WO2013074628A1 - Controlled release of active using ph - Google Patents

Controlled release of active using ph Download PDF

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Publication number
WO2013074628A1
WO2013074628A1 PCT/US2012/065014 US2012065014W WO2013074628A1 WO 2013074628 A1 WO2013074628 A1 WO 2013074628A1 US 2012065014 W US2012065014 W US 2012065014W WO 2013074628 A1 WO2013074628 A1 WO 2013074628A1
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WO
WIPO (PCT)
Prior art keywords
active agent
polymeric
composition
polymer
chlorhexidine
Prior art date
Application number
PCT/US2012/065014
Other languages
French (fr)
Inventor
Anne Marie WIBAUX
Original Assignee
Avery Dennison Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Avery Dennison Corporation filed Critical Avery Dennison Corporation
Priority to EP12788094.6A priority Critical patent/EP2780005A1/en
Priority to US14/358,503 priority patent/US20140322299A1/en
Publication of WO2013074628A1 publication Critical patent/WO2013074628A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
    • A61K9/703Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
    • A61K9/7038Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
    • A61K9/7046Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
    • A61K9/7053Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
    • A61K9/7061Polyacrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/32Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
    • AHUMAN NECESSITIES
    • A01AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
    • A01NPRESERVATION OF BODIES OF HUMANS OR ANIMALS OR PLANTS OR PARTS THEREOF; BIOCIDES, e.g. AS DISINFECTANTS, AS PESTICIDES OR AS HERBICIDES; PEST REPELLANTS OR ATTRACTANTS; PLANT GROWTH REGULATORS
    • A01N25/00Biocides, pest repellants or attractants, or plant growth regulators, characterised by their forms, or by their non-active ingredients or by their methods of application, e.g. seed treatment or sequential application; Substances for reducing the noxious effect of the active ingredients to organisms other than pests
    • A01N25/08Biocides, pest repellants or attractants, or plant growth regulators, characterised by their forms, or by their non-active ingredients or by their methods of application, e.g. seed treatment or sequential application; Substances for reducing the noxious effect of the active ingredients to organisms other than pests containing solids as carriers or diluents
    • A01N25/10Macromolecular compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/155Amidines (), e.g. guanidine (H2N—C(=NH)—NH2), isourea (N=C(OH)—NH2), isothiourea (—N=C(SH)—NH2)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/785Polymers containing nitrogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/24Heavy metals; Compounds thereof
    • A61K33/38Silver; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/22Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/46Deodorants or malodour counteractants, e.g. to inhibit the formation of ammonia or bacteria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS 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
    • A61L15/00Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
    • A61L15/16Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
    • A61L15/42Use of materials characterised by their function or physical properties
    • A61L15/62Compostable, hydrosoluble or hydrodegradable materials

Definitions

  • the present subject matter relates to methods for controllably releasing one or more active agents from a polymeric composition to a wound or region of infection; and products for providing such methods.
  • a wide array of medical products use adhesive for affixing the product onto a user's skin.
  • adhesive for affixing the product onto a user's skin.
  • it is desirable to prevent or at least minimize microbial growth or reproduction along the interface of adhesive and skin, as such can readily lead to infection and other undesirable conditions.
  • Chlorhexidine gluconate has a broad antimicrobial spectrum, is safe, and is well accepted in the market. However for a variety of reasons, it is difficult to controllably release this agent into a wound or region of infection.
  • the present subject matter provides a polymeric composition adapted to controllably release at least one active agent.
  • the composition comprises at least one polymer forming a polymeric matrix, and at least one active agent dispersed in the polymeric matrix. Upon exposure to a pH of at least 6.5, the polymeric matrix dissolves thereby controllably releasing the at least one active agent from the composition.
  • the subject matter provides a method for controllably releasing at least one active agent from a polymeric composition.
  • the method comprises providing a polymer which when formed in a polymeric matrix, dissolves upon exposure to a pH of at least 6.5.
  • the method also comprises combining at least one active agent with the polymer.
