US2005265960A1PendingUtilityA1

Polymers containing poly(ester amides) and agents for use with medical articles and methods of fabricating the same

Individually held — no corporate assignee on recordPriority: May 26, 2004Filed: May 26, 2004Published: Dec 1, 2005
Est. expiryMay 26, 2024(expired)· nominal 20-yr term from priority
A61P 5/30A61P 41/00A61P 7/02C08G 69/44A61P 39/06A61L 31/10A61P 35/00
53
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Claims

Abstract

Polymers containing poly(ester amides) and agents for use with medical articles and methods of fabricating the same are disclosed. The medical article generally comprises an implantable substrate having a coating, and the coating contains a polymer comprising a polymeric product of a reaction comprising a polyol, a polycarboxylic acid, an amino acid and an agent.

Claims

exact text as granted — not AI-modified
1 . A polymer represented by a formula:  
     
       
         
         
             
             
         
       
       wherein A comprises  
       
         
           
           
               
               
           
         
       
       B comprises  
       
         
           
           
               
               
           
         
       
       where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 3  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 2  and R 4  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 6  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained and branched aliphatic radicals;  
       L 1  is an optional linkage connecting said A to said B;  
       X is optionally an agent;  
       L 2  is optionally a linkage connecting X to said polymer;  
       n and m are integers not equal to 0;  
       provided that if (i) said R 1 , R 3  and R 5  are independently selected straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (ii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; (iii) R 6  is a pentylene radical; and, (iv) said X is a straight-chained or branched saturated aliphatic radical having from 1-6 carbon atoms, a phenyl radical, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and, (v) said m and n are integers not equal to 0; then, said L 2  cannot be  
       
         
           
           
               
               
           
         
       
       when the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 ;  
       provided further that if (i) said R 1  and R 5  are unsubstituted, straight-chained octyl radicals; (ii) said R 3  is an unsubstituted, straight-chained butyl radical; (iii) said R 2  and R 4  are unsubstituted t-butyl radicals; (iv) said R 6  is a pentylene radical; and (v) said X is TEMPO; then, said L 2  cannot be  
       
         
           
           
               
               
           
         
       
       when the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 , and the nitrogen of said L 2  is attached to C 1  of the TEMPO;  
       and provided further that if (i) said R 1  and R 5  are straight-chained-butyl or straight-chained-hexyl radicals; (ii) said R 3  is a straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (iii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; (iv) said R 6  is a pentylene radical; (v) said X is TEMPO and L 2  is  
       
         
           
           
               
               
           
         
       
       or said X is rapamycin and said L 2  is  
       
         
           
           
               
               
           
         
       
       then, said R 1  and R 5  cannot be substituted with epoxy groups.  
     
   
   
       2 . The polymer of  claim 1 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations-thereof.  
   
   
       3 . The polymer of  claim 1 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       4 . The polymer of  claim 1 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolirnus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, and any derivatives, salts and combinations thereof.  
   
   
       5 . The polymer of  claim 4 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       6 . The polymer of  claim 4 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       7 . The polymer of  claim 4 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       8 . The polymer of  claim 4 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       9 . The polymer of  claim 1 , wherein said L 2  is selected from a group consisting of anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       10 . The polymer of  claim 1 , wherein said polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n, m and r are integers not equal to 0.  
     
   
   
       11 . The polymer of  claim 1 , wherein said polymer is represented by the formula:  
     
       
         
         
             
             
         
       
       wherein n and m are integers not equal to 0.  
     
   
   
       12 . The polymer of  claim 1 , wherein said polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein m and n are integers not equal to 0.  
     
   
   
       13 . A polymer represented by a formula:  
     
       
         
         
             
             
         
       
       wherein A comprises  
       
         
           
           
               
               
           
         
       
       B comprises  
       
         
           
           
               
               
           
         
       
       where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 3  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 2 , R 4 , and R 7  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 6  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained and branched aliphatic radicals;  
       L 1  is an optional linkage connecting said A to said B;  
       X is optionally an agent;  
       L 2  is optionally a linkage connecting X to said polymer; and  
       n and m are integers not equal to 0.  
     
   
   
       14 . The polymer of  claim 13 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       15 . The polymer of  claim 14 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       16 . The polymer of  claim 13 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       17 . The polymer of  claim 16 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       18 . The polymer of  claim 16 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       19 . The polymer of  claim 16 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       20 . The polymer of  claim 16 ,.wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       21 . The polymer of  claim 13 , wherein said L 2  is selected from a group consisting of amides, esters, anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       22 . The polymer of  claim 13 , wherein said polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n, m and r are integers not equal to 0.  
     
