Patent Application
20050175680
The present invention relates to compositions for the transdermal delivery of physiologically active agents, to uses of those compositions, and to methods for the transdermal delivery of physiologically active agents.
There is a constant need for methods for the safe and effective administration of physiologically active agents. For many medications it is important that the administration regime is as simple and non-invasive as possible in order to maintain a high level of compliance by a patient. Oral administration is one administration regime that is commonly used because it is a relatively simple regime to follow. However, the oral administration route is also complicated because of complications associated with gastrointestinal irritation and with drug metabolism in the liver.
Administration of physiologically active agents through the skin (‘transdermal drug delivery’) has received increased attention because it not only provides a relatively simple dosage regime but it also provides a relatively slow and controlled route for release of a physiologically active agent into the systemic circulation. However, transdermal drug delivery is complicated by the fact that the skin behaves as a natural barrier and therefore transport of agents through the skin is a complex mechanism.
Structurally, the skin consists of two principle parts, a relatively thin outermost layer (the ‘epidermis’) and a thicker inner region (the ‘dermis’). The outermost layer of the epidermis (the ‘stratum corneum’) consists of flattened dead cells which are filled with keratin. The region between the flattened dead cells of the stratum corneum is filled with lipids which form lamellar phases that are responsible for the natural barrier properties of the skin.
For effective transdermal delivery of a physiologically active agent that is applied to the surface of the skin (‘topical application’), the agent must be partitioned firstly from the vehicle into the stratum corneum, it must typically then be diffused within the stratum corneum before being partitioned from the stratum corneum to the viable epidermis, dermis and into the bloodstream.
To overcome some of the problems with transdermal delivery that are associated with transport across the dermal layers (‘percutaneous absorption’), physiologically active agents can be formulated with incorporation of one or more drug penetration enhancers. For example, aqueous ethanol can be used as a vehicle in formulations for topical application. Ethanol can act as a penetration enhancer that can increase the flux of an active agent across the skin due to a solvent drag effect (Berner et al., 1989, J. Pharm. Sci, 78(5), 402-406). Padimate 0, Octyl salicylate (U.S. Pat. No. 6,299,900) and Azone™ are further examples of penetration enhancers that have been shown to improve percutaneous absorption.
Compositions that form in-situ have previously found use as biodegradable in situ forming film dressings (U.S. Pat. No. 5,792,469) for the formation of barrier surfaces for open dermal wounds.
However to date the use of amorphous compositions for advanced drug delivery systems has been largely restricted to solid-state drug delivery systems such as; oral capsules an example of which is an amorphous paroxetine composition disclosed in WO 99/16440; or drug-in-adhesive, hot-melt type transdermal patches such as those disclosed in U.S. Pat. No. 5,662,923, U.S. Pat. No. 4,409,206, U.S. Pat. No. 6,264,980 and WO 95/18603. These existing amorphous delivery systems suffer from the particular disadvantage of being prone to poor stability during storage over their shelf-life which makes them particularly difficult to design and develop and in many instances has led to variability in drug release and/or dramatic changes in physical appearance (e.g. crystallization and supersaturation in drug-in-adhesive transdermal patch delivery systems). Other workers have also described the use of a transdermal spray composition that uses a film-forming composition to form a drug reservoir above the skin (U.S. Pat. No. 6,010,716) and such systems are akin to drug-in-adhesive patches that form in-situ.
Consequently there exists a need to develop new amorphous drug delivery systems with improved design and stability whilst building upon the advantages of an amorphous pharmaceutical composition.
Whilst it is feasible that transient formation of an amorphous pharmaceutical composition could occur from existing alcohol-based volatile:non-volatile vehicles such as those disclosed in a dual-phase carrier system that uses benzyl alcohol as the dermal penetration enhancer (U.S. Pat. No. 4,820,724), or those acetone-based volatile: non-volatile vehicles using DMSO, DMAC as penetration enhancers (Feldmann, R. J.; Maibach, H. I. Percutaneous penetration of 14C hydrocortisone in man. II. Effect of certain bases and pre-treatments. Arch. Derm. 1966, 94, 649-651). These existing volatile:non-volatile delivery systems suffer from the limitations of using water soluble dermal penetration enhancers that have poor substantivity for the skin and thus are unreliable in maintaining a stable amorphous composition within the skin over the delivery period due to their propensity to wash out of the skin. Further, these prior art systems are prone to irritate the skin due to the solvent nature of the penetration enhancers used within such prior art systems (which results in significant penetration of the enhancer into the viable epidermis).
