organisms.
• antiimicrobial agent may refer to a single antimicrobial or to a mixture of antimicrobials.
• Proteinaceous coating material as used herein is a composition comprising a protein.
• protein or “polypeptide” or “peptide” are used interchangeably and refer to molecules consisting of a chain of amino acids, without reference to a specific mode of action, size, three-dimensional structure or origin.
• Gelatin refers to any gelatin, whether extracted by traditional methods or recombinant or biosynthetic in origin, or to any molecule containing at least one collagenous domain (GIy-X-Y region). Gelatin is currently obtained by extraction from collagen derived from animal (e.g., bovine, porcine, rodent, chicken, equine, and piscine) sources, e.g., bones and tissues. The term encompasses both the composition of more than one polypeptide included in a gelatin product, as well as an individual polypeptide contributing to the gelatin material. Thus, the term recombinant gelatin as used in reference to the present invention encompasses both recombinant gelatin material comprising gelatin polypeptides, as well as an individual gelatin polypeptide.
• Polypeptides from which gelatin can be derived are polypeptides such as collagens, procollagens, and other polypeptides having at least one collagenous domain (GIy-X-Y region).
• a polypeptide could include a single collagen chain, or a collagen homotrimer or heterotrimer, or any fragments, derivatives, oligomers, polymers, or subunits thereof.
• the term specifically contemplates engineered sequences not found in nature, such as altered collagen sequences, e.g. a sequence that is altered, through deletions, additions, substitutions, or other changes, from a naturally occurring collagen sequence. Such sequences may be obtained from suitable altered collagen polynucleotide constructs, etc.
• Non-gelling gelatins as used herein are gelatins with Bloom strength of lower than 5Og and preferably gelatins with a Bloom strength below 10g.
• '"Bloom strength as used herein is a measurement of the strength of a gel formed by a 6.67% solution (w/v) of gelatin in a constant temperature bath (10 0 C) over 17 hours.
• a standard Texture Analyzer is used to measure the weight in grams required to depress a standard 0.5 inch in diameter AOAC (Association of Official Agricultural Chemists) plunger 4 millimetres into the gel. If the weight in grams required for depression of the plunger is 200 grams, the particular gelatin has a Bloom value of 20Og. (See, e.g., United States Pharmacopoeia and Official Methods of Analysis of AOAC International, 17th edition, Volume II).
• thermolabile compound as used herein is subject to destruction, decomposition, or great change by moderate heating.
• Thermolabile antimicrobial compounds generally have a reduced stability at a certain temperature in comparison to other antimicrobial compounds.
• indefinite article “a” or “an” does not exclude the possibility that more than one of the element is present, unless the context clearly requires that there be one and only one of the elements.
• the indefinite article “a” or “an” thus usually means “at least one”.
• the present invention provides a method for applying a coating, comprising recombinant gelatin and an antimicrobial agent, to a surface comprising the steps of: a) mixing the recombinant gelatin and the antimicrobial agent at a temperature of between 0 ° C and 40 ° C to obtain a mixture; and b) crosslinking the mixture at a temperature of between 0 ° C and 40 ° C.
• a surface is coated and/or crosslinked with the coating composition at a temperature below 25 ° C, preferably below 20 ° C, more preferably below 10 ° C, and optionally below 5 ° C.
• the coating should be applied and/or crosslinked at a temperature above 0 ° C.
• a surface is coated and/or crosslinked with the coating composition above 5 ° C, and particularly above 10 ° C.
• the coating is applied onto the surface either in-between steps a) and b), or after step b).
• the coating is to be applied prior to curing of the coating.
• Step b) may be performed by addition of one or more chemical crosslinking agent.
• a photo-initiator of crosslinking may be mixed with the recombinant gelatin and the antimicrobial agent in step a), followed by application of UV or visible light irradiation to crosslink the mixture thus obtained.
• the coating according to the present invention may be achieved by coating the surface with the recombinant gelatin, followed by contacting the surface with a solution comprising the antimicrobial agent, whereby the antimicrobial agent is incorporated in the recombinant gelatin.
• the coating is applied to the surface of a medical device.
• medical devices that may be coated according to the invention include, but are not limited to, a stent, stent graft, anastomotic connector, synthetic patch, lead, electrode, needle, guide wire, catheter, sensor, surgical instrument, angioplasty balloon, wound drain, shunt, tubing, infusion sleeve, urethral insert, pellet, implant, blood oxygenator, pump, vascular graft, vascular access port, heart valve, annuloplasty ring, suture, surgical clip, surgical staple, pacemaker, implantable defibrillator, neurostimulator, orthopaedic device, cerebrospinal fluid shunt, implantable drug pump, spinal cage, artificial disc, replacement device for nucleus pulposus, ear tube, intraocular lens and any tubing used in minimally invasive surgery.
