WO1997040792A1 - Administration transdermique d'hormones steroidiennes au moyen de diethanolamides d'acides gras c12-c18 utilises comme activateurs de l'infiltration - Google Patents
Administration transdermique d'hormones steroidiennes au moyen de diethanolamides d'acides gras c12-c18 utilises comme activateurs de l'infiltration Download PDFInfo
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- WO1997040792A1 WO1997040792A1 PCT/US1997/007104 US9707104W WO9740792A1 WO 1997040792 A1 WO1997040792 A1 WO 1997040792A1 US 9707104 W US9707104 W US 9707104W WO 9740792 A1 WO9740792 A1 WO 9740792A1
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- WIPO (PCT)
- Prior art keywords
- matrix
- skin
- steroid hormone
- testosterone
- enhancer
- Prior art date
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- XTXRWKRVRITETP-UHFFFAOYSA-N Vinyl acetate Chemical compound CC(=O)OC=C XTXRWKRVRITETP-UHFFFAOYSA-N 0.000 description 1
- 239000003522 acrylic cement Substances 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 229960002478 aldosterone Drugs 0.000 description 1
- 229940061720 alpha hydroxy acid Drugs 0.000 description 1
- 150000001280 alpha hydroxy acids Chemical class 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 238000000540 analysis of variance Methods 0.000 description 1
- 229960003473 androstanolone Drugs 0.000 description 1
- OGBUMNBNEWYMNJ-UHFFFAOYSA-N batilol Chemical class CCCCCCCCCCCCCCCCCCOCC(O)CO OGBUMNBNEWYMNJ-UHFFFAOYSA-N 0.000 description 1
- 229960002537 betamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-DVTGEIKXSA-N betamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-DVTGEIKXSA-N 0.000 description 1
- 230000008827 biological function Effects 0.000 description 1
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- 229960001631 carbomer Drugs 0.000 description 1
- 125000004432 carbon atom Chemical group C* 0.000 description 1
- 229940097217 cardiac glycoside Drugs 0.000 description 1
- 239000002368 cardiac glycoside Substances 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 235000019864 coconut oil Nutrition 0.000 description 1
- 239000003240 coconut oil Substances 0.000 description 1
- 125000004122 cyclic group Chemical group 0.000 description 1
- ZESRJSPZRDMNHY-UHFFFAOYSA-N de-oxy corticosterone Natural products O=C1CCC2(C)C3CCC(C)(C(CC4)C(=O)CO)C4C3CCC2=C1 ZESRJSPZRDMNHY-UHFFFAOYSA-N 0.000 description 1
- 229960004976 desogestrel Drugs 0.000 description 1
- RPLCPCMSCLEKRS-BPIQYHPVSA-N desogestrel Chemical compound C1CC[C@@H]2[C@H]3C(=C)C[C@](CC)([C@](CC4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 RPLCPCMSCLEKRS-BPIQYHPVSA-N 0.000 description 1
- 229960003654 desoxycortone Drugs 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 229960003957 dexamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 1
- WDJUZGPOPHTGOT-XUDUSOBPSA-N digitoxin Chemical compound C1[C@H](O)[C@H](O)[C@@H](C)O[C@H]1O[C@@H]1[C@@H](C)O[C@@H](O[C@@H]2[C@H](O[C@@H](O[C@@H]3C[C@@H]4[C@]([C@@H]5[C@H]([C@]6(CC[C@@H]([C@@]6(C)CC5)C=5COC(=O)C=5)O)CC4)(C)CC3)C[C@@H]2O)C)C[C@@H]1O WDJUZGPOPHTGOT-XUDUSOBPSA-N 0.000 description 1
- 229960000648 digitoxin Drugs 0.000 description 1
- LTMHDMANZUZIPE-PUGKRICDSA-N digoxin Chemical compound C1[C@H](O)[C@H](O)[C@@H](C)O[C@H]1O[C@@H]1[C@@H](C)O[C@@H](O[C@@H]2[C@H](O[C@@H](O[C@@H]3C[C@@H]4[C@]([C@@H]5[C@H]([C@]6(CC[C@@H]([C@@]6(C)[C@H](O)C5)C=5COC(=O)C=5)O)CC4)(C)CC3)C[C@@H]2O)C)C[C@@H]1O LTMHDMANZUZIPE-PUGKRICDSA-N 0.000 description 1
- 229960005156 digoxin Drugs 0.000 description 1
- LTMHDMANZUZIPE-UHFFFAOYSA-N digoxine Natural products C1C(O)C(O)C(C)OC1OC1C(C)OC(OC2C(OC(OC3CC4C(C5C(C6(CCC(C6(C)C(O)C5)C=5COC(=O)C=5)O)CC4)(C)CC3)CC2O)C)CC1O LTMHDMANZUZIPE-UHFFFAOYSA-N 0.000 description 1
- UWGJJFWYECDWBE-UHFFFAOYSA-N dodecanamide propane-1,2,3-triol Chemical compound OCC(O)CO.CCCCCCCCCCCC(N)=O UWGJJFWYECDWBE-UHFFFAOYSA-N 0.000 description 1
