Enthesis healing
US-2024390292-A1 · Nov 28, 2024 · US
US9744163B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9744163-B2 |
| Application number | US-201414210263-A |
| Country | US |
| Kind code | B2 |
| Filing date | Mar 13, 2014 |
| Priority date | Mar 15, 2013 |
| Publication date | Aug 29, 2017 |
| Grant date | Aug 29, 2017 |
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Delivery systems and compositions comprised of a biodegradable polyorthoester polymer, an aprotic solvent, and a drug are described. The solvent is selected to modulate release of drug from the composition, where, in some embodiments, the solvent is rapidly released after administration and provides a corresponding rapid rate of drug release. Alternatively, in other embodiments, the solvent is slowly released from the composition after its administration, and provides a correspondingly slow rate of drug release.
Opening claim text (preview).
What is claimed is: 1. A delivery system, comprising: (i) a polyorthoester represented by Formula III, where A is R 1 or R 3 , R* is C1-4 alkyl, n ranges from 5 to 1000, R 1 is: p and q are integers that vary from between about 1 to 20 and the average number of p or the average of the sum of p and q is between 1 and 7; R 3 and R 6 are each independently: x is an integer of 0-10; R 5 is H or methyl, and the fraction of A units that are of formula R 1 is between 0 and 25 mole percent; (ii) a solvent consisting essentially of one or more aprotic solvents, wherein at least one of the one or more aprotic solvents is selected from dimethyl sulfoxide, dimethyl acetamide, and N-methyl pyrrolidone, in which the polyorthoester is miscible to form a single phase; and (iii) a therapeutically active agent dispersed or solubilized in the single phase. 2. The delivery system of claim 1 , wherein the solvent is an organic solvent having a water solubility of greater than 25% by weight of the solvent in water at room temperature. 3. The delivery system of claim 1 , wherein the solvent is a dipolar aprotic solvent having a dipole moment greater than 2 Debye. 4. The delivery system of claim 1 , wherein the solvent is dimethyl sulfoxide. 5. The delivery system of claim 1 , wherein the solvent is N-methyl pyrrolidone. 6. The delivery system of claim 1 , wherein the therapeutically active agent is an anti-emetic, a local anesthetic or an opioid. 7. The delivery system of claim 6 , wherein the therapeutically active agent is granisetron, ropivacaine, or bupivacaine. 8. The delivery system of claim 1 , wherein A is R 1 in 0 to 10% of the monomeric units of the polyorthoester. 9. The delivery system of claim 1 , wherein the active agent is granisetron in an amount between 1-5 percent by weight of the delivery system, and the solvent is DMSO in an amount between 10-35 percent by weight of the delivery system. 10. The delivery system of claim 1 , wherein the system is flowable, and the solvent has a dipole moment greater than 2 Debye (D). 11. The delivery system of claim 10 , wherein the therapeutically active agent is an anti-emetic, a local anesthetic or an opioid. 12. The delivery system of claim 11 , wherein the therapeutically active agent is granisetron, ropivacaine, or bupivacaine. 13. The delivery system of claim 10 , wherein A is R 1 in 0 to 10% of the monomeric units of the polyorthoester. 14. The delivery system of claim 10 , wherein the active agent is granisetron in an amount between 1-5 percent by weight of the composition, and the solvent is DMSO in an amount between 10-35 percent by weight of the composition. 15. The delivery system of claim 1 , wherein R 3 and R 6 are both —(CH 2 —CH 2 —O) 2 —(CH 2 —CH 2 )—; R 5 is hydrogen; and p is 1 or 2. 16. The delivery system of claim 1 , wherein the polyorthoester comprises subunits selected from where x is an integer from 1-4, the total amount of p is an integer from 1-20, and s is an integer from 1-4. 17. The delivery system of claim 1 , wherein the polyorthoester comprises alternating residues of 3,9-diethyl-3,9-2,4,8,10-tetraoxaspiro[5.5]undecane-3,9-diyl, and a diol-ate residue of triethylene glycol or of triethylene glycol diglycolide, and comprises from about 0 to about 25 mole percent of glycolide-containing subunits. 18. The delivery system of claim 17 , wherein the polyorthoester has a molecular weight of 1,000 Da to 10,000 Da. 19. The delivery system of claim 1 , wherein the polyorthoester is prepared by reacting diketene acetal, 3,9-di(ethylidene)-2,4,8,10-tetraoxaspiro[5.5]undecane, with triethylene glycol and triethylene glycol diglycolide. 20. The delivery system of claim 19 , wherein the polyorthoester comprises about 20 mole percent R 1 , where R 1 is triethylene glycol diglycolide, and 80 mole percent R 3 , where R 3 is triethylene glycol. 21. The delivery system of claim 1 , wherein the aprotic solvent is dimethyl acetamide.
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