Injectable bone morphogenetic protein
A method of treating a bone defect is provided. The method comprises administering to the bone defect an injectable solution comprising about 20 μg to about 5000 μg of bone morphogenetic protein-2 (BMP-2) in an aqueous carrier. Kits and methods of making are also provided.
1. A method of making an injectable bone morphogenetic protein-2 (BMP-2) solution for administering directly into a bone defect, the method comprising providing 28 μg of BMP-2 in lyophilized form; providing an aqueous carrier; and mixing the BMP-2 with the aqueous carrier to form the injectable BMP-2 solution in a volume of 100 μL, wherein the injectable solution has a pH of about 6.0, and wherein the BMP-2 is recombinant human BMP-2 (rhBMP-2).
2. The method of claim 1 , wherein the aqueous carrier comprises a buffering agent comprising tris (hydroxymethyl) aminomethane (Tris), ethylenediaminetetraacetic acid (EDTA), (2-[4-(2-hydroxyethyl)-1l-piperazinylJethanesulfonic acid) (HEPES), 2-(N-morpholino) ethanesulfonic acid (MES), sodium acetate, sodium citrate, sodium phosphate, potassium phosphate, phosphate buffered saline (PBS), sodium chloride, potassium chloride, calcium chloride, glycerol, sucrose, glycine, L-glutamic acid, polysorbate 80, or a combination thereof.
3. The method of claim 2 , wherein (i) the buffering agent comprises sucrose, glycine, L-glutamic acid, sodium chloride, polysorbate 80, or a combination thereof; or (ii) the buffering agent is at a concentration from about 1 mM to 100 mM.
4. The method of claim 1 , wherein the injectable solution further comprises a clotting factor in an amount of about 0.0001% to about 5% of the injectable solution.
5. The method of claim 1 , wherein the aqueous carrier is not osteoinductive or osteoconductive.
6. The method of claim 1 , wherein (i) the injectable solution is for administering percutaneously to a long bone fracture; or (ii) the injectable solution is for administering directly into a fracture site that has a hematoma.
7. The method of claim 1 , wherein the injectable solution is for administering a single dose injection to the bone defect.
8. The method of claim 1 , wherein the injectable solution is for administering multiple intermittent bolus injections at different stages of healing of a bone fracture.
9. The method of claim 8 , wherein the multiple intermittent bolus injections comprise a first intermittent bolus injection administered at a time of injury during a hematoma formation, a second intermittent bolus injection administered between one to about two weeks at an onset of a bone reparative phase, and a third intermittent bolus injection administered at an onset of a bone remodeling phase.
10. The method of claim 1 , wherein the administering is via a pump.