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IL273485B2 - Preparations for improved administration of epinephrine and drug meters - Google Patents

Preparations for improved administration of epinephrine and drug meters

Info

Publication number
IL273485B2
IL273485B2 IL273485A IL27348520A IL273485B2 IL 273485 B2 IL273485 B2 IL 273485B2 IL 273485 A IL273485 A IL 273485A IL 27348520 A IL27348520 A IL 27348520A IL 273485 B2 IL273485 B2 IL 273485B2
Authority
IL
Israel
Prior art keywords
pharmaceutical composition
composition according
polymeric matrix
ester
acceptable salt
Prior art date
Application number
IL273485A
Other languages
Hebrew (he)
Other versions
IL273485A (en
IL273485B1 (en
Original Assignee
Aquestive Therapeutics Inc
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
Priority claimed from US15/717,859 external-priority patent/US20180125977A1/en
Priority claimed from US15/791,249 external-priority patent/US20180104195A1/en
Application filed by Aquestive Therapeutics Inc filed Critical Aquestive Therapeutics Inc
Publication of IL273485A publication Critical patent/IL273485A/en
Publication of IL273485B1 publication Critical patent/IL273485B1/en
Publication of IL273485B2 publication Critical patent/IL273485B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7007Drug-containing films, membranes or sheets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • A61K31/222Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin with compounds having aromatic groups, e.g. dipivefrine, ibopamine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/235Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids having an aromatic ring attached to a carboxyl group
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/49Cinchonan derivatives, e.g. quinine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/34Macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyesters, polyamino acids, polysiloxanes, polyphosphazines, copolymers of polyalkylene glycol or poloxamers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/46Ingredients of undetermined constitution or reaction products thereof, e.g. skin, bone, milk, cotton fibre, eggshell, oxgall or plant extracts
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/006Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Emergency Medicine (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Inorganic Chemistry (AREA)
  • Nutrition Science (AREA)
  • Physiology (AREA)
  • Botany (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Medicines Containing Plant Substances (AREA)

Claims (50)