Other methods of thermodynamic-based enhancement for improving percutaneous absorption have relied upon:
While these methods have all aimed at improvements in percutaneous absorption none have solved the problem of forming a stable amorphous composition capable of controlling the extent and/or profile of transdermal release of a physiologically active agent from within the skin whilst avoiding the skin irritation seen with prior art systems and compositions.
Further the benefits of a stable, in-situ forming amorphous pharmaceutical composition for release rate control within the skin are not foreseen by existing delivery systems which rely upon the control of release rate through the modification of the drug reservoir that resides above the skin such as that described for transdermal matrices that reside above the skin of the host and which are directed at deliberately modifying the profile of the transdermal drug delivery, such examples being described in U.S. Pat. No. 5,091,186 titled Biphasic transdermal drug delivery device, or U.S. Pat. No. 5,613,958, titled Transdermal delivery systems for the modulated administration of drugs or WO 93/00058, titled Solubility parameter based drug delivery system and methods for altering drug saturation concentration.
No admission is made that any reference, including any patent or patent document, cited in this specification constitutes prior art. In particular, it will be understood that, unless otherwise stated, reference to any document herein does not constitute an admission that any of these documents forms part of the common general knowledge in the art in Australia or in any other country. The discussion of the references states what their authors assert, and the applicant reserves the right to challenge the accuracy and pertinency of any of the documents cited herein.
The present invention arises from the inventor's studies of penetration enhancers and in particular from the realisation that, for finite dose formulations, any enhancement in percutaneous absorption of a physiologically active agent is likely to result from one or more of:
Previous studies have indicated that the rate and extent of partitioning (a) is already quite efficient with or without added penetration enhancer (Morgan et al., 1998, J. Pharm. Sci, 87(10), 1213-1218). Other studies by the present inventors as well as others have shown that an increase in diffusivity in the stratum corneum (b) is dose dependent for the penetration enhancers studied and therefore once the maximum effect for (b) is achieved no further penetration enhancement is likely to occur.
The present invention arises, at least in part, from the realisation that an increase and/or control in the stratum corneum to viable epidermis partition coefficient (c) may be achieved by deliberately forming an amorphous drug in situ so that the drug has increased water solubility within the viable epidermis. To put the invention into practice the present inventor's have found that some combinations of physiologically active agent and penetration enhancer form an amorphous solid in situ when they are applied topically and that these combinations can be used for controlling the extent and/or profile of transdermal release of a physiologically active agent.
Accordingly, in a first form the present invention provides a composition including:
Amorphous deposits that are formed using compositions of the present invention can be distinguished from solid precipitate (e.g. salt derivative of a drug) or crystalline polymorphs because the amorphous deposit is formed in-situ in the skin upon evaporation of the volatile carrier. In this way, the physiologically active agent is able to rapidly partition out of the stratum corneum and into the viable epidermis. In contrast we have found that the formation of crystalline deposits in the skin typically leads to a higher propensity toward skin irritation and a decrease in percutaneous absorption efficiency (due to the need for greater energy to dissolve the crystal prior to diffusional transport). This problem increases in significance for higher melting point crystalline deposits.
Compositions of the present invention may also be more acceptable to consumers than other topical compositions because amorphous deposits have good skin feel and touch when the deposit is rubbed into the skin.
In addition to providing improved percutaneous absorption efficiency, the composition of the invention may also provide lower irritancy than some other delivery systems such as benzyl alcohol sprays, because the relatively low volume and type of volatile and non-volatile excipients used to deliver the active agent results in lower levels of irritation of the skin. Also, the composition of the present invention may avoid problems with crystallisation and/or supersaturation that are encountered with existing amorphous compositions such as amorphous type transdermal patches. This is able to be overcome because in the present invention the amorphous deposit is formed in-situ.
Accordingly in a particularly preferred embodiment the invention further provides an aerosol composition for transdermal delivery of a physiologically active agent comprising:
In a further embodiment the invention provides a pharmaceutical composition wherein the carrier comprises a hydrofluorocarbon propellant wherein topical application of the composition as an aerosol provides an amorphous deposit on evaporation of the volatile carrier, wherein the hydrofluorocarbon propellant is HFC-134a.
