Claims for Patent: 10,213,510

Summary for Patent: 10,213,510

Title:	Long-acting polymeric delivery systems
Abstract:	Compositions comprised of a delivery vehicle or delivery system and an active agent dispersed within the delivery vehicle or system, wherein the delivery vehicle or system contains a polyorthoester polymer and a polar aprotic solvent. Also disclosed are low viscosity delivery systems for administration of active agents. The low viscosity delivery systems have a polyorthoester polymer, a polar aprotic solvent and a solvent containing a triglyceride viscosity reducing agent. Compositions described include an amide- or anilide-type local anesthetic of the "caine" classification, and a non-steroidal anti-inflammatory drug (NSAID), along with related methods, e.g., for treatment of post-operative pain or for prophylactic treatment of pain. The compositions are suitable for delivery via, e.g., direct application and instillation, intradermal injection, subcutaneous injection, and nerve block (perineural).
Inventor(s):	Ottoboni; Thomas B. (Belmont, CA), Girotti; Lee Ann Lynn (San Bruno, CA)
Assignee:	Heron Therapeutics, Inc. (San Diego, CA)
Application Number:	14/691,464
Patent Claims:	1. A semi-solid composition, comprising: a biodegradable polyorthoester, 1 wt % to 10 wt % bupivacaine, and 0.01 wt % to 1 wt % meloxicam, wherein the polyorthoester is represented by Formula I: ##STR00033## where: R* is a C.sub.1-4 alkyl, n is an integer ranging from 5 to 400, and A is a diol, where A is R.sup.1 and/or R.sup.3, where the fraction of A units that are of formula R.sup.1 is between 0 and 25 mole percent, where when A is R.sup.3, R.sup.3 is ##STR00034## where x is 2; and when A is R.sup.1, R.sup.1 is ##STR00035## R.sup.5 is H, and R.sup.6 is ##STR00036## the sum of p and q is, on average, 2 and s is 2, where the resulting component of the polyorthoester comprises the subunit ##STR00037## 2. The composition of claim 1, further comprising a protic or an aprotic solvent. 3. The composition of claim 1, further comprising a triglyceride viscosity reducing agent, wherein the triglyceride viscosity reducing agent comprises three fatty acid groups each independently comprising between 1-7 carbon atoms. 4. A method for managing pain in a subject in need thereof, comprising: administering to the subject a composition of claim 1. 5. A method for prophylactic treatment of pain in a subject, comprising: administering to the subject a composition of claim 1. 6. The method of claim 4, wherein the administering is intramuscular, subcutaneous, perineural or to a wound. 7. The method of claim 6, wherein the pain is acute pain or chronic pain. 8. A composition, comprising: 1 wt % to 10 wt % bupivacaine, 0.01 wt % to 1 wt % meloxicam, and a delivery vehicle comprised of a polyorthoester, a polar aprotic solvent and a triglyceride viscosity reducing agent, wherein the triglyceride viscosity reducing agent comprises three fatty acid groups each independently comprising between 1-7 carbon atoms, and wherein the polyorthoester is represented by Formula I: ##STR00038## where: R* is a C.sub.1-4 alkyl, n is an integer ranging from 5 to 400, and A is a diol, where A is R.sup.1 and/or R.sup.3, where the fraction of A units that are of formula R.sup.1 is between 0 and 25 mole percent, where when A is R.sup.3, R.sup.3 is ##STR00039## where x is 2; and when A is R.sup.1, R.sup.1 is ##STR00040## R.sup.5 is H, and R.sup.6 is ##STR00041## the sum of p and q is, on average, 2 and s is 2, where the resulting component of the polyorthoester comprises the subunit ##STR00042## 9. The composition of claim 8, wherein the composition has a viscosity ranging from about 2500 mPa-s to 10000 mPa-s when measured at 25.degree. C. using a viscometer. 10. The composition of claim 8, wherein the viscosity of the composition is 10 to 40-fold lower than the viscosity of the same composition with no triglyceride viscosity reducing agent when measured at 25.degree. C. using a viscometer. 11. The composition of claim 8, wherein the triglyceride viscosity reducing agent is selected from the group consisting of triacetin and tributyrin. 12. The composition of claim 8, wherein the polar aprotic solvent is selected from dimethylsulfoxide, N-methyl pyrrolidone and dimethyl acetamide. 13. The composition of claim 8, wherein the bupivacaine is soluble in the triglyceride viscosity reducing agent, the polar aprotic solvent, or a mixture thereof. 14. The pharmaceutical composition of claim 8, wherein the bupivacaine is released from the composition over a time period of about 1 day to about 8 weeks. 15. A method of treatment, comprising: administering to a patient in need thereof the pharmaceutical composition according to claim 8. 16. The method according to claim 15, wherein the patient is experiencing pain or is in need of prophylactic treatment for pain and the pharmaceutical composition provides pain relief. 17. The method of claim 16, wherein the pain is acute pain or chronic pain. 18. The method of claim 15, wherein the administering is intramuscular, subcutaneous, perineural or to a wound. 19. A method for providing pain relief to a patient in need thereof, comprising: providing a composition according to claim 8, and instructing that the composition be administered to the patient to provide pain relief for an extended period.