Patent Application
20140271792
The present invention relates generally to the transdermal delivery of methylphenidate, and to compositions and methods for transdermally delivering methylphenidate, such as may be desired for treating Attention Deficit Disorder (ADD) and/or Attention Deficit/Hyperactivity Disorder (ADHD), postural orthostatic tachycardia syndrome, and narcolepsy.
Many factors influence the design and performance of transdermal drug delivery compositions. These include the individual drugs themselves, the physical and chemical characteristics of the compositions' components and their performance and behavior relative to other components, external and environmental conditions during manufacturing and storage, properties of the application site, the desired rate of drug delivery and therapeutic onset, the desired drug delivery profile, and the intended duration of delivery, among others.
Methylphenidate (MPH) is the most commonly prescribed psychostimulant drug approved for treatment of Attention Deficit Disorder (ADD) and/or attention-deficit hyperactivity disorder (ADHD), postural orthostatic tachycardia syndrome, and narcolepsy. It can be administered through different routes, including oral, sublingual, transdermal, intravenous and nasal.
Daytrana® (methyphenidate transdermal system) is the only commercially available transdermal product for methylphenidate. It is available in four dosage strengths (10, 15, 20 and 30 mg/day) and is applied for 9 hours using patch sizes correlated with the dose (12.5, 18.75, 25 and 37.5 cm2, respectively). Daytrana® is a drug-in-adhesive matrix system that is composed of methylphenidate in a polymer matrix comprised of an acrylic pressure-sensitive adhesive and a silicone pressure-sensitive adhesive. Daytrana® effectively delivers methylphenidate with satisfactory skin adhesion; however, the peel force from the release liner of the patch increases over time. This becomes a serious issue, as patients may encounter difficulties or be unable to remove the release liner as required for use. Thus, there remains a need for transdermal compositions comprising methylphenidate that exhibit suitable physical and pharmacokinetic properties.
Described herein are compositions for the transdermal delivery of methylphenidate in the form of a flexible finite system for topical application, comprising a polymer matrix comprising:
(a) about 10% to about 50% methylphenidate;
(b) from about 30% to about 80% rubber-based polymer;
(d) from about 10% to about 60% tackifying agent;
(e) optionally, from about 0% to about 50% non-reactive acrylic polymer;
(f) optionally, from about 0% to about 1% antioxidant;
(g) optionally, from about 0% to about 20% non-reactive excipient.
In some embodiments, the rubber-based polymer is selected from the group consisting of styrene-isoprene-styrene polymers, polyisobutylene polymers, and mixtures thereof. In some embodiments, the composition comprises from about 0% to about 80% styrene-isoprene-styrene polymer, such as from about 20% to about 60% styrene-isoprene-styrene polymer, and from about 0% to about 80% polyisobutylene polymer, such as from about 5% to about 50% polyisobutylene polymer. In some embodiments, the composition comprises from about 20% to about 40% methylphenidate, such as methylphenidate free base.
In any embodiments, the composition may comprise from about 10% to about 40% tackifying agent, such as rosin esters, aliphatic hydrocarbon resins, aromatic hydrocarbon resins, terpene resins, polybutene, hydrogenated polybutene, and mixtures thereof, including a C5 to C9 hydrogenated hydrocarbon resin (HHR).
In any embodiments, the composition may comprise from about 2% to about 20% non-reactive acrylic adhesive.
In some embodiments, the polymer matrix comprises only non-reactive components.
In any embodiments, the composition further comprises a backing layer and, optionally, a release liner.
In some embodiments, the composition delivers methylphenidate over a period of time of at least about 8-12 hours.
Also described are methods of manufacturing a composition for the transdermal delivery of methylphenidate in the form of a flexible finite system for topical application, comprising forming a polymer matrix comprising (a) about 10% to about 50% methylphenidate; (b) from about 30% to about 80% rubber-based polymer; (d) from about 10% to about 60% tackifying agent; (e) optionally, from about 0% to about 50% non-reactive acrylic polymer; (f) optionally, from about 0% to about 1% antioxidant; and (g) optionally, from about 0% to about 20% non-reactive excipient.
Also described are methods for the transdermal delivery of methylphenidate, comprising topically applying a composition as described herein to the skin or mucosa of a subject in need thereof. Also described are composition as described herein for use in a method of transdermal delivering methylphenidate to the skin or mucosa of a subject in need thereof, or for use in a method of treating Attention Deficit Disorder (ADD), Attention Deficit/Hyperactivity Disorder (ADHD), postural orthostatic tachycardia syndrome, or narcolepsy. Also described are the use of methylphenidate in the preparation of a medicament in the form of a composition as described herein for transdermally delivering methylphenidate to the skin or mucosa of a subject in need thereof, or for treating Attention Deficit Disorder (ADD), Attention Deficit/Hyperactivity Disorder (ADHD), postural orthostatic tachycardia syndrome, or narcolepsy.