  • the method additionally comprises forming the polymeric matrix having the at least one active agent dispersed therein.
  • the method comprises exposing the polymeric matrix to an environment having a pH of at least 6.5, whereby the at least one active agent is controllably released therefrom.
  • the present subject matter provides an article adapted for placement over a biological surface.
  • the article comprises a substrate, and a layer of a polymeric composition disposed on at least a portion of the substrate.
  • the polymeric composition includes a polymer providing a polymeric matrix and at least one antimicrobial agent dispersed in the polymeric matrix. Upon exposure to a pH greater than 6.5 the polymeric matrix dissolves thereby releasing the at least one antimicrobial agent.
  • the present subject matter provides a polymeric matrix that dissolves at a pH greater than about 6.5 and preferably greater than about 7.0 and releases one or more active agents.
  • the polymer matrix includes one or more antimicrobial agents or any agent that would be favorable to infection control or the wound healing process. It is known that upon infection, the pH of a wound area increases, typically to a value of greater than about 6.5 or 7. And so, upon application to a region of infection, the polymer matrix begins to dissolve thereby releasing the agent(s).
  • a wide array of polymers can be used in the preferred embodiment polymeric compositions.
  • the polymer preferably dissolves at a pH at or above 6.5, and preferably at or above a pH of 7.
  • Such polymers can be based on lactic acid.
  • Another class of suitable polymers are pharmaceutical grade polymers typically used in time delayed delivery products to preclude release of a pharmaceutical agent in the stomach. These polymers are widely available under the designations EUD AGIT grade polymers available from Evonik Industries. Specific examples include EUDRAGIT S100, EUDRAGIT S12.5 and EUDRAGIT FS30D.
  • EUDRAGIT S100 and S12.5 polymers are anionic copolymers based on methacrylic acid and methyl methacrylate in which the ratio of free carboxyl groups to ester groups is about 1:2, respectively.
  • the weight average molecular weight (Mw) of EUDRAGIT S100 and S12.5 polymers is about 125,000 g/mol.
  • EUDRAGIT FS30D material is an aqueous dispersion of an anionic copolymer based on methyl acrylate, methyl methacrylate, and methacrylic acid in which the ratio of free carboxyl groups to ester groups is about 1:10, respectively.
  • the weight average molecular weight (Mw) of EUDRAGIT FS30D is about 280,000 g/mol.
  • dissolvable pharmaceutical grade polymers are based upon anionic polymers with methacrylic functional groups.
  • the polymeric composition preferably includes one or more active agents such as chlorhexidine gluconate (CHG).
  • the active(s) are preferably hydrophilic.
  • the active(s) are preferably in solid form to promote processing and incorporation in the polymeric composition.
  • the active(s) are also preferably soluble in saline so that upon exposure to a wound or region of infection, the active can diffuse thereinto.
  • the active in solid form can be nearly any shape. Non-limiting examples of such shapes include flake, spherical, or a relatively thin film.
  • the film of active is in certain embodiments, separated from the wound or region of infection by a layer or thin film of polymer.
  • the polymeric composition is preferably an adhesive composition. This refers to compositions that exhibit adhesive properties or characteristics.
  • a preferred example of an adhesive composition is a pressure sensitive adhesive.
  • a wide array of adhesive compositions are known in the art.
  • a preferred type of adhesive is an acrylic adhesive.
  • Chlorhexidine is a chemical antiseptic and generally used as an antimicrobial agent. It is effective on both Gram-positive and Gram-negative bacteria, although it is less effective with some Gram-negative bacteria. It has both bactericidal as well as bacteriostatic mechanisms of action, the mechanism of action being membrane disruption and not ATPase inactivation as previously thought. It is also useful against fungi and enveloped viruses, though this has not been extensively investigated. Products containing chlorhexidine in high concentrations should be kept away from eyes and the ears, due to the risk of damage to those organs. However, chlorhexidine is safely used in very low concentrations, for example in some contact lens solutions.
  • Chlorhexidine gluconate (also known as chlorhexidine digluconate) is a salt of chlorhexidine and gluconic acid.
