Title of Invention

SHORT DURATION DEPOT FORMULATIONS

Abstract An injectable depot composition comprising: (a) a low molecular weight bioerodible, biocompatible polymer; (b) a solvent selected from the group consisting of aromatic alcohols, esters of aromatic acids, aromatic ketones, and mixtures thereof, said solvent having miscibility in water of less than or equal to 7% at 25°C, to plasticize the polymer and form a gel therewith, said solvent or solvent mixture being present in 10% of 95% by weight of the gel; and (c) a beneficial agent such as herein described.
Full Text SHORT DURATION DEPOT FORMULATIONS
Related Application
This application claims the benefit of U.S. Provisional Application No.
60/391,867, filed on June 24, 2002.
BACKGROUND OF THE INVENTION
Field of the Invention
[0001] The present invention relates to a depot gel composition that can
be injected into a desired location and which can provide controlled release of
a beneficial agent over a short duration of time. The present invention also
relates to a method of preparing and administering the composition.
Description of the Related Art
[0002] Biodegradable polymers have been used for many years in
medical applications. Illustrative devices composed of the biodegradable
polymers include sutures, surgical clips, staples, implants, and drug delivery
systems. The majority of these biodegradable polymers have been based
upon glycolide, lactide, caprolactone, and copolymers thereof.
[0003] The biodegradable polymers can be thermoplastic materials,
meaning that they can be heated and formed into various shapes such as
fibers, clips, staples, pins, films, etc. Alternatively, they can be thermosetting
materials formed by crosslinking reactions, which lead to high-molecular-weight
materials that do not melt or form flowable liquids at high temperatures.
Although thermoplastic and thermosetting biodegradable polymers have many
useful biomedical applications, there are several important limitations to their
use in the bodies of various animals including humans, animals, birds, fish, and
reptiles.
[0004] Solid implant drug delivery systems containing a drug
incorporated in thermoplastic or thermosetting biodegradable polymers have

been widely used successfully. Such implants have to be inserted into the
body through an incision which is sometimes larger than desired by the
medical profession and occasionally lead to a reluctance of the patients to
accept such an implant or drug delivery system. The following patents U.S.
Patent Nos. 5,456,679; 5,336,057; 5,308,348; 5,279,608; 5,234,693;
5,234,692; 5,209,746; 5,151,093; 5,137.727; 5,112,614; 5,085,866; 5,059,423;
5,057,318; 4,865,845; 4,008,719; 3,987,790 and 3,797,492 are believed to be
representative of such drug delivery systems and are incorporated herein by
reference. These patents disclose reservoir devices, osmotic delivery devices
and pulsatile delivery devices for delivering beneficial agents.
[0005] Injecting drug delivery systems as small particles, microspheres,
or microcapsules avoids the incision needed to implant drug delivery systems.
However, these materials do not always satisfy the demand for a
biodegradable implant. These materials are particulate in nature, do not form a
continuous film or solid implant with the structural integrity needed for certain
prostheses, the particles tend to aggregate and thus their behavior is hard to
predict. When inserted into certain body cavities such as a mouth, a
periodontal pocket, the eye, or the vagina where there is considerable fluid
flow, these small particles, microspheres, or microcapsules are poorly retained
because of their small size and discontinuous nature. Further, if there are
complications, removal of microcapsule or small-particle systems from the
body without extensive surgical intervention is considerably more difficult than
with solid implants. Additionally, manufacture, storage and injectability of
microspheres or microcapsules prepared from these polymers and containing
drugs for release into the body present problems.
[0006] The art has developed various drug delivery systems in response
to the aforementioned challenges. The following patents U.S. Patent Nos.
5,990,194; 5,780,044; 5,733,950; 5,620,700; 5,599,552; 5,556,905 5,278,201;
5,242,910 and 4,938,763; and PCT publication WO 98/27962 are believed to
be representative and are incorporated herein by reference. These patents

disclose polymer compositions for injectable implants using solvents and/or
plasticizers.
[0007] Previously described polymer compositions for injectable implants
have used solvent/plasticizers that are very or relatively soluble in aqueous
body fluids to promote rapid solidification of the polymer at the implant site and
promote diffusion of drug from the implant. Rapid migration of water into such
polymeric implants utilizing water soluble polymer solvents when the implants
are placed in the body and exposed to aqueous body fluids presents a serious
problem. The rapid water uptake often results in implants having pore
structures that are non-homogeneous in size and shape. Typically, the surface
pores take on a finger-like pore structure extending for as much as one-third of
a millimeter or more from the implant surface into the implant, and such finger-
like pores are open at the surface of the implant to the environment of use.
The internal pores tend to be smaller and less accessible to the fluids present
in the environment of use. The rapid water uptake characteristic often results
in uncontrolled release of beneficial agent that is manifested by an initial, rapid
release of beneficial agent from the polymer composition, corresponding to a
"burst" of beneficial agent being released from the implant. The burst often
results in a substantial portion of the beneficial agent, if not all, being released
in a very short time, e.g., hours or 1-2 days. Such an effect can be
unacceptable, particularly in those circumstances where a controlled delivery is
desired, i.e., delivery of beneficial agent in a controlled manner over a period of
greater than or equal to 3 days or up to a month, or where there is a narrow
therapeutic window and release of excess beneficial agent can result in
adverse consequences to the subject being treated, or where it is necessary to
mimic the naturally-occurring daily profile of beneficial agents, such as
hormones and the like, in the body of the subject being treated.
[0008] Accordingly, when such devices are implanted, the finger-like
pores allow very rapid uptake of aqueous body fluids into the interior of the
implant with consequent immediate and rapid dissolution of significant

quantities of beneficial agent and unimpeded diffusion of beneficial agent into
the environment of use, producing the burst effect discussed above.
[0009] Furthermore, rapid water uptake can result in premature polymer
precipitation such that a hardened implant or one with a hardened skin is
produced. The inner pores and much of the interior of the polymer containing
beneficial agent are shut off from contact with the body fluids and a significant
reduction in the release of beneficial agent can result over a not insignificant
period of time ("lag time"). That lag time is undesirable from the standpoint of,
presenting a controlled, sustained release of beneficial agent to the subject
being treated. What one observes, then, is a burst of beneficial agent being
released in a short time period immediately after implantation, a lag time in
which no or very little beneficial agent is being released, and subsequently
continued delivery of beneficial agent (assuming beneficial agent remains after
the burst) until the supply of beneficial agent is exhausted.
[00010] Various approaches to control burst and modulate and stabilize
the delivery of the beneficial agent have been described. The following patents
U.S. Patent Nos. 6,130,200; 5,990,194; 5,780,044; 5,733,950; 5,656,297;
5,654,010; 4,985,404 and 4,853,218 and PCT publication WO 98/27962 are
believed to be representative and are incorporated herein by reference.
Notwithstanding some success, those methods have not been entirely
satisfactory for the large number of beneficial agents that would be effectively
delivered by implants.
SUMMARY OF THE INVENTION
[00011] The present invention provides a method and an injectable depot
gel composition for systemic and local delivery of a beneficial agent to a
subject over a short duration of time. In particular, the invention provides
controlled release of the beneficial agent to the subject being treated, the
release being controlled over a period equal to or less than two weeks after
administration, prefereably a period of about 3 to about 7 days. Additionally,

the invention provides a method of preparing the injectable depot gel
composition.
[00012] In one aspect, the invention pertains to an injectable depot
composition comprising a low molecular weight bioerodibie, biocompatible
polymer; a solvent having a miscibility in water of less than or equal to 7 wt.%
at 25°C, in an amount effective to plasticize the polymer and form a gel
therewith; and a beneficial agent dissolved or dispersed in the gel. Preferably
the solvent has a miscibility in water of less than 7 wt.%, more preferably less
than 5 wt%, and more preferably less than 3 wt%.
[00013] In another aspect, the invention pertains to an injectable depot
composition for systemic delivery of a beneficial agent to a subject in a
controlled manner over a duration equal to or less than two weeks comprising
a low molecular weight bioerodibie, biocompatible polymer; a solvent having a
miscibility in water of less than or equal to 7 wt.% at 25°C, in an amount
effective to plasticize the polymer and form a gel therewith; and a beneficial
agent dissolved or dispersed in the gel.
[00014] In an additional aspect, the invention pertains to an injectable
depot composition for sustained delivery of a beneficial agent to a subject
comprising a low molecular weight bioerodibie, biocompatible polymer; a
solvent having a miscibility in water of less than or equal to 7 wt.% at 25°C, in
an amount effective to plasticize the polymer and form a gel therewith; and a
beneficial agent dissolved or dispersed in the gel; wherein the beneficial agent
is delivered systemically in a controlled manner over a duration equal to or less
than two weeks, preferably about 24 hours to about 2 weeks, preferably about
10 days or shorter; preferably about 7 days or shorter, more preferably about 3
days to about 7 days.
[00015] In an additional aspect, the invention pertains to an injectable
depot composition for sustained delivery of a beneficial agent to a subject
comprising a low molecular weight bioerodibie, biocompatible polymer; a

solvent having a miscibility in water of less than or equal to 7 wt.% at 25°C, in
an amount effective to plasticize the polymer and form a gel therewith; and a
beneficial agent dissolved or dispersed in the gel; wherein the beneficial agent
is delivered locally in a controlled manner over a duration equal to or less than
two weeks, preferably about 24 hours to about 2 weeks, preferably about 10
days or shorten preferably about 7 days or shorter, more preferably about 3
days to about 7 days.
[00016] In another aspect, the invention pertains to an injectable depot,
composition as described above, further including at least one of the following:
a pore former; a solubility modulator for the beneficial agent; and an osmotic
agent; and optionally including an emulsifying and/or a thixotropic agent.
[00017] In another aspect, the invention pertains to an injectable depot
composition as described above, wherein the low molecular weight polymer
has a weight average molecular weight ranging from about 3000 to about
10,000; preferably from about 3000 to about 9,000; more preferably from about
4000 to about 8,000; and more preferably the low molecular weight polymer
has a molecular weight of about 7000, about 6000, about 5000, about 4000
and about 3000.
[00018] In another aspect, the invention pertains to an injectable depot
composition as described above, wherein the polymer is selected from the
group consisting of polylactides, polyglycolides, polyanhydrides, polyamines,
polyesteramides, polyorthoesters, polydioxanones, polyacetals, polyketals,
polycarbonates, polyphosphoesters, polyorthocarbonates, polyphosphazenes,
succinates, poly(malic acid), poly(amino acids), polyvinylpyrrolidone,
polyethylene glycol, polyhydroxycellulose, chitin, chitosan, hylauronic acid and
copolymers, terpolymers and mixtures thereof. In preferred embodiments, the
polymer is a lactic acid-based polymer; preferably the polymer is a copolymer
of lactic acid and glycolic acid.

[00019] In another aspect, the invention pertains to an injectable depot
composition as described above, wherein the solvent is selected from an
aromatic alcohol having the structural formula (I)
Ar-(L)n-OH (I)
in which Ar is a substituted or unsubstituted aryl or heteroaryl group, n is zero
or 1, and L is a linking moiety; and a solvent selected from the group
consisting of esters of aromatic acids, aromatic ketones, and mixtures thereof.
[00020] In preferred embodiments, the solvent is selected from the
aromatic alcohol, lower alkyl and aralkyl esters of aryl acids; aryl, aralkyl and
lower alkyl ketones; and lower alkyl esters of citric acid. Preferably, the solvent
is selected from benzyl alcohol, benzyl benzoate and ethyl benzoate. In
preferred embodiments, the composition is free of solvents having a miscibility
in water that is greater than 7 wt.% at 25°C.
[00021] In additional aspects, the invention pertains to methods of
administering a beneficial agent to a subject in a controlled manner over a
duration equal to or less than two weeks, comprising administering an
injectable depot composition as described above. In certain embodiments, the
beneficial agent is delivered systemically in a controlled manner over a
duration equal to or less than two weeks. In additional embodiments, the
beneficial agent is delivered locally in a controlled manner over a duration
equal to or less than two weeks. In preferred embodiments, the beneficial
agent is delivered over a duration of about 24 hours to about 2 weeks,
preferably about 10 days or shorter; preferably about 7 days or shorter, more
preferably about 3 days to about 7 days.
[00022] In additional aspects, the invention pertains to a kit for
administration of a beneficial agent to a subject comprising:
(a) a low molecular weight bioerodible, biocompatible polymer;
(b) a solvent having a miscibility in water of less than or equal to 7 wt.%
at 25°C that is suitable for dissolving the polymer and forming a viscous gel;
(c) a beneficial agent; and optionally, one or more of the following:

(d) an emulsifying agent;
(e) a pore former;
(f) a solubility modulator for the beneficial agent, optionally associated
with the beneficial agent' and
(g) an osmotic agent;
wherein at least the beneficial agent, optionally associated with the
solubility modulator, is maintained separated from the solvent until the time of
administration of the beneficial agent to a subject.
[00023] In another aspect, the invention pertains to an injectable depot
composition and a method of administering such composition as described
above, wherein the beneficial agent is selected from a drug, proteins, enzymes,
hormones, polynucleotides, nucleoproteins, polysaccharides, glycoproteins,
lipoproteins, polypeptides, steroids, analgesics, local anesthetics, antibiotic
agents, chemotherapeutic agents, immunosuppressive agents, anti-
inflammatory agents, antiproliferative agents, antimitotic agents, angiogenic
agents, antipsychotic agents, central nervous system (CNS) agents,
anticoagulants, fibrinolytic agents, growth factors, antibodies, ocular drugs, and
metabolites, analogs, derivatives, fragments, and purified, isolated,
recombinant and chemically synthesized versions of these species. In
preferred embodiments, the beneficial agent is human growth hormone,
methionine-human growth hormone; des-phenylalanine human growth
hormone, alpha-, beta- or gamma-interferon, erythropoietin, glugacon,
calcitonin, heparin, interleukin-1, interieukin-2, Factor VIII, Factor IX, luteinizing
hormone, relaxin, follicle-stimulating hormone, atrial natriuretic factor, filgrastim
epidermal growth factors (EGFs), platelet-derived growth factor (PDGFs),
insuiiri-like growth factors (IGFs), fibroblast-growth factors (FGFs),
transforming-growth factors (TGFs), interleukins (ILs), colony-stimulating
factors (CSFs, MCFs, GCSFs, GMCSFs), Interferons (IFNs), endothelial
growth factors (VEGF, EGFs), erythropoietins (EPOs), angiopoietins (ANGs),
placenta-derived growth factors (PIGFs), and hypoxia induced transcriptional
regulators (HIFs). Preferably, the beneficial agent is present in an amount of
from 0.1 to 50% by weight of the combined amounts of the polymer, the

solvent and the beneficial agent. In preferred embodiments, the beneficial
agent is in the form of particles dispersed or dissolved in the viscous gel,
wherein the beneficial agent is in the form of particles having an average
particle size of from 0.1 to 250 microns. In certain preferred embodiments, the
beneficial agent is in the form of particles wherein the particle further
comprises a component selected from the group consisting of a stabilizing
agent, bulking agent, chelating agent and a buffering agent.
[00024] These and other embodiments of the present invention will
readily occur to those of ordinary skill in the art in view of the disclosure herein.
BRIEF DESCRIPTION OF THE DRAWINGS
[00025] The foregoing and other objects, features and advantages of the
present invention will be more readily understood upon reading the following
detailed description in conjunction with the drawings as described hereinafter.
[00026] Figure 1 is a graph illustrating the in vivo release profile of
bupivacaine hydrochloride obtained from depot formulations of the present
invention (formulations 1-2).
[00027] Figure 2 is a graph illustrating the in vivo release profile of
bupivacaine base obtained from depot formulations of the present invention
(formulations 3-4).
[00028] Figure 3 is a graph illustrating the in vivo release profile of
bupivacaine base obtained from a depot formulation of the present invention
(formulation 4).
[00029] Figure 4 is a graph illustrating the in vivo release profile of human
growth hormone (hGH) obtained from depot formulations of the present
invention (formulations 5-6).

