Patent Application
20170100603
The present invention concerns an injectable formulation for treatment of selected cells by alternating magnetic field induced hyperthermia, said injectable formulation comprising a liquid carrier and two or more populations of heat-generating nanoparticles. Said injectable formulation may be introduced into the vascular circulation, may be introduced directly into tissue to be heated, or may be contained within a microcatheter for insertion in proximity with tissue to be heated.
Proliferative diseases, such as for example, cancer, represent a tremendous burden to the health-care system. Cancer, which is typically characterized by the uncontrolled division of a population of cells frequently results in the formation of a solid or semi-solid tumor, as well as subsequent metastases to one or more sites. In addition to surgery, conventional methods of cancer treatment include radiotherapy, which operates to effectuate physical damage to malignant cells so as to render them incapable of cell division, and/or chemotherapy, which generally involves systemically administering cytotoxic chemotherapeutic drugs that alter the normal structure, function or replication of DNA.
However, a problem with these approaches is that radiation in the case of radiotherapy, and chemotherapeutic drugs in the case of chemotherapy, are also toxic to normal tissues, and often create life-threatening side effects.
A very promising therapeutic approach which may be applied either alone or in combination with radiotherapy and/or chemotherapy in the treatment of cancer is hyperthermia, as indicated by recent clinical trials (M. H. Falk, R. D. Issel, “Hyperthermia in oncology”, Int. J. Hyperthermia 17: 1-18 (2001); P. Wust, B. Hildebrandt, G. Sreenivasa, B. Rau, J. Gellermann, H. Riess, R. Felix.
P. Schlag, “Hyperthermia in combined treatment of cancer”, The Lancet Oncology, 3: 487-497 (2002); A. Jordan, T. Rheinlander, et al. “Increase of the specific absorption rate (SAR) by magnetic fractionation of magnetic fluids”, Journal of Nanoparticle Research 5 (5-6): 597-600 (2003); A. Jordan, W. Schmidt et al., “A new model of thermal inactivation and its application to clonogenic survival data for human colonic adenocarcinoma cells”, Radiation Research 154(5): 600-607 (2000); A. Jordan, R Schlolz, et al., “Presentation of a new magnetic field therapy system for the treatment of human solid tumors with magnetic fluid hyperthermia”, Journal of Magnetism and Magnetic Materials 225(1-2): 118-126 (2001).
Hyperthermia may be defined as a therapeutic procedure used to increase temperature of organs or tissues affected by cancer between 41 to 46° C. in order to induce apoptosis of cancer cells.
Hyperthermia, when used in combination with radiotherapy, is known to enhance radiation injury of tumor cells, and when used in combination with chemotherapy, is known to enhance chemotherapeutic efficacy.
Further, even mildly elevated temperatures are known to significantly potentiate the effects of radiotherapy and chemotherapy.
Such combinations of treatment modalities could result in lower doses of chemotherapeutic agents or radioactivity necessary to achieve a given effect, thus resulting in less toxicity.
Therefore, using hyperthermia should be considered as an advantageous treatment modality allowing to reduce life-threatening side effects caused by radiotherapy and chemotherapy.
Amongst the various techniques proposed for achieving the required temperature increase, it may be cited for example those reported in details by P. Wust, B. Hildebrandt, G. Sreenivasa, B. Rau, J. Gellermann, H. Riess, R. Felix, P. Schlag, “Hyperthermia in combined treatment of cancer” in The Lancet Oncology, 3: 487-497 (2002) and by P. Moroz, S. K. Jones and Bruce N. Gray, “Status of Hyperthermia in the Treatment of Advanced Liver Cancer”, in J. Surg. Oncol. 77: 259-269 (2001).
However, these various techniques used so far to induce hyperthermia still suffer from significant limitations, the most important of which being a poor control of the heat delivered to the tumor, a poor control of the intratumoral space filling, and a poor control of the precise localization of the hyperthermic effect.
Therefore, providing a hyperthermia technique to reach a controlled temperature at moderate temperatures in a defined tumor target site is a technical challenge still under development.
