(12) United States Patent (10) Patent No.: US 8,969,397 B2 Burright Et Al

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(12) United States Patent (10) Patent No.: US 8,969,397 B2 Burright Et Al US008969397B2 (12) United States Patent (10) Patent No.: US 8,969,397 B2 Burright et al. (45) Date of Patent: *Mar. 3, 2015 (54) SYSTEMS AND METHODS TO TREAT PAIN (58) Field of Classification Search LOCALLY CPC A61 K31/40; A61K 31/405; A61 K31/4168; A61K 31/44; A61K 31/47; A61 K47/48369; (75) Inventors: Eric N. Burright, Eagan, MN (US); A61 K9/1647 Lisa L. Shafer, Stillwater, MN (US); USPC .......... 424/424, 489: 514/275, 277, 311, 419, Bill McKay, Memphis, TN (US); John 514/423, 460, 529, 385 Zanella, Cordova, TN (US) See application file for complete search history. (73) Assignee: Warsaw Orthopedic, Inc., Warsaw, IN (56) References Cited (US) U.S. PATENT DOCUMENTS (*) Notice: Subject to any disclaimer, the term of this 4,692,147 A 9/1987 Duggan patent is extended or adjusted under 35 5,711,316 A 1/1998 Elsberry et al. 5,801, 188 A 9, 1998 Hassenbusch U.S.C. 154(b) by 265 days. 5,978,702 A 11/1999 Ward et al. This patent is Subject to a terminal dis 5,980,927 A * 1 1/1999 Nelson et al. ................. 424/425 claimer. 6,093,180 A 7/2000 Elsberry 6,180.355 B1 1/2001 Alexander et al. 6,521,259 B1* 2/2003 Chasin et al. ................. 424/489 (21) Appl. No.: 12/701.261 6,594,880 B2 7/2003 Elsberry 6,596,747 B2 7, 2003 BOS (22) Filed: Feb. 5, 2010 6,902,910 B2 6, 2005 Ni et al. 7.993,666 B2 * 8/2011 McKay et al. ................ 424/424 (65) Prior Publication Data 2002, 0071822 A1 6/2002 Uhrich 2003.0049256 A1 3/2003 Tobinick US 2010/O1590.15A1 Jun. 24, 2010 2003/OO77641 A1 4/2003 Laskowitz et al. 2003/01 19017 A1 6/2003 McSwiggen 2003. O157061 A1 8, 2003 Bennett 2003/017.5793 A1 9, 2003 Bennett et al. Related U.S. Application Data 2003.0185826 A1 10/2003 Tobinick 2004.0034357 A1 2/2004 Beane et al. (63) Continuation of application No. 1 1/460,012, filed on 2004/0052384 A1 3/2004 Ashley Jul. 26, 2006, which is a continuation-in-part of 2004/0265364 A1 12/2004 OZturk et al. application No. 10/972,157, filed on Oct. 22, 2004, 2005/0058696 A1* 3/2005 Donello et al. ............... 424/449 now abandoned. 2005.00757.01 A1 4/2005 Shafer 2005/0090549 A1 4/2005 Hildebrand et al. 2005/OO95246 A1 5, 2005 Shafer (51) Int. Cl. 2005/01297 31 A1 6/2005 Horres et al. A6 IK3 L/468 (2006.01) 2005/O180974 A1 8, 2005 Shafer A6 IK3I/00 (2006.01) A6 IK9/00 (2006.01) (Continued) A6 IK 9/16 (2006.01) FOREIGN PATENT DOCUMENTS A6 IK3I/85 (2006.01) A6 IK3I/92 (2006.01) EP 1 405 646 A2 4/2004 A6 IK3I/352 (2006.01) EP 1462111 A1 9, 2004 A6 IK3I/366 (2006.01) (Continued) A6 IK3I/38 (2006.01) OTHER PUBLICATIONS A6 IK3I/40 (2006.01) A6 IK3I/4402 (2006.01) Mercadante et al. Support. Care Cancer, vol. 7, 1999, pp. 47-50.