Continuous release compositions made from hyaluronic acid, and therapeutic applications of same
The present invention concerns polymer particles made from poly(lactic-co-glycolic acid) (PLGA) polymer, poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolicacid) (PLGA-PEG-PLGA) copolymer, or the mixture of same, combined with hyaluronic acid molecules or hyaluronic acid salts, and the method for preparing same. The present invention also concerns injectable pharmaceutical or cosmetic compositions comprising such polymer particles, the method for preparing such compositions, and the use thereof for medical purposes, in particular for the prevention and/or treatment of musculoskeletal diseases, diseases and traumatic conditions of the skin, oral disorders, vaginal mucosa dryness and urinary infections or cystitis, dryness of the eye membrane and eye infections, obesity, and the use of same to combat ageing of the skin and/or for repairing the dermal tissue (mesotherapy).
1. A method for treating musculoskeletal disorders, comprising administering by intra-articular injection to a subject in need thereof an effective amount of a composition comprising polymer particles in suspension in an uptake solution, said polymer particles consisting essentially of at least a poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer or a mixture of a poly(lactic-co-glycolic acid) (PLGA) polymer and a poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer, combined with hyaluronic acid molecules or hyaluronic acid salts without formation of covalent bonds between the hyaluronic acid molecules or hyaluronic acid salts and the polymer, wherein the poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer has a molecular weight ranging from 50 000 to 70 000 g·mol −1 , wherein said polymer particles continuously release the hyaluronic acid molecules or hyaluronic acid salts, and have a size ranging from 10 to 130 μm, wherein the continuous release of the hyaluronic acid or hyaluronic acid salts continues to occur for between 8 to 12 weeks when the polymer particles are in synovial fluid, and wherein the content by weight of hyaluronic acid or of hyaluronic acid salts combined with the polymer particles is in a range from 1 to 50 μg·mg −1 .
2. The method as claimed in claim 1 , wherein the musculoskeletal disorder is osteoarthritis.
3. The method as claimed in claim 2 , wherein the osteoarthritis is the osteoarthritis of the knee or effusion-free osteoarthritis.
4. The method as claimed in claim 1 , wherein the hyaluronic acid molecules or hyaluronic acid salts are bonded via low-energy bonds to the poly(lactic-co-glycolic acid)-polyethylene polymer and/or to the poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) copolymer.
5. The method as claimed in claim 1 , wherein the polymer particules are consisted solely of poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer combined with hyaluronic acid molecules or hyaluronic acid salts.
6. The method as claimed in claim 1 , wherein the polymer particules are composed of the mixture of poly(lactic-co-glycolic acid) (PLGA) polymer and poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer.
7. The method as claimed in claim 6 , wherein the ratio by weight of the poly(lactic-co-glycolic acid) (PLGA) polymer to the poly(lactic-co-glycolic acid)-polyethylene glycol-poly(lactic-co-glycolic acid) (PLGA-PEG-PLGA) copolymer is in a range from 40/60 to 60/40.
8. The method as claimed in claim 1 , wherein the hyaluronic acid molecules have a molecular weight in a range from 0.8×10 6 to 1.2×10 6 g·mol −1 .
9. The method as claimed in claim 1 , wherein the polylmer particles have a size ranging from 20 to 85 μm.
10. The method as claimed in claim 1 , wherein no more than 50% of the hyaluronic acid or hyaluronic acid salts are released within 5 weeks when the polymer particles are in synovial fluid.
11. The method as claimed in claim 1 , wherein the uptake solution is a solution of purified water, an aqueous solution of hyaluronic acid or of hyaluronic acid salts, or an aqueous solution of another salt.