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    • 7. 发明授权
    • Prevention of adhesions and excessive scar formation using angiogenesis inhibitors
    • 使用血管生成抑制剂预防粘连和过度瘢痕形成
    • US06638949B1
    • 2003-10-28
    • US09139375
    • 1998-08-25
    • Judah FolkmanHarold BremH. Paul Ehrlich
    • Judah FolkmanHarold BremH. Paul Ehrlich
    • A61K31445
    • A61K38/484A61K38/4886
    • A method and compositions for inhibiting excessive scar formation and adhesions by administering to a patient in need thereof an effective amount of an angiogenesis inhibitor. In the preferred embodiment, the angiogenesis inhibitor is selective, such as a fumagillol derivative like 0-chloroacetylcarbamoyl-Fumagillol (TNP-470, TAP Pharmaceuticals), thalidomide, or a selective drug having more than one activity, such as minocycline or penicilliamine which also have antibiotic activity. Less selective compounds can also be used, such as the cytokine IL12. Patients to be treated include those having experienced trauma, surgical intervention, burns, and other types of injuries. The inhibitor is administered in an amount effective to decrease excessive scarring, defined as formation of high density tissue including cells and connective tissue, without preventing normal wound closure. The inhibitors can be administered systemically and/or locally or topically, as needed. For prevention of adhesions, the angiogenesis inhibitor would typically be applied at the time of surgery, preferably in a controlled release formulation and/or using barrier technology.
    • 一种用于通过向有需要的患者施用有效量的血管生成抑制剂来抑制过量瘢痕形成和粘连的方法和组合物。 在优选的实施方案中,血管生成抑制剂是选择性的,例如如O-氯乙酰基氨基甲酰基 - 富马格隆(TNP-470,TAP Pharmaceuticals),沙利度胺或具有多于一种活性的选择性药物如米诺环素或青霉素的烟曲霉醇衍生物, 有抗生素活性。 也可以使用选择性较低的化合物,如细胞因子IL12。 待治疗的患者包括经历创伤,手术干预,烧伤和其他类型损伤的患者。 抑制剂以有效减少过度瘢痕形成的量给药,定义为包括细胞和结缔组织的高密度组织的形成,而不防止正常的伤口闭合。 抑制剂可以根据需要系统地和/或局部或局部施用。 为了防止粘连,通常在手术时应用血管生成抑制剂,优选在控制释放制剂中和/或使用屏障技术。