  • the structural formula of chlorhexidine gluconate is:
  • this compound is actually a digluconate compound, it is commonly referred to as chlorhexidine gluconate.
  • chlorhexidine gluconate as used herein encompasses the digluconate compound. Also, the terms “chlorhexidine gluconate” and “chlorhexidine digluconate” are used interchangeably herein.
  • chlorhexidine salts that may be used as antimicrobial agents according to the subject matter include, but are not limited to, chlorhexidine palmitate, chlorhexidine diphosphanilate, chlorhexidine dihydrochloride, chlorhexidine diacetate, and chlorhexidine digluconate.
  • Chlorhexidine free base is a further example of an antimicrobial agent.
  • the present subject matter provides methods for incorporating one or more chlorhexidine salts and particularly chlorhexidine gluconate in a solvent based adhesive such as an acrylic adhesive.
  • a solvent based adhesive such as an acrylic adhesive.
  • the present subject matter is particularly directed to the incorporation of chlorhexidine gluconate, the subject matter is applicable to other chlorhexidine salts and related compounds.
  • any chlorhexidine salt that is generally provided or produced in an aqueous or liquid form is a candidate for the various preferred aspects of the subject matter as described herein.
  • a wide array of active agents can be incorporated into the polymeric composition.
  • a preferred type of active for incorporation in the polymeric composition is an antimicrobial agent.
  • a particularly preferred antimicrobial agent is one or more chlorhexidine salts and most preferably chlorhexidine gluconate (CHG).
  • Additional examples of other antimicrobial agents include but are not limited to polyhexamethylene biguanide (PHMB), chlorhexidine salts such as chlorhexidine gluconate (CHG), silver, and combinations thereof. It will be appreciated that in addition to, or instead of an antimicrobial agent, additional additives can be incorporated in the polymeric material.
  • One or more additional additives can be incorporated into the polymeric composition and/or chlorhexidine formulation.
  • the additional additives include medicinal compounds.
  • Such medicinal compounds include, but are not limited to, antimicrobials, antibiotics, antifungal agents, antiviral agents, antithrombogenic agents, anesthetics, anti-inflammatory agents, analgesics, anticancer agents, vasodilation su bstances, wound healing agents, angiogenic agents, angiostatic agents, immune boosting agents, growth factors, and other biological agents.
  • Suitable antimicrobial agents include, but are not limited to, biguanide compounds; triclosan; penicillins; tetracyclines; aminoglycosides, such as gentamicin and TobramycinTM; polymyxins; rifampicins; bacitracins; erythromycins; vancomycins; neomycins; chloramphenicols; miconazole; quinolones, such as oxolinic acid, norfloxacin, nalidixic acid, pefloxacin, enoxacin, and ciprofloxacin; sulfonamides; nonoxynol 9; fusidic acid; cephalosporins; and combinations of such compounds and similar compounds.
  • the additional antimicrobial compounds provide for enhanced antimicrobial activity.
  • Another preferred active is one or more MMP inhibitors.
  • the one or more active(s) are incorporated in the polymer by a wide array of known techniques such as by blending, mixing, stirring or the like.
  • the weight proportion of active to polymer is at least about 0.1% to about 90%, and preferably from about 0.1% to about 10%.
  • the present subject matter also provides various articles that include the preferred embodiment compositions described herein.
  • the articles can be in a variety of different forms and configurations.
  • the articles are medical articles adapted for covering a biological surface such as for example a wound or other region undergoing healing.
  • Non-limiting examples of such medical articles include dressings, wound coverings, and bandages.
  • the article comprises a substrate such as a fabric, mesh, or film.
  • the article also comprises one or more layers or regions of a polymeric composition disposed on at least a portion of the substrate.
  • the polymeric composition includes a polymer as described herein that provides a polymeric matrix and at least one antimicrobial agent dispersed in the polymeric matrix. Upon exposure to a pH greater than 6.5 the polymeric matrix dissolves thereby releasing the at least one antimicrobial agent.

