For a number of years, attempts have been underway in various laboratories to replace Photofrin® with new porphyrin-based photosensitizers (PS). To date, most PS are amphiphilic in nature in that they contain both hydrophilic and hydrophobic substituents. Due to their #-conjugated systems, a phenomenon known as aggregation has become a concern such that it can: “decrease fluorescence quantum yields, shorten a photosensitizer's triplet excited state lifetime or reduce its photosensitizing efficiency”. Most of these compounds, therefore, are visibly aggregated in solution, so the challenge remains to be the synthesis of effective water-soluble photosensitizers that accumulate in the tumor, yet clear at a suitable time as to limit toxicity. Several researchers have either incorporated sugar residues on the periphery or ionic groups such as pyridinium, sulfonato or carboxylate groups as a means to enhance photosensitizers' aqueous solubility. The 5, 10, 15, 20-tetrakis(4-sulfonatophenyl)-porphyrin (TPPS4) is a known tetrasodium salt that although soluble in water still absorbs weakly at ˜630 nm. Core modifications have been made to TPPS4 in which chalcogen atoms such as sulfur, selenium and tellurium have aided in the water solubility of the PS, as well as, increasing the wavelength maximum to ˜695 nm. Unfortunately, these compounds were found to be toxic Therefore, the aim of the present invention was to synthesize effective and non-toxic water-soluble long wavelength absorbing photosensitizers with high singlet oxygen ability, singlet oxygen being a key cytotoxic agent for PDT. Tetrapyrollic compounds, especially porphyrin related compounds, have played a key role in developing a variety of photosensitizers. Inventors herein have recently shown that porphyrin-based compounds can also be used (i) as PET and SPECT imaging agents and (ii) as vehicles to deliver the required contrast agents (MRI, Fluorescence etc.) to image tumors. These approaches have been extremely useful in developing multimodality agents. However, one major drawback with most of these compounds is their limited solubility in water. Therefore, most of the formulations require a biocompatible surfactant, e.g. such as those commonly sold under the trademarks TWEEN-80 or CREMOPHORE. At low concentrations, such formulations are approved by FDA for clinical use, but to avoid a number of disadvantages with such formulations, it would be ‘ideal’ to design water soluble compounds for tumor imaging and therapy.
An approach for increasing the water solubility is to introduce hydrophilic substituents (e.g., —COOH, PEG, amino acids, charged species etc.) in the desired molecules. Unfortunately such incorporation can limit biological efficacy.
The following references are incorporated by reference as background art.
In accordance with the present invention, a series of water soluble purpurinimides were prepared and some of these compounds were found to be quite effective both for PDT efficacy and tumor imaging (fluorescence).
The photosensitizers are tetrapyrollic photosensitizers having at least one pendant —CH2CH2CON(CH2CON(CH2COOH)2)2 or —N(CH2COOH)2 group or esters thereof. The substituted tetrapyrollic compound is usually a chlorin, bacteriochlorin, porphyrin, pyropheophorbide, purpurinimide, or bacteriopurpurinimide.
In a preferred embodiment the compound of the invention has the formula:
or a phamaceutically acceptable derivative thereof.
R1 and R2 are each independently substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, —C(O)Ra or —COORa or —CH(CH3)(OR) or —CH(CH3)(O(CH2)nXR) where Ra is hydrogen, substituted or unsubstituted alkyl, substituted or unsubstituted alkenyl, substituted or unsubstituted alkynyl, or substituted or unsubstituted cycloalkyl where R2 may be CH═CH2, CH(OR20)CH3, C(O)Me, C(═NR21)CH3 or CH(NHR21)CH3.
X is an aryl or heteroaryl group.
n is an integer of 0 to 6.
R and R′ are independently H or lower alkyl of 1 through 8 carbon atoms.
R20 is methyl, butyl, heptyl, docecyl or 3,5-bis(trifluoromethyl)-benzyl.
R21 is 3,5,-bis(trifluoromethyl)benzyl.
R1a and R2a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond.
R3 and R4 are each independently hydrogen or substituted or unsubstituted alkyl.
R3a and R4a are each independently hydrogen or substituted or unsubstituted alkyl, or together form a covalent bond.
R5 is hydrogen or substituted or unsubstituted alkyl.
R6 and R6a are each independently hydrogen or substituted or unsubstituted alkyl, or together form ═O.
R7 is a covalent bond, alkylene, azaalkyl, or azaaraalkyl or ═NR20 where R20 is hydrogen or lower alkyl of 1 through 8 carbon atoms or —CH2-3,5-bis(tri-fluoromethyl)benzyl or —CH2X—R1 or —YR1 where Y is an aryl or heteroaryl group.
R8 and R8a are each independently hydrogen or substituted or unsubstituted alkyl or together form ═O.
R9 is —CH2CH2CON(CH2CON(CH2COOA)2)2 or —N(CH2COOH)2; where A is —OH or -lower alkyl.
R10 is hydrogen, or substituted or unsubstituted alkyl.