In a further embodiment the invention provides an aerosol applicator device for transdermal administration of physiologically active agent, the aerosol applicator comprising a chamber for containing an aerosol composition, a valve for delivering the aerosol composition and means for providing a metered dose of spray from the nozzle. The aerosol applicator may further comprise spacing means for spacing the applicator nozzle at a predetermined distance from the skin of the subject on which the spray is to be delivered.
In addition, the use of compositions of the present invention may avoid a disadvantage associated with spray nozzle blockage that is experienced with existing film-forming sprays or aerosols.
In a further aspect the present invention provides a method of delivering an amorphous drug formulation to a host, the method including the steps of applying a topical spray composition containing one or more physiologically active agents, one or more dermal penetration enhancers, and a volatile pharmaceutically acceptable solvent to the skin of the host so that the volatile solvent evaporates to form an amorphous deposit containing the active agent and the dermal penetration enhancer.
As used herein the term “amorphous” means substantially non-crystalline. It will be appreciated that, unless specified otherwise, the term amorphous includes within its scope a phase that does display some crystallinity. Amorphous for the purpose of the present invention therefore includes a phase in which only part of the deposit is in an amorphous phase. However, provided at least some of the deposit is in the amorphous phase the composition will provide the benefits of the present invention. In practice, it is preferred that at least 10% of the deposit is in the amorphous phase. The methods which may be used to assess the formation of amorphous compositions in potential compositions are Differential Scanning Calorimetry (DCS) and Brightfield microscopy. We have found that these techniques, as described herein in the examples, allow the propensity of composition to form amorphous residues in-situ to be readily determined.
The combination of physiologically active agent and dermal penetration enhancer of the present invention is limited functionally to those that together form an amorphous deposit. For this reason it is preferred that both the active agent and the dermal penetration enhancer are non-volatile relative to the volatile solvent so that upon application of the composition to the skin of the host, only the volatile solvent evaporates at physiological temperatures.
In practice, it has been found that the physiologically active agent may be selected from a range of lipophilic physiologically active agents with a molecular weight less than 600 Daltons and a melting point less than 200 degrees Celcius. A list of suitable physiologically active agents includes, but is not limited to: apomorphine, butorphanol, oxybutynin, ropinirole, rivastigmine, buspirone, rizatriptin, tolterodine, zolmitriptan, lacidipine, tropisetron, olanzapine and methyl phenidate or a pharmaceutically acceptable salt or derivative of any one of the aforementioned. Most preferably, the physiologically active agent has a molecular weight less than 400 Daltons and a melting point less than 200 degrees Celcius.
For the same reason, the dermal penetration enhancer may be selected from the classes of enhancers that are lipophilic non-volatile liquids whose vapour pressure is below 10 mm Hg at atmospheric pressure and normal skin temperature of 32 degrees Celsius. Preferably, the dermal penetration enhancer has a molecular weight within the range of 200 to 400 Daltons.
The preferred enhancers for use in accordance with the invention may be identified by their balance of organic and inorganic properties. The organic and inorganic values for each penetration enhancer for use in accordance with the invention may be determined by the method described by Fujita in “Production of organic compounds by a Conceptional Diagram” Chem. Pharm. Bull (Tokyo) 2:163 (1954). Whereby area 1 and area 2 possess different physicochemical properties, with area 1 being solvent based enhancers. The preferred penetration enhancers are taken from the area 2 of the conceptional diagram proposed by Hori et al J. Pharm. Pharmacol (1990) 42: 71-72. The preferred area spans an inorganic value of from about 0 to about 200 and an organic value of about 200 to about 400.
