Dehydrated hydrogel precursor-based, tissue adherent compositions and methods of use
Compositions and methods are provided for forming tissue-adherent hydrogels using substantially dry precursors. The dehydrated precursors are premixed prior to in situ therapy and utilize naturally-occurring body fluids as an aqueous environment that initiates transformation, which causes dissolution and nearly simultaneous crosslinking of the precursors, thus forming an insoluble hydrogel implant. The dehydrated precursor-based hydrogels may be used as sealants for fluid leaks from tissue, as adherent drug delivery depots, as means for augmenting and/or supporting tissue, and as means for serving a variety of other useful medical and surgical purposes.
1. A system for in situ therapy comprising:
an applicator selected from the group consisting of a powder atomization system and a needle-less injector capable of delivering a powder; and
the powder, with said powder comprising at least two substantially dry lyophilized hydrogel precursors compounded with each other in powder form that are water soluble and have functional groups for forming crosslinks with each other, wherein the precursors, upon exposure to an aqueous fluid in a physiological environment, dissolve and substantially simultaneously crosslink with each other to thereby form a tissue-adherent covalently-crosslinked water-insoluble biodegradable hydrogel in situ.
2. The system of claim 1 further comprising a therapeutic agent associated with at least one of the dry hydrogel precursors.
3. The system of claim 2 wherein the therapeutic agent is selected from the group consisting of thrombin, anti-infective agents, bone growth factors, angiogenic factors, anti-angiogenic factors, growth factors, proteins, peptides, oligonucleotides, genes, polysaccharides, proteoglycans, microparticles, glycosaminoglycans, and drugs.
4. A method of forming a water-insoluble hydrogel in situ comprising:
providing at least two substantially dry hydrogel precursors compounded together and prepared by lyophilization to form a powder, wherein the dry hydrogel precursors are water soluble and have functional groups for forming covalent bonds, wherein covalent bonding of the functional groups causes the at least two precursors to be covalently crosslinked with each other to thereby form a hydrogel in situ upon exposure to an aqueous physiological fluid; and
delivering the powder without a solvent to an implantation site in situ in a patient to expose the precursors to aqueous physiological fluids from the implantation site to cause dissolution and crosslinking of the precursors with each other to thereby form a covalently-crosslinked water-insoluble biodegradable hydrogel adherent to the implantation site,
wherein the dissolution and the crosslinking of the precursors is substantially simultaneous.
5. The method of claim 4 further comprising using the hydrogel for delivering a drug.
6. The method of claim 4 wherein the hydrogel seals fluid leaks from the implantation site.
7. The method of claim 4 wherein the implantation site comprises a mucosal surface and the powder comprises a drug and is applied to the mucosal surface to form an adherent drug delivery depot that releases the drug.
8. The system of claim 1 wherein the functional groups are members of the group consisting of electrophiles and nucleophiles.
9. The method of claim 5 wherein the functional groups are members of the group consisting of electrophiles and nucleophiles.
10. The system of claim 8 wherein the electrophiles are succinimidyl esters.
11. The method of claim 9 wherein the electrophiles are succinimidyl esters.
12. A kit comprising the applicator and the powder of claim 4 .