• Articles that are particularly suited to be used in the present invention include medical devices or components such as catheters, guide wires, stents, syringes, metal and plastic implants, contact lenses, medical tubing, and partly extracorporeal devices. It is particularly preferred that the coating is applied to the surface of a medical device selected from the group consisting of a vascular stent, a surgical implant and a catheter.
• the use of recombinant gelatins in the coating compositions used in the methods of the present invention provides medical benefit compared to conventionally produced gelatins from animal sources.
• the inability to completely characterize, purify, or reproduce the animal-sourced gelatin mixtures used currently is of ongoing concern in the pharmaceutical and medical communities.
• Conventional gelatins suffer from safety issues, such as concern over potential immunogenic, e.g., antigenic and allergenic responses, as well as concerns with respect to bacterial contamination and endotoxin loads resulting from the extraction and purification processes.
• Recombinantly produced gelatins provide a solution to these safety concerns.
• the recombinant technology allows the design of gelatin-like proteins with altered characteristics, for example, but not limited to, low immunogenicity, improved cell attachment and/or controlled biodegradability.
• a further benefit is that recombinantly produced gelatin is more uniform in structure and size, which enhances the uniformity of the coating obtained.
• EP 0926543, EP 1014176 and WO 01/34646, and also EP 0926543 and EP 1014176, specifically the examples section, describe recombinant gelatins and their production methods, using methylotrophic yeasts, in particular Picha pastoris.
• WO 01/34646 discloses the use of recombinant gelatin as a coating.
• the recombinant gelatin may be one type of recombinant gelatin or may be a mixture of two or more types of recombinant gelatin.
• the coating may comprise one type of antimicrobial agent or may comprise two or more types of antimicrobial agents.
• the recombinant gelatin comprises non-gelling recombinant gelatin.
• non-gelling recombinant gelatin is advantageous in that it is known to require less high temperatures in order to achieve sufficient fluidity for coating applications. This allows incorporation of temperature-sensitive antimicrobial agents without loss of their activity and/or stability upon preparation of the coating and its application to a surface.
• the coating comprises recombinant gelatin that is non-hydroxylated gelatin.
• the coating comprises recombinant gelatin that is substantially free from helix formation.
• Such non-hydroxylated recombinant gelatin and recombinant gelatin substantially free from helix formation contain less tertiary structure than natural gelatin and as such require less high temperatures to achieve sufficient fluidity for coating applications, allowing incorporation of temperature-sensitive antimicrobial agents as discussed above.
• a particular benefit of the proteinaceous coating material comprising recombinant gelatins is that it reduces the ability of micro-organisms to attach and colonize the surface of the medical devices, enhancing the antimicrobial property of the coating.
• the coating is particularly effective against, but not limited to, attachment of known pathogens such as bacteria of the genus Staphylococcus and the genus Pseudomonas more specifically Staphylococcus epidermidis and Pseudomonas aeruginosa.
• the antimicrobial agent may be a thermolabile antimicrobial agent, such as, phosporamidon, blasticidin S, chymostatin, antipain, thermolabile aminoglycosides such as, but not limited to kasugamycin, tobramycin, amikacin, lividomycin A, dihydrostreptomycin, minosaminomycin, beta-lactam antibiotics such as, but not limited to the bicyclic beta-lactam thiazolidines, penems such as but not limited to, thienamycin, imipenem, sulopenem, ritipenem, faropenem and cefmetazole.
• the thermolabile antimicrobial agent is a thermolabile aminoglycoside or a thermolabile beta-lactam antibiotic.
• the coating of the invention can be applied to a surface, such as that of a medical device, using different methods.
• the coating material can for example, but not limited to, be sprayed on the medical device.
• the proteinaceous coating material of the invention is a solution in which the medical device is submerged, which also can be referred to as dip-coating.
• Other methods of application are wash, vapour deposition, brush, roller, curtain, spin coating and other methods known in the art.
• the coating material further comprises also a cross- linking agent.
• the medical devices received a pre- treatment, which impregnates the devices with a cross-linking agent.
