Not applicable.
The present disclosure is related generally to drug delivery and fluid sampling systems. More specifically, the disclosure is related to microneedle arrays used to deliver drugs, vaccines, therapeutics, and other bioactive and bio-reactive compounds both to the skin (i.e., intradermally) and to other tissues in a precise and controllable manner.
Hypodermic needles have long been used for delivering therapeutics into and sampling fluid from the human body. The drawbacks of hypodermic needles include pain at the injection site, potential tissue damage associated with needle insertion, the possibility of transmission of infectious diseases through needle reuse, and accidental needlestick injuries to health-care professionals. While intradermal delivery is an ideal route, the traditional Mantoux intradermal delivery technique using hypodermic needles requires training and skill to perform and can be unreliable and inconsistent for delivering desired quantities of antigen to the skin. Transdermal drug delivery is an alternative method for achieving systemic or localized pharmacological effects that eliminates the risk of needle injuries. The main challenge associated with this approach is sufficient drug delivery across the skin at therapeutically significant rates due to the barrier posed by the skin and its uppermost layer, the stratum corneum.
More recently, microneedle arrays (MNAs) have been demonstrated to transdermally deliver a broad range of drugs, biologics, and vaccines and offer advantages over hypodermic needles or transdermal patches. The high density of dendritic cells present in skin directly connect to the lymphatic system and activate the body's immune system to a higher degree than traditional intra-muscular injections. An MNA uses microscopic needles that create transport pathways by penetrating through the stratum corneum into the viable epidermis of the skin, short of the dermis layer with its nerves and vasculature. Hence, minimally invasive, bloodless, and painless application is possible with minimal tissue damage while enabling controlled delivery over time. When desired for specific applications, MNAs with longer needles can be used to reach vasculature or nerves. MNAs can enable a more efficient, highly reproducible and reliable route for clinical intradermal applications.
However, current MNA technologies have several limitations that preclude their use as effective drug delivery vehicles. For dissolvable MNAs, the volume of drug delivered to the skin is limited (commonly less than 1 μl per array), delivery rates are inconsistent, and only dryable therapeutics can be use. For instance, live cells (e.g., stem cells) cannot be delivered using dissolvable MNAs. Moreover, interaction of the drugs with dissolvable materials can prevent the desired biological effect. Encapsulation of the vaccine within the dissolvable material necessities γ-irradiation for sterilization, leading to a significant decrease bioactivity on a range of proteins, drugs, and viral vectors.
Similar to MNAs, arrays of hollow microneedles can be used to deliver a larger drug volume intradermally, but hollow microneedles suffer from the clogging of bores upon skin entry, higher forces and tissue damage during insertion, and the lack of precise control for delivery depth and amount. Therefore, it would be advantageous to develop an intradermal delivery system that permits the precise delivery of therapeutic agents in liquid or solid form with reduced harm to the patient's body.
According to embodiments of the present disclosure is a hybrid microneedle array that can allow for the injection of vaccines, drugs, proteins, live cells, particulates, and other bioactive agents into skin or other tissues such as mucosa membranes (buccal delivery), cardiac muscle tissue, and suprachoroidal space through ocular tissue of the eye in a precise and distributed manner. Each hybrid microneedle has a dissolvable tip with a hollow body. The hollow body, which is also referred to as a micro-cannula, can be made from a non-dissolvable material, or a material that will dissolve in a significantly slower than that of the tip material. The dissolvable tip permits low force, easy, and minimally damaging penetration of each microneedle of the array through the outer layer of the skin to deliver the therapeutic agent to a targeted position of the tissue, e.g., the targeted layer of the skin. After penetration, the tip dissolves and a drug or other material can be delivered through the hollow body into the skin or other tissue.
In alternative embodiments, the hybrid microneedle array is attached to a standard syringe using an adaptor (which can be co-fabricated), giving a health care provider precise control over the amount of material injected into the patient. In yet another alternative embodiment, the hybrid microneedles are integrated into a blister-pack type of self-contained device with an embedded reservoir that includes the drug to be delivered. In these embodiments, in addition to a health-care provider, a patient can self-administer the hybrid MNAs to the skin. In another embodiment, a drug or a compound can be integrated into the dissolvable tips for delivery as a second-phase drug in addition to the bio-cargo delivered through the microcannulas. Hybrid MNAs can further be used for sampling liquids, such as blood or interstitial fluid, from the body for use in subsequent diagnosis purposes.