Described herein are transdermal compositions comprising methylphenidate in a polymer matrix comprising a rubber-based pressure-sensitive adhesive. The compositions exhibit suitable physical and pharmacokinetic properties, and do not suffer from the release liner peel problems associated with the Daytrana® product.
Technical and scientific terms used herein have the meanings commonly understood by one of ordinary skill in the art to which the present invention pertains, unless otherwise defined. Reference is made herein to various methodologies known to those of ordinary skill in the art. Publications and other materials setting forth such known methodologies to which reference is made are incorporated herein by reference in their entireties as though set forth in full. Any suitable materials and/or methods known to those of ordinary skill in the art can be utilized in carrying out the present invention. However, specific materials and methods are described. Materials, reagents and the like to which reference is made in the following description and examples are obtainable from commercial sources, unless otherwise noted.
As used herein, the singular forms “a,” “an,” and “the” designate both the singular and the plural, unless expressly stated to designate the singular only.
The term “about” and the use of ranges in general, whether or not qualified by the term about, means that the number comprehended is not limited to the exact number set forth herein, and is intended to refer to ranges substantially within the quoted range while not departing from the scope of the invention. As used herein, “about” will be understood by persons of ordinary skill in the art and will vary to some extent on the context in which it is used. If there are uses of the term which are not clear to persons of ordinary skill in the art given the context in which it is used, “about” will mean up to plus or minus 10% of the particular term.
The phrase “substantially free” as used herein means that the described composition (e.g., polymer matrix, etc.) comprises less than about 5%, less than about 3%, or less than about 1% by weight, based on the total weight of the composition at issue, of the excluded component(s).
As used herein “subject” denotes any mammal in need of drug therapy, including humans. For example, a subject may be suffering from or at risk of developing a condition that can be treated or prevented with methylphenidate (such as ADD or ADHD, postural orthostatic tachycardia syndrome, or narcolepsy), or may be taking methylphenidate for health maintenance purposes.
As used herein, the terms “topical” and “topically” mean application to a skin or mucosal surface of a mammal, while the terms “transdermal” and “transdermal” connote passage through the skin or mucosa (including oral, buccal, nasal, rectal and vaginal mucosa), into systemic circulation. Thus, the compositions described herein may be applied topically to a subject to achieve transdermal delivery of methylphenidate.
As used herein, the phrases “therapeutically effective amount” and “therapeutic level” mean that drug dosage or plasma concentration in a subject, respectively, that provides the specific pharmacological effect for which the drug is administered in a subject in need of such treatment. It is emphasized that a therapeutically effective amount or therapeutic level of a drug will not always be effective in treating the conditions/diseases described herein, even though such dosage is deemed to be a therapeutically effective amount by those of skill in the art. For convenience only, exemplary dosages, drug delivery amounts, therapeutically effective amounts and therapeutic levels are provided below with reference to adult human subjects. Those skilled in the art can adjust such amounts in accordance with standard practices as needed to treat a specific subject and/or condition/disease.
As used herein, “active surface area” means the surface area of the drug-containing polymer matrix of the transdermal drug delivery system.
The compositions described herein are in a “flexible, finite form.” As used herein, the phrase “flexible, finite form” means a substantially solid form capable of conforming to a surface with which it comes into contact, and capable of maintaining contact so as to facilitate topical application. Such systems in general are known in the art and commercially available, such as transdermal drug delivery patches. The compositions comprise a drug-containing polymer matrix that releases an active agent (such as methylphenidate) upon application to the skin (or any other surface noted above). In some embodiments, the composition in flexible, finite form may include a backing layer and/or a release liner layer in addition to a drug-containing polymer matrix layer.
As used herein, “drug-containing polymer matrix” refers to a polymer composition which contains one or more drugs, such as methylphenidate, and a polymer, such as a pressure-sensitive adhesive polymer or a bioadhesive polymer. A polymer is an “adhesive” or “bioadhesive” if it has the properties of adhesiveness per se. Other polymers can function as an adhesive or bioadhesive by the addition of tackifiers, plasticizers, crosslinking agents, skin permeation enhancers, or other excipients. Thus, in some embodiments, the polymer optionally comprises tackifiers, plasticizers, crosslinking agents or other additives known in the art.
As used herein, the term “pressure-sensitive adhesive” refers to a viscoelastic material which adheres instantaneously to most substrates with the application of very slight pressure and remains permanently tacky. As noted above, a polymer is a pressure-sensitive adhesive polymer if it has the properties of a pressure-sensitive adhesive per se. Other polymers may function as a pressure-sensitive adhesive by admixture with tackifiers, plasticizers or other additives. The term pressure-sensitive adhesive also includes mixtures of different polymers.