The preferred dermal penetration enhancers includes: fatty acids, fatty acid esters, fatty alcohols, glycols and glycol esters, 1,3-dioxolanes and 1,3-dioxanes, macrocyclic ketones containing at least 12 carbon atoms, oxazolidinones and oxazolidinone derivatives, alkyl-2-(N,N-disubstituted amino)-alkanoate esters, (N,N-disubstituted amino)-alkanol alkanoates, and mixtures thereof. Most preferably the dermal penetration enhancer is selected from the list including oleic acid, oleyl alcohol, cyclopentadecanone (CPE-218™), sorbitan monooleate, glycerol monooleate, propylene glycol monolaurate, polyethylene glycol monolaurate, 2-n-nonyl 1,3-dioxolane (SEPA™), dodecyl 2-(N,N-dimethylamino)-propionate (DDAIP) or its salt derivatives, 2-ethylhexyl 2-ethylhexanoate, isopropyl myristate, dimethyl isosorbide, 4-decyloxazolidinon-2-one (SR-38™, TCPI, Inc.), 3-methyl-4-decyloxazolidinon-2-one, and mixtures thereof.
Preferably the volatile solvent has a vapour pressure above 35 mm Hg at atmospheric pressure and normal skin temperature of 32 degrees Celsius. In a particularly preferred form of the invention the solvent is ethanol or isopropanol, or a mixture thereof.
The mole ratio of physiologically active agent to dermal penetration enhancer may be between 1:100 and 100:1. More preferably the mole ratio is between 1:20 and 20:1. Most preferably the mole ratio is 1:1.
Conveniently, the composition is a topical spray composition that contains the physiologically active agent, the drug penetration enhancer and the volatile solvent and the method includes the step of spraying the composition onto the skin of the host to form the amorphous deposit containing the physiologically active substance.
In each of the above cases the amorphous deposit is preferably formed in the epidermis of the host, or has a shortened residence time in the viable epidermis or dermis of the host. By ‘viable epidermis’ is meant the water rich tissue below the stratum corneum.
In the accompanying figures:
a Graph showing the cumulative amount of buspirone diffused across skin;
b Graph showing the plasma concentration of buspirone after transdermal delivery according to the delivery profiles shown in 6a;
A benefit of the present invention is that the composition is stable, which means that it is not prone to supersaturation or crystallisation during its pharmaceutical shelf life. This may be contrasted with transdermal patches in which crystallisation of the active agent has presented a problem in the past. Thus the composition of the present invention can be held in a primary container during the shelf life without encountering shelf-life problems of the prior art transdermal patches.
The composition of the present invention may contain from about 0.1% to about 10% of the physiologically active agent, from about 0.1% to about 10% of the dermal penetration enhancer, and from about 85% to about 99.8% of the volatile solvent by weight.
Preferably, the dermal penetration enhancer is non-irritating to the skin of a recipient. Thus, terpenes, benzyl alcohol and other solvent based enhancers may not be suitable for use in the compositions of the present invention because they irritate the skin by penetrating into the viable regions of the skin in appreciable quantities.
Optionally, the vehicle may have additional pharmaceutical excipients, for example gelling agents, such as carbopol and cellulose derivatives.
The release rate profile of the physiologically active agent from the amorphous deposit into the systemic circulation may be deliberately modified to adjust the delivery profile of the physiologically active agent within the systemic circulation to achieve a desired therapeutic effect.
A zero order release rate profile is achieved by forming an amorphous deposit that has a higher proportion of dermal penetration enhancer relative to the physiologically active agent and/or alternatively selecting a dermal penetration enhancer or combination of dermal penetration enhancers for which the physiologically active agent has a higher saturated solubility. In this way, the leaving tendency of the physiologically active agent from the amorphous deposit is modified and the initial burst of physiologically active agent across the skin is limited. The absolute amount of physiologically active agent can also be increased in the skin reservoir so as to reduce the extent of the plateau in the release rate profile toward the latter half of the dosage interval. The relative amount of crystalline to amorphous deposit may also be modified to achieve the desired release rate profile.
The release rate profile of the physiologically active agent from the amorphous deposit into the systemic circulation preferably approaches zero order in nature so as to reduce the ratio of maximum concentration (Cmax) to the average concentration (Cavg) for the physiologically active agent over the dosage interval. In this way it is possible to reduce potential side effects associated with elevated Cmax to Cavg ratios. For example Cmax to Cavg ratios less than 2 and more preferably less than 1.5.
Conversely a first order release rate profile can be achieved by selecting a dermal penetration enhancer or combination of dermal penetration enhancers in which the physiologically active agent has a lower saturated solubility thus increasing the leaving tendency of the physiologically active agent from the amorphous deposit, and increasing the initial burst of physiologically active agent across the skin. The absolute amount of physiologically active agent per unit area can also be reduced in the skin reservoir so as to increase the extent of the plateau in the release rate profile toward the latter half of the dosage interval. The relative amount of crystalline to amorphous deposit may also be modified to achieve the desired release rate profile.
