COMPOSITIONS AND METHODS FOR THE TREATMENT OF SOLID TUMORS
The present invention provides methods for treating solid tumors, reducing local tumor recurrence and tumor metastatic spreading, by administering directly into the tumor or to the tumor resection cavity a pharmaceutical composition comprising a particulate biodegradable substrate coated with a polymer-lipid based matrix which provide local sustained release of a taxane chemotherapeutic drug. The present invention further provides methods for treating chemotherapy resistant tumors.
1 - 109 . (canceled)
110 . A method of treating a solid tumor comprising
administering to a subject with a solid tumor a pharmaceutical composition comprising:
a particulate biodegradable substrate coated or impregnated by a matrix composition comprising;
(a) a biodegradable polymer;
(b) at least one phospholipid having hydrocarbon chains of at least 12 carbons; and
(c) a taxane.
111 . The method of claim 110 , wherein the solid tumor is selected from the group consisting of: colon carcinoma, prostate cancer, pancreatic cancer, breast cancer, esophageal cancer, gastric cancer, head and neck cancer, and soft tissue sarcomas.
112 . The method of claim 110 , wherein the solid tumor is a brain tumor selected from a primary brain tumor or a metastatic brain tumor.
113 . The method of claim 112 , wherein the primary brain tumor is glioblastoma multiforme.
114 . The method of claim 110 , wherein the pharmaceutical composition is applied to the inner surface of a resection cavity of the solid tumor at a dose ranging from 20 mg to 260 mg per surface area of 1 cm 2 .
115 . The method of claim 110 , wherein the taxane is selected from the group consisting of:
docetaxel, paclitaxel, and cabazitaxel.
116 . The method of claim 115 , wherein the taxane is docetaxel.
117 . The method of claim 110 , wherein the biodegradable polymer is a polyester.
118 . The method of claim 110 , wherein the at least one phospholipid is a phosphatidylcholine selected from the group consisting of: DMPC, DPPC, DSPC, and DOPC.
119 . The method of claim 110 , wherein the particulate biodegradable substrate comprises particles having an average particle size of less than about 200 μm.
120 . The method of claim 110 , wherein the particulate substrate comprises tri calcium phosphate.
121 . The method of claim 110 , wherein the particulate biodegradable substrate constitutes between about 80 to 93% (w/w) of the total weight of the pharmaceutical composition;
wherein the polymer constitutes between about 0.5-5% (w/w) of the total weight of the pharmaceutical composition; and
wherein the at least one phospholipid having hydrocarbon chains of at least 12 carbons constitutes between about 4.0-15% (w/w) of the total weight of the pharmaceutical composition.
122 . The method of claim 110 , wherein the taxane constitutes up to 2.6% (w/w) of the total weight of the pharmaceutical composition.
123 . The method of claim 122 , wherein the taxane constitutes between about 0.5 to 1.5% (w/w) of the total weight of the pharmaceutical composition.
124 . The method of claim 110 , wherein the pharmaceutical composition further comprises cholesterol.
125 . The method of claim 110 , further comprising a pH adjustment agent.
126 . The method of claim 125 , wherein the pharmaceutical composition comprises a pH between 4 and 6.
127 . The method of claim 110 , wherein the taxane penetrates to a distance of at least 1 cm away from the surface of the solid tumor,
wherein the solid tumor has been resected.
128 . A method for treating a solid tumor, comprising:
administering to a subject with a solid tumor, a pharmaceutical composition comprising:
(a) 80%-93% (w/w) of β-tricalcium phosphate particles;
(b) 1%-4% (w/w) of PLGA;
(c) 4%-15% (w/w) DMPC;
(d) 0%-2% (w/w) of cholesterol; and
(e) 0.2% to 2.6% (w/w) of docetaxel.
129 . The method of claim 110 , wherein the solid tumor is a docetaxel resistant tumor.
130 . The method of claim 110 , wherein the pharmaceutical composition is in the form selected from the group consisting of: a powder, a paste; and a suspension for injection.