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CA2281789A1 - Topical nasal antiinflammatory compositions - Google Patents

Topical nasal antiinflammatory compositions Download PDF

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Publication number
CA2281789A1
CA2281789A1 CA002281789A CA2281789A CA2281789A1 CA 2281789 A1 CA2281789 A1 CA 2281789A1 CA 002281789 A CA002281789 A CA 002281789A CA 2281789 A CA2281789 A CA 2281789A CA 2281789 A1 CA2281789 A1 CA 2281789A1
Authority
CA
Canada
Prior art keywords
composition
agent
group
nasal
topical
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002281789A
Other languages
French (fr)
Inventor
Catherine A. Segal
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Warner Lambert Co LLC
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2281789A1 publication Critical patent/CA2281789A1/en
Abandoned legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/58Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/16Otologicals

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention provides topically applicable nasal compositions comprising a therapeutically effective amount of an antiinflammatory agent and a therapeutically effective amount of at least one agent selected from the group consisting of a vasoconstrictor, a neuramidinase inhibitor, a leukotriene inhibitor, an antihistamine, an antiallergic agent, an anticholinergic agent, an anesthetic and a mucolytic agent. The present compositions are useful as nasal sprays and nose drops for the treatment of nasal and sinus conditions.

Description

TOPICAL NASAL ANTIINFLAMMATORY
COMPOSITIONS
SPECIFICATION
BACKGROUND OF THE INVENTION
Topical nasal antiinflammatory preparations are known in the art for s the treatment of inflammatory conditions of the nasal mucous membranes, and in particular for relief of the symptoms of nasal and sinus conditions such as rhinitis.
However, nasal and sinus conditions may be characterized by diverse symptoms requiring treatment with multiple therapeutic agents. For example, allergic rhinitis may be characterized by rhinorrhea, nasal itching, sneezing, congestion and postnasal io drip and treatment may require antihistamines, decongestants, antiallergics and anesthetics in addition to antiinflammatories.
The use of multiple topical nasal preparations to administer multiple therapeutic agents suffers from significant disadvantages. The volume of liquid that can effectively be applied nasally is limited by the surface area of the nostril and the bioadhesiveness of the liquid. In addition, a sufficient contact time between topical preparations and the surface area of the nostril is required to assure adequate dosing of a therapeutic agent. Further, spray formulations require a threshold surface tension to form droplets. Accordingly, the delivery volume per actuation is limited to the volume that will be retained in the nostril without premature drainage.
Thus 2o multiple topical nasal preparations cannot be effectively administered simultaneously.
Another disadvantage of the administration of multiple topical nasal preparations is patient inconvenience. Patient compliance may be compromised by the inconvenience of applying multiple spray products or nose drops. Patients complain when excess spray drains into their throats where it can be tasted, resulting s in a need for flavor masking of bitter medicaments.
Accordingly, a need exists for a convenient means of nasal administration of multiple therapeutic agents.
SUMMARY OF THE INVENTION
to The present invention provides topically applicable nasal compositions comprising a therapeutically effective amount of a topical antiinflammatory agent and a therapeutically effective amount of at least one agent suitable for topical nasal administration and selected from the group consisting of a vasoconstrictor, a neuramidinase inhibitor, an anticholinergic agent, a leukotriene inhibitor, an ~s antihistamine, an antiallergic agent, an anesthetic, and a mucolytic agent.
DETAILED DESCRIPTION OF THE INVENTION
The present invention provides topically applicable nasal compositions comprising a topical antiinflammatory agent and at least one additional therapeutic 2o agent. The present compositions are useful for the treatment of nasal and sinus conditions, for example allergic rhinitis or the common cold.
