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    • 26. 发明申请
    • DEVICES AND METHODS FOR PAIN MANAGEMENT
    • 用于疼痛管理的装置和方法
    • WO0054745A3
    • 2000-11-30
    • PCT/US0007068
    • 2000-03-16
    • DURECT CORPJOHNSON RANDOLPH MELLUSTHEEUWES FELIX
    • JOHNSON RANDOLPH MELLUSTHEEUWES FELIX
    • A61M37/00A61K9/00A61K9/08A61K9/22A61K31/4468A61K31/4535A61K47/10A61K47/14A61K47/26A61P25/04A61F13/02A61K9/70A61M5/00
    • A61M37/0069A61K9/0004A61K9/0014A61K9/0019A61K9/0024A61K31/4468A61K31/4535A61K47/10A61K47/14A61K47/26
    • The invention features devices and methods for the systemic delivery of fentanyl or a fentanyl congener (e.g., sufentanil) to treat pain. In the present invention, a drug formulation comprising fentanyl or a fentanyl congener is stored within a drug delivery device (e.g., contained in a reservoir or impregnated within a matrix within the controlled drug delivery device). The drug formulation comprises an amount of drug sufficient for treatment and is stable at body temperatures (i.e., no unacceptable degradation) for the entire pre-selected treatment period. The drug delivery devices store the drug formulation safely (e.g., without dose dumping), provide sufficient protection from bodily processes to prevent unacceptable degradation of the formulation, and release the drug formulation in a controlled fashion at a therapeutically effective rate to treat pain. In use, the drug delivery device is implanted in the subject's body at an implantation site, and the drug formulation is released from the drug delivery device to a delivery site. The delivery site may be the same as, near, or distant from the implantation site. Once released at the delivery site, the drug formulation enters the systemic circulation and is transported to the site of action in the body to modulate the pain response (e.g., the brain or other pain sensory location).
    • 本发明的特征在于全身递送芬太尼或芬太尼同源物(例如舒芬太尼)以治疗疼痛的装置和方法。 在本发明中,包含芬太尼或芬太尼同源物的药物制剂储存在药物递送装置(例如容纳在储库中或浸渍在受控药物递送装置内的基质内)内。 药物制剂包含足以治疗的量的药物,并且在整个预选治疗期间在体温下稳定(即没有不可接受的降解)。 药物输送装置安全地储存药物制剂(例如,无剂量倾倒),提供对身体过程的充分保护以防止制剂不可接受的降解,并且以受控的方式以治疗有效的速率释放药物制剂以治疗疼痛。 在使用中,药物递送装置在植入部位植入受治疗者体内,药物制剂从药物递送装置释放到递送部位。 输送部位可以与植入部位相同,接近或远离。 一旦在递送部位释放,药物制剂进入全身循环并被运送到体内作用部位以调节疼痛反应(例如,大脑或其他疼痛感觉部位)。