EP0381680A1 - Verbandmaterial mit liposomen, welche medikamente enthalten - Google Patents
Verbandmaterial mit liposomen, welche medikamente enthaltenInfo
- Publication number
- EP0381680A1 EP0381680A1 EP19880907739 EP88907739A EP0381680A1 EP 0381680 A1 EP0381680 A1 EP 0381680A1 EP 19880907739 EP19880907739 EP 19880907739 EP 88907739 A EP88907739 A EP 88907739A EP 0381680 A1 EP0381680 A1 EP 0381680A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- liposomes
- alginate
- dressing material
- matrix
- lipofilm
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 239000002502 liposome Substances 0.000 title claims abstract description 56
- 239000013543 active substance Substances 0.000 title claims abstract description 12
- 239000000463 material Substances 0.000 title claims description 24
- 230000000144 pharmacologic effect Effects 0.000 title description 3
- 229920000615 alginic acid Polymers 0.000 claims abstract description 41
- 229940072056 alginate Drugs 0.000 claims abstract description 34
- 235000010443 alginic acid Nutrition 0.000 claims abstract description 34
- 239000011159 matrix material Substances 0.000 claims abstract description 31
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 claims abstract description 30
- 239000006260 foam Substances 0.000 claims abstract description 6
- PEDCQBHIVMGVHV-UHFFFAOYSA-N glycerol group Chemical group OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 25
- 239000000416 hydrocolloid Substances 0.000 claims description 19
- 238000000034 method Methods 0.000 claims description 15
- 230000008569 process Effects 0.000 claims description 9
- 235000010410 calcium alginate Nutrition 0.000 claims description 8
- 239000000648 calcium alginate Substances 0.000 claims description 8
- 229960002681 calcium alginate Drugs 0.000 claims description 8
- OKHHGHGGPDJQHR-YMOPUZKJSA-L calcium;(2s,3s,4s,5s,6r)-6-[(2r,3s,4r,5s,6r)-2-carboxy-6-[(2r,3s,4r,5s,6r)-2-carboxylato-4,5,6-trihydroxyoxan-3-yl]oxy-4,5-dihydroxyoxan-3-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylate Chemical compound [Ca+2].O[C@@H]1[C@H](O)[C@H](O)O[C@@H](C([O-])=O)[C@H]1O[C@H]1[C@@H](O)[C@@H](O)[C@H](O[C@H]2[C@H]([C@@H](O)[C@H](O)[C@H](O2)C([O-])=O)O)[C@H](C(O)=O)O1 OKHHGHGGPDJQHR-YMOPUZKJSA-L 0.000 claims description 8
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 claims description 6
- 239000004014 plasticizer Substances 0.000 claims description 5
- 238000004132 cross linking Methods 0.000 claims description 4
- 229960001760 dimethyl sulfoxide Drugs 0.000 claims description 3
- 239000010410 layer Substances 0.000 abstract description 4
- 239000000835 fiber Substances 0.000 abstract 1
- 239000010408 film Substances 0.000 description 30
- 239000000203 mixture Substances 0.000 description 23
- 239000000243 solution Substances 0.000 description 14
- 239000012528 membrane Substances 0.000 description 13
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 13
- 206010052428 Wound Diseases 0.000 description 12
- 208000027418 Wounds and injury Diseases 0.000 description 12
- 239000000661 sodium alginate Substances 0.000 description 11
- 229940005550 sodium alginate Drugs 0.000 description 11
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 10
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 description 8
- 230000015572 biosynthetic process Effects 0.000 description 8
- 239000000499 gel Substances 0.000 description 8
- 235000010413 sodium alginate Nutrition 0.000 description 8
- 150000002632 lipids Chemical class 0.000 description 7
- 238000004519 manufacturing process Methods 0.000 description 7
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 6
- 239000001110 calcium chloride Substances 0.000 description 6
- 229910001628 calcium chloride Inorganic materials 0.000 description 6
- 210000002268 wool Anatomy 0.000 description 6
- 230000004888 barrier function Effects 0.000 description 5
- 239000012153 distilled water Substances 0.000 description 5
- 230000035876 healing Effects 0.000 description 5
- 230000035699 permeability Effects 0.000 description 5
- 150000003839 salts Chemical class 0.000 description 5
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 4
- 238000010521 absorption reaction Methods 0.000 description 4
- 239000011575 calcium Substances 0.000 description 4
- 229910052791 calcium Inorganic materials 0.000 description 4
- 239000003814 drug Substances 0.000 description 4
- 229940079593 drug Drugs 0.000 description 4
- 238000001125 extrusion Methods 0.000 description 4
- 238000009472 formulation Methods 0.000 description 4
- 239000011521 glass Substances 0.000 description 4
- 230000002209 hydrophobic effect Effects 0.000 description 4
- 238000011065 in-situ storage Methods 0.000 description 4
- 150000003904 phospholipids Chemical class 0.000 description 4
- 239000004417 polycarbonate Substances 0.000 description 4
- 229920000515 polycarbonate Polymers 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000005406 washing Methods 0.000 description 4