The topical antiinflammatory agents in the compositions of the present invention are corticosteroids known in the art to suppress inflammation. In a preferred embodiment the topical antiinflammatory agent is beclomethasone 2s diproprionate, budesonide, dexamethasone, mometasone furoate, fluticasone proprionate or triamcinolone acetonide. The compositions contain a therapeutically effective amount of the selected antiinflammatory agent. Those of ordinary skill in the art can determine an amount that is therapeutically effective for the suppression of inflammation. The precise amount will depend upon the method of administration 3o and the age, weight and condition of the subject to be treated. Generally the t_ antiinflammatory agents are utilized in dosages known in the art to be therapeutically eiTective upon nasal administration.
The compositions of the invention further comprise at least one additional therapeutic agent, and thus allow the convenient administration of an antiinflammatory agent and at least one additional therapeutic agent in a single topical nasal composition. The additional therapeutical agent is suitable for topical nasal administration and is selected from the group consisting of a vasoconstrictor, a neuramidinase inhibitor, a leukotriene inhibitor, an anticholinergic agent, an antihistamine, an antiallergic agent, a local anesthetic and a mucolytic agent. The use ~o of an additional therapeutic agent in combination with an antiinflammatory agent provides additive and synergistic effects in the treatment of nasal and sinus conditions.
Vasoconstrictors suitable for topical nasal administration in the compositions of the present invention are oxymetazoline naphazoline, is xylometazoline, and phenylephrine. Leukotriene inhibitors include zafirlukast, a selective, competitive receptor antagonist of the three leukotrienes C4, D4, and E4;
pranlukast, a selective, competitive receptor antagonist of D4; and zileuton, a leukotriene inhibitor. A. neuramidinase inhibitor includes zanamivir {GG-167).
Suitable antihistamines are diphenhydramine, chlorpheniramine, cetirizine terfenadine, 2o fenofexadine, astemizole norastemizole, azelastine, and azatidine.
Antiallergic agents include cromolyn sodium and nedocromil levocabastine. An anticholinergic agent useful in the compositions of the present invention is ipratropium bromide.
Local topical anesthetics include dyclonine, pramoxine, and benzocaine. Mucolytic agents suitable for topical nasal administration are acetylcysteine, guaifenisin and 2s mucocysteine. The therapeutically efi:'ect amount of foregoing agents can be determined by the ordinarily skilled artisan with regard to the known use of these agents in the art and taking into account the method of administration and the age, weight and condition of the subject to be treated.
The compositions of the present invention are formulated as aqueous 3o solutions comprising an antiinflammatory agent and at least one additional therapeutic agent and further comprising a pharmaceutically acceptable nasal carrier.
The formulation of pharmaceutical compositions is generally known in the art and reference can be conveniently made to standard text such as Remington's Pharmaceutical Sciences, 1985, 17th ed., Mack Publishing Co., Easton, Pennsylvania.
Preferred nasal formulations are nose drops or nasal sprays containing s a water buffered aqueous solution as a Garner. The compositions are preferably isotonic. Isotonic agents such as a sugars and sodium chloride are known in the art and may be included in the subject compositions.
The compositions of the present invention may also contain a humectant to increase viscosity and effect moisturization and ciliary vitality. Suitable ~o humectants include glycerin, polyethylene glycol, propylene glycol and mixtures thereof.
Additional agents including pharmaceutically acceptable preservatives, stabilizers, flavoring agents, and pH adjusters are known in the art and may be included in the present compositions.
is Another embodiment of the present invention provides preservative-free compositions comprising an anti-inflammatory agent and at least one additional therapeutic agent. Preservative-free compositions are preferred due to reduced sensitivity and increased patient acceptance. These can be prepared in unit dose or in systems which prevent contamination of the reservoir of solution.
zo The compositions of the present invention can be conveniently administered nasally to a human subject in dosage unit form to elicit the desired therapeutic effect of the antiinflammatory agent and the additional therapeutic agents described above. The compositions may be administered in the form of a nasal spray or nose drops. Nasal sprays may be provided as squeeze bottles or metered dose 2 s manual nasal spray pumps designed to deliver the desired dose in one or two sprays, for example. The composition may also be administered as aerosol spray formulations, for example as metered dose pressurized aerosols containing propellants such as halogenated hydrocarbons.

Claims (16)

