Drug delivery devices with drug-permeable component and methods
Implantable drug delivery devices include a housing having a closed drug reservoir lumen bounded by a first wall structure and a hydrophilic second wall structure, and a drug contained in the drug reservoir lumen, wherein the first wall structure is impermeable to the drug and the second wall structure is permeable to the drug. Methods of providing controlled release of drug to a patient include deploying a drug delivery device in the patient releasing a drug from the drug reservoir lumen via diffusion through the second wall structure.
1. A method of providing controlled release of drug to a patient, comprising:
deploying into the patient, a drug delivery device comprising (i) a closed drug reservoir lumen bounded by a first wall structure constructed of a first material and by a second wall structure constructed of a second material, and (ii) a solid drug formulation which comprises a drug and is contained in the closed drug reservoir lumen,
wherein water in the patient diffuses through the first and second wall structures into the closed drug reservoir lumen to contact and solubilize the drug formulation,
wherein the drug is released from the drug delivery device, via diffusion through only the second wall structure, and
wherein the first material and the second material are two different polymeric materials.
2. The method of claim 1 , wherein the first wall structure and the second wall structure together form an elongated tube, with both the first and second wall structures extending the length of the elongated tube.
3. The method of claim 2 , wherein the second material comprises a thermoplastic polyurethane.
4. The method of claim 1 , wherein the first wall structure is a cylindrical tube and the second wall structure is an end wall at at least one end of the cylindrical tube.
5. The method of claim 1 , wherein the first material comprises a water permeable material other than silicone.
6. The method of claim 1 , wherein the second material comprises an elastomeric material.
7. The method of claim 6 , wherein the elastomeric material comprises a thermoplastic polyurethane.
8. The method of claim 1 , wherein deploying the drug delivery device into the patient comprises inserting, via a deployment instrument, the drug delivery device into the patient's bladder through the patient's urethra.
9. The method of claim 1 , wherein deploying the drug delivery device into the patient comprises:
releasing the drug delivery device into the patient whereby the drug delivery device elastically deforms from a relatively straightened shape to a curved retention shape effective to retain the drug delivery device within the patient.
10. The method of claim 9 , wherein the drug delivery device is released into the patient's bladder.
11. The method of claim 1 , wherein a rate of release of the drug from the drug delivery device is zero order over at least 36 hours.
12. The method of claim 1 , wherein a rate of the release of the drug from the drug delivery device is zero order over at least 7 days.
13. The method of claim 1 , wherein the solid drug formulation is in the form of a plurality of tablets.
14. The method of claim 1 , wherein the first wall structure and the second wall structure are formed in a coextrusion process.
15. The method of claim 1 , wherein the drug comprises lidocaine, gemcitabine, docetaxel, carboplatin, cisplatin, oxaliplatin, trospium, tolterodine, oxybutynin, or mitomycin C.
16. The method of claim 1 , wherein the drug is a kinase inhibitor.
17. The method of claim 1 , wherein the drug delivery device further comprises a retention frame lumen and a retention frame disposed therein.
18. The method of claim 17 , wherein the retention frame comprises a nitinol wire.
19. The method of claim 1 , wherein the drug comprises a fibroblast growth factor receptor-3 (FGFR3)-selective tyrosine kinase inhibitor.
20. The method of claim 1 , wherein the second material comprises a polyether-based thermoplastic polyurethane.
21. The method of claim 1 , wherein the second material has a Shore durometer value from about 70 A to about 65 D.
22. The method of claim 1 , wherein the drug is released over a period of 90 days.
23. A method of providing controlled release of drug to a patient, comprising:
deploying a drug delivery device in the patient, the device comprising a closed drug reservoir lumen bounded by a first wall structure constructed of a first material and a second wall structure constructed of a second material different from the first material,
wherein a drug is released from the drug reservoir lumen via diffusion through the second material,
wherein the first wall structure is impermeable to the drug, and the second wall structure is permeable to the drug, and
wherein the first wall structure and the second wall structure are adjacent one another and together form an elongated tube, wherein the second wall structure forms a longitudinal strip extending along at least a portion of a length of the tube.
24. The method of claim 23 , wherein deploying the drug delivery device in the patient comprises inserting the device into a body cavity or lumen of the patient via a deployment instrument.
25. The method of claim 24 , wherein the body cavity is the bladder.
26. The method of claim 20 , wherein deploying the drug delivery device in the patient comprises:
elastically deforming the drug delivery device into a relatively straightened shape; and
releasing the drug delivery device into the patient's body cavity such that the drug delivery device assumes a retention shape suited to retain the drug delivery device within the body cavity.
27. The method of claim 23 , wherein a rate of release of the drug from the drug delivery device is zero order over at least 36 hours.