[00030] Figure 5 is a graph illustrating the in vivo release profile of hGH
obtained from a depot formulation of the present invention (formulation 6).
[00031] Figure 6 is a graph illustrating the in vivo release profile of hGH
obtained from depot formulations of the present invention (formulations 6-7)
[00032] Figure 7 is a graph illustrating the in vivo release profile of
bupivacaine obtained from depot formulations of the present invention
(formulations 8-9).
[00033] Figure 8 is a graph illustrating the in vivo release profile of
bupivacaine obtained from depot formulations of the present invention
(formulations 9-10).
[00034] Figure 9 is a graph illustrating the in vivo release profile of
bupivacaine obtained from depot formulations of the present invention
(formulations 10-11).
[00035] Figure 10 is a graph illustrating the in vivo release profile of
bupivacaine obtained from depot formulations of the present invention
(formulations 11-12).
[00036] Figure 11 is a DSC diagram of the low molecular weight PLGA
with an ester end group used to make various formulations of the present
invention (formulations 2, 4, 6,7,11, and 12).
[00037] Figure 12 is a DSC diagram of the low molecular weight PLGA
with a carboxyl end group used to make a various formulations of the present
invention (formulations 8, 9, and 10).
[00038] Figure 13 is a graph illustrating the in vitro degradation profile of
PLGA polymers of varying molecular weights with different end groups.

DETAILED DESCRIPTION OF THE INVENTION
[00039] The present Invention is directed to an injectable depot
composition that serves as an implanted sustained release beneficial agent
delivery system after injection into a patient's body. The composition is a gel
formed from a low molecular weight bioerodible, biocompatible polymer; a
solvent having a miscibility in Water of less than or equal to 7 wt.% at 25°C, in
an amount effective to plasticize the polymer and form a gel therewith; and a
beneficial agent dissolved or dispersed in the gel. The present invention is
also directed to a method of systemicaliy or locally administering a beneficial
agent to a subject by implanting in the subject an injectable depot composition
as described above. By appropriate choice of solvent, water migration from the
aqueous environment surrounding the implant system is restricted, and
beneficial agent is released to the subject over a period of time, thus providing
for delivery of the beneficial agent with a controlled burst of beneficial agent
and sustained release thereafter. The duration and the rate of release of the
beneficial agent are controlled by appropriate choice of the low molecular
weight biodegradable polymer. The composition provides controlled sustained
release of the beneficial agent by restricting water migration from the aqueous
environment surrounding the implant system, thus delivering the beneficial
agent over a short duration, preferably a period equal to or less than two
weeks, preferably about 24 hours to about 2 weeks, preferably about 10 days
or shorter; preferably about 7 days or shorter, more preferably about 3 days to
about 7 days. Because the polymer of the composition is bioerodible, the
implant system does not have to be surgically removed after beneficial agent is
depleted from the implant.
[00040] Generally, the compositions of the invention are gel-like and form
with a substantially homogeneous non-porous structure throughout the implant
upon implantation and during drug delivery, even as it hardens. Furthermore,
while the polymer gel implant will slowly harden when subjected to an aqueous
environment, the hardened implant may maintain a rubbery (non-rigid)
composition with the glass transition temperature Tg being below 37°C.

[00041] It has been discovered that when a solvent having a solubility in
water of less than 7% by weight in water is present in the system, suitable burst
control and sustained delivery of beneficial agent is achieved, whether or not a
solubility modulator of the beneficial agent is present in the system. Typically,
the implant systems useful in this invention will release, in the first 24 hours
after implantation, 40% or less of the total amount of beneficial agent to be
delivered to the subject from the implant system, preferably 30% or less and
more preferably 20% or less. In certain embodiments, within 24 hours after ,
implantation the system releases less than or equal to 20% by weight of the
amount of beneficial agent to be delivered over the duration of the delivery
period, wherein the delivery period is 2 weeks. In additional embodiments,
within 24 hours after implantation the system releases less than or equal to
40% by weight of the amount of beneficial agent to be delivered over the
duration of the delivery period, wherein the delivery period is one week. In
additional embodiments, within 24 hours after implantation the system releases
less than or equal to 50% by weight of the amount of beneficial agent to be
delivered over the duration of the delivery period, wherein the delivery period is
three days.
[00042] When the composition is intended for implantation by injection,
the viscosity optionally may be modified by emulsifiers and/or thixotropic
agents to obtain a gel composition having a viscosity low enough to permit
passage of the gel composition through a needle. Also, pore formers and
solubility modulators of the beneficial agent may be added to the implant
systems to provide desired release profiles from the implant systems, along
with typical pharmaceutical excipients and other additives that do not change
the beneficial aspects of the present invention. The addition of a solubility
modulator to the implant system may enable the use of a solvent having a
solubility of 7% or greater in the implant system with minimal burst and
sustained delivery under particular circumstances. However, it is presently
preferred that the implant system utilize at least one solvent having a solubility
in water of less than 7% by weight, whether the solvent is present alone or as

part of a solvent mixture. It has also been discovered that when mixtures of
solvents which include a solvent having 7% or less by weight solubility in water
and one or more miscible solvents, optionally having greater solubility, are
used, implant systems exhibiting limited water uptake and minimal burst and
sustained delivery characteristics are obtained.
Definitions
[00043] In describing and claiming the present invention, the following
terminology will be used in accordance with the definitions set out below.
[00044] The singular forms "a," "an" and "the" include plural referents
unless the context clearly dictates otherwise. Thus, for example, reference to
"a solvent" includes a single solvent as well as a mixture of two or more
different solvents, reference to "a beneficial agent" includes a single beneficial
agent as well as two or more different beneficial agents in combination, and the
like.
[00045] The term "beneficial agent" means an agent that effects a desired
beneficial, often pharmacological, effect upon administration to a human or an
animal, whether alone or in combination with other pharmaceutical excipients
or inert ingredients.
[00046] As used herein, the term "polynucleotide" refers to a polymeric
form of nucleotides of any length, either ribonucleotides or
deoxyribonucleotides, and includes double- and single-stranded DNA and
RNA. It also includes known types of modifications, substitutions, and
intemucleotide modifications, which are known in the art.
[00047] As used herein, the term "recombinant polynucleotide" refers to a
polynucleotide of genomic, cDNA, semisynthetic, or synthetic origin which, by
virtue of its origin or manipulation: is not associated with all or a portion of a
polynucleotide with which it is associated in nature; is linked to a polynucleotide
other than that to which it is linked in nature; or does not occur in nature.

[00048] As used herein, the term "polypeptide" refers to a polymer of
amino acids, inlcuding for example, peptides, oligopeptides, and proteins and
derivatives, analogs and fragments thereof, as well as other modifications
known in the art, both naturally occurring and non-naturally occurring.
[00049] As used herein, the term "purified" and "isolated" when referring
to a polypeptide or nucleotide sequence means that the indicated molecule is
. present in the substantial absence of other biological macromolecules of the
same type. The term "purified" as used herein preferably means at least 75%
by weight, more preferably at least 85% by weight, more preferably still at least
95% by weight, and most preferably at least 98% by weight, of biological
macromolecules of the same type present.
[00050] The term "AUC" means the area under the curve obtained from
an in vivo assay in a subject by plotting blood plasma concentration of the
beneficial agent in the subject against time, as measured from the time of
implantation of the composition, to a time "t" after implantation. The time t will
correspond to the delivery period of beneficial agent to a subject.
[00051] The term "burst index" means, with respect to a particular
composition intended for systemic delivery of a beneficial agent, the quotient
formed by dividing (i) the AUC calculated for the first time period after
implantation of the composition into a subject divided by the number of hours in
the first time period (ti), by (ii) the AUC calculated for the time period of
delivery of beneficial agent, divided by the number of hours in the total duration
of the delivery period (t2). For example the burst index at 24 hours is the
quotient formed by dividing (i) the AUC calculated for the first twenty-four hours
after implantation of the composition into a subject divided by the number 24,
by (ii) the AUC calculated for the time period of delivery of beneficial agent,
divided by the number of hours in the total duration of the delivery period.

[00052] The phrase "dissolved or dispersed" is intended to encompass all
means of establishing a presence of beneficial agent in the gel composition
and includes dissolution, dispersion, suspension and the like.
[00053] The term "systemic" means, with respect to delivery or
administration of a beneficial agent to a subject, that the beneficial agent is
detectable at a biologically-significant level in the blood plasma of the subject.
[00054] The term "local" means, with respect to delivery or administration
of a beneficial agent to a subject, that the beneficial agent is delivered to a
localized site in the subject but is not detectable at a biologically significant
level in the blood plasma of the subject.
[00055] The terms "short period" or "short duration" are used
interchangeably and refer to a period of time over which release of a beneficial
agent from the depot gel composition of the invention occurs, which will
generally be equal to or less than two weeks, preferably about 24 hours to
about 2 weeks, preferably about 10 days or shorter; preferably about 7 days or
shorter, more preferably about 3 days to about 7 days.
[00056] The term "gel vehicle" means the composition formed by mixture
of the polymer and solvent in the absence of the beneficial agent.
[00057] The term "initial burst" means, with respect to a particular
composition of this invention, the quotient obtained by dividing (i) the amount
by weight of beneficial agent released from the composition in a predetermined
initial period of time after implantation, by (ii) the total amount of beneficial
agent that is to be delivered from an implanted composition. It is understood
that the initial burst may vary depending on the shape and surface area of the
implant. Accordingly, the percentages and burst indices associated with initial
burst described herein are intended to apply to compositions tested in a form
resulting from dispensing of the composition from a standard syringe.

[00058] The term "solubility modulator" means, with respect to the
beneficial agent, an agent that will alter the solubility of the beneficial agent,
with reference to polymer solvent or water, from the solubility of beneficial
agent in the absence of the modulator. The modulator may enhance or retard
the solubility of the beneficial agent in the solvent or water. However, in the
case of beneficial agents that are highly water soluble, the solubility modulator
will generally be an agent that will retard the solubility of the beneficial agent in
water. The effects of solubility modulators of the beneficial agent may result
from interaction of the solubility modulator with the solvent, or with the
beneficial agent itself, such as by the formation of complexes, or with both. For
the purposes hereof, when the solubility modulator is "associated" with the
beneficial agent, all such interactions or formations as may occur are intended.
Solubility modulators may be mixed with the beneficial agent prior to its
combination with the viscous gel or may be added to the viscous gel prior to
the addition of the beneficial agent, as appropriate.
[00059] The terms "subject" and "patient" mean, with respect to the
administration of a composition of the invention, an animal or a human being.
[00060] Since all solvents, at least on a molecular level, will be soluble in
water (i.e., miscible with water) to some very limited extent, the term
"immiscible" as used herein means that 7% or less by weight, preferably 5% or
less, of the solvent is soluble in or miscible with water. For the purposes of this
disclosure, solubility values of solvent in water are considered to be determined
at 25°C. Since it is generally recognized that solubility values as reported may
not always be conducted at the same conditions, solubility limits recited herein
as percent by weight miscible or soluble with water as part of a range or upper
limit may not be absolute. For example, if the upper limit on solvent solubility in
water is recited herein as "7% by weight," and no further limitations on the
solvent are provided, the solvent "triacetin," which has a reported solubility in
water of 7.17 grams in 100 ml of water, is considered to be included within the
limit of 7%. A solubility limit in water of less than 7% by weight as used herein

does not include the solvent triacetin or solvents having solubilities in water
equal to or greater than triacetin.
[00061] The term "bioerodible" refers to a material that gradually
decomposes, dissolves, hydrolyzes and/or erodes in situ. Generally, the
"bioerodible" polymers herein are polymers that are hydrolyzable, and bioerode
in situ primarily through hydrolysis.
[00062] The term "thixotropic" is used in its conventional sense to refer to
a gel composition that can liquefy or at least exhibit a decrease in apparent
viscosity upon application of mechanical force such as shear force. The extent
of the reduction is in part a function of the shear rate of the gel when subjected
to the shearing force. When the shearing force is removed, the viscosity of the
thixotropic gel returns to a viscosity at or near that which it displayed prior to
being subjected to the shearing force. Accordingly, a thixotropic gel may be
subjected to a shearing force when injected from a syringe which temporarily
reduces its viscosity during the injection process. When the injection process
is completed, the shearing force is removed and the gel returns very near to its
previous state.
[00063] A "thixotropic agent" as used herein is one that increases the
thixotropy of the composition in which it is contained, promoting shear thinning
and enabling use of reduced injection force.
[00064] The term "low molecular weight (LMW) polymer" refers to
bioerodible polymers having a weight average molecular weight ranging from
about 3000 to about 10,000; preferably from about 3000 to about 9,000; more
preferably from about 4000 to about 8,000; and more preferably the low
molecular weight polymer has a molecular weight of about 7000, about 6000,
about 5000, about 4000 and about 3000 as determined by gel permeation
chromatography (GPC).