WHAT IS CLAIMED IS:
1. A topically applicable nasal composition comprising a therapeutically effective amount of a topical antiinflammatory agent and a therapeutically effective amount of at least one agent suitable for topical nasal administration and selected from the group consisting of a vasoconstrictor, a neuramidinase inhibitor, a leukotriene inhibitor, an antihistamine, an antiallergic agent, an cholinergic agent, an anesthetic and a mucolytic agent.
2. The composition of Claim 1 wherein said topical antiinflammatory agent is selected from the group consisting of beclomethasone diproprionate, budesonide, dexamethasone, mometasone furoate, fluticasone proprionate and triamcinolone acetonide.
3. The composition of Claim 1 wherein said vasoconstrictor is selected from the group consisting of oxymetazoline, naphazoline, xylometazoline, and phenylephrine.
4. The composition of Claim 1 wherein said antihistamine is selected from the group consisting of diphenhydramine, chlorpheniramine, terfenadine, azelastine, norastemizole, fexofenadine, cetirazine, astemizole and azatidine.
5. The composition of Claim 1 wherein said antiallergic agent is selected from the group consisting of cromolyn sodium, levocabastine, and nedocromil.
6. The composition of Claim 1 wherein said anticholinergic agent is ipratropium.
7. The composition of Claim 1 wherein said topical anesthetic is selected from the group consisting of dyclonine, pramosine, and benzocaine.
8. The composition of Claim 1 wherein said mucolytic agent is selected from the group consisting of acetylcysteine, guaifenesin and mucocysteine.
9. The composition of Claim 1 wherein said leukotriene inhibitor is selected from the group consisting of zafirlukast, pranlukah, and zileuton.
10. The composition of Claim 1 wherein said neuramidinace inhibitor is zanamivir.
11. A topically applicable nasal composition comprising a therapeutically effective amount of a topical antiinflammatory agent selected from the group consisting of beclomethasone diproprionate, budesonide, dexamethasone, mometasone furoate, fluticasone proprionate and triamcinolone acetonide and a therapeutically effective amount of at least one agent selected from the group consisting of oxymetazoline, phenylephrine, diphenhydramine, chlorpheniramine, terfenadine, astemizole, azatidine, cromolyn sodium, nedocromil, ipratropium bromide, dyclonine, benzocaine, acetylcysteine, guaifenesin and mucocysteine.
12. The composition of Claim 1 or 11 further comprising at least one humectant.
13. The composition of Claim 12 wherein said humectant is selected from the group consisting of glycerin, polyethylene glycol and propylene glycol.
14. The composition of Claim 1 or 11 comprising a pharmaceutically acceptable carrier.
15. The composition of Claim 1 or 11 formulated for application as a nasal spray.
16. The composition of Claim 1 or 11 formulated for application as nose drops.
CA002281789A 1997-04-30 1998-04-02 Topical nasal antiinflammatory compositions Abandoned CA2281789A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US4430697P 1997-04-30 1997-04-30
US60/044,306 1997-04-30
PCT/US1998/006483 WO1998048839A1 (en) 1997-04-30 1998-04-02 Topical nasal antiinflammatory compositions

Publications (1)

Publication Number Publication Date
CA2281789A1 true CA2281789A1 (en) 1998-11-05

Family

ID=21931638

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002281789A Abandoned CA2281789A1 (en) 1997-04-30 1998-04-02 Topical nasal antiinflammatory compositions

Country Status (8)

Country Link
EP (1) EP0979105A1 (en)
JP (1) JP2001524108A (en)
CN (1) CN1253508A (en)
AU (1) AU6878098A (en)
BR (1) BR9809022A (en)
CA (1) CA2281789A1 (en)
IL (1) IL131492A0 (en)
WO (1) WO1998048839A1 (en)

