The invention is generally directed to devices and methods for intradermal delivery of active agents into the skin, more particularly the invention is directed to devices and methods for improving the immunogenicity of vaccine preparations by intradermal delivery of the vaccine via a microprojection array in which the parameters for delivery of the active agents have been developed to achieve appropriate depth penetration and efficient delivery of the active agent.
Next-generation healthcare increasingly relies on minimally-invasive biomedical devices capable of negotiating skin mechanical properties to mediate intracutaneous and transcutaneous tasks like administering therapeutics, extracting diagnostic biomarkers and performing surgical procedures. For instance, epidermal and dermal targeted delivery of vaccines is a promising candidate for increasing global vaccine coverage, due to ease of access as well as unique immunological properties of the skin. Passive permeation of the antigen is impractical due to the large molecular size of most antigens, therefore, the payload is actively transported to the viable-cell strata by mechanically breaching through the skin's outer barriers. This transport is typically achieved by either: 1) high-pressure jet injectors that fire the payload in liquid or powder form (microparticles) or 2) penetrator tips that deposit payload through a channel in the skin (e.g. intradermal syringe needles and hollow microneedles), or that embed the payload in a matrix/coating that dissolves in the skin (e.g. dissolvable/coated microneedle and microprojection arrays). Some studies have reported improved immune responses compared to standard syringe injection. In addition, the mechanisms underlying the low-dose efficacy or increased potency are not yet fully understood thereby limiting the potential of cutaneous vaccination.
Precise penetration to the targeted depth for vaccine uptake by site-specific cells is of fundamental importance and relies on negotiating the unique elastic and failure properties of the skin which is a multilayer composite ‘material’. Despite the many published mechanical characterization and underlying linear and non-linear elastic models, there is a paucity of investigations focusing on skin elastic and failure behavior in mechanical conditions relevant for epidermal and dermal delivery of active agents including vaccines. There are reasons beyond the skin's intrinsic structural complexity, and inter-species (e.g. mouse vs human), inter-individual (ethnicity, gender) and intra-individual (age, body site) variabilities for this failure. Firstly, the persistent assumption of skin homogeneity and isotropicity resulted in different elastic moduli depending on the loading mode. Secondly, the Young's moduli extrapolated from indentations showed a marked inverse dependence with the probe diameter. Thirdly, although the extensive literature on skin viscoelasticity provides solid evidence of the rate-dependence of skin elasticity, there appear to be no published out-of-plane tests where the load was applied at velocities >1 m s−1 or strain rates >1 μs−1.
While underlying linear-elastic and hyperelastic descriptions are corroborated by empirical data, skin also lacks established constitutive models of failure. Skin penetration by individual needles has typically been described using either: 1) stress-based failure criteria extend the traditional yield criteria such that the skin fails when the stress (typically the von Mises component) exceeds a threshold strength; as such, this framework does not account for the irrecoverable energy dissipated into material damage and, thus, for example, cannot be used to predict the depth achieved by penetrators fired at a given velocity; or 2) energy-based fracture propagation extends the concept of fracture toughness to ductile materials, i.e. an energy per unit area representing the cost to create crack interfaces. This model, though, does not specify if an initial notch forms at all (failure initiation), how the crack propagates (e.g. direction and speed), and what fraction of the penetrator energy is utilized in the fracture (as opposed of being elastically stored or dissipated in viscous or plastic phenomena). Rather, the prediction of skin penetration requires a complete description of the spatial stress-strain distributions to detect the instant and coordinates of failure initiation, and the energy repartition among various reversible and irreversible phenomena.
Skin out-of-plane mechanical properties of skin at the microscale are typically measured ex vivo using indentation (e.g. AFM) at velocities up to ˜100 μm s−1; however, vaccines are delivered in vivo across the skin's superficial barriers using penetrators applied (by hand or impact applicators) at velocities >>mm s−1; strain-rate effects and subcutaneous layers play an important mechanical role during skin penetration.
The limited understanding of skin elastic response to high strain rates, mechanisms of failure and fracture, and interaction with multiple penetrators have prevented the rational design of epidermal and dermal targeted vaccination devices. Some microprojection arrays are silicon chips containing, on one side, thousands of densely-arranged (>>1,000 cm−2) microprojections, i.e. solid cone-like structures measuring ˜100 μm in length. Notably, application of vaccine-coated microprojection arrays to mouse skin elicited immune response using ˜ 1/100 of the dose required by intramuscular injection. The precise and consistent targeting of specific strata within the skin is important and achieved by applying the array against the skin at controlled velocities (˜1 m s−1). Therefore, there is a need for in-depth understanding of the skin mechanical interaction with microneedles/microprojections which would allow the tailoring of an array design and application conditions to achieve customized antigen placement and to increase the targeting consistency across patients and minimize the penetration energy of the array while controlling skin inflammation, tolerability and acceptability.
The reference in this specification to any prior publication (or information derived from it), or to any matter which is known, is not, and should not be taken as an acknowledgment or admission or any form of suggestion that the prior publication (or information derived from it) or known matter forms part of the common general knowledge in the field of endeavour to which this specification relates.
In a broad form the present invention seeks to provide an apparatus for delivering an active ingredient into the skin of an animal at a defined depth, the apparatus including:
Typically the microprojection array impacts on the skin with a mass-to-velocity ratio of at least one of:
Typically the microprojection array impacts the skin with a mass between at least one of:
Typically the microprojection array impacts the skin at velocities between:
Typically the microprojection array has an area between at least one of:
Typically the microprojection array has a microprojection density between 5,000 and 20,000 projections per cm2.