- POULHZVOKOAJMA-UHFFFAOYSA-M dodecanoate Chemical compound CCCCCCCCCCCC([O-])=O POULHZVOKOAJMA-UHFFFAOYSA-M 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 229960002568 ethinylestradiol Drugs 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 125000005313 fatty acid group Chemical group 0.000 description 1
- 239000011888 foil Substances 0.000 description 1
- 229960005352 gestodene Drugs 0.000 description 1
- SIGSPDASOTUPFS-XUDSTZEESA-N gestodene Chemical compound O=C1CC[C@@H]2[C@H]3CC[C@](CC)([C@](C=C4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 SIGSPDASOTUPFS-XUDSTZEESA-N 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 239000003862 glucocorticoid Substances 0.000 description 1
- RZRNAYUHWVFMIP-HXUWFJFHSA-N glycerol monolinoleate Natural products CCCCCCCCC=CCCCCCCCC(=O)OC[C@H](O)CO RZRNAYUHWVFMIP-HXUWFJFHSA-N 0.000 description 1
- 230000036571 hydration Effects 0.000 description 1
- 238000006703 hydration reaction Methods 0.000 description 1
- 229960000890 hydrocortisone Drugs 0.000 description 1
- 201000003368 hypogonadotropic hypogonadism Diseases 0.000 description 1
- JJWLVOIRVHMVIS-UHFFFAOYSA-N isopropylamine Chemical compound CC(C)N JJWLVOIRVHMVIS-UHFFFAOYSA-N 0.000 description 1
- 229940070765 laurate Drugs 0.000 description 1
- 235000020778 linoleic acid Nutrition 0.000 description 1
- OYHQOLUKZRVURQ-HZJYTTRNSA-N linoleic acid group Chemical group C(CCCCCCC\C=C/C\C=C/CCCCC)(=O)O OYHQOLUKZRVURQ-HZJYTTRNSA-N 0.000 description 1
- 238000003760 magnetic stirring Methods 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 239000011976 maleic acid Substances 0.000 description 1
- 229960001566 methyltestosterone Drugs 0.000 description 1
- 239000002395 mineralocorticoid Substances 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- VJESJEJNMGVQLZ-UHFFFAOYSA-N n,n-bis(2-hydroxyethyl)hexadecanamide Chemical compound CCCCCCCCCCCCCCCC(=O)N(CCO)CCO VJESJEJNMGVQLZ-UHFFFAOYSA-N 0.000 description 1
- 229940053934 norethindrone Drugs 0.000 description 1
- VIKNJXKGJWUCNN-XGXHKTLJSA-N norethisterone Chemical compound O=C1CC[C@@H]2[C@H]3CC[C@](C)([C@](CC4)(O)C#C)[C@@H]4[C@@H]3CCC2=C1 VIKNJXKGJWUCNN-XGXHKTLJSA-N 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 229940065472 octyl acrylate Drugs 0.000 description 1
- ANISOHQJBAQUQP-UHFFFAOYSA-N octyl prop-2-enoate Chemical compound CCCCCCCCOC(=O)C=C ANISOHQJBAQUQP-UHFFFAOYSA-N 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- IPCSVZSSVZVIGE-UHFFFAOYSA-N palmitic acid group Chemical group C(CCCCCCCCCCCCCCC)(=O)O IPCSVZSSVZVIGE-UHFFFAOYSA-N 0.000 description 1
- SECPZKHBENQXJG-FPLPWBNLSA-N palmitoleic acid group Chemical group C(CCCCCCC\C=C/CCCCCC)(=O)O SECPZKHBENQXJG-FPLPWBNLSA-N 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000012466 permeate Substances 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 229940037129 plain mineralocorticoids for systemic use Drugs 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 229960004618 prednisone Drugs 0.000 description 1
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 229960003387 progesterone Drugs 0.000 description 1
- 239000000186 progesterone Substances 0.000 description 1
- 235000003441 saturated fatty acids Nutrition 0.000 description 1
- 150000004671 saturated fatty acids Chemical class 0.000 description 1
- DCKVNWZUADLDEH-UHFFFAOYSA-N sec-butyl acetate Chemical compound CCC(C)OC(C)=O DCKVNWZUADLDEH-UHFFFAOYSA-N 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000013464 silicone adhesive Substances 0.000 description 1
- 231100000245 skin permeability Toxicity 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 229940037312 stearamide Drugs 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- 229930002534 steroid glycoside Natural products 0.000 description 1
- 150000008143 steroidal glycosides Chemical class 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 229940037128 systemic glucocorticoids Drugs 0.000 description 1
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 1
