Sustained release biodegradable intracanalicular inserts comprising a hydrogel and cyclosporine
Provided herein are sustained release biodegradable intracanalicular insert comprising a hydrogel and cyclosporine, methods of treating or preventing an ocular disease in a subject in need thereof by administering such inserts as well as methods of manufacturing such inserts.
1. A method of treating an ocular disease in a human subject in need thereof, the method comprising inserting into the canaliculus of the subject a sustained release biodegradable intracanalicular insert comprising a hydrogel and cyclosporine, wherein the cyclosporine is in the form of particles having d50 value of less than about 50 μm as measured by laser diffraction and wherein the cyclosporine particles are dispersed within the hydrogel, wherein the hydrogel comprises a polymer network comprising crosslinked polymer units that are identical or different which are polyethylene glycol units having two to ten arms, wherein the arms of the polyethylene glycol units are connected to a core molecule of pentaerythritol, the polymer network is formed by reacting an electrophilic group-containing multi-arm polymer precursor with a nucleophilic group-containing cross-linking agent, the electrophilic group is an N-hydroxysuccinimidyl (NHS) ester group, the nucleophilic group-containing crosslinking agent contains an amine group, wherein the ocular disease is selected from dry eye, blepharitis, allergic conjunctivitis, atopic keratoconjunctivitis or vernal keratoconjunctivitis.
2. The method of claim 1 , wherein the nucleophilic group-containing cross-linking agent is a small molecule amine with a molecular weight below 1,000 Da.
3. The method of claim 1 , wherein the nucleophilic group-containing crosslinking agent is a labeled trilysine.
4. The method of claim 1 , wherein the cyclosporine particles have a d50 value ranging from 3 to 17 μm.
5. The method of claim 1 , wherein the multi-arm polymer units comprise 4a20kPEG units and the cross-linking units comprise fluorescein-conjugated trilysine amide units.
6. The method of claim 1 , wherein the polymer network is obtained by reacting 4a20kPEG-SG or 4a20kPEG-SAP with fluorescein-conjugated trilysine in a molar ratio ranging from about 1:2 to about 2:1.
7. The method of claim 1 , wherein the insert in a dried state contains from about 15% to about 80% by weight of the cyclosporine based on the total weight of the insert and from about 20% to about 60% by weight polymer units based on the total weight of the insert.
8. The method of claim 1 , wherein the insert in a dried state contains from about 40% to about 80% by weight of the cyclosporine based on the total weight of the insert.
9. The method of claim 8 , wherein the insert in a dried state contains from 45% to 55% by weight of the cyclosporine based on the total weight of the insert.
10. The method of claim 1 , wherein the insert contains a surfactant.
11. The method of claim 10 , wherein the insert in a dried state contains from about 0.01% to about 5% by weight of a surfactant based on the total weight of the insert.
12. The method of claim 10 , wherein the insert contains a non-ionic surfactant.
13. The method of claim 1 , wherein the cyclosporine content as measured by HPLC after at least 3 months at a temperature of from 2 to 8° C. is from about 300 to about 410 μg by weight.
14. The method of claim 13 , wherein the amount of impurities as measured by HPLC after at least 3 months of storage at a temperature of from 2 to 8° C. is not more than 3.0%.
15. The method of claim 1 , wherein the insert is in the form of a fiber, wherein the fiber has an average length of about 1.5 mm to about 4.0 mm and an average diameter of not more than 0.8 mm in its dried state.
16. The method of claim 1 , wherein the insert after at least 3 months at a temperature of from 2 to 8° C. is in the form of a fiber that has an average length of about 2.5 mm to about 2.9 mm and an average diameter of not more than 0.62 mm in its dried state.
17. The method of claim 1 , wherein the insert is in the form of a fiber that has an average diameter of at least 1.0 mm in expanded state after 10 minutes of hydration or of at least 1.3 mm in equilibrium state after 24 hours of hydration in vitro in phosphate-buffered saline at a pH of 7.4 at 37° C.
18. The method of claim 1 , wherein the insert disintegrates in the canaliculus within about 1 to about 6 months after insertion.
19. The method of claim 18 , wherein the insert after insertion to the canaliculus releases a therapeutically effective amount of cyclosporine over a period of at least about 1 month after insertion.
20. The method of claim 19 , wherein cyclosporine is released from the insert after insertion to a human subject at an average rate of about 0.1 μg/day to about 10 μg/day.