Typically the microprojections are at least one of:
Typically the microprojections are at least one of:
Typically the microprojections have a length of at least one of:
Typically the microprojections include:
Typically the applicator includes a driver that drives the microprojection array towards the skin and wherein the microprojection array is releasably mounted to the driver so that the microprojection array is released from the driver prior to the microprojections contacting the skin.
Typically the driver abuts against a stop to thereby release the microprojection array.
Typically the stop includes an annular shoulder.
Typically the applicator includes:
Typically the driver is urged from a retracted to an extended position using a biasing mechanism, and wherein the biasing mechanism and engagement between the driver and housing define a driver velocity in use.
Typically the driver is a piston.
Typically the biasing mechanism includes at least one of:
Typically the engagement is frictional engagement between a piston and piston chamber within the housing.
Typically the microprojection array impacts on the skin with a mass-to-velocity ratio sufficiently high to effect at least one of:
Typically at least tips of the microprojections are coated.
Typically the active ingredient is one or more vaccine antigens.
In another broad form the present invention seeks to provide a method of determining the design of a microprojection array and the velocity for delivering the microprojection array to a predetermined range of skin depth comprising calculating the microprojection array density, microprojection array area, microprojection array mass and microprojection velocity to mass ratio to deliver the microprojection array to the predetermined depth range.
An example of the present invention will now be described with reference to the accompanying drawings, in which:—
In-depth understanding of skin elastic and rupture behaviors is important for next-generation biomedical devices because it enables targeted delivery of vaccines, as well as minimally-invasive extraction of diagnostic biomarkers and robotic/haptic surgery. Penetration of the skin's superficial barriers and precise targeting of strata rich in antigen-presenting cells is critical to elicit potent low-dose immunogenicity. However, the paucity of relevant skin mechanical characterization and lack of established fracture models has limited the rational design of cutaneous devices. The present invention exploits experimental and numerical studies of skin mechanics during dynamic interaction with individual and arrays of microscopic penetrators to provide improved methods and devices for delivering active agents into the skin. Micro-indentation of individual strata reveals that the hyperelastic moduli are dramatically rate-dependent, and allows extrapolation of the stiffness properties at velocity regimes (>mm s−1) relevant for dynamically-actuated cutaneous devices. These are used to parameterize a layered finite-element (FE) representation of skin that includes a novel implementation of ductile failure. Iterative refinement to match empirical penetration assays yields characteristic fracture energies (˜10 pJ μm−2) significantly lower than previously reported (>>100 pJ μm−2). The resulting FE simulations satisfactorily predict the penetration depth of microprojection arrays across a diverse range of designs and application conditions, and shows limited sensitivity to the parameterization choice. The knowledge and numerical tools developed provide guidelines to rationally engineer skin penetrators. Specific array design and application conditions can be developed to increase the targeting consistency across patients and minimize the penetration energy while controlling skin inflammation, tolerability and acceptability.
Both experiments and theoretical models were used to develop an understanding of the skin's mechanical properties relative to the dynamic penetration of individual and multiple microscopic penetrators. These properties are particularly relevant to the skin treatment by microneedles/microprojections for vaccine delivery as well as minimally-invasive extraction of diagnostic biomarkers. Starting from micro-indentation experiments on mouse skin (
The complete model schematized in
The sensitivity of the numerically-derived penetration depth to the variation of the model parameters was assessed with a set of limit analyses. In brief, the standard treatment simulation was repeated assigning upper and lower boundary values to each individual parameter, one at a time. The input-parameter intervals are summarized in Table 1 and are representative of the range of FE parameters, variation of skin properties as reported in the literature and possible array design tolerances or modifications. For simple reference to
The penetration resulting from different array application conditions (
There is significant Spearman correlation (p<0.0001) between the penetration depth pd and the application energy per projection U (
The computational model was applied to investigate alternative designs and application conditions and challenge the trend of
The results of
The skin dynamic behavior is the main cause of such a diverse mechanical response. Firstly, the heterogeneous layered composition favored fracture in the early impact stages for large application velocities. Specifically, the stress was effectively retained at the surface due to the slow stress-wave propagation of the deep strata (cartilage, PDMS, fat or muscle), comparatively lower in stiffness. Secondly, the equivalent strain required to initiate failure (i.e. meet the yield criterion) decreased with increasing velocity because skin elasticity (i.e. the stress response to a specific strain) has a steeper rate-dependent increase compared to the yield strength. As a consequence, penetration is more difficult in quasi-static conditions, as the Young's modulus-to-yield strength ratio decreases below 1, due to the resulting strata softness (compliance).
The resulting penetration model satisfactorily reproduced the experimental behavior for a wide range of conditions, and further proved robust to variations in parameterization. However, the utilized elastic moduli were derived from indentations using constant probe velocity, and are relative to the peak strain rates at impact. Hypothetically, the resulting skin stress relaxation should result in lower penetration depths that match the experimental measurements more closely.