- 238000013271 transdermal drug delivery Methods 0.000 description 1
- 229960005294 triamcinolone Drugs 0.000 description 1
- GFNANZIMVAIWHM-OBYCQNJPSA-N triamcinolone Chemical compound O=C1C=C[C@]2(C)[C@@]3(F)[C@@H](O)C[C@](C)([C@@]([C@H](O)C4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 GFNANZIMVAIWHM-OBYCQNJPSA-N 0.000 description 1
- 235000021122 unsaturated fatty acids Nutrition 0.000 description 1
- 150000004670 unsaturated fatty acids Chemical class 0.000 description 1
- 239000003643 water by type Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/70—Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
- A61K9/7023—Transdermal patches and similar drug-containing composite devices, e.g. cataplasms
- A61K9/703—Transdermal patches and similar drug-containing composite devices, e.g. cataplasms characterised by shape or structure; Details concerning release liner or backing; Refillable patches; User-activated patches
- A61K9/7038—Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer
- A61K9/7046—Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds
- A61K9/7053—Transdermal patches of the drug-in-adhesive type, i.e. comprising drug in the skin-adhesive layer the adhesive comprising macromolecular compounds obtained by reactions only involving carbon to carbon unsaturated bonds, e.g. polyvinyl, polyisobutylene, polystyrene
- A61K9/7061—Polyacrylates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
- A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
Definitions
- the present invention is in the field of transdermal/transmucosal drug delivery. More particularly it concerns the use of dialkanolamides of fatty acids to enhance the transdermal administration of steroid hormones from a pressure sensitive adhesive matrix.
- Steroid hormones such as progestins, estrogens, and androgens have poor skin permeability. Therefore, in order to administer steroids transdermally or transmucosally at therapeutically effective rates through a reasonably sized area of skin or mucosa, it is necessary to use permeation enhancers in combination with the steroid.
- U.S. Patent Nos. 5,164,190 and 5,152,997 describe the use of a combination of subsaturation concentration and permeation enhancers to increase the flux of steroid drugs across skin.
- the exemplified enhancers include glycerol dioleate, glycerol monooleate, methyl laurate, oleic acid, and ethanol.
- U.S. Patent Nos. 4,906,169 and 5,023,084 describe laminated composites for coadministering an estrogen and progestin transdermally.
- the estrogen is contained in a polymer layer and the progestin is contained in an underlying adhesive layer.
- Polyacrylic, polyisobutylene and silicone adhesives are mentioned.
- These patents also teach that a permeation enhancer can be included in the adhesive.
- "Saturated and unsaturated fatty acids and their esters, alcohols, monoglycerides, acetate, diethanolamides and N,N- dimethylamides . . .” are mentioned as enhancers.
- N-Decyl alcohol and capric acid are taught as preferred enhancers.
- 4,818,540 and 5,296,230 also describe laminated composites for administering estrogens or progestins transdermally.
- the steroid is contained in a polymer layer.
- An adhesive layer underlies the polymer layer for affixing the composite to the skin.
- the patent teaches that the adhesive layer may contain permeation enhancers. The same enhancers that are taught in the ' 169 and '084 patents discussed above are also described in these patents.
- U.S. Patent No. 5,314,694 discloses transdermal delivery devices but not a matrix type as disclosed herein where the drug and permeation enhancer is dissolved or dispersed in an adhesive which also serves to also affix the patch to the skin.
- the devices disclosed in U.S. Patent No. 5,314,694 are typical reservoir type patches containing the drug and/or enhancer in a reservoir and a separate adhesive layer affixes the reservoir is referred to the skin.
