CA2303132C

CA2303132C - Intranasal formulations containing scopolamine and method of treating motion sickness

Info

Publication number: CA2303132C
Application number: CA002303132A
Authority: CA
Inventors: Jorge C. De Meireles; Vincent D. Romeo; Ramneik Dua; Prafulla K. Chowhan; Charanjit R. Behl; Anthony P. Sileno; Raja G. Achari
Original assignee: MDRNA Inc
Current assignee: Marina Biotech Inc
Priority date: 1997-09-11
Filing date: 1998-09-11
Publication date: 2002-07-09
Anticipated expiration: 2018-09-11
Also published as: CA2303132A1; AU742878B2; AU9385098A; JP2002516815A; EP1027049A4; WO1999012544A1; EP1027049A1

Abstract

The present invention relates to pharmaceutical formulations containing scopolamine. More particularly, the invention relates to an intranasal gel formulation including scopolamine hydrobromide in a pharmaceutically acceptable carrier, most preferably an intranasal gel, at a pH at or below about 4.0, preferably at or below about 3.5, and a salt concentration below about 200 mM, with the gel solution incorporating polyvinylalcohol as a gelling agent. The intranasal formulations are particularly useful for preventing and/or treating nausea and/or vomiting associated with, for example, motion sickness.

Description

I_NTRANASAL FORMULATION CONTAINING SCOPOLAMINE AND
METHOD OF TREATING MOTION SICKNESS
FIELD OF THE INVENTION
The present invention relates to pharmaceutical formulations containing scopolamine.
More particularly, the present invention relates to nasal gel formulations for intranasal delivery of scopolamine, in particular, for preventing and/or treating motion sickness.
BACKGROUND OF THE INVENTION
Scopolamine, and more particularly, its salt Scopolamine Hydrobromide, have been investigated for a variety of clinical indications. Examples of potential uses for scopolamine include the treatment of general nausea and/or vomiting, motion sickness, peripheral vertigo, post operative conditions and the use as an anesthetic.
Several delivery routes have been utilized for administering scopolamine.
These include oral, transdermal, buccal and intranasal administration. Oral and transdermal administration, however, do not provide a rapid onset of a therapeutically effective amount of scopolamine as determined by bioavailability studies. Oral administration of scopolamine is further complicated by first-pass metabolism in the liver which can significantly reduce its bioavailability. Buccal administration of scopolamine has also been investigated. It has been reported, however, that the bioavailability from buccal administration does not significantly differ from oral administration.
Intranasal delivery of scopolamine has shown potential for the rapid onset of a therapeutically effective amount of the compound. For example, International Application No. PCT/US82/00941, published as WO 83/00286 on February 3, 1983 discloses treatment of sudden motion sickness with a nasal spray of scopolamine. While this reference discusses the rapid onset of scopolamine via the intranasal delivery route, there is no consideration of sustained delivery of scopolamine over a period of time or the storage stability of such a formulation.
While intranasal administration of various drugs such as scopolamine is known, the development of intranasal formulations to provide a therapeutically effective amount of a drug and the stability of the formulation over time is often unpredictable.
While many drugs can be provided in intranasal formulations, the drug delivery offered by such formulations cannot be readily predicted and can dramatically differ between apparently similar formulations. Moreover, for an intranasal formulation of scopolamine to be effective in the prevention and treatment of acute conditions such as motion sickness, the ability to provide a therapeutically effective amount within 30 minutes, and desirably within 20 minutes, of administration is necessary. Likewise, considerations such as providing a therapeutically effective amount of the drug as soon as possible, maintaining a therapeutically effective level over a sustained amount of time and stability of the formulation over time must be balanced.
In considering the intranasal delivery of drugs, the pharmokinetics thereof are often considered. For example, ionization of a drug is believed to directly influence membrane penetration of the drug, and therefore, the absorption potential of the drug into the blood stream. In particular, the ionization of a drug and therefore its absorption potential, is largely determined by the drug's dissociation constant, pKa, as well as the pH of the solution in which the drug is dissolved. As reported by Mayersohn in Modern Pharmaceutics, Banker & Rhodes, 1979, Ch. 2, Pg. 40, basic compounds are best absorbed from alkaline solutions where pH > pK,. Thus, it is generally believed that formulations for delivering basic drugs, in particular intranasal formulations, are best absorbed into the bloodstream when the basic drug is prepared in a formulation solution having a pH above the dissociation constant of the drug.
For example, scopolamine is known to be a basic drug. In order to provide effective membrane penetration and absorption through intranasal delivery, heretofor it has been understood that scopolamine hydrobromide should be formulated in a basic solution having a formulation pH greater than 7.6.
Intranasal formulations of scopolamine hydrobromide at pH levels below 7 have been investigated. For example, in "Absorption for Nasal Mucous Membrane: Systemic Effect of Hyoscine Following Intranasal Administration" by Tonndorf et al. in inn Oto. Rhino.
La~vngol., vol. 62, 630, 1953, intranasal scopolamine spray formulations were prepared at a pH between 5.7-6Ø This reference discloses formulations which are inherently inefficient requiring 0.65 mg/ml and 0.4 mg/ml of scopolamine per dose, respectively. Such high dosages are wasteful of drug, add unnecessary cost to consumer and may cause undesirable side effects.
Accordingly, there is a need in the art for intranasal formulations that provide a therapeutically effective amount of scopolamine into the bloodstream within a relatively short time period (e.g., 30 minutes or less), that provide therapeutically effective levels of scopolamine for a sustained amount of time, that do not degrade over time and are not irntating to the nasal cavity.
~ilMA_RY OF THE INVENTION
It is an object of the present invention to provide an intranasal formulation for preventing and/or treating nausea and/or vomiting and other symptoms associated with motion sickness.
It is a further object of the invention to provide a scopolamine nasal formulation capable of prolonged shelf storage.
It is a further object of the invention to provide an intranasal formulation capable of achieving rapid plasma concentrations without achieving dangerous peak plasma concentrations.
In the efficient attainment of these and other objects, the present invention provides an intranasal formulation including scopolamine in a pharmaceutically acceptable carrier.
The formulation has a pH below about 4.0, desirably at or below about 3.5, and a salt concentration below about 200 mM, desirably at or below 100 mM, such as for example at or below 50 mM. Desirably, the formulation incorporates polyvinyl alcohol therein.
Preferably the Garner is provided as an intranasal gel, with the polyvinyl alcohol acting as a gelling agent for the composition. The scopolamine is preferably provided as a pharmaceutically acceptable salt, such as for example, scopolamine hydrobromide.