While significant differences in skin behavior are expected if the dynamic regime is changed (e.g. from impact to quasi-static or vibratory application), penetration of other microneedle array designs (typically characterized by sparser, larger penetrators) will likely follow the trends showed in
When administered to the skin the microprojection array may have a velocity which is greater than about 5 m/s or about 6 m/s, or about 7 m/s, or about 8 m/s, or about 9 m/s, or about 10 m/s, or about 15 m/s, or about 20 m/s, or about 25 m/s, or about 30 m/s, or about 40 m/s, or about 45 m/s, or about 50 m/s, or about 55 m/s. When administered to the skin the microprojection array may have a velocity which is about 5 m/s to about 50 m/s, or from about 5 m/s to about 45 m/s, or from 5 m/s to about 40 m/s, or from about 5 m/s to about 35 m/s, or from about 5 m/s to about 30 m/s, or from 5 m/s to about 25 m/s, or from about 5 m/s to about 20 m/s, or from about 5 m/s to about 15 m/s, or from 5 m/s to about 10 m/s, or from about 10 m/s to about 50 m/s, or from about 10 m/s to about 45 m/s, or from 10 m/s to about 40 m/s, or from about 10 m/s to about 35 m/s, or from about 10 m/s to about 30 m/s, or from 10 m/s to about 25 m/s, or from about 10 m/s to about 20 m/s, or from about 10 m/s to about 15 m/s, or from about 15 m/s to about 50 m/s, or from about 15 m/s to about 45 m/s, or from 15 m/s to about 40 m/s, or from about 15 m/s to about 35 m/s, or from about 15 m/s to about 30 m/s, or from 15 m/s to about 25 m/s, or from about 15 m/s to about 20 m/s, or from about 20 m/s to about 50 m/s, or from 20 m/s to about 45 m/s, or from about, or from 20 m/s to about 40 m/s, or from about 20 m/s to about 35 m/s, or from about 20 m/s to about 30 m/s, or from about 20 m/s to about 25 m/s, or from about 25 m/s to about 50 m/s, or from about 25 m/s to about 45 m/s, or from 25 m/s to about 40 m/s, or from about 25 m/s to about 35 m/s, or from about 25 m/s to about 30 m/s, or from about 30 m/s to about 50 m/s, or from about 30 m/s to about 45 m/s, or from about 30 m/s to about 40 m/s, or from about 30 m/s to about 35 m/s.
The microprojection arrays may have a mass of less than 1 gram, or less than 0.9 grams, or less than 0.8 grams, or less than 0.7 grams, or less than 0.6 grams, or less than 0.5 grams, or less than 0.6 grams, or less than 0.5 grams, or less than 0.4 grams, or less than 0.3 grams, or less than 0.2 grams, or less than 0.1 grams, or less than 0.05 grams, or less than 0.01 grams, or less than 0.005 grams, or less than 0.001 grams. The microprojection array may have a mass of from about 0.001 grams to about 5 grams of about 0.001 grams to about 2 grams, or from about 0.001 grams to about 1.5 grams, or from about 0.001 grams to about 1.0 grams, or from about 0.001 grams to about 0.9 grams, or from about 0.001 grams to about 0.8 grams, or from about 0.001 grams to about 0.7 grams, or from about 0.001 grams to about 0.6 grams, or from about 0.001 grams to about 0.5 grams, or from about 0.001 grams to about 0.4 grams, or from about 0.001 grams to about 0.3 grams, or from about 0.001 grams to about 0.2 grams, or from about 0.001 grams to about 0.1 grams from about 0.01 grams to about 5 grams of about 0.01 grams to about 2 grams, or from about 0.01 grams to about 1.5 grams, or from about 0.01 grams to about 1.0 grams, or from about 0.01 grams to about 0.9 grams, or from about 0.01 grams to about 0.8 grams, or from about 0.01 grams to about 0.7 grams, or from about 0.01 grams to about 0.6 grams, or from about 0.01 grams to about 0.5 grams, or from about 0.01 grams to about 0.4 grams, or from about 0.01 grams to about 0.3 grams, or from about 0.01 grams to about 0.2 grams, or from about 0.01 grams to about 0.1 grams, or from about 0.05 grams to about 5 grams of about 0.05 grams to about 2 grams, or from about 0.05 grams to about 1.5 grams, or from about 0.05 grams to about 1.0 grams, or from about 0.05 grams to about 0.9 grams, or from about 0.05 grams to about 0.8 grams, or from about 0.05 grams to about 0.7 grams, or from about 0.05 grams to about 0.6 grams, or from about 0.05 grams to about 0.5 grams, or from about 0.05 grams to about 0.4 grams, or from about 0.05 grams to about 0.3 grams, or from about 0.05 grams to about 0.2 grams, or from about 0.05 grams to about 0.1 grams, or from about 0.1 grams to about 1.0 grams, or from about 0.1 grams to about 5 grams, or from about 0.1 grams to about 2 grams, or from about 0.1 grams to about 0.9 grams, or from about 0.1 grams to about 0.8 grams, or from about 0.1 grams to about 0.7 grams, or from about 0.1 grams to about 0.6 grams, or from about 0.1 grams to about 0.5 grams, or from about 0.1 grams to about 0.4 grams, or from about 0.1 grams to about 0.3 grams, or from about 0.1 grams to about 0.2 grams.