273485/ CLAIMS
1. A pharmaceutical composition, comprising: a polymeric matrix in a pharmaceutical film; pharmaceutically active component including epinephrine or pharmaceutically acceptable salt or ester thereof contained in the polymeric matrix; and an adrenergic receptor interacter that modifies or otherwise alters the action of an adrenergic receptor, the pharmaceutical film having a Tmax of 5-60 minutes, and a Cmax of 0.1 ng/ml-ng/ml.
2. The pharmaceutical composition according to claim 1, further comprising a permeation enhancer in addition to the adrenergic receptor interacter.
3. The pharmaceutical composition according to claim 1, wherein the composition is a film further comprising a polymeric matrix, the pharmaceutically active component being contained in the polymeric matrix.
4. The pharmaceutical composition according to claim 2, wherein the permeation enhancer includes a phenylpropanoid.
5. The pharmaceutical composition according to claim 2, wherein the permeation enhancer includes farnesol or Labrasol.
6. The pharmaceutical composition according to claim 2, wherein the permeation enhancer includes linoleic acid.
7. The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition is a film further comprising a polymeric matrix, the pharmaceutically active component being contained in the polymeric matrix. 273485/
8. The pharmaceutical composition according to claim 1, wherein the pharmaceutical composition is a chewable or gelatin based dosage form, spray, gum, gel, cream, tablet, liquid or film.
9. The pharmaceutical composition according to claim 4, wherein the phenylpropanoid is eugenol or eugenol acetate.
10. The pharmaceutical composition according to claim 4, wherein the phenylpropanoid is a cinnamic acid, cinnamic acid ester, cinnamic aldehyde or hydrocinnamic acid.
11. The pharmaceutical composition according to claim 4, wherein the phenylpropanoid is chavicol.
12. The pharmaceutical composition according to claim 4, wherein the phenylpropanoid is safrole.
13. The pharmaceutical composition according to claim 1, wherein the adrenergic receptor interacter is a phytoextract.
14. The pharmaceutical composition according to claim 13, wherein the phytoextract further includes an essential oil extract of a clove plant.
15. The pharmaceutical composition according to claim 13, wherein the phytoextract further includes an essential oil extract of a leaf of a clove plant.
16. The pharmaceutical composition according to claim 13, wherein the phytoextract further includes an essential oil extract of a flower bud of a clove plant.
17. The pharmaceutical composition according to claim 13, wherein the phytoextract further includes an essential oil extract of a stem of a clove plant. 273485/
18. The pharmaceutical composition according to claim 13, wherein the phytoextract is synthetic or biosynthetic.
19. The pharmaceutical composition according to claim 13, wherein the phytoextract further includes 40-95% eugenol.
20. The pharmaceutical composition according to claim 1, wherein the adrenergic receptor interacter includes a terpenoid, terpene or a sesquiterpene.
21. The pharmaceutical composition according to claim 1, wherein the polymer matrix includes a polymer.
22. The pharmaceutical composition according to claim 21, wherein the polymer is a water soluble polymer.
23. The pharmaceutical composition according to claim 21, wherein the polymer includes a polyethylene oxide.
24. The pharmaceutical composition according to claim 21, wherein the polymer includes a cellulosic polymer is selected from the group of: hydroxypropylmethyl cellulose, hydroxyethyl cellulose, hydroxyethylmethyl cellulose, hydroxypropyl cellulose, methylcellulose and carboxymethyl cellulose.
25. The pharmaceutical composition according to claim 21, wherein the polymeric matrix comprises a cellulosic polymer, polyethylene oxide and polyvinyl pyrrolidone, polyethylene oxide and a polysaccharide, polyethylene oxide, hydroxypropyl methylcellulose and a polysaccharide, or polyethylene oxide, hydroxypropyl methylcellulose, polysaccharide and polyvinylpyrrolidone.
26. The pharmaceutical composition according to claim 21, wherein the polymeric matrix comprises at least one polymer selected from the group of: pullulan, polyvinyl pyrrolidone, polyvinyl alcohol, sodium alginate, polyethylene glycol, xanthan gum, tragancanth gum, guar gum, acacia gum, arabic gum, polyacrylic acid, methylmethacrylate copolymer, carboxyvinyl copolymers, starch, gelatin, ethylene oxide- 273485/ propylene oxide co-polymers, collagen, albumin, poly-amino acids, polyphosphazenes, polysaccharides, chitin, chitosan, and derivatives thereof
27. The pharmaceutical composition according to claim 1, further comprising a stabilizer.
28. The pharmaceutical composition according to claim 1, wherein the polymeric matrix comprises a dendritic polymer or a hyperbranched polymer.
29. A method of making a pharmaceutical composition comprising: combining an adrenergic receptor interacter that modifies or otherwise alters the action of an adrenergic receptor, with a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof and forming a pharmaceutical composition including the adrenergic receptor interacter and the pharmaceutically active component.
30. A device comprising a housing that holds an amount of a pharmaceutical composition, comprising: a polymeric matrix; a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and a phenylpropanoid and/or a phytoextract; and an opening that dispenses a predetermined amount of the pharmaceutical composition.
31. A pharmaceutical composition, comprising: a polymeric matrix; 273485/ a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and a porphine alkaloid interacter.
32. A pharmaceutical composition, comprising: a polymeric matrix; a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and a vasodilator interacter.
33. A pharmaceutical composition, comprising: a polymeric matrix; a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and an interacter that creates increased blood flow or enables a flushing of the tissue to modify transmucosal uptake of the pharmaceutically active component.
34. A pharmaceutical composition, comprising: a polymeric matrix; a pharmaceutically active component including epinephrine or its prodrug in the polymeric matrix; and an interacter that has a positive or negative heat of solution which are used as aids to modify transmucosal uptake.
35. A pharmaceutical composition, comprising: a polymeric matrix; 273485/ a pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and an interacter as defined in any one of claims 31 to 34, the composition contained in a multilayer film having at least one side where the edges are coterminous.
36. A an effective amount of a pharmaceutical composition comprising: a polymeric matrix; pharmaceutically active component including epinephrine pharmaceutically acceptable salt or ester thereof in the polymeric matrix; and an adrenergic receptor interacter that modifies or otherwise alters the action of an adrenergic receptor, for use in a method of treating a medical condition.
37. The pharmaceutical composition for use of claim 35, wherein the prodrug is dipifevrin.
38. The pharmaceutical composition for use of claim 35, wherein the medical condition includes hypotension, cardiac arrest, heart failure, anaphylaxis, mydriasis, asystole, pulseless electrical activity, ventricular fibrillation, pulseless ventricular tachycardia, bradycardia, arrhythmia, or asthma exacerbation.
39. The pharmaceutical composition according to claim 1, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
40. The method of claim 29, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
41. The device of claim 30, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
42. The pharmaceutical composition according to claim 31, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin. 273485/
43. The pharmaceutical composition according to claim 32, wherein the epinephrine or pharmaceutically acceptable salt or ester thereof is dipifevrin.
44. The pharmaceutical composition according to claim 33, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
45. The pharmaceutical composition according to claim 34, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
46. The pharmaceutical composition according to claim 35, wherein the epinephrine or a pharmaceutically acceptable salt or ester thereof is dipifevrin.
47. A pharmaceutical film, comprising: a polymeric matrix; pharmaceutically active component including epinephrine or a pharmaceutically acceptable salt or ester thereof contained in the polymeric matrix and an adrenergic receptor, interacter that modifies or otherwise alters the action of an adrenergic receptor; the pharmaceutical film having a Tmax of 5-60 minutes, and a Cmax of 0.ng/ml-2 ng/ml.
48. The pharmaceutical film of claim 47, wherein the Tmax is 40 minutes or less and wherein the Cmax is 0.1 ng/ml or greater.
49. The pharmaceutical film of claim 47, wherein the Tmax is 35 minutes or less and wherein the Cmax is 0.15 ng/ml or greater.
50. The pharmaceutical film of claim 47, wherein the Tmax is 30 minutes or less and wherein the Cmax is 0.2 ng/ml or greater. 273485/
IL273485A 2017-09-27 2018-09-27 Preparations for improved administration of epinephrine and drug meters IL273485B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US15/717,859 US20180125977A1 (en) 2016-05-05 2017-09-27 Enhanced delivery epinephrine compositions
US15/791,249 US20180104195A1 (en) 2016-05-05 2017-10-23 Enhanced delivery epinephrine compositions
PCT/US2018/053042 WO2019067670A1 (en) 2017-09-27 2018-09-27 Enhanced delivery epinephrine and prodrug compositions