The present invention also relates to a method of preventing and/or treating nausea including administering intranasally to a mammal an effective amount of scopolamine, chemically modified equivalents and pharmaceutical salts thereof in a pharmaceutically acceptable Garner at a pH below about 4.0 and a salt concentration below about 200 mM;
with the carrier incorporating polyvinyl alcohol.
BR1FF nF~~RIpTION OF THE DRAWINGS
Figure 1 is a graph representing average plasma concentration over time of intranasal gel formulations incorporating different gelling agents.
Figure 2 is a graph representing product degradation as a function of the percentage formulation molarity over time for intranasal gel formulations.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
The present invention is an intranasal formulation for delivery of scopolamine. As used herein, "intranasal formulation" is intended to include a pharmaceutically acceptable carrier which incorporates the active agent, i.e., scopolamine. For purposes of the present invention, "pharmaceutical carrier" includes nasal sprays, nasal drops, gels, ointments, creams and the like. The present formulations may be administered using, for example, a nasal tampon or a nasal sponge containing the present formulation. Desirably, however, scopolamine is delivered in a gel formulation as set forth in more detail below.
Polyvinyl alcohol (PVA) is known to enhance viscosity. It is well known that PVA
should be used in a pH range of about 5 - 8. Thus, one skilled in the art would not be motivated to formulate PVA-containing pharmaceutical compositions at a pH
lower than 5 and would reject such a composition as a pharmaceutical earner for, e.g., scopolamine.
Surprisingly, it has been demonstrated in the present invention that gel formulations of scopolamine having PVA as the main gelling agent provide products with excellent stability which are superior to prior art spray formulations, as well as gel formulations using methyl cellulose. Thus, nasal gel preparations of scopolamine according to the present invention are prepared using PVA. The amount of PVA that can be used in the present invention can vary depending upon the specific formulation. In particular, the amount of PVA
contained in the present invention is that amount which is sufficient to form a pharmaceutically acceptable gel. Desirably, PVA is present in the present formulations up to about 30%, more desirably, up to about 20%, such as for example up to about 10%.
Gel systems having as a main component a composition having similar properties to PVA and which provide results substantially as set forth in the Examples below are also contemplated by the present invention. For example, gelling agents including the following can be used as a substitute for or in addition to PVA: alginates, gums, starches, polyacrylates, dextrans, chitosans and mixtures thereof.
In the present invention, scopolamine is combined with the pharmaceutical earner at a pH of about 4. Desirably, scopolamine is combined with the pharmaceutical carrier at or below about pH 3.5.
In addition to maintaining the pH of the present formulation at or below 4, the salt concentration thereof must be maintained at or below about 200 mM. Desirably, the salt concentration is maintained at or below about 100 mM, such as for example at or below about 50 mM.
For purposes of the present invention, the term "scopolamine" as used herein is intended to include those pharmaceutically active scopolamine compositions set forth in The Merck Index (11th Edition on page 8363) including [7(S)-(1a,2~3,4~3,5a,7~3)]-a-(Hydroxymethyl)benzeneacetic acid 9-methyl-3-oxa-9-azatricyclo-[3.3.02'4]non-7-yl ester and 6~i,7(3-epoxy-laH,SaH-tropan-3a-of (-)-tropate. Moreover, as used herein, "scopolamine" also includes pharmaceutical salts and hydrated forms, as well as all chemically modified equivalents thereof. Scopolamine hydrobromide or scopolammonium bromide (C,~HZZBrN04~3HZ O), scopolamine hydrochloride (~, I~ C1N~,7 ), methscopolamine bromide and methscopolamine nitrate (C,gH24N20~) are examples of pharmaceutical salts which can be used in accordance with the present invention. As used herein, "chemically modified equivalents" is intended to include compositions which may have a chemical structure that differs from scopolamine but which functions in a similar manner in the body, such as for example prodrugs, analogs, biologically active fragments and the like.
Such compositions have clinical utility to prevent and treat nausea and/or vomiting associated with, for example motion sickness. In addition, such compositions can be used as a sedative and as a pre-anesthetic. The present formulations, thus can be used to treat and/or prevent a variety of symptoms.
As set forth above, the present formulations can be used to both prevent and treat nausea and/or vomiting induced by motion sickness. Thus, the present formulations can be administered to a mammal prior to any symptoms associated with motion sickness and can prevent nausea and/or vomiting which are often symptoms thereof. Moreover, once onset of motion sickness symptoms has occurred in a patient, the present formulations can be administered to the patient and will provide alleviation or substantial decrease of the nausea and/or vomiting associated with motion sickness.
In the present invention, many other excipients, known from the pharmaceutical literature, may be added to the formulations, such as preservatives, surfactants, co-solvents, adhesives, antioxidants, buffers, viscosity enhancing agents and agents to adjust the pH or the osmolarity.