The density of the microprojection on the microprojection arrays may be about 2000 microprojections/cm2, or about 2500 microprojections/cm2, or about 3000 microprojections/cm2, or about 3500 microprojections/cm2, or about 4000 microprojections/cm2, or about 4500 microprojections/cm2, or about 5000 microprojections/cm2, or about 5500 microprojections/cm2, or about 6000 microprojections/cm2, or about 6500 microprojections/cm2, or about 7000 microprojections/cm2, or about 7500 microprojections/cm2, or about 8000 microprojections/cm2, or about 8500 microprojections/cm2, or about 9000 microprojections/cm2, or about 9500 microprojections/cm2, or about 10000 microprojections/cm2, or about 11000 microprojections/cm2, or about 12000 microprojections/cm2, or about 13000 microprojections/cm2, or about 14000 microprojections/cm2, or about 15000 microprojections/cm2, or about 16000 microprojections/cm2, or about 17000 microprojections/cm2, or about 18000 microprojections/cm2, or about 19000 microprojections/cm2, or about 20000 microprojections/cm2. The density of the microprojection on the microprojection arrays may be from about 2000 to about 20000 microprojections/cm2, or from about 2000 to about 15000 microprojections/cm2, or from about to about 10000 microprojections/cm2, or from about 2000 to about 9000 microprojections/cm2, or from about 2000 to about 8000 microprojections/cm2, or from about 2000 to about 7500 microprojections/cm2, or from about 2000 to about 7000 microprojections/cm2, or from about 2000 to about 6000 microprojections/cm2, or from about 2000 to about 5000 microprojections/cm2, or from about 2000 to about 4000 microprojections/cm2, or from about 3000 to about 20000 microprojections/cm2, or from about 3000 to about 15000 microprojections/cm2, or from about to about 10000 microprojections/cm2, or from about 3000 to about 9000 microprojections/cm2, or from about 3000 to about 8000 microprojections/cm2, or from about 3000 to about 7500 microprojections/cm2, or from about 3000 to about 7000 microprojections/cm2, or from about 3000 to about 6000 microprojections/cm2, or from about 3000 to about 5000 microprojections/cm2, or from about 3000 to about 4000 microprojections/cm2, or from about 4000 to about 20000 microprojections/cm2, or from about 4000 to about 15000 microprojections/cm2, or from about to about 10000 microprojections/cm2, or from about 4000 to about 9000 microprojections/cm2, or from about 4000 to about 8000 microprojections/cm2, or from about 4000 to about 7500 microprojections/cm2, or from about 4000 to about 7000 microprojections/cm2, or from about 4000 to about 6000 microprojections/cm2, or from about 4000 to about 5000 microprojections/cm2, or from about 5000 to about 20000 microprojections/cm2, or from about 5000 to about 15000 microprojections/cm2, or from about to about 10000 microprojections/cm2, or from about 5000 to about 9000 microprojections/cm2, or from about 5000 to about 8000 microprojections/cm2, or from about 5000 to about 7500 microprojections/cm2, or from about 5000 to about 7000 microprojections/cm2, or from about 5000 to about 6000 microprojections/cm2.
At least a portion of the projections may be coated. Accordingly, one way of providing material for delivery to the biological subject is by providing the material within the coating. For example, the coating may include a vaccine for providing an immunological response within the subject. The coating may be provided in liquid or non-liquid forms, and may further include ingredients other than the material to be delivered, such as an adjuvant. Suitable coating formulations for use with projections patches and methods of applying such coatings to the projections are known, as described, for example, in WO/2010/042996 and WO/2009/079712.
Although any type of coating may be used, particularly advantageous embodiments of the microprojection arrays are provided with at least a portion of the projections coated with a non-liquid coating. In this regard, the term “non-liquid” coating will be understood to include a coating that is applied in a liquid form and allowed to dry or otherwise solidify to thereby form a non-liquid coating.
The non-liquid coating may act as an additional substantially solid layer of material which can be used to even further adjust the geometry of the projections by optionally causing the projections to have an effective profile of a different shape to the underlying uncoated profile of the projections as initially fabricated.
The microprojections of the array of the present invention may be of any shape including cylindrical or conical. Other geometries are also possible. The microprojection arrays may have substrate with a plurality of microprojections protruding from the substrate wherein the microprojections have a tapering hexagonal shape and comprise a tip and a base wherein the base has two substantially parallel sides with a slight draught angle of approximately 1 to 20 degrees up to a transition point at which point the angle increases to from about 20 degrees to about 70 degrees. A sharp blade-like tip will allow for enhanced penetration of the microprojections into the skin while also generating an enhanced localized cell death/bystander interaction in the skin with a different profile than conical microprojection arrays. The sharp blade-like tips of the microprojections may also increase the level of danger signals and antigen to more live cells thereby increasing the physical adjuvant effect of microprojections and thereby improving immune responses. The tip of the microprojections of the present invention may have a width of about 0.5 μm, or about 1.0 μm, or about 1.5 μm, or about 2.0 μm, or about 2.5 μm, or about 3.0 μm, or about 3.5 μm, or about 4.0 μm, or about 4.5 μm, or about 5.0 μm. The tip of the microprojections of the present invention may have a width of from about 0.5 μm to about 5.0 μm, or from about 0.5 μm to about 4.5 μm, or from about 0.5 μm to about 4.0 μm, or from about 0.5 μm to about 3.5 μm, or from about 0.5 μm to about 3.0 μm, or from about 0.5 μm to about 2.5 μm, or from about 0.5 μm to about 2.0 μm, or from about 0.5 μm to about 1.5 μm, or from about 0.5 μm to about 1.0 μm, or from about 1.0 μm to about 5.0 μm, or from about 1.0 μm to about 4.5 μm, or from about 1.0 μm to about 4.0 μm, or from about 1.0 μm to about 3.5 μm, or from about 1.0 μm to about 3.0 μm, or from about 1.0 μm to about 2.5 μm, or from about 1.0 μm to about 2.0 μm, or from about 1.0 μm to about 1.5 μm, or from about 1.5 μm to about 5.0 μm, or from about 1.5 μm to about 4.5 μm, or from about 1.5 μm to about 4.0 μm, or from about 1.5 μm to about 3.5 μm, or from about 1.5 μm to about 3.0 μm, or from about 1.5 μm to about 2.5 μm, or from about 1.5 μm to about 2.0 μm, or from about 2.0 μm to about 5.0 μm, or from about 2.0 μm to about 4.5 μm, or from about 2.0 μm to about 4.0 μm, or from about 2.0 μm to about 3.5 μm, or from about 2.0 μm to about 3.0 μm, or from about 2.0 μm to about 2.5 μm, or from about 2.5 μm to about 5.0 μm, or from about 2.5 μm to about 4.5 μm, or from about 2.5 μm to about 4.0 μm, or from about 2.5 μm to about 3.5 μm, or from about 2.5 μm to about 3.0 μm.
