Abstract:
The present invention is drawn to methods and compositions useful for targeting and treating target tissues affected by or involved in metabolic bone disorders and bone metastases with photodynamic therapy (PDT) in a mammalian subject. The compositions are bisphosphonates, pyrophosphates or bisphosphonate-like compounds conjugated to photosensitive agents which are optionally further conjugated to ligands which are target tissue specific antibodies, peptides or polymers. The methods of PDT treatment utilize these compositions to target the tissues or cells of a mammalian subject to be treated. The methods comprise irradiating at least a portion of the subject with light at a wavelength absorbed by said photosensitizing agent that under conditions of activation during photodynamic therapy using a relatively low fluence rate, but an overall high total fluence dose results in minimal collateral tissue damage.
Abstract:
A flexible patch (10) provided with a plurality of light sources (16) mounted in spaced apart array on its undersurface, and covered with an optically transparent polymer material. The light sources (16) are energized with an electrical current supplied by a flexible polymer battery (44), which is preferably rechargeable. Electrical current is conveyed through a lead (42) that extends from the flexible battery to the flexible patch (10) and then through an electrical circuit that includes a plurality of conductive traces (12, 14) formed using a conductive ink applied to the surface of a flexible substrate that supports the light sources. The thickness of the flexible patch (16) at its maximum is less than 1.0 millimeters. The light sources (16) can be separatly grouped, the electrical current supplied to each group individually controlled to achieve a desired light intensity, and/or duration exposure to the light therapy over different portions of the undersurface (40) of the flexible patch (10) with different portions of the treatment site. A plurality of slots (46, 48) that extend through the flexible substrate provide passages for air, for moisture, enabling the flexible substrate to freely, and more readily conform to irregular, non-planer shapes of the treatment site.
Abstract:
The present invention is drawn to methods and compounds for transcutaneous photodynamic therapy ("PDT") of a target tissue or compositions in a mammalian subject, which includes administering to the subject a therapeutically effective amount of a photosensitizing agent or a photosensitizing agent delivery system or a prodrug, where the photosensitizing agent or photosensitizing agent delivery system or prodrug selectively binds to the target tissue; and irradiating at least a portion of the subject with light at a wavelength absorbed by the photosensitizing agent or if prodrug, by a prodrug product thereof, where the light is provided by a light source, and where the irradiation is at low fluence rate that results in the activation of the photosensitizing agent or prodrug product. These methods of transcutaneous PDT are useful in the treatment of specifically selected target tissues, such as: vascular endothelial tissue; abnormal vascular wall of tumors; tumors of the head and neck; tumors of the gastrointestinal tract; tumors of the liver; tumors of the esophopharyngeal; tumors of the lung; lymphoid tissue; lesions in the vascular system; bone marrow and tissue related to autoimmune disease.
Abstract:
A patient portable photodynamic therapy device securable to a patient includes a lightweight rechargeable battery and a light source, such as an LED or a cold cathode fluorescent (CCF) tube powered thereby. The light source is coupled in light channeling relation to a proximal portion of a biocompatible optical fiber, which includes a distal portion with an optional diffuser that uniformly distributes light as it exits the distal portion. The light channeling between the light source and an optical fiber may be accomplished through any number of lens, including a totally internally reflective (TIR) lens. The distal end of the optical fiber is optionally provided with an anchoring balloon that can be inflated after the optical fiber is properly positioned at a treatment site within a patient's body. The balloon securely lodges the distal portion within the tissue at the treatment site, and is deflated to facilitate the removal of the optical fiber once the treatment is complete.