Some methods for inducing a localized and targeted hyperthermia by using heat-generating nanoparticles have been proposed.
WO 01-58458 proposes a method for inducing a localized and targeted hyperthermia in a cell or tissue by delivering nanoparticles of the nanoshell type having a discrete dielectric or semiconducting core section of silica doped with rare earth emitter, or gold sulfide, surrounded by a metal conducting shell layer of gold, to said cell or tissue and exposing said nanoparticles to electromagnetic radiation under conditions wherein said nanoparticles emit heat upon exposure to said electromagnetic radiation. The core and the shell constituting the nanoparticle may be linked by using biodegradable materials such as a polyhydroxy acid polymer which degrades hydrolytically in the body, in order to facilitate the removal of the particles after a period of time.
WO 03-055469 discloses a method for inducing a localized and targeted hyperthermia by incorporating into tumor cells, through ionic targeting, nanoparticles of the shell type, having a superparamagnetic core containing iron oxide and at least two shells surrounding said core, more particularly a cationic inner shell and an anionic outer shell, and exposing said nanoparticles to electromagnetic radiation under conditions wherein said nanoparticles emit heat upon exposure to said electromagnetic radiation.
U.S. Pat. No. 6,514,481 proposes the so-called “nanoclinics” that consist in iron oxide nanoparticles in a silica shell and surrounded by a targeting agent, and optionally containing a tracking dye. Application of a constant magnetic field is thought to destroy targeted cells through a magnetically induced lysis—in contrast to the heat generation obtained under an alternative magnetic field.
U.S. Pat. No. 6,541,039 by A. Jordan and coworkers also proposes iron oxide particles, embedded in at least two shells. The outer shell having neutral and/or anionic groups allows an appropriate distribution into the tumoral tissue. The inner shell displays cationic groups to promote adsorption/absorption by the cells. The nanoparticles are injected as a suspension (“magnetic fluid”) and subsequently exposed to an alternative magnetic field for hyperthermic treatment.
However, these methods do not allow the tissue to reach a controlled temperature at moderate temperatures in a defined target volume and to repeat the heating procedure in the defined target volume without repeated administration of the formulation containing nanoparticles.
JP 10-328314 discloses a shaped material implant which is invasively implanted in a bone for hyperthermia treatment, said shaped material implant comprising an alumina powder, magnetite powder having a diameter over 50 nm which is capable of generating heat in an alternating magnetic field, and a polymerized methacrylate monomer.
U.S. Pat. No. 7,918,883 discloses a magnetically heated article which employs an externally applied high frequency magnetic field in conjunction with two grades of magnetically susceptible nanomaterials having different Curie temperatures (TC1, TC2) to limit the upper temperatures to which the article will be heated upon application of an alternating magnetic field. The Curie temperature (Tc), or Curie point, is the temperature at which a ferromagnetic or a ferrimagnetic material becomes paramagnetic on heating; the effect is reversible. Upon subjecting the nanoparticles to an alternating magnetic field, self-limiting induction heating occurs as a result of magnetic hysteresis losses which ceases when the temperature of the nanoparticles reach their respective Curie temperatures.
In a disclosed application, a self-expanding Nitinol stent is heated to effect either one-way or two-way shape memory changes in the stent configuration. In an alternate application, heating to the first Curie temperature is employed to effect a one-way shape memory expansion and when the stent has deployed, further heating to the second Curie temperature is used to deliver a therapeutic agent through thermal release from a carrier. In a further alternate application, a material having an appropriate Curie temperature may be used to achieve local temperatures sufficient to inhibit restenosis by heating the cells proximate the stent to induce cell apoptosis; however the stent does not continue to heat beyond the Curie temperature which might otherwise damage the wall of vessel. In this application, the stent may be periodically reheated in situ to inhibit recurring restenosis without invasive treatment.