The various forms of the intranasal formulations set forth above can optionally include a buffer to maintain the pH of the scopolamine formulation, a pharmaceutically acceptable thickening agent, humectant and surfactant. Desirably, the pH of the buffer is selected to maintain the stability of scopolamine. In particular, the pH of the buffer is selected to optimize the stability of the scopolamine in the present inventive formulations.
As set forth previously, the pH of the buffer is desirably below about 4, more desirably at or below about 3.5. Buffers that are suitable for use in the present invention include, for example, hydrochloride, acetate, citrate, carbonate and phosphate buffers.
The viscosity of the compositions of the present invention can be maintained at a desired level using a pharmaceutically acceptable thickening agent. Thickening agents that can be used in accordance with the present invention include for example, xanthan gum, carbomer, polyvinyl alcohol, alginates, acacia, chitosans and mixtures thereof. The concentration of the thickening agent will depend upon the agent selected and the viscosity desired.
The compositions of the present invention also include a tolerance enhancer to reduce or prevent drying of the mucus membrane and to prevent irntation thereof.
Suitable tolerance enhancers that can be used in the present invention include, for example, humectants, sorbitol, propylene glycol, mineral oil, vegetable oil and glycerol; soothing agents, membrane conditioners, sweeteners and mixtures thereof. The concentration of the tolerance enhancer(s) in the present compositions will also vary with the agent selected.
In order to enhance absorption of the scopolamine through the nasal mucosa, a therapeutically acceptable surfactant may be added to the intranasal formulation. Suitable surfactants that can be used in accordance with the present invention include, for example, polyoxyethylene derivatives of fatty acid partial esters of sorbitol anhydrides, such as for example, Tween 80*Polyoxyl 40 Stearate,~Polyoxy ethylene 50 Stearat~*fusidates, bile salts and Octoxynol* Suitable surfactants include non-ionic, anionic and cationic surfactants.
These surfactants can be present in the intranasal formulation in a concentration ranging from about 0.001 % to about 20% by weight.
In the present invention other optional ingredients may also be incorporated into the nasal delivery system provided they do not interfere with the action of the scopolamine or significantly decrease the absorption of scopolamine across the nasal mucosa.
Such ingredients can include, for example, pharmaceutically acceptable excipients and preservatives. The excipients that can be used in accordance with the present invention include, for example, bio-adhesives and/or swelling/thickening agents.
In the present invention, any other suitable absorption enhancers as known in the art may also be used.
Preservatives can also be added to the present compositions. Suitable preservatives that can be used with the present compositions include, for example, benzyl alcohol, parabens, thimerosal, chlorobutanol and benzalkonium, with benzalkonium chloride being preferred. Typically, the preservative will be present in the present compositions in a concentration of up to about 2% by weight. The exact concentration of the preservative, however, will vary depending upon the intended use and can be easily ascertained by one skilled in the art.
Another embodiment of the present invention is an intranasal formulation for *Trade-mark WO 99!12544 PCT/US98/18953 preventing or treating motion sickness. This formulation includes scopolamine hydrobromide in a PVA gel solution at a pH at or below about 3.5 and a salt concentration below about 100 mM. In this embodiment, the PVA gel solution can include mixtures of other gelling agents or bio-adhesives, such as for example, alginates, gums, starches, polyacrylates, dextrans, chitosans and mixtures thereof. Moreover, the PVA
gelling agent can be replaced with other similar gelling/bio-adhesives provided that such agents produce the surprising results as set forth in the examples of the present invention.
Another embodiment of the present invention is a method of preventing and/or treating nausea and/or vomiting. This method includes administering intranasally to a mammal an effective amount of scopolamine, chemically modified equivalents and pharmaceutical salts thereof in a pharmaceutically acceptable Garner at a pH
at or below about 4.0 with a salt concentration at or below about 200 mM. The pharmaceutically acceptable carrier is desirably PVA, however, other gelling/bio-adhesives which provide results similar to those set forth in the present experimental examples are also contemplated.
Examples of such gelling/bio-adhesives include, alginates, gums, starches, polyacrylates, dextrans, chitosans and mixtures thereof. Moreover, the pharmaceutically acceptable carrier can include PVA and mixtures of other appropriate gelling/bio-adhesives provided the formulation produces superior pharmacokinetic profiles along the lines set forth in the Examples.
The pharmaceutically acceptable carrier of the present invention is specifically designed for intranasal administration. Such formulations are safe and effective for intranasal delivery to mammals, including humans. Formulations of such carriers are well known in the art and specific examples thereof are provided below.
In the present embodiment of the invention, the salt concentration is desirably at or, below 100 mM, such as for example, 50 mM. As set forth above, the pH of the present formulation is desirably at or below about 3.5.
The following examples are set forth to illustrate the formulations of the present invention, as well as the surprising results achieved therewith. These examples are provided for purposes of illustration only and are not intended to be limiting in any sense.