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 239000011149 active material Substances 0.000 description 3
- 239000007864 aqueous solution Substances 0.000 description 3
- 159000000007 calcium salts Chemical class 0.000 description 3
- 239000008367 deionised water Substances 0.000 description 3
- 229910021641 deionized water Inorganic materials 0.000 description 3
- 238000009792 diffusion process Methods 0.000 description 3
- 238000011534 incubation Methods 0.000 description 3
- 229910052757 nitrogen Inorganic materials 0.000 description 3
- 239000010409 thin film Substances 0.000 description 3
- 238000011282 treatment Methods 0.000 description 3
- 238000000108 ultra-filtration Methods 0.000 description 3
- KILNVBDSWZSGLL-KXQOOQHDSA-N 1,2-dihexadecanoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCCCCCCCCC KILNVBDSWZSGLL-KXQOOQHDSA-N 0.000 description 2
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 description 2
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 2
- 229930182555 Penicillin Natural products 0.000 description 2
- 229960001126 alginic acid Drugs 0.000 description 2
- 239000000783 alginic acid Substances 0.000 description 2
- 150000004781 alginic acids Chemical class 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 230000003115 biocidal effect Effects 0.000 description 2
- 229910001424 calcium ion Inorganic materials 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 239000006185 dispersion Substances 0.000 description 2
- 238000012377 drug delivery Methods 0.000 description 2
- 210000000613 ear canal Anatomy 0.000 description 2
- 238000005538 encapsulation Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 238000001704 evaporation Methods 0.000 description 2
- 230000008020 evaporation Effects 0.000 description 2
- 239000002657 fibrous material Substances 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 239000012669 liquid formulation Substances 0.000 description 2
- 239000003094 microcapsule Substances 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- 229940021182 non-steroidal anti-inflammatory drug Drugs 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 235000016709 nutrition Nutrition 0.000 description 2
- JPMIIZHYYWMHDT-UHFFFAOYSA-N octhilinone Chemical compound CCCCCCCCN1SC=CC1=O JPMIIZHYYWMHDT-UHFFFAOYSA-N 0.000 description 2
- 238000012856 packing Methods 0.000 description 2
- 238000001556 precipitation Methods 0.000 description 2
- 238000003756 stirring Methods 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 210000003781 tooth socket Anatomy 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- PZNPLUBHRSSFHT-RRHRGVEJSA-N 1-hexadecanoyl-2-octadecanoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCCCC(=O)O[C@@H](COP([O-])(=O)OCC[N+](C)(C)C)COC(=O)CCCCCCCCCCCCCCC PZNPLUBHRSSFHT-RRHRGVEJSA-N 0.000 description 1
- BZTDTCNHAFUJOG-UHFFFAOYSA-N 6-carboxyfluorescein Chemical compound C12=CC=C(O)C=C2OC2=CC(O)=CC=C2C11OC(=O)C2=CC=C(C(=O)O)C=C21 BZTDTCNHAFUJOG-UHFFFAOYSA-N 0.000 description 1
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N Aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 description 1
- 206010053567 Coagulopathies Diseases 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 229920002274 Nalgene Polymers 0.000 description 1
- 208000005141 Otitis Diseases 0.000 description 1
- JGSARLDLIJGVTE-MBNYWOFBSA-N Penicillin G Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1 JGSARLDLIJGVTE-MBNYWOFBSA-N 0.000 description 1
- 241000199919 Phaeophyceae Species 0.000 description 1
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 1
- 229920002684 Sepharose Polymers 0.000 description 1
- 229930182558 Sterol Natural products 0.000 description 1
- 239000004098 Tetracycline Substances 0.000 description 1
- 229960001138 acetylsalicylic acid Drugs 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 230000001464 adherent effect Effects 0.000 description 1
- 239000003463 adsorbent Substances 0.000 description 1
- 230000002776 aggregation Effects 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 239000012736 aqueous medium Substances 0.000 description 1
- 239000007900 aqueous suspension Substances 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 239000011324 bead Substances 0.000 description 1
- 239000012620 biological material Substances 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000007853 buffer solution Substances 0.000 description 1
- 150000001669 calcium Chemical class 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000035602 clotting Effects 0.000 description 1
- 238000004440 column chromatography Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 238000013270 controlled release Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 230000018044 dehydration Effects 0.000 description 1
- 238000006297 dehydration reaction Methods 0.000 description 1
- RNPXCFINMKSQPQ-UHFFFAOYSA-N dicetyl hydrogen phosphate Chemical compound CCCCCCCCCCCCCCCCOP(O)(=O)OCCCCCCCCCCCCCCCC RNPXCFINMKSQPQ-UHFFFAOYSA-N 0.000 description 1
- 229940093541 dicetylphosphate Drugs 0.000 description 1