As used herein, the term “non-reactive component” identifies components that do not contain functional groups with active hydrogen atoms or functional groups with hydrogen atoms available for chemical reaction or interaction with methylphenidate, such as, for example, carboxyl, hydroxyl, amine, thiol, silanol, or epoxy groups. As used herein, non-reactive components may include amide group-containing monomers (e.g., components with amido groups).
In some embodiments, the polymer matrix is a pressure-sensitive adhesive at room temperature and exhibits desirable physical properties, such as good adherence to skin, ability to be peeled or otherwise removed without substantial trauma to the skin, retention of tack with aging, etc.
Methylphenidate
Methylphenidate (a-phenyl-2-piperidineacetic acid methyl ester) is a chiral drug. While commercially available methylphenidate products (such as the oral product Ritalin® tablets and the transdermal product Daytrana®) patch include a 50:50 (racemic) mixture of d- and l-threo-methylphenidate, it is believed that the d-threo-methylphenidate isomer has greater pharmacological activity. The compositions described herein may be formulated with any isomer of methylphenidate, although compositions comprising a racemic mixture of d- and l-threo-methylphenidate, or comprising primarily the d-threo-methylphenidate isomer may be most commercially relevant.
The compositions described herein may be formulated with methylphenidate free base (“methylphenidate base”), any pharmaceutically acceptable salt thereof, or mixtures thereof. Exemplary suitable pharmaceutically acceptable salts of methylphenidate are salts of weak inorganic and organic acids, and quaternary ammonium salts. These include without limitation, salts with acids such as sulfuric, phosphoric, hydrochloric, hydrobromic, hydriodic, sulfamic, citric, lactic, maleic, malic, succinic, tartaric, cinnamic, acetic, benzoic, gluconic, or ascorbic acid, or quaternary ammonium salts with organic esters of sulfuric, hydrohalic, or aromatic sulfonic acids, such as methyl chloride, methyl bromide, ethyl chloride, propyl chloride, butyl chloride, isobutyl chloride, benzylchloride, benzyl bromide, phenethyl bromide, naphthymethyl chloride, dimethyl sulfate, methyl benzenesulfonate, ethyl toluenesulfonate, ethylene chlorohydrin, propylene chlorobydrin, allyl bromide, methylallyl bromide or crotyl bromide esters.
Methylphenidate, including methylphenidate base in particular, has a secondary amine moiety and a methyl ester moiety, and is unstable and undergoes degradation in the presence of reactive functional groups, such as active hydrogen atoms or functional groups with hydrogen atoms available for chemical reaction or interaction with methylphenidate, such as, for example, carboxyl, hydroxyl, amine, thiol, silanol or epoxy groups, which may be present in polymers, enhancers, excipients and other components that typically may be used in transdermal compositions. Major degradants of methylphenidate include ritalinic acid and erythol isomer, whose concentrations increase significantly with increasing amounts (by weight) of functional groups. Such degradation can greatly reduce the amount of the active species present in a composition after storage, thus reducing the amount of active methylphenidate available for drug delivery. Thus, in some embodiments, the compositions described herein are formulated without components that have such functional groups. That is, in some embodiments, the compositions described herein are formulated only with non-reactive components as defined above and discussed in more detail below.
The compositions described herein include a therapeutically effective amount of methylphenidate or pharmaceutically acceptable salt thereof. Generally, the amount of methylphenidate is from about 1% to about 50%, including from about 5% to about 40%, such as from about 10% to about 30% by weight, or from about 20% to about 30% by weight, based on the total dry weight of the polymer matrix. In specific embodiments, the polymer matrix comprises about 20% by weight methylphenidate, based on the total dry weight of the polymer matrix. In specific embodiments, the polymer matrix comprises about 25% by weight methylphenidate, based on the total dry weight of the polymer matrix. In specific embodiments, the polymer matrix comprises about 27.5% by weight methylphenidate, based on the total dry weight of the polymer matrix. In specific embodiments, the polymer matrix comprises about 30% by weight methylphenidate, based on the total dry weight of the polymer matrix.
In accordance with any of the embodiments described herein, the composition may include from about 20 to about 225 mg per unit of methylphenidate base or an equivalent amount of a pharmaceutically acceptable salt thereof.
