Patent Application
20210100739
The present invention relates to a novel pharmaceutical composition comprising doxycycline for topical application, in particular to the eye and eyelids. The invention also relates to this topical composition for use in the treatment of bacterial infections of the skin and mucous membranes.
Doxycycline is a tetracycline antibiotic which is mainly administered per os in pharmaceutical compositions adapted for such administration, essentially tablets of different forms with different dosages of doxycycline. There is also a liquid form suitable for administration as an intravenous infusion. The active principle is used as hyclate or monohydrate.
There are no commercial formulas suitable for topical administration of the product, mainly for problems of stability and preservation of the active principle in such compositions. Indeed, pharmaceutical compositions suitable for topical application must meet strict specifications as to their preservation, so that the product undergoes little degradation (usually less than 5%) when stored for 6 months or even up to 2 years. However, doxycycline degrades on contact with water, making it unsuitable for use in the form of conventional topical formulations.
The only topical applications of doxycycline reported in the literature are extemporaneous forms containing large amounts of antibiotics for very specific diseases. For example, application RU 2095065 discloses extemporaneous topical compositions with doxycycline contents above 1% for the treatment of ulcers and burns in leprosy patients. Application US 2006/0172982 discloses compositions with more than 10% doxycycline, up to 50%, to treat and prevent infections and inflammations (allergies, colds, etc.). Application CN 10653817 describes compositions with more than 2% doxycycyline, up to more than 20%, in powder form with particle sizes of more than 70 μm. These high levels correspond well to extemporaneous formulations, for which the shelf life is short, the high content acting to compensate for the loss of active principle.
The invention allows a novel solution for the treatment of bacterial infections of the mucous membranes and skin with a topical doxycycline composition that is stable over time.
To solve the problem of doxycycline stability, the invention relates to an anhydrous pharmaceutical composition for topical application of doxycycline, characterised in that it comprises:
Preferably, the doxycycline in a form suitable for application to the skin or mucous membranes is a doxycycline salt selected from doxycycline hyclate and doxycycline monohydrate, preferably doxycycline hyclate.
The doxycycline, in particular hyclate or monohydrate, preferentially hyclate, can be b1) in powdery or micronised solid form or in solution b2) in an anhydrous polyol, preferably in liquid form at room temperature (15° C.-25° C.) selected from glycerol, propylene glycol, triethylene glycol, butylene glycol, methylene glycol and polyethylene glycols of molecular weight from 200 to 1500 and mixtures thereof.
The concentration of doxycycline, in particular hyclate, is between 0.001% and 1% (m/m), preferably between 0.005% and 0.5% (m/m), more preferentially between 0.01% and 0.1% (m/m).
The invention also relates to this topical composition for use in the treatment of bacterial infections of the mucous membranes and skin.
The composition according to the invention is a pharmaceutical composition, i.e. a composition intended to be administered to a human or to an animal, and therefore meets the internationally recognised health requirements for the design and preparation of these compositions. In particular, excipients, their use and methods of analysis are known to the skilled person in the pharmaceutical field, and in particular comply with the requirements of the pharmacopoeia, such as the European Pharmacopoeia (Ph. Eur.), the U.S. Pharmacopeial Convention (USP) and the Japanese Pharmacopoeia (JP) in force.
The composition according to the invention is an anhydrous composition in order to limit the risks of degradation of the active principle. To this end, the components of the composition are anhydrous, i.e. with a residual moisture content of less than 0.5%, preferably less than 0.2% measured according to the method of determination indicated by the European Pharmacopoeia in force such as the Karl Fischer method for example.
The composition according to the invention is suitable for topical application, i.e. for direct application to the skin and/or mucous membranes. In particular, the composition according to the invention is an ophthalmic composition, intended to be applied to the eye, to the ocular mucosa or near the eye, to the eyelids, where the product can migrate to the eye and the ocular mucosa. For an ophthalmic composition, particular attention is paid to the choice of excipients, their qualities and methods of preparation to avoid the risk of microbial contamination and/or side effects such as eye irritation due to the fragility of the eye and ocular mucosa.
The composition according to the invention is also suitable for packaging in conventional containers for topical pharmaceutical compositions, and in particular for ophthalmic compositions, in particular tubes or vials. The packaging is suitable for single-dose or multi-dose uses, possibly with or without means of dosing the quantities applied. After packaging, the composition according to the invention can be stored for several months without substantial degradation of doxycycline.
The semi-solid hydrophobic material al) is advantageously chosen from petrolatum, also known as vaseline or petroleum jelly, alone or with lanolin added in proportions customary to the skilled person. The petrolatum/lanolin mixture is also called lanovaseline, in which lanolin can represent up to 50% of the total weight of the mixture, generally in the range of 20 to 30%.
