Compositions and methods for treatment of edema
US-12144805-B2 · Nov 19, 2024 · US
US2016331738A1 · US · A1
| Field | Value |
|---|---|
| Publication number | US-2016331738-A1 |
| Application number | US-201615152739-A |
| Country | US |
| Kind code | A1 |
| Filing date | May 12, 2016 |
| Priority date | May 12, 2015 |
| Publication date | Nov 17, 2016 |
| Grant date | — |
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Drug delivery involving hydrogels as used for various medical conditions, and includes hydrogels formed in an eye with extended drug release times. An embodiment of the invention is a method of delivering a therapeutic agent to a tissue comprising forming a hydrogel in situ in an eye with a therapeutic agent dispersed in the hydrogel, the agent having a low solubility in water. The agent may be essentially insoluble in water. The hydrogel may be made so that 50% to 100% w/w of the agent is released when the hydrogel is from 100% to 50% persistent, with the persistence being a measure of the dry weight of the hydrogel relative to an initial dry weight of the hydrogel.
Opening claim text (preview).
1 . A method of delivering a therapeutic agent to a tissue comprising forming a hydrogel in situ in an eye with a therapeutic agent dispersed in the hydrogel, the agent having a low solubility in water. 2 . The method of claim 1 with the agent being suspended in the hydrogel. 3 . The method of claim 1 with 50% to 100% w/w of the agent being released when the hydrogel is from 100% to 50% persistent, with the persistence being a measure of the dry weight of the hydrogel relative to an initial dry weight of the hydrogel. 4 . The method of claim 3 with 90% w/w of the agent being released when the hydrogel is at least 90% persistent. 5 . The method of claim 1 wherein the agent is released to provide an effective concentration of the agent in an eye over a period of time. 6 . The method of claim 5 wherein the period of time is 2-36 months. 7 . The method of claim 5 wherein, after the period of time, the hydrogel has released all of the agent and has a persistence of at least 80%. 8 . The method of claim 5 wherein, after the period of time, the hydrogel releases a further amount of the agent that is non-toxic. 9 . The method of claim 1 wherein the hydrogel is water-degradable, as measurable by the hydrogel being dissolvable in vitro in an excess of water by degradation of water-degradable groups. 10 . The method of claim 1 wherein the hydrogel is formed at an intravitreal site. 11 . The method of claim 1 wherein the agent is for treatment of a back of the eye disease. 12 . The method of claim 11 wherein the back of the eye disease is age-related macular degeneration (AMD) cystoid macular edema (CME), diabetic macular edema (DME), posterior uveitis, and diabetic retinopathy, or glaucoma. 13 . The method of claim 1 wherein the agent comprises anti-VEGF, blocks VEGFR1, blocks VEGFR2, blocks VEGFR3, anti-PDGF, anti-PDGF-R blocks PDGFRβ, an anti-angiogenic agent, Sunitinib, E7080, Takeda-6d, Tivozanib, Regorafenib, Sorafenib, Pazopanib, Axitinib, Nintedanib, Cediranib, Vatalanib, Motesanib, macrolides, sirolimus, everolimus, tyrosine kinase inhibitors (TKIs), Imatinibn gefinitib, toceranib, Erlotinib, Lapatinib, Nilotinib, Bosutinib Neratinib, lapatinib, Vatalanib, comprises low-soluble prostaglandin analogues for glaucoma, nepafenac, macrolides, rapamycin, sirolimus, tacrolimus, or serves to block mTOR receptors for AMD/CNV. 14 . The method of claim 1 wherein the hydrogel is formed by combining a first precursor and a second precursor that react with each other to form the hydrogel. 15 . The method of claim 14 wherein the hydrogel is formed with covalent crosslinks between the first precursor and the second precursor. 16 . The method of claim 15 wherein the first precursor and the second precursor are hydrophilic. 17 . The method of claim 1 wherein the hydrogel is essentially spherical, essentially discoidal, or essentially cylindroid. 18 . A hydrogel in an eye with a therapeutic agent dispersed in the hydrogel, the agent having a low solubility in water. 19 . The hydrogel of claim 1 with 50% to 100% w/w of the agent being released when the hydrogel is from 100% to 50% persistent, with the persistence being a measure of the dry weight of the hydrogel relative to an initial dry weight of the hydrogel. 20 . The hydrogel of claim 19 wherein the period of time is 2-36 months.
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