Polymer Matrix
As noted above, the compositions described herein comprise methylphenidate formulated in a polymer matrix (e.g., a drug-in-adhesive polymer matrix). In some embodiments, the polymer matrix comprises a rubber-based pressure-sensitive adhesive. Examples of suitable rubber-based polymers include natural or synthetic polyisoprene, polybutylene, polyisobutylene, styrene-butadiene polymers, styrene-isoprene-styrene block copolymers, hydrocarbon polymers, such as butyl rubber, halogen-containing polymers, such as polyacrylic-nitrile, polytetrafluoroethylene, polyvinylchloride, polyvinylidene chloride, and polychlorodiene, and other copolymers thereof. In some embodiments, the polymer matrix comprises one or more polyisobutylene polymers. In some embodiments, the polymer matrix comprises one or more styrene-isoprene-styrene block copolymers. In some embodiments, the polymer matrix comprises one or more one or more polyisobutylene polymers and one or more styrene-isoprene-styrene block copolymers.
Polyisobutylene polymers suitable for use in polymer matrix compositions are known and are available commercially, and include those sold by BASF under the Oppanol® B brand, which is a series of medium and high molecular weight polyisobutylene polymers having a weight-average molecular weight (Mw) between 40,000 and 4,000,000, and include Oppanol® B100 and Oppanol® B11SFN. In some embodiments, the polymer matrix comprises two or more polyisobutylene polymers of different molecular weights. In accordance with these embodiments, the relative amounts of polyisobutylene polymers can be selected and tailored to produce a product with satisfactory physical and pharmacokinetic properties. In some embodiments, the polyisobutylene polymer is PIB513, which is an adhesive solution containing 6.29% Oppanol®B100 (MW 1,110,000), 37.39% Oppanol® B11SFN (MW 46,000) and 55.92% Toluene.
Styrene-isoprene-styrene block copolymers suitable for use in polymer matrix compositions are known and are available commercially, and include those sold by Kraton Polymers US under the Kraton® brand name, such as Kraton® D111 KT.
In some embodiments, the polymer matrix includes, in addition to the rubber-based polymer components one or more acrylic polymers. In some embodiments, any acrylic polymers are non-reactive components that do not include functional groups that are reactive with methylphenidate, as discussed above. Such acrylic polymers include any acrylic-type of polymers comprised of monomers that do not include functional groups reactive with methylphenidate, such as acid-functional or hydroxy-functional groups, as discussed above. Examples of suitable non-reactive acrylic polymers include those formed from acrylic esters copolymerized with other monomers that do not include groups that are reactive with methylphenidate, and include homopolymers, copolymers, terpolymers, etc., of esters or amides of acrylic-type carboxylic acids. In some embodiments, the acrylic polymer comprises one or more non-reactive acrylic polymers with a random, block, graft and/or hybrid structure.
Suitable acrylic polymers can be obtained commercially or by polymerizing or copolymerizing suitable monomers such as acrylic monomers and other polymerizable monomers. Acrylate monomers which can be used include alkyl acrylates and alkyl methacrylates, such as methyl acrylate, methyl methacrylate, butyl acrylate, butyl methacrylate, hexyl acrylate, hexyl methacrylate, 2-ethylbutyl acrylate, 2-ethylbutyl methacrylate, isooctyl acrylate, isooctyl methacrylate, 2-ethylhexyl acrylate, 2-ethylhexyl methacrylate, decyl acrylate, decyl methacrylate, dodecyl acrylate, dodecyl methacrylate, tridecyl acrylate, and tridecyl methacrylate, and amide-group containing-monomers, such as octyl acrylamide, and also acrylic acid, methacrylic acid, ethyl acrylate, propyl acrylate, amyl acrylate, heptyl acrylate, octyl acrylate, nonyl acrylate, 2-ethylbutyl acrylate, 2-ethylbutyl methacrylate, isooctyl acrylate, isooctyl methacrylate, dodecyl acrylate, dodecyl methacrylate, tridecyl acrylate, tridecyl methacrylate, glycidyl acrylate, and corresponding methacrylic esters. In specific embodiments, the non-reactive acrylic polymer includes methyl acrylate monomers and 2-ethylhexyl acrylate monomers. In other specific embodiments the non-reactive acrylic polymer includes methyl methacrylate monomers, 2-ethylhexyl acryl ate monomers, butyl acrylate monomers and amide-group containing monomers.
Suitable non-reactive random acrylic polymers which are commercially available include those sold by Henkel North America under the Duro-Tak® brand such as Duro-Tak® 87-900A, 87-9088, 87-9301A, 87-901A, and 87-9085, and those sold by Cytec Surface Specialties, St. Louis, Mo., under the Gelva® Multipolymer Solution brand, such as Gelva® GMS 3087, 3235, 3071 and 3067. Other suitable acrylic polymers are known in the art. See, e.g., the non-reactive acrylic polymers described in Satas, “Acrylic Adhesives, H
In some embodiments, the type and amount of acrylic polymer is selected to achieve a composition with desired physical or pharmacokinetic properties. For example, the type and amount of acrylic polymer can impact the adhesion properties of the composition. Additionally or alternatively, the type and amount of acrylic polymer can impact the solubility of methylphenidate in the polymer matrix, which in turn can impact pharmacokinetics, such as the rate and duration of drug delivery.
