Rapid establishment and/or termination of substantial steady-state drug delivery
First Claim
1. A method of treating type 2 diabetes mellitus in a subject in need of treatment, comprising:
- providing continuous delivery of exenatide from an osmotic delivery device, the osmotic delivery device comprisingan impermeable reservoir comprising interior and exterior surfaces and first and second open ends,a semi-permeable membrane in sealing relationship with the first open end of the reservoir,an osmotic engine within the reservoir, the osmotic engine adjacent the semi-permeable membrane,a piston adjacent the osmotic engine, wherein the piston forms a movable seal with the interior surface of the reservoir, the piston divides the reservoir intoa first chamber and a second chamber, the first chamber containing the osmotic engine,a suspension formulation contained in the second chamber, the suspension formulation comprising a particle formulation and a vehicle formulation, whereinthe particle formulation comprises particles comprising exenatide in particles of less than 10 microns in diameter, andthe vehicle formulation comprises a solvent and a polymer, wherein the solvent is selected from the group consisting of benzyl benzoate, lauryl lactate, and lauryl alcohol, and the polymer is polyvinylpyrrolidone, the vehicle formulation having a viscosity between about 10,000 poise and about 20,000 poise at 37°
C., anda diffusion moderator that defines a delivery orifice inserted in the second open end of the reservoir, the diffusion moderator adjacent the suspension formulation;
wherein (i) substantial steady-state delivery of the exenatide at a therapeutic concentration is achieved within a time period of 5 days or less after implantation of the osmotic delivery device in the subject, and (ii) the substantial steady-state delivery of the exenatide from the osmotic delivery device is continuous over an administration period of at least about 3 months at a mcg/day dose of exenatide selected from the group consisting of about 10 mcg/day, about 20 mcg/day, about 30 mcg/day, about 40 mcg/day, about 60 mcg/day, and about 80 mcg/day.
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Abstract
The present invention is directed to treatment methods for a disease or condition, in a subject in need of such treatment, that provide alternatives to treatment by injection that give, relative to treatment by injection, improved treatment outcomes, 100% treatment compliance, reduced side effects, and rapid establishment and/or termination of substantial steady-state drug delivery. The method typically includes providing continuous delivery of a drug from an implanted osmotic delivery device, wherein substantial steady-state delivery of the drug at therapeutic concentrations is typically achieved within about 7 days or less after implantation of the osmotic delivery device in the subject and the substantial steady-state delivery of the drug from the osmotic delivery device is continuous over a period of at least about 3 months. In one embodiment, the present invention is directed to treatment of type 2 diabetes mellitus using incretin mimetics.
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Citations
14 Claims
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1. A method of treating type 2 diabetes mellitus in a subject in need of treatment, comprising:
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providing continuous delivery of exenatide from an osmotic delivery device, the osmotic delivery device comprising an impermeable reservoir comprising interior and exterior surfaces and first and second open ends, a semi-permeable membrane in sealing relationship with the first open end of the reservoir, an osmotic engine within the reservoir, the osmotic engine adjacent the semi-permeable membrane, a piston adjacent the osmotic engine, wherein the piston forms a movable seal with the interior surface of the reservoir, the piston divides the reservoir into a first chamber and a second chamber, the first chamber containing the osmotic engine, a suspension formulation contained in the second chamber, the suspension formulation comprising a particle formulation and a vehicle formulation, wherein the particle formulation comprises particles comprising exenatide in particles of less than 10 microns in diameter, and the vehicle formulation comprises a solvent and a polymer, wherein the solvent is selected from the group consisting of benzyl benzoate, lauryl lactate, and lauryl alcohol, and the polymer is polyvinylpyrrolidone, the vehicle formulation having a viscosity between about 10,000 poise and about 20,000 poise at 37°
C., anda diffusion moderator that defines a delivery orifice inserted in the second open end of the reservoir, the diffusion moderator adjacent the suspension formulation; wherein (i) substantial steady-state delivery of the exenatide at a therapeutic concentration is achieved within a time period of 5 days or less after implantation of the osmotic delivery device in the subject, and (ii) the substantial steady-state delivery of the exenatide from the osmotic delivery device is continuous over an administration period of at least about 3 months at a mcg/day dose of exenatide selected from the group consisting of about 10 mcg/day, about 20 mcg/day, about 30 mcg/day, about 40 mcg/day, about 60 mcg/day, and about 80 mcg/day. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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Specification