The hybrid MNA is especially effective in treatment of local skin ailments (e.g., dermatitis), skin cancer (e.g., melanoma, squamous cell carcinoma, basal cell carcinoma), and autoimmune conditions (e.g., psoriasis). Similarly, the hybrid MNA can be used for delivering Botox, Vitamin A, or similar chemicals/biologicals/compounds for cosmetic and other applications.
The disclosure is further directed to a method of fabricating the hybrid microneedles. The method uses a micromolding process, where the dissolvable tip is first molded then joined with a separately molded body portion. The master and production molds are created through a variety of techniques, including mechanical micromilling, diamond micromilling, micromolding, additive manufacturing, lithography, or a combination of such techniques. In addition, the fabrication method enables creation of adaptors, either fabricated separately or in conjunction/simultaneously with the hybrid MNAs, to enable attaching standard syringes or self-contained devices with the hybrid-MNAs.
According to embodiments of the disclosure is a hybrid microneedle array 100 used for drug delivery and fluid sampling from a variety of tissues. Throughout the disclosure and in discussion of example embodiments, the skin is identified as the tissue of interest, but the microneedle array can be use on several tissue types.
When the microneedle 101 penetrates the skin of a patient, the tip 103 dissolves in a short period of time and the drug may flow from the reservoir 104 through the hollow body 102, exiting the distal end of the body 102 and into the skin of a patient. Prior to use, the solid tip 103 prevents the drug from being dispersed from the microneedle array 100. Additionally, a thin layer of poly(lactic-co-glycolic acid) (PLGA) or similar material can be included within the hollow body 102 at the distal end, behind the dissolvable tip 103 to prevent premature dissolution of the tip 103 before application due to the exposure to liquids in the reservoir.
In addition to drugs, the microneedle array 100 is capable of delivering many types of vaccines (including RNA, DNA, and protein-based vaccines, replication-competent vaccines, and live-attenuated vaccines), live cells (e.g., stem cells), viral vectors (e.g., for gene therapy), and peptide hormones (e.g., insulin) in a liquid form. The liquid to be delivered can be encapsulated in the integrated reservoir or remain in an external reservoir (e.g., a syringe or a blister pack) until delivery. The system also allows a solid-form drug loaded in the reservoir to be mixed in situ with a liquid phase (e.g., saline) during the delivery. For example, the hybrid microneedle array 100 allows a stable, lyophilized (dry) vaccine to be loaded into the integrated reservoir 104. In one embodiment, the lyophilized formulation is added to the reservoir 104 after slightly hydrating, compressing (or centrifuging) to fill the reservoir 104, and then drying while loaded in the array 100. Alternatively, the vaccine can be loaded into the reservoir 104 as a liquid formulation and then lyophilized in place. Similarly, other dry drug formulations can be incorporated into the reservoir 104.
To attain low force, clog-free, and precise administration with minimal tissue damage, each microneedle 101 includes a sharp, dissolvable tip 103. As will be discussed in greater detail, the tip 103 is fabricated through a molding process that enables a purposeful design of the tip and precise control of the shape (e.g., including tip sharpness, apex angle, and cross-sectional geometry). In the embodiment shown in
The dissolvable tip 103 can be made from biocompatible and biodissolvable/biodegradable polymers, which dissolve or degrade after penetrating the skin.
In the example embodiment shown in
During use, the drug or vaccine stored in the reservoir 104 will diffuse through the hole in the body 102 into the skin after the tips 103 penetrate the skin and dissolve. However, in an alternative embodiment, the microneedle array 100 is fitted with an adapter 105 to allow the array 100 to be used with a standard syringe, as shown in
By way of further detail, an example fabrication process is described as follows. At step 201, two master molds are mechanically micro-machined out of a hard polymer (e.g., Polymethyl methacrylate (PMMA))—one for the hollow body 102 and another for the dissolvable tips 103. The master mold material may be any easily machinable material such as metal (i.e. aluminum) or plastic (i.e. PMMA, curable resins, etc.) allowing a wide range of geometries. Micromachining methods may include mechanical micromilling, lithography, or micro electrode-discharge machining to make the molds from a variety of materials including plastics, ceramics or metals (including stainless steel, aluminum, copper, iron, tungsten, and their alloys). In another embodiment, the master molds are created using 3D printing, including SLA, Nanoscribe, and similar approaches. Micromolding is then used to create elastomer production molds from the master molds. In this example, production molds are created from Polydimethylsiloxane (PDMS), but other elastomers or any material with sufficient low surface energy can be used to allow easy demolding.