Barati et al. (“Extraordinary induction heating effect near the first order Curie transition”, Appl. Physics Letters 105, 162412 (2014)) discloses a material having the composition LaFe11.57Si1.43H1.75 and a TC of 319 K (45.85° C.), which is in the range (315 to 319 K) appropriate for hyperthermia treatment of cancerous cells. Barati further discloses that the Curie temperature may be tuned between 204 K and 350 K by altering the degree of hydrogen incorporation. In addition, Barati discloses that the family of compositions undergoes a dramatic increase in hysteresis loss near TC which has been attributed to phase coexistence in which the ferromagnetic phase is induced by a magnetic field in a matrix of the paramagnetic phase resulting in an enhanced loss power from 10±0.6 kJm-3 at 315 K to 80±5.7 kJm-3 at 317.7 K. Their analysis showed that the energy loss of the LaFe11.57Si1.43H1.75 compound is highly dependent on the temperature and the expected power loss is maximized just below TC followed by immediate attenuation of the heating effect at TC. A similar increase in the induction heating effect immediately below TC is expected for rotational relaxation processes in magnetic fluids.
The Specific Absorption Rate (SAR) is a useful comparative measure of the rate at which power is absorbed per mass in these processes and usually has units of watts per kilogram (W/kg) when applied to absorption of a radio frequency (RF) electromagnetic field by the human body. SAR varies as a function of frequency (kHz) and the magnetic field intensity (H). The SAR for LaFe11.57Si1.43H1.75 has been reported as 522 W/g at 279 kHz and 8.8 kA/m, while more conventional materials such FeO have been reported to exhibit a SAR of 15 (ferromagnetic) to 89 (superparamagnetic) W/g under those conditions. Similarly high SAR values are expected for LaFe11.57Si1.43Hx over the range 0<x≦2.27.
While the high SAR and appropriate TC of the LaFe11.57Si1.43Hx materials make them attractive as agents for magnetic field induced hyperthermia treatment of selected cells, the narrow temperature range (˜3° C.) associated with the observed SAR enhancement and the need to raise core tissue temperatures by about 4 to 8° C. requires a combination of longer exposure times, higher fields, and/or higher frequencies than would otherwise be desirable.
In some aspects, the invention relates to an injectable formulation for alternating magnetic field induced hyperthermia treatment of selected cells comprising a liquid carrier and two or more populations of nanoparticles, wherein each population of nanoparticles has a mean Curie temperature in the range 37 to 47° C. and wherein the mean Curie temperature of each population of the two or more populations of nanoparticles differs from the mean Curie temperature of each of the remaining populations of nanoparticles by at least 2° C.
In addition or alternatively, the invention relates to an injectable formulation wherein the two or more populations of nanoparticles have compositions corresponding to LaFe11.57Si1.43Hx where 0<x≦2.27.
The injectable formulations include a first population of nanoparticles which has a mean Curie temperature in the range 37 to 40° C. and a second population of nanoparticles has a mean Curie temperature between a temperature 2° C. greater than mean Curie temperature of the first population of nanoparticles and 3° C. greater than mean Curie temperature of the first population of nanoparticles.
In some aspects, the injectable formulation may further comprise a third population of nanoparticles which has a mean Curie temperature between a temperature 2° C. greater than mean Curie temperature of the second population of nanoparticles and 3° C. greater than mean Curie temperature of the second population of nanoparticles.
In addition, the injectable formulation may further comprising a fourth population of nanoparticles which has a mean Curie temperature between a temperature 2° C. greater than mean Curie temperature of the third population of nanoparticles and 3° C. greater than mean Curie temperature of the third population of nanoparticles; a fifth population of nanoparticles which has a mean Curie temperature between a temperature 2° C. greater than mean Curie temperature of the fourth population of nanoparticles and 3° C. greater than mean Curie temperature of the fourth population of nanoparticles; and in some aspects may further comprise a sixth population of nanoparticles which has a mean Curie temperature between a temperature 2° C. greater than mean Curie temperature of the fifth population of nanoparticles and 3° C. greater than mean Curie temperature of the fifth population of nanoparticles.
In addition, the liquid carrier of injectable formulation may be selected from the group consisting of water, saline, dimethyl sulfoxide, ethanol, aqueous solutions of acetic acid, pyrrolidones, glycerol, and propylene glycol.