Each of R1-R10, when substituted, is substituted with one or more substituents each independently selected from Q, where Q is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or —CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or —NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue;
each Q is independently unsubstituted or is substituted with one or more substituents each independently selected from Q1, where Q1 is alkyl, haloalkyl, halo, pseudohalo, or —COORb where Rb is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, aryl, heteroaryl, araalkyl, or ORc where Rc is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl or CONRdRe where Rd and Re are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or NRfRg where Rf and Rg are each independently hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or ═NRh where Rh is hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, or aryl, or is an amino acid residue.
Synthetic details for the preparation of examples of water soluble photosensitizers of the invention are depicted in Schemes 1-4 as follow:
All the intermediates and the final products were characterized by NMR and mass spectrometry analyses. The purity was ascertained by analytical TLC. The starting photosensitizers (e.g. HPPH, fluorinated purpurinimide 7 and the N-butyl-purpurinimide 10 were synthesized by following published methodologies that were developed in our laboratory) The Synthetic details are as follows:
Iminodiacetic acid (5.0 gm, 0.03756 mole) was taken in a 500 ml RBF, water (150 ml) and THF (50 ml) were added to it. Resultant mixture was cooled to 0° C. using an ice bath. K2CO3 (25.9 gm, 0.187 mole) was added to it in portions keeping temperature of reaction mixture below 10° C. After 10 min of stirring at the same temperature Cbz-Cl (7.9 ml, 0.056 mole) was added to it drop wise. Resultant mixture was stirred for 6 hr at room temperature, concentrated partially to remove THF. Reaction mixture was washed with ether to remove excess of Cbz-Cl, aq layer was separated, acidified with dil HCl and extracted with EtOAc (100 ml×3). Organic layers were separated, combined and washed with H2O (100 ml), dried over sodium sulfate and concentrated to give 2 as viscous oil in quantitative yield.
Yield: 9.6 gm (95.7%).
1HNMR (400 MHz, CDCl3): δ 7.36-7.30 (m, 5H, Ph), 5.16 (s, 2H, PhCH2O), 4.15 (s, 2H, CH2), 4.12 (s, 2H, CH2).
EIMS: 267(m+).
Di-acid 2 (0.5 gm, 1.88 mmol), Di-tert-butyl iminodiacetate (0.92 gm, 3.77 mmol), EDCI (1.0 gm, 5.6 mmol) and DMAP (0.36 gm, 5.6 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using EtOAc/hexane (20-40%) as eluent to give product 3. Yield: 1.0 gm (75%).
1HNMR (400 MHz, CDCl3): δ 7.34-7.28 (m, 5H, Ph), 5.12 (s, 2H, PhCH2O), 4.28 (d, 1H, J=6.4 Hz), 4.24 (d, 1H, J=6.8 Hz), 4.18-4.14 (m, 1H), 4.05 (m, 4H), 3.91 (m, 1H), 3.74 (d, 1H, J=8.0 Hz), 3.67 (d, 1H, J=10.8 Hz), 1.47 (s, 9H, CO2But), 1.45 (s, 9H, CO2But), 1.44 (s, 9H, CO2But), 1.40 (s, 9H, CO2But). EIMS: 744(m+Na+).
Compound 3 (0.9 gm, 1.24 mmol), Pd/C (10%, 1.0 gm), MeOH (60 ml) were stirred together under H2 atm for 2 hr. Reaction mixture was filtered over celite, filtrate was concentrated and chromatographed over silica get using MeOH/DCM (1-3%) as eluent. Yield: 0.6 gm (82.5%).
1HNMR (400 MHz, CDCl3): δ 4.06 (s, 4H, CH2), 4.01 (s, 4H, CH2), 3.46 (s, 4H, CH2), 1.46 (s, 36H, CO2But). EIMS: 587(m+).
HPPH (100.0 mg, 0.157 mmol), amine 4 (184.5 mg, 0.314 mmol), EDCI (90.4 mg, 0.471 mmol) and DMAP (57.5 mg, 0.471 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-3%) as eluent to give product 5. Yield: 120.0 mg (63.35%). UV-vis (λmax cm−1, dichloromethane): 409, 505, 535, 606 & 661.
1HNMR (400 MHz, CDCl3): δ 9.74 (s, 1H, meso-H), 9.51 (s, 1H, meso-H), 8.52 (s, 1H, meso-H), 5.91 (m, 1H, CH3CHOhexyl), 5.35 (d, 1H, 151-CH, J=20.0 Hz), 5.13 (d, 1H, 151-CH, J=20.0 Hz), 4.52-4.49 (m, 2H, H-17 & H-18), 4.29-4.27 (m, 4H), 4.11 (m, 2H), 4.09-4.04 (m, 4H), 3.88-3.85 (m, 2H, CH2), 3.74-3.72 (m, 2H, OCH2hexyl), 3.67 (s, 3H, ring-CH3), 3.66-3.59 (m, 2H, 81-CH2), 3.36 (s, 3H, ring-CH3), 3.26 (s, 3H, ring-CH3), 2.78-2.66 (m, 2H, 172-CH2), 2.53-2.49 (m, 1H, 171-CH), 2.15 (m, 1H, 17′-CH), 2.11 (d, 3H, CH3CHOhexyl, J=6.8 Hz), 1.79 (d, 3H, 18-CH3, J=7.6 Hz), 1.74 (t, 3H, 8-CH2CH3, J=7.6 Hz) 1.63 (m, 4H, CH2-hexyl), 1.47-1.43 (four singlets each for CO2But, 36H), 1.20 (m, 4H, CH2-hexyl), 0.77 (t, 3H, CH3-hexyl, J=6.4 Hz), 0.37 (brs, 1H, NH), −1.82 (brs, 1H, NH).EIMS: 1206 (m+).
