Compositions and methods for treating the vertebral column

Abstract

The present invention relates to compositions and methods useful for treating structures of the vertebral column, including vertebral bodies. In one embodiment, a method for promoting bone formation in a vertebral body comprising providing a composition comprising a PDGF solution and a biocompatible matrix and applying the composition to at least one vertebral body. Promoting bone formation in a vertebral body, according to some embodiments, can increase bone volume, mass, and/or density leading to an increase in mechanical strength of the vertebral body treated with a composition of the present invention.

1 - 14 . (canceled) 
     
     
         15 . A method for increasing bone density in at least one vertebral body of a patient comprising:
 applying to the vertebral body a composition comprising:   a) a biocompatible matrix having incorporated therein a solution of platelet derived growth factor (PDGF) at a concentration in a range of about 0.1 mg/ml to about 1.0 mg/ml in a buffer, wherein the biocompatible matrix comprises (i) particles of a porous calcium phosphate in a range of about 100 μm to about 3 mm in size or (ii) (a) particles of a porous calcium phosphate in a range of about 100 μm to about 3 mm in size and (b) collagen, wherein the calcium phosphate comprises interconnected pores and a porosity greater than 50%, and   b) b) a contrast agent.   
     
     
         16 . The method of  claim 15 , wherein the biocompatible matrix comprises the particles of porous calcium phosphate and the collagen. 
     
     
         17 . The method of  claim 16 , wherein the collagen comprises Type I collagen. 
     
     
         18 . The method of  claim 16 , wherein the weight ratio of calcium phosphate:collagen is about 80:20. 
     
     
         19 . The method of  claim 15 , wherein the PDGF is at a concentration of about 0.3 mg/ml. 
     
     
         20 . The method of  claim 15 , wherein the PDGF comprises PDGF-BB. 
     
     
         21 . The method of  claim 20 , wherein the PDGF-BB comprises recombinant human PDGF-BB (rhPDGF-BB) or a fragment thereof. 
     
     
         22 . The method of  claim 21 , wherein the rhPDGF-BB comprises at least 65% of intact rhPDGF-BB. 
     
     
         23 . The method of  claim 21 , wherein the fragment of rhPDGF-BB is selected from the group consisting of amino acid sequences 1-31, 1-32, 33-108, 33-109 and 1-108 of the entire B chain. 
     
     
         24 . The method of  claim 15 , wherein the calcium phosphate comprises particles in a range of about 100 μm to about 300 μm in size. 
     
     
         25 . The method of  claim 15 , wherein the calcium phosphate comprises particles in a range of about 1000 μm to about 2000 μm in size. 
     
     
         26 . The method of  claim 15 , wherein the calcium phosphate comprises particles in a range of about 250 μm to about 1000 μm in size. 
     
     
         27 . The method of  claim 15 , where the calcium phosphate comprises β-tricalcium phosphate. 
     
     
         28 . The method of  claim 16 , wherein the composition is flowable. 
     
     
         29 . The method of  claim 28 , wherein applying the composition to the vertebral body comprises injecting the composition into the vertebral body. 
     
     
         30 . The method of  claim 15 , wherein the method increases bone volume and/or mass in the vertebral body. 
     
     
         31 . The method of  claim 15 , wherein the contrast agent is chosen from a cationic contrast agent, an anionic contrast agent, a nonionic contrast agents, or a mixture thereof. 
     
     
         32 . The method of  claim 15 , wherein the contrast agent is a radiopaque contrast agent. 
     
     
         33 . The method of  claim 32 , wherein the radiopaque contrast agent is (S)—N,N′-bis[2-hydroxy-1-(hydroxymethyl)-ethyl]-2,4,6-triiodo-5-lactamidoisophthalamide or a derivative thereof. 
     
     
         34 . The method of  claim 15 , further comprising locally or systemically administering to the patient a vitamin or an osteoclast inhibitor.