In another aspect, the liquid carrier of the injectable formulation may further comprises an in situ polymerizing component. In addition or alternatively, the liquid carrier of the injectable formulation may further comprise an in situ cross-linking component and/or a precipitating polymer component.
In some aspects, at least one of the two or more populations of nanoparticles may include an attached therapeutic agent which may include an anti-tumor agent.
In some aspects, an injectable formulation for magnetic field induced hyperthermia treatment of selected cells may comprise a liquid carrier and two or more populations of nanoparticles, wherein each population of nanoparticles has a mean Curie temperature in the range 37 to 47° C. and wherein the mean Curie temperature of each population of the two or more populations of nanoparticles differs from the mean Curie temperature of each of the remaining populations of nanoparticles by at least 2° C. such that each of the populations of nanoparticles exhibits a region of enhanced specific absorption rate within 3° C. of the respective mean Curie temperatures of the population of nanoparticles.
In such aspects, the regions of enhanced specific absorption rate of each population of nanoparticles may overlap at least one region of enhanced specific absorption rate of another population of nanoparticles and the aggregate regions of enhanced specific absorption rate may continuously span a temperature range of 5 to 10° C.
In addition or in the alternative, the aggregate regions of enhanced specific absorption rate may continuously span a temperature range of 37 to 47° C. In the alternative, the aggregate regions of enhanced specific absorption rate may continuously span a temperature range of 37 to 41° C.
In some aspects, the injectable formulation may comprise two or more populations of nanoparticles have compositions corresponding to LaFe11.57Si1.43Hx where 0<x≦2.27.
In certain aspects, the liquid carrier of the injectable formulation may selected from the group consisting of water, saline, dimethyl sulfoxide, ethanol, aqueous solutions of acetic acid, pyrrolidones, glycerol, and propylene glycol. In addition or alternatively, the liquid carrier may further comprise an in situ polymerizing component, an in situ cross-linking component, and/or a precipitating polymer component.
In certain aspects, the at least one of the two or more populations of nanoparticles may include an attached therapeutic agent which may be an anti-tumor agent.
In another aspect, the invention relates to a method of heating selected cells to magnetically induce hyperthermia comprising positioning two or more populations of nanoparticles in proximity to the selected cells to be heated, wherein each population of nanoparticles has a mean Curie temperature in the range 37 to 47° C. and wherein the mean Curie temperature of each population of the two or more populations of nanoparticles differs from the mean Curie temperature of each of the remaining populations of nanoparticles by at least 2° C. and subjecting the two or more populations of nanoparticles to an alternating magnetic field, thereby causing the two or more populations of nanoparticles to generate heat locally whereupon the selected cells experience hyperthermia. In some aspects, the alternating magnetic field results in a specific absorption rate within the selected cells of no more than 2 W/kg.
In certain additional aspects local heating of at least one of the two or more populations of nanoparticles releases a therapeutic agent which may be an anti-tumor agent.
In some aspects, the positioning step is accomplished by direct injection of the at least two populations of nanoparticles into the vicinity of the selected cells to be heated while in the alternative or in addition, the positioning step is accomplished by containing the at least two populations of nanoparticles within a microcatheter and positioning the contained at least two populations of nanoparticles in the vicinity of the selected cells to be heated, and/or the positioning step may be accomplished by injecting the at least two populations of nanoparticles within a body to be heated and subsequently concentrating the at least two populations of nanoparticles in the vicinity of the selected cells to be heated by application of a magnetic field.
The following description should be read with reference to the drawings wherein like reference numerals indicate like elements throughout the several views. The drawings, which are not necessarily to scale, are not intended to limit the scope of the claimed invention. The detailed description and drawings illustrate example embodiments of the claimed invention.
Although some suitable dimensions, ranges and/or values pertaining to various components, features and/or specifications are disclosed, one of skill in the art, incited by the present disclosure, would understand desired dimensions, ranges and/or values may deviate from those expressly disclosed unless the context clearly indicates an intended limitation.