Compound 5 (70.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. The reaction mixture was concentrated and dried under high vacuum to give 6 in quantitative yield.
Yield: 50.0 mg (87.7%).UV-vis (λmax cm−1, THF): 408, 505, 538, 605 & 660. EIMS: 983 (m30 +1).
Acid 7 (100.0 mg, 0.115 mmol), amine 4 (136.0 mg, 0.231 mmol), EDCI (44.4 mg, 0.231 mmol) and DMAP (28.27 mg, 0.231 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-3%) as eluent to give product 8. Yield: 80.0 mg (48%). UV-vis (λmax cm−1, dichloromethane): 365, 414, 548 & 701. 1HNMR (400 MHz, CDCl3): δ 9.74 (s, 1H, meso-H), 9.60 (s, 1H, meso-H), 8.51 (s, 1H, meso-H), 8.20 (s, 2H, bis-CF3C6H3), 7.79 (s, 1H, bis-CF3C6H3), 5.79 (s, 2H, benzylic CH2), 5.75 (m, 1H, CH3CHObutyl), 5.19-5.16 (m, 1H, H-17), 4.60-4.49 (m, 2H, CH2), 4.40-4.31 (m, 2H, CH2), 4.18-3.96 (m, 8H, 4CH2), 3.62 (s, 3H, ring-CH3), 3.61-3.60 (m, 4H, 2CH2), 3.26 (s, 3H, ring-CH3), 3.16 (s, 3H, ring-CH3), 2.94-2.87 (m, 1H, 172-CH), 2.76-2.69 (m, 1H, 172-CH), 2.40-2.34 (m, 1H, 171-CH), 2.05 (d, 3H, CH3CHObutyl, J=10.2 Hz), 1.77-1.64 (m, 11H, 171-CH, 18-CH3, 2CH2butyl, 8-CH2CH3), 1.48 (s, 9H, CO2But), 1.46 (s, 9H, CO2But), 1.39 (s, 9H, CO2But), 1.38 (s, 9H, CO2But), 0.89-0.85 (spitted t, 3H, CH3-butyl), 0.21 (brs, 1H, NH), 0.07 (brs, 1H, NH). EIMS: 1403 (m+).
Compound 8 (60.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. Reaction mixture was concentrated and dried under high vacuum to give 9 in quantitative yield.
Yield: 40.0 mg (77.36%). UV-vis (λmax cm−1, THF): 363, 414, 546 & 699. EIMS: 211 (m++1).
Acid 10 (50.0 mg, 0.072 mmol), amine 4 (84.7 mg, 0.144 mmol), EDCI (34.5 mg, 0.18 mmol) and DMAP (22.0 mg, 0.18 mmol) were dissolved in dry DCM (30 ml). Resultant mixture was stirred at room temperature for 16 hr under N2 atm, diluted with DCM (100 ml) and washed with brine (50 ml). Organic layer was separated, dried over sodium sulfate and concentrated. Crude was purified on silica gel column using MeOH/DCM (1-2%) as eluent to give product 11.
Yield: 65.0 mg (71.42%). UV-vis (λmax cm−1, dichloromethane): 363, 415, 508, 547 & 701. 1HNMR (400 MHz, CDCl3): δ 9.72 (s, 1H, meso-H), 9.63 (s, 1H, meso-H), 8.52 (s, 1H, meso-H), 5.79 (m, 1H, CH3CHObutyl), 5.22 (m, 1H, H-17), 4.66 (m, 2H, CH2), 4.45 (t, 2H, OCH2butyl, J=7.6 Hz), 4.33 (m, 1H, H-18), 4.18-4.00 (m, 4H, 2CH2), 3.97-3.95 (m, 4H, 2CH2), 3.84 (s, 3H, ring-CH3), 3.68-3.61 (m, 4H, 8-CH2CH3, CH2), 3.30 (s, 3H, ring-CH3), 3.18 (s, 3H, ring-CH3), 3.00-2.90 (m, 1H, 172-CH), 2.74-2.69 (m, 1H, 172-CH), 2.45-2.39 (m, 1H, 171-CH), 2.06 (d, 3H, CH3CHObutyl, J=6.8 Hz), 2.01-1.96 (m, 2H, NCH2-butyl), 1.70 (m, 1H, 171-CH), 1.68-1.61 (m, 10H, 18-CH3, 2CH2butyl, 8-CH2CH3), 1.51, 1.49, 1.37 & 1.36 (each singlet for 36H, CO2But), 1.10 (t, 3H, CH3-Obutyl, J=7.6 Hz), 0.87 (t, 3H, CH3-Nbutyl, J=7.4 Hz), −0.02 (brs, 1H, NH), −0.12 (brs, 1H, NH). EIMS: 1263 (m+).
Compound 11 (60.0 mg) was stirred in 5 ml of 70% TFA/DCM for 3 hr at room temperature. Reaction mixture was concentrated and dried under high vacuum to give 12 in quantitative yield.