At step 202, the dissolvable tips 103 are fabricated by spin casting in a centrifuge. During this step, a biodissolvable/biodegradable polymer in a hydrogel form is loaded into the elastomer production mold for creating the tips 103. At step 203, the body 102 is created through depositing a biocompatible UV-curable resin in the elastomer production mold. This step can also be done by using thermoplastics or other type of thermoset plastics.
After spin casting the tips 103 inside a centrifuge for a short time and removing the excess hydrogel, the hollow body 102 made of a cured resin is inserted on top of the dried tips 103 into the same elastomer mold. An additional amount of polymer can be inserted from the top and spin dried again to produce the final microneedle array 100. The biopolymers used for the tips in this example embodiment are carboxymethyl cellulose (CMC) and polyvinyl alcohol (PVA) hydrogels. The assembled system is then placed in a centrifuge for the required duration for tips to fully dry.
In a second fabrication process, the master mold production could be replicated using microfabrication procedures such as deep reactive ion etching to make silicon, silicon dioxide, silicon carbide, or metalized molds. Also, LIGA (i.e. a ‘lithography, electroplating, and molding’ process) or deep UV processes can be used to make molds and/or electroplated metal molds. The molding step can be skipped all together and the hollow body 102 may be directly fabricated from a silicon die, which can be etched in the microfabrication process to create hollow microneedles 101. Alternatively, the master mold or the array 100 can be created using high precision additive manufacturing, such as by using Nanoscribe or BMF3D systems. The drug reservoir 104 may be fabricated inside the silicon die, or an additional thick film layer can be bonded or attached over the silicon substrate to create the reservoir 104.
In addition to drug delivery, the microneedle array 100 can be used for interstitial, blood, oral, and other mucosal sampling. When used for sample, fluid flows from the distal end of the tip 103 through the body 102 into the reservoir 104. To assist with fluid recovery, an absorbent material (such as paper or an absorbent polymer) is loaded into the reservoir 104. After application to the skin and dissolution of the tips 103, the sample is collected by the absorbent material. Alternatively, a continuous sample collection can be used via the adapter 105 and syringe or similar collection mechanism. Sampling via interstitial fluid (ISF) is promising as for diagnosing disease. The microneedle array 100 is particularly suited for collection of ISF as the dermis is 70% ISF by volume and ISF has 3× the cancer markers of plasma.
As shown in
In yet another alternative embodiment, the array 100 can be combined with the application of an electric field between an anode and cathode attached to the skin causing a low-level electric current. The iontophoresis augmentation can provide the necessary means for molecules to travel through the thicker dermis into or from the body, thereby increasing the permeability of both the stratum corneum and deeper layers of skin. While the transport improvement through the stratum comeum is mostly due to microneedle piercing, iontophoresis can provide higher transport rates in epidermis and dermis.
The hybrid microneedle arrays 100 bring important advantages for vaccination over traditional intradermal delivery systems, including (1) targeted skin delivery with consistent reproducibility, enabling considerable dose-sparing and lower toxicity; (2) precision delivery of the vaccine to a defined skin microenvironment, increasing sustained bioavailability and facilitating development of a robust adaptive immune response; (3) capability to delivery many vaccine types, including replication-competent and/or live-attenuated vaccines; (4) fabrication and sterilization independent of the vaccine, protecting vaccine potency and streamlining regulatory approval; (5) simple, pain-free application requiring no special training; (6) cost-effective, scalable, and flexible fabrication approaches; and (7) minimizing cold-chain space requirements and eliminating biohazardous sharps waste.
The features disclosed in the foregoing description, or the following claims, or the accompanying drawings, expressed in their specific forms or in terms of a means for performing the disclosed function, or a method or process for attaining the disclosed result, as appropriate, may, separately, or in any combination of such features, be utilized for realizing the invention in diverse forms thereof. In particular, one or more features in any of the embodiments described herein may be combined with one or more features from any other embodiments described herein.
Protection may also be sought for any features disclosed in any one or more published documents referred to and/or incorporated by reference in combination with the present disclosure.
This application claims the benefit under 35 U.S.C. § 119 of Provisional Application Ser. No. 63/007,473 filed Apr. 9, 2020, and Provisional Application Ser. No. 63/080,208 filed Sep. 18, 2020, each of which is incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/026722 | 4/9/2021 | WO |
Number | Date | Country | |
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63007473 | Apr 2020 | US | |
63080208 | Sep 2020 | US |