WO1998025591A1 - Systeme d'administration de medicaments transdermiques pour le traitement des maladies du coeur - Google Patents
Systeme d'administration de medicaments transdermiques pour le traitement des maladies du coeur Download PDFInfo
- Publication number
- WO1998025591A1 WO1998025591A1 PCT/EP1997/006892 EP9706892W WO9825591A1 WO 1998025591 A1 WO1998025591 A1 WO 1998025591A1 EP 9706892 W EP9706892 W EP 9706892W WO 9825591 A1 WO9825591 A1 WO 9825591A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- layer
- tdds
- cross
- concentration
- iii
- Prior art date
Links
- 238000013271 transdermal drug delivery Methods 0.000 title claims abstract description 9
- 238000011282 treatment Methods 0.000 title description 4
- 208000019622 heart disease Diseases 0.000 title description 3
- 239000010410 layer Substances 0.000 claims abstract description 114
- SNIOPGDIGTZGOP-UHFFFAOYSA-N Nitroglycerin Chemical compound [O-][N+](=O)OCC(O[N+]([O-])=O)CO[N+]([O-])=O SNIOPGDIGTZGOP-UHFFFAOYSA-N 0.000 claims abstract description 79
- 239000000006 Nitroglycerin Substances 0.000 claims abstract description 76
- 229960003711 glyceryl trinitrate Drugs 0.000 claims abstract description 76
- 229940079593 drug Drugs 0.000 claims abstract description 31
- 239000003814 drug Substances 0.000 claims abstract description 31
- 239000011347 resin Substances 0.000 claims abstract description 26
- 229920005989 resin Polymers 0.000 claims abstract description 26
- 239000003795 chemical substances by application Substances 0.000 claims abstract description 19
- 239000003522 acrylic cement Substances 0.000 claims abstract description 18
- 239000004971 Cross linker Substances 0.000 claims description 35
- -1 polyethylene Polymers 0.000 claims description 22
- 229920000642 polymer Polymers 0.000 claims description 21
- 239000004698 Polyethylene Substances 0.000 claims description 13
- 229920000573 polyethylene Polymers 0.000 claims description 13
- 229920000728 polyester Polymers 0.000 claims description 11
- 239000000178 monomer Substances 0.000 claims description 7
- 239000004743 Polypropylene Substances 0.000 claims description 6
- VOZRXNHHFUQHIL-UHFFFAOYSA-N glycidyl methacrylate Chemical compound CC(=C)C(=O)OCC1CO1 VOZRXNHHFUQHIL-UHFFFAOYSA-N 0.000 claims description 6
- 239000000463 material Substances 0.000 claims description 6
- 229920001155 polypropylene Polymers 0.000 claims description 6
- RSWGJHLUYNHPMX-UHFFFAOYSA-N Abietic-Saeure Natural products C12CCC(C(C)C)=CC2=CCC2C1(C)CCCC2(C)C(O)=O RSWGJHLUYNHPMX-UHFFFAOYSA-N 0.000 claims description 5
- KHPCPRHQVVSZAH-HUOMCSJISA-N Rosin Natural products O(C/C=C/c1ccccc1)[C@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 KHPCPRHQVVSZAH-HUOMCSJISA-N 0.000 claims description 5
- XTXRWKRVRITETP-UHFFFAOYSA-N Vinyl acetate Chemical compound CC(=O)OC=C XTXRWKRVRITETP-UHFFFAOYSA-N 0.000 claims description 5
- FPCJKVGGYOAWIZ-UHFFFAOYSA-N butan-1-ol;titanium Chemical compound [Ti].CCCCO.CCCCO.CCCCO.CCCCO FPCJKVGGYOAWIZ-UHFFFAOYSA-N 0.000 claims description 5
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 5
- 239000004800 polyvinyl chloride Substances 0.000 claims description 5
- KHPCPRHQVVSZAH-UHFFFAOYSA-N trans-cinnamyl beta-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OCC=CC1=CC=CC=C1 KHPCPRHQVVSZAH-UHFFFAOYSA-N 0.000 claims description 5
- 229940117958 vinyl acetate Drugs 0.000 claims description 5
- KNIGWAZBIMCMMD-UHFFFAOYSA-N C(C)(=O)CC([CH2-])=O.[Al+3].C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O Chemical compound C(C)(=O)CC([CH2-])=O.[Al+3].C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O KNIGWAZBIMCMMD-UHFFFAOYSA-N 0.000 claims description 3
- JIGUQPWFLRLWPJ-UHFFFAOYSA-N Ethyl acrylate Chemical compound CCOC(=O)C=C JIGUQPWFLRLWPJ-UHFFFAOYSA-N 0.000 claims description 3
- KBAYQFWFCOOCIC-GNVSMLMZSA-N [(1s,4ar,4bs,7s,8ar,10ar)-1,4a-dimethyl-7-propan-2-yl-2,3,4,4b,5,6,7,8,8a,9,10,10a-dodecahydrophenanthren-1-yl]methanol Chemical compound OC[C@@]1(C)CCC[C@]2(C)[C@H]3CC[C@H](C(C)C)C[C@H]3CC[C@H]21 KBAYQFWFCOOCIC-GNVSMLMZSA-N 0.000 claims description 3
- 229920006271 aliphatic hydrocarbon resin Polymers 0.000 claims description 3
- 229920006272 aromatic hydrocarbon resin Polymers 0.000 claims description 3
- 150000001875 compounds Chemical class 0.000 claims description 3
- 229920001577 copolymer Polymers 0.000 claims description 3
- 150000002148 esters Chemical class 0.000 claims description 3
- 229910052751 metal Inorganic materials 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- PNJWIWWMYCMZRO-UHFFFAOYSA-N pent‐4‐en‐2‐one Natural products CC(=O)CC=C PNJWIWWMYCMZRO-UHFFFAOYSA-N 0.000 claims description 3