Yield: 42.0 mg (85.19%).UV-vis (λmax cm−1, dichloromethane): 363, 415, 508, 547 & 701. EIMS: 1039 (m+).
The experiments were performed in female BALB/c mice (6-8 weeks of age) purchased from Clarence Reeder (National Cancer Institute Fredrick Cancer Research Facility, Fredrick, Md.). The mice were injected s.c. in the axilla with 106 Colo-26 cells in 50 μL complete RPMI-1640 and were used for experimentation when the tumors reached 5-6 mm. All experiments were performed under the approved protocols of the RPCI Animal Care and Use Committee and followed DLAR regulations.
(a) Comparative Photosensitizing Efficacy of 15 vs its water soluble analog 16:
BALB/c mice inoculated with Colon-26 tumors were injected with 0.7λmoles/kg of either PS 15 or 16 and at ˜24 h p.i., the mice were treated with PDT for a total fluence of 135 J/cm2 at 75 mW/cm2 (30 minute treatment). Preliminary studies had shown that PS 15 was only 30% effective using the 135 J/cm2 at 75 mW/cm2 (30 minute) PDT regimen. However, when its water-soluble analog was tested, the PDT response enhanced to 70% mice tumor-free by day 90.
Three explanations for this may be that (1) the slight charge from the carboxylate groups may be contributing to differing localization sites of PS 16 in comparison to 15 (as mentioned above), (2) the PDT-induced mechanism of action may differ in comparison to 16 or (3) the increased PS uptake in the tumor compared to the skin of 16 could be contributing to the enhanced PDT response. The main purpose of these experiments was to determine if the water-soluble PS could be utilized as both a PDT agent and diagnostic imaging tool. The initial in vivo experiments displayed the advantage of the water-soluble PS over its parent compound, 15.
The in vivo photosensitizing efficacy of water-soluble photosensitizers 9 and 12 was determined in BALB-C mice bearing Colo-26 tumors at similar treatment conditions. At 24 h postinjction of the photosensitizer (i. v., 0.5 μmol/Kg), the tumors were exposed to laser light (at the photosensitizer's longest wavelength absorption (135J/cm2, 75 mW/cm2 for 30 min) and the tumor regrowth was measured daily. The results are summarised in Figure X. As can be seen among the three candidates, compared to 12, compounds 9 and 12 were found to be more effective.
Measurement of PS accumulation in the tumor and skin via fluorescence measurements using a non-invasive optical imaging camera system was performed. When tumors reached 4-5 mm in diameter, the BALB/c mice were imaged prior to PS injection (using body weight of Ketamine Xylazine or 80 mg/kg of Pentobarbital Sodium anesthesia) to make certain that no endogenous chromophores were excited at the particular wavelengths utilized (425/50 nm or 540/40 nm excitation filters). Background fluorescence measurements had been a concern for previous researchers because it was found that the current diet of the mice contained chlorophyll (λmax fluorescence=676 nm). When evaluating a photosensitizer such as HPPH, the PS emission peak at ˜668 nm overlapped with that of chlorophyll. Therefore, the fluorescence images obtained were not particularly specific for only PS fluorescence. For instance, when the background mice were imaged (No PS) using an excitation wavelength of 425/50 nm the chlorophyll from the diet was present in both the hair (yellow) and BALB/c skin (red) exhibiting an emission peak at ˜676 nm. For the experiments with PS 15 and 16, there was no concern that the emission peak of chlorophyll would overlap with that of the PS (emission at ˜710 nm).
For non-invasive in vivo imaging of PS fluorescence, the Nuance™ Imaging Camera was beneficial in that once anesthetized the whole body of the mouse could be placed into the imaging LT-9CABINET, which provided the proper light insulation required for measurement and the ILLUMATOOL low power light source necessary for keeping the amount of light delivered to each mouse constant (3 mice per time point). This imaging technology was quite beneficial due to the fact that it was minimally invasive, so that there was no need to sacrifice the animal in order to obtain information about where the PS was localized. Previous studies have involved invasive procedures in which a mouse was sacrificed, the tumor or skin was excised and histological staining was performed on the paraffin blocks. Below are fluorescence images of PS 16 excited using the 425/50 nm filter and collected via the non-invasive CCD Nuance Imaging Camera (Princeton Instruments Inc.). This system was capable of taking qualitative hyperspectral images in the specific range of 650-720 nm focused on 710 nm. Attached to the small animal images are the spectral properties of the hair (yellow), skin (blue) and tumor (red).
From
This invention describes the successful synthesis of a new long wavelength water-soluble PS. The in vitro and in vivo PDT photosensitizing experiments indicated that PS 16 was superior to its parent compound, 15
At its therapeutic PDT dose of 0.7 μmoles/kg (70% mice were tumor-free by day 60, 7/10 mice), PS 16 displayed selective tumor uptake at 24 h p.i. as visualized by Nuance™ imaging and confirmed by the fluorescence extraction experiments. This is the first report of a water-soluble fluorinated purpurinimide being utilized as a dual PDT-imaging agent.