- 238000007598 dipping method Methods 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 208000019258 ear infection Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000000416 exudates and transudate Anatomy 0.000 description 1
- 235000012041 food component Nutrition 0.000 description 1
- 125000002485 formyl group Chemical class [H]C(*)=O 0.000 description 1
- 238000004108 freeze drying Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 239000003349 gelling agent Substances 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 230000005660 hydrophilic surface Effects 0.000 description 1
- 230000005661 hydrophobic surface Effects 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000011068 loading method Methods 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 239000003550 marker Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000001404 mediated effect Effects 0.000 description 1
- 239000011859 microparticle Substances 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- 150000002772 monosaccharides Chemical class 0.000 description 1
- 239000000041 non-steroidal anti-inflammatory agent Substances 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 229940049954 penicillin Drugs 0.000 description 1
- 150000002960 penicillins Chemical class 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 206010034754 petechiae Diseases 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 229910052698 phosphorus Inorganic materials 0.000 description 1
- 239000011574 phosphorus Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 238000006116 polymerization reaction Methods 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 150000004804 polysaccharides Chemical class 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 230000001698 pyrogenic effect Effects 0.000 description 1
- 238000010791 quenching Methods 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 239000012266 salt solution Substances 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 238000010008 shearing Methods 0.000 description 1
- 150000003385 sodium Chemical class 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- 239000002195 soluble material Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 239000008347 soybean phospholipid Substances 0.000 description 1
- 230000003019 stabilising effect Effects 0.000 description 1
- 235000003702 sterols Nutrition 0.000 description 1
- 150000003432 sterols Chemical class 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 229960002180 tetracycline Drugs 0.000 description 1
- 229930101283 tetracycline Natural products 0.000 description 1
- 235000019364 tetracycline Nutrition 0.000 description 1
- 150000003522 tetracyclines Chemical class 0.000 description 1
- 230000017423 tissue regeneration Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L26/00—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
- A61L26/0061—Use of materials characterised by their function or physical properties
- A61L26/0066—Medicaments; Biocides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Synthetic bilayered vehicles, e.g. liposomes or liposomes with cholesterol as the only non-phosphatidyl surfactant
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
- A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
- A61L15/22—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons containing macromolecular materials
- A61L15/28—Polysaccharides or their derivatives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L15/00—Chemical aspects of, or use of materials for, bandages, dressings or absorbent pads
- A61L15/16—Bandages, dressings or absorbent pads for physiological fluids such as urine or blood, e.g. sanitary towels, tampons
- A61L15/42—Use of materials characterised by their function or physical properties
- A61L15/44—Medicaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L26/00—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form
- A61L26/0009—Chemical aspects of, or use of materials for, wound dressings or bandages in liquid, gel or powder form containing macromolecular materials
- A61L26/0023—Polysaccharides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/404—Biocides, antimicrobial agents, antiseptic agents
- A61L2300/406—Antibiotics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/60—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
- A61L2300/62—Encapsulated active agents, e.g. emulsified droplets
- A61L2300/626—Liposomes, micelles, vesicles
Definitions
- a dressing material comprising a pharmacological active agent entrapped in liposomes.
- the present invention relates to dressing materials and to processes for their production.
- alginate gums have been known for some time and have been exploited for instance in dental treatments (Blaine, Annals of Surgery, Vdl25(l), 102-114, (1947) and Rumble, British Dental Journal, 14 April 1949, pages 203-5), haemostasis in neuro surgery (Oliver et al British Journal of Surgery, 307-310 (1950)) and in wound dressings (Gilchrist et al, Biomaterials, _4, 317-320 (1983)).
