Bioerodible cross-linked hydrogel implants and related methods of use
The present disclosure is directed to a composite implant for the sustained release of a therapeutic agent from a hydrogel matrix. The hydrogel matrix may be a cross-linked bioerodible polyethylene glycol (PEG) hydrogel with a therapeutic complex dispersed within the cross-linked bioerodible PEG hydrogel. The therapeutic complex may include a therapeutic agent in association with mesoporous silica particles. The composite implant is configured to be delivered to or implanted into an eye of a subject or patient. The composite implant may be used treat ocular disease in a subject or patient. Ocular diseases may be selected from at least one of neovascular age related macular degeneration (AMD), diabetic macular edema, or macular edema following retinal vein occlusion.
1. A composite implant comprising:
a bioerodible cross-linked polyethylene glycol hydrogel; and
a therapeutic complex comprising:
a therapeutic agent selected from a protein or a peptide; and
mesoporous silica particles;
wherein the therapeutic complex is dispersed in the bioerodible cross-linked polyethylene glycol hydrogel,
wherein the composite implant is capable of being implanted in a vitreous chamber of an eye of a subject and stabilizing the therapeutic agent against aggregation and degradation for at least six months after implantation, and
wherein a burst release of the therapeutic agent from the composite implant is less than about 10 percent (w/w) over an initial 24-hour period from implantation in an eye of a subject.
2. The composite implant of claim 1 , wherein the bioerodible cross-linked polyethylene glycol hydrogel comprises a network of polyethylene glycol formed by a reaction between a polyethylene glycol with an electrophilic end group and polyethylene glycol with a nucleophilic end group.
3. The composite implant of claim 2 , wherein the electrophilic end group comprises a hydroxysuccinimidyl glutarate (SG), an N-hydroxysuccinimidyl adipate (SAP), or an N-hydroxysuccinimidyl azelate (SAZ).
4. The composite implant of claim 1 , wherein a burst release of the therapeutic agent from the composite implant ranges from between about 0 and about 5 percent (w/w) over an initial 24-hour period from implantation in an eye of a subject.
5. The composite implant of claim 1 , wherein the release rate of the therapeutic agent from the composite implant is substantially constant over an initial three-month period beginning with the end of the burst release or lag phase, but not more than 14 days post-implantation.
6. The composite implant of claim 5 , wherein the release rate of the therapeutic agent from the composite implant is near-zero order or pseudo-zero order over an initial three-month period from implantation beginning with the end of the burst release or lag phase, but not more than 14 days post-implantation.
7. The composite implant of claim 1 , wherein the composite implant releases the therapeutic agent for a period of at least six months from implantation in an eye of a subject.
8. The composite implant of claim 1 , wherein the therapeutic complex releases the therapeutic agent over a period that is less than 28 days in the absence of the bioerodible cross-linked polyethylene glycol hydrogel.
9. The composite implant of claim 1 , wherein the mesoporous silica particles comprise a pore size ranging from 6 to 15 nm.
10. The composite implant of claim 1 , wherein the mesoporous silica particles comprise particles ranging from 1 to 25 microns.
11. The composite implant of claim 1 , wherein a surface of the mesoporous silica particles comprises a charge.
12. The composite implant of claim 1 , wherein the therapeutic agent is selected from at least one of bevacizumab, ranibizumab, aflibercept, brolucizumab, faricimab, conbercept, ankyrin repeat proteins, adalimumab, anti-TNF-alpha agents, biosimilars, or salts, esters, solvates, isomers, complexes, or conjugates thereof.
13. The composite implant of claim 1 , wherein the therapeutic agent is adsorbed to the mesoporous silica particles.
14. A composite implant comprising:
a bioerodible cross-linked polyethylene glycol hydrogel; and
a therapeutic complex comprising:
a therapeutic agent selected from a protein or a peptide; and
mesoporous silica particles;
wherein the bioerodible cross-linked polyethylene glycol hydrogel comprises a network of polyethylene glycol formed by a reaction between a polyethylene glycol with an electrophilic end group and polyethylene glycol with a nucleophilic end group,
wherein the therapeutic complex is dispersed in the bioerodible cross-linked polyethylene glycol hydrogel, and
wherein the composite implant is capable of being implanted in a vitreous chamber of an eye of a subject and stabilizing the therapeutic agent against aggregation and degradation for at least six months after implantation.
15. The composite implant of claim 14 , wherein the electrophilic end group comprises a hydroxysuccinimidyl glutarate (SG), an N-hydroxysuccinimidyl adipate (SAP), or an N-hydroxysuccinimidyl azelate (SAZ).
16. A method of introducing a therapeutic agent into an eye of a subject, the method comprising:
delivering a composite implant to a vitreous chamber of an eye of a subject, the composite implant comprising:
a bioerodible cross-linked polyethylene glycol hydrogel; and
a therapeutic complex comprising:
a therapeutic agent selected from a protein or a peptide; and
mesoporous silica particles;
wherein the therapeutic complex is dispersed in the bioerodible cross-linked polyethylene glycol hydrogel,
wherein the composite implant is capable of stabilizing the therapeutic agent against aggregation and degradation for at least six months after delivery to the vitreous chamber, and
wherein the composite implant provides a burst release of the therapeutic agent of less than about 10 percent (w/w) over an initial 24-hour period after delivery to the vitreous chamber.
17. A pre-loaded injector assembly comprising:
a needle; and
a composite implant comprising:
a bioerodible cross-linked polyethylene glycol hydrogel; and
a therapeutic complex comprising:
a therapeutic agent selected from a protein or a peptide; and
mesoporous silica particles,
wherein the complex is dispersed in the bioerodible cross-linked polyethylene glycol hydrogel, and
wherein the composite implant is loaded in the needle,
wherein the composite implant is capable of being implanted in a vitreous chamber of an eye of a subject and stabilizing the therapeutic agent against aggregation and degradation for at least six months after implantation, and
wherein a burst release of the therapeutic agent from the composite implant is less than about 10 percent (w/w) over an initial 24-hour period from implantation in the eye of the subject.
18. The pre-loaded injector assembly of claim 17 , wherein a burst release of the therapeutic agent from the composite implant ranges from between about 0 and about 5 percent (w/w) over an initial 24-hour period from implantation in the eye of the subject.
19. The method of claim 16 , wherein the composite implant provides a burst release of the therapeutic agent ranging from between about 0 and about 5 percent (w/w) over an initial 24-hour period after delivery to the vitreous chamber.
20. The method of claim 16 , wherein the delivering a composite implant to the vitreous chamber of an eye of a subject comprises injecting the composite implant through a pars-plana injection into the vitreous chamber.