The microprojection array when applied to the skin may have a mass-to-velocity ratio of less than about 0.0005 g/m/s, or less than about 0.001 g/m/s/or less than about 0.002 g/m/s, or less than about 0.003 g/m/s, or less than about 0.004 g/m/s/or less than about 0.005 g/m/s, or less than about 0.006/m/s, or less than about 0.007 g/m/s/or less than about 0.008 g/m/s, or less than about 0.009 g/m/s, or less than about 0.01 g/m/s/or less than about 0.02 g/m/s, or less than about 0.03/m/s, or less than about 0.04 g/m/s/or less than about 0.05 g/m/s, or less than about 0.06 g/m/s, or less than about 0.07 g/m/s/or less than about 0.08 g/m/s, or less than about 0.09/m/s, or less than about 0.10 g/m/s/or less than about 0.20 g/m/s, or less than about 0.30 g/m/s, or less than about 0.40 g/m/s/or less than about 0.50 g/m/s. The microprojection array when applied to the skin may have a mass-to-velocity ratio of about 0.0005 g/m/s to about 0.50 g/m/s, or from about 0.0005 g/m/s to about 0.40 g/m/s, or from about 0.0005 g/m/s to about 0.30 g/m/s, or from about 0.0005 g/m/s to about 0.20 g/m/s, or from about 0.0005 g/m/s to about 0.10 g/m/s, or from about 0.0005 g/m/s to about 0.009 g/m/s, or from of about 0.0005 g/m/s to about 0.008 g/m/s, or from about 0.0005 g/m/s to about 0.007 g/m/s, or from about 0.0005 g/m/s to about 0.006 g/m/s, or from about of about 0.0005 g/m/s to about 0.005 g/m/s, or from about 0.0005 g/m/s to about 0.004 g/m/s, or from about 0.0005 g/m/s to about 0.003 g/m/s, or from about of about 0.0005 g/m/s to about 0.002 g/m/s, or from about 0.0005 g/m/s to about 0.001 g/m/s, or from about 0.001 g/m/s to about 0.50 g/m/s, or from about 0.001 g/m/s to about 0.40 g/m/s, or from about 0.001 g/m/s to about 0.30 g/m/s, or from about 0.001 g/m/s to about 0.20 g/m/s, or from about 0.001 g/m/s to about 0.10 g/m/s, or from about 0.001 g/m/s to about 0.009 g/m/s, or from of about 0.001 g/m/s to about 0.008 g/m/s, or from about 0.001 g/m/s to about 0.007 g/m/s, or from about 0.001 g/m/s to about 0.006 g/m/s, or from about of about 0.001 g/m/s to about 0.005 g/m/s, or from about 0.001 g/m/s to about 0.004 g/m/s, or from about 0.001 g/m/s to about 0.003 g/m/s, or from about of about 0.001 g/m/s to about 0.002 g/m/s, or from about 0.005 g/m/s to about 0.50 g/m/s, or from about 0.005 g/m/s to about 0.40 g/m/s, or from about 0.005 g/m/s to about 0.30 g/m/s, or from about 0.005 g/m/s to about 0.20 g/m/s, or from about 0.005 g/m/s to about 0.10 g/m/s, or from about 0.005 g/m/s to about 0.009 g/m/s, or from of about 0.005 g/m/s to about 0.008 g/m/s, or from about 0.005 g/m/s to about 0.007 g/m/s, or from about 0.005 g/m/s to about 0.006 g/m/s, or from about 0.033 g/m/s to about 0.0008 g/m/s.