In some embodiments, the polymer matrix is substantially free of silicone polymers. In some embodiments, the polymer matrix is free of silicone polymers. By “free of silicone polymers” is meant that the composition is formulated without silicone polymers, such that at most only trace amounts are present as impurities or contaminants.
Other Components
The polymer matrix of the compositions described herein optionally may further comprise other components typically used in a transdermal drug delivery composition, such as tackifiers, plasticizers, crosslinking agents, skin permeation enhancers, or other excipients known in the art. In some embodiments, any such components are non-reactive components, as discussed above.
Penetration Enhancers
Although methylphenidate does not generally require a penetration enhancer, in some embodiments, the polymer matrix comprises a penetration enhancer. A “penetration enhancer” is an agent known to accelerate the delivery of the drug through the skin. These agents also have been referred to as accelerants, adjuvants, and sorption promoters, and are collectively referred to herein as “enhancers.” This class of agents includes those with diverse mechanisms of action, including those which have the function of improving percutaneous absorption, for example, by changing the ability of the stratum corneum to retain moisture, softening the skin, improving the skin's permeability, acting as penetration assistants or hair-follicle openers or changing the state of the skin including the boundary layer. In some embodiments, the penetration enhancer is a non-reactive component as discussed above.
Illustrative penetration enhancers include but are not limited to polyhydric alcohols such as dipropylene glycol, propylene glycol, and polyethylene glycol; oils such as olive oil, squalene, and lanolin; fatty ethers such as cetyl ether and oleyl ether; fatty acid esters such as isopropyl myristate; urea and urea derivatives such as allantoin which affect the ability of keratin to retain moisture; polar solvents such as dimethyldecylphosphoxide, methyloctylsulfoxide, dimethyllaurylamide, dodecylpyrrolidone, isosorbitol, dimethylacetonide, dimethylsulfoxide, decylmethylsulfoxide, and dimethylformamide which affect keratin permeability; salicylic acid which softens the keratin; amino acids which are penetration assistants; benzyl nicotinate which is a hair follicle opener; and higher molecular weight aliphatic surfactants such as lauryl sulfate salts which change the surface state of the skin and drugs administered. Other agents include oleic and linoleic acids, ascorbic acid, panthenol, butylated hydroxytoluene, tocopherol, tocopheryl acetate, tocopheryl linoleate, propyl oleate, and isopropyl palmitate.
In some embodiments, the polymer matrix does not comprise a penetration enhancer.
When present, a penetration enhancer typically is used in an amount up to about 30% by dry weight of the polymer matrix, including up to 30% by weight, up to about 20% by weight, including 20% by weight, or up to about 10% by weight, up to 10% by weight, or up to 5% by weight, including up to 5% by weight, based on the dry weight of the polymer matrix.
Antioxidants
In some embodiments, the polymer matrix includes an antioxidant. In some embodiments, the antioxidant is butylhydroxytoluene (BHT) and/or butylhydroxyanisole (BHA). In other embodiments, the antioxidant is, additionally or alternatively, tertiary-butylhydroquinone (TBHQ), alpha tocopherol, ascorbic-acid, ascorbyl palmitate, propyl gallate, fumaric acid, malic acid, sodium ascorbate, sodium metabisulfite, and the like. In some embodiments, the antioxidant is a non-reactive component as discussed above. In specific embodiments, the antioxidant (or combinations thereof) are used in a total amount of from about 0.01 to about 5.0% by weight, including from about 0.1 to about 1.0% by weight, such as about 0.1% by weight, about 0.25% by weight, and about 0.5% by weight, based on the dry weight of the polymer matrix.
Tackifying Agents
In some embodiments, the polymer matrix comprises one or more tackifying agents, such as aliphatic hydrocarbons, mixed aliphatic and aromatic hydrocarbons, aromatic hydrocarbons, substituted aromatic hydrocarbons, hydrogenated esters, polyterpenes, silicone fluid, mineral oil and hydrogenated wood rosins. In some embodiments, the polymer matrix includes one or more tackifying agents selected from rosin esters, aliphatic hydrocarbon resins, aromatic hydrocarbon resins, terpene resins, polybutene, and hydrogenated polybutene. In specific embodiments, the polymer matrix includes one or more C5 to C9 hydrogenated hydrocarbon resins (HHR).
Other Excipients
In some embodiments, the polymer matrix includes one or more thickeners, fillers, and/or other additives or components known for use in transdermal drug delivery systems.