Preferably, the release rate profile of the physiologically active agent from the amorphous deposit into the systemic circulation is substantially first order in nature so as to increase the ratio of Cmax to Cavg and decrease the time for maximum systemic concentration (tmax) for the physiologically active agent over the dosage interval. In this way it is possible to decrease the time to onset of therapeutic response or increase the therapeutic response after a single dose interval. For example Cmax to Cavg ratios greater than 1.5 and more preferably greater than 2 and tmax less than 4 to 6 hours and more preferably less than 2 to 3 hours.
The invention will now be described with reference to the following examples. It is to be understood that the examples are provided by way of illustration of the invention and that they are in no way limiting to the scope of the invention.
The method of in vitro diffusion of various physiologically active agents across human skin was used in accordance with the invention to assess the effect of addition of the various dermal penetration enhancers on transdermal drug delivery.
The methods of Differential Scanning Calorimetry (DSC) and Brightfield Microscopy were used in accordance with the invention to assess whether or not a composition is amorphous after evaporation of the volatile liquid and where necessary the extent of amorphous material present.
Diffusion Studies
In vitro diffusion experiments were performed using stainless steel flow-through diffusion cells, using human epidermis maintained at 32° C. The receptor solution consisted of either 10% Ethanol in 0.002% Sodium Azide. The non-occlusive composition was added to each of four cells at a finite dose of 5 μl per cell. Samples were collected at appropriate time points and analysed by reverse-phase high performance liquid chromatography (RP-HPLC).
Differential Scanning Calorimetry (DSC)
DSC is used to determine changes in physicochemical properties of compounds in combination with a dermal penetration enhancer after volatile liquid evaporation. This enables determination of the optimum ratio of drug to enhancer, which results in an altered amorphous form to enhance percutaneous absorption (i.e. enhance transdermal drug delivery).
The amorphous nature of a mixture of compounds is evident in a depressed melting point of the mixture of compounds relative to the melting point of any of the individual components of the mixture. In addition, a decrease in peak height and heat of enthalpy along with a broadening of the melting transition temperature are also characteristics inherent of amorphous compounds.
Firstly, mole ratio mixtures of the physiologically active agent and dermal penetration enhancer shown were prepared in 95% ethanol as per the compositions shown. A 10 μl aluminium micro DSC pan was placed in a 50 μl DSC aluminium pan, and 5 μl aliquots of each formulation were pipetted into the 10 μl DSC pan. The volatile liquid (95% ethanol) was allowed to evaporate and further aliquots were re-applied until a sufficient quantified residue of physiologically active agent and dermal penetration enhancer remained.
The pans were maintained at ambient temperature and 33% relative humidity for 24 hours (which simulated a typical in-use daily dosage interval), after which the pans were covered and hermetically sealed. DSC was then performed under a stream of nitrogen, at 10° C. per minute, within the temperature range that was drug dependent.
Brightfield Microscopy
Brightfield microscopy was used to determine the crystallisation/amorphous solid potential of various physiologically active agents in combination with a dermal penetration enhancer after volatile liquid (95% ethanol) evaporation. This enables a determination of the optimum ratio of drug to enhancer in conjunction with DSC.
5 μl aliquots of each formulation were pipetted onto a clean, glass slide at 32° C./ambient relative humidity. After evaporation of the volatile liquid vehicle (95% v/v ethanol), the slide was viewed under a Leica Wild microscope, linked to SPOT diagnostics camera, at 1 and 24 hours. The nature of the mixture remaining after 24 hours is assessed and the proportion by volume of amorphous material may be visually estimated.
Pharmacol 1990 42: 71-72). The preferred area spans an inorganic value of from about 0 to about 200 and an organic value of about 200 to about 400.
This example examines compositions of the invention formed by the combination of buspirone with a range of penetration enhancers having a range of organic and inorganic characteristics.
The physicochemical properties of buspirone are shown in the following table:
The penetration enhancers examined in this example were 2-n-nonyl, 1,3-dioxolane (SEPA), dodecyl 2-(N,N-dimethylamino)-propionate (DDAIP) and cylclopentadecanone (CPL).