The area of the microprojection arrays in area may be between about 10 mm2 to about 1000 mm2, or from about 10 mm2 to about 900 mm2, or from about 10 mm2 to about 800 mm2, or from about 10 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 10 mm2 to about 600 mm2, or from about 10 mm2 to about 500 mm2, or from about 10 mm2 to about 400 mm2, or from about 10 mm2 to about 300 mm2, or from about 10 mm2 to about 200 mm2, or from about 10 mm2 to about 100 mm2, or from about 10 mm2 to about 90 mm2, or from about 10 mm2 to about 80 mm2, or from about 10 mm2 to about 70 mm2, or from about 10 mm2 to about 60 mm2, or from about 10 mm2 to about 50 mm2, or from about 10 mm2 to about 40 mm2, or from about 10 mm2 to about 30 mm2, or from about 10 mm2 to about 20 mm2, or from about 20 mm2 to about 1000 mm2, or from about 20 mm2 to about 900 mm2, or from about 20 mm2 to about 800 mm2, or from about 20 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 20 mm2 to about 500 mm2, or from about 20 mm2 to about 400 mm2, or from about 20 mm2 to about 300 mm2, or from about 20 mm2 to about 200 mm2, or from about 20 mm2 to about 100 mm2, or from about 20 mm2 to about 90 mm2, or from about 20 mm2 to about 80 mm2, or from about 20 mm2 to about 70 mm2, or from about 20 mm2 to about 60 mm2, or from about 20 mm2 to about 50 mm2, or from about 20 mm2 to about 40 mm2, or from about 20 mm2 to about 30 mm2, or from about 30 mm2 to about 1000 mm2, or from about 30 mm2 to about 900 mm2, or from about 30 mm2 to about 800 mm2, or from about 30 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 30 mm2 to about 500 mm2, or from about 30 mm2 to about 400 mm2, or from about 30 mm2 to about 300 mm2, or from about 30 mm2 to about 200 mm2, or from about 30 mm2 to about 100 mm2, or from about 30 mm2 to about 90 mm2, or from about 30 mm2 to about 80 mm2, or from about 30 mm2 to about 70 mm2, or from about 30 mm2 to about 60 mm2, or from about 30 mm2 to about 50 mm2, or from about 30 mm2 to about 40 mm2, or from about 40 mm2 to about 1000 mm2, or from about 40 mm2 to about 900 mm2, or from about 40 mm2 to about 800 mm2, or from about 40 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 40 mm2 to about 500 mm2, or from about 40 mm2 to about 400 mm2, or from about 40 mm2 to about 400 mm2, or from about 40 mm2 to about 200 mm2, or from about 40 mm2 to about 100 mm2, or from about 40 mm2 to about 90 mm2, or from about 40 mm2 to about 80 mm2, or from about 40 mm2 to about 70 mm2, or from about 40 mm2 to about 60 mm2, or from about 40 mm2 to about 50 mm2, or from about 50 mm2 to about 1000 mm2, or from about 50 mm2 to about 900 mm2, or from about 50 mm2 to about 800 mm2, or from about 50 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 50 mm2 to about 500 mm2, or from about 50 mm2 to about 400 mm2, or from about 50 mm2 to about 300 mm2, or from about 50 mm2 to about 200 mm2, or from about 50 mm2 to about 100 mm2, or from about 50 mm2 to about 90 mm2, or from about 50 mm2 to about 80 mm2, or from about 50 mm2 to about 70 mm2, or from about 50 mm2 to about 60 mm2, or from 60 mm2 to about 1000 mm2, or from about 60 mm2 to about 900 mm2, or from about 60 mm2 to about 800 mm2, or from about 60 mm2 to about 700 mm2, or from about 10 mm2 to about 600 mm2, or from about 60 mm2 to about 500 mm2, or from about 60 mm2 to about 400 mm2, or from about 60 mm2 to about 300 mm2, or from about 60 mm2 to about 600 mm2, or from about 60 mm2 to about 100 mm2, or from about 60 mm2 to about 90 mm2, or from about 60 mm2 to about 80 mm2, or from about 60 mm2 to about 70 mm2, or from about 16 mm2 to about 400 mm2, or from about 36 mm2 to about 225 mm2, or from about 64 mm2 to about 100 mm2
The microprojections of the microprojection arrays of the present invention may be solid or non-porous or contain hollow portions therein. In some embodiments the microprojection as solid and non-porous and do not contain hollow portion therein. In preferred embodiments the devices of the present invention do not contain reservoirs.
In view of the above, it will be appreciated that the present invention is generally directed to devices and methods for intradermal delivery of active agents into the skin. The invention is directed to devices and methods for improving the immunogenicity of vaccine preparations by intradermal delivery of the vaccine via a microprojection array in which the parameters for delivery of the active agents have been developed to achieve appropriate depth penetration and efficient delivery of the active agent.
The methods of the present invention may be used to design vaccination devices as well as develop the parameters for delivery of vaccines efficiently and minimize the penetration energy of the array while controlling skin inflammation, tolerability and acceptability. The present methods further enable investigation of the application of other cutaneous devices (e.g. solid, hollow, or dissolvable penetrators of custom size, possibly arranged in linear, rectangular or round arrays of arbitrary density) to different skin types.
The present invention relates to microprojection arrays wherein the physical parameters of the arrays such as but not limited to array mass, microprojection density, microprojection diameter, array size, microprojection tip angle, microprojection base diameter are determined for a given application.
The present invention relates to microprojection arrays wherein the physical parameters of the arrays can be determined for a given penetration depth range.
The present invention relates to methods of designing the physical parameters of microprojection arrays for a given penetration depth range.