For example, in some embodiments, the polymer matrix includes one or more of soluble and insoluble polyvinylpyrrolidones (PVP), ethylene-vinyl acetate copolymers, cellulose derivatives, and silicone dioxide (SiO2), and other components.
In some embodiments, the polymer matrix includes one or more binders, such as lecithin, which “bind” the other ingredients; one or more rheological agents (thickeners) containing silicone, such as fumed silica, reagent grade sand, precipitated silica, amorphous silica, colloidal silicon dioxide, fused silica, silica gel, quartz and particulate siliceous materials commercially available as Syloid®, Cabosil®, Aerosil®, and Whitelite®, such as for enhancing the uniform consistency or continuous phase of the composition or coating.
Other additives and excipients include diluents, stabilizers, fillers, clays, buffering agents, biocides, humectants, anti-irritants, preservatives, plasticizing agents, cross-linking agents, flavoring agents, colorants, pigments and the like. Such substances cart be present in any amount sufficient to impart the desired properties to the composition, and are typically used in amounts totaling up to 50%, including from about 0.1% to about 30%, by weight based on the dry weight of the polymer matrix. As noted above, in some embodiments, any such components are non-reactive components.
Polymer Matrix Formulations
In some embodiments, the polymer matrix comprises:
(a) about 10% to about 50% methylphenidate;
(b) from about 30% to about 80% rubber-based polymer;
(d) from about 10% to about 60% tackifying agent;
(e) optionally, from about 0% to about 50% non-reactive acrylic polymer;
(f) optionally, from about 0% to about 1% antioxidant;
(g) optionally, from about 0% to about 20% non-reactive excipient.
In some embodiments, the polymer matrix comprises, on a weight/weight basis, about 10% to about 50% methylphenidate (e.g., methylphenidate free base), including from about 20% to about 40% methylphenidate, such as about 25%, 27.5% or 30%.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 80% styrene-isoprene-styrene, including from about 20% to about 60%, such as about 30%, 32.5%, 35%, 40%, 45%, or 50%.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 80% polyisolbutylene, including 5% to 50%, polyisobutylene, such as about 5% or 10%. In embodiments with high polyisobutylene contents, the composition may comprise excipients to strengthen the adhesive matrix and control cold flow.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 60% of a tackifiers, including from about 10% to about 40%, such as 20%, 27.5%, or 30%.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 50% non-reactive acrylic polymer, including from about 2% to about 20%, such s 5%.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 1% of an antioxidant.
In accordance with any of these embodiments, the polymer matrix comprises, on a weight/weight basis, from about 0% to about 20% of other components, such as penetration enhancers, solubility modifiers, formulation modifiers, etc.
In some embodiments, the polymer matrix comprises only non-reactive components as discussed above. For example, in some embodiments, the polymer matrix is formulated using only non-reactive components.
In some embodiments, the compositions described herein do not suffer from peel release problems associated with methylphenidate silicone pressure-sensitive adhesive polymer matrix compositions. Thus, such embodiments offer advantages offer current commercial transdermal methylphenidate products.
In some embodiments, the compositions described herein achieve a higher flux of methylphenidate (e.g., higher rate of transdermal drug delivery) than methylphenidate silicone pressure-sensitive adhesive polymer matrix compositions, such as about 1.5, 1.6, 1.7, 1.75, 1.8, 1.9, 2.0, 2.1, 2.2, 2.3, 2.4, 2.5, or more, times the flux of the Daytrana® composition. In some embodiments, the compositions described herein have a lower residual drug content after application than methylphenidate silicone pressure-sensitive adhesive polymer matrix compositions (e.g., a greater portion of the drug formulated in the composition is delivered). While not wanting to be bound by any theory, it is believed that this is due to the lower solubility of methylphenidate in the rubber-based adhesives of the compositions described herein. As a result of the greater flux of the compositions described herein, a methylphenidate flux comparable to that achieved by a commercial Daytrana® system can be achieved by a smaller system (e.g., a system with a smaller active surface area). This in turn offers advantages in the context of cost savings and improved patient compliance.
In some embodiments, compositions described herein comprising a styrene-isoprene-styrene polymer exhibit high cohesion and/or shear strength even with relatively high methylphenidate loading (e.g., with methylphenidate loading close to saturation), which may reduce, minimize or avoid cold flow. While not wanting to be bound by any theory, it is believed that this is due to the aromatic ring stacking effect of styrene moieties.
