Balloon catheter systems for delivery of dry drug delivery vesicles to a vessel in the body
Devices and methods for balloon delivery of rapamycin and other hydrophobic compounds to the wall of blood vessels. Balloon catheters, such as those used for stent deployment, are modified with the addition of a reservoir of dry micelles. The micelle preparation is reconstituted and the micelles are mobilized when the aqueous solution used to inflate the balloons is injected into the catheter. The micelles are infused into tissue surrounding the balloon when pressurized fluid within the balloon leaks through the wall of the balloon.
1. A method for treating a coronary artery of a patient, comprising the steps of:
providing a catheter system comprising:
a balloon catheter comprising a catheter body with a distal end adapted for insertion into vasculature of a patient, a porous balloon disposed on the distal end, a proximal end adapted for connection to a fluid source, and a lumen extending from the proximal end to the balloon;
a storage chamber with a reservoir of dry drug delivery vesicles;
an inflator;
a suspension chamber in fluid communication with the inflator;
a valve operable to selectively connect the suspension chamber to the storage chamber or to the lumen of the catheter; wherein
said suspension chamber comprises a cylinder divided into two cylinder chambers by a piston, with a first of the cylinder chambers aligned for fluid communication with the valve and the storage chamber and a second of the cylinder chambers in fluid communication with the inflator;
operating the valve to align the first cylinder chamber with the storage chamber;
forcing fluid from the first cylinder chamber into the storage chamber to reconstitute the drug delivery vesicles in the storage chamber and create a suspension of reconstituted drug delivery vesicles;
using the inflator, drawing the suspension of drug delivery vesicles into the first cylinder chamber;
operating the valve to align the first cylinder chamber with the lumen of the catheter; and
navigating the distal end of the catheter to the coronary artery and inflating the balloon to affect stent deployment of a stent in the coronary artery;
operating the inflator to force additional fluid into the second cylinder chamber, to thereby force the suspension of drug delivery vesicles from the first cylinder chamber into the catheter, thereby forcing the suspension of drug delivery vesicles through a wall of the balloon and into the coronary artery proximate the balloon.
2. The method of claim 1 , wherein the drug delivery vesicles comprise micelles loaded with rapamycin or rapamycin analogs.
3. The method of claim 2 wherein: the porous balloon has pores of predetermined size; the step of reconstituting the micelles is performed to obtain micelles of a size; wherein the predetermined size of the pores is 2 to 50 time the size of the micelles.
4. The method of claim 2 wherein: the porous balloon has pores of predetermined size; the step of reconstituting the micelles is performed to obtain micelles of a size; wherein the predetermined size of the pores is 2.5 to 125 time the size of the micelles.
5. The method of claim 1 , wherein the porous balloon has pores of predetermined size; the step of reconstituting the drug delivery vesicles is performed to obtain drug delivery vesicles of a size; wherein the predetermined size of the pores is 2 to 50 times the size of the drug delivery vesicles.
6. The method of claim 1 , wherein the drug delivery vesicles comprise micelles loaded with ABT-578, zotarolimus, everolimus, biolimus A9, deforolimus, temsirolimus, tacrolimus, pimcrolimus, nitric oxide synthase, C3 exoenzyme, RhoA inhibitors, tubulusin, A3 agonists, CB2 agonists, 17-AAG, Hsp90 antagonists, tyrphostins, cathepsin S inhibitors, paclitaxel, dexamethasone, ceramides, dimethyl sphingosine, ether-linked diglycerides, ether-linked phosphatidic acids, sphinganines, estrogens, taxol, taxol analogs, actinomycin D, prostaglandins, vitamin A, probucol, Batimastat, Statins, Trapidil, mitomycin C or Cytochalasin B.
7. The method of claim 1 , wherein the porous balloon has pores of predetermined size; the step of reconstituting the drug delivery vesicles is performed to obtain drug delivery vesicles of a size; wherein the predetermined size of the pores is 2.5 to 125 times the size of the drug delivery vesicles.