   
   
       23 . A polymer represented by a formula:  
     
       
         
         
             
             
         
       
       wherein A comprises  
       
         
           
           
               
               
           
         
       
       and B comprises  
       
         
           
           
               
               
           
         
       
       where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 3  and R 8  are selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 2 , R 4 , R 7  and R 9  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       L 1  is an optional linkage connecting said A to said B;  
       X is optionally an agent;  
       L 2  is optionally a linkage connecting X to said polymer; and  
       n and m are integers not equal to 0.  
     
   
   
       24 . The polymer of  claim 23 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       25 . The polymer of  claim 24 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       26 . The polymer of  claim 23 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       27 . The polymer of  claim 26 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       28 . The polymer of  claim 26 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       29 . The polymer of  claim 26 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       30 . The polymer of  claim 26 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       31 . The polymer of  claim 23 , wherein said L 2  is selected from a group consisting of amides, esters, anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       32 . The polymer of  claim 23 , wherein said polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n and m are integers not equal to 0.  
     
   
   
       33 . A medical article comprising an implantable substrate comprising a coating, wherein said coating comprises a block-copolymer comprising at least one block of poly(ester amide) and at least one block of a polymeric agent.  
   
   
       34 . The medical article of  claim 33 , wherein said polymeric agent is a biobeneficial agent selected from a group consisting of heparin, hyaluronic acid, poly(ethylene glycol), a graft copolymer of poly(L-lysine) and poly(ethylene glycol), and copolymers and combinations thereof.  
   
   
       35 . A polymer comprising a poly(ester amide) that is a polymeric product of a reaction comprising a polyol, a polycarboxylic acid, an amino acid, and an agent (X); 
 provided that said polymeric product is not                          where (i) R 1 , R 3  and R 5  are independently selected straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (ii) R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and (iii) X is a straight-chained or branched saturated aliphatic radical having from 1-6 carbon atoms, a phenyl radical, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and, (iv) m and n are integers not equal to 0; and    provided further that said polymeric product is not                          where n and m are integers not equal to 0; and    provided further that said polycarboxylic acid is not 2,3-epoxysuccinic acid, 3,4-epoxyadipic acid or a diepoxyadipic acid, where the amino acid chosen to link with said X is lysine, and said X is 4-amino-TEMPO or rapamycin.    
   
   
       36 . The polymer of  claim 35 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       37 . The polymer of  claim 36 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       38 . The polymer of  claim 35 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       39 . The polymer of  claim 38 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       40 . The polymer of  claim 38 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       41 . The polymer of  claim 38 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       42 . The polymer of  claim 38 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       43 . A coating for a medical article comprising the polymer of  claim 1 .  
   
   
       44 . A coating for a medical article comprising the polymer of  claim 13 .  
   
   
       45 . A coating for a medical article comprising the polymer of  claim 23 .  
   
   
       46 . A coating for a medical article comprising the polymer of  claim 35 .  
   
   
       47 . A medical article comprising the polymer of  claim 1 .  
   
   
       48 . A medical article comprising the polymer of  claim 13 .  
   
   
       49 . A medical article comprising the polymer of  claim 23 .  
   
   
       50 . A medical article comprising the polymer of  claim 35 .  
   
   
       51 . A stent comprising a coating, wherein said coating comprises a polymer represented by a formula:  
     
       
         
         
             
             
         
       
       wherein A comprises  
       
         
           
           
               
               
           
         
       
       B is selected from a group consisting of  
       
         
           
           
               
               
           
         
       
       where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 3  and R 8  are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 2 , R 4 , R 7  and R 9  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;  
       R 6  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained and branched aliphatic radicals;  
       L 1  is an optional linkage connecting said A to said B;  
       n and m are integers not equal to 0;  
       provided that B is not  
       
         
           
           
               
               
           
         
       
       where (i) said R 1 , R 3  and R 5  are independently selected straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (ii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and (iii) said R 6  is a carboxyl-substituted, pentylene radical;  
       and provided further that B is not  
       
         
           
           
               
               
           
         
       
       where (i) said R 1  and R 5  are epoxy-substituted, straight-chained-butyl or straight-chained-hexyl radicals; (ii) said R 3  is a straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (iii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and (iv) said R 6  is a carboxyl-substituted, pentylene radical.  
     
   
   
       52 . The stent of  claim 51 , wherein said coating further comprises an agent that may be blended or connected to said coating.  
   