- Liposomes are known for encapsulating biologically active materials but are notoriously difficult to handle in practice, are readily disrupted by shearing forces and have not lived up to the expectations which they initially aroused.
- Various proposals have been put forward for stabilising liposomes and a particular example which may be mentioned is the microencapsulation described in International Patent Application 0-A-87/01587.
- the materials described there enable the release profile of a biologically active material (a payload) entrapped within liposomes to be controlled but are relatively rigid and brittle and thus are not well suited to use in dressings.
- the present invention provides a dressing material comprising a pharmacologically active agent entrapped in liposomes, the liposomes being encapsulated in a hydrocolloid matrix.
- the dressing material is in the form of a film or is a fibrous material.
- Fibrous materials include threads or yarns, woven and non-woven webs, spun wools and the like.
- the invention also provides a liquid formulation comprising a hydrocolloid matrix material and liposomes in aqueous suspension for use in forming foams, clots or films in situ together with a gelling agent (such as a calcium salt solution when the matrix is an alginate) for cross-linking the liquid formulation during or after application of the hydrocolloid/liposome formulation or for admixture with the hydrocolloid/liposome formulation shortly before formation of the foam, clot or film.
- a gelling agent such as a calcium salt solution when the matrix is an alginate
- the dressing material is intended for internal or external application as a wound dressing to provide a barrier and to promote healing and the payload will usually be a drug intended to promote healing or an antibiotic intended to treat or prevent infection of the wound.
- the dressing will be intended as a delivery system and such materials will normally be applied topically but may be applied internally to release a pharmacologically active agent to an appropriate site in the body.
- the payload may then be any active agent which is to be administered topically or locally internally.
- the matrix is a gelled alginate salt matrix such as calcium alginate and it may optionally be plasticised using, for instance, glycerol.
- the films and fibres may be prepared and dried for subsequent use in the dry state or after rehydration, or they may be maintained moist in a suitable aqueous medium such as a sterile buffer solution.
- the wound dressing materials will always be sterile and this may be achieved by use of sterile ingredients which are handled in a sterile environment or by post-sterili ⁇ sation for instance by irradiation. Generally the materials will also be non-pyrogenic depending upon the intended end use.
- the films and fibres may be of any convenient dimensions and films will normally be at least 1 cm in width and length, possibly up to 0.5m or even 1m or more for special applications such as in dressing burns.
- the fibres will be of any convenient length and will usually be chopped into such lengths from longer staples.
- the thickness of the films and the cross-sectional size of the fibres will typically be somewhat greater than the diameter of the encapsulated liposomes.
- the upper limit on the thickness of the films and cross-section of the fibres will depend partly ⁇ rr the desired end-use but mainly on considerations of flexibility.
- films will be of the order of 1mm or less in thickness and fibres will have similar diameters.
- Alginic acid is a naturally occuring polysaccharide extractable from brown seaweed (Phaeophycae) . It is composed of varying proportions of beta-D-mannosyluronic and alpha-L-gulosyluronic acid connected by beta-l-to-4 Linkages.
- the alginic acid is usually converted to mixed calcium/sodium salts. Calcium alginate is insoluble in aqueous solutions, while the sodium salt is highly soluble. Upon exposure to a calcium salt at sufficient concentration, the soluble sodium alginate is converted to an insoluble, byt hydrated, gel. This useful property of alginate is the basis for its use in the preparation of films or filaments.
- alginates are haemostatically active materials capable of stimulating the contact-activation stage of the clotting cascade, and are therefore useful in the control of bleeding.
- alginate gels promote healing of wounds and that alginate gels are compatible with a wide variety of pharmaceutically active compounds.
- alginates break down to monosaccharides and are totally resorbed (Blaine, 1947; Rumble, 1949; Gilchri ⁇ t and Martin, 1983).
- Alginates are available in various grades that may be prepared to yield specific properties for specific applications. High molecular-weight alginates yield stiffer gels than low molecular-weight alginates. Gel viscosities may also be controlled by the concentration of alginate and its ratio of sodium:calcium salts.
- Control of the gelling mechanism of sodium alginate by calcium salts permits the formation of alginate mixtures containing high concentrations of other excipients or active ingredients.
- calcium-alginate gels can not be utilized to encapsulate low molecular-weight water-soluble materials.