Backing Layer
Any of the compositions described herein may include a drug impermeable backing layer to or film, adjacent one face of the polymer matrix. (By “impermeable” to the drug is meant that no substantial amount of drug loss through the backing layer is observed.) When present, the backing layer protects the polymer matrix from the environment and prevents loss of the drug and/or release of other components to the environment during use. Materials suitable for use as backing layers are well-known known in the art and can comprise films of polyester, polyethylene, vinyl acetate resins, ethylene/vinyl acetate copolymers, polyvinyl chloride, polyurethane, and the like, metal foils, non-woven fabric, cloth and commercially available laminates. A typical backing material has a thickness in the range of 2 to 1000 micrometers. Suitable backing materials include commercially available backings films, such as breathable backings such as 3M CoTran™ backings, which feature low moisture vapor transmission rates and high oxygen transmission, and non-breathable polyester-based laminate backings such as 3M Scotchpak® backings (3M, St. Paul, Minn.).
Release Liner
Any of the compositions described herein may include a release liner, typically located adjacent the opposite face of the system as compared to the backing layer. When present, the release liner is removed from the system prior to use to expose the polymer matrix layer prior to topical application. Materials suitable for use as release liners are well-known known in the art and commercially available, and include silicone-coated polyethylene, polypropylene, polyester, and polystyrene release liners sold under the PRIMELINER™ brand as supplied by Loparex LLC (Cary, N.C.) and 3M Scotchpak™ fluoropolymer-coated polyester release liners supplied by 3M (St. Paul, Minn.).
Manufacturing Methods
The compositions described here can be prepared by methods known in the art, such as blending (mixing) the polymer(s), tackifier(s) and, as needed, other excipients with an appropriate amount of the drug in the presence of an appropriate solvent, such as a volatile organic solvent, casting the wet blend onto a release liner, followed by evaporation of the volatile solvent(s) at appropriate drying conditions, laminating the dried drug-in-adhesive layer on the release liner onto a backing film.
In accordance with any of the embodiments of the compositions described herein, the coat weight of the polymer matrix can be, in some embodiments, from about 3 mg/cm2 to about 20 mg/cm2, based on the active surface area of the polymer matrix, including from about 5 mg/cm2 to about 10 mg/cm2, based on the active surface area of the polymer matrix. Exemplary coat weights include about 3 mg/cm2, about 4 mg/cm2, about 5 mg/cm2, about 5.5 mg/cm2, about 6 mg/cm2, about 6.5 mg/cm2, about 7 mg/cm2, about 7.5 mg/cm2, about 8 mg/cm2, about 8.5 mg/cm2, about 9 mg/cm2, about 9.5 mg/cm2, about 10 mg/cm2, about 12 mg/cm2, about 15 mg/cm2, about 17 mg/cm2, and about 20 mg/cm2.
In accordance with any of the embodiments of the compositions described herein, the methylphenidate can be present, in some embodiments, in an amount from about 0.5 mg/cm2 to about 5 mg/cm2, based on the active surface area of the of the polymer matrix, including from about 1.2 mg/cm2 to about 3 mg/cm2. Exemplary amounts include about 0.5 mg/cm2, about 0.8 mg/cm2, about 1 mg/cm2, about 1.2 mg/cm2, about 1.4 mg/cm2, about 1.6 mg/cm2, about 1.7 mg/cm2, about 1.8 mg/cm2, about 2.0 mg/cm2, about 2.2 mg/cm2, about 2.4 mg/cm2, about 2.6 mg/cm2, about 2.8 mg/cm2, about 3.0 mg/cm2, about 3.3 mg/cm2, about 3.5 mg/cm2, about 3.7 mg/cm2, about 3.9 mg/cm2, about 4.1 mg/cm2, about 4.3 mg/cm2, about 4.5 mg/cm2, about 4.7 mg/cm2, and about 5.0 mg/cm2.
An exemplary general method for preparing a unit final product of a composition as described herein in a flexible, finite form, is as follows:
1. Appropriate amounts of one or more polymers, solvent(s) and/or co-solvent(s), and optional excipient(s) are combined and thoroughly mixed together in a vessel.
2. The methylphenidate is added to the mixture and agitation is carried out until the drug is uniformly mixed therein.
3. The composition is transferred to a coating operation where it is coated onto a release liner at a controlled specified thickness. The coated composition is then passed through an oven in order to drive off all volatile processing solvents.
4. The composition coated on the release liner is then brought into contact with a backing layer and wound into rolls.
5. Appropriate size and shape delivery systems are die-cut from the roll material and then pouched.
The order of steps, the amount of the ingredients, and the amount and time of agitation or mixing may be important process variables which will depend on the specific polymers, active agents, solvents and/or co-solvents, and optional excipients used in the composition, but these factors can be adjusted by those skilled in the art. The order in which each method step is performed can be changed if needed without detracting from the invention.