[00065] The term "high molecular weight (HMW) polymer" refers to
bioerodible polymers having a weight average molecular weight greater than
10,000 as determined by gel permeation chromatography (GPC).
[00066] The polymer, solvent and other agents of the invention must be
"biocompatible"; that is they must not cause irritation, inflammation or necrosis
in the environment of use. The environment of use is a fluid environment and
may comprise a subcutaneous, intramuscular, intravascular (high/low flow),
intramyocardial, adventitial, intratumoral, or intracerebral portion, wound sites
tight joint spaces or body cavity of a human or animal.
[00067] The following definitions apply to the molecular structures
described herein:
As used herein, the phrase "having the formula" or "having the structure" is not
intended to be limiting and is used in the same way that the term "comprising"
is commonly used.
[00068] The term "alkyl" as used herein refers to a saturated hydrocarbon
group typically although not necessarily containing 1 to about 30 carbon atoms,
such as methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, t-butyl, octyl, decyl,
and the like, as well as cycloalkyl groups such as cyclopentyl, cyclohexyl and
the like. Generally, although again not necessarily, alkyl groups herein contain
1 to about 12 carbon atoms. The term "lower alkyl" intends an alkyl group of 1
to 6 carbon atoms, preferably 1 to 4 carbon atoms. "Substituted alkyl" refers to
alkyl substituted with one or more substituent groups, and the terms
"heteroatom-containing alkyl" and "heteroalkyl" refer to alkyl in which at least
one carbon atom is replaced with a heteroatom. If not otherwise indicated, the
terms "alkyl" and "lower alkyl" include linear, branched, cyclic, unsubstituted,
substituted, and/or heteroatom-containing alkyl or lower alkyl.
[00069] The term "aryl" as used herein, and unless otherwise specified,
refers to an aromatic substituent containing a single aromatic ring or multiple
aromatic rings that are fused together, linked covalentty, or linked to a common

group such as a methylene or ethylene moiety. Preferred aryl groups contain
one aromatic ring or two fused or linked aromatic rings, e.g., phenyl, naphthyl,
biphenyl, dlphenylether, diphenylamine, benzophenone, and the like, and most
preferred aryl groups are monocyclic. "Substituted aryl" refers to an aryl moiety
substituted with one or more substituent groups, and the terms "heteroatom-
containing aryl" and "heteroaryl" refer to aryl in which at least one carbon atom
is replaced with a heteroatom. Unless otherwise indicated, the term "aryl"
includes heteroaryl, substituted aryl, and substituted heteroaryl groups.
[00070] The term "aralkyl" refers to an alkyl group substituted with an aryl
group, wherein alkyi and aryl are as defined above. The term "heteroaralkyl"
refers to an alkyl group substituted with a heteroaryl group. Unless otherwise
indicated, the term "aralkyl" includes heteroaralkyl and substituted aralkyl
groups as well as unsubstituted aralkyl groups. Generally, the term "aralkyl"
herein refers to an aryl-substituted lower alkyl group, preferably a phenyl
substituted lower alkyl group such as benzyl, phenethyl, 1-phenylpropyl, 2-
phenylpropyl, and the like.
[00071] The term "heteroatom-containing" as in a "heteroatom-containing
hydrocarbyl group" refers to a molecule or molecular fragment in which one or
more carbon atoms is replaced with an atom other than carbon, e.g., nitrogen,
oxygen, sulfur, phosphorus or silicon. Similarly, the term "heterocyclic" refers
to a cyclic substituent that is heteroatom-containing, the term "heteroaryl"
refers to an aryl substituent that is heteroatom-containing, and the like.
[00072] By "substituted" as in "substituted alkyl," "substituted aryl" and the
like, as alluded to in some of the aforementioned definitions, is meant that in
the alkyl or aryl moiety, respectively, at least one hydrogen atom bound to a
carbon atom is replaced with one or more non-interfering substituents such as
hydroxy!, alkoxy, thio, amino, halo, and the like.

I. Injectable Depot Compositions:
[00073] As described previously, injectable depot compositions for
delivery of beneficial agents over a short duration of time may be formed as
viscous gels prior to injection of the depot into a subject. The viscous gel
supports dispersed beneficial agent to provide appropriate delivery profiles,
which include those having low initial burst, of the beneficial agent as the
beneficial agent is released from the depot over time.
[00074] The polymer, solvent and other agents of the invention must be
biocompatible; that is they must not cause irritation or necrosis in the
environment of use. The environment of use is a fluid environment and may
comprise a subcutaneous, intramuscular, intravascular (high/low flow),
intramyocardial, adventitial, intratumoral, or intracerebral portion, wound sites,
tight joint spaces or body cavity of a human or animal. In certain embodiments,
the beneficial agent may be administered locally to avoid or minimize systemic
side effects. Gels of the present invention containing a beneficial agent may
be injected/implanted directly into or applied as a coating to the desired
location, e.g., subcutaneous, intramuscular, intravascular, intramyocardial,
adventitial, intratumoral, or intracerebral portion, wound sites, tight joint spaces
or body cavity of a human or animal.
[00075] Typically, the viscous gel will be injected from a standard
hypodermic syringe, a catheter or a trocar, that has been pre-filled with the
beneficial agent-viscous gel composition as the depot. It is often preferred that
injections take place using the smallest size needle (i.e., smallest diameter) or
catheter to reduce discomfort to the subject when the injection is in a
subcutaneous, intramuscular, intravascular (high/low flow), intramyocardial,
adventitial, intratumoral, or intracerebral portion, wound sites, tight joint spaces
or body cavity of a human or animal. It is desirable to be able to inject gels
through a needle or a catheter ranging from 16 gauge and higher, preferably
20 gauge and higher, more preferably 22 gauge and higher, even more
preferably 24 gauge and higher. With highly viscous gels, i.e., gels having a
viscosity of about 100 poise or greater, injection forces to dispense the gel from

a syringe having a needle in the 20-30 gauge range may be so high as to make
the injection difficult or reasonably impossible when done manually. At the
same time, the high viscosity of the gei is desirable to maintain the integrity of
the depot after injection and during the dispensing period and aiso facilitate
desired suspension characteristics of the beneficial agent in the gel.
[00076] A composition of a polymer and polymer solvent that optionally
includes an agent that imparts thixotropic characteristics to the viscous gel
formed by the polymer solvent and polymer provides certain advantages. A
thixotropic gel exhibits reduced viscosity when subjected to shear force. The
extent of the reduction is in part a function of the shear rate of the gel when
subjected to the shearing force. When the shearing force is removed, the
viscosity of the thixotropic gel returns to a viscosity at or near that which it
displayed prior to being subjected to the shearing force. Accordingly, a
thixotropic gel may be subjected to a shearing force when injected from a
syringe or a catheter, which temporarily reduces its viscosity during the
injection process. When the injection process is completed, the shearing force
is removed and the gel returns very near to its previous state.
[00077] Significant shear thinning properties of the injectable composition
allow for a minimally invasive delivery, via a needle or a catheter, of a
beneficial agent to various sites on an external and/or internal surface of the
body. Further injection through the needle or injection catheter permits precise
administration of a desirable amount of the composition at a desired location,
with significant retention of the depot gel composition at the site of delivery
while providing for sustained delivery of the beneficial agent from the site of
administration. In certain embodiments, the injection catheter may include a
metering device or an additional device to assist in the precise delivery of the
composition.
A. The Bioerodible, Biocompatible Polymen
[00078] Polymers that are useful in conjunction with the methods and
compositions of the invention are bioerodible, i.e., they gradually degrade e.g.,

enzymatically or hydrolyze, dissolve, physically erode, or otherwise disintegrate
within the aqueous fluids of a patient's body. Generally, the polymers bioerode
as a result of hydrolysis or physical erosion, although the primary bioerosion
process is typically hydrolysis or enzymatic degradation.
[00079] Such polymers include, but are not limited to polylactides,
polyglycolides, polyanhydrides, polyamines, polyesteramides, polyorthoesters,
polydioxanones, polyacetals, polyketals, polycarbonates, polyorthocarbonates,
polyphosphazenes, succinates, poly(malic acid), poly(amino acids),
polyvinylpyrrolidone, polyethylene glycol, polyhydroxycellulose,
polyphosphoesters, chitin, chitosan, hylauronic acid and copolymers,
terpolymers and mixtures thereof.
[00080] The low molecular weight bioerodlble polymers have weight
average molecular weight ranging from about 3000 to about 10,000; preferably
from about 3000 to about 9,000; more preferably from about 4000 to about
8,000; and more preferably the low molecular weight polymer has a molecular
weight of about 7000, about 6000, about 5000, about 4000 and about 3000 as
determined by gel permeation chromatography (GPC).
Presently preferred polymers are polylactides, that is, a lactic acid-based
polymer that can be based solely on lactic acid or can be a copolymer based
on lactic acid and glycolic acid which may include small amounts of other
comonomers that do not substantially affect the advantageous results which
can be achieved in accordance with the present invention. As used herein, the
term "lactic acid" includes the isomers L-lactic acid, D-lactic acid, DL-lactic acid
and lactide while the term "glycolic acid" includes glycolide. Most preferred are
poly(lactide-co-glycolide)copolymers, commonly referred to as PLGA. The
polymer may have a monomer ratio of lactic acid/glycolic acid of from about
100:0 to about 15:85, preferably from about 60:40 to about 75:25 and an
especially useful copolymer has a monomer ratio of lactic acid/glycolic acid of
about 50:50.

[00081] The lactic acid-based polymer has a weight average molecular
weight ranging from about 3000 to about 10,000; preferably from about 3000 to
about 9,000; more preferably from about 4000 to about 8,000; and more
preferably the low molecular weight polymer has a molecular weight of about
7000, about 6000, about 5000, about 4000 and about 3000 as determined by
gel permeation chromatography (GPC). As indicated in aforementioned U.S.
Patent No. 5,242,910, the polymer can be prepared in accordance with the
teachings of U.S. Patent No. 4,443,340. Alternatively, the lactic acid-based
polymer can be prepared directly from lactic acid or a mixture of lactic acid and
glycolic acid (with or without a further comonomer) in accordance with the
techniques set forth in U.S. Patent No. 5,310,865. The contents of all of these
patents are incorporated by reference. Suitable lactic acid-based polymers are
available commercially. For instance, 50:50 lactic acid.glycolic acid
copolymers having weight average molecular weight ranging from about 3000
to about 10,000; preferably from about 3000 to about 9,000; more preferably
from about 4000 to about 8,000; and more preferably the low molecular weight
polymer has a molecular weight of about 7000, about 6000, about 5000, about
4000 and about 3000, and a wide variety of end groups to alter susceptibility to
hydrolysis and subsequent breakdown of the polymer chain are available from
Boehringer Ingelheim (Petersburg, VA).
[00082] Examples of polymers include, but are not limited to, Poly (D,L-
lactide-co-glycolide) 50:50 Resomer® RG502, code 0000366, Poly (D,L-lactide-
co-glycolide) 50:50 Resomer® RG502H, PLGA-502H, code no. 260187, Poly
D,L Lactide (Resomer® R 202, Resomer® R 203); Poly dioxanone (Resomer® X
210) (Boehringer Ingelheim Chemicals, Inc., Petersburg, VA).
[00083] Additional examples include, but are not limited to, DL-
lactide/glycolide 100:0 (MEDISORB® Polymer 100 DL High, MEDISORB®
Polymer 100 DL Low); DL-lactide/ glycolide 85/15 (MEDISORB® Polymer 8515
DL High, MEDISORB® Polymer 8515 DL Low); DL-lactide/glycolide 75/25
(MEDISORB® Polymer 7525 DL High, MEDISORB® Polymer 7525 DL Low);
DL-lactide/glycolide 65/35 (MEDISORB® Polymer 6535 DL High, MEDISORB®