Inventive and Com~rative Formulations Example 1 sets forth a comparative intranasal scopolamine hydrobromide nasal gel formulation containing methyl cellulose with a buffer concentration of 25 mM
(Formulation 1 ) and three inventive intranasal scopolamine hydrobromide nasal gel formulations according to the present invention containing PVA at 20, 50 and 100 mM
buffer concentrations (Formulations 2, 3 and 4, respectively).
Nasal gel Formulation 1 containing a methyl cellulose gelling agent at a pH of about 3.5 and having a scopolamine concentration of about 0.2 mg/0.1 gm at a buffer concentration of 0.025M (25 mM) was prepared as follows:
Formulation 1 - Methyl Cellulose (25 mM) Composition Quantity -100mL(Gm) Scopolamine Hydrobromide, 0.20 USP

Citric Acid Anhydrous, USP 0.37 Sodium Citrate Dihydrate, 0.17 USP

Sodium Metabisulfite, NF 0.1 Glycerine (96%), USP 5.0 Methyl cellulose (4000 cps), 2.0 USP

Benzalkonium Chloride {50%), 0.04 NF

Purified Water, USP 100 Q.S.

Nasal gel Formulation 2 containing a PVA gelling agent at a pH of about 3.5 and having a scopolamine concentration of about 0.2 mg/0.1 gm at a buffer concentration of 0.02M (20 mM) was prepared as follows:

Formulation 2 - PVA (20 mM) Composition Quantity -100mL(Gm) Scopolamine Hydrobromide, USP 0.20 Citric Acid Anhydrous, USP 0.32 Sodium Citrate Dihydrate, USP 0.098 Sodium Metabisulfite, NF 0.1 Glycerine (96%), USP 5.0 Polyvinyl Alcohol, USP 10.0 Benzalkonium Chloride (50%), 0.04 NF

Purified Water, USP 100 Q.S.

Formulation 3 - PVA (50 mM) Composition Quantity -100mL(Gm) Scopolamine Hydrobromide, USP 0.20 Citric Acid Anhydrous, USP 0.73 Sodium Citrate Dihydrate, USP 0.34 Sodium Metabisulfite, NF 0.1 Glycerine (96%), USP 5.0 Polyvinyl Alcohol, USP 10.0 Benzalkonium Chloride (SO%), 0.04 NF

Purified Water, USP 100 Q.S.

*rB

Formulation 4 - PVA (100 mM) Composition Quantity -100mL(Gm) Scopolamine Hydrobromide, USP 0.20 Citric Acid Anhydrous, USP 1.42 Sodium Citrate Dehydrate, USP 0.76 Sodium Metabisulfite, NF 0.1 Glycerine (96%), USP 5.0 Polyvinyl Alcohol, USP 10.0 Benzalkonium Chloride (50%), 0.04 NF

Purified Water, USP 100 Q.S.

~parison of Methxl Cellulose vs. PVA Formulations:
Scopolamine Absorption Example 2 is a comparisonof scopolamineabsorptioninto the blood stream from Formulation 1 (methyl cellulose at 25 mM buffer concentration)vs. Formulation2 (PVA
at 20 mM buffer concentration). Nasal gel formulations were prepared based on Formulations 1-2 set forth above. These Formulations were adjusted to a pH
value of about 3.5 with citric acid solution or sodium citrate solution as needed.
The nasal gel Formulations l and 2 were administered intranasally to 10 healthy humans. The plasma concentration of scopolamine free base was measured in these individuals over time for a period of 240 minutes by LC/MS/MS. The average results of these measurements are shown in Table 1, and depicted in Figure 1.

Compiarison of Methyl Cellulose vs PVA Formul~tions~
Scouolamine Absorption Time (minutes)Formulation 1" Formulation 2"

0 0~0 0~0 5 28.4 t 45.1 80.7 ~ 58.3 10 106 t 157 138.6 ~ 86.7 20 136 t 144 203 f 124 30 144 ~ 100 2191 112 45 152 ~ 119 220 ~ 111 60 137 t 106 188 t 127 120 119 ~ 99.0 123 t 81.8 240 44.1 t 37.5 58.3 ~ 39.7 Cmax' (pg/ml) 204 ~ 161 248 ~ 123 T,"e~' (minutes)45.5 t 31.2 35.5 ~ 12.8 "Average Plasma Concentration of Scopolamine tree f3ase (pg~m~).
' C,".~ and Tm,x values represent an average of the respective Cm" and Tm,~
values obtained for each patient.
As can be seen from these results, absorption of scopolamine into the blood was within acceptable limits as recognized by those skilled in the art for both Formulations 1 and 2.
A comparison of the plasma concentrations of scopolamine free base for Formulation 1 (methyl cellulose) with Formulation2 (PVA) demonstratesthe unexpected and surprising results achieved through the present invention. As is clearly evident from Figure 1 which is a graphic representation of the data set forth in Table l, the average plasma concentration over time of Formulation 1 (methyl cellulose) was considerably below that of Formulation 2 (PVA). Thus, the intranasal formulation according to the present invention (Formulation 2) achieves significantly higher scopolamine absorption into the blood compared to intranasal Formulation 1 (methyl cellulose).
Additionally, rapid onset of the drug is achieved with the present inventive formulation (Formulation 2), as is evidenced by the graph which shows scopolamine free base concentrations of Formulation 2 which according to the present invention more than doubled that of the Formulation 1 in 5 minutes.

Comparison of Stabilitir of PVA and Meth,rtl Cgllulose Intranasal Formulations This Example provides stability data comparing Formulation 1 (methyl cellulose) with Formulation 2 (PVA) at various temperatures and relative humidities.
For purposes of the present examples, formulations having unacceptable stability exhibited more than 1 % degradation of product resulting in the formation of tropic acid over 6 months of storage at 40°C and 75% humidity in accordance with generally accepted FDA guidelines for minimum stability.
Nasal gel Formulations 1 and 2 having a scopolamine concentration of 0.2 mg/0.1 gm at a buffer concentration of 0.025M (25mM) and 0.02 (20 mM), respectively were prepared in accordance with the formulations of Example 1.
A. Stability at 40°CI75% RH
Formulations 1 and 2 were adjusted to a pH value of about 3.5 with citric acid solution or sodium citrate solution as needed. The respective formulations were stored in a standard drug container in both upright and inverted positions at a temperature of 40 °
C and 75 % relative humidity, over time for a period of 6 months. Various measurements were taken to represent stability of each formulation, including Scopolamine HBr content as a percentage, degradation of the product represented by the percentage of tropic acid appearing in the formulation and viscosity. The results are set forth in Table (Formulation 1 - methyl cellulose) and Table 3 (Formulation 2 - PVA) below.
Table 2 S Methyl Cellulose (25 mM) Container~ Scopolamine Degradation Viscosit3r M hs Position HBr (% LCl Product TroRiclets) Acid. %LCj initial -- 3.48 102.6 not detectable4393 1 Upright 3.30 101.0 not quantifiable1452 1 Inverted 3.31 101.7 not quantifiable1341 2 Upright 3.13 102.3 not quantifiable--2 Inverted 3.13 104.1 not quantifiable--3 Upright 3.11 106.6 0.23 --3 Inverted 3.09 104.2 0.23 --6 Upright 3.03 101.4 0.45 206 6 Inverted 3.08 102.3 0.45 259 *rB