- lipofilm will be used to denote a product according to the invention. Those lipofilms wherein the matrix comprises an alginic salt and a plasticiser are designated Type I lipofilms and those wherein the matrix comprises an alginic salt only are designated Type II lipofilms.
- the payload may be any hydrophilic or hydrophobic protein or pharmaco ⁇ logically active agent or a mixture of such components whilst the liposomes may be composed of one or a mixture of lipids selected to entrap the payload and provide desired release characteristics.
- alginate/ plasticiser as a matrix which is particularly important.
- the composition of the entrapped liposomes may be controlled to achieve controlled release of the payload as a function of temperature, pH, ion concentration or the presence of specific perturbants.
- the liposome may be comprised of any bilayer- or micelle-forming lipid. All lipids in these categories may be suitable, regardless of their combined or individual permeability, since they may be combined to achieve the desired payload-release kinetics. Permeation of the payload through the barrier of the lipofilm may be regulated by the grade of alginate, by the ratio of alginate to gelatin or other hydrocolloid, by the absolute concentration of liposome and payload in the film, and by the chemistry and extent of cross-linking.
- composition of the liposomal components of Type I and Type II lipofilms may be varied to suit specific applications.
- Liposomes may be prepared from essentially any. class of phospholipid; variablility in phospholipid class derives form each of the hydrophobic and hydrophilic domains of these amphipathic molecules. Individual phospholipids may be chosen based upon their nutritional value and/or their permeability.
- Permeability of individual liposome preparations is dependent upon: extent of unsaturation, presence or absence of sterols, the temperature of their gel-liquid-crystalline phase transition, the ionic- and pH-dependence of their lamellar- hexagonal transition, the temperature-dependence of non- bilayer configurations, and the extent of monomer conversion of poly erizable phospolipid ⁇ (Hayward et al., 1985).
- liposomal preparations may be varied to suit specific applications.
- a great variety of liposomal preparatory methods are available which differ in: ease of production, solvent and equipment requirements, and tolerance for different lipid classes.
- the liposomes produced by these different methodologies vary in: number of lamellae, aqueous volume enclosed per mole of phospholipid, resistance to shear, entrapment effeciency, diameter, and resistance to fusion/aggregation/precipitation (reviewed by Gregoriadis, 1984).
- the choice of liposomal configuration will be dictated largely by the intended application and the required profile of payload release.
- the liposomes may be uni- or ultilamellar, and they may be of any - 8 - suitable size appropriate to the intended use of the lipofilm and the materials used to form the liposomes.
- the matrix comprises an alginate salt, of 1 to 5 percent, and a plasticiser, such as glycerol or dimethylsulphoxide, in a ratio of 99:1 to 90:10 by volume.
- a plasticiser such as glycerol or dimethylsulphoxide
- the percentage and grade of alginate may be modified to modulate the permeability and rate of absorption of the barrier posed by the matrix.
- Various soluble and insoluble salts of alginate may be employed; preferred soluble salts include sodium alginate and preferred insoluble salts include calcium alginate. A large number of liposomes will be encapsulated by the hydrocolloid matrix of each lipofilm.
- Type I lipofilms would ideally be suited for the formation of films containing liposomal encapsulated pharmaceutically active substances which are to be lyophilized.
- the incorporation of glycerol yields an absorbable film which is plastic-like in its dry state with a fair degree of tensile strength while exhibiting none of the brittleness of dried calcium alginate.
- Type I lipofilms may be designed to deliver the drug to any particular site of a wound or burn providing it with a time-release, multi- barrier drug delivery system that is flexible and forms an impermeable cover. Due to the nature of the alginate matrix, such a film would enhance tissue repair, arrest capillary haemorrhage and absorb exudate from the site of application. Ease of packaging, storage and use of such a dried lipofilm would allow for the immediate application to a wound by a paramedic at the scene of a crisis.
- the matrix would be composed of an alginate salt, of 1 to 5 percent.
- the percentage and grade of alginate may be varied to modulate the rate of absorption; the payload the liposome carries may be varied according to the appropriate use of the specific lipofilm product. Wools and gauzes could be formed and supplied in dry packages, while films and clots could be formed .in situ.
- the lipofilm payload would be comprised of an appropriate antibiotic, e.g. penicillin, combined with a non-steroidal anti- inflammatory drug, e.g. aspirin, to be used in the arrest and prevention of post-extraction haemorrhage in the tooth socket.