Microprojection arrays were fabricated using a deep-reactive ion etching approach and diced from silicon wafers by the Australian National Fabrication Facility (ANFF) at The University of Queensland as previously described (D. Jenkins, S. Corrie, C. Flaim, M. Kendall, RSC Advances 2012, 2, 3490). Arrays were first cleaned in 70% ethanol for 10 min, flushed with an excess of water, then dried under ambient conditions. Prior application to skin, the arrays were coated with fluorescent nanoparticles (Fluospheres®, 0.2 mm, Yellow Green Fluorescent 505/515 nm, 2% Solids, Molecular Probes®, Oregon, USA) as described by Coffey et al (J. W. Coffey, S. R. Corrie, M. A. Kendall, Biomaterials 2013, 34, 9572). In brief, 8 μL of solution containing Fluospheres® with 0.2% solids and 1% methylcellulose (w/v methylcellulose, Sigma-Aldrich, USA) was deposited onto a 4×4 mm2 array and dried using a rotating nitrogen jet to evenly distribute the solution on the whole array while simultaneously localizing the respective payload on the projection (X. Chen, T. W. Prow, M. L. Crichton, D. W. Jenkins, M. S. Roberts, I. H. Frazer, G. J. Fernando, M. A. Kendall, J Control Release 2009, 139, 212). The volume was 4.5 μL and 18 μL for the 3×3 mm2 and 6×6 mm2 arrays, respectively, to maintain a constant coating volume per unit array area. Coated arrays were stored in sealed Petri dishes protected from light until used. Scanning electron Microscopy (SEM) was performed before and after coating to ensure microprojection integrity and shape consistency. The arrays selected measured (uncoated) 90-110 μm in length, 16-20 μm in width at the base, and tapered a 15°-25° angle terminating in a tip of ˜1 μm in diameter. Coating increased base width increase of ˜4 μm and the tip angle to ˜35°. Female BALB/c mice aged 6 to 8 weeks were chosen because commonly used for immunology experiments and due to the reduced speckling during tissue imaging. The mice were anesthetised prior to array application with a solution of 60 μL of 25 mg/mL ketamine and 5 mg/mL xylazine in saline via intraperitoneal injection and were treated according to the protocol approved by the University of Queensland Animal Ethics Committee. Arrays were applied to the inner earlobe of the ears using an applicator device consisting of a sprung piston. Different impact velocities and energies were generated firing pistons of different masses and varying the initial spring compression through holes drilled in the cylinder housing. The mass was decreased from the standard 35 g of the brass piston, using a plastic piston jointly with ˜9 g incremental weights screwed on its top end. During application, the ear rested on a 3 mm-PDMS backing slab. Adhesive carbon tabs fixed the ear to the PDMS and the PDMS to the bench support. The array was left in place for 2 min and then carefully removed. The animals were euthanized immediately after treatment through cervical dislocation and the ears excised for experimental characterization.
The excised ear specimen was immediately fixed by immersion into in 2% paraformaldehyde in phosphate buffer saline (PBS) for ˜2 hours, and then frozen in Optimal Cutting Temperature® (OCT) compound (Tissue Tek, QLD, Australia). 10 μm-thick sections of frozen ear were sectioned normal to the skin surface and approximately parallel to projection holes rows using a Leica Ultracut UCT cryo-microtome (Leica Microsystems, Wetzlar, Germany) at the HistoTechnology facility of the QIMR Berghofer Medical Research Institute. Sections were imaged under a Zeiss LSM510 confocal microscope (Carl Zeiss Inc., Germany), using excitation and collection wavelengths of 488 nm and 500-550 nm nm, respectively. The fluorescent tracks left by fluorescent microsphere-coated projections were measured using imageJ (NIH, USA, http://imagej.nih.gov/ij/) for a minimum of 3 slides (distributed uniformly across the treated area) per ear sample, resulting in over 100 measurements per application condition. Because penetration depth varied across the array, the measurements taken for each slides were divided in an edge group, including up to 10 tracks from each side, and a center group, including all other tracks. For each slide the mean and standard deviation of the depth measurements was calculated for the edge group and center group independently. A weighted average was performed on the center group means and standard deviation for each slide within a sample, with weights equal to the number of track measured per slide. This allowed the measure to rely more on slides with a larger amount of tracks. The standard deviation was also calculated across the slides within a sample. An identical procedure was followed for the edge group. For each one of the n=4 ear samples, the mean and standard deviation between the center and edge group means gave the sample mean and error. The overall mean (across the repeats of each penetration condition) penetration depth (
The microprojection geometry was drawn according to the SEM measurements (
The motion of the rigid analytical surface that modeled the projection was characterized by an initial velocity (i.e. the velocity generated by the applicator) and a bound mass (determined by the piston mass). The movement was restricted to translation along the vertical axis x=0, y=0, i.e. orthogonal indentation respect to the skin surface. Normal contact interactions were implemented in the FEA using the kinematic contact method because the penalty method was occasionally observed to allow cross-over of the master (microprojection) and slave (skin) surfaces. This happened although the skin elements in contact with the indenter/microprojection were always much smaller than the tip radius (<<0.5 μm). In contrast, the simpler penalty method was used to model tangential friction contact. A friction coefficient of 0.4 was chosen according to the experimental measurement of Bhushan and colleagues (B. Bhushan, J Colloid Interf Sci 2012, 367, 1; B. Bhushan, S. Chen, S. R. Ge, Beilstein J Nanotech 2012, 3, 731).
Ultimate and yield strength, and plastic strain at damage were derived from previous works (R. C. Haut, Journal of Biomechanical Engineering-Transactions of the Asme 1989, 111, 136). The properties measured for the SC in high humidity conditions (˜90% RH) where used to parameterize the VE, because the corneocytes are essentially flattened and dried epidermal cells. The properties measured for whole skin were used to parameterize the dermis because this layer dominates the skin overall composition and mechanical properties (R. Reihsner, B. Balogh, E. J. Menzel, Med Eng Phys 1995, 17, 304). For simulations including fracture, the vertical mesh pitch (i.e. element length) was increased in the SC and VE and decreased in the deep dermis to allow larger element deformation and better accuracy in the simulation of dermal penetration.
