Sustained-release drug carrier composition
The present invention provides compositions for extended release of an active ingredient, comprising a lipid-saturated matrix formed from a biodegradable polymer. The present invention also provides methods of producing the matrix compositions and methods for using the matrix compositions to provide controlled release of an active ingredient in the body of a subject in need thereof.
1. A method of treating osteomyelitis comprising the step of administering at or near the site of osteomyelitis a substrate having its surface at least partially coated with a matrix composition for sustained antibiotic release, the matrix composition comprising: a) a biodegradable polymer; b) a first lipid comprising a sterol; c) a second lipid comprising at least one phospholipid having fatty acid moieties of at least 14 carbons, and d) an antibiotic agent;
wherein the matrix composition is lipid saturated, comprises at least 50% (w/w) lipids and has an ordered multilayer structure in which (i) the biodegradable polymer and lipid are ordered in the form of layers and (ii) when maintained in an aqueous environment the matrix composition provides sustained release of the antibiotic agent.
2. The method of claim 1 , wherein said osteomyelitis is diabetes-associated osteomyelitis.
3. The method of claim 1 , wherein the antibiotic agent comprises doxycycline.
4. The method of claim 1 , wherein said phospholipid is a phosphatidylcholine having fatty acid moieties having at least 14 carbons.
5. The method of claim 1 , wherein the biodegradable polymer is a biodegradable polyester selected from the group consisting of PLA (polylactic acid), PGA (poly glycolic acid) and PLGA (Poly (lactic co glycolic acid).
6. The method of claim 1 , wherein said sterol is a cholesterol.
7. The method of claim 4 , wherein the phosphatidylcholine is selected from the group consisting of 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC), 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), 1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC) and any combination thereof.
8. The method of claim 4 , wherein the phosphatidylcholine constitutes at least 50% (w/w) of the total lipid content of the matrix composition.
9. The method of claim 1 , wherein the weight ratio of total lipids to the biodegradable polymer in the matrix composition is between 1.5:1 and 9:1 inclusive.
10. The method of claim 1 , wherein the matrix composition is substantially free of water.
11. The method of claim 1 , wherein 90% of the antibiotic agent is released during a period of between 4 days and 6 months.
12. The method of claim 1 , wherein the substrate is selected from the group consisting of hydroxyapatite, ceramic material, gelatin, bone filler particles, polymeric implants, collagen and non-collagen membranes, orthopedic cements and sponges.
13. The method of claim 1 , wherein the matrix composition is in a parenterally injectable form.
14. The method of claim 1 , wherein the matrix composition is administered by injection at or near the site of osteomyelitis.