- an appropriate antibiotic e.g. penicillin
- a non-steroidal anti- inflammatory drug e.g. aspirin
- a clot in situ would be in the treatment of ear infections.
- a codispersion of sodium alginate containing the liposomes would be introduced into the ear canal.
- a solution of calcium chloride would be introduced causing the subsequent f ⁇ rmation of the clot within the ear canal in the exact conformation of the canal.
- medication would be continuously released directly at the site of wound or infection and the alginate would be totally absorbed eliminating the necessity for removal of any packing at a later date.
- Lipofilm wool may find application as wound dressings or dental packing.
- ideal payloads would include antibiotics such as tetracycline and penicillins with or without addition of non-steroidal anti-inflammatory drugs.
- the present invention also provides a process for producing lipofilms whereby the process comprises: a) entrapping the payload in liposomes, and, b) encapsulating the liposomes in a hydrocolloid matrix.
- the liposomes may be formed by conventional processes such as those described by Gregoriadis (1984).
- Step (b) is accomplished by admixing the liposomes with an aqueous solution of the hydrocolloid matrix material.
- Curing or polymerization of the lipofilm matrix may be accomplished by chemical means as in the calcium ion- mediated precipitation of sodium alginate or by aldehyde cross-linking.
- the desired shape of the lipofilm may be achieved by using the appropriate extrusion method.
- the payload is entrapped in the liposomes by reverse-phase evaporation and the liposomes are then separated from u ⁇ entrapped material and washed.
- the liposomes are then mixed with the hydrocolloid matrix material in aqueous solution and either extruded into a curing bath or spread on a support such as a porous support, a filter or a sheet of glass to form a film and submerged into a curing bath or otherwise contacted with curing solution.
- the curing bath or srolution preferably contains a calcium chloride solution at a concentration in the range of 1 to 20 percent (weight/volume) and the lipofilms ride in the curing bath for about five minutes in order to harden the alginate matrix.
- the viscosity, texture, tensile strength and rate of absorption is dependent upon the duration of curing, the concentration and type of curing agent, the molecular weight and concentration of sodim alginate. The absorption rate further depends on the physical form and bulk of the product, thus alginate gause or clots would be absorbed slower than thin films.
- the lipofilms are separated from the curing bath and washed prior to storage or in the case of Type I films prior to lyophilization.
- Ultrafiltration membrane may be chosen with specific molecular-weight cut-offs. Molecules with molecular weights in excess of the cut-off will not pass through the membrane, while those molecules with molecular weights below that value will pass freely.
- Cross-linked lipofilms formed and cured on an ultrafiltration membrane may be loaded with payloads in the aqueous external volume (the aqueous volume within the film external to the liposomes) by adding the payload to the wash solution. As the wash solution is forced through the membrane under pressure, the payload will be concentrated in the lipofilm if the payload molecular weight is greater than that of the membrane cut-off.
- lipofilms may be prepared with two different water-soluble payloads: a low-molecular weight payload encapsulated only within the intraliposomal volume, and a high-molecular weight payload concentrated only within the extraliposomal volume.
- pharmacologically active agents or nutritional components can be delivered in liposomes comprising nutritionally or pharmacologically active lipids, the liposomes being protected by microencapsulation in a hydrocolloid matrix, and that certain hydrocolloid matrices containing alginate offer particular advantages in ease of encapsulation and control in release of pharmacological, nutritional or other payloads from the entrapped liposomes (International Publication Number: WO 87/01587, which describes Lipogel Microcapsules) .
- Lipofilm Multiple Barriers we describe the extension of a 3-dimen ⁇ ional microencapsulation system to form a novel 2-dimensional system which, due to the formation of planar films, is suitable for use in wound dressings.
- the invention also provides dressings as defined above, and formulations for L situ preparation of such dressings, for use in a method for treatment of the human o animal body by surgery or therapy and methods for treating human and non-human animals comprising external or internal application of a dressing as defined above.
- the dressing applied or formed in situ will contain an effective non-toxic amount of a pharmacologically active agent entrapped with the liposomes.
- Liposomes were constructed using dicetylphosphate and a) soy lecithin or b) dipalmitoylphosphatidylcholine (DPPC) (1:8, mole:mole).
- the lipid(s) was initially dissolved in 5 ml of chloroform in a 50 ml conical flask and dried to a thin film by evaporation under nitrogen.