Polymer 6535 DL Low); DL-lactide/glycolide 54/46 (MEDISORB® Polymer 5050
DL High, MEDISORB® Polymer 5050 DL Low); and DL-lactide/glycolide 54/46
(MEDISORB® Polymer 5050 DL 2A(3), MEDISORB® Polymer 5050 DL 3A(3),
MEDISORB® Polymer 5050 DL 4A(3)) (Medisorb Technologies International
L.P., Cincinatti, OH); and Poly D,L-lactide-co-glycolide 50:50; Poly D,L-lactide-
co-glycolide 65:35; Poly D,L-lactide-co-glycolide 75:25; Poly D,L-lactide-co~
glycolide 85:15; Poly DL-lactide; Poly L-lactide; Poly glycolide; Poly e-
caprolactone; Poly DL-lactide-co-caprolactone 25:75; and Poly DL-lactide-cc-
caprolactone 75:25 (Birmingham Polymers, Inc., Birmingham, AL).
[00084] It has been surprisingly found that injectable depot gel
formulations of the invention comprising low molecular weight polymers provide
a controlled, sustained release of a beneficial agent over a short duration of
time equal to or less than two weeks. The release rate profile can be
controlled by the appropriate choice of a low molecular weight polymer, a water
immiscible solvent, the polymer/solvent ratio, emulsifying agent, thixotropic
agent, pore former, solubility modifier for the beneficial agent, an osmotic
agent, and the like
[00085] The biocompatible polymer is present in the gel composition in an
amount ranging from about 5 to about 90% by weight, preferably from about 10
to about 85% by weight, preferably from about 15 to about 80% by weight,
preferably from about 20 to about 75% by weight, preferably from about 30 to
about 70% by weight and typically from about 35 to about 65%, and often
about 40 to about 60% by weight of the viscous gel, the viscous gel comprising
the combined amounts of the biocompatible polymer and the solvent. The
solvent will be added to polymer in amounts described below, to provide
injectable depot gel compositions.
B. Solvents and Agents:
[00086] The injectable depot composition of the invention contains a
water-immiscible solvent in addition to the bioerodible polymer and the
beneficial agent. In preferred embodiments, the compositions described herein

are also free of solvents having a miscibility in water that is greater than 7 wt.%
at25°C.
[00087] The solvent must be biocompatible, should form a viscous gel
with the polymer, and restrict water uptake into the implant. The solvent may
be a single solvent or a mixture of solvents exhibiting the foregoing properties.
The term "solvent", unless specifically indicated otherwise, means a single
solvent or a mixture of solvents. Suitable solvents will substantially restrict the
uptake of water by the implant and may be characterized as immiscible in
water, i.e., having a solubility in water of less than 7% by weight. Preferably,
the solvents are five weight percent or less soluble in water; more preferably
three weight percent or less soluble in water; and even more preferably one
weight percent or less soluble in water. Most preferably the solubility of the
solvent in water is equal to or less than 0.5 weight percent.
[00088] Water miscibility may be determined experimentally as follows:
Water (1-5 g) is placed in a tared clear container at a controlled temperature,
about 20°C, and weighed, and a candidate solvent is added dropwise. The
solution is swirled to observe phase separation. When the saturation point
appears to be reached, as determined by observation of phase separation, the
solution is allowed to stand overnight and is re-checked the following day. If
the solution is still saturated, as determined by observation of phase
separation, then the percent (w/w) of solvent added is determined. Otherwise
more solvent is added and the process repeated. Solubility or miscibility is
determined by dividing the total weight of solvent added by the final weight of
the solvent/water mixture. When solvent mixtures are used, for example 20%
triacetin and 80% benzyl benzoate, they are pre-mixed prior to adding to the
water.
[00089] Solvents useful in this invention are generally less than 7% water
soluble by weight as described above. Solvents having the above solubility
parameter may be selected from aromatic alcohols, the lower alkyl and aralkyl
esters of aryl acids such as benzoic acid, the phthalic acids, salicylic acid,

lower alkyl esters of citric acid, such as Methyl citrate and tributyl citrate and
the like, and aryl, aralkyl and lower alkyl ketones. Among preferred solvents
are those having solubilities within the foregoing range selected from
compounds having the following structural formulas (I), (II) and (III)
The aromatic alcohol has the structural formula (I)

wherein Ar is a substituted or unsubstituted aryl or heteroaryl group, n is
zero or 1, and L is a linking moiety. Preferably, Ar is a monocyclic aryl or
heteroaryl group, optionally substituted with one or more noninterfering
substituents such as hydroxy!, alkoxy, thio, amino, halo, and the like. More
preferably, Ar is an unsubstituted 5- or 6-membered aryl or heteroaryl group
such as phenyl, cyciopentadienyl, pyridinyl, pyrimadinyl, pyrazinyl, pyrrolyl,
pyrazolyl, imidazolyl, furanyl, thiophenyl, thiazolyl, isothiazolyl, or the like. The
subscript "n" is zero or 1, meaning that the linking moiety L may or may not be
present. Preferably, n is 1 and L is generally a lower alkylene linkage such as
methylene or ethylene, wherein the linkage may include heteroatoms such as
O, N or S. Most preferably, Ar is phenyl, n is 1, and L is methylene, such that
the aromatic alcohol is benzyl alcohol.
[00090] The aromatic acid ester or ketone may be selected from the lower
alkyl and aralkyl esters of aromatic adds, and aryl and aralkyl ketones.
Generally, although not necessarily, the aromatic acid esters and ketones will
respectively have the structural formula (II) or (III)

[00091] In the ester of formula (II), R1 is substituted or unsubstituted aryl,
aralkyl, heteroaryl or heteroaralkyi, preferably substituted or unsubstituted aryl
or heteroaryl, more preferably monocyclic or bicyclic aryl or heteroaryl

optionally substituted with one or more non-interfering substituents such as
hydroxyl, carboxyl, alkoxy, thio, amino, halo, and the like, still more preferably
5- or 6-membered aryl or heteroaryl such as phenyl, cyclopentadienyl,
pyridinyl, pyrimadlnyl, pyrazinyl, pyrrolyl, pyrazolyl, imidazolyl, furanyl,
thiophenyl, thiazolyl, or isothiazolyl, and most preferably 5- or 6-membered
aryl. R2 is hydrocarbyl or heteroatom-substituted hydrocarbyl, typically lower
alkyl or substituted or unsubstituted aryl, aralkyl, heteroaryl or heteroaralkyl,
preferably lower alkyl or substituted or unsubstituted aralkyl or heteroaralkyl,
more preferably lower alkyl or monocyclic or bicydic aralkyl or heteroaralkyl
optionally substituted with one 6r more non-interfering substituents such as
hydroxyl, carboxyl, alkoxy, thio, amino, halo, and the like, still more preferably
lower alkyl or 5- or 6-membered aralkyl or heteroaralkyl, and most preferably
lower alkyl or 5- or 6-membered aryl optionally substituted with one or more
additional ester groups having the structure -0-(CO)-R1. Most preferred esters
are benzoic acid and phthalic acid derivatives.
[00092] In the ketone of formula (III), R3 and R4 may be selected from any
of the R1 and R2 groups identified above.
[00093] Art recognized benzoic acid derivatives from which solvents
having the requisite solubility may be selected include, without limitation: 1,4-
cyclohexane dimethanol dibenzoate, diethylene glycol dibenzoate, dipropylene
glycol dibenzoate, polypropylene glycol dibenzoate, propylene glycol
dibenzoate, diethylene glycol benzoate and dipropylene glycol benzoate blend,
polyethylene glycol (200) dibenzoate, isodecyl benzoate, neopentyl glycol
dibenzoate, glyceryl tribenzoate, pentaerytthritol tetrabenzoate, cumylphenyl
benzoate, trimethyl pentanediol dibenzoate.
[00094] Art recognized phthalic acid derivatives from which solvents
having the requisite solubility may be selected include: Alkyl benzyl phthalate,
bis-cumyl-phenyl isophthalate, dibutoxyethyl phthalate, dimethyl phthalate,
dimethyl phthalate, diethyl phthalate, dibutyl phthalate, diisobutyl phthalate,
butyl octyl phthalate, diisoheptyl phthalate, butyl octy\ phthalate, diisononyl

phthalate, nonyl undecyl phthalate, dioctyl phthalate, di-isooctyl phthalate,
dicapryl phthalate, mixed alcohol phthalate, di-(2-ethylhexyl) phthalate, linear
heptyl, nonyl, phthalate, linear heptyl, nonyl, undecyl phthalate, linear nonyl
phthalate, linear nonyl undecyl phthalate, linear dinonyl, didecyl phthalate
(diisodecyl phthalate), diundecyl phthalate, ditridecyl phthalate, undecyldodecyl
phthalate, decyltridecyl phthalate, blend (50/50) of dioctyl and didecyl
phthalates, butyl benzyl phthalate, and dicyclohexyl phthalate.
[00095] Many of the solvents useful in the invention are available
commercially (Aldrich Chemicals, Sigma Chemicals) or may be prepared by
conventional esterification of the respective arylalkanoic acids using acid
halides, and optionally esterification catalysts, such as described in US Patent
No. 5,556,905, which is incorporated herein by reference, and in the case of
ketones, oxidation of their respective secondary alcohol precursors.
[00096] Preferred solvents include aromatic alcohols, the lower alkyl and
aralkyl esters of the aryl acids described above. Representative acids are
benzoic acid and the phthalic acids, such as phthalic acid, isophthalic acid, and
terephathalic acid. Most preferred solvents are benzyl alcohol and derivatives
of benzoic acid and include, but are not limited to, methyl benzoate, ethyl
benzoate, n-propyl benzoate, isopropyl benzoate, butyl benzoate, isobutyl
benzoate, sec-butyl benzoate, tert-butyl benzoate, isoamyl benzoate and
benzyl benzoate, with benzyl benzoate being most especially preferred.
[00097] The composition may also include, in addition to the water-
immiscible solvent(s), one or more additional miscible solvents ("component
solvents"), provided that any such additional solvent is other than a lower
alkanol. Component solvents compatible and miscible with the primary
solvent(s) may have a higher miscibility with water and the resulting mixtures
may still exhibit significant restriction of water uptake into the implant. Such
mixtures will be referred to as "component solvent mixtures." Useful
component solvent mixtures may exhibit solubilities in water greater than the
primary solvents themselves, typically between 0.1 weight percent and up to

and including 50 weight percent, preferably up to and including 30 weight
percent, and most preferably up to an including 10 weight percent, without
detrimentally affecting the restriction of water uptake exhibited by the implants
of the invention.
[00098] Component solvents useful in component solvent mixtures are
those solvents that are miscible with the primary solvent or solvent mixture, and
include, but are not limited, to triacetin, diacetin, tributyrin, triethyl citrate,
tributyl citrate, acetyl triethyl citrate, acetyl tributyl citrate, triethylglycerides,
triethyl phosphate, diethyl phthalate, diethyl tartrate, mineral oil, polybutene,
silicone fluid, glylcerin, ethylene glycol, polyethylene glycol, octanol, ethyl
lactate, propylene glycol, propylene carbonate, ethylene carbonate,
butyrolactone, ethylene oxide, propylene oxide, N-methyl-2-pyrrolidone, 2-
pyrrolidone, glycerol formal, methyl acetate, ethyl acetate, methyl ethyl ketone,
dimethylformamide, dimethyl sulfoxide, tetrahydrofuran, caprolactam,
decylmethylsulfoxide, oleic acid, and 1-dodecylazacyclo-heptan-2-one, and
mixtures thereof.
[00099] Preferred solvent mixtures are those in which benzyl benzoate is
the primary solvent, and mixtures formed of benzyl benzoate and either
triacetin, tributyl citrate, triethyl citrate or N-methyl-2-pyrrolidone. Preferred
mixtures are those in which benzyl benzoate is present by weight in an amount
of 50% or more, more preferably 60% or more and most preferably 80% or
more of the total amount of solvent present. Especially preferred mixtures are
those of 80/20 mixtures by weight of benzyl benzoate/triacetin and benzyl
benzoate/N-methyl-2-pyrrolidone. In additional embodiments, the preferred
solvent is benzyl alcohol, and mixtures formed of benzyl alcohol and either
benzyl benzoate or ethyl benzoate. Preferred mixtures of benzyl
alcohol/benzyl benzoate and benzyl alcohol/ethyl benzoate are 1/99 mixtures
by weight; 20/80 mixtures by weight; 30/70 mixtures by weight; 50/50 mixtures
by weight; 70/30 mixtures by weight; 80/20 mixtures by weight; 99/1 mixtures
by weight. Especially preferred mixtures of benzyl alcohol/benzyl benzoate

and benzyl alcohol/ethyl benzoate are 25/75 mixtures by weight and 75/25
mixtures by weight.
[000100] In an especially preferred embodiment, the primary solvent is
selected from an aromatic alcohol and lower alkyl and aralkyl esters of benzoic
acid and the polymer is a lactic-acid based polymer, most preferably PLGA,
having weight average molecular weight ranging from about 3000 to about
10,000; preferably from about 3000 to about 9,000; more preferably from about
4000 to about 8,000; and more preferably the low molecular weight polymer
has a molecular weight of about 7000, about 6000, about 5000, about 4000
and about 3000. Presently, the most preferred solvents are benzyl alcohol,
benzyl benzoate and the lower alkyl esters of benzoic acid, e.g. ethyl benzoate.
The primary solvents, e.g., aromatic alcohol and benzoic acid esters may be
used alone or in a mixture with other miscible solvents, e.g., triacetin, as
described herein.
[000101] The solvent or solvent mixture is capable of dissolving the
polymer to form a viscous gel that can maintain particles of the beneficial agent
dissolved or dispersed and isolated from the environment of use prior to
release. The compositions of the present invention provide implants useful
both for systemic and local administration of beneficial agent, the implants
having a low burst index. Water uptake is controlled by the use of a solvent or
component solvent mixture that solublizes or plasticizes the polymer but
substantially restricts uptake of water into implant. Additionally, the preferred
compositions may provide viscous gels that have a glass transition temperature
that is less than 37°C, such that the gel remains non-rigid for a period of time
after implantation of 24 hours or more.
[000102] The importance of restriction of water uptake and the appropriate
choice of a low molecular weight polymer and a water immiscible solvent for a
controlled, sustained delivery over a short duration can be appreciated by
reference to Figures 1-10 illustrating in vivo release rate profiles for various
compositions as a function of time.

[000103] The solvent or solvent mixture is typically present in an amount of
from about 95 to about 10% by weight, preferably from about 80 to about 20%
by weight, preferably about 75 to about 15% by weight, preferably from about
70 to about 20% by weight, preferably about 65 to about 20% by weight,
preferably about 65 to about 30% by weight and often about 60 to about 40%
by weight of the viscous gel, i.e., the combined amounts of the polymer and the
solvent. The polymer to solvent ratio ranges from about 30:70 to about 90:10
by weight; preferably about 40:60 to about 80:20 by weight; preferably about
50:50 to about 75:25 by weight; and more preferably about 55:45 to about
65:35 by weight.
[000104] In addition to the control of water uptake and associated initial
burst by choice of solvent, agents that modulate the water solubility of the
beneficial agent can also be utilized in conjunction with the preferred solvents
to control burst of beneficial agent from the implant. Burst indices and percent
of beneficial agent released in the first twenty-four hours after implantation may
be reduced by one-third to two-thirds or more by the use of solubility
modulators associated with the beneficial agent. Such modulators are typically
coatings, substances that form complexes or otherwise associate with or
stabilize the beneficial agent such as metallic ions, other stabilizing agents,
waxes, lipids, oils, non-polar emulsions, and the like. Use of such solubility
modulators may permit the use of more highly water soluble solvents or
mixtures and achieve burst indices of 8 or less for systemic applications, or
with respect to local applications, release of beneficial agent in the first 24
hours after implantation of not greater than 40% of the beneficial agent
administered. Preferably that release will be not greater than 30% and more
preferably not greater than 20%.
[000105] Limited water uptake by the compositions of this invention can
often provide the opportunity to prepare compositions without solubility
modulators when in other compositions such modulators would be necessary.