- the disclosure does not teach that a diethanolamide of a C[ 2 -C ]8 fatty acid is uniquely effective in enhancing the permeability of steroid hormones in a pressure sensitive adhesive matrix.
- PCT Publication WO 94/21262 describes the use of diethanolamides of fatty acids as permeation enhancers in combination with alprazolam. The diethanolamide and alprazolam are formulated in a nonadhesive polymeric reservoir.
- U.S. Patent No. 5,252,334 teaches away from the use of permeation enhancers for the transdermal delivery of steroids. Even though various enhancers have been used previously to increase the rate at which steroids permeate through skin, there is still a need to find enhancers that permit even higher rates to be achieved. Better enhancers may allow the steroids, particularly testosterone, to be formulated in simple single matrix patches of relatively small size. This will enable less expensive patches that are more cosmetically acceptable.
- one aspect of the invention is a method of enhancing the transdermal administration of a steroid hormone from a pressure sensitive adhesive matrix comprising coadministering a diethanolamide of a C 12 -C I g fatty acid from said matrix.
- Another aspect of this invention is the use of a highly pure composition of lauramide DEA for enhancing the transdermal administration of a steroid hormone from a pressure sensitive adhesive matrix.
- Another aspect of the invention is a matrix for administering a steroid hormone transdermally comprising a mixture of: a) a pressure sensitive adhesive; b) a steroid hormone; and c) a diethanolamide of a C 12 -C J 8 fatty acid.
- transdermal patch for administering a steroid hormone comprising a laminated composite of: a) a backing layer; and b) a matrix layer adapted to be placed in diffusional contact with skin or mucosa comprising a mixture of:
- transdermal intends percutaneous and transmucosal (e.g. transbuccal) administration, i.e., passage of steroid through unbroken skin or mucosa into circulation.
- Structurally "steroids” are the class of compounds all related through the cyclic nuclei they contain, i.e., a partly or completely hydrogenated 17 H- cyclopentanophenanthrene nucleus, the general formula for which is given below:
- Steroid hormones can be natural, synthetic or semi-synthetic and can be classified according to their biological function as:
- Progestagens examples of which are (without limitation) progesterone, norethindrone acetate, norgestrel, levo-norgestrel, norethindrone, desogestrel, and gestodene.
- Glucocorticoids examples of which are (without limitation) corticol, corticone, hydrocortisone, betamethasone, dexamethasone, prednisone, predisolone and triamcinolone.
- Mineralocorticoids examples of which are (without limitation) aldosterone and desoxycorticosterone.
- Estrogens examples of which are (without limitation) 17 ⁇ estradiol and ethynyl estradiol.
- Androgens examples of which are (without limitation) testosterone, methyl testosterone, dihydrotestosterone and androsteinedione.
- Cardiac glycosides examples of which are (without limitation) digoxin and digitoxin.
- a combination of steroid hormones may be administered.
- combination of an estrogen and a progestagen or an estrogen and an androgen e.g., estradiol and testosterone
- an estrogen and an androgen e.g., estradiol and testosterone
- a “therapeutically effective amount” of steroid intends an amount that provides the desired pharmacological result. These amounts are known by those skilled in the art. For instance, in the case of administering testosterone to males, the therapeutically effective amount will typically be about 1 to 10 mg/day.
- permeation enhancement and “enhancement , ' are used interchangeably and describe an increase in the permeability of skin or mucosa to a steroid hormone. Permeation enhancement results in an increase in the flux of steroid through skin or mucosa. Skin flux may be measured in vitro using the procedure described in the examples, infra. A "skin/mucosa permeation enhancing amount" of diethanolamide of a
- C 12 -C lg fatty acid is intended to mean an amount that results in steroid flux increase of at least about 15%, more usually 30% to 300% relative to steroid flux in the absence of an enhancer.
- diffusional contact means that the matrix is either directly or indirectly in contact with the skin or mucosa in a manner in which there is a diffusional pathway by which the steroid(s) can migrate from the matrix to the skin or mucosa.
- the adhesive component of this invention are referred to as "matrix patches" containing for example a hydrocarbon solvent-compatible polyacrylate or a hydrocarbon solvent compatible adhesive.
- the adhesive reservoir or matrix can be a pressure-sensitive adhesive such as polyisobutylene, silicone, polyacrylate or other pressure sensitive adhesive acceptable for use as a matrix for a transdermal patch.