According to a preferred embodiment of the invention, the semi-solid hydrophobic material a1) is vaseline.
The liquid hydrophobic material a2) is selected from paraffin, di- or tri-esters of C6-C12 fatty acids, their mixtures and derivatives. These products used in pharmacy are well known to the skilled person. Saturated di- or tri-esters of fatty acids are esters of diols or of triols for which hydroxyls are esterified with a fatty acid. Particular mention may be made of medium-chain triglycerides (MCTs) such as glycerine and capric and caprylic acid triesters, in particular marketed under the names Miglyol® 810 or 812 or Labrafac® Lipophile. Mention may also be made of synthetic products such as polyoxyethylene C6-C12 fatty acid esters marketed under the name Labrasol®.
According to a particular embodiment of the invention, the liquid hydrophobic material a2) is paraffin.
The mass ratio of liquid hydrophobic material to semi-solid hydrophobic material preferably ranges from 50/50 to 0/100. The content of liquid hydrophobic material a2) in the mixture will depend on the properties sought for the final composition, in particular its viscosity and ease of use, depending on whether an application to the skin or mucous membranes, for example, is sought, or on the time during which the composition must be maintained in contact with the skin or mucous membranes.
The skilled person will be able to determine this content of liquid hydrophobic material a2) also taking into account the form of doxycycline that will be used. Preferably, the doxycline is in the form of a doxycycline salt selected from doxycycline hyclate and doxycycline monohydrate, preferably doxycycline hyclate.
According to a first embodiment of the invention, the doxycycline, in particular the doxycycline hyclate, is in the form of solid particles b1) of a size suitable for ophthalmic ointments. Advantageously, the particle size is less than or equal to 20 μm. This particle size is measured according to the usual methods of particle analysis described in the European Pharmacopoeia in force, such as laser diffraction particle size analysis. The final concentration of doxycycline in particulate form in the composition, in particular hyclate, is between 0.001% and 1% (m/m), preferably between 0.005% and 0.5% (m/m), more preferentially between 0.01% and 0.1% (m/m).
In this case, the anhydrous vehicle suitable for topical application will advantageously consist of a mixture of liquid hydrophobic material/semi-solid hydrophobic material with a mass ratio ranging from 50/50 to 10/90.
According to a second embodiment of the invention, the doxycycline, in particular the doxycycline hyclate, is in the form of a solution b2) in an anhydrous polyol. These anhydrous polyols described in the pharmacopoeias are advantageously chosen from glycerol, propylene glycol, polyethylene glycols with molecular weights ranging from 200 to 1500 and mixtures thereof.
The polyethylene glycols with molecular weights ranging from 200 to 1500 are advantageously chosen from Macrogols 400, 600 and 1500.
According to a preferred embodiment of the invention, the polyol is glycerol.
Preferably, the concentration of doxycycline, in particular of doxycycline hyclate in the polyol, ranges from 0.001% to 3.0% by mass based on the total mass of the solution.
The solution of doxycycline, in particular of doxycycline hyclate in the polyol may also include one or more cyclodextrins. Cyclodextrins in pharmacopoeias are well known to the skilled person. Particular mention may be made of α-cyclodextrins, β-cyclodextrins and hydroxypropyl-β-cyclodextrins.
In this case, the concentration of cyclodextrins in the polyol may advantageously range from 0.01% to 4.4% by mass based on the total mass of the solution.
According to a particular embodiment of the invention, the solution comprises:
More particularly, the total doxycycline, in particular doxycycline hyclate, cyclodextrin and polyol represents 100% by mass of the solution, i.e. the solution consists only of doxycycline, polyol and, if need be, cyclodextrin.
Such a solution is prepared according to the usual methods of solution preparation.
Doxycycline, in particular doxycycline hyclate, is added to the polyol under magnetic stirring until it is completely dissolved. The resulting mixture is clear.
The preparation of cyclodextrin, in particular of doxycycline hyclate and of cyclodextrin, is carried out under the following conditions:
According to a preferred embodiment of the invention, the composition is a ‘hydrophile-in-lipophile (H/L)’ emulsion, the solution of doxycycline (b), in particular of doxycycline hyclate in the polyol forming globules surrounded by the anhydrous vehicle (a). The globules of polyol solution have a size less than or equal to 50 μm, advantageously between 20 and 30 μm.
The final concentration of doxycycline, in particular hyclate, in the form of a solution in an anhydrous polyol in the topical composition according to the invention, in particular in the form of an emulsion, is between 0.001% and 1% (m/m), preferably between 0.005% and 0.5% (m/m), more preferentially between 0.01% and 0.1% (m/m).
