Highly penetrative nanocarriers for treatment of CNS disease
Brain-penetrating polymeric nanoparticles that can be loaded with drugs and are optimized for intracranial convection-enhanced delivery (CED) have been developed. In the preferred embodiment, these are loaded with FDA-approved compounds, identified through library screening to target brain cancer stem cells (BSCSs). The particles are formed by emulsifying a polymer-drug solution, then removing solvent and centrifuging at a first force to remove the larger particles, then collecting the smaller particles using a second higher force to sediment the smaller particles having a diameter of less than 100 nm, more preferably less than 90 nanometers average diameter, able to penetrate brain interstitial spaces.
1. A formulation comprising nanoparticles consisting of a core and shell which can be suspended in a pharmaceutically acceptable carrier for convection enhanced delivery (CED),
wherein the core of the nanoparticles consist of biodegradable hydrophobic polymer selected from the group consisting of poly(lactic acid) (PLA), poly(lactic-co-glycolic acid) (PLGA), poly(lactic acid)-polyethyleneglycol (PLA-PEG) block copolymers, polyanhydrides, poly(ester anhydrides), polyglycolide (PGA), poly-3-hydroxybutyrate (PHB) and copolymers thereof, poly-4-hydroxybutyrate (P4HB), blends thereof and copolymers thereof, and a therapeutic, diagnostic, or prophylactic agent, and
have an average diameter of between 25 and 100 nm, and
wherein the shell is on the surface of the nanoparticle core and the shell comprises a pharmaceutically acceptable sugar selected from the group consisting of trehalose, glucose, sucrose and lactose in an amount of between 10 and 50% by mass of the nanoparticle, effective to increase penetration of the nanoparticles through brain tissue.
2. The formulation of claim 1 wherein the nanoparticles are formed by emulsification with a partially water-miscible solvent, which is removed from the nanoparticles.
3. The formulation of claim 1 wherein the sugar is trehalose and wherein the ratio of trehalose to nanoparticles is 0.5:1 (trehalose:nanoparticles) by mass.
4. The formulation of claim 1 wherein the agent is a chemotherapeutic for treatment of cancer.
5. The formulation of claim 4 wherein the agent is selected from the group consisting of Carmustine (BCNU), temozolomide, taxols, camptothecin, and dithiazanine iodide (DI).
6. A method of delivering a therapeutic, prophylactic or diagnostic agent to the central nervous system of a subject in need thereof comprising injecting or infusing by convection-enhanced delivery into the blood stream or tissue adjacent to the region of the central nervous system to be treated the formulation of claim 1 .
7. The method of claim 6 wherein the particles can penetrate brain tissue and are between 25 and 90 nm average diameter.
8. The method of claim 7 wherein the particles are for treatment of brain tumors and have an average diameter of between 60 and 90 nm.
9. The method of claim 6 wherein the agent is a therapeutic in an amount effective to reduce the size or alleviate the symptoms of a brain tumor.
10. The method of claim 9 wherein the agent is selected from the group consisting of carmustine (BCNU), temozolomide, taxols, camptothecin, and dithiazanine iodide (DI).
11. The formulation of claim 1 , wherein the sugar is selected from the group consisting of glucose, sucrose and lactose.
12. The formulation of claim 1 wherein the particles have a size of between 25 and 90 nm.
13. The formulation of claim 12 , wherein the particles have a size of between 60 and 90 nm.
14. The formulation of claim 1 , wherein the polymer is poly(lactic-co-glycolic acid) (PLGA), the agent is a chemotherapeutic, and the sugar is trehalose in an amount of between 10 and 50% of the weight of the biodegradable hydrophobic polymer, effective to increase penetration of the nanoparticles through brain tissue.
15. The formulation of claim 1 , prepared by
(i) subjecting a polymer/agent solution to single-emulsion solvent evaporation to form a nanoparticle solution,
(ii) centrifuging the nanoparticle solution at a slow speed to form a first pellet and a first supernatant,
(iii) discarding the first pellet and centrifuging the first supernatant at high speed to form the nanoparticles, and
(iv) lyophilizing the nanoparticles with the sugar, to remove the solvent.
16. The formulation of claim 15 , wherein the solvent is a partially water-miscible solvent.
17. The formulation of claim 1 , wherein the sugar is trehalose.