Patent Application
20080254084
The invention relates to antimicrobial preparations which comprise octenidine dihydrochloride in liposomes. The invention additionally relates to a process for manufacturing the preparations and to the use of phospholipids for manufacturing antimicrobial preparations which comprise octenidine dihydrochloride.
The antimicrobial active ingredient octenidine dihydrochloride is a bispyridiniumalkane having the formula:
and has been successful for many years as mucosal and wound antiseptic in the commercial product Octenisept®. Octenisept® comprises besides octenidine dihydrochloride and phenoxyethanol also glycerol, sodium D-gluconate and cocamidopropyldimethylammonium acetate in aqueous solution.
The bacteriostatic activity and dental plaque-preventing activity of octenidine dihydrochloride is described in DE 27 08 331 C2. EP 0 411 315 A1 discloses an aqueous antiseptic composition which is suitable in particular as mucosal antiseptic and for wound treatment and comprises octenidine dihydrochloride plus phenoxyethanol and/or phenoxypropanol. DE 102 05 883 A1 relates to an aqueous antiseptic which can be adjusted to isotonicity and comprises octenidine dihydrochloride.
The excellent antimicrobial activity of octenidine dihydrochloride against a large number of microbes is demonstrated in numerous studies. A reduction factor of 5 decadic units is achieved even with concentrations of >0.001% octenidine dihydrochloride (i.e. 1/100 of the active ingredient concentration in Octenisept®) within 1 min. Although the cytotoxicity of the active ingredient in the concentrations necessary for activity is low, it is present even at concentrations higher than 0.001% by weight octenidine dihydrochloride. Hence there are limits on the use of octenidine dihydrochloride for example on chronic wounds.
It was thus an object of this invention to develop preparations based on octenidine dihydrochloride which—while retaining the activity—have distinctly better tolerability. It was specifically intended to achieve an improvement in the therapeutic range, a reduction in the risk of local side effects and a distinctly improved acceptance by the user.
It has now surprisingly emerged that the object is achieved by an antimicrobial preparation which comprises octenidine dihydrochloride encapsulated in liposomes.
The invention is based inter alia on the finding that an unchanged reduction in microbes—by comparison with an aqueous octenidine dihydrochloride solution—is achieved through interactions of octenidine dihydrochloride with for example phospholipid liposomes, whereas the cytotoxicity is greatly diminished by comparison with the solution. Hence, octenidine dihydrochloride bound on or in liposomes results in very well tolerated preparations according to the invention.
Preferred preparations according to the invention are in the form of solution, dispersion, cream (O/W, W/O, O/W/O, W/O/W or ambiphilic cream), ointment or suppository. The content of octenidine dihydrochloride is preferably from 0.001 to 5% by weight, more preferably from 0.003 to 1% by weight, in particular from 0.005 to 0.1% by weight, such as, for example, 0.01 to 0.06% by weight, in each case based on the complete preparation. Besides the octenidine dihydrochloride encapsulated in the liposomes, the preparation according to the invention may comprise further octenidine dihydrochloride which, for example, is adsorbed on the liposomes. The amount of octenidine dihydrochloride encapsulated in liposomes is preferably at least 20% by weight, more preferably at least 30% by weight, in particular at least 50% by weight, i.e. 70% by weight, based on the total amount of octenidine dihydrochloride present in the preparation.
It is possible according to the invention for the preparation where appropriate to comprise further active ingredients which supplement the activity of octenidine dihydrochloride and can, if they are combined with octenidine dihydrochloride, be employed in a distinctly lower concentration than in known commercial products.
Suitable dosage forms are semisolid:
Ointments (lat. unguenta) are spreadable preparations which are intended for use on the skin by application or rubbing in. They consist of one or more ointment bases (such as petrolatum, wool fat, lanolin etc.) into which the active ingredient is incorporated. The active ingredient should be dissolved or very finely dispersed. In order to increase the solubility, ointments often comprise water or oils. However, the fat/oil content in an ointment is higher than the water content.