[000106] In instances where the choice of solvent and polymer result in
compositions severely restricting water uptake by themselves, it may be
desirable to add osmotic agents or other agents and hydroattractants that
facilitate water uptake to desired levels. Such agents may be, for example,
sugars and the like, and are well known in the art.
[000107] Limited water uptake by the solvent-polymer compositions of the
present invention results in the implant compositions being formed without the
finger-like pores in the surface of implants formed using prior art processes.
Typically, a composition of the present invention takes the form of a
substantially, homogeneous, sponge-like gel, with the pores in the interior of
the implant being much the same as the pores on the surface of the implant.
Compositions of the present invention retain their gel-like consistency and
administer a beneficial agent in a controlled manner, at a sustained rate over a
short duration of time than do prior art devices. This is possible with the
appropriate choice of low molecular weight polymers and water immiscible
solvents, and further since the injectable depot gel compositions of the present
invention generally have a glass transition temperature, Tg, of less than body
temperature of the subject, e.g. 37°C for humans. Because of the immiscibility
of the solvents that are useful in this invention with water, water uptake by the
implant is restricted and the pores that do form tend to resemble a closed cell
structure without significant numbers of larger pores or pores extending from
the surface into the interior of the implant being open at the surface of the
implant. Furthermore, the surface pores offer only a limited opportunity for
water from body fluids to enter the implant immediately after implantation, thus
controlling the burst effect. Since the compositions often will be highly viscous
prior to Implantation, when the composition is intended for implantation by
injection, the viscosity optionally may be modified by the use of viscosity-
reducing, miscible solvents or the use of emulsifiers, or by heating to obtain a
gel composition having a viscosity or shear resistance low enough to permit
passage of the gel composition through a needle.

[000108] The limit on the amount of beneficial agent released in the first 24
hours that is either desired or required will depend on circumstances such as
the overall duration of the delivery period, the therapeutic window for the
beneficial agent, potential adverse consequences due to overdosing, cost of
beneficial agent, and the type of effect desired, e.g., systemic or local.
Preferably, 40% or less of the beneficial agent will be released in the first 24
hours after implantation, where the percentage is based on the total amount of
beneficial agent to be delivered over the duration of the delivery period.
Typically, higher percentages of release in the first 24 hours can be tolerated if
the duration of the delivery period is relatively short, e.g., a period equal to or
less than two weeks, preferably about 10 days or shorter; preferably about 7
days or shorter, more preferably about 3 days to about 7 days, or if the
beneficial agent has a wide therapeutic window with little likelihood of side
effects, or if the beneficial agent acts locally. In certain embodiments, within 24
hours after implantation the system releases less than or equal to 20% by
weight of the amount of beneficial agent to be delivered over the duration of
the delivery period, wherein the delivery period is 2 weeks. In additional
embodiments, within 24 hours after implantation the system releases less than
or equal to 40% by weight of the amount of beneficial agent to be delivered
over the duration of the delivery period, wherein the delivery period is one
week. In additional embodiments, within 24 hours after implantation the
system releases less than or equal to 50% by weight of the amount of
beneficial agent to be delivered over the duration of the delivery period,
wherein the delivery period is three days.
[000109] Depending on the particular solvent or solvent mixture selected,
the polymer and beneficial agent, and optionally solubility modulators of the
beneficial agent, the compositions of the present invention intended for
systemic delivery may provide a gel composition having a burst index of 8 or
less, preferably 6 or less, more preferably 4 or less and most preferably 2 or
less. Compositions of PLGA weight average molecular weight ranging from
about 3000 to about 10,000; preferably from about 3000 to about 9,000; more
preferably from about 4000 to about 8,000; and more preferably the low

molecular weight polymer has a molecular weight of about 7000, about 6000,
about 5000, about 4000 and about 3000with solvents having a miscibility in
water of less than 7% by weight, optionally combined with the other solvents,
providing implants intended for systemic delivery of beneficial agent having a
burst index of 10 or less, preferably 7 or less, more preferably 5 or less and
most preferably 3 or less, are particularly advantageous. The use of solvent
mixtures as discussed herein can be particularly advantageous as a means of
providing sufficient plasticizing of the polymer to obtain viscous gel formation
and at the same time meet the desired burst indices and percentage release^
objectives of the compositions of the invention.
[000110] Compositions intended for local delivery of beneficial agent are
formed in the same manner as those intended for systemic use. However,
because local delivery of beneficial agent to a subject will not result in
detectable plasma levels of beneficial agent, such systems have to be
characterized by a percentage of beneficial agent released in a predetermined
initial period, rather than a burst index as defined herein. Most typically, that
period will be the first 24 hours after implantation and the percentage will be
equal to the amount by weight of the beneficial agent released in the period
(e.g. 24 hours) divided by the amount by weight of the beneficial agent
intended to be delivered in the duration of the delivery period; multiplied by the
number 100. Compositions of the present invention will have initial bursts of
40% or less, preferably 30% or less, most preferably 20% or less, for most
applications.
[000111] In many instances, it may be desirable to reduce the initial burst
of beneficial agent during local administration to prevent adverse effects. For
example, implants of the invention containing chemotherapeutic agents are
suitable for direct injection into tumors. However, many chemotherapeutic
agents may exhibit toxic side effects when administered systemically.
Consequently, local administration into the tumor may be the treatment method
of choice. It is necessary, however, to avoid administration of a large burst of
the chemotherapeutic agent if it is possible that such agent would enter the

vascular or lymphatic systems where it may exhibit side affects. Accordingly, in
such Instances the implantable systems of the present invention having limited
burst as described herein are advantageous.
[000112] The gel formed by mixing the polymer and the solvent typically
exhibits a viscosity of from about 100 to about 50,000 poise, preferably from
about 500 to about 30,000 poise, more preferably from about 500 to about
10,000 poise measured at a 1.0 sec-1 shear rate and 25°C using a Haake
Rheometer at about 1-2 days after mixing is completed. Mixing the polymer
with the solvent can be achieved with conventional low shear equipment such
as a Ross double planetary mixer for from about 10 minutes to about 1 hour,
although shorter and longer periods may be chosen by one skilled in the art
depending on the particular physical characteristics of the composition being
prepared. Since the depot gel composition of the invention are administered
as an injectable composition, a countervailing consideration when forming
depot gel compositions that are viscous gels is that the polymer/solvent/
beneficial agent composition have sufficiently low viscosity in order to permit it
to be forced through a small diameter, e.g., 18-20 gauge needle. If necessary,
adjustment of viscosity of the gel for injection can be accomplished with
emulsifying agents or thixotropic agents as described herein. Yet, such
compositions should have adequate dimensional stability so as to remain
localized and be able to be removed if necessary. The particular gel or gel-like
compositions of the present invention satisfy such requirements.
[000113] If the polymer composition is to be administered as an injectable
gel, the level of polymer dissolution will need to be balanced with the resulting
gel viscosity, to permit a reasonable force to dispense the viscous gel from a
needle, and the potential burst effect. Highly viscous gels enable the beneficial
agent to be delivered without exhibiting a significant burst effect, but may make
it difficult to dispense the gel through a needle. In those instances, an
emulsifying agent may optionally be added to the composition. Also, since the
viscosity may generally be lowered as the temperature of the composition
increases, it may be advantageous in certain applications to reduce the

viscosity of the gel by heating to provide a more readily injectable composition.
The shear thinning characteristics of the depot gel compositions of the present
invention allow them to be readily injected into an animal including humans
using standard gauge needles without requiring undue dispensing pressure.
[000114] When the emulsifying agent is mixed with the viscous gel formed
from the polymer and the solvent using conventional static or mechanical
mixing devices, such as an orifice mixer, the emulsifying agent forms a
separate phase composed of dispersed droplets of microscopic size that
typically have an average diameter of less than about 100 microns. The
continuous phase is formed of the polymer and the solvent. The particles of
the beneficial agent may be dissolved or dispersed in either the continuous
phase or the droplet phase. In the resulting thixotropic composition, the
droplets of emulsifying agent elongate in the direction of shear and
substantially decrease the viscosity of the viscous gel formed from the polymer
and the solvent. For instance, with a viscous gel having a viscosity of from
about 5,000 to about 50,000 poise measured at 1.0 sec-1 at 25°C, one can
obtain a reduction in viscosity to less than 100 poise when emulsified with a
10% ethanol/water solution at 25° C as determined by Haake Rheometer.
[000115] When used, the emulsifying agent typically is present in an
amount ranging from about 5 to about 80%, preferably from about 20 to about
60% and often 30 to 50% by weight based on the amount of the injectable
depot gel composition, that is the combined amounts of polymer, solvent,
emulsifying agent and beneficial agent. Emulsifying agents include, for
example, solvents that are not fully miscible with the polymer solvent or solvent
mixture. Illustrative emulsifying agents are water, alcohols, polyols, esters,
carboxylic acids, ketones, aldehydes and mixtures thereof. Preferred
emulsifying agents are alcohols, propylene glycol, ethylene glycol, glycerol,
water, and solutions and mixtures thereof. Especially preferred are water,
ethanol, and isopropyl alcohol and solutions and mixtures thereof. The type of
emulsifying agent affects the size of the dispersed droplets. For instance,
ethanol will provide droplets that have average diameters that can be on the

order of ten times larger than the droplets obtained with an isotonic saline
solution containing 0.9% by weight of sodium chloride at 21 °C.
[000116] The thixotropic agent, i.e. an agent that imparts thixotropic
properties to the polymer gel, is selected from the lower alkanois. Lower
alkanol means an alcohol that contains 2-6 carbon atoms and is straight chain
or branched chain. Such alcohols may be exemplified by ethanol, isopropanol,
and the like. Importantly, such a thixotropic agent is not a polymer solvent.
(See e.g., Development of an in situ forming bidegradable poly-tactide-co-
glycolide system for controlled release of proteins, Lambert, W.J., and Peck,
K.D., Journal of Controlled Release, 33 (1995) 189-195). When used, the
thixotropic agent may be present in amounts of 0.01 to 15 weight percent,
preferably in amounts of 0.1 to 5 weight percent, and often in amounts of 0.5 to
5 weight percent of the combined weight of the solvent and the thixotropic
agent.
[000117] It is to be understood that the emulsifying agent and/or the
thixotropic agent do not constitute a mere diluent or a polymer-solvent that
reduces viscosity by simply decreasing the concentration of the components of
the composition. The use of conventional diluents can reduce viscosity, but
can also cause the burst effect mentioned previously when the diluted
composition is injected. In contrast, the injectable depot composition of the
present invention can be formulated to avoid the burst effect by selecting the
appropriate low molecular weight polymer, the solvent and emulsifying agent
so that once injected into place, the emulsifying agent has little impact on the
release properties of the original system.
[000118] Although the injectable depot gel composition of the present
invention preferably are formed as viscous gels, the means of administration of
the implants is not limited to injection, although that mode of delivery may often
be preferred. Where the injectable depot gel composition will be administered
as a leave-behind product, it may be formed to fit into a body cavity existing
after completion of surgery or it may be applied as a flowable gel by brushing

or palleting the gel onto residual tissue or bone. Such applications may permit
loading of beneficial agent in the gel above concentrations typically present
with injectable compositions.
Beneficial Agents:
[000119] The beneficial agent can be any physiologically or
pharmacologically active substance or substances optionally in combination
with pharmaceutically acceptable carriers and additional ingredients such as
antioxidants, stabilizing agents, permeation enhancers, etc. that do not
substantially adversely affect the advantageous results that can be attained by
the present invention. The beneficial agent may be any of the agents which
are known to be delivered to the body of a human or an animal and that are
preferentially soluble in water rather than in the polymer-dissolving solvent.
These agents include drug agents, medicaments, vitamins, nutrients, or the
like, included among the types of agents which meet this description are lower
molecular weight compounds, proteins, peptides, genetic material, nutrients,
vitamins, food supplements, sex sterilants, fertility inhibitors and fertility
promoters.
[000120] Drug agents which may be delivered by the present invention
include drugs which act on the peripheral nerves, adrenergic receptors,
cholinergic receptors, the skeletal muscles, the cardiovascular system, smooth
muscles, the blood circulatory system, synoptic sites, neuroeffector junctional
sites, endocrine and hormone systems, the immunological system, the
reproductive system, the skeletal system, autacoid systems, the alimentary and
excretory systems, the histamine system and the central nervous system.
Suitable agents may be selected from, for example, proteins, enzymes,
hormones, polynucleotides, nucleoproteins, polysaccharides, glycoproteins,
lipoproteins, polypeptides, steroids, analgesics, local anesthetics, antibiotic
agents, chemotherapeutic agents, immunosuppressive agents, anti-
inflammatory agents including anti-inflammatory corticosteroids,
antiproliferative agents, antimitotic agents, angiogenic agents, antipsychotic
agents, central nervous system (CNS) agents, anticoagulants, fibrinolytic