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Abstract

Dissolvable polymeric compositions are described which when exposed to certain pH conditions, controllably release one or more actives. The active agents can be nearly any active agent such as chlorhexidine gluconate (CHG). Also described are products using such compositions such as dressings. In addition, methods of controllably releasing one or more actives are described.

Description

CONTROLLED RELEASE OF ACTIVE USING PH
CROSS REFERENCES TO RELATED APPLICATIONS
[0001] The present application claims the benefit of U.S. Provisional Patent Application No. 61/560,938 filed November 17, 2011, which is incorporated herein by reference in its entirety.
Field
[0002] The present subject matter relates to methods for controllably releasing one or more active agents from a polymeric composition to a wound or region of infection; and products for providing such methods.
Background
[0003] A wide array of medical products use adhesive for affixing the product onto a user's skin. As will be appreciated, it is desirable to prevent or at least minimize microbial growth or reproduction along the interface of adhesive and skin, as such can readily lead to infection and other undesirable conditions.
[0004] Accordingly, artisans have incorporated a wide range of antimicrobial agents into medical products or materials. Although a limited number of such agents have been incorporated into adhesives, effective release of such agents from an adhesive composition presents a formidable technical challenge. It is difficult to efficiently and controllably release such agents from the adhesive.
[0005] Chlorhexidine gluconate has a broad antimicrobial spectrum, is safe, and is well accepted in the market. However for a variety of reasons, it is difficult to controllably release this agent into a wound or region of infection.
[0006] Accordingly, it would be desirable to provide a method for releasing one or more agents such as chlorhexidine gluconate from a medical product such as a dressing such that the agent is controllably released to a region of interest such as a wound or other biological area. It would also be desirable to provide a composition containing chlorhexidine gluconate and which released that agent in a controlled and/or established manner.
Summary
[0007] The difficulties and drawbacks associated with previously known compositions, products, and practices are addressed in the present methods, adhesive compositions, products using such compositions and related methods.
[0008] In one aspect, the present subject matter provides a polymeric composition adapted to controllably release at least one active agent. The composition comprises at least one polymer forming a polymeric matrix, and at least one active agent dispersed in the polymeric matrix. Upon exposure to a pH of at least 6.5, the polymeric matrix dissolves thereby controllably releasing the at least one active agent from the composition.
[0009] In another aspect, the subject matter provides a method for controllably releasing at least one active agent from a polymeric composition. The method comprises providing a polymer which when formed in a polymeric matrix, dissolves upon exposure to a pH of at least 6.5. The method also comprises combining at least one active agent with the polymer. The method additionally comprises forming the polymeric matrix having the at least one active agent dispersed therein. And, the method comprises exposing the polymeric matrix to an environment having a pH of at least 6.5, whereby the at least one active agent is controllably released therefrom.
[0010] In another aspect, the present subject matter provides an article adapted for placement over a biological surface. The article comprises a substrate, and a layer of a polymeric composition disposed on at least a portion of the substrate. The polymeric composition includes a polymer providing a polymeric matrix and at least one antimicrobial agent dispersed in the polymeric matrix. Upon exposure to a pH greater than 6.5 the polymeric matrix dissolves thereby releasing the at least one antimicrobial agent.
[0011] As will be realized, the subject matter is capable of other and different embodiments and its several details are capable of modifications in various respects, all without departing from the subject matter. Accordingly, the description is to be regarded as illustrative and not restrictive.
Detailed Description of the Embodiments
[0012] In one aspect, the present subject matter provides a polymeric matrix that dissolves at a pH greater than about 6.5 and preferably greater than about 7.0 and releases one or more active agents. Preferably, the polymer matrix includes one or more antimicrobial agents or any agent that would be favorable to infection control or the wound healing process. It is known that upon infection, the pH of a wound area increases, typically to a value of greater than about 6.5 or 7. And so, upon application to a region of infection, the polymer matrix begins to dissolve thereby releasing the agent(s).