This is a continuation-in-part of U.S. patent application Ser. No. 10/607,922 to Pandey et al. filed Jun. 27, 2003 now U.S. Pat. No. 7,166,719 entitled FLUORINATED PHOTOSENSITIZERS RELATED TO CHLORINS AND BACTERIOCHLORINS FOR PHOTODYNAMIC THERAPY which in turn claims priority from Provisional Application Ser. No. 60/392,473 to Pandey et al. filed Jun. 27, 2002 entitled FLUORINATED PHOTOSENSITIZERS RELATED TO CHLORINS AND BACTERIOCHLORINS FOR PHOTODYNAMIC THERAPY. The above applications are incorporated herein by reference in their entirety.
This invention was made with funding from the National Institute of Health Grant Number NIH CA55791. The United States Government may have certain rights in this invention.
Number | Name | Date | Kind |
---|---|---|---|
3710795 | Higuchi et al. | Jan 1973 | A |
3817837 | Rubenstein et al. | Jun 1974 | A |
3927193 | Hansen et al. | Dec 1975 | A |
RE28819 | Thompson | May 1976 | E |
4044126 | Cook et al. | Aug 1977 | A |
4328245 | Yu et al. | May 1982 | A |
4331647 | Goldenberg | May 1982 | A |
4348376 | Goldenberg | Sep 1982 | A |
4358603 | Yu | Nov 1982 | A |
4361544 | Goldenberg | Nov 1982 | A |
4364923 | Cook et al. | Dec 1982 | A |
4374925 | Litman et al. | Feb 1983 | A |
4409239 | Yu | Oct 1983 | A |
4410545 | Yu et al. | Oct 1983 | A |
4414209 | Cook et al. | Nov 1983 | A |
4444744 | Goldenberg | Apr 1984 | A |
4468457 | Goldenberg et al. | Aug 1984 | A |
4474893 | Reading | Oct 1984 | A |
4479895 | Auditore-Hargreaves | Oct 1984 | A |
4521762 | Kapral | Jun 1985 | A |
4522811 | Eppstein et al. | Jun 1985 | A |
4577636 | Spears | Mar 1986 | A |
4624846 | Goldenberg | Nov 1986 | A |
4649151 | Dougherty et al. | Mar 1987 | A |
4656186 | Bommer et al. | Apr 1987 | A |
4675338 | Bommer et al. | Jun 1987 | A |
4693885 | Bommer et al. | Sep 1987 | A |
4753958 | Weinstein et al. | Jun 1988 | A |
4818709 | Primus et al. | Apr 1989 | A |
4861876 | Kessel | Aug 1989 | A |
4866168 | Dougherty et al. | Sep 1989 | A |
4878891 | Judy et al. | Nov 1989 | A |
4889129 | Dougherty et al. | Dec 1989 | A |
4916221 | Kumadaki et al. | Apr 1990 | A |
4925736 | Shikowitz | May 1990 | A |
4932934 | Dougherty et al. | Jun 1990 | A |
4935498 | Sessler et al. | Jun 1990 | A |
4946778 | Ladner et al. | Aug 1990 | A |
4957481 | Gatenby | Sep 1990 | A |
4968715 | Dougherty et al. | Nov 1990 | A |
4997639 | Aizawa et al. | Mar 1991 | A |
5002962 | Pandey et al. | Mar 1991 | A |
5004811 | Bommer et al. | Apr 1991 | A |
5015463 | Dougherty et al. | May 1991 | A |
5028594 | Carson | Jul 1991 | A |
5028621 | Dougherty et al. | Jul 1991 | A |
5033252 | Carter | Jul 1991 | A |
5041078 | Matthes et al. | Aug 1991 | A |
5051415 | Moran et al. | Sep 1991 | A |
5052558 | Carter | Oct 1991 | A |
5053006 | Watson | Oct 1991 | A |
5059415 | Neuwelt | Oct 1991 | A |
5062431 | Potter | Nov 1991 | A |
5066274 | Bommer et al. | Nov 1991 | A |
5066291 | Stewart | Nov 1991 | A |
5074632 | Potter | Dec 1991 | A |
5093349 | Pandey et al. | Mar 1992 | A |
5095030 | Levy et al. | Mar 1992 | A |
5111821 | Potter | May 1992 | A |
5145863 | Dougherty et al. | Sep 1992 | A |
5171741 | Dougherty | Dec 1992 | A |
5173504 | Dougherty | Dec 1992 | A |
5190536 | Wood et al. | Mar 1993 | A |
5190966 | Dougherty et al. | Mar 1993 | A |
5198460 | Pandey et al. | Mar 1993 | A |
5205291 | Potter | Apr 1993 | A |
5216012 | Morgan et al. | Jun 1993 | A |
5219345 | Potter | Jun 1993 | A |
5222795 | Hed | Jun 1993 | A |
5225433 | Dougherty et al. | Jul 1993 | A |
5257970 | Dougherty | Nov 1993 | A |