To characterize the impact response of the backing alone, the applicator was fired (n=5) without array on the PDMS+carbon tab (no ear) using different masses and spring compressions (resulting in 1-7 m s−1). The movement of the piston was filmed using a Photron SA4 high-speed camera (HSC) at 20,000 frames s−1 (Photron Inc., San Diego, CA, USA). We tracked the motion of the piston with the HSC software to obtain piston displacement, velocity and acceleration over time before and after contact with PDMS. The dynamic compression displacement of the backing was then the combined with the transient impact force measured (n=5) with a quartz force sensor (model 208C02, PCB piezoelectronic, Depew, NY, USA) placed under the PDMS slab and recorded using a labview program (National Instrument Corp., Austin, TX, USA). The resulting force-displacement characteristic (
The backing was modeled as a viscoelastic material using the lumped-parameter Kelvin-Voigt-like element consisting of a mass connected to ground through a spring-damper parallel, and implemented in Abaqus using a connector element. The non-linear stiffness k measured with the impact tests (
The strain-rate dependence of skin elasticity by indenting individual strata of freshly-excised mouse ear (SC, VE and dermis) with spherical tips (1.9 μm and 6.6 μm in diameter) at different velocities was investigated. This experimental procedure and the extrapolation hyperelastic 1st-order Ogden parameters was performed as described by M. L. Crichton, B. C. Donose, X. F. Chen, A. P. Raphael, H. Huang, M. A. F. Kendall, Biomaterials 2011, 32, 4670 (
Characterization of skin penetration following penetrator impact was accomplished by numerically modeling microprojection application to skin and comparing against experimental observations.
The initial values for the failure properties were determined starting from previous skin mechanical tests and then refined to validate the fracture model against the penetration experiments. The puncture and tearing energy of whole skin and isolated SC has been reported to exceed 600 pJ μm−2. Initially, simulation of a 2 m s−1 microprojection impact using the threshold strengths and strains and fracture energy of 600 pJ μm−2 for all skin layers resulted in failure initiation and plastic deformation of the elements. However, no element inactivation occurred above 6 μm displacement of the tip into the skin, with a maximum stiffness degradation <10%. This indicated that the fracture energy had been overestimated, possibly because previous measurements could not isolate fracture dissipation from other energetic contributions (e.g. elastic strain or yielding). Hence, we varied the layer fracture energies in the range 0-200 pJ μm−2 (0, 0.2, 1, 6, 35, 100 and 200 pJ μm−2 were used) until the simulations matched the fracture behavior observed experimentally. For example, the SC optimal energy was approximately 35 pJ μm−2 suggesting that its rupture occurs through a combination of delamination (energetically ‘cheaper’ 1-10 pJ μm−2) and tear (energetically more ‘costly’ ˜103 pJ μm−2). Using the layers optimal energies, the total irreversible strain energy (i.e. plastic and damage dissipations) when the projection has penetrated to the bottom boundary of the dermis (i.e. 4.45 μs after the contact) was about 100 nJ. The simulations showed that this value was most sensitive to the dermis fracture energy, probably due to its larger thickness. The dissipation error bounds were taken to be 50 nJ and 170 nJ, which resulted when the dermis was parameterized with 1 pJ μm−2 and 35 pJ μm−2, respectively. Such error range is reasonably tight compared to the total energy of the system (the application energy per projection is 21 uJ) and is satisfactory for the purpose of this work considering the limited literature about rupture energy measurements, especially for penetration-like fracture modes.
SC flaps partially overlap with the VE. This non-physical behavior occurs because, for simplicity, no ‘self’-contact interaction properties were defined for the skin elements. However, the overlap involves skin portions that have already failed and have little or no load-bearing capacity; therefore, the errors in strain energy and stress were assumed to be negligible. Interestingly, stiffness degradation and fracture (element inactivation) originated ˜1 μm off the microprojection axis, i.e. where the dilatational strain peaked, rather than immediately below the tip where the VM stress and compressive strain peaked. This also indicates that this fracture approach captures, at least in part, the different rupture behaviors in tension and compression, in contrast with fracture models solely based on a VM stress threshold. Note that the cartilage was not assigned failure mechanisms because this work focuses on skin targeting and cartilage penetration is avoided. Rather, to avoid bias of the numerical results due to artificial cartilage resistance to penetration, the projection was allowed to penetrate the cartilage with at zero energy cost by deactivating contact interactions of its FE nodes with the microprojections. Having established the optimal skin fracture parameters, this failure implementation is used in the next section to simulate the penetration by arrays of microprojections.
Throughout this specification and claims which follow, unless the context requires otherwise, the word “comprise”, and variations such as “comprises” or “comprising”, will be understood to imply the inclusion of a stated integer or group of integers or steps but not the exclusion of any other integer or group of integers.
Persons skilled in the art will appreciate that numerous variations and modifications will become apparent. All such variations and modifications which become apparent to persons skilled in the art, should be considered to fall within the spirit and scope that the invention broadly appearing before described.
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Number | Date | Country | |
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20210244926 A1 | Aug 2021 | US |
Number | Date | Country | |
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62233607 | Sep 2015 | US |
Number | Date | Country | |
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Parent | 15762913 | US | |
Child | 17241927 | US |