   
       53 . A method for fabricating a medical article comprising an implantable substrate, wherein said method comprises: 
 (a) preparing a polymer represented by a formula:                          wherein A comprises                          B comprises                          where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 3  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 2  and R 4  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 6  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained and branched aliphatic radicals;    L 1  is an optional linkage connecting said A to said B;    X is optionally an agent;    L 2  is optionally a linkage connecting X to said polymer;    n and m are integers not equal to 0;    provided that if (i) said R 1 , R 3  and R 5  are independently selected straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (ii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; (iii) said R 6  is a pentylene radical; and, (iv) said X is a straight-chained or branched saturated aliphatic radical having from 1-6 carbon atoms, a phenyl radical, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and, (v) said m and n are integers not equal to 0; then, said L 2  cannot be                          when the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 ;    provided further that if (i) said R 1  and R 5  are unsubstituted, straight-chained octyl radicals; (ii) said R 3  is an unsubstituted, straight-chained butyl radical; (iii) said R 2  and R 4  are unsubstituted t-butyl radicals; (iv) said R 6  is a pentylene radical; and (v) said X is TEMPO; then, said L 2  cannot be                          where the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 , and the nitrogen of said L 2  is attached to C 1  of the TEMPO;    and provided further that if (i) said R 1  and R 5  are straight-chained-butyl or straight-chained-hexyl radicals; (ii) said R 3  is a straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (iii) said R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; (iv) said R 6  is a pentylene radical; (v) said X is TEMPO and L 2  is                          where the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 , and the nitrogen of said L 2  is attached to C 1  of the TEMPO,    or said X is rapamycin and said L 2  is                          when the carbon of said L 2  is attached to either C 1  or C 5  of the pentylene radical, R 6 ; then, said R 1  and R 5  cannot be substituted with epoxy groups; and    (b) forming a coating comprising the polymer on at least a portion of an implantable substrate.    
   
   
       54 . The method of  claim 53 , wherein said medical article is a stent.  
   
   
       55 . The method of  claim 53 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       56 . The method of  claim 55 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       57 . The method of  claim 53 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       58 . The method of  claim 57 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       59 . The method of  claim 57 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       60 . The method of  claim 57 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       61 . The method of  claim 57 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       62 . The method of  claim 53 , wherein said L 2  is selected from a group consisting of amides, esters, anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       63 . The method of  claim 53 , wherein the polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n, m and r are integers not equal to 0.  
     
   
   
       64 . The method of  claim 53 , wherein the polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n and m are integers not equal to 0.  
     
   
   
       65 . The method of  claim 53 , wherein the polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n and m are integers not equal to zero.  
     
   
   
       66 . A method for fabricating a medical article comprising: 
 (a) preparing a polymer represented by a formula:                          wherein A comprises                          B comprises                          where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 3  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 2 , R 4 , and R 7  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 6  is selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained and branched aliphatic radicals;    L 1  is an optional linkage connecting said A to said B;    X is optionally an agent;    L 2  is optionally a linkage connecting X to said polymer;    n and m are integers not equal to 0; and    (b) forming a coating comprising the polymer on at least a portion of an implantable substrate.    
   
   
       67 . The method of  claim 66 , wherein said medical article is a stent.  
   
   
       68 . The method of  claim 66 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       69 . The method of  claim 68 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       70 . The method of  claim 66 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       71 . The method of  claim 70 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       72 . The method of  claim 70 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       73 . The method of  claim 70 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       74 . The method of  claim 70 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       75 . The method of  claim 66 , wherein said L 2  is selected from a group consisting of amides, esters, anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       76 . The method of  claim 66 , wherein the polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n, m and r are integers not equal to zero.  
     
   
   
       77 . A method for fabricating a medical article comprising: 
 (a) preparing a polymer represented by a formula:                          wherein A comprises                          B comprises                          where R 1  and R 5  are optional and are independently selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 3  and R 8  are selected from a group consisting of substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    R 2 , R 4 , R 7  and R 9  are independently selected from a group consisting of hydrogen; substituted, unsubstituted, hetero-, straight-chained, branched, cyclic, saturated and unsaturated aliphatic radicals; and substituted, unsubstituted, and hetero-aromatic radicals;    L 1  is an optional linkage connecting said A to said B;    X is optionally an agent;    L 2  is optionally a linkage connecting X to said polymer;    n and m are integers not equal to 0; and    (b) forming a coating comprising the polymer on at least a portion of an implantable substrate.    
   
   
       78 . The method of  claim 77 , wherein said medical article is a stent.  
   