* A6 IK3I/498 (2006.01) A6M 37/00 (2006.01) (Continued) (52) U.S. Cl. Primary Examiner — Jeffrey Stucker CPC ............... A6 IK3I/00 (2013.01); A61 K9/0019 Assistant Examiner — Stephen Gucker (2013.01); A61 K9/0024 (2013.01); A61 K 9/1647 (2013.01); A61 K3I/185 (2013.01); (74) Attorney, Agent, or Firm — Sorell Lenna & Schmidt A6 IK3I/192 (2013.01); A61 K3I/352 LLP (2013.01); A61 K3I/366 (2013.01); A61 K (57) ABSTRACT 31/381 (2013.01); A61 K3I/401 (2013.01); A6 IK3I/4168 (2013.01); A61 K3I/4402 Disclosed herein are systems and methods for contributing to (2013.01); A61 K3I/498 (2013.01); A61M the local treatment of pain. More specifically, the disclosed 37/0069 (2013.01); G0IN 2800/2842 (2013.01) systems and methods contribute to the local treatment pain by USPC ........... 514/385; 514/275; 514/277: 514/311; inhibiting the NFKB family of transcription factors. 514/419:514/423: 514/460: 514/529 14 Claims, 5 Drawing Sheets US 8,969,397 B2 Page 2 (56) References Cited Tobinick, Edward L., e al., Perispinal TNF-alpha Inhibition for Discogenic Pain, Swiss Med. Weekly, pp. 170-177, vol. 133, 2003. U.S. PATENT DOCUMENTS Malmberg, Annika B., et al., Antinociceptive Actions of Spinal Nonsteroidal Anti-inflammatory Agents on the Formalin Test in the 2005, 0182009 A1 8/2005 McSwiggen et al. Rat, The Journal of Pharmacology and Experimental Therapeutics, 2005/O1973 12 A1 9/2005 Fitzgerald et al. 1992, pp. 136-146, vol. 263. 2005/0209513 A1 9, 2005 Heruth et al. Ryu, Bo Rum, et al., The Novel Neuroprotective Action of Sulfasalazine through Blockade of NMDA Receptors, The Journal of FOREIGN PATENT DOCUMENTS Pharmacology and Experimental Therapeutics, 2003, pp. 48-56, vol. WO 97,42990 A1 11, 1997 305. WO 98.20868 A1 5, 1998 Gonzalez, M.I., et al., Evaluation of Selective NK1 Receptor Antago WO 98.475O2 A1 10, 1998 nist CI-1021 in Animal Models of Inflammatory and Neuropathic WO 02/09768 A2 2, 2002 Pain, The Journal of Pharmacology and Experimental Therapeutics, WO 02A38035 A2 5, 2002 WO O2/O7OOOT A1 9, 2002 2000, pp. 444-450, vol. 294. WO 02/074301 A1 9, 2002 Luo, Z. D., et al., Injury Type-specific Calcium Channel Alpha 2 WO 02/080893 A1 10, 2002 Delta-1 Subunit Up-regulation in Rat Neuropathic Pain Models Cor WO 02/085428 A2 10, 2002 relates with Antiallodynic Effects of Gabapentin. The Journal of WO 02/100330 A2 12/2002 Pharmacology and Experimental Therapeutics, 2002, pp. 1199-1205, WO O3,O26479 A2 4/2003 vol. 303. WO O3,O70897 A2 8, 2003 Luo, Z. D., et al., Upregulation of Dorsal Root Ganglion WO O3,O70970 A2 8, 2003 WO O3,O72135 A2 9, 2003 (Alpha)2(Delta) Calcium Channel Subunit and its Correlation with WO O3,083.061 A2 10, 2003 Allodynia in Spinal Nerve-injured Rats, The Journal of WO 2004/005551 A1 1, 2004 Neuroscience, 2001, pp. 1868-1875, vol. 21. WO 2004/032718 A2 4/2004 Jett, Mary-Frances, et al., Characterization of the Analgesic and WO 2004/039355 A1 5, 2004 Inti-inflammatory Activities of Ketorolac and Its Enantiomers in the WO 2004/066996 A1 8, 2004 Rat, The Journal of Pharmacology and Experimental Therapeutics, WO 2005/037323 A2 4/2005 1999, pp. 1288-1297, vol. 288. WO 2005/039.393 A2 5, 2005 Milligan, E. D., et al., Spinal Glia and Proinflammatory Cytokines WO 2005/046708 A1 5, 2005 Mediate Mirror-image Neuropathic Pain in Rats, The Journal of WO 2005/059134 A1 6, 2005 Neuroscience, 2003, pp. 1026-1040, vol. 2003. WO 2005/073164 A1 8, 2005 Parris, W. C.V., et al., Intrathecal Ketorolac Tromethamine Produces WO 2005/084366 A2 9, 2005 Analgesia after Chronic Constriction Injury of Sciatic Nerve in Rat, OTHER PUBLICATIONS Canadian Journal of Anaesthesia, 1996, pp. 867-870, vol. 43. Schafers, M., et al., Tumor Necrosis Factor-alpha induces Mechani Yoshioka et al. J. Palliat. Care, vol. 10, 1994 Spring, pp. 10-13 cal Allodynia after Spinal Nerve Ligation by Activation of P38 (Abstract Only).