5263925 | Gilmore, Jr. et al. | Nov 1993 | A |
5298018 | Narciso, Jr. | Mar 1994 | A |
5308861 | Aizawa et al. | May 1994 | A |
5314905 | Pandey et al. | May 1994 | A |
5323907 | Kalvelage | Jun 1994 | A |
5330741 | Smith et al. | Jul 1994 | A |
5344928 | Masuya et al. | Sep 1994 | A |
5368841 | Trauner et al. | Nov 1994 | A |
5403308 | Wood et al. | Apr 1995 | A |
5418130 | Platz et al. | May 1995 | A |
5430051 | Aizawa et al. | Jul 1995 | A |
5441531 | Zarate et al. | Aug 1995 | A |
5459159 | Pandey et al. | Oct 1995 | A |
5482698 | Griffiths | Jan 1996 | A |
5484803 | Richter | Jan 1996 | A |
5496308 | Brown et al. | Mar 1996 | A |
5498710 | Pandey et al. | Mar 1996 | A |
5500009 | Mendes et al. | Mar 1996 | A |
5503637 | Kyricos et al. | Apr 1996 | A |
5506255 | Smith et al. | Apr 1996 | A |
5514669 | Selman | May 1996 | A |
5525338 | Goldenberg | Jun 1996 | A |
5532171 | Motsenbocker | Jul 1996 | A |
5534506 | Morgan et al. | Jul 1996 | A |
5549660 | Mendes et al. | Aug 1996 | A |
5556612 | Anderson et al. | Sep 1996 | A |
5567409 | Aizawa et al. | Oct 1996 | A |
5571152 | Chen et al. | Nov 1996 | A |
5580896 | Horwell et al. | Dec 1996 | A |
5591847 | Pandey et al. | Jan 1997 | A |
5594136 | Sessler et al. | Jan 1997 | A |
5599923 | Sessler et al. | Feb 1997 | A |
5622983 | Horwell et al. | Apr 1997 | A |
5624798 | Yamamoto et al. | Apr 1997 | A |
5631281 | Horwell et al. | May 1997 | A |
5648485 | Dolphin et al. | Jul 1997 | A |
5665328 | Horan et al. | Sep 1997 | A |
5671317 | Weishaupt et al. | Sep 1997 | A |
5688486 | Watson et al. | Nov 1997 | A |
5697902 | Goldenberg | Dec 1997 | A |
5698405 | Goldenberg | Dec 1997 | A |
5702432 | Chen et al. | Dec 1997 | A |
5703230 | Boyle et al. | Dec 1997 | A |
5705518 | Richter et al. | Jan 1998 | A |
5709874 | Hanson et al. | Jan 1998 | A |
5715837 | Chen | Feb 1998 | A |
5716595 | Goldenberg | Feb 1998 | A |
5736563 | Richter | Apr 1998 | A |
5741316 | Chen et al. | Apr 1998 | A |
5759542 | Gurewich | Jun 1998 | A |
5766234 | Chen et al. | Jun 1998 | A |
5770619 | Richter et al. | Jun 1998 | A |
5770730 | Pandey et al. | Jun 1998 | A |
5773977 | Dougherty | Jun 1998 | A |
5776093 | Goldenberg | Jul 1998 | A |
5776094 | Goldenberg | Jul 1998 | A |
5776095 | Goldenberg | Jul 1998 | A |
5782896 | Chen et al. | Jul 1998 | A |
5800478 | Chen et al. | Sep 1998 | A |
5814008 | Chen et al. | Sep 1998 | A |
5824080 | Lamuraglia | Oct 1998 | A |
5827186 | Chen et al. | Oct 1998 | A |
5829448 | Fisher et al. | Nov 1998 | A |
5831088 | Dolphin et al. | Nov 1998 | A |
5832931 | Wachter et al. | Nov 1998 | A |
5840674 | Yatvin et al. | Nov 1998 | A |
5851225 | Lawandy | Dec 1998 | A |
5860957 | Jacobsen et al. | Jan 1999 | A |
5864035 | Pandey et al. | Jan 1999 | A |
5865840 | Chen | Feb 1999 | A |
5876427 | Chen et al. | Mar 1999 | A |
5885557 | Lentini | Mar 1999 | A |
5886173 | Hemmi et al. | Mar 1999 | A |
5900252 | Calanchi et al. | May 1999 | A |
5913884 | Trauner et al. | Jun 1999 | A |
5921244 | Chen et al. | Jul 1999 | A |
5942534 | Trauner et al. | Aug 1999 | A |
5944748 | Mager et al. | Aug 1999 | A |
5945762 | Chen et al. | Aug 1999 | A |
5948433 | Burton et al. | Sep 1999 | A |
5952366 | Pandey et al. | Sep 1999 | A |
5957960 | Chen et al. | Sep 1999 | A |
5972366 | Haynes et al. | Oct 1999 | A |
5976535 | Fritzberg et al. | Nov 1999 | A |
5983134 | Ostrow | Nov 1999 | A |
5985307 | Hanson et al. | Nov 1999 | A |
5985317 | Venkateshwaran et al. | Nov 1999 | A |
5997569 | Chen et al. | Dec 1999 | A |
5997842 | Chen | Dec 1999 | A |
