Plasma kallikrein inhibitors and methods of use thereof in ocular disorders
This disclosure is generally in the field of ophthalmic therapies, and more particularly to the treatment of various ocular diseases and conditions by non-surgical administration to the eye of a subject of a drug composition described herein containing a plasma kallikrein inhibitor. Plasma kallikrein inhibitors include avoralstat. The compositions and methods include delivery of a plasma kallikrein inhibitor to the suprachoroidal space (SCS) of the eye.
1 . A method for treating an ocular disease or condition in a subject, the method comprising non-surgically administering an effective amount of a drug composition comprising an effective amount of a plasma kallikrein inhibitor to a suprachoroidal space (SCS) of an eye of the subject thereby allowing the plasma kallikrein inhibitor access to an ocular tissue, wherein the plasma kallikrein inhibitor is the sole therapeutic agent present in the drug composition, and wherein the ocular disease or condition is diabetic retinopathy or diabetic macular edema, and wherein the plasma kallikrein inhibitor is a compound of formula IB
wherein:
X is CH;
Y is N;
R is —CH 2 ═CH 2 ;
R 1 is —OCH 3 ;
V is C(O)OH;
R 10 is —(CH 2 )-cyclopropyl; and
R 11 is ═O.
2 . The method of claim 1 , wherein the drug composition is administered 2 to 6 times per year or 2 or 3 times per year.
3 . The method of claim 1 , wherein administration of the drug composition provides for a concentration of the plasma kallikrein inhibitor in the SCS or an ocular tissue above a minimum therapeutic level over all or substantially all of a dosing interval.
4 . The method of claim 3 , wherein the dosing interval is selected from the group consisting of: every month, every 2 months, every 3 months, every 4 months, every 5 months, every 6 months, and every 12 months.
5 . The method of claim 3 , wherein the ocular tissue is a posterior ocular tissue.
6 . The method of claim 5 , wherein the posterior ocular tissue is the sclera, the choroid, the Bruch's membrane, the retinal pigment epithelium (RPE), the retina, the macula, the peripheral RPE, the peripheral choroid, the peripheral sclera, the peripheral retina, the central RPE, the central choroid, the central sclera, the central retina, or a combination of the foregoing.
7 . The method of claim 3 , wherein the dosing interval is every 2 months.
8 . The method of claim 3 , wherein the dosing interval is every 3 months.
9 . The method of claim 1 , wherein a volume of the drug composition administered is from about 10 μL to about 200 μL.
10 . The method of claim 1 , wherein administration of the drug composition provides a therapeutic benefit in the treatment of the ocular disease or condition in the absence of a local or a systemic side effect.
11 . The method of claim 1 , wherein the effective amount of the plasma kallikrein inhibitor in the drug composition ranges from about 0.01 mg to about 20 mg.
12 . The method of claim 1 , wherein the effective amount of the plasma kallikrein inhibitor in the drug composition ranges from about 0.1 mg to about 10 mg.
13 . The method of claim 1 , wherein the effective amount of the plasma kallikrein inhibitor in the drug composition ranges from about 0.1 mg to about 1 mg.
14 . The method of claim 1 , wherein the ocular disease or condition affects a posterior segment of the eye.
15 . The method of claim 1 , wherein the drug composition is administered to the SCS of the eye via a hollow microneedle.
16 . The method of claim 1 , further comprising administering an additional therapeutic agent.