Methods and devices for the treatment of ocular diseases in human subjects

a technology for ocular diseases and human subjects, applied in the field of ophthalmic therapies, can solve the problems of significant side effects, difficult to deliver effective doses of drugs to the posterior segment, and difficulty in delivery of drugs to the eye, so as to reduce the severity of one side effect and reduce the number of side effects

Inactive Publication Date: 2015-09-17
CLEARSIDE BIOMEDICAL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0018]In one embodiment of the invention, a method for treating a choroidal malady or a posterior ocular disorder in a human subject in need thereof is provided comprising non-surgically administering a drug formulation to the SCS of the eye of the human subject, wherein, the intraocular pressure of the eye remains substantially constant during administration of the drug formulation to the SCS. In another embodiment, administration of the drug formulation to the SCS of the eye of the patient in need of treatment of the posterior ocular disorder or choroidal malady results in a decreased number of side effects, or a reduced severity of one or more side effects, compared to administration of the same drug dose intravitreally, intracamerally, topically, orally or parenterally. In one embodiment, the side effect reduced by the methods described herein is subretinal exudation and / or bleeding.

Problems solved by technology

The delivery of drug to the eye is extremely difficult, particularly delivery of macromolecules and delivery to the posterior segment.
It is difficult to deliver effective doses of drug to the posterior segment using conventional delivery methods such as topical application, which has poor efficacy, and systemic administration, which often causes significant side effects, and often does not reach the site of infection.
Direct injection into the eye, using conventional needles and syringes has been reported to be effective, but requires professional training and raises concerns about safety (Maurice, J. Ocul. Pharmacol. Ther.

Method used

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  • Methods and devices for the treatment of ocular diseases in human subjects
  • Methods and devices for the treatment of ocular diseases in human subjects
  • Methods and devices for the treatment of ocular diseases in human subjects

Examples

Experimental program
Comparison scheme
Effect test

example 1

Delivery of a Model Compound to the Suprachoroidal Space Using a Hollow Microneedle

[0224]Red-fluorescent sulforhodamine B was used as a model compound and injected into pig eyes ex vivo using a single hollow microneedle inserted just to the base of the sclera in order to target the suprachoroidal space. A brightfield microscopic image of the saggital cross section of an untreated pig eye, shown in FIGS. 8A and 8B (Scale bar: 500 m), was taken both before and after injection of 35 μL of sulforhodamine B. The normal ocular tissue (FIG. 8A) can be distinguished to identify the sclera, choroid, retina, and vitreous humor. After infusion of the model compound (FIG. 8B), the sulforhodamine solution can be seen just below the sclera and above the choroid in the suprachoroidal space, confirming that the solution was injected and spread within the suprachoroidal space from the initial injection site. Volumes up to 35 μL were able to be injected without leakage, but larger volumes leaked out ...

example 2

Delivery of Particles to the Suprachoroidal Space Using Hollow Microneedles

[0225]Particles with diameters of 300 nm or 1000 nm were injected into the suprachoroidal space of rabbit, pig and human eyes ex vivo and imaged to evaluate the distribution and localization of the particles just below the sclera. The sclera (1), choroid (2), and retina (3) were identified in a fluoroscopic image of a cryosection of a pig eye with no infusion into the suprachoroidal space (FIG. 9A, Scale bar: 500 μm). Fluoroscopic images of cryosections of a rabbit eye after injection of 500 nm particles were taken in the axial plane and the images were collaged to form a panoramic view (FIG. 9B, Scale bar: 500 μm). The spread of the fluorescent particles (which appear as the bright white regions in the images) was observed along the equator of the eye in a thin sheath just below the sclera. A volume of 15 μL was injected and, in this particular cross-section taken in the plane of the insertion site, the inj...

example 3

Effect of Operating Parameters on Particle Delivery to the Suprachoroidal Space

[0229]Particles of 20, 100, 500, and 1000 nm diameter were injected into pig eyes ex vivo using a range of different microneedle lengths and infusion pressures to determine the success rate of suprachoroidal delivery. An attempted injection was considered to be either fully successful (complete injection of the 25 L particle suspension into the suprachoroidal space) or fully unsuccessful (an inability to inject at all). No partial injections were observed. The effect of infusion pressure and microneedle length on the success rate of suprachoroidal delivery of particles are shown for 20 nm (FIG. 11A), 100 nm (FIG. 11B), 500 nm (FIG. 11C), and 1000 nm (FIG. 11D) particles into pig eyes.

[0230]The success rate increased with greater infusion pressure and with greater microneedle length (ANOVA, p<0.05). For the 20 nm particles (FIG. 11A). 100% successful injections were achieved using a pressure of 250 kPa at ...

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Abstract

Methods and devices are provided for targeted non-surgical administration of a drug formulation to the suprachoroidal space (SCS) of the eye of a human subject for the treatment of a posterior ocular disorder or a choroidal malady. In one embodiment, the method comprises inserting a hollow microneedle into the eye at an insertion site and infusing a drug formulation through the inserted microneedle and into the suprachoroidal space of the eye, wherein the infused drug formulation flows within the suprachoroidal space away from the insertion site during the infusion. In one embodiment, the fluid drug formulation comprises drug nanoparticles or microparticles.

Description

CROSS REFERENCE TO RELATED APPLICATIONS[0001]This application claims priority from U.S. Provisional Application Ser. Nos. 61 / 724,144, filed Nov. 8, 2012; 61 / 734,872, filed Dec. 7, 2012; 61 / 745,237, filed Dec. 21, 2012; 61 / 773,124, filed Mar. 5, 2013; 61 / 785,229, filed Mar. 14, 2013; 61 / 819,388, filed May 3, 2013; 61 / 873,660, filed Sep. 4, 2013, and 61 / 898,926, filed Nov. 1, 2013, all of which are incorporated herein by reference in their entireties for all purposes.BACKGROUND OF THE INVENTION[0002]This invention is generally in the field of ophthalmic therapies, and more particularly to the use of a microneedle for infusion of a fluid drug formulation into ocular tissues for targeted, local drug delivery.[0003]The delivery of drug to the eye is extremely difficult, particularly delivery of macromolecules and delivery to the posterior segment. Many inflammatory and proliferative diseases in the posterior region of the eye require long term pharmacological treatment. Examples of such ...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/573A61K9/00A61M37/00A61K9/16
CPCA61K31/573A61K9/16A61M2037/0061A61M37/0015A61M2037/0023A61K9/0048A61K9/0019A61K9/10A61K31/4439A61K45/06A61K47/12A61K47/26A61K47/38A61K2039/505A61K2039/54A61K2300/00A61P3/10A61P7/02A61P9/10A61P25/00A61P27/02A61P27/06A61P27/10A61P29/00A61P31/20A61P37/02A61P43/00C07K16/22A61K9/48A61K39/395
Inventor ZARNITSYN, VLADIMIRPATEL, SAMIRKUMARWHITE, DANIELNORONHA, GLENNBURKE, BRIAN
Owner CLEARSIDE BIOMEDICAL
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