• Suitable cross-linking agents are known in the art. They include chemical cross-linkers selected from aldehyde compounds such as formaldehyde and glutaraldehyde, carbodiimide, di-aldehyde di-isocyanate, epoxides, ketone compounds such as diacetyl and chloropentanedion, bis (2-chloroethylurea), 2-hydroxy-4,6-dichloro- 1 ,3,5-triazine, reactive halogen-containing compounds disclosed in US 3,288,775, carbamoyl pyridinium compounds in which the pyridine ring carries a sulphate or an alkyl sulphate group disclosed in US 4,063,952 and US 5,529,892, divinylsulfones, and the like and S-
• the recombinant gelatin is chemically modified with a cross-linkable group, so that only the gelatin crosslinks and not the antimicrobial agent. This is beneficial to preserve the activity and/or stability of the antimicrobial agent.
• a cross-linkable group may e.g.
• epoxy compounds such as epoxy compounds, oxetane derivatives, lactone derivatives, oxazoline derivatives, cyclic siloxanes, or ethenically unsaturated compounds such as acrylates, methacrylates, polyene-polythiols, vinylethers, vinylamides, vinylamines, allyl ethers, allylesters, allylamines, maleic acid derivatives, itacoic acid derivatives, polybutadienes and styrenes.
• epoxy compounds such as epoxy compounds, oxetane derivatives, lactone derivatives, oxazoline derivatives, cyclic siloxanes, or ethenically unsaturated compounds such as acrylates, methacrylates, polyene-polythiols, vinylethers, vinylamides, vinylamines, allyl ethers, allylesters, allylamines, maleic acid derivatives, itacoic acid derivatives, polybutadienes and styre
• cross-linkable group (meth)acrylates such as alkyl-(meth)acrylates, polyester-(meth)acrylates, urethane-(meth)acrylates, polyether-(meth)acrylates, epoxy-(meth)acrylates, polybutadiene-(meth)acrylates, silicone-(meth)acrylates, melamine-(meth)acrylates, phosphazene-(meth)acrylates, (meth)acrylamides and combinations thereof because of their high reactivity.
• said cross-linkable group is a methacrylate and hence the invention also provides methacrylated (recombinant) gelatin.
• alpha-hydroxyalkylphenones such as 2-hydroxy-2-methyl-1 -phenyl propan-1 -one, 2-hydroxy-2-methyl-1 -(4-tert-butyl-) phenylpropan-1 -one, 2- hydroxy-[4 ' -(2-hydroxypropoxy)phenyl]-2-methylpropan-1 -one, 2-hydroxy-1 -[4-(2- hydroxyethoxy)phenyl]-2-methyl propan-1 -one, 1 -hydroxycyclohexylphenylketone and oligo[2-hydroxy-2-methyl-1 - ⁇ 4-(1 -methylvinyl)phenyl ⁇ propanone], alpha- aminoalkylphenones, alpha-sulfonylalkylphenones and acylphosphine oxides such as 2,4,6-trimethylbenzoy
• a second aspect of the invention provides a coated surface obtainable by a method as described in the first aspect of the invention.
• the coated surface is a medical device as described in the first aspect of the invention. It is particularly preferred that the coated surface is a vascular stent, a surgical implant or a catheter.
• strains S. epidermidis GB9/6 and P. aeruginosa ATCC 10145-U were incubated on a blood agar plate at 37 ° C from frozen stock (-80 ° C).
• a pre-culture was made in 10ml tryptone soya broth (TSB) overnight at 37 ° C. Then the cultures were grown from the pre-culture in 200ml TSB overnight at 37 ° C.
• TSB tryptone soya broth
• PBS phosphate-buffered saline

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• Health & Medical Sciences (AREA)
• Chemical & Material Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Engineering & Computer Science (AREA)
• Epidemiology (AREA)
• Vascular Medicine (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Heart & Thoracic Surgery (AREA)
• Surgery (AREA)
• Dispersion Chemistry (AREA)
• Organic Chemistry (AREA)
• Wood Science & Technology (AREA)
• Materials Engineering (AREA)
• Biomedical Technology (AREA)
• Medicinal Chemistry (AREA)
• Molecular Biology (AREA)
• Materials For Medical Uses (AREA)
• Paints Or Removers (AREA)
• Agricultural Chemicals And Associated Chemicals (AREA)
• Application Of Or Painting With Fluid Materials (AREA)

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• 2009
  • 2009-09-29 US US13/121,512 patent/US20110182960A1/en not_active Abandoned
  • 2009-09-29 JP JP2011529625A patent/JP2012504445A/ja not_active Withdrawn
  • 2009-09-29 EP EP09785705A patent/EP2344593A2/en not_active Withdrawn
  • 2009-09-29 WO PCT/GB2009/051272 patent/WO2010038059A2/en not_active Ceased

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