METHODS OF ADMINISTERING BONE MORPHOGENETIC PROTEIN COMPOSITIONS
The present invention relates to compositions of bone morphogenetic proteins, particularly solid and liquid formulations of such proteins comprising one or more stabilizing excipients. The invention further provides methods of producing the compositions, kits comprising the compositions and methods of using the compositions in the treatment of diseases of skeletal and non-skeletal tissues.
1 . A preparation of bone morphogenetic protein comprising: an aqueous carrier; and, bone morphogenetic protein solubilized in said carrier at a concentration of at least about 10 mg/ml.
2 . The protein preparation of claim 1 , further comprising a stabilizing excipient.
3 . The protein preparation of claim 2 , wherein the stabilizing excipient is selected from the group consisting of: sugars, polyols, surfactants, and any combination thereof.
4 . The protein preparation of claim 3 , wherein the stabilizing excipient is selected from the group consisting of glucose, sucrose, raffinose, trehalose, lactose, mannitol, sorbitol, Tween 80, Tween 20 and Pluronic F-68 and combinations thereof
5 . The protein preparation of claim 4 , wherein the stabilizing excipient is trehalose.
6 . The protein preparation of claim 5 , having a pH of from about 2.5 to about 3.5.
7 . The protein preparation of claim 5 , wherein the aqueous carrier comprises a buffer of the single acidic group type selected from the group consisting of: potassium phosphate, proprionic acid, lactic acid, trifluoroacetic acid and acetic acid; or the two acidic group type selected from the group consisting of: sodium glutamate and sodium succinate.
8 . The protein preparation of claim 5 , wherein the protein is selected from the group consisting of BMP-2, BMP-4, BMP-5, BMP-6, BMP-7, GDF-5, GDF-6, GDF-7, and sequence variants of any one of the foregoing.
9 . The protein preparation of claim 8 , wherein the protein is selected from the group consisting of GDF-5, GDF-6 and GDF-7.
10 . The protein preparation of claim 8 , wherein the protein is selected from the group consisting of BMP-7.
11 . A method of treating a skeletal tissue disorder, injury or disease, the method comprising the step of: administering to a subject in need thereof the protein preparation of claim 5 , wherein said protein preparation is in a dose effective to treat said skeletal tissue disorder, injury or disease.
12 . The method of claim 11 , wherein the skeletal tissue is mineralized or non-mineralized skeletal tissue.
13 . The method of claim 12 , wherein the protein preparation is in an amount effective to treat a skeletal tissue disorder, injury or disease selected from the group consisting of metabolic bone disease, osteoarthritis, osteochondral disease, rheumatoid arthritis, osteoporosis, bone fractures, Paget's disease, periodontitis, and dentinogenesis.
14 . The method of claim 12 , wherein the protein preparation is in an amount effective to treat a non-mineralized skeletal tissue disorder, injury or disease selected from the group consisting of osteoarthritis, osteochondral disease or defect, chondral disease or defect, rheumatoid arthritis, trauma-induced and inflammation-induced cartilage degeneration, age-related cartilage degeneration, articular cartilage injuries and diseases, full thickness cartilage defects, superficial cartilage defects, sequelae of systemic lupus erythematosis, sequelae of scleroderma, periodontal tissue regeneration, hierniation and rupture of intervertebral discs, degenerative diseases of the intervertebral disc, osteocondrosis, and injuries and diseases of ligament, tendon, synovial capsule, synovial membrane and meniscal tissues.
15 . The method of claim 11 , wherein the protein preparation is in an amount effective to ameliorate tissue injury selected from the group consisting of: trauma-induced and inflammation-induced cartilage degeneration, articular cartilage injuries, full thickness cartilage defects, superficial cartilage defects, hierniation and rupture of intervertebral discs, degeneration of intervertebral discs due to an injury(s), and injuries of ligament, tendon, synovial capsule, synovial membrane and meniscal tissues.
16 . The method of claim 11 , wherein the disease is degenerative disc disease.
17 . The method of claim 16 , wherein the effective dose is administered to the intradiscal space, the nucleus pulposus or the annulus fibrosus.
18 . The method of claim 11 , wherein the method further comprises the step of admixing said protein preparation with a suitable matrix material prior to administration.
19 . The method of claim 11 , wherein the protein is selected from the group consisting of:
BMP-2, BMP-4, BMP-5, BMP-6, BMP-7, GDF-5, GDF-6, GDF-7, and sequence variants of any one of the foregoing.
20 . The method of claim 19 , wherein the protein is BMP-7.
21 . A kit comprising a lyophilized bone morphogenetic protein preparation and a reconstitution diluent, wherein the protein and the diluent are in separate containers, and wherein the amount of diluent is sufficient only for preparation of solubilized protein at a concentration of at least about 10 mg/ml.
22 . The kit of claim 21 , further comprising a matrix.
23 . The kit of claim 21 , further comprising an implantable device suitable for coating with the solubilized protein.
24 . The kit of claim 21 , wherein the lyophilized bone morphogenetic protein preparation comprises a stabilizing excipient.
25 . The kit of claim 24 , wherein the stabilizing excipient is trehalose.