Platelet-derived growth factor compositions and methods for the treatment of tendon and ligament injuries
The invention provides compositions and methods for treatment of tendon and ligament injuries and/or repair of damaged tendons and ligament. The invention provides compositions comprising a biocompatible matrix and platelet-derived growth factor (PDGF).
1. A method for attaching a ligament to a bone in an individual comprising administering at an interface between the tendon and the bone or the ligament and the bone an effective amount of a composition comprising: a solution of platelet-derived growth factor (PDGF) at a concentration of 0.1 to 2.0 mg/mL disposed in a biocompatible collagen matrix, wherein the biocompatible collagen matrix has a porosity of at least 80%, and wherein at least about 50% of the PDGF is released within about 24 hours.
2. The method of claim 1 , wherein the biocompatible matrix has a porosity of at least about 90%.
3. The method of claim 1 , wherein the biocompatible matrix has a porosity of at least about 92%.
4. The method of claim 1 , wherein the biocompatible matrix has a porosity of at least about 95%.
5. The method of claim 1 , wherein the pores have an average area ranging from about 2500 μm2 to about 20,000 μm2.
6. The method of claim 1 , wherein the pores have an average perimeter ranging from about 200 μm to about 600 μm.
7. The method of claim 1 , wherein the pores have diameters ranging from about 1 μm to about 1 mm.
8. The method of claim 7 , wherein the pores have diameters at least about 5 μm.
9. The method of claim 1 , wherein the pores are interconnected pores.
10. The method of claim 1 , wherein at least about 60% of the PDGF is released within about 24 hours.
11. The method of claim 1 , wherein at least about 70% of the PDGF is released within about 24 hours.
12. The method of claim 1 , wherein at least about 80% of the PDGF is released within about 24 hours.
13. The method of claim 1 , wherein the biocompatible matrix is resorbed within about 21 days of in vivo administration.
14. The method of claim 1 , wherein the biocompatible matrix is resorbed within about 18 days of in vivo administration.
15. The method of claim 1 , wherein the biocompatible matrix is resorbed within about 15 days of in vivo administration.
16. The method of claim 1 , wherein the collagen is soluble.
17. The method of claim 1 , wherein the collagen is cross-linked.
18. The method of claim 1 , wherein the biocompatible matrix further comprises a glycosaminoglycan.
19. The method of claim 18 , wherein the glycosaminoglycan is chondroitin sulfate.
20. The method of claim 1 , wherein the composition is a sheet, pad, patch, gel or paste.
21. The method of claim 1 , wherein the concentration of PDGF in the solution is about 0.1 mg/ml to about 0.4 mg/ml.
22. The method of claim 1 , wherein the concentration of PDGF in the solution is about 0.9 mg/ml to about 1.5 mg/ml.
23. The method of claim 1 , wherein cells infiltrate the composition within about 4 days after exposure to the composition.
24. The method of claim 1 , wherein the ligament is selected from the group consisting of anterior cruciate ligament, lateral collateral ligament, posterior cruciate ligament, medial collateral ligament, cranial cruciate ligament, caudal cruciate ligament, cricothyroid ligament, periodontal ligament, suspensory ligament of the lens, anterior sacroiliac ligament, posterior sacroiliac ligament, sacrotuberous ligament, sacrospinous ligament, inferior pubic ligament, superior pubic ligament, suspensory ligament, palmar radiocarpal ligament, dorsal radiocarpal ligament, ulnar collateral ligament, and radial collateral ligament.
25. The method of claim 1 , wherein the attachment is for anterior cruciate ligament reconstruction.
26. The method of claim 1 , wherein the collagen is cross-linked, and the biocompatible matrix further comprises a glycosaminoglycan.
27. The method of claim 26 , wherein the glycosaminoglycan is chondroitin sulfate.
28. The method of claim 26 , wherein the weight/weight ratio of collagen to glycosaminoglycan is about 90:10.
29. The method of claim 26 , wherein the weight/weight ratio of collagen to glycosaminoglycan is about 92:8.
30. The method of claim 26 , wherein the weight/weight ratio of collagen to glycosaminoglycan is about 95:5.