Referring to
All formulations were prepared by accurately weighing the appropriate amount of physiological active and penetration enhancer into a volumetric flask and made up to volume with ethanol (95% v/v).
Control formulations:
All enhancer containing (test) formulations were prepared as 1:1 and 4:1 mole ratios of drug:enhancer unless stated.
2-Ethyl Acetate (EA) which has a molecular weight of 88.1Da and boiling point of 77.1° C. is included as an example of a solvent based dermal penetration enhancer which is not preferred for use in this invention because it is prone to irritate the skin or evaporate off it when using non-occlusive percutaneous or transdermal drug delivery systems.
DSC profiles were determined for the control and test formulations pure buspirone and buspirone with several particular enhancers with a mole ratio of 1:1. Solvent evaporation, for each formulation, resulted in a melting point reduction.
Microscopy of each binary mixture confirmed the part-amorphous state of buspirone. In most cases an unevenly spread oily film was observed, with occasional few small crystals present or some compositions with some needle shaped crystals protruding.
Diffusion experiments (Table 2) were performed on various 95% ethanol formulations containing buspirone and 2-n-nonyl, 1,3-dioxolane;
Buspirone diffusion through human skin (epidermis) confirms an increase in buspirone permeability at the 1:1 mole ratio with 2-n-nonyl, 1,3-dioxolane of 2.6. However, the 4:1 ratio demonstrated no significant enhancement (Table 2,
The amorphous deposit formed in situ by the compositions of Examples 2 and 3 result in an enhanced delivery of buspirone across the skin. The delivery profile across the skin for these enhanced amorphous compositions can be either a zero order delivery profile or a first order delivery profile, whichever of these situations is desired for the particular pharmacological therapy. The composition without the enhancer shows poor penetration enhancement of buspirone across the skin and consequent low amounts of drug penetrating across the skin.
a depicts the diffusion profile that may be obtained by transdermal zero and first order administration of buspirone in accordance with the invention and
The drug to enhancer ratio was varied to modulate the delivery rate of testosterone in vitro using transdermal spray vehicles. Varying concentrations of testosterone (Tes) and the dermal penetration enhancers octyl salicylate (Osal) or padimate O (PadO) were applied to shed snake skin in vitro from a finite vehicle volume (5 μl/cm2) designed to mimic in vivo dosing. The rate and extent of drug permeation was modelled to a single compartment model with a first-order rate constant (Kubota, K. J. Pharm. Sci. 1991, 80, 502-504). The in vitro diffusion model allowed accurate and rapid characterisation of the diffusion profiles using three parameters alone, total % absorbed (A, units μg), rate constant (α, units h−1) and lagtime (I, units h). Varying Tes to Osal ratio changed A and I significantly (p<0.001) and increased Tes loading in a PadO formulation resulted in zero-order delivery in vitro over 48 h as shown in
The plasma concentrations of free testosterone were determined in postmenopausal women at steady state from a transdermal spray composition containing testosterone 5% w/v and octyl salicylate 8% w/v in 95% ethanol. A zero-order delivery profile was obtained and is shown in
For a single dose of the oral buspirone tablet (15 mg) the mean half-life was 2 hours and mean tmax was 0.9 hours. The mean Cavg was 0.15 ng/ml and mean Cmax was 1.3 ng/mL, with the calculated ratio of Cmax to Cavg having a value of 8.7. In contrast, following once-daily dosing of the buspirone transdermal spray of the invention the mean Cavg was 0.32 ng/ml and mean Cmax was 0.49 ng/mL, with the calculated ratio of Cmax to Cavg having a value of 1.5 and a mean tmax of 9.3 hours. The buspirone composition of this example could be expected to have particular advantages for the use in humans or animals for the treatment of general anxiety disorders and attention deficit hyperactivity disorder whereupon the stable zero order transdermal delivery of the drug and avoidance of a high Cmax concentration provided by the invention would beneficially result in a reduction in side effects such as gastrointestinal disturbances, drowsiness, impaired driving or motor ability and/or impaired cognitive function.
| Number | Date | Country | |
|---|---|---|---|
| 60391081 | Jun 2002 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | PCT/AU03/00787 | Jun 2003 | US |
| Child | 11004926 | Dec 2004 | US |