   
       79 . The method of  claim 77 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate), sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       80 . The method of  claim 79 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       81 . The method of  claim 77 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       82 . The method of  claim 81 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       83 . The method of  claim 81 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       84 . The method of  claim 81 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       85 . The method of  claim 81 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.  
   
   
       86 . The method of  claim 77 , wherein said L 2  is selected from a group consisting of amides, esters, anhydrides, ketals, acetals, orthoesters and all-aromatic carbonates.  
   
   
       87 . The method of  claim 77 , wherein the polymer is represented by a formula:  
     
       
         
         
             
             
         
       
       wherein n and m are integers not equal to zero.  
     
   
   
       88 . A method for fabricating a medical article comprising: 
 (a) preparing a polymer comprising a poly(ester amide), wherein said preparing comprises combining a polyol, a polycarboxylic acid, an amino acid, and an agent (X);    provided that said polymer is not                          where (i) R 1 , R 3  and R 5  are independently selected straight-chained or branched saturated aliphatic radicals having from 2-20 carbon atoms; (ii) R 2  and R 4  are independently selected straight-chained or branched saturated aliphatic radicals having from 1-6 carbon atoms, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one unsaturated carbon-carbon bond, straight-chained or branched aliphatic radicals having from 2-6 carbon atoms and at least one carbon-carbon triple bond, phenyl radicals, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and (iii) X is a straight-chained or branched saturated aliphatic radical having from 1-6 carbon atoms, a phenyl radical, an ortho-fused bicyclic carbocyclic radical having 6-10 carbon atoms and at least one aromatic ring, or hydrogen; and, (iv) m and n are integers not equal to 0;    provided further that said polymer is not                          where n and m are integers not equal to 0;    provided further that said polycarboxylic acid is not 2,3-epoxysuccinic acid, 3,4-epoxyadipic acid or a diepoxyadipic acid, where the amino acid chosen to link with said X is lysine, and said X is 4-amino-TEMPO or rapamycin; and    (b) forming a coating comprising the polymer on at least a portion of an implantable substrate.    
   
   
       89 . The method of  claim 88 , wherein said preparing further comprises producing a poly(ester amide) with all amino end-groups for conjugating to said agent.  
   
   
       90 . The method of  claim 88 , wherein said preparing further comprises producing a poly(ester amide) with all carboxyl end-groups for conjugating to said agent.  
   
   
       91 . The method of  claim 88 , wherein said medical article comprises a stent.  
   
   
       92 . The method of  claim 88 , wherein said X is a biobeneficial agent selected from a group consisting of poly(alkylene glycols), poly(N-vinyl pyrrolidone), poly(acrylamide methyl propane sulfonic acid), poly(styrene sulfonate)i sulfonated dextran; polyphosphazenes, poly(orthoesters), poly(tyrosine carbonate), hyaluronic acid, heparin and any derivatives, analogs, homologues, congeners, salts, copolymers and combinations thereof.  
   
   
       93 . The method of  claim 92 , wherein the biobeneficial agent is hyaluronic acid, heparin, poly(ethylene glycol), or any derivatives, analogs, homologues, congeners, salts, copolymers or combinations thereof.  
   
   
       94 . The method of  claim 88 , wherein said X is a bioactive agent selected from a group consisting of a free radical scavenger, a nitric oxide donor, rapamycin, everolimus, tacrolimus, paclitaxel, docetaxel, estradiol, clobetasol, idoxifen, tazarotene and any prodrugs, metabolites, analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       95 . The method of  claim 94 , wherein the free radical scavenger is selected from a group consisting of 2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-amino-2,2′,6,6′-tetramethyl-1-piperinyloxy, free radical; 4-hydroxy-2,2′,6,6′-tetramethyl-piperidene-1-oxy, free radical; 2,2′,3,4,5,5′-hexamethyl-3-imidazolinium-1-yloxy methyl sulfate, free radical; 16-doxyl-stearic acid, free radical; superoxide dismutase mimic; and, any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       96 . The method of  claim 94 , wherein the free radical scavenger is TEMPO or any analogs, homologues, congeners, derivatives, salts or combinations thereof.  
   
   
       97 . The method of  claim 94 , wherein the nitric oxide donor is selected from the group consisting of S-nitrosothiols, nitrites, N-oxo-N-nitrosamines, substrates of nitric oxide synthase, diazenium diolates and any analogs, homologues, congeners, derivatives, salts and combinations thereof.  
   
   
       98 . The method of  claim 94 , wherein the bioactive agent is rapamycin, everolimus, tacrolimus, or any prodrug, metabolite, analog, congener, derivative, salt or combinations thereof.

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