Polymeric Composition
[0013] A wide array of polymers can be used in the preferred embodiment polymeric compositions. As previously noted, the polymer preferably dissolves at a pH at or above 6.5, and preferably at or above a pH of 7. Such polymers can be based on lactic acid. Another class of suitable polymers are pharmaceutical grade polymers typically used in time delayed delivery products to preclude release of a pharmaceutical agent in the stomach. These polymers are widely available under the designations EUD AGIT grade polymers available from Evonik Industries. Specific examples include EUDRAGIT S100, EUDRAGIT S12.5 and EUDRAGIT FS30D. EUDRAGIT S100 and S12.5 polymers are anionic copolymers based on methacrylic acid and methyl methacrylate in which the ratio of free carboxyl groups to ester groups is about 1:2, respectively. The weight average molecular weight (Mw) of EUDRAGIT S100 and S12.5 polymers is about 125,000 g/mol. EUDRAGIT FS30D material is an aqueous dispersion of an anionic copolymer based on methyl acrylate, methyl methacrylate, and methacrylic acid in which the ratio of free carboxyl groups to ester groups is about 1:10, respectively. The weight average molecular weight (Mw) of EUDRAGIT FS30D is about 280,000 g/mol. Generally, dissolvable pharmaceutical grade polymers are based upon anionic polymers with methacrylic functional groups.
[0014] The polymeric composition preferably includes one or more active agents such as chlorhexidine gluconate (CHG). The active(s) are preferably hydrophilic. The active(s) are preferably in solid form to promote processing and incorporation in the polymeric composition. The active(s) are also preferably soluble in saline so that upon exposure to a wound or region of infection, the active can diffuse thereinto.
[0015] The active in solid form can be nearly any shape. Non-limiting examples of such shapes include flake, spherical, or a relatively thin film. When provided in a film form, the film of active is in certain embodiments, separated from the wound or region of infection by a layer or thin film of polymer.
[0016] The polymeric composition is preferably an adhesive composition. This refers to compositions that exhibit adhesive properties or characteristics. A preferred example of an adhesive composition is a pressure sensitive adhesive. A wide array of adhesive compositions are known in the art. A preferred type of adhesive is an acrylic adhesive.
Chlorhexidine
[0017] Chlorhexidine is a chemical antiseptic and generally used as an antimicrobial agent. It is effective on both Gram-positive and Gram-negative bacteria, although it is less effective with some Gram-negative bacteria. It has both bactericidal as well as bacteriostatic mechanisms of action, the mechanism of action being membrane disruption and not ATPase inactivation as previously thought. It is also useful against fungi and enveloped viruses, though this has not been extensively investigated. Products containing chlorhexidine in high concentrations should be kept away from eyes and the ears, due to the risk of damage to those organs. However, chlorhexidine is safely used in very low concentrations, for example in some contact lens solutions.
[0018] Chlorhexidine gluconate (also known as chlorhexidine digluconate) is a salt of chlorhexidine and gluconic acid. The structural formula of chlorhexidine gluconate is:
S8 m B 8 8
i f ¾ 5
UK- e c - e e es?s
! 5 ! ¾
» n » H H « m. 8 m m
[0019] Although this compound is actually a digluconate compound, it is commonly referred to as chlorhexidine gluconate.
[0020] Thus, the term chlorhexidine gluconate as used herein encompasses the digluconate compound. Also, the terms "chlorhexidine gluconate" and "chlorhexidine digluconate" are used interchangeably herein.
[0021] Pharmaceutically acceptable chlorhexidine salts that may be used as antimicrobial agents according to the subject matter include, but are not limited to, chlorhexidine palmitate, chlorhexidine diphosphanilate, chlorhexidine dihydrochloride, chlorhexidine diacetate, and chlorhexidine digluconate. Chlorhexidine free base is a further example of an antimicrobial agent.