All numbers are herein assumed to be modified by the term “about.” The recitation of numerical ranges by endpoints includes all numbers subsumed within that range (e.g., 1 to 5 includes 1, 1.5, 2, 2.75, 3, 3.80, 4, and 5).
As used in this specification and the appended claims, the singular forms “a”, “an”, and “the” include the plural referents unless the content clearly dictates otherwise. As used in this specification and the appended claims, the term “or” is generally employed in its sense including “and/or” unless the content clearly dictates otherwise.
It is noted that references in the specification to “an aspect”, “some aspects”, “other aspects”, etc., indicate that the aspect described may include a particular feature, structure, or characteristic, but every aspect may not necessarily include the particular feature, structure, or characteristic. Moreover, such phrases are not necessarily referring to the same aspect. Further, when a particular feature, structure, or characteristic is described in connection with an aspect, it would be within the knowledge of one skilled in the art to effect such feature, structure, or characteristic in connection with other aspects, whether or not explicitly described, unless clearly stated to the contrary.
Within this specification and the appended claims, it will be understood that a reference to a Curie temperature of a population is understood to encompass variation within a population of nanoparticles such that the intent is to refer to the mean Curie temperature of the population if that qualifier is omitted.
While the high SAR and appropriate TC of the LaFe11.57Si1.43Hx materials make them attractive as agents for magnetic field induced hyperthermia treatment of selected cells, the narrow temperature range (˜3° C.) associated with the observed SAR enhancement as well as the need to raise tissue temperatures to about 4 to 8° C. above adjacent, often core, body temperature, the requires a combination of longer exposure times, higher fields, and/or higher frequencies than would otherwise be desirable in treating a subject; however this difficulty may be overcome by employing two or more populations of injectable nanoparticles, which populations differ with regard to their TCs such that the narrow temperature ranges associated with the observed SAR enhancements below those TCs overlap and at least collectively span the temperature range between a core body temperature, nominally 37° C., and the desired hyperthermia temperature, typically either 41 to 45° C. or 41 to 47° C.
In contrast to more conventional hyperthermic treatment techniques using invasive probes that may result in local overheating inducing thermoablation and subsequent tissue necrosis, the hyperthermic implantable formulations developed by the present inventors are expected to deliver a rapid and self-limiting local heating with typical temperature increases in the range of 5° C. to 10° C. In some aspects, the available range of temperature increases may be even greater.
The use of a plurality of nanoparticle populations each having a different mean Curie point temperature and an enhanced SAR in the thermal region immediately below the mean Curie point temperature of the population is expected to result in rapid heating at relatively low magnetic field intensities such that the enhanced SAR exhibited by a first population of nanoparticles having a mean Curie temperature slightly above the ambient temperature of the selected cells to be heated will, upon excitation by an alternating magnetic field, heat the selected cells and the remaining populations of nanoparticles to the Curie temperature of the first population of nanoparticle, whereupon the induced heating of that first population of nanoparticles will cease as they reach their Curie temperature.
By selecting the mean Curie temperature of a second population of nanoparticles such that the enhanced SAR region immediately below the mean Curie temperature of the second population overlaps the mean Curie temperature of the first population of nanoparticles, it is possible to begin to excite the enhanced SAR region of the second population as the first population of nanoparticles becomes insensitive to further excitation by virtue of having reached its Curie temperature. The selection process may be extended to the inclusion of a third, fourth, fifth, sixth or more populations of nanoparticles as necessary to reach the desired treatment temperature. By employing a succession of populations of nanoparticles, each of which is within its enhanced SAR region as the temperature of the tissue to be heated is increased, it is expected that the overall time to reach an effective hyperthermia temperature may be decreased because heat generation will be enhanced at all temperatures up to the desired treatment temperature and yet the heating process will be self-limiting by the Curie temperature of the final population of nanoparticles to be activated as the temperature thus effectively preventing over heating.