- a solution of 0.25 M 6-carboxyfluorescein (6-CF; Eastman) was prepared in distilled water and the pH was adjusted to 7.4 using NaOH (Senior and Gregoriadis, 1984). This dye is self-quenching at this concentration and is used as an aqueous marker for liposome leakage.
- 6-CF may be considered as an analogue for biomedical payloads. Twenty-five mis of 6-CF were added to the lipid and the conical flask was heated to 40°C. The 6-CF-lipid mixture was flushed with nitrogen for 3 minutes, 3 glass beads were added, the flask was stoppered, and mixed with a vortex mixer for 3 minutes to form multila ellar vesicles (MLV's).
- MLV's multila ellar vesicles
- the suspension of MLV's was sonicated using a bath sonicator
- Liposomes prepared as described above were entrapped in calcium alginate-glycerol as follows. Sodium alginate
- Liposomes are produced according to part (a) above and encapsulated in alginate without the added glycerol according to part (b) above. After washing with water these gels are not lyophilized. Instead, they are stored in distilled water with kathon (0.05% v/v) at 4 degrees C. Kathon is added to prevent bacterial growth.
- Liposome dispersions and sodium alginate solutions are prepared as described under "Production of Type I or Type II Lipofilms". After mixing, the liposome-alginate mixture may be cross-linked on several different types of porous matrices, i) Polycarbonate Filters
- Polycarbonate filter assemblies (available from Nalgene Corp) are assembled after first loading the lower reservoir with calcium chloride solution (2.2% w/v). The level of solution is raised to maintain contact between the solution and the polycarbonate filter which forms the base of the upper reservoir. A thin layer of the liposome-sodium alginate mixture is deposited on the upper face of the polycarbonate filter. Incubation overnight allows sufficient exchange of calcium and sodium to cross-link the alginate fully.
- the cross-linked film may be washed and removed from the filter by repeated addition of deionized water to the - 16 - uppe reservoir.
- the film may be washed by drawing deionized water through the film by the application of a vacuum to the lower reservoir.
- the advantage of the latter method is that washing is completed more rapidly and involves the internal compartment of the matrix as well as the external surface, ri) Nucleopore and Other Ultrafiltrating Membranes
- Ultrafiltrating membranes available from the Amicon Corp (Boston MA), may be obtained with hydrophobic or hydrophilic surfaces. Hydrophobic ultrafilters were found to repel the liposome-alginate mixtures and were therefore unsuitable as lipofilm supports. Hydrophilic membranes were wetted by the liposome-alginate mixture and adsorbed the cross-linked lipofilm well.
- the ultrafiltrating membrane (25 mm diameter) was placed in a petri dish of slightly larger diameter (35 mm).
- the liposome-alginate mixture was layered onto the surface of the membrane with care to avoid spillage over the membrane edge.
- a solution of calcium chloride ( 10 % w/v) was added by a pipette placed against the inside wall of the petri dish. Care must be taken to avoid disturbing the adsorbed liposome-alginate dispersion.
- a high concentration of calcium chloride solution was required because the ratio of volumes between the calcium and alginate solutions was low.
- the membrane-supported lipofilm is transferred to a large volume (100 ml) of calcium chloride solution (2.2%).
- the liposome-sodium alginate mixture was poured into a small trough (35mm petri dish). In a separate dish, a 35mm Whatmann (No 1) filter pad was saturated with a solution of calcium chloride (2.2% w/v). Care was exercised to avoid over-saturation of the pad. The pad was then placed carefully on the surface of the liposome-alginate mixture for one minute. During this time, a thin layer of lipofilm became partially cross-linked and adsorbed to the surface of the filter paper. (Longer incubation times permitted diffusion of the calcium ions away from the filter pad through the liposome-alginate mixture, producing a non-adsorbent, partially polymerized and heterogeneous "block" of calcium alginate).
- Lipofilm may be cross-linked as a continuous thread by extrusion of the liposome-sodium alginate mixture (Type I) under the surface of a solution of calcium chloride (2.2% w/v). Extrusion was accomplished through a 50-ml syringe or with the aid of a peristaltic pump. Positive pressure must be exerted continuously throughout extrusion to prevent diffusion of calcium ions into the sodium alginate reservoir.