- the adhesive component of the matrix is preferably a hydrocarbon solvent-compatible polyacrylate, particularly a copolymer of 2-ethylhexyl acrylate and one or more other monomers such as vinyl acetate, acrylic acid, N-vinyl-2-pyrrolidone, 2-hydroxyethyl acrylate, butylacrylate, octylacrylate, styrene, methyl methacrylate, methacrylic acid, maleic acid, acrylamide and N-methylol acrylamide.
- Embodiments of such adhesives are available commercially from a number of sources, e.g.
- the diethanolamides that are employed as permeation enhancers in the invention are diethanolamides of C ] 2 -C ] g fatty acids.
- the fatty acid may be saturated or unsaturated and preferably has an even number of carbon atoms.
- Examples that are useful in the invention are the diethanolamides of lauric, tridecylic, myristic, pentadecylic, palmitic, stearic, palmitoleic, oleic and linoleic acids. A mixture of such diethanolamides may be used. Lauramide diethanol ("lauramide
- the diethanolamide component of the matrix will typically constitute 0.5% to 50% of the matrix, preferably 2.5% to 15%. Percentage of the components of the matrix are expressed on a dry weight basis. It has been found that commercially available lauramide DEA have verying degrees of purity. Substantially pure compositions of lauramide DEA are preferred. As used herein, “substantially pure” is defined as having a greater than about 75% lauramide DEA in the composition wherein "%" refers to area percent as determined by HPLC according to Example 9, infra.. More preferred is a composition containing greater than about 85% lauramide DEA and most preferred is greater than about 90% lauramide DEA.
- the steroid will normally constitute 0.1% to 30%, preferably 0.5% to 10% of the matrix.
- the matrix may be formulated by mixing the adhesive (which is typically obtained in solution), steroid(s), and diethanolamide in the appropriate proportions, casting the solution onto a substrate (e.g., a backing or release liner layer) and drying the cast layer of solution to drive off the solvent.
- the backing layer will typically comprise an occlusive polymer layer, combination of polymer layers, or combination of polymeric and metallic layers. Backing materials are well known in the transdermal patch art.
- the transdermal patches of this invention will also include a release liner layer.
- Release liner materials are also well known in the transdermal patch art.
- Pressure sensitive polyacrylate adhesive matrix systems containing steroids and in some cases additional components were prepared from acrylate copolymer solutions in organic solvents as follows. First, the solid content of the adhesive solution was determined by placing a known weight of solution in a weighed aluminum dish and evaporating the solvents overnight in a 70°C convection oven. The solid adhesive content of the solution was calculated by dividing the adhesive solid weight after drying by the total solution weight. Second, a weighed quantity of adhesive solution was added to a glass bottle and the solid adhesive weight was calculated from the known solid fraction of the given adhesive solution. Steroid compounds and enhancers were weighed and mixed with the adhesive solution in the quantities necessary to achieve the desired dry matrix composition. The solution containing the adhesive copolymer and other components was mixed (usually overnight).
- the diffusion cell was placed in a temperature controlled circulating water bath calibrated to maintain the surface temperature of the skin at 32 °C.
- the receiver compartment was constantly stirred by a magnetic stir-bar in the receiver compartment agitated by a magnetic stirring module placed under the water bath. At predetermined sampling intervals (usually 6, 12, and 24 hours), the entire contents of the receiver compartment were collected for drug quantitation and the receiver compartment was filled with fresh receiver solution, taking care to eliminate any air bubbles at the skin/solution interface.
- C t ( ⁇ g/cm 3 ) is the concentration of the receiver compartment at sample time t (h)
- V is the volume of the receiver compartment of the diffusion cell (6.3 cm 3 )
- A is the diffusional area of the cell (0.64 cm 2 ).
- Testosterone is a naturally occurring steroid hormone which is administered transdermally for treatment of primary or secondary hypogonadism in males.
- Pressure sensitive adhesive matrix systems containing testosterone and lauramide diethanol (DEA) as an enhancer were compared to systems using lauric acid, lauryl alcohol, glycolic acid, and esters of lauric acid. All matrix systems were prepared in a medical-grade acrylic adhesive (Duro-Tak 87-2516) according to the methods described above and contained 3% by weight testosterone and 10% by weight enhancer. The results of skin flux experiments using these matrix systems are summarized in Tables 1-3.