PVA (20 mM~
TIME Container~ Scopolamine Degradation Viscosity ctsl ~Monthsl Position HBr (,% LC) Product (,Tro~fc Acid. %LCl initial -- 3.64 104.0 not detectable1711 1 Upright 3.52 100.9 not quantifiable1714 1 Inverted 3.50 100.8 not quantifiable1761 2 Upright 3.49 100.8 not quantifiable--2 Inverted 3.46 101.0 not quantifiable--3 Upright 3.31 102.8 0.21 --3 Inverted 3.29 103.5 0.22 --4 Upright 3.09 102.0 0.27 --4 Inverted 3.11 103.0 0.27 --5 Upright 3.08 102.7 0.33 --5 Inverted 3.06 102.9 0.34 -- i 6 Upright 3.03 105.4 0.50 1564 6 Inverted 3.03 102.6 0.40 1618 As is evident from the data depicted in Table 2, Formulation 1 (methyl cellulose) provides stability with respect to scopolamine HBr content, maintaining 101.4%
and 102.3 % for upright and inverted containers, respectively, over 6 months storage.
Moreover, the degradation of this gel formulation over time is within acceptable limits, demonstrated by 0.45 percent of tropic acid in the formulation after 6 months.
The viscosity of Formulation 1 (methyl cellulose), however, rapidly decreased from an initial level of 4393 cts to 1452 cts and 1341 cts for upright and inverted containers, respectively, after only 1 month of storage, and further decreasing to 206 cts and 209 cts for upright and inverted containers, respectively, after 6 months storage, demonstrating an unacceptable change in viscosity for stability.

As is evident from the data depicted in Table 3, Formulation 2 (PVA) remains both chemically and physically stable over the entire 6 month period, as evidenced by the Scopolamine HBr content, degradation product and viscosity of the formulation remaining within acceptable ranges, even after 6 months of storage time.
B. Stability at 30°C/60% RH
The stability of Formulations 1 and 2 was investigated at a temperature of 30 °C
at 60% relative humidity over the course of 6 months substantially as set forth above.
The data from this investigation is set forth below in Table 4 (Formulation 1 -methyl cellulose) and Table 5 (Formulation 2 -PVA):
Table 4 Meth~~l Cellulose 25 m1!!I) TIME S;ontainer~ Scopolamine. DegradationViscosi (Montli,~i io HBr (% LCl Product T~ (ctrl Acid. ,./oLCI

initial -- 3.48 102.6 not detectable4393 1 Upright 3.40 102.3 not detectable-1 Inverted 3.42 102.7 not detectable-2 Upright 3.28 104.6 not detectable-2 Inverted 3.26 104.0 not detectable-3 Upright 3.26 106.9 not quantifiable2082 3 Inverted 3.24 107.5 not quantifiable2233 6 Upright 3.15 103.4 not quantifiable1083 6 Inverted 3.16 103.2 not quantifiable1305 Table 5 PVA (20 mMl TIME Containerp~ copolamine Degradation Viscosity (cts) Mph i i HBr (% LC) Product (Tropic Acid, %LC~

initial -- 3.64 104.0 not detectable17I 1 1 Upright 3.60 101.5 not detectable--1 Inverted 3.59 100.5 not detectable--2 Upright 3.63 100.7 not detectable--2 Inverted 3.66 101.7 not detectable--3 Upright 3.51 104.7 not quantifiable1665 3 Inverted 3.52 104.3 not quantifiable1637 6 Upright 3.34 105.4 not quantifiable1633 6 Inverted 3.40 104.2 not quantifiable1595 As is evident from the data depicted in Table 4, Formulation 1 (methyl cellulose) stored at 30 ° C and 60% relative humidity provides stability with respect to scopolamine HBr content, maintaining 103.4% and 103.2 % for upright and inverted containers, respectively, over 6 months storage. Moreover, the degradation of this gel formulation over time is within acceptable limits, demonstrated by no quantifiable percent of tropic acid in the formulation after 6 months. The viscosity of Formulation 1, however, again rapidly decreased from an initial level of 4393 cts to 2082 cts and 2233 cts for upright and inverted containers, respectively, after 3 months of storage, and further decreased to 1083 cts and 1305 cts for upright and inverted containers, respectively, after 6 months storage, demonstrating an unacceptable change in viscosity for stability.
As is evident from the data depicted in Table 5, Formulation 2 (PVA) remains both chemically and physically stable over the entire 6 month period, as evidenced by the Scopolamine HBr content, degradation product and viscosity of the formulation remaining within acceptable ranges, even after 6 months of storage time.

C. Stability at 25°C/60% RH
The stability of Formulations 1 and 2 was investigated at a temperature of 25 °C
at 60% relative humidity over the course of 6 months substantially as set forth above.
The data from this investigation is set forth below in Table 6 (Formulation 1 -methyl cellulose) and Table 7 (Formulation 2 -PVA):
Table 6 Met~rl Cellulose (25 mM) T_ IME Container~ ScopslamineDegradation Viscosi onths) Position HBr (% LCl Product (Tropic, (cts)i A cid. %LC~