For example, if the region of enhanced SAR for a first population of nanoparticles has a temperature range of ˜3° C., such as that of the LaFe11.57Si1.43Hx materials described herein, and the selected cells to be heated have an initial temperature of 37° C., a first population of nanoparticles having a Curie temperature of 40° C. is expected to be efficiently heated by an appropriate alternating magnetic field to a temperature of 40° C. thereby raising the temperature of the selected cells and any remaining populations of nanoparticles to that temperature. When a second population of nanoparticles having a Curie temperature of 43° C. is also present with the selected cells at 40° C., the second population of nanoparticles is expected to be efficiently heated by an appropriate alternating magnetic field to a temperature of 43° C. thereby raising the temperature of the selected cells and any remaining populations of nanoparticles to that temperature. When a third population of nanoparticles having a Curie temperature of 45° C. is also present with the selected cells at 43° C., the third population of nanoparticles is expected to be efficiently heated by an appropriate alternating magnetic field to a temperature of 45° C. thereby raising the temperature of the selected cells and any remaining populations of nanoparticles to that temperature, thereby inducing apoptosis within the selected cells to be heated. This successive overlap of three populations of nanoparticles, each exhibiting the enhanced SAR effect immediately below the TC of the respective population, is illustrated somewhat schematically in
One of ordinary skill in the art would appreciate that the foregoing description is representative and not intended to be limiting. For example, it would be understood that the first population of nanoparticles may have a Curie temperature of 39.5° C.; a second population of nanoparticles may have a Curie temperature of 42° C.; a third population of nanoparticles may have a Curie temperature of 44.5° C.; and a fourth population of nanoparticles may have a Curie temperature of 47° C. if desired. Other combinations of populations of nanoparticles may be selected to span a desired temperature increase if the temperature range of the region of enhanced SAR is other than 3° C. In general, it is believed desirable to employ a minimal number of nanoparticle populations to span a given desired temperature increase in order to minimize the total mass of nanoparticles necessary to achieve the desired final temperature.
If, for example, the initial temperature of tissue to be heated by this method, is different from 37° C. or a higher final temperature is desirable, a larger number of nanoparticle populations may be employed, such that a temperature increase of 12° C. is desirable, the result may be accomplished by employing six populations of nanoparticles, each of which is responsible for increasing the temperature of the tissue by approximately 2° C. This successive overlap of six populations of nanoparticles, each exhibiting the enhanced SAR effect immediately below the TC of the respective population, is illustrated somewhat schematically in
In addition to, or instead of, varying the number of populations employed, as in the examples given above, it is believed that different heating profiles may usefully be achieved by varying the ratios of the masses of the populations of nanoparticles. As an example, an initial temperature increase is accomplished by two smaller populations, 200A and 200B to attain a temperature above the initial or core tissue temperature, but below the temperature expected to result in significant apoptosis, followed by a larger population 200C which is expected to raise the tissue temperature more rapidly to a final temperature which will produce the desired apoptosis as illustrated somewhat schematically in
In some aspects, similar effects may be achieved by employing non-uniform spacing of the TCs of the populations of nanoparticles such that the number of nanoparticles which are subject to excitation with an enhanced SAR varies with temperature.
Positioning of the nanoparticle populations described may be accomplished by methods known in the art, for example, the nanoparticles 20 may be dispersed in a liquid carrier 10, as shown in
In some aspects, at least a portion of the particles 20A may include an attached therapeutic agent 25, as illustrated in
Although the illustrative examples described above relate to LaFe11.57Si1.43Hx nanoparticles useful for heating tissue, populations of other nanoparticles having an enhanced SAR region and/or other materials to be heated also are contemplated.
Various modifications and alterations of this invention will become apparent to those skilled in the art without departing from the scope and principles of this invention, and it should be understood that this invention is not to be unduly limited to the illustrative embodiments set forth hereinabove. All publications and patents are herein incorporated by reference to the same extent as if each individual publication or patent was specifically and individually indicated to be incorporated by reference.
This application claims the benefit of priority under 35 U.S.C. §119 to U.S. Provisional Patent Application Ser. No. 62/238,178, filed Oct. 7, 2015, which is incorporated by reference in its entirety and for all purposes.
| Number | Date | Country | |
|---|---|---|---|
| 62238178 | Oct 2015 | US |