5998597 | Fisher et al. | Dec 1999 | A |
6004534 | Langer et al. | Dec 1999 | A |
6010715 | Wick et al. | Jan 2000 | A |
6015897 | Theodore et al. | Jan 2000 | A |
6022961 | Yamamoto et al. | Feb 2000 | A |
6024975 | D'Angelo et al. | Feb 2000 | A |
6028099 | de Juan, Jr. | Feb 2000 | A |
6036941 | Bottiroli et al. | Mar 2000 | A |
6039975 | Shah et al. | Mar 2000 | A |
6048359 | Biel | Apr 2000 | A |
6048736 | Kosak | Apr 2000 | A |
6051207 | Klaveness et al. | Apr 2000 | A |
6051702 | Bird et al. | Apr 2000 | A |
6060082 | Chen et al. | May 2000 | A |
6063108 | Salansky et al. | May 2000 | A |
6063777 | Hikida et al. | May 2000 | A |
6071495 | Unger et al. | Jun 2000 | A |
6080160 | Chen et al. | Jun 2000 | A |
6084717 | Wood et al. | Jul 2000 | A |
6090788 | Lurie | Jul 2000 | A |
6092531 | Chen et al. | Jul 2000 | A |
6096066 | Chen et al. | Aug 2000 | A |
6096289 | Goldenberg | Aug 2000 | A |
6100893 | Ensz et al. | Aug 2000 | A |
6103751 | Pandey et al. | Aug 2000 | A |
6107466 | Hasan et al. | Aug 2000 | A |
6117862 | Margaron et al. | Sep 2000 | A |
6120751 | Unger | Sep 2000 | A |
6123923 | Unger et al. | Sep 2000 | A |
6124342 | Okamoto et al. | Sep 2000 | A |
6131570 | Schuster et al. | Oct 2000 | A |
6138681 | Chen et al. | Oct 2000 | A |
6139865 | Friend et al. | Oct 2000 | A |
6152951 | Hashimoto et al. | Nov 2000 | A |
6156506 | Yamamoto et al. | Dec 2000 | A |
6162213 | Stewart | Dec 2000 | A |
6162242 | Peyman | Dec 2000 | A |
6167301 | Flower et al. | Dec 2000 | A |
6176842 | Tachibana et al. | Jan 2001 | B1 |
6187030 | Gart et al. | Feb 2001 | B1 |
6210425 | Chen | Apr 2001 | B1 |
6217869 | Meyer et al. | Apr 2001 | B1 |
RE37180 | Mori et al. | May 2001 | E |
6232295 | Kayyem et al. | May 2001 | B1 |
6238426 | Chen | May 2001 | B1 |
6242477 | Okamoto et al. | Jun 2001 | B1 |
6253872 | Neumann | Jul 2001 | B1 |
6256533 | Yuzhakov et al. | Jul 2001 | B1 |
6261595 | Stanley et al. | Jul 2001 | B1 |
6264914 | Klaveness et al. | Jul 2001 | B1 |
6267983 | Fujii et al. | Jul 2001 | B1 |
6268120 | Platz et al. | Jul 2001 | B1 |
6271359 | Norris et al. | Aug 2001 | B1 |
6273904 | Chen et al. | Aug 2001 | B1 |
6274552 | Tamarkin et al. | Aug 2001 | B1 |
6281611 | Chen et al. | Aug 2001 | B1 |
6307147 | Bird et al. | Oct 2001 | B1 |
6316652 | Steliou | Nov 2001 | B1 |
6319273 | Chen et al. | Nov 2001 | B1 |
6319488 | Licha et al. | Nov 2001 | B1 |
6331175 | Goldenberg | Dec 2001 | B1 |
6331744 | Chen et al. | Dec 2001 | B1 |
6344050 | Chen | Feb 2002 | B1 |
6350431 | Snow et al. | Feb 2002 | B1 |
6387350 | Goldenberg | May 2002 | B2 |
6406297 | Raymond et al. | Jun 2002 | B1 |
6416531 | Chen | Jul 2002 | B2 |
6454789 | Chen et al. | Sep 2002 | B1 |
6482517 | Anderson | Nov 2002 | B1 |
6489314 | Ashley et al. | Dec 2002 | B1 |
6495585 | Bellnier et al. | Dec 2002 | B2 |
6498945 | Alfheim et al. | Dec 2002 | B1 |
6500816 | Ekimoto et al. | Dec 2002 | B1 |
6511971 | Gorun | Jan 2003 | B1 |
6514995 | Zaleski et al. | Feb 2003 | B1 |
6515113 | Raymond et al. | Feb 2003 | B2 |
6520669 | Chen et al. | Feb 2003 | B1 |
6524552 | Klaveness et al. | Feb 2003 | B2 |
6525088 | Nagano et al. | Feb 2003 | B1 |
6527759 | Tachibana et al. | Mar 2003 | B1 |
6534040 | Pandey et al. | Mar 2003 | B2 |
6540980 | Blumenthal et al. | Apr 2003 | B1 |
6554853 | Chen | Apr 2003 | B2 |
6559374 | Lindsey et al. | May 2003 | B2 |
6566517 | Miura et al. | May 2003 | B2 |
6569846 | Scherz et al. | May 2003 | B1 |
6572839 | Sugita et al. | Jun 2003 | B2 |
6580228 | Chen et al. | Jun 2003 | B1 |
6602274 | Chen | Aug 2003 | B1 |