agents, growth factors, antibodies, ocular drugs, and metabolites, analogs
(including synthetic and substituted analogs), derivatives (including aggregative
conjugates/fusion with other macromolecules and covalent conjugates with
unrelated chemical moieties by means known in the art) fragments, and
purified, isolated, recombinant and chemically synthesized versions of these
species.
[000121] Examples of drugs that may be delivered by the composition of
the present invention include, but are not limited to, procaine, procaine
hydrochloride, tetracaine, tetracaine hydrochloride, cocaine, cocaine
hydrochloride, chloroprocaine, chloroprocaine hydrochloride, proparacaine,
proparacaine hydrochloride, piperocaine, piperocalne hydrochloride,
hexylcaine, hexylcaine hydrochloride, naepaine, naepaine hydrochloride,
benzoxinate, benzoxinate hydrochloride, cyciomethyicaine, cyclomethylcaine
hydrochloride, cyclomethylcaine sulfate, lidocaine, lidocaine hydrochloride,
bupivicaine, bupivicaine hydrochloride, mepivicaine, mepivacaine
hydrochloride, prilocaine, prilocaine hydrochloride, dibucaine and dibucaine
hydrochloride, etidocaine, benzocaine, propoxycaine, dyclonin, pramoxine,
oxybuprocaine, prochlorperzine edisylate, ferrous sulfate, aminocaproic acid,
mecamylamine hydrochloride, procainamide hydrochloride, amphetamine
sulfate, methamphetamine hydrochloride, benzamphetamine hydrochloride,
isoproterenol sulfate, phenmetrazine hydrochloride, bethanechol chloride,
methacholine chloride, pilocarpine hydrochloride, atropine sulfate, scopolamine
bromide, isopropamide iodide, tridihexethyl chloride, phenformin hydrochloride,
methylphenidate hydrochloride, theophylline cholinate, cephalexin
hydrochloride, diphenidol, meclizine hydrochloride, prochlorperazine maleate,
phenoxybenzamine, thiethylperzine maleate, anisindone, diphenadione
erythrityl tetranitrate, digoxin, isoflurophate, acetazolamide, methazolamide,
bendroflumethiazlde, chioropromaide, tolazamide, chlormadinone acetate,
phenaglycodol, allopurinol, aluminum aspirin, methotrexate, acetyl
suifisoxazole, erythromycin, hydrocortisone, hydrocorticosterone acetate,
cortisone acetate, dexamethasone and its derivatives such as betamethasone,
triamcinolone, methyltestosterone, 17-S-estradiol, ethinyl estradiol, ethinyl

estradiol 3-methyl ether, prednisolone, 17a-hydroxyprogesterone acetate, 19-
nor-progesterone, norgestrel, norethindrone, norethisterone, norethiederone,
progesterone, norgesterone, norethynodrel, aspirin, indomethacin, naproxen,
fenoprofen, sulindac, jndoprofen, nitroglycerin, isosorbide dinitrate, propranolol,
timolol, atenolol, alprenolol, cimetidine, clonidine, imipramine, levodopa,
chlorpromazine, methyldopa, dihydroxyphenylalanine, theophylline, calcium
gluconate, ketoprofen, ibuprofen, cephalexin, erythromycin, haloperidol,
zomepirac, ferrous lactate, vincamine, diazepam, phenoxybenzamine,
diltiazem, milrinone, mandol, quanbenz, hydrochlorothiazide, ranitidine,
flurbiprofen, fenufen, fluprofeh, toirnetin, aJciofenac, mefenamic, flufenamic,
difuinal, nimodipine, nitrendipine, nisoldipine, nicardipine, felodipine,
iidofiazine, tiapamil, gallopamil, amlodipine, mioflazine, lisinolpril, enalapril,
enalaprilat, captopril, ramipril, famotidine, nizatidine, sucralfate, etintidine,
tetratolol, minoxidil, chlordiazepoxide, diazepam, amitriptyline, and imipramine.
Further examples are proteins and peptides which include, but are not limited
to, bone morphogenic proteins, insulin, colchicine, glucagon, thyroid stimulating
hormone, parathyroid and pituitary hormones, calcitonin, renin, prolactin,
corticotrophin, thyrotropic hormone, follicle stimulating hormone, chorionic
gonadotropin, gonadotropin releasing hormone, bovine somatotropin, porcine
somatotropin, oxytocin, vasopressin, GRF, somatostatin, lypressin,
pancreozymin, luteinizing hormone, LHRH, LHRH agonists and antagonists,
leuprolide, interferons such as interferon alpha-2a, interferon alpha-2b, and
consensus interferon, interleukins, growth factors such as epidermal growth
factors (EGF), platelet-derived growth factors (PDGF), fibroblast growth factors
(FGF), transforming growth factors-a (TGF-a), transforming growth factors-p
(TGF-p), erythropoietin (EPO), insulin-like growth factor-l (IGF-i), insulin-like
growth factor-ll (1GF-II), interleukin-1, interleukin-2, interieukin-6, interleukin-8,
tumor necrosis factor-a (TNF-a), tumor necrosis factor-p (TNF-p), Interferon-a
(INF-a), interferon-p (INF-p), Interferon-y (INF-y), Interferon-w (lNF-). colony
stimulating factors (CGF), vascular cell growth factor (VEGF), thrombopoietin
(TPO), stromal cell-derived factors (SDF), placenta growth factor (PIGF),
hepatocyte growth factor (HGF), granulocyte macrophage colony stimulating
factor (GM-CSF), glial-derived neurotropin factor (GDNF), granulocyte colony

stimulating factor (G-CSF), ciliary neurotropic factor (CNTF), bone
morphogeneic proteins (BMP), coagulation factors, human pancreas hormone
releasing factor, analogs and derivatives of these compounds, and
pharmaceutically acceptable salts of these compounds, or their analogs or
derivatives.
[000122] Additional examples of drugs that may be delivered by the
composition of the present invention include, but are not limited to,
antiproliferative/antimitotic agents including natural products such as vinca
alkaloids (i.e. vinblastine, vincristine, and vinoreibine), paclitaxe/,
epidipodophyllotoxins (i.e. etoposide, teniposide), antibiotics (dactinomycin,
actinomycin D, daunorubicin, doxorubicin and idarubicin), anthracyclines,
mitoxantrone, bleomycins, plicamycin (mithramycin) and mitomycin, enzymes
(L-asparaginase which systemically metabolizes L-asparagine and deprives
cells which do not have the capacity to synthesize their own asparagine);
antiplatelet agents such as G(GP)llbllla inhibitors and vitronectin receptor
antagonists; antiproliferative/antimitotic alkylating agents such as nitrogen
mustards (mechlorethamine, cyclophosphamide and analogs, melphalan,
chlorambucil), ethylenimines and methylmelamines (hexamethylmelamine and
thiotepa), alkyl sulfonates-busulfan, nirtosoureas (carmustine (BCNU) and
analogs, streptozocin), trazenes - dacarbazinine (DTIC);
antiproliferative/antimitotic antimetabolites such as folic acid analogs
(methotrexate), pyrimidine analogs (fluorouracil, floxuridine, and cytarabine),
purine analogs and related inhibitors (mercaptopurine, thioguanine, pentostatin
and 2-chlorodeoxyadenosine (cladribine)); platinum coordination complexes
(cisplatin, carboplatin), procarbazine, hydroxyurea, mitotane,
aminoglutethimide; hormones (i.e. estrogen); antipsychotic agents, (such as
antipsychotic drugs, neuroleptic drugs, tranquillisers and antipsychotic agents
binding to dopamine, histamine, muscarinic cholinergic, adrenergic and
serotonin receptors, including but not limited to phenothiazines, thioxanthenes,
butyrophenones, dibenzoxazepines, dibenzodiazepines and
diphenylbutylpiperidines); central nervous system (CNS) agents;
anticoagulants (heparin, synthetic heparin salts and other inhibitors of

thrombin); fibrinolytic agents (such as tissue plasminogen activator,
streptokinase and urokinase), aspirin, dipyridamole, ticlopidine, clopidogrel,
abciximab; antimigratory; antisecretory (breveldin); antiinflammatory: such as
adrenocortical steroids (Cortisol, cortisone, fludrocortisone, prednisone,
prednisolone, 6α-methylprednisolone, triamcinolone, betamethasone, and
dexamethasone), non-steroidal agents (salicylic acid derivatives i.e. aspirin;
para-aminophenoi derivatives i.e. acetaminophen); indole and indene acetic
acids (indomethacin, sulindac, and etodalac), heteroaryl acetic acids (tolmetin,
diclofenac, and ketorolac), arylpropionic acids (ibuprofen and derivatives),
anthranilic acids (mefenamic acid, and meclofenamic acid), enolic acids
(piroxicam, tenoxicam, phenylbutazone, and oxyphenthatrazone), nabumetone,
gold compounds (auranofin, aurothioglucose, gold sodium thiomalate);
immunosuppressives: (cyclosporine, tacrolimus (FK-506), sirolimus
(rapamycin), azathioprine, mycophenolate mofetil); angiogenic agents: vascular
endothelial growth factor (VEGF), fibroblast growth factor (FGF); angiotensin
receptor blocker; nitric oxide donors; anti-sense oligionucleotides and
combinations thereof; cell cycle inhibitors, mTOR inhibitors, and growth factor
signal transduction kinase inhibitors, analogs and derivatives of these
compounds, and pharmaceutically acceptable salts of these compounds, or
their analogs or derivatives.
[000123] In certain preferred embodiments, the beneficial agent includes
chemotactic growth factors, proliferative growth factors, stimulatory growth
factors, and transformational peptide growth factors including genes,
precursors, post-translatidnal-variants, metabolites, binding-proteins, receptors,
receptor agonists and antagonists of the following growth factor families:
epidermal growth factors (EGFs), platelet-derived growth factor (PDGFs),
insulin-like growth factors (IGFs), fibroblast-growth factors (FGFs),
transforming-growth factors (TGFs), interleukins (ILs), colony-stimulating
factors (CSFs, MCFs, GCSFs, GMCSFs), Interferons (IFNs), endothelial
growth factors (VEGF, EGFs), erythropoietins (EPOs), angiopoietins (ANGs),
placenta-derived growth factors (PIGFs), and hypoxia induced transcriptional
regulators (HIFs).

[000124] The present invention also finds application with
chemotherapeutic agents for the local application of such agents to avoid or
minimize systemic side effects. Gels of the present invention containing
chemotherapeutic agents may be injected directly into the tumor tissue for
sustained delivery of the chemotherapeutic agent over time. In some cases,
particularly after resection of the tumor, the gel may be implanted directly into
the resulting cavity or may be applied to the remaining tissue as a coating. In
cases in which the gel is implanted after surgery, it is possible to utilize gels
having higher viscosities since they do not have to pass through a small
diameter needle. Representative chemotherapeutic agents that may be
delivered in accordance with the practice of the present invention include, for
example, carboplatin, cisplatin, paclitaxel, BCNU, vincristine, camptothecin,
etopside, cytokines, ribozymes, interferons, oligonucleotides and
oligonucleotide sequences that inhibit translation or transcription of tumor
genes, functional derivatives of the foregoing, and generally known
chemotherapeutic agents such as those described in U.S. Patent 5,651,986.
The present application has particular utility in the sustained delivery of water
soluble chemotherapeutic agents, such as for example cisplatin and
carboplatin and the water soluble derivatives of paclitaxel. Those
characteristics of the invention that minimize the burst effect are particularly
advantageous in the administration of water soluble beneficial agents of all
kinds, but particularly those compounds that are clinically useful and effective
but may have adverse side effects.
[000125] To the extent not mentioned above, the beneficial agents
described in aforementioned U.S. Patent No. 5,242,910 can also be used.
One particular advantage of the present invention is that materials, such as
proteins, as exemplified by the enzyme lysozyme, and cDNA, and DNA
incorporated into vectors both viral and nonviral, which are difficult to
microencapsulate or process into microspheres can be incorporated into the
compositions of the present invention without the level of degradation caused

by exposure to high temperatures and denaturing solvents often present in
other processing techniques.
[000126] The beneficial agent is preferably incorporated into the viscous
gel formed from the polymer and the solvent in the form of particles typically
having an average particle size of from about 0.1 to about 250 microns,
preferably from about 1 to about 200 microns and often from 30 to 125
microns. For instance, particles having an average particle size of about 5
microns have been produced by spray drying or freeze drying an aqueous
mixture containing 50% sucrose and 50% chicken lysozyme (on a dry weight
basis) and mixtures of 10-20% hGH and 15-30 mM zinc acetate. Such
particles have been used in certain of the examples illustrated in the figures.
Conventional lyophilization processes can also be utilized to form particles of
beneficial agents of varying sizes using appropriate freezing and drying cycles.
[000127] To form a suspension or dispersion of particles of the beneficial
agent in the viscous gel formed from the polymer and the solvent, any
conventional low shear device can be used such as a Ross double planetary
mixer at ambient conditions. In this manner, efficient distribution of the
beneficial agent can be achieved substantially without degrading the beneficial
agent.
[000128] The beneficial agent is typically dissolved or dispersed in the
composition in an amount of from about 0.1% to about 50% by weight,
preferably in an amount of from about 1% to about 40%, more preferably in an
amount of about 2% to about 30%, and often 2 to 20% by weight of the
combined amounts of the polymer, solvent, and beneficial agent. Depending
on the amount of beneficial agent present in the composition, one can obtain
different release profiles and burst indices. More specifically, for a given
polymer and solvent, by adjusting the amounts of these components and the
amount of the beneficial agent, one can obtain a release profile that depends
more on the degradation of the polymer than the diffusion of the beneficial
agent from the composition or vice versa. In this respect, at lower beneficial

agent loading rates, one generally obtains a release profile reflecting
degradation of the polymer wherein the release rate increases with time. At
higher loading rates, one generally obtains a release profile caused by diffusion
of the beneficial agent wherein the release rate decreases with time. At
intermediate loading rates, one obtains combined release profiles so that if
desired, a substantially constant release rate can be attained. In order to
minimize burst, loading of beneficial agent on the order of 30% or less by
weight of the overall gel composition, i.e., polymer, solvent and beneficial
agent, is preferred, and loading of 20% or less is more preferred.
[000129] Release rates and loading of beneficial agent will be adjusted to
provide for therapeutically-effective delivery of the beneficial agent over the
intended sustained delivery period. Preferably, the beneficial agent will be
present in the polymer gel at concentrations that are above the saturation
concentration of beneficial agent in water to provide a drug reservoir from
which the beneficial agent is dispensed. While the release rate of beneficial
agent depends on the particular circumstances, such as the beneficial agent to
be administered, release rates on the order of from about 0.1 to about 100
micrograms/day, preferably from about 1 to about 10 micrograms per day, for
periods of from about 3 to about two weeks can be obtained. Greater amounts
may be delivered if delivery is to occur over shorter periods. Generally, higher
release rate is possible if a greater burst can be tolerated. In instances where
the gel composition is surgically implanted, or used as a "leave behind" depot
when surgery to treat the disease state or another condition is concurrently
conducted, it is possible to provide higher doses that would normally be
administered if the implant was injected. Further, the dose of beneficial agent
may be controlled by adjusting the volume of the gel implanted or the injectable
gel injected.
[000130] Figures 1-9 illustrate representative release profiles of various
beneficial agents obtained in rats from preferred compositions of this invention.
As illustrated in the figures, the injectable depot gel formulations of the
invention comprising low molecular weight polymers provide a controlled,