In accordance with any of the embodiments of compositions described herein, the size of the final product is, in some embodiments, in the range of from about 2 cm2 to about 60 cm2, including from about 15 cm2 to about 30 cm2, such as about 6 cm2, 8 cm2, 10 cm2, 12.5 cm2, 14.5 cm2, 15 cm2, 18.75 cm2, 22.5 cm2, 25 cm2, 27.5 cm2, 30 cm2, 37.5 cm2, and 45 cm2.
Methods of Use
The compositions described herein are useful in methods for the transdermal delivery of methylphenidate, including in methods for treating attention deficit disorder and/or attention deficit/hyperactivity disorder, postural orthostatic tachycardia syndrome, and narcolepsy. In such embodiments, a composition comprising a therapeutically effective amount of methylphenidate as described herein is topically applied to a subject in need thereof.
In some embodiments, the compositions achieve transdermal delivery of methylphenidate over a period of time of at least about 8 hours, including a period of time of at least about 8 hours to at least about 12 hours. In some embodiments, the compositions achieve transdermal delivery of methylphenidate over a period of time of about 8 hours, about 9 hours, about 10 hours, or longer, including up to and including about 24 hours. In some embodiments, the compositions are formulated for daily application.
The compositions described herein achieve a transdermal flux of methylphenidate (or a pharmaceutically acceptable salt thereof) that is sufficient to have a therapeutic effect. As used herein, “flux” (also called “permeation rate”) is defined as the absorption of a drug through skin or mucosal tissue, and is described by Fick's first law of diffusion:
J=−D(dCm/dx)
where J is the flux in g/cm2/sec, D is the diffusion coefficient of the drug through the skin or mucosa in cm2/sec and dCm/dx is the concentration gradient of the drug across the skin or mucosa.
In accordance with other embodiments, there are provided compositions as described herein for use in the transdermal delivery of methylphenidate, such as for use by topically application to the skin or mucosa of a subject in need thereof.
The following specific examples are included as illustrative of the compositions described herein. These example are in no way intended to limit the scope of the invention. Other aspects of the invention will be apparent to those skilled in the art to which the invention pertains.
The following materials are used in the examples, and are illustrative only:
Methylphenidate free base: from Mallinckrodt, Inc. (St. Louis, Mo.)
Kraton® D1111KT (formerly Kraton® D1111K): a styrene-isoprene-styrene block copolymer from Kraton Polymers US LLC (Houston, Tex.)
Oppanol® B: Polyisobutylenes Oppanol® B100 and Oppanol® B11SFN from BASF (Ludwigshafen, Germany)
Arkon® P-100: a fully hydrogenated hydrocarbon resin, from Arakawa Chemical Industries, Ltd. (Osaka, Japan)
Duro-Tak® 87-900A: a non-functional acrylic pressure-sensitive adhesive from Henkel Corporation (Bridgewater, N.J.)
Gelva® GMS 3087: a non-functional acrylic pressure-sensitive adhesive from Henkel Corporation (Springfield, Mass.)
LEXOL® IPM-NF: Isopropyl myristate from Inolex Chemical Company (Philadelphia, Pa.).
3M ScotchPak™ 9732: a backing laminate consisting of a polyester film with an ethylene vinyl acetate copolymer heat seal from 3M (St. Paul, Minn.)
PRIMELINER™ PET: a silicone-coated polyester release liner films from Loparex (Cary, N.C.)
3M Scotchpak™ 9744: a fluoropolymer-coated polyester film release liner from 3M (St. Paul, Minn.) (used in Example 3)
Compositions as described herein were formulated as listed below and prepared with a ScotchPak® 9732 backing and a silicone-coated polyester release liner, and drug flux over 9 hours was assessed by an in-vitro study using human cadaver skin. Results are set forth below and in
These data show that the compositions described herein achieve a flux that is about twice that achieved by the Daytrana® product, e.g., about 2.1 times that achieved by the Daytrana® product.
Compositions as described herein were formulated as listed below and prepared with a ScotchPak® 9732 backing and a silicone-coated polyester release liner, and drug flux over 9 hours was assessed by an in-vitro study using human cadaver skin. Results are set forth below and in
These data show that the compositions described herein achieve a flux that is about 1.7 and 1.8 times that achieved by the Daytrana® product.
Compositions as described herein were formulated as listed below and prepared with a ScotchPak® 9732 backing and a silicone- or fluoropolymer-coated polyester release liner, and drug flux over 9 hours was assessed by an in-vitro study using human cadaver skin. Results are shown below and in
These data show that the compositions described herein achieve a flux that is about 2.3 or 2.4 times that achieved by the Daytrana® product.
This application claims the priority benefits of U.S. provisional patent application 61/785,346, filed Mar. 14, 2013, the entire contents of which are incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 61785346 | Mar 2013 | US |