Publications (3)

Publication Number Publication Date
IL273485A IL273485A (en) 2020-05-31
IL273485B1 IL273485B1 (en) 2024-07-01
IL273485B2 true IL273485B2 (en) 2024-11-01

Family

ID=63858169

Family Applications (2)

Application Number Title Priority Date Filing Date
IL273485A IL273485B2 (en) 2017-09-27 2018-09-27 Preparations for improved administration of epinephrine and drug meters
IL313551A IL313551A (en) 2017-09-27 2018-09-27 Preparations for improved administration of epinephrine and drug meters

Family Applications After (1)

Application Number Title Priority Date Filing Date
IL313551A IL313551A (en) 2017-09-27 2018-09-27 Preparations for improved administration of epinephrine and drug meters

Country Status (8)

Country Link
EP (1) EP3687510A1 (en)
JP (2) JP2020535162A (en)
KR (1) KR20200060748A (en)
CN (1) CN111465391A (en)
BR (1) BR112020005948A2 (en)
CA (1) CA3076816A1 (en)
IL (2) IL273485B2 (en)
WO (1) WO2019067670A1 (en)

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JP2019519487A (en) 2016-05-05 2019-07-11 アクエスティブ セラピューティクス インコーポレイテッド Delivery enhancing epinephrine composition
US11273131B2 (en) 2016-05-05 2022-03-15 Aquestive Therapeutics, Inc. Pharmaceutical compositions with enhanced permeation
AU2020373100A1 (en) 2019-11-01 2022-05-19 Aquestive Therapeutics, Inc. Prodrug compositions and methods of treatment
US11571468B2 (en) * 2021-02-01 2023-02-07 Matthias W. Rath Micronutrient combination to reduce blood pressure
WO2023245069A2 (en) * 2022-06-14 2023-12-21 Aquestive Therapeutics, Inc. Enhanced delivery epinephrine and prodrug compositions
EP4302751A1 (en) * 2022-07-07 2024-01-10 LTS Lohmann Therapie-Systeme AG Oral thin films with low water activity

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Also Published As

Publication number Publication date
WO2019067670A1 (en) 2019-04-04
CN111465391A (en) 2020-07-28
JP2020535162A (en) 2020-12-03
IL273485A (en) 2020-05-31
JP2023159150A (en) 2023-10-31
IL273485B1 (en) 2024-07-01
KR20200060748A (en) 2020-06-01
CA3076816A1 (en) 2019-04-04
EP3687510A1 (en) 2020-08-05
IL313551A (en) 2024-08-01
BR112020005948A2 (en) 2020-12-01

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