sustained release of a beneficial agent over a short duration of time equal to or
less than two weeks.
Optional Additional Components:
[000131] Other components may be present in the injectable depot gel
composition, to the extent they are desired or provide useful properties to the
composition, such as polyethylene glycol, hydroscopic agents, stabilizing
agents, pore forming agents, and others. When the composition includes a
peptide or a protein that is soluble in or unstable in an aqueous environment, it
may be highly desirable to include a solubility modulator, that may, for
example, be a stabilizing agent, in the composition. Various modulating agents
are described in U.S. Patent Nos. 5,654,010 and 5,656,297 which are
incorporated herein by reference. In the case of hGH, for example, it is
preferable to include ah amount of a salt of a divalent metal, preferably zinc.
Examples of such modulators and stabilizing agents, which may form
complexes with the beneficial agent or associate to provide the stabilizing or
modulated release effect, include metal cations, preferably divalent, present in
the composition as magnesium carbonate, zinc carbonate, calcium carbonate,
magnesium acetate, magnesium sulfate, zinc acetate, zinc sulfate, zinc
chloride, magnesium chloride, magnesium oxide, magnesium hydroxide, other
antacids, and the like. The amounts of such agents used will depend on the
nature of the complex formed, if any, or the nature of the association between
the beneficial agent and the agent. Molar ratios of solubility modulator or
stabilizing agent to beneficial agent of about 100:1 to 1:1, preferably 10:1 to
1:1, typically can be utilized.
[000132] Pore forming agents include, biocompatible materials that when
contacted with body fluids dissolve, disperse or degrade to create pores or
channels in the polymer matrix. Typically, organic and non-organic materials
that are water soluble such as sugars (e.g., sucrose, dextrose), water soluble
salts (e.g., sodium chloride, sodium phosphate, potassium chloride, and
sodium carbonate), water soluble solvents such as N-methyl-2-pyrrolidone and
polyethylene glycol and water soluble polymers (e.g., carboxmethylcellulose,

hydroxypropylcellulose, and the like) can conveniently be used as pore
formers. Such materials may be present in amounts varying from about 0.1%
to about 100% of the weight of the polymer, but will typically be less than 50%
and more typically less than 10-20% of the weight of polymer.
Utility and Administration:
[000133] The means of administration of the depot gel compositions is not
limited to injection, although that mode of delivery may often be preferred.
Where the depot gel composition will be administered as a leave-behind
product, it may be formed to fit into a body cavity existing after completion of
surgery or it may be applied as a flowable gel by brushing or palleting the gel
onto residual tissue or bone. Such applications may permit loading of
beneficial agent in the gel above concentrations typically present with
injectable compositions.
[000134] Compositions of this invention without beneficial agent are useful
for wound healing, bone repair and other structural support purposes.
[000135] To further understand the various aspects of the present
invention, the results set forth in the previously described figures were obtained
in accordance with the following examples.
Example 1
Depot gel preparation
[000136] A gel vehicle for use in an injectable depot of the composition
was prepared as follows. A glass vessel was tared on a Mettler PJ3000 top
loader balance. Poly (D,L-lactide-co-glycolide) (PLGA), available as 50:50 DL-
PLG with an inherent viscosity of 0.15 (PLGA-BPI, Birmingham Polymers, Inc.,
Birmingham, AL) and 50:50 Resomer® RG502 (PLGA RG 502), was weighed
into the glass vessel. The glass vessel containing the polymer was tared and
the corresponding solvent was added. Amounts expressed as percentages for
various polymer/solvent combinations are set forth in Table 1, below. The
polymer/solvent mixture was stirred at 250 ± 50 rpm (IKA electric stirrer, IKH-

Werke GmbH and Co., Stanfen, Germany) for about 5-10 minutes, resulting in
a sticky paste-like substance containing polymer particles. The vessel
containing the polymer/solvent mixture was sealed and placed in a temperature
, controlled incubator equilibrated to 37°C for 1 to 4 days, with intermittent
stirring, depending on solvent and polymer type and solvent and polymer
ratios. The polymer/solvent mixture was removed from the incubator when it
appeared to be a clear amber homogeneous solution. Thereafter, the mixture
was placed in an oven (65oC) for 30 minutes. It was noted that the PLGA was
dissolved in the mixture upon removal from the oven.
[000137] Additional depot gel vehicles are prepared with the following
solvents or mixtures of solvents: benzyl benzoate ("BB"), benzyl alcohol ("BA"),
ethyl benzoate ("EB"), BB/BA, BB/Ethanol, BB/EB and the following polymers:
Poly (D,L-lactide-co-glycolide) 50:50 Resomer® RG502, code 0000366, Poly
(D,L-lactide-co-glycolide) 50:50 Resomer® RG502H, PLGA-502H, code no.
260187, Poly D,L Lactide (Resomer® R 202, Resomer® R 203); Poly dioxanone
(Resomer® X 210) (Boehringer Ingelheim Chemicals, Inc., Petersburg, VA);
DL-lactide/glycolide 100:0 (MEDISORB® Polymer 100 DL High, MEDISORB®
Polymer 100 DL Low); DL-lactide/ glycolide 85/15 (MEDISORB® Polymer 8515
DL High, MEDISORB* Polymer 8515 DL Low); DL-lactide/glycolide 75/25
(MEDISORB® Polymer 7525 DL High, MEDISORB® Polymer 7525 DL Low);
DL-lactide/glycolide 65/35 (MEDISORB® Polymer 6535 DL High, MEDISORB®
Polymer 6535 DL Low); DL-lactide/glycolide 54/46 (MEDISORB® Polymer 5050
DL High, MEDISORB® Polymer 5050 DL Low); and DL-lactide/glycolide 54/46
(MEDISORB® Polymer 5050 DL 2A(3), MEDISORB® Polymer 5050 DL 3A(3),
MEDISORB® Polymer 5050 DL 4A(3)) (Medisorb Technologies International
L.P., Cincinatti, OH); and Poly D,L-lactide-co-glycolide 50:50; Poly D.L-lactide-
co-glycolide 65:35; Poly D,L-lactide-co-glycolide 75:25; Poly D,L-iactide-co-
glycolide 85:15; Poly DL-lactide; Poly L-lactide; Poly glycolide; Poly e-
caprolactone; Poly DL-lactide-co-caprolactone 25:75; and Poly DL-lactide-co-
caprolactone 75:25 (Birmingham Polymers, Inc., Birmingham, AL).

Example 2
hGH Particle Preparation
[000138] Human growth hormone (hGH) particles (optionally containing
zinc acetate) were prepared as follows: hGH solution (5 mg/ml) solution in
water (BresaGen Corporation, Adelaide, Australia) was concentrated to 10
mg/mL using a Concentration/ Dialysis Selector diafiltering apparatus. The
diafiltered hGH solution was washed with 5 times volume of tris or phosphate
buffer solution (pH 7.6). Particles of hGH were then formed by spray drying or
lyophilization using conventional techniques. Phosphate buffer solutions (5*or
50 mM) containing hGH (5 mg/mL) (and optionally various levels of zinc
acetate (0 to 30 mM) when Zn complexed particles were prepared) were spray-
dried using a Yamato Mini Spray dryer set at the following parameters:

hGH particles having a size range between 2-100 microns were obtained.
Lyophilized particles were prepared from tris buffer solutions (5 or 50 mM: pH
7.6) containing hGH (5 mg/mL) using a Durastop µP Lyophilizer in accordance
with the following freezing and drying cycles:


Example 3
hGH-Stearic Acid Particle Preparation
[000139] Human growth hormone (hGH) particles were prepared as
follows: Lyophilized hGH (3.22 grams, Pharmacia-Upjohn, Stockholm,
Sweden) and stearic acid (3.22 grams, 95% pure, Sigma-AIdrich Corporation,
St. Louis, MO) were blended and ground. The ground material was
compressed in a 13 mm round die, with a force of 10,000 pounds for 5
minutes. Compressed tablets were ground and sieved through a 70 mesh
screen followed by a 400 mesh screen to obtain particles having a size range,
between 38-212 microns.
Example 4
Bupivacaine Base Preparation
[000140] Bupivacaine hydrochloride (Sigma-AIdrich Corporation, St. Louis,
MO) was dissolved in de-ionized (Dl) water at a concentration of 40 mg/ml
(saturation). A calculated amount of sodium hydroxide (1 N solution) was
added to the solution and the pH of the final mixtures was adjusted to 10 to
precipitate the BP base. The precipitated product was filtered, and further
washed with Dl water for at least three times. The precipitated product was
dried at approximately 40 °C in vacuum for 24 h.
Example 5
Bupivacaine Particle Preparation
[000141] Bupivacaine drug particles using bupivacaine hydrochloride
(Sigma-AIdrich Corporation, St. Louis, MO) or bupivacaine base prepared
according example 4 and hydrochloride salt, were prepared as follows.
Bupivicaine was grounded and then sieved to a fixed range using 3° stainless
steel sieves. Typical ranges include 125µm to 38µm, 38µm to 63µm, and 63µm
to 125µm.

Example 6
Bupivacaine-Stearic Acid Particle Preparation
[000142] Bupivacaine particles were prepared as follows: Bupivacaine
hydrochloride (100 g, Sigma-Aldrich Corporation, St. Louis, MO) was grounded
and sieved through 63 -125 micron sieves. The bupivacaine particles and
stearic acid (100 g, 95% pure, ,Sigma-Aldrich Corporation, St. Louis, MO) were
blended and ground. The ground material was compressed in a 13 mm round
die, with a force of 5,000 pounds for 5 minutes. Compressed tablets were
ground and sieved through a 120 mesh screen followed by a 230 mesh screen
to obtain particles having a size range between 63-125 microns.
Example 7
Drug Loading
[000143] Particles comprising beneficial agent with or without stearic acid
prepared as above were added to a gel vehicle in an amount of 10 - 30 % by
weight and blended manually until the dry powder was wetted completely.
Then, the milky light yellow particle/gel mixture was thoroughly blended by
conventional mixing using a Caframo mechanical stirrer with an attached
square-tip metal spatula. Resulting formulations are illustrated in Tables 1, 2
and 3 below.



[000144] A representative number of implantable depots gel compositions
were prepared in accordance with the foregoing procedures and tested for in
vitro release of beneficial agent as a function of time and also in in vivo studies
in rats to determine release of the beneficial agent as determined by blood
plasma concentrations of beneficial agent as a function of time.
Example 8
Bupivacaine In Vivo Studies
[000145] In vivo studies in rats (4 or 5 per group) were performed following
an open protocol to determine plasma levels of bupivacaine upon systemic
administration of bupivicaine via the implant systems of this invention. Depot
gel bupivacaine formulations were loaded into customized 0.5 cc disposable
syringes. Disposable 18 gauge needles were attached to the syringes and

were heated to 37° C using a circulator bath. Depot gel bupivacaine
formulations were injected into rats and blood was drawn at specified time
intervals (1 hour, 4 hours and on days 1,2, 5, 7, 9,14,21 and 28) and analyzed
for bupivacaine using LC/MS.
[000146] Figures 1, 2 and 3 illustrate representative in vivo release profiles
of bupivacaine hydrochloride and bupivacaine base obtained in rats from
various depot formulation, including those of the present invention. The in vivo
release profile of the depot formulations with low molecular weight PLGA
(formulations 2 and 4 in Figures 1, 2 and 3) exhibited short release duration for
approximately 7 days, comparable to the control formulations (with higher
molecular weight PLGA). Thus, the injectable depot gel formulations of the
invention comprising low molecular weight polymers provide a controlled,
sustained release of a beneficial agent over a short duration of time equal to or
less than two weeks.
Example 9
hGH In Vivo Studies
[000147] In vivo hGH studies in rats were performed following an open
protocol to determine serum levels of hGH upon systemic administration of
hGH via the injectable depot gel compositions of this invention. Depot gel hGH
formulations were loaded into customized 0.5 cc disposable syringes.
Disposable 16 gauge needles were attached to the syringes and were heated
to 37°C using a circulator bath. Depot gel hGH formulations were injected into
immunosuppressed rats and blood was drawn at specified time intervals. All
serum samples were stored at 4°C prior to analysis. Samples were analyzed
for intact hGH content using a radio immuno assay (RIA).
[000148] Figures 4, 5 and 6 illustrate representative in vivo release profiles
of human growth hormone ("hGH") obtained in rats from various depot
formulation, including those of the present invention. The in vivo release
profile of the depot formulations with low molecular weight PLGA (formulations
6 and 7 in Figures 4, 5 and 6) exhibited short release duration for

approximately 7-14 days, comparable to the control formulations (with higher
molecular weight PLGA). Thus, the injectable depot gel formulations of the
invention comprising low molecular weight polymers provide a controlled,
sustained release of a beneficial agent over a short duration of time equal to or
less than two weeks.
Example 10
In Vivo Studies on Bupivacaine depot formulation
[000149] As illustrated in. Table 3, various depot formulations can be made
from the low molecular weight PLGA with either an ester end group or a
carboxyl end group using different solvents such as benzyl benzoate (BB),
benzyl alcohol (BA), ethyl benzoate (EB), mixtures of BB/Ethanol, BB/BA,
BB/EB etc., with varying polymer/solvent ratios. The drug particles can be
made either with or without hydrophobic excipients such as stearic acid (SA).
[000150] Figure 7 illustrates representative in vivo release profiles of
bupivacaine obtained in rats from depot formulations made of low molecular
weight PLGA in either BB or BA. Figure 8 illustrates representative in vivo
release profiles of bupivacaine obtained in rats from depot formulations made
of low molecular weight PLGA in BA with various polymer/solvent ratios. Figure
9 illustrates representative in vivo release profiles of bupivacaine obtained in
rats from depot formulations made of low molecular weight PLGA in BA with
different end groups. Figure 10 illustrates representative in vivo release profiles
of bupivacaine obtained in rats from depot formulations made of low molecular
weight PLGA in BA with the drug particles formulated either with or without SA.
[000151] As illustrated in this example, by using low molecular weight
PLGA either end-capped with an ester or carboxyl group, the short duration
release of active agent from depot can be achieved. The formulations can be
made in various solvents or solvent mixtures with various polymer/solvent
ratios. The release profiles of the active agent from the depots can be varied.
accordingly.