- composition Duro-Tak 2516/Testosterone/Enhancer % (w/w)
- fatty acid diethanolamide is unexpectedly superior at enhancing transdermal permeation of testosterone in a matrix system relative to ⁇ -hydroxy acids, fatty acids, fatty alcohols, fatty acid alkyl esters, fatty alcohol PCA esters, fatty acid monoglycerides, and fatty acid sorbitol esters— all of which are known in the art as transdermal permeation enhancers.
- Testosterone flux from matrix systems and hydroalcoholic gel systems was evaluated using Lauramide DEA and the methyl ester of lauric acid as enhancers.
- Hydroalcoholic solutions of 50 mg/ml testosterone in 50% by volume alcohol, USP (190 proof ethanol), 15% water, 30% glycerin, and 5% enhancer were prepared and mixed until the drug was fully dissolved.
- the solution was then gelled with 3% (w/w) carbomer (Pemulen TR-2) which was neutralized with 0.2 N sodium hydroxide to a pH of 4 to 5.
- the resulting gels were clear and visually homogeneous.
- Skin flux experiments for the hydroalcoholic gels were similar to those conducted with the adhesive matrix systems with the following exceptions.
- the epidermal membrane Prior to skin permeation experiments, the epidermal membrane was cut to an appropriate size and placed between the two halves of the diffusion cell with the stratum corneum facing the donor compartment.
- the receiver compartment was filled with 0.02% (w/v) sodium azide in water, and the diffusion cell was placed in a circulating water bath calibrated to maintain the temperature of the skin surface at 32°C, and allowed to hydrate overnight. After hydration, the sodium azide solution in the receiver compartment was removed and replaced with an appropriate solution to maintain sink conditions for testosterone through the duration of the experiment (0.02% (w/v) sodium azide and 0.5% (w/v) Tween 40 in water).
- Adhesive matrices containing 3% by weight testosterone and 10% by weight enhancer were prepared in Duro-Tak 87-2516 as described previously. Skin flux experiments using the matrix systems on the same skin sources as those shown in Table 5 were conducted and the results from these experiments are shown in Table 6.
- Norethindrone acetate is a female progestin steroid hormone.
- Adhesive matrix systems containing NEA and NEA with Lauramide DEA (Cyclomide® LE), sorbitan monolaurate (Arlacel® 20), or sorbitan monooleate (Arlacel® 80) as an enhancer were prepared as described above.
- the matrix systems consisted of 10% by weight NEA and 0 or 15% of the enhancer in Duro-Tak 80-1 194 or Duro-Tak 80-1054. The results of in vitro skin flux experiments on these matrix systems are summarized in Table 7 and Table 8.
- Estradiol is a naturally occurring female steroid hormone which is administered transdermally for female hormone replacement therapy
- Adhesive matrix systems containing estradiol and estradiol with lauramide DEA (Cyclomide® LE), sorbitan monolaurate (Arlacel® 20), or sorbitan monooleate (Arlacel® 80) as an enhancer were prepared as described above
- the matrix systems consisted of 4% by weight estradiol and 0 to 15% of the enhancer in a medical grade acrylic copolymer adhesive (Duro-Tak 80- 1194 or 80- 1070)
- Tables 9-11 The results of in vitro skin flux experiments on these matrix systems are summarized in Tables 9-11.
- Example 5 The effect of fatty acid diethanolamides differing in the fatty acid group were evaluated in matrix systems containing various steroids.
- the fatty acid diethanolamides used as enhancers were lauramide DEA (Cyclomide ® DEA), stearamide DEA
- Cocamide DEA is derived from coconut oil and contains palmitamide DEA.
- the systems consisted of 4% by weight estradiol or 3% by weight testosterone and 0 to 15% of the enhancer in Duro-Tak 87-2516 or Duro-Tak 80-1194.
- Tables 12 and 13 The results of in vitro skin flux experiments on these matrix systems are summarized in Tables 12 and 13.
- Example 6 Transdermal flux enhancement of steroids using fatty acid diethanolamide was compared to flux enhancement using triethanolamine.
- Adhesive matrices containing 3% by weight testosterone as a model steroid and 5% by weight lauramide DEA or triethanolamine were prepared in Duro-Tak 87-2516, and the results of in vitro skin flux experiments using these matrices are shown in Table 14. Table 14
- Example 7 Transdermal flux enhancement of testosterone and estradiol from a matrix system was evaluated using fatty acid amides with differing amine components.
- Adhesive matrices containing 3% by weight testosterone or 1.5% by weight estradiol were prepared in an acrylic copolymer adhesive (Duro-Tak 87-2516, or 80-1070).