6624187 | Pandey et al. | Sep 2003 | B1 |
6657351 | Chen et al. | Dec 2003 | B2 |
6899723 | Chen | May 2005 | B2 |
6986782 | Chen et al. | Jan 2006 | B2 |
RE38994 | Pandey et al. | Feb 2006 | E |
7018395 | Chen | Mar 2006 | B2 |
RE39094 | Pandey et al. | May 2006 | E |
7053210 | Pandey et al. | May 2006 | B2 |
20010022970 | Dees et al. | Sep 2001 | A1 |
20020033192 | Lindsey et al. | Mar 2002 | A1 |
20020049247 | Chen | Apr 2002 | A1 |
20020087205 | Chen | Jul 2002 | A1 |
20020127224 | Chen | Sep 2002 | A1 |
20020127230 | Chen | Sep 2002 | A1 |
20020128303 | Bellnier et al. | Sep 2002 | A1 |
20020198576 | Chen et al. | Dec 2002 | A1 |
20030018371 | Chen | Jan 2003 | A1 |
20030030342 | Chen et al. | Feb 2003 | A1 |
20030109813 | Chen | Jun 2003 | A1 |
20030114434 | Chen et al. | Jun 2003 | A1 |
20030167033 | Chen et al. | Sep 2003 | A1 |
20030208249 | Chen | Nov 2003 | A1 |
20040044197 | Pandey et al. | Mar 2004 | A1 |
20040044198 | Pandey et al. | Mar 2004 | A1 |
Number | Date | Country |
---|---|---|
0120054 | Mar 1984 | EP |
0161606 | Nov 1985 | EP |
02439929 | Nov 1987 | EP |
0423195 | Apr 1991 | EP |
0425566 | May 1991 | EP |
0450149 | Oct 1991 | EP |
0468997 | Feb 1992 | EP |
0510007 | Oct 1992 | EP |
0682956 | Nov 1995 | EP |
1110963 | Jun 2001 | EP |
1131100 | Sep 2001 | EP |
1146046 | Oct 2001 | EP |
1164136 | Dec 2001 | EP |
1238666 | Sep 2002 | EP |
1256586 | Nov 2002 | EP |
1334748 | Aug 2003 | EP |
4218002 | Jul 1992 | JP |
6105921 | Apr 1994 | JP |
2001335578 | Apr 2001 | JP |
2002020389 | Jan 2002 | JP |
2002325853 | Nov 2002 | JP |
2003146989 | May 2003 | JP |
8401382 | Apr 1984 | WO |
9000392 | Jan 1990 | WO |
9000895 | Feb 1990 | WO |
9012573 | Nov 1990 | WO |
9110474 | Jul 1991 | WO |
9313769 | Jul 1993 | WO |
9409851 | May 1994 | WO |
9505214 | Feb 1995 | WO |
9532206 | Nov 1995 | WO |
9637255 | Nov 1996 | WO |
9732520 | Sep 1997 | WO |
9732885 | Sep 1997 | WO |
9804317 | Feb 1998 | WO |
9806456 | Feb 1998 | WO |
9808565 | Mar 1998 | WO |
9814243 | Apr 1998 | WO |
9824371 | Jun 1998 | WO |
9824510 | Jun 1998 | WO |
9832491 | Jul 1998 | WO |
9832492 | Jul 1998 | WO |
9832493 | Jul 1998 | WO |
9846130 | Oct 1998 | WO |
9850034 | Nov 1998 | WO |
9856302 | Dec 1998 | WO |
9918879 | Apr 1999 | WO |
9920346 | Apr 1999 | WO |
9939769 | Aug 1999 | WO |
9952565 | Oct 1999 | WO |
9958149 | Nov 1999 | WO |
9966988 | Dec 1999 | WO |
9967248 | Dec 1999 | WO |
WO9967248 | Dec 1999 | WO |
WO9967249 | Dec 1999 | WO |
0015296 | Mar 2000 | WO |
0036983 | Jun 2000 | WO |
0041725 | Jul 2000 | WO |
0041726 | Jul 2000 | WO |
0041727 | Jul 2000 | WO |
0041768 | Jul 2000 | WO |
0061584 | Oct 2000 | WO |
0103770 | Jan 2001 | WO |
0105316 | Jan 2001 | WO |
0115694 | Mar 2001 | WO |
0143825 | Jun 2001 | WO |
0151087 | Jul 2001 | WO |
0174398 | Oct 2001 | WO |
0178216 | Oct 2001 | WO |
0178458 | Oct 2001 | WO |
0198708 | Dec 2001 | WO |
0217690 | Feb 2002 | WO |
02098882 | Dec 2002 | WO |
03029494 | Apr 2003 | WO |
03050082 | Jun 2003 | WO |
03052793 | Jun 2003 | WO |
WO03052793 | Jun 2003 | WO |
03056407 | Jul 2003 | WO |
03061696 | Jul 2003 | WO |
WO03061696 | Jul 2003 | WO |
2004002476 | Jan 2004 | WO |
2004005289 | Jan 2004 | WO |
WO2004002476 | Jan 2004 | WO |
WO2004002486 | Jan 2004 | WO |
WO2004005289 | Jan 2004 | WO |
Number | Date | Country | |
---|---|---|---|
20070149497 A1 | Jun 2007 | US |
Number | Date | Country | |
---|---|---|---|
60392473 | Jun 2002 | US |
Number | Date | Country | |
---|---|---|---|
Parent | 10607922 | Jun 2003 | US |
Child | 11452511 | US |