Modified hyaluronic acid polymer compositions and related methods
The present application provides compositions comprising hyaluronic acid having low levels of functional group modification, mixtures formed by controlled reaction of such lightly modified hyaluronic acid with suitable difunctional or multi-functional crosslinkers, and hydrogel precursor compositions and the resulting hydrogels. The compositions are lightly cross-linked and possess low pro-inflammatory properties when injected in vivo, and can be used as, for example, medical devices, biomedical adhesives and sealants, and for localized delivery of bioactive agents, among other uses.
1. A method of treating a mammalian subject having osteoarthritis, comprising administering a therapeutically effective amount of a hydrogel composition into an intra-articular space of a joint of the subject, the hydrogel composition comprising crosslinked hydrogel particles comprising triamcinolone or a pharmaceutically acceptable salt thereof in an aqueous solution comprising hyaluronic acid, wherein the crosslinked hydrogel particles are formed by reaction of polyethylene glycol dithiol with 2-(vinylsulfonyl)ethoxy-derivatized hyaluronic acid having from 1-10% of its hydroxyl groups derivatized with 2-(vinylsulfonyl)ethoxy groups.
2. The method of claim 1 , wherein the polyethylene glycol dithiol has a molecular weight in a range of about 250 to about 20,000 daltons.
3. The method of claim 2 , wherein the triamcinolone is in the form of a pharmaceutically acceptable salt.
4. The method of claim 3 , wherein the triamcinolone salt is triamcinolone acetonide.
5. The method of claim 4 , wherein the hydrogel composition comprises from about 0.01 to about 3 percent by weight triamcinolone acetonide.
6. The method of claim 5 , wherein the hydrogel composition comprises from about 0.1 to about 2 percent by weight triamcinolone acetonide.
7. The method of claim 6 , wherein the crosslinked hydrogel particles have diameter sizes ranging from about 0.10 to 3.0 millimeters.
8. The method of claim 7 , wherein the hydrogel composition comprises a slurry of crosslinked hydrogel particles suspended in the aqueous solution of hyaluronic acid.
9. The method of claim 8 , wherein the hydrogel composition comprises from about 0.1 to about 3 percent (w/vol) of hyaluronic acid.
10. The method of claim 6 , wherein said administering comprises administering from about 0.50 mL to about 8 mL of the hydrogel composition into the intra-articular space of a joint of the subject.
11. The method of claim 10 , wherein said administering comprises administering from about 3 mL to about 6 mL of the hydrogel composition into the intra-articular space of a joint of the subject.
12. The method of claim 11 , comprising administering the hydrogel composition into the intra-articular space of a knee joint of the subject.
13. The method of claim 12 , wherein the administering comprises injecting the hydrogel composition.
14. The method of claim 13 , wherein the mammalian subject is human.
15. The method of claim 14 , wherein the administering is effective to provide relief of pain experienced by the subject.
16. The method of claim 15 , wherein the 2-(vinylsulfonyl)ethoxy-derivatized hyaluronic acid has from 2-7% of its hydroxyl groups derivatized with 2-(vinylsulfonyl)ethoxy groups.