- the fatty acid amides tested were lauramide DEA (Alkamide® LE), cocamide MEA (Alkamide® CME), lauramide MEA (Alkamide® L-203), lauramide MIA (Alkamide® LIPA/C), lauric acid
- Transdermal flux enhancement of non-steroidal compounds, oxybutynin and diclofenac, from a matrix system was evaluated using Lauramide DEA and several other known permeation enhancers.
- Adhesive matrices containing oxybutinin or diclofenac were prepared in an acrylic copolymer adhesive (Seksui TSR).
- the matrices contained 10% (w/w) of one of the following enhancers lauramide DEA (Alkamide ® LE), glycerol monolaurate , lauric acid methyl ester, or lauryl alcohol. Results from in vitro flux experiments on these matrix systems are summarized in Tables 18 and 19.
- Oxybutynin permeation from the system containing Lauramide DEA is lower than the permeation from systems containing glycerol monolaurate, methyl laurate, or lauryl alcohol as enhancers.
- Diclofenac permeation from the system containing lauramide DEA is similar to or lower than the permeation from systems containing glycerol monolaurate methyl laurate, or lauryl alcohol as enhancers. These results are further evidence that the unusual transdermal flux enhancement of alkanoic acid diethanolamides is specific to steroidal compounds.
- compositions containing highly pure formulations of lauramide DEA unexpectedly enhances the transdermal flux of drugs, including steroids.
- Table 20 lists the commercially available lauramide DEA formulations that were evaluated for purity.
- Table 21 shows the results of HPLC analysis of the above noted commercially available lauramide DEA formulations.
- the mobile phase of the column was a 40:60 (v:v) wate ⁇ acetonitrile solution.
- Transdermal flux enhancement of testosterone from a matrix system was evaluated using lauramide DEA of low purity (Alkamide LE (Rhone-Poulenc)) and high purity (Prophan (Sanyo Kasei)).
- Adhesive matrices containing 6% by weight testosterone and 7.5% lauramide DEA were prepared in an acrylic copolymer adhesive 86.5% (TSR Adhesive). Table 22 reports the results of invitro skin flux experiments on these matrices.
- Testosterone permeation from the systems containing greater than 85% pure lauramide DEA is, in most instances, greater than permeation from systems containing less pure (i.e., less than 75%) lauramide DEA.
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Abstract
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU27463/97A AU2746397A (en) | 1996-04-30 | 1997-04-29 | Transdermal administration of steroid hormones using diethanolamides of c12-c18 fatty acids as permeation enhancers |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US64037196A | 1996-04-30 | 1996-04-30 | |
US08/640,371 | 1996-04-30 |
Publications (1)
Publication Number | Publication Date |
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WO1997040792A1 true WO1997040792A1 (fr) | 1997-11-06 |
Family
ID=24567978
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1997/007104 WO1997040792A1 (fr) | 1996-04-30 | 1997-04-29 | Administration transdermique d'hormones steroidiennes au moyen de diethanolamides d'acides gras c12-c18 utilises comme activateurs de l'infiltration |
Country Status (3)
Country | Link |
---|---|
AU (1) | AU2746397A (fr) |
WO (1) | WO1997040792A1 (fr) |
ZA (1) | ZA973749B (fr) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
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US7242935B2 (en) | 1998-02-13 | 2007-07-10 | Qualcomm Incorporated | Method and system for performing a handoff in a wireless communication system, such as a hard handoff |
US7245597B2 (en) | 1999-08-11 | 2007-07-17 | Qualcomm Incorporated | Method and system for performing handoff in wireless communication systems |
WO2008154240A1 (fr) * | 2007-06-06 | 2008-12-18 | Biohealth Llc | Composition pharmaceutique d'un nouveau système destiné à la libération de stéroïdes dans le vagin |
US7664209B2 (en) | 1998-05-21 | 2010-02-16 | Qualcomm Incorporated | Method and apparatus for coordinating transmission of short messages with hard handoff searches in a wireless communications system |
US8964692B2 (en) | 2008-11-10 | 2015-02-24 | Qualcomm Incorporated | Spectrum sensing of bluetooth using a sequence of energy detection measurements |