The present invention also relates to the solution of doxycyline in a polyol as previously defined as such, in particular as a pharmaceutical composition or as an intermediate composition for the preparation of a pharmaceutical composition, more particularly for the preparation of a topical composition in the form of an H/L emulsion as described above and below.
Advantageously, the composition according to the invention is a preservative-free composition. Preservatives generally used in topical compositions (pharmaceuticals, cosmetics, etc.) to avoid contamination by germs are well known to the skilled person, and include quaternary ammoniums, particularly benzalkonium chloride, alkyl-dimethyl-benzylammonium, cetrimide, cetylpyridinium chloride, benzododecinium bromide, benzethonium chloride, cetalkonium chloride, mercurial preservatives, such as phenylmercuric nitrate/acetate/borate, thiomersal, alcoholic preservatives, such as ethanol, chlorobutanol, benzyl alcohol, phenylethanol, phenylethyl alcohol, carboxylic acids, such as sorbic acid, phenols, in particular methyl/propyl paraben, amidines, for example chlorhexidine digluconate and/or chelating agents such as EDTA in combination with at least one other preservative.
According to the invention, ‘preservative-free’ means a composition substantially free of such preservatives to meet an indication of ‘preservative-free’. Its preservative content is less than or equal to 10 ppm, more particularly less than or equal to 1 ppm, preferentially equal to 0 ppm, with no preservatives included in its composition.
In the absence of preservatives, the composition must undergo special treatment during its preparation and packaging in order to avoid and prevent contamination by microorganisms (such as Staphylococcus epidermidis), Staphylococcus aureus, Streptococcus pneumoniae, pneumococci, Streptococcus faecalis, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella pneumoniae, Moraxella, Corynebacterium, Acinetobacter, Escherichia coli, Haemophilus influenzae). These treatments and procedures are well known to the skilled person. In this sense, a preservative-free composition according to the invention is distinguished from a simple composition comprising the same ingredients obtained without showing any particular precautions or describing steps of the process to obtain the sterility characteristic of compositions according to the invention, in particular ophthalmic compositions.
In particular, the invention relates to the following topical compositions:
The preparation of compositions according to the invention are carried out according to the usual methods known to the skilled person, in particular with the precautions required to prepare sterile, preservative-free compositions and to package them.
The invention also relates to the use of a composition according to the invention for packaging in an appropriate pharmaceutical container to deliver the composition for topical application and storage for several months without substantial degradation of doxycycline.
The invention relates to a composition as defined above, for use in the treatment of bacterial infections of the mucous membranes or skin, in particular of the eyelids and/or the ocular mucosa.
The invention also relates to a method for treating bacterial infections of the mucous membranes or skin, in particular of the eyelids and/or the ocular mucosa, wherein an appropriate amount of composition according to the invention is applied at and/or near the place of infection and is allowed to act. The application will be repeated as necessary, advantageously until the symptoms of the infection disappear.
The composition will be advantageously used or the method will be advantageously implemented for conditions due to tetracycline sensitive bacteria, such as Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus pneumoniae, pneumococci, Streptococcus faecalis, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella pneumoniae, Moraxella, Corynebacterium, Acinetobacter, E. coli, Haemophilus influenzae for diseases such as stye, infectious conjunctivitis, infectious keratitis, blepharitis, meibomian gland dysfunction, iritis (anterior uveitis), canaliculitis and rosacea.
Materials and Methods
The different formulations are prepared using a vacuum mixer equipped with an adapted dispersion system.
The preparation in the form of a hydrophobic ointment containing the dispersed solid active principle is carried out according to the following method:
The preparation in the form of an H/L emulsion containing the active principle in solution in the polyol is carried out according to the following method:
The preparation in the form of an H/L emulsion containing the active principle and cyclodextrins in solution in the polyol is carried out according to the following method:
Stability Tests
Stability tests are performed at temperatures of 25° C. and 40° C.:
In 0.1% aqueous solution, doxycycline is rapidly degraded as shown in
In glycerol (0.1% doxycycline hyclate) with and without β-cyclodextrins, the compositions according to the invention mark their high stability with no or little degradation of doxycycline (taking into account the margins of error of the measurements), as shown in
In the topical formulation at 25° C. according to the invention, an anhydrous formulation at 0.1% doxycycline hyclate, as shown in
Particular Compositions
For the preparation of the compositions below, white petroleum jelly (petrolatum) is used as a semi-solid hydrophobic material and liquid paraffin as a liquid hydrophobic material.
| Number | Date | Country | Kind |
|---|---|---|---|
| 1752853 | Apr 2017 | FR | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2018/058447 | 4/3/2018 | WO | 00 |