[0022] Thus, the present subject matter provides methods for incorporating one or more chlorhexidine salts and particularly chlorhexidine gluconate in a solvent based adhesive such as an acrylic adhesive. Although the present subject matter is particularly directed to the incorporation of chlorhexidine gluconate, the subject matter is applicable to other chlorhexidine salts and related compounds. Generally, any chlorhexidine salt that is generally provided or produced in an aqueous or liquid form is a candidate for the various preferred aspects of the subject matter as described herein. One or More Active(s)
[0023] As previously noted, a wide array of active agents can be incorporated into the polymeric composition. A preferred type of active for incorporation in the polymeric composition is an antimicrobial agent. A particularly preferred antimicrobial agent is one or more chlorhexidine salts and most preferably chlorhexidine gluconate (CHG). Additional examples of other antimicrobial agents include but are not limited to polyhexamethylene biguanide (PHMB), chlorhexidine salts such as chlorhexidine gluconate (CHG), silver, and combinations thereof. It will be appreciated that in addition to, or instead of an antimicrobial agent, additional additives can be incorporated in the polymeric material.
Additional Additives
[0024] One or more additional additives can be incorporated into the polymeric composition and/or chlorhexidine formulation. Preferably the additional additives include medicinal compounds. Such medicinal compounds include, but are not limited to, antimicrobials, antibiotics, antifungal agents, antiviral agents, antithrombogenic agents, anesthetics, anti-inflammatory agents, analgesics, anticancer agents, vasodilation su bstances, wound healing agents, angiogenic agents, angiostatic agents, immune boosting agents, growth factors, and other biological agents. Suitable antimicrobial agents include, but are not limited to, biguanide compounds; triclosan; penicillins; tetracyclines; aminoglycosides, such as gentamicin and Tobramycin™; polymyxins; rifampicins; bacitracins; erythromycins; vancomycins; neomycins; chloramphenicols; miconazole; quinolones, such as oxolinic acid, norfloxacin, nalidixic acid, pefloxacin, enoxacin, and ciprofloxacin; sulfonamides; nonoxynol 9; fusidic acid; cephalosporins; and combinations of such compounds and similar compounds. The additional antimicrobial compounds provide for enhanced antimicrobial activity. Another preferred active is one or more MMP inhibitors.
Methods and Incorporation of Active(s) in Polymeric Composition
[0025] The one or more active(s) are incorporated in the polymer by a wide array of known techniques such as by blending, mixing, stirring or the like.
[0026] Typically, the weight proportion of active to polymer is at least about 0.1% to about 90%, and preferably from about 0.1% to about 10%.
Articles
[0027] The present subject matter also provides various articles that include the preferred embodiment compositions described herein. The articles can be in a variety of different forms and configurations. Preferably the articles are medical articles adapted for covering a biological surface such as for example a wound or other region undergoing healing. Non-limiting examples of such medical articles include dressings, wound coverings, and bandages. Preferably, the article comprises a substrate such as a fabric, mesh, or film. The article also comprises one or more layers or regions of a polymeric composition disposed on at least a portion of the substrate. The polymeric composition includes a polymer as described herein that provides a polymeric matrix and at least one antimicrobial agent dispersed in the polymeric matrix. Upon exposure to a pH greater than 6.5 the polymeric matrix dissolves thereby releasing the at least one antimicrobial agent.
[0028] Many other benefits will no doubt become apparent from future application and development of this technology.
[0029] All patents, published applications, and articles noted herein are hereby incorporated by reference in their entirety.
[0030] It will be understood that any one or more feature or component of one embodiment described herein can be combined with one or more other features or components of another embodiment. Thus, the present su bject matter includes any and all combinations of components or features of the embodiments described herein.
[0031] As described hereina bove, the present subject matter solves many problems associated with previous type products, adhesives and practices. However, it will be appreciated that various changes in the details, materials and arrangements of components and operations, which have been herein described and illustrated in order to explain the nature of the subject matter, may be made by those skilled in the art without departing from the principle and scope of the subject matter, as expressed in the appended claims.

Claims

Claims WHAT IS CLAIMED IS:
1. A polymeric composition adapted to controllably release at least one active agent, the composition comprising:
at least one polymer forming a polymeric matrix;
at least one active agent dispersed in the polymeric matrix;
wherein upon exposure to a pH of at least 6.5, the polymeric matrix dissolves thereby controllably releasing the at least one active agent from the composition.