Creams are very similar to ointments but the water content therein is higher than the fat/oil content.
CreSa is a short designation for a combination of cream and ointment.
The viscosity of ointments and creams according to the invention is generally from 500 to 15 000 mPa·s, preferably 1000 to 10 000 mPa·s, measured with a rotational viscometer at 95s-1 and 20° C. (e.g. of the type RV20, System M5, measuring unit SV1, from Thermo Haake).
Paste is the designation for ointments in which ingredients in powder form (e.g. zinc oxide, talc etc.) are dispersed in large amount. Pastes comprise no water and, through the large proportion of powders, are substantially firmer than ointments.
Hydroalcoholic gels (hydrogels) are valued for their transparency and non-greasy characteristics. Lipophilic gels (oleogels) are likewise employed because of their aesthetic appearance and their consistency-conferring properties. Gels are predominantly intended for external use and should be applied thinly.
A hydrogel is a usually translucent composition which is manufactured with the aid of gelatin, tragacanth, Carbopol or similar swelling agents with the addition of water and glycerol. They have a cooling effect through the evaporation of the water.
Lipophilic gels include a lipophilic phase. Matrix formers employed, besides higher-molecular weight homologues of the lipid phase, are also organo-modified bentonites (Benton®) and colloidal silicon dioxide.
Emulsion means preparations consisting of immiscible liquids, e.g. oil and water. A distinction is made between W/O (water in oil) or O/W (oil in water) emulsions and ambiphilic emulsions. The latter must be vigorously shaken before use. Addition of an emulsifier makes it possible for the liquids to be distributed extremely finely within one another, and the emulsions are thus stable, i.e. the oil and the water do not separate again. Depending on the mode of application, emulsions are intended for internal or external use. Emulsions for external use are frequently referred to as lotions. This takes the form of an oil-in-water emulsion.
CreLo means a combination of cream and lotion.
Suppositories (lat. suppositoria) are single-dose pharmaceutical preparations which have various shapes and are intended for introduction into the rectum and there deliver the active ingredient after melting or dissolving. They consist of a hard fat (e.g. Stadimol) or polyethylene glycol, in which the active ingredient is incorporated with input of heat. This heated composition is then poured into moulds. Hard fat suppositories are heat-sensitive and should therefore never be stored above 25° C. A normal suppository size for adults is about 2 g and for children about 1 g. Suppositories should best be introduced after defecation and in supine position. Introduction can be facilitated by previously dipping the suppository in water. Rubbing in creams or ointments should be avoided because it may impair the activity of the suppositories.
Suppositories to be introduced into the vagina are differentiated into vaginal suppositories and vaginal pessaries (lat. ovulum). The vaginal suppositories are similar in manufacture and basic composition to the “normal” suppositories. Vaginal pessaries mostly consist of gelatin, water and glycerol and have a spherical shape. The weight of both dosage forms is about 3 g. Application should take place where possible in the evening and in the supine position. In this case too, creams should be dispensed with for the introduction. An introduction aid is supplied by the manufacturer together with various suppositories. Storage below 25° C. is important here too.
Examples of dosage forms are (data in % by weight):
The preparations according to the invention can be employed for example for the following indications:
In a first embodiment, the preparation according to the invention is employed for the treatment of wounds. This entails preferably choosing an emulsifier-free formulation which comprises a large extent of moisture factors (e.g. a gel).
A formulation of a preparation comprising octenidine dihydrochloride for use according to the invention for the treatment of infected eczemas is preferably, according to skin type, an oil-in-water (O/W), water-in-oil (W/O) or ambiphilic emulsion (creams).
Gels and creams are preferably used as formulation for the semisolid preparation for the treatment of mycoses.
4. Vaginal infections
Dosage forms suitable and preferred for the treatment of vaginal infections are creams and suppositories. Octenidine dihydrochloride in preparations of these types displays a particularly advantageous effect because it is active both against fungi and against bacteria, and the use of two different products is unnecessary.