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Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB878720799A GB8720799D0 (en) | 1987-09-04 | 1987-09-04 | Dressing |
| GB8720799 | 1987-09-04 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP0381680A1 true EP0381680A1 (de) | 1990-08-16 |
Family
ID=10623258
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP19880907739 Withdrawn EP0381680A1 (de) | 1987-09-04 | 1988-09-02 | Verbandmaterial mit liposomen, welche medikamente enthalten |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP0381680A1 (de) |
| JP (1) | JPH03500170A (de) |
| GB (1) | GB8720799D0 (de) |
| WO (1) | WO1989001790A1 (de) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110859989A (zh) * | 2019-10-25 | 2020-03-06 | 天津冠勤医药科技有限公司 | 一种液体创可贴及其制备方法 |
Families Citing this family (15)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5269979A (en) * | 1988-06-08 | 1993-12-14 | Fountain Pharmaceuticals, Inc. | Method for making solvent dilution microcarriers |
| GB2260080A (en) * | 1991-10-04 | 1993-04-07 | Rhone Poulenc Rorer Ltd | Gelled alginate compositions |
| GB9213773D0 (en) * | 1992-06-29 | 1992-08-12 | Cv Lab Ltd | Dual release alginate fibre |
| AUPR564301A0 (en) * | 2001-06-13 | 2001-07-12 | Cooper, Barrie David | Antibacterial material |
| WO2004014152A1 (en) * | 2002-08-13 | 2004-02-19 | Vitalstate Canada Ltd. | Multi-phase delivery system comprising a semi-solid matrix phase |
| WO2005035012A1 (en) * | 2003-10-10 | 2005-04-21 | Coloplast A/S | A dressing |
| ITMI20060556A1 (it) * | 2006-03-24 | 2007-09-25 | Univ Pavia | Medicazioni interattive per la cura di patologie dermatologiche |
| CN101742979B (zh) * | 2007-03-08 | 2013-07-17 | 莫科治疗有限公司 | 用于预防和减少疤痕形成的敷料制剂 |
| US8735054B1 (en) | 2008-01-04 | 2014-05-27 | Lifecell Corporation | Acellular tissue matrix preservation solution |
| US9150318B1 (en) | 2009-01-02 | 2015-10-06 | Lifecell Corporation | Method for sterilizing an acellular tissue matrix |
| WO2010146438A1 (en) * | 2009-06-16 | 2010-12-23 | Plasmedica Technologies Limited | Wound healing device |
| WO2014073675A1 (ja) * | 2012-11-08 | 2014-05-15 | 三栄源エフ・エフ・アイ株式会社 | 濃厚流動食 |
| EP3132693B1 (de) * | 2014-04-17 | 2024-09-18 | San-Ei Gen F.F.I., INC. | Konzentrierte flüssignahrung |
| EP3411159A1 (de) | 2016-02-01 | 2018-12-12 | TheraDep Technologies, Inc. | Systeme und verfahren zur freisetzung von therapeutika |
| US11690998B2 (en) | 2017-10-31 | 2023-07-04 | Theradep Technologies, Inc. | Methods of treating bacterial infections |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS60152414A (ja) * | 1984-01-23 | 1985-08-10 | Pola Chem Ind Inc | パツプ剤 |
| JPS60231609A (ja) * | 1984-04-28 | 1985-11-18 | Terumo Corp | リポソ−ム製剤 |
| EP0199362A3 (de) * | 1985-04-26 | 1987-10-07 | Massachusetts Institute Of Technology | System und Vorrichtung zur verzögerten und stossweisen Freisetzung biologisch aktiver Substanzen |
| GB8522963D0 (en) * | 1985-09-17 | 1985-10-23 | Biocompatibles Ltd | Microcapsules |
-
1987
- 1987-09-04 GB GB878720799A patent/GB8720799D0/en active Pending
-
1988
- 1988-09-02 JP JP63507230A patent/JPH03500170A/ja active Pending
- 1988-09-02 WO PCT/GB1988/000723 patent/WO1989001790A1/en not_active Ceased
- 1988-09-02 EP EP19880907739 patent/EP0381680A1/de not_active Withdrawn
Non-Patent Citations (1)
| Title |
|---|
| See references of WO8901790A1 * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110859989A (zh) * | 2019-10-25 | 2020-03-06 | 天津冠勤医药科技有限公司 | 一种液体创可贴及其制备方法 |
Also Published As
| Publication number | Publication date |
|---|---|
| GB8720799D0 (en) | 1987-10-14 |
| JPH03500170A (ja) | 1991-01-17 |
| WO1989001790A1 (en) | 1989-03-09 |
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