28. The method of claim 23 , wherein a rate of the release of the drug from the drug delivery device is zero order over at least 7 days.
29. The method of claim 23 , wherein releasing the drug further comprises solubilizing the drug with water imbibed through the second wall structure or both the first and second wall structures.
30. The method of claim 23 , wherein the drug is in the form of one or more solid drug units.
31. The method of claim 23 , wherein the drug comprises a fibroblast growth factor receptor-3 (FGFR3)-selective tyrosine kinase inhibitor.
32. The method of claim 23 , wherein the first wall structure is formed of a water permeable material other than silicone.
33. The method of claim 23 , wherein the second material has a Shore durometer value from about 70 A to about 65 D.
34. The method of claim 23 , wherein the drug is released over a period of 90 days.
35. A method of providing controlled release of drug to a patient, comprising:
deploying into the patient, a drug delivery device comprising (a) an elongated tubular housing having two parallel lumen which extend between a first end and an opposing second end of the housing, wherein the two lumen are (i) a closed drug reservoir lumen bounded by a first wall structure constructed of a first material and a second wall structure constructed of a second material which comprises a thermoplastic polyurethane and is different from the first material, and (ii) a retention frame lumen; (b) a plurality of tablets comprising a kinase inhibitor, the plurality of tablets being contained in the drug reservoir lumen; and (c) a nitinol wire retention frame disposed in the retention frame lumen;
permitting water in the patient to diffuse through the first and second wall structures into the closed drug reservoir lumen to contact and solubilize the plurality of tablets comprising a kinase inhibitor; and
releasing the solubilized kinase inhibitor from the drug delivery device, via diffusion through only the second wall structure.
36. The method of claim 35 , wherein the drug delivery device is deployed into the patient's bladder and assumes a coiled retention shape.
37. The method of claim 35 , wherein the kinase inhibitor comprises a fibroblast growth factor receptor-3 (FGFR3)-selective tyrosine kinase inhibitor.
38. The method of claim 35 , wherein the first wall structure is formed of a water permeable material other than silicone.
39. The method of claim 35 , wherein the second material has a Shore durometer value from about 70 A to about 65 D.
40. The method of claim 35 , wherein the solubilized kinase inhibitor is released from the drug delivery device over a period of 90 days.
41. The method of claim 35 , wherein:
the kinase inhibitor comprises a fibroblast growth factor receptor-3 (FGFR3)-selective tyrosine kinase inhibitor and is released from the drug delivery device over a period of 90 days; and
the first wall structure is formed of a water permeable material other than silicone and the thermoplastic polyurethane of the second wall structure has a Shore durometer value from about 70 A to about 65 D.
42. An intravesical drug delivery device comprising:
an elongated tubular housing having two parallel lumen which extend between a first end and an opposing second end of the housing, wherein the two lumen are (i) a closed drug reservoir lumen bounded by a first wall structure constructed of a first material and a second wall structure constructed of a second material which comprises a thermoplastic polyurethane, and (ii) a retention frame lumen;
a plurality of tablets comprising a kinase inhibitor, the plurality of tablets being contained in the drug reservoir lumen; and
a nitinol wire retention frame disposed in the retention frame lumen,
wherein the first wall structure is impermeable to the kinase inhibitor, and the second wall structure is permeable to the kinase inhibitor, and wherein the first and second wall structures are water permeable,
wherein the first and second wall structures extend the length of the tubular housing, with the second wall structure being in the form of a longitudinal strip extending the length of the elongated tubular housing, and
wherein the device is configured to release the kinase inhibitor from the closed drug reservoir lumen by diffusion through the second material forming the second wall structure after water enters the drug reservoir lumen through at least one of the first and second wall structures and contacts the tablets.
43. The intravesical drug delivery device of claim 42 , wherein the plurality of tablets is between 10 and 100 tablets.
44. The intravesical drug delivery device of claim 42 , wherein the tablets are mini-tablets and each mini-tablet has end faces and a side face that is substantially cylindrical, with a diameter in the range of 1.0 mm to 3.2 mm and a length, extending along the side face, in the range of 1.7 mm to 4.8 mm.
45. The intravesical drug delivery device of claim 42 , wherein the intravesical drug delivery device is configured to assume a coiled retention shape within a patient's bladder.
46. The device of claim 42 , wherein the kinase inhibitor comprises a fibroblast growth factor receptor-3 (FGFR3)-selective tyrosine kinase inhibitor.
47. The device of claim 42 , wherein the first wall structure is formed of a water permeable material other than silicone.
48. The device of claim 42 , wherein the second material has a Shore durometer value from about 70 A to about 65 D.
49. The device of claim 42 , wherein the solubilized kinase inhibitor is released from the drug delivery device over a period of 90 days.