initial -- 3.48 102.6 not detectable4393 3 Upright 3.26 107.0 not detectable--3 Inverted 3.32 102.4 not detectable--6 Upright 3.19 103.2 not quantifiable1755 6 Inverted 3.19 103.2 not quantifiable2129 Table 7 PVA (20 mMl TIME Container ~ Sconolamin~Degradation Viscosi nths Position HBr~% LCl Product ~[, ~ctsl ro~ic Acid. %LCl initial -- 3.64 104.0 not detectable1711 3 Upright 3.55 104.4 not detectable--3 Inverted 3.56 103.8 not detectable--6 Upright 3.46 104.0 not quantifiable1640 6 Inverted 3.47 104.6 not quantifiable1640 As is evident from the data depicted in Table 6, Formulation 1 {methyl cellulose) provides stability with respect to scopolamine HBr content, maintaining 103.2 % for both the upright and inverted containers over 6 months storage. Moreover, the degradation of this gel formulation over time is within acceptable limits, demonstrated by no quantifiable percent of tropic acid in the formulation after 6 months. The viscosity of Formulation I (methyl cellulose), however, again decreased from an initial level of 4393 cts to 1755 cts and 2129 cts for upright and inverted containers, respectively, after 6 months storage, demonstrating an unacceptable change in viscosity for stability.
As is evident from the data depicted in Table 7, Formulation 2 (PVA) remains both chemically and physically stable over the entire 6 month period, as evidenced by the Scopolamine HBr content, degradation product and viscosity of the formulation remaining within acceptable ranges, even after 6 months of storage time.
D. Stability at 15 ° C/40% RH
The stability of Formulations 1 and 2 was investigated at a temperature of I 5 °C
at 40% relative humidity over the course of 6 months substantially as set forth above.
1 S The data from this investigation is set forth below in Table 8 (Formulation 1 - methyl cellulose) and Table 9 (Formulation 2 -PVA):
ethyl Cellulose (25 mMli n i r g~ Scouolamine]gradation Viscosi (cts) ,(Months)Position HBr ~% LCl Product (Tropic Acid. %LCj initial -- 3.48 102.6 not detectable4393 3 Upright 3.35 106.5 not detectable--3 Inverted 3.33 105.9 not detectable--6 Upright 3.30 105.6 not detectable3418 6 Inverted 3.33 103.7 not detectable3220 PVA (~Q mMl TIME container~H Scopolamine D~radation Viscosi on_l~hs)Position HBr l% LCl Prnduct i(Tronic(cts) Acid. %LCl initial -- 3.64 104.0 not detectable1711 3 Upright 3.62 103.2 not detectable--3 Inverted 3.62 103.4 not detectable--6 Upright 3.56 104.2 not detectable1709 6 Inverted 3.55 104.1 not detectable1839 As is evident from the data depicted in Table 8, even with Formulation 1 (methyl cellulose) stored at 15 ° C and 40% relative humidity, stability with respect the viscosity of the formulation decreased from an initial level of 4393 cts to 3418 cts and 3220 cts for upright and inverted containers, respectively, after 6 months storage. Thus, even under cold storage conditions, the stability of Formulation 1 (methyl cellulose) was inadequate, as demonstrated by an unacceptable change in viscosity As is evident from the data depicted in Table 9, Formulation 2 (PVA) remains both chemically and physically stable over the entire 6 month period, as evidenced by the Scopolamine HBr content, degradation product and viscosity of the formulation remaining within acceptable ranges, even after 6 months of storage time.
Thus, these data support the surprising conclusion that Formulation 2 containing PVA as a gelling agent is consistentlymore stable comparedto Formulation 1 containing methyl cellulose as a gelling agent over the entire 6 month investigational period at a variety of temperatures and relative humidities.

Fffect of Molaritv on Stability of PVA Formulations ~9 mM, 50 mM and 100 mM) Example 4 is a study of the effect of different molarities on PVA stability over time. In particular, Formulations 2, 3 and 4 were prepared substantially as set forth in Example 1 with molarities of 20 mM, 50 mM and 100 mM, respectively.
Formulations 2, 3 and 4 were adjusted to a pH value of about 3.5 with citric acid solution or sodium citrate solution as needed. The respective formulations were stored in a standard drug container in both upright and inverted positions at various temperatures and relative humidity, over time for a period of 6 months.
Various measurements were taken to represent stability of each formulation, including Scopolamine HBr content as a percentage, degradation of the product represented by the percentage of tropic acid appearing in the formulation and viscosity. The results are set forth in Tables 10 - 21 below.

Table 10 formulation 2 at 40°C/75% Relative Humidity l%RHl TIME Containerp~I- Scopolamine Degradation Viscosi M~, onths)Po ' ' HBr (% LC? Product y , fctsl n ronic acid, %LC~