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SK286103B6 (en) * 1997-12-23 2008-03-05 Schering Corporation Pharmaceutical composition for treating respiratory and skin diseases, comprising at least on leucotriene antagonist and at least one antihistamine, and the use of the same
US6384038B1 (en) * 1998-04-14 2002-05-07 Sepracor Inc. Methods and compositions using cetirizine in combination with leukotriene inhibitors or decongestants
GB9822170D0 (en) * 1998-10-13 1998-12-02 Danbioyst Uk Ltd Novel formulations of fexofenadine
US6576224B1 (en) * 1999-07-06 2003-06-10 Sinuspharma, Inc. Aerosolized anti-infectives, anti-inflammatories, and decongestants for the treatment of sinusitis
IT1313567B1 (en) * 1999-07-27 2002-09-09 Zambon Spa USE OF N-ACETYL-CISTEIN FOR THE PREPARATION OF TOPICAL PHARMACEUTICAL COMPOSITIONS FOR THE TREATMENT OF ALLERGIC PATHOLOGIES OF
DE10007203A1 (en) * 2000-02-17 2001-08-23 Asta Medica Ag Composition for treating allergic and/or vasomotor rhinitis or allergic conjunctivitis by topical or oral administration, contains synergistic combination of non-sedating antihistamine and leukotriene antagonist
DE60209511T2 (en) 2001-09-18 2006-10-05 Nycomed Danmark Aps COMPOSITIONS FOR TREATING SNORING CONTAINING IPRATROPY AND XYLOMETAZOLIN
GB2389530B (en) 2002-06-14 2007-01-10 Cipla Ltd Pharmaceutical compositions
WO2004000272A1 (en) * 2002-06-20 2003-12-31 Novartis Consumer Health S.A. Nasal compositions comprising a mucopolysaccharide and propylene glycol
BR0313611A (en) 2002-08-30 2005-06-21 Altana Pharma Ag Use of the ciclesonide and antihistamine combination for the treatment of allergic rhinitis
AU2003254429A1 (en) * 2003-08-06 2005-02-25 Galephar M/F Advantageous combinations for inhalation of nacystelyn and bronchodilators
US20050255154A1 (en) 2004-05-11 2005-11-17 Lena Pereswetoff-Morath Method and composition for treating rhinitis
US20070020330A1 (en) 2004-11-24 2007-01-25 Medpointe Healthcare Inc. Compositions comprising azelastine and methods of use thereof
KR20070104884A (en) 2004-11-24 2007-10-29 메드포인트 헬쓰케어 인크. Compositions comprising azelastine and methods of use thereof
PL1863476T3 (en) * 2005-03-16 2016-07-29 Meda Pharma Gmbh & Co Kg The combination of anticholinergics and leukotriene receptor antagonists for the treatment of respiratory diseases
WO2007023935A1 (en) * 2005-08-26 2007-03-01 Meiji Dairies Corporation Anti-allergic agent
US8637469B2 (en) 2006-07-11 2014-01-28 Roy C. Levitt Rhinosinusitis prevention and therapy with proinflammatory cytokine inhibitors
JP2008143845A (en) * 2006-12-11 2008-06-26 Hoshienu Seiyaku Kk Nasal drop composition and nasal drop spraying tool
US8709508B2 (en) * 2012-05-25 2014-04-29 Xlear, Inc. Xylitol-based anti-mucosal compositions and related methods and compositions
CN104667256B (en) * 2015-03-18 2017-05-03 江苏威克斯医疗科技有限公司 Nasal cavity mucosa cilium nursing flushing fluid and application thereof
CN107753485A (en) * 2017-11-28 2018-03-06 赵永宏 A kind of pharmaceutical composition for having nose congestion and anesthetic effect concurrently and its application

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US3482015A (en) * 1965-02-08 1969-12-02 Merck & Co Inc Aerosol composition of phenylephrine tartrate and the production of such
US4053628A (en) * 1971-05-12 1977-10-11 Fisons Limited Composition
US4552899A (en) * 1984-04-09 1985-11-12 Analgesic Associates Cough/cold mixtures comprising non-steroidal anti-inflammatory drugs
JPH0753671B2 (en) * 1985-12-26 1995-06-07 積水化学工業株式会社 Transdermal / transmucosal preparation
DE69229880T2 (en) * 1991-11-19 2000-05-04 The University Of Virginia Patent Foundation, Charlottesville COMBINED VIRUSTATIC ANTIMEDIATOR TREATMENT (COVAM) OF ORDINARY COOLS
AU7604094A (en) * 1993-09-07 1995-03-27 Procter & Gamble Company, The Compositions containing an amino acid salt of propionic acid non-steroidal anti-inflammatory agent and at least one of a decongestant, an expectorant, an antihistamine and an antitussive
AU6290396A (en) * 1995-06-29 1997-01-30 Mcneil-Ppc, Inc. The combination of topical nasal mast cell stabilizers and topical nasal steroids
WO1997001337A1 (en) * 1995-06-29 1997-01-16 Mcneil-Ppc, Inc. The combination of topical nasal antihistamines and topical nasal steroids
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Also Published As

Publication number Publication date
CN1253508A (en) 2000-05-17
AU6878098A (en) 1998-11-24
WO1998048839A1 (en) 1998-11-05
EP0979105A1 (en) 2000-02-16
IL131492A0 (en) 2001-01-28
BR9809022A (en) 2000-08-01
JP2001524108A (en) 2001-11-27

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Legal Events

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FZDE Discontinued
FZDE Discontinued

Effective date: 20020402