US9125816B2 (en) | 2000-08-30 | 2015-09-08 | Besins Healthcare Inc. | Pharmaceutical composition and method for treating hypogonadism |
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US4906475A (en) * | 1988-02-16 | 1990-03-06 | Paco Pharmaceutical Services | Estradiol transdermal delivery system |
US5252334A (en) * | 1989-09-08 | 1993-10-12 | Cygnus Therapeutic Systems | Solid matrix system for transdermal drug delivery |
US5314694A (en) * | 1990-10-29 | 1994-05-24 | Alza Corporation | Transdermal formulations, methods and devices |
US5362497A (en) * | 1989-05-25 | 1994-11-08 | Takeda Chemical Industries, Ltd. | Transdermal therapeutic composition |
US5460820A (en) * | 1993-08-03 | 1995-10-24 | Theratech, Inc. | Methods for providing testosterone and optionally estrogen replacement therapy to women |
US5554381A (en) * | 1993-08-09 | 1996-09-10 | Cygnus, Inc. | Low flux matrix system for delivering potent drugs transdermally |
US5560922A (en) * | 1986-05-30 | 1996-10-01 | Rutgers, The State University Of New Jersey | Transdermal absorption dosage unit using a polyacrylate adhesive polymer and process |
-
1997
- 1997-04-29 WO PCT/US1997/007104 patent/WO1997040792A1/fr active Application Filing
- 1997-04-29 AU AU27463/97A patent/AU2746397A/en not_active Abandoned
- 1997-04-30 ZA ZA9703749A patent/ZA973749B/xx unknown
Patent Citations (8)
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US5560922A (en) * | 1986-05-30 | 1996-10-01 | Rutgers, The State University Of New Jersey | Transdermal absorption dosage unit using a polyacrylate adhesive polymer and process |
US4906475A (en) * | 1988-02-16 | 1990-03-06 | Paco Pharmaceutical Services | Estradiol transdermal delivery system |
US5362497A (en) * | 1989-05-25 | 1994-11-08 | Takeda Chemical Industries, Ltd. | Transdermal therapeutic composition |
US5252334A (en) * | 1989-09-08 | 1993-10-12 | Cygnus Therapeutic Systems | Solid matrix system for transdermal drug delivery |
US5314694A (en) * | 1990-10-29 | 1994-05-24 | Alza Corporation | Transdermal formulations, methods and devices |
US5460820A (en) * | 1993-08-03 | 1995-10-24 | Theratech, Inc. | Methods for providing testosterone and optionally estrogen replacement therapy to women |
US5460820B1 (en) * | 1993-08-03 | 1999-08-03 | Theratech Inc | Method for providing testosterone and optionally estrogen replacement therapy to women |
US5554381A (en) * | 1993-08-09 | 1996-09-10 | Cygnus, Inc. | Low flux matrix system for delivering potent drugs transdermally |
Cited By (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7242935B2 (en) | 1998-02-13 | 2007-07-10 | Qualcomm Incorporated | Method and system for performing a handoff in a wireless communication system, such as a hard handoff |
US7603123B2 (en) | 1998-02-13 | 2009-10-13 | Qualcomm Incorporated | Method and system for performing a handoff in a wireless communication system, such as a hard handoff |
US8170558B2 (en) | 1998-02-13 | 2012-05-01 | Qualcomm Incorporated | Method and system for performing a handoff in a wireless communication system, such as a hard handoff |
US7664209B2 (en) | 1998-05-21 | 2010-02-16 | Qualcomm Incorporated | Method and apparatus for coordinating transmission of short messages with hard handoff searches in a wireless communications system |
US7245597B2 (en) | 1999-08-11 | 2007-07-17 | Qualcomm Incorporated | Method and system for performing handoff in wireless communication systems |
US8199716B2 (en) | 1999-08-11 | 2012-06-12 | Qualcomm Incorporated | Method and system for performing handoff in wireless communication systems |
US9125816B2 (en) | 2000-08-30 | 2015-09-08 | Besins Healthcare Inc. | Pharmaceutical composition and method for treating hypogonadism |
US9132089B2 (en) | 2000-08-30 | 2015-09-15 | Besins Healthcare Inc. | Pharmaceutical composition and method for treating hypogonadism |
WO2008154240A1 (fr) * | 2007-06-06 | 2008-12-18 | Biohealth Llc | Composition pharmaceutique d'un nouveau système destiné à la libération de stéroïdes dans le vagin |
US8964692B2 (en) | 2008-11-10 | 2015-02-24 | Qualcomm Incorporated | Spectrum sensing of bluetooth using a sequence of energy detection measurements |
Also Published As
Publication number | Publication date |
---|---|
ZA973749B (en) | 1998-04-01 |
AU2746397A (en) | 1997-11-19 |
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