initial -- 3.64 104.0 not detectable1711 1 Upright 3.52 100.9 not quantifiable1714 I Inverted 3.50 100.8 not quantifiable1761 2 Upright 3.49 100.8 not quantifiable--2 Inverted 3.46 101.0 not quantifiable--3 Upright 3.31 102.8 0.21 --3 Inverted 3.29 103.5 0.22 --4 Upright 3.09 102.0 0.27 --4 Inverted 3.11 103.0 0.27 --5 Upright 3.08 102.7 0.33 --5 Inverted 3.06 102.9 0.34 --6 Upright 3.03 105.4 0.50 1564 6 Inverted 3.03 102.6 0.40 1618 ~Qrmalation 3 at 40°C/75% RH
DIME Container~H Scopolamine Degradation Viscosity (cts) (Months)Position HBr l% LCl Product Tropic A cid. %LCl initial -- 3.50 103.1 not detectable1705 1 Upright 3.50 104.5 not quantifiable1659 1 Inverted 3.40 102.2 not quantifiable1696 2 Upright 3.40 102.5 0.22 --2 Inverted 3.40 103.0 0.21 --3 Upright 3.40 104.2 0.32 --3 Inverted 3.40 104.5 0.31 --4 Upright 3.34 104.0 0.43 --4 Inverted 3.32 103.0 0.41 --5 Upright 3.33 103.6 0.56 --5 Inverted 3.32 103.4 0.60 --6 Upright 3.32 104.5 0.68 1579 6 Inverted 3.30 103.0 0.66 1709 Formulation 4 at 40°C/75% RH
Containerp~ Scopolamine Dggradation Viscosity M pt Position HBr l% LCD Product (Tropicfetal Acid. %LC) initial -- 3.52 106.5 not detectable1924 1 Upright 3.58 102.9 not quantifiable1751 1 Inverted 3.57 103.6 not quantifiable1755 2 Upright 3.49 102.5 0.35 --2 Inverted 3.48 102.7 0.33 --3 Upright 3.44 103.5 0.50 --3 Inverted 3.44 103.5 0.48 --6 Upright 3.39 101.5 1.00 1747 6 Inverted 3.39 101.4 0.99 1701 Formulation 2 at 30°C/60%
Container~ ScopolamineDegradation Viscos~~cts) (Months)Position HBr (% LC) Product,(Trooic A cid. %LCl initial -- 3.64 104.0 not detectable1711 1 Upright 3.60 101.5 not detectable--1 Inverted 3.59 100.5 not detectable--2 Upright 3.63 100.7 not detectable--2 Inverted 3.66 101.7 not detectable--3 Upright 3.51 104.7 not quantifiable1665 3 Inverted 3.52 104.3 not quantifiable1637 6 Upright 3.34 105.4 ~ not quantifiable1633 6 Inverted 3.40 104.2 not quantifiable1595 Table 14 Formulation 3 at 30°C/60% RH
~'IME Container phi ScopolamineDegradation Viscosity~cts) (MonthslP i i n HBr i[% Product (Tropic LC) Acid. %LCl initial -- 3.50 103.1 not detectable1705 1 Upright 3.60 104.4 not detectable1693 1 Inverted 3.60 104.4 not detectable1884 2 Upright 3.50 104.0 not quantifiable--2 Inverted 3.50 103.1 not quantifiable--3 Upright 3.50 105.3 not quantifiable--3 Inverted 3.50 104.5 not quantifiable--6 Upright 3.46 104.7 0.68 1610 6 Inverted 3.45 104.3 0.66 1618 Table 15 Formu~~tion 4 at 30 ° C/60% RH
TIME Containerp~ Scopolamine Degr lotion Viscosity o thsl it'on HBr (% LC) Product lTrgyic(cts) Acid. %LC) initial -- 3.52 106.5 not detectable1924 1 Upright 3.57 104.6 not quantifiable--1 Inverted 3.59 103.8 not quantifiable--2 Upright 3.52 103.0 not quantifiable--2 Inverted 3.51 103.7 not quantifiable--3 Upright 3.48 104.5 not quantifiable1810 3 Inverted 3.50 104.8 not quantifiable1776 6 Upright 3.46 103.3 0.35 1770 6 Inverted 3.46 103.7 0.35 1709 Table 16 Formulation 2 at 25°C/60%RH
TIME Container~H ScopolamineDegradation Viscosity ~Monthsl os't'on HBr (% LCl Product Tropic~(ctsl Acid. %LC) initial -- 3.64 104.0 not detectable1711 3 Upright 3.55 104.4 not detectable--3 Inverted 3.56 103.8 not detectable--6 Upright 3.46 104.0 not quantifiable1640 6 Inverted 3.47 104.6 not quantifiable1640 Ta a 1 Formulation 3 at 25°C/60%RH
TIME Container~ Scopolamine Degradation Viscosity_(ctsl (Months)Position HBr l% LC) Product Tropic Acid, %LCl initial -- 3.50 103.1 not detectable1705 1 S 3 Upright 3.50 104.8 not quantifiable--3 Inverted 3.50 104.3 not quantifiable--6 Upright 3.50 104.8 not quantifiable1633 6 Inverted 3.42 104.4 not quantifiable1938 Formulation 4 at 25°C/60%RH
TIME Container ~H ScopolamineDeEradation Viscosity_(cts) on Po i ' HBr ~% LCD Product ~Trooic n Acid. %LC~

initial -- 3.52 106.5 not detectable1924 3 Upright 3.51 ~ 104.3 not quantifiable--3 Inverted 3.50 105.0 not quantifiable--6 Upright 3.47 103.7 0.24 1770 6 Inverted 3.48 103.7 0.24 1701 Table 19 Formulation 2 at 15°C/40%RH
Containerp~-I Ss.QpolamineDegradation Viscosit~y,jcty M~ oaths)Position HBr l% LCl Produc ro~ic Acid. %LC~

initial -- 3.64 104.0 not detectable1711 1 S 3 Upright 3.62 103.2 not detectable--3 Inverted 3.62 103.4 not detectable--6 Upright 3.56 104.2 not detectable1709 6 Inverted 3.55 104.1 not detectable1839 Table 2U
Formulation 3 at 15°C/40%RH
TIME Container~H Scopolamine Degradation Vi~cositv Months) Position HBr (% LCl Product (Tropicfctsl Acid. %LC) initial -- 3.50 103.1 not detectable1705 3 Upright 3.50 103.4 not detectable--3 Inverted 3.50 104.7 not detectable--6 Upright 3.51 104.1 not quantif 1701 able 6 Inverted 3.49 104.8 not quantifiable1686 fable 21 Formulation 4 at 15°C/40%RH
TIME Container~I ScopolamineDegradation Visco~ixy M~, onths)Position HBr f% LCl Product,jTroyicfetal Acid. %LCl initial -- 3.52 106.5 not detectable1924 1 S 3 Upright 3.51 105.5 not detectable--3 Inverted 3.52 105.6 not detectable--6 Upright 3.49 104.5 not quantifiable1846 6 Inverted 3.49 104.0 not quantifiable1801 Tables 10-21 above demonstrate that Formulations 2 - 4 according to the present invention remain both chemically and physically stable when stored at varying conditions of temperature and humidity as measured by scopolamine HBr content, degradation product and viscosity. Each of these parameters remained within acceptable limits as recognized by one skilled in the art even after 6 months of storage. The data indicate, however, that at PVA concentrations at about 100 mM (Formulation 4) the degradation product as represented by the % tropic acid is at 1.00% and 0.99% after 6 months of storage (Table 12). Thus, the 100 mM formulation (Formulation 4) approached unacceptable levels representing chemical instability thereof at elevated temperatures for prolonged storage periods. Thus, the data suggest that nasal formulations at PVA
concentrations above 100 mM are not likely to be useful due to chemical instability.