* MAPK in Primary Sensory Neurons, The Journal of Neuroscience, Sakaue, et al., NF-KB Decoy Supresses Cytokine Expression and 2003, pp. 2517-2521, vol. 23. Thermal Hyperalgesia in a Rat Neuropathic Pain Model. Sommer, c., et al., Etanercept Reduces Hyperalgesia in Experimental NeuroReport, Jul. 20, 2001, pp. 2079-2084, vol. 12, Issue 10. Painful Neuropathy, Journal of the Peripheral Nervous System, 2001, Lee, et al., Spinal NF-KB Activation Induces COX-2 Upregulation pp. 67-72, vol. 6. and Contributes to Inflammatory Pain Hypersensitivity, European Yaksh, T. L., et al., Intrathecal Ketorolac in Dogs and Rats, Toxico Journal of Neuroscience, 2004, pp. 3375-3381, vol. 19. logical Sciences, 2004, pp. 322-334, vol. 80. Tegeder, et al., Specific Inhibition of IKB Kinases Reduces Steed et al., Inactivation of TNF signalling by rationally designed Hyperalgesia in Inflammatory and Neuropathic Pain Models in Rats, dominant-negative TNF variants, Science 301: 1895-98, 2003. The Journal of Neuroscience, Feb. 18, 2004, pp. 1637-1645, vol. Jellinger and Stadelmann., Problems of cell death in neurodegenera 24(7). Nader, Nader D., et al., Clonidine Supresses Plasma and tion and Alzheimer's disease, J Alzheimer's Dis. 3:31-40, 2001. Cerebrospinal Fluid Concentrations of TNF-alpha During the Watterson et al., Discovery of new chemical classes of synthetic Perioperative Period, Anesthesia & Analgesia, 2001, pp. 363-369, ligands that Suppress neuroinflammatory responses, J Mol Neurosci vol. 93. 19:89-94, 2002. Dorn, Gabriele, et al., SiRNA Relieves Chronic Neuropathic Pain, Hirsch et al., The role of glial reaction and inflammation in Nucleic Acids Research, 2004, pp. 1-6, vol. 32, No. 5. Parkinson's Disease, Ann NY Acad Sci991:214-28, 2003. Igwe, Orisa J., Modulation of Peripheral Inflammation in Sensory Ito. Anti-interleukin-6 therapy for Crohn's disease, Curr Pharm Des Ganglia by Nuclear Factor KB Decoy oligodeoxynucleotide: 9:295-305, 2003. Involvement of SRC Kinase Pathway, Neuroscience Letters, 2005, pp. 114-119, vol. 381. * cited by examiner U.S. Patent US 8,969,397 B2 &#917 U.S. Patent Mar. 3, 2015 Sheet 2 of 5 US 8,969,397 B2 s s s ' ' ". ....... .''. ...: '...'......":::::: "...s.. .i. s H s s ... ." ":::::::::::::::::::: SS s ; ; SSS s s S. S S S S N S s s WI7S79-O % AOWI7777/M7CHLIMAM7 s: s SSNN s NIAS77O % AOWI7777/M7CHL/M/M7% U.S. Patent Mar. 3, 2015 Sheet 3 of 5 US 8,969,397 B2 1000 * p-0.05 900 a p<0.01 CÒS Co §S ·- CNSC; Contro/ Enbre? SulfaSalazine SulfaSalazine SulfaSalazine 3 mg/kg 0.2 mg/kg 1 mg/kg 5 mg/kg FIG, 4 US 8,969,397 B2 Vehicle Enbre/3 PDTC100 Sulindac 10 conidine 0.1 mg/kg mg/kg PD7C20 in kg Sulindac 2 mg/kg.
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