Example 11
Differential Scanning Calorimeter (DSC) measurements on PLGA polymers
[000152] The glass transition temperature of various low molecular PLGA
polymers used in the present invention was determined using a differential
scanning calorimeter (DSC) (Perkin Elmer Pyris 1, Shelton, CT). The DSC
sample pan was tarred on a Mettler PJ3000 top loader balance. At least 20
mg of polymer sample was placed in the pan. The weight of the sample was
recorded. The DSC pan cover was positioned on to the pan and a presses was
used to seal the pan. The temperature was scanned in 10°C increments from -
50°C to 90°C.
[000153] Figures 11 and 12 illustrate the differences in the DSC diagrams
of low molecular weight PLGA used in the formulations presented in this
invention end-capped with either an ester group or the carboxyl terminated.
These data demonstrate that the low molecular weight PLGA polymers used in
this invention have a glass transition temperatures ("Tg") above 30 CC.
Example 12
In vitro degradation of PLGA polymers
[000154] The degradation profiles of low molecular weight PLGA polymers
used in the present invention were performed in vitro at 37 °C in PBS buffer to
determine the mass loss rate of the PLGA polymer as a function of time. Each
of the copolymers comprised one sample set. Approximately 25 discs (100 + 5
mg each) were pressed using a 13 mm stainless steel die. The sample was
pressed with 10 tons of force for approximately 10 minutes using the Carver
Press. The discs were kept in a glass vial in a vacuum oven at ambient
temperature and 25 mm Hg until ready for use in the degradation bath. This
procedure was repeated for each polymer tested. Phosphate buffered saline
(PBS) solution (50 mM, pH 7.4) with sodium azide (0.1 N ) was prepared. One
sample disc was weighed into the tarred vial and recorded as initial weight
(Minitial). PBS (10 mL) was pipetted into each vial. The vial was capped
securely and placed in a 37°C shaking water bath. The buffer was changed

twice a week, prior to which the pH of the solution was recorded. At pro-
designated time points, the samples were removed from the buffer bath, rinsed
with de-ionized Milii-Q water, dried superficially, and weighed. The sample
weight was recorded as wet weight (Mwet)- The sample was placed in a 10 mL
lyophilization vial and placed in a freezer (-20°C) prior to lyophilization. After
lyophilization, the samples were weighed again and recorded as dry weight
(Mobilized) The percent mass loss was defined as {(Miyopwiized - Miai)/ x
100%.
[000155] Figure 13 illustrates the mass loss profiles of the three PLGAs
used in the formulations described above. From this it can be seen that each
of the three polymers used has significantly different degradation rates. The
low molecular weight PLGA with either an ester end group or carboxyl end
group have a significantly faster degradation rate than the one with higher
molecular weight. This represents more favorable towards short duration
depots which prefers the polymer degrades as soon as the active agents are
released from the depot. In accordance with various aspects of the present
invention, one or more significant advantages can be obtained. More
specifically, using simple processing steps, one can obtain a depot gel
composition that can be injected into place in an animal without surgery using a
low dispensing force through standard needles. Once in place, the
composition will quickly return to its original viscosity and may exhibit rapid
hardening so as to substantially avoid a burst effect and provide the desired
beneficial agent release profile. Furthermore, once the beneficial agent has
been fully administered, there is no need to remove the composition since it is
fully biodegradable. As a still further advantage, the present invention avoids
the use of microparticle or microcapsulation techniques which can degrade
certain beneficial agents, like peptide and nucleic acid-based drugs and which
microparticles and microcapsules maybe difficult to remove from the
environment of use. Since the viscous gel is formed without the need for
water, temperature extremes, or other solvents, suspended particles of
beneficial agent remain dry and in their original configuration, which contributes

to the stability of thereof. Further, since a mass is formed, the injectable depot
gel composition may be retrieved from the environment of use if desired.
[000156] The above-described exemplary embodiments are intended to be
illustrative in all respects, rather than restrictive, of the present invention. Thus
the present invention is capable of many variations in detailed implementation
that can be derived from the description contained herein by a person skilled in
the art. All such variations and modifications are considered to be within the
scope and spirit of the present invention.


WE CLAIM:
1. An injectable depot composition comprising:
(a) a low molecular weight bioerodible, biocompatible polymer;
(b) a solvent selected from the group consisting of aromatic alcohols, esters of
aromatic acids, aromatic ketones, and mixtures thereof, said solvent
having miscibility in water of less than or equal to 7% at 25°C, to plasticize
the polymer and form a gel therewith, said solvent or solvent mixture
being present in 10% of 95% by weight of the gel; and
(c) a beneficial agent such as herein described.
2. The injectable depot composition-ef claim 1, wherein the solvent
comprises an aromatic alcohol having the structural formula (I)
Ar-(L)n-OH (I)
wherein Ar is aryl or heteroaryl, n is zero or 1, and L, is a linking moiety.
3. The injectable depot composition af-claim 2, wherein Ar is monocyclic
aryl or heteroaryl, n is 1, and L is lower alkylene optinally containing at least one heteroatom.
4. The injectable depot composition-of-claim 3, wherein Ar is monocyclic
aryl and L is lower alkylene.
5. The injectable depot composition of claim 4, wherein Ar is phenyl and
L is methylene.
6. The injectable depot composition any one of the preceding claims,
wherein the solvent is mixture of an aromatic alcohol and an,ester of an aromatic acid.
7. The injectable depot composition-ef claim 6, wherein the aromatic
alcohol is benzyl alcohol and the ester of an aromatic acid is a lower alkyl ester or an aralkyl
ester of benzoic acid.
8. The injectable depot composition of claim 7, wherein the ester of an
aromatic acid is benzyl benzoate and the lower alkyl ester of an aromatic acid is ethyl
benzoate.
9. The injectable depot composition claim 7 or 8, wherein the ratio of the aromatic
alcohol to the ester of an aromatic acid is in the range of 1% to 99% by weight.
10. The injectable depot composition ef claim 9, wherein the ratio of the aromatic alcohol
to the ester of an aromatic acid is in the range of 20% to 80% by weight.
11. The injectable depot composition of any one of the preceding claims, wherein the low
molecular weight polymer has a molecular weight ranging from 3000 to 10,000.
12. The injectable depot composition efclaim 11, wherein the low molecular weight
polymer has a molecular weight ranging from 3,000 to 8,000.
13. The injectable depot composition of claim 12, wherein the low molecular weight
polymer has a molecular weight ranging from 4,000 to 6,000.

14. The injectable depot composition of claim 13, wherein the low molecular weight
polymer has a molecular weight of 5,000.
15. The injectable depot composition of any one of the preceding claims, wherein the
polymer is selected from the group consisting of polylactides, polyglycolides, polyanhydrides,
polyamines, polyesteramides, polyorthoesters, polydioxanones, polyacetals, polyketals,
polycarbonates, polyphosphoesters, polyorthocarbonates, polyphosphazenes, succinates,
poiy(malic acid), poly(amino acids), polyvinylpyrrolidone, polyethylene glycol,
polyhydroxycellulose, chitin, chitosan, hylauronic acid and copolymers, terpolymers and
mixtures thereof.
16. The injectable depot composition of any one of the preceding claims, wherein the
polymer is a lactic acid-based polymer.
17. The injectable depot composition of-claim 16, wherein the polymer is a
copolymer of lactic acid and-glycolic acid.
18. The injectable depot composition of claim 16 or 17 comprising 5 wt.% to 90 wt.%
of a biodegradable, biocompatible lactic acid-based polymer.
19. The injectable depot composition of-any one of the preceding claims, wherein the
polymer represent) 10 w %4o 85 wt.% of the composition.

20. The injectable depot compositiontr of claim 19, wherein the polymer represents 35
wt.% to 65 wt.% of the composition.
21. An injectable depot composition according to claim 1 comprising:
(a) 5 wt.% to 90 wt.%, of a low molecular weight poly(lactide-co-glycolide) (PLGA)
6opolyfner having a weight average molecular weight in the range of 3,000 to 10,000;
(b) 5 wt.% to 90 wt.% of a solvent selected from the group consisting of an aromatic
alcohol, an ester of an aromatic acid, and mixtures thereof.

22. The injectable depot composition claim 21, wherein the aromatic alcohol is
benzyl alcohol and the ester of an aromatic acid is benzyl benzoate.
23. The injectable depot composition of any one of the preceding claims, further
including at least one of the following: a pore former; a solubility modulator for the beneficial
agent; and an osmotic agent.
24. The injectable depot composition of any one of the preceding claims, wherein the
beneficial agent is selected from a drug, proteins, enzymes, hormones, polynucleotides,
nucleoproteins, polysaccharides, glycoproteins, lipoproteins, polypeptides, steroids, analgesics,
local anesthetics, antibiotic agents, chemotherapeutic agents, immunosuppressive agents, anti-
inflammatory agents, antiproliferative agents, antimitotic agents, angiogenic agents,
antipsychotic agents, central nervous system (CNS) agents, anticoagulants, fibrinolytic agents,
growth factors, antibodies, ocular drugs, and metabolites, analogs, derivatives, and fragments
thereof.

25. The injectable depot composition of claim 24 wherein the beneficial agent is
selected from analgesics, local anesthetics, antibiotic agents, anti-inflammatory agents,
antipsychotic agents, anticoagulants, and metabolites, analogs,derivatives, and fragments
thereof.
26. The injectable depot composition one of the preceding claims wherein the

of the polymer, the solvent and the beneficial agent.
27. The injectable depot composition of-any one of the preceding claims, wherein the
beneficial agent is in the form of particles dispersed or dissolved in the viscous gel.
28. The injectable depot composition of-claim 27 wherein the beneficial agent is in
the form of particles having an average particle size of from 0.1 to 250 um(microns).
29. The injectable depot composition of claim 27 or 28 wherein the beneficial agent is
in the form of particles wherein the particle further comprises a component selected from the
group consisting of a stabilizing agent, bulking agent, chelating agent and a buffering agent.
30. A kit for administration of a-beneficial agent to a subject comprising:
(a) a low molecular weight bioerodible, biocompatible polymer;
(b) a solvent selected from the group consisting of aromatic alcohols, esters of aromatic
acids, aromatic ketones, and mixtures thereof, said solvent having miscibility in water of less
than or equal to 7% at 25°C, and present in an amount effective to plasticize the polymer and
form a gel therewith; and
(c) a beneficial'agent; and optionally, one or more of the following:
(d) an emulsifying agent;
(e) a pore former;
(f) a solubility modulator for the beneficial agent, optionally associated with the
beneficial agent; and
(g) an osmotic agent;
wherein at least the beneficial agent,ptionally associated with the solubility modulator,
is maintained separated form the solvent until the time of administration of the beneficial agent
to a subject.

An injectable depot composition comprising:
(a) a low molecular weight bioerodible, biocompatible polymer;
(b) a solvent selected from the group consisting of aromatic alcohols,
esters of aromatic acids, aromatic ketones, and mixtures thereof, said
solvent having miscibility in water of less than or equal to 7% at 25°C, to
plasticize the polymer and form a gel therewith, said solvent or solvent
mixture being present in 10% of 95% by weight of the gel; and
(c) a beneficial agent such as herein described.

Documents:

1923-KOLNP-2004-CORRESPONDENCE 1.2.pdf

1923-KOLNP-2004-FORM 15.pdf

1923-KOLNP-2004-FORM-27.pdf

1923-kolnp-2004-granted-abstract.pdf

1923-kolnp-2004-granted-claims.pdf

1923-kolnp-2004-granted-correspondence.pdf

1923-kolnp-2004-granted-description (complete).pdf

1923-kolnp-2004-granted-drawings.pdf

1923-kolnp-2004-granted-examination report.pdf

1923-kolnp-2004-granted-form 1.pdf

1923-kolnp-2004-granted-form 13.pdf

1923-kolnp-2004-granted-form 18.pdf

1923-kolnp-2004-granted-form 2.pdf

1923-kolnp-2004-granted-form 26.pdf

1923-kolnp-2004-granted-form 3.pdf

1923-kolnp-2004-granted-form 5.pdf

1923-kolnp-2004-granted-reply to examination report.pdf

1923-kolnp-2004-granted-specification.pdf

1923-KOLNP-2004-PA.pdf


Patent Number 227790
Indian Patent Application Number 1923/KOLNP/2004
PG Journal Number 04/2009
Publication Date 23-Jan-2009
Grant Date 20-Jan-2009
Date of Filing 15-Dec-2004
Name of Patentee ALZA CORPORATION
Applicant Address 1900 CHARLESTON ROAD, M10-3 (P.O. BOX 7210) MOUNTAIN VIEW CA
Inventors:
# Inventor's Name Inventor's Address
1 CHEN GOUHUA 299 SUNSET AVENUE, SUNNYVALE, CA 94086
2 PRIEBE DAVID 777 W. MIDDLEFIELD ROAD, #18, MONTAIN VIEW CA 94043
PCT International Classification Number A61K 9/00
PCT International Application Number PCT/US2003/019762
PCT International Filing date 2003-06-25
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/391,867 2002-06-25 U.S.A.