Stabili r of PVA Formulations qt Different Buffer Concentrations Example 4 is a direct comparison of the effect of the buffer concentration on the PVA Formulations (Formulations 2, 3 and 4) at 40°C/75%RH. This data is set forth in Table 22 and graphed in Figure 2, which demonstrates product degradation as a function of the percentage of tropic acid in the formulation over time.
Table 22 Effect of Buffer C~centration on Stabilihr of PVA Formulations Buffer Tropic Acid (%
LC) (ND=not detectable;
NQ=not quantifiable) Molarity Formulation(mM) 1 2 3 4 5 6 # nitialmonth month month month month month 2 20 ND NQ NQ 0.21 0.27 0.33 0.50 3 50 ND NQ 0.22 0.32 0.43 0.56 0.68 4 100 ND 0.20 0.35 0.50 -- -- 1.00 As is evident from Table 22 and Figure 2, Formulations 2, 3 and 4 prepared according to the present invention with PVA remain physically and chemically stable for up to 6 months. In fact, the formulations at 20 mM and 50 mM, as represented in Tables 10 and 11, respectively, provide excellent stability results even at the 6 month storage time, while Formulation 4 (100 mM) as represented by Table 12, approaches unstable limits of 1.00 % tropic acid, representing chemical degradation at the 6 month storage date. Moreover, it can be recognized from these data that formulations incorporating PVA prepared at a pH of about 3.5 and at concentrations above 100 mM lose chemical stability during storage.

e5 Com an rison of Stabili~r of Methsrl Cellulose vs. PVA Formulations as a Function of Viscosity Example 5 is a direct comparison of Formulation 1 (methyl cellulose) and Formulation 2 (PVA) at 40°C/75%RH highlighting the viscosity data as set forth in Table 23 below.
Ta Met 1 Cellulose vs. PVA Formulations as a Function of Viscosity Viscosity (cts) FormulationInitial1 month 6 month #

As is evident from a review of the results of Table 23, the nasal gel formulation prepared according to the present invention with polyvinyl alcohol as a gelling agent in a formulation at about pH 3.5 and concentration of 20 mM (Formulation 2) maintains a substantially constant viscosity over time, thus evidencing that such formulations remain chemically and physically stable for periods of 6 months. The nasal gel formulation prepared with methyl cellulose as a gelling agent in a formulation at about pH
3.~ and concentration of 25 mM (Formulation 1 ) demonstrates a significant decrease in viscosity after only one month of storage, with a remarkable decrease after 6 months of storage, thus evidencing that such a formulation is chemically and physically unstable.
The invention being thus described, it will be obvious that the same may be varied in many ways. Such variations are not to be regarded as a departure from the spirit and scope of the invention and all such modifications are intended to be included within the scope of the following claims.

Claims

CLAIMS:

1. An intranasal formulation comprising scopolamine or chemically modified equivalent or pharmaceutically acceptable salt thereof in a pharmaceutically acceptable carrier at a pH below about 4.0 and a buffering salt concentration below about 200 mM, said carrier incorporating polyvinyl alcohol.

2. An intranasal formulation as in claim 1, wherein said carrier is a pharmaceutically acceptable gel.

3. An intranasal formulation as in claim 1, wherein said polyvinyl alcohol is combined with one or more additional gelling agents or bio-adhesives selected from the group including alginate, gum, starch, polyacrylate, dextran and chitosan.

4. An intranasal formulation as in claim 1, wherein said concentration is at or below about 100 mM.

5. An intranasal formulation as in claim 1, wherein said concentration is at or below about 50 mM.

6. An intranasal formulation as in claim 1, wherein said pH is about 3.5

7. An intranasal formulation as in claim 1, wherein said scopolamine is provided as a chemically modified equivalent or pharmaceutically acceptable salt thereof.

8. An intranasal formulation as in claim 7, wherein said scopolamine is provided as scopolamine hydrobromide.

9. An intranasal formulation as described in claim 1 for preventing or treating nausea or vomiting.

10. An intranasal formulation as in claim 1 further including at least one of a buffering agent, thickening agent, tolerance enhancer, surfactant, co-solvent, adhesive, antioxidant or agent to adjust pH or osmolarity and preservative.

11. An intranasal gel formulation for preventing and/or treating motion sickness comprising scopolamine hydrobromide in a gel solution at or below a pH at about 3.5 and a buffering salt concentration at or below about 100 mM, said gel solution incorporating polyvinyl alcohol as a gelling agent.

12. An intranasal formulation as in claim 11, wherein said gel solution further includes a gelling agent or bio-adhesive selected from the group including alginate, gum, starch, polyacrylate, dextran, chitosan and mixtures thereof.

13. An intranasal gel formulation as in claim 11 further including at least one of a buffering agent, thickening agent, tolerance enhancer, surfactant, co-solvent, adhesive, antioxidant or agent to adjust pH or osmolarity and preservative

14. Use of a pharmaceutically effective amount of scopolamine, chemically modified equivalent or pharmaceutical salt thereof in an pharmaceutically acceptable carrier at a pH below about 4.0 and a buffering salt concentration below about mM, said carrier incorporating polyvinyl alcohol for preventing or treating nausea or vomiting.

15. A use as in claim 14, wherein said carrier further includes a gelling agent or bio-adhesive selected from the group including alginate, gum, starch, polyacrylate, dextran, chitosan and mixtures thereof.

16. A use as in claim 14, wherein said carrier is a gel for intranasal administration.

17. A use as in claim 14, wherein said salt concentration is at or below about mM.

18. A use as in claim 14, wherein said salt concentration is at or below about mM.

19. A use as in claim 14, wherein said pH is about 3.5

20. A use as in claim 14, wherein said scopolamine is provided as scopolamine hydrobromide.

21. A use as in claim 14, wherein a plasma concentration of scopolamine free base sufficient to reduce symptoms of nausea or vomiting is achieved within about 5 minutes in a subject.