Liposomes are spherical structures (diameter 25 nm to 1 μm) composed of one or more concentric lipid bilayers with aqueous interior (lipid vesicle). Vesicles of this type can be manufactured by very fine mechanical dispersion for example of phospholipids such as phosphatidylcholine (lecithin) in aqueous media. A preferred diameter of the liposomes in this connection is from 50 to 400 nm.
The amount of liposome-forming substance, in particular phosphatidylcholine, is preferably in the range from 0.1 to 30% by weight, preferably 0.5 to 20% by weight, in particular 1 to 10% by weight, for example 3 to 8% by weight, based on the complete preparation. Preparations preferred in this connection are those where the liposomes are formed from (glycerol) phospholipid, preferably phosphatidylcholine (lecithin). The acyl radicals of the phosphatidylcholine may be derived from saturated or unsaturated fatty acids.
The preparations according to the invention can be manufactured by processes known in the state of the art. Liposomes typically form spontaneously at high shear from an aqueous solution, for example of the phospholipids, above the transition temperature. The procedure in this connection may be, as shown in the examples, to mix water (or an aqueous solution of another ingredient of the preparation) at elevated temperature (for example about 70° C.) with phospholipid and octenidine dihydrochloride, and then to homogenize this mixture.
In a further embodiment, the invention thus relates to such a process.
In addition, the invention relates to the use of phospholipids for manufacturing a preparation which comprises octenidine dihydrochloride for reducing the cytotoxicity of the preparation.
The advantages of the invention are evident in particular from the following examples. All percentage data therein are based on weight.
R1—O—CH (CH2OR2) CH2—O—P(O)(O)—O—CH2—CH2—N(CH3)3
R1, R2=acyl radicals of fatty acids
R1, R2=acyl radicals of saturated fatty acids
The two further concentrations (0.025% and 0.0125%) were prepared by dilution with water.
The bactericidal and fungicidal activity was determined in the quantitative suspension test with high protein loading (“dirty conditions”) as specified in the standard methods of the Deutsche Gesellschaft für Hygiene and Mikrobiologie e.V. for testing chemical disinfection methods (date: 1 Sep. 2001). For methodological reasons, products ready for use can be tested only in concentrations of <80%.
Staphylococcus aureus
Escherichia coli
E. coli
S. aureus
I. Cream with Phospholipon® 90H and Octenidine Dihydrochloride
This formulation was prepared in an IKA L 1000 laboratory reactor with anchor stirrer (=100 rpm) and Ultra-Turrax T25 (13 500-24 000 rpm).
II. O/W Cream with Phospholipon® 90H and Octenidine Dihydrochloride
This formulation was prepared in an IKA L 1000 laboratory reactor with anchor stirrer (=100 rpm) and Ultra-Turrax T25 (13 500-24 000 rpm).
III. Hydrogel with Phospholipon® 90H and Octenidine Dihydrochloride
This formulation was prepared in an IKA L 1000 laboratory reactor with anchor stirrer (=100 rpm) and Ultra-Turrax T25 (13 500-24 000 rpm).
IV. Mixed Micelles with Phospholipon® 90 G and Octenidine Dihydrochloride
This formulation can be prepared in a glass beaker by a simple stirring technique.
The test cells used for in vitro cytotoxicity investigations were mouse fibroblasts of the cell line L929 (ATCC CCL1). Evaluation took place with the aid of two different spectrophotometric methods. With the comparative preparation, 50% of the test cells were not vital after exposure to 32.0 μg/ml (method 1) and 41.3 μg/ml (method 2) for 30 minutes. The preparation according to the invention merely showed a cytotoxicity of less than 20% even at the highest concentration possible in the test, of 250 μg/ml octenidine dihydrochloride.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10 2005 045 146.2 | Sep 2005 | DE | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP06/66282 | 9/12/2006 | WO | 00 | 6/1/2008 |