2. The polymeric composition of claim 1 wherein the at least one active agent is hydrophilic.
3. The polymeric composition of any one of claims 1-2 wherein upon exposure to a pH of at least 7.0, the polymeric matrix dissolves.
4. The polymeric composition of any one of claims 1-3 wherein the at least one active agent is an antimicrobial agent.
5. The polymeric composition of claim 4 wherein the antimicrobial agent is selected from the group consisting of chlorhexidine salt(s), polyhexamethylene biguanide (PHMB), silver, and combinations thereof.
6. The polymeric composition of claim 5 wherein the antimicrobial agent is a chlorhexidine salt.
7. The polymeric composition of claim 6 wherein the chlorhexidine salt is chlorhexidine gluconate (CHG).
8. The polymeric composition of any one of claims 1-7 wherein the weight proportion of the at least one active agent to the polymer is from about 0.1 to about 90%.
9. The polymeric composition of any one of claims 1-8 wherein the weight proportion of the at least one active agent to the polymer is from about 0.1% to about 10%.
10. The composition of any one of claims 1-9 wherein the composition exhibits adhesive properties.
11. A method for controllably releasing at least one active agent from a polymeric composition, the method comprising:
providing a polymer which when formed in a polymeric matrix, dissolves upon exposure to a pH of at least 6.5;
combining at least one active agent with the polymer; and
forming the polymeric matrix having the at least one active agent dispersed therein; and exposing the polymeric matrix to an environment having a pH of at least 6.5, whereby the at least one active agent is controllably released therefrom.
12. The method of claim 11 wherein the at least one active agent is hydrophilic.
13. The method of any one of claims 11-12 wherein upon exposure to a pH of at least 7.0, the polymeric matrix dissolves.
14. The method of any one of claims 11-13 wherein the at least one active agent is an antimicrobial agent.
15. The method of any one of claims 11-14 wherein the antimicrobial agent is selected from the group consisting of chlorhexadine salt(s), polyhexamethylene biguanide (PHMB), silver, and combinations thereof.
16. The method of claim 15 wherein the antimicrobial agent is a chlorhexidine salt.
17. The method of claim 16 wherein the chlorhexidine salt is chlorhexidine gluconate (CHG).
18. The method of any one of claims 11-17 wherein the weight proportion of the at least one active agent to the polymer is from about 10% to about 90%.
19. The method of any one of claims 11-18 wherein the weight proportion of the at least one active agent to the polymer is about 50%.
20. An article adapted for placement over a biological surface, the article comprising:
a substrate;
a layer of a polymeric composition disposed on at least a portion of the substrate, wherein the polymeric composition includes a polymer providing a polymeric matrix and at least one antimicrobial agent dispersed in the polymeric matrix, upon exposure to a pH greater than 6.5 the polymeric matrix dissolves thereby releasing the at least one antimicrobial agent.
21. The article of claim 20 wherein the at least one active agent is soluble in saline.
22. The article of any one of claims 20-21 wherein upon exposure to a pH of at least 7.0, the polymeric matrix dissolves.
23. The article of any one of claims 20-22 wherein the at least one active agent is an antimicrobial agent.
24. The article of claim 23 wherein the antimicrobial agent is selected from the group consisting of chlorhexidine salt(s), polyhexamethylene biguanide (PHM B), silver, and combinations thereof.
25. The article of claim 24 wherein the antimicrobial agent is chlorhexidine salt(s).
26. The polymeric composition of claim 25 wherein the chlorhexidine salt(s) is chlorhexidine gluconate (CHG).
27. The polymeric composition of any one of claims 20-26 wherein the weight proportion of the at least one active agent to the polymer is from about 10% to about 90%.
28. The polymeric composition of any one of claims 20-27 wherein the weight proportion of the at least one active agent to the polymer is about 50%.
29. The composition of any one of claims 20-28 wherein the composition exhibits adhesive properties.
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