- XNGIFLGASWRNHJ-UHFFFAOYSA-N phthalic acid Chemical class OC(=O)C1=CC=CC=C1C(O)=O XNGIFLGASWRNHJ-UHFFFAOYSA-N 0.000 claims description 3
- 150000003505 terpenes Chemical class 0.000 claims description 3
- 235000007586 terpenes Nutrition 0.000 claims description 3
- LLZRNZOLAXHGLL-UHFFFAOYSA-J titanic acid Chemical compound O[Ti](O)(O)O LLZRNZOLAXHGLL-UHFFFAOYSA-J 0.000 claims description 3
- ZDCJGNMQDGGYOL-UHFFFAOYSA-N C(C)(=O)CC([CH2-])=O.[Ti+4].C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O Chemical compound C(C)(=O)CC([CH2-])=O.[Ti+4].C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O.C(C)(=O)CC([CH2-])=O ZDCJGNMQDGGYOL-UHFFFAOYSA-N 0.000 claims description 2
- 239000013522 chelant Substances 0.000 claims description 2
- 229920002635 polyurethane Polymers 0.000 claims description 2
- 239000004814 polyurethane Substances 0.000 claims description 2
- 239000011159 matrix material Substances 0.000 description 31
- 239000011888 foil Substances 0.000 description 25
- 238000004519 manufacturing process Methods 0.000 description 19
- 239000012790 adhesive layer Substances 0.000 description 18
- 210000003491 skin Anatomy 0.000 description 15
- 238000010521 absorption reaction Methods 0.000 description 14
- 239000004820 Pressure-sensitive adhesive Substances 0.000 description 12
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 12
- 230000001070 adhesive effect Effects 0.000 description 12
- 238000001035 drying Methods 0.000 description 9
- 239000003623 enhancer Substances 0.000 description 9
- 229920006243 acrylic copolymer Polymers 0.000 description 8
- 239000000853 adhesive Substances 0.000 description 8
- 238000004132 cross linking Methods 0.000 description 8
- NIXOWILDQLNWCW-UHFFFAOYSA-N acrylic acid group Chemical group C(C=C)(=O)O NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 7
- 230000009471 action Effects 0.000 description 7
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 6
- 239000012528 membrane Substances 0.000 description 6
- 230000036765 blood level Effects 0.000 description 5
- 208000010125 myocardial infarction Diseases 0.000 description 5
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 238000003475 lamination Methods 0.000 description 4
- 230000036470 plasma concentration Effects 0.000 description 4
- 229940100640 transdermal system Drugs 0.000 description 4
- 230000008901 benefit Effects 0.000 description 3
- 238000005520 cutting process Methods 0.000 description 3
- 230000003247 decreasing effect Effects 0.000 description 3
- 238000009792 diffusion process Methods 0.000 description 3
- 238000004090 dissolution Methods 0.000 description 3
- OMIGHNLMNHATMP-UHFFFAOYSA-N 2-hydroxyethyl prop-2-enoate Chemical compound OCCOC(=O)C=C OMIGHNLMNHATMP-UHFFFAOYSA-N 0.000 description 2
- 206010002383 Angina Pectoris Diseases 0.000 description 2
- 206010019280 Heart failures Diseases 0.000 description 2
- 206010040880 Skin irritation Diseases 0.000 description 2
- 238000004873 anchoring Methods 0.000 description 2
- 238000013270 controlled release Methods 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 230000010339 dilation Effects 0.000 description 2
- 229940093499 ethyl acetate Drugs 0.000 description 2
- 235000019439 ethyl acetate Nutrition 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 238000011321 prophylaxis Methods 0.000 description 2
- ARIWANIATODDMH-UHFFFAOYSA-N rac-1-monolauroylglycerol Chemical compound CCCCCCCCCCCC(=O)OCC(O)CO ARIWANIATODDMH-UHFFFAOYSA-N 0.000 description 2
- 230000036556 skin irritation Effects 0.000 description 2
- 231100000475 skin irritation Toxicity 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- GOXQRTZXKQZDDN-UHFFFAOYSA-N 2-Ethylhexyl acrylate Chemical compound CCCCC(CC)COC(=O)C=C GOXQRTZXKQZDDN-UHFFFAOYSA-N 0.000 description 1
- 229940095095 2-hydroxyethyl acrylate Drugs 0.000 description 1
- NIXOWILDQLNWCW-UHFFFAOYSA-M Acrylate Chemical compound [O-]C(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-M 0.000 description 1
- LVGKNOAMLMIIKO-UHFFFAOYSA-N Elaidinsaeure-aethylester Natural products CCCCCCCCC=CCCCCCCCC(=O)OCC LVGKNOAMLMIIKO-UHFFFAOYSA-N 0.000 description 1
- 239000004902 Softening Agent Substances 0.000 description 1
- 229920002125 Sokalan® Polymers 0.000 description 1
- 206010043087 Tachyphylaxis Diseases 0.000 description 1
- 230000037374 absorbed through the skin Effects 0.000 description 1
- 150000008065 acid anhydrides Chemical class 0.000 description 1
- 150000001252 acrylic acid derivatives Chemical class 0.000 description 1
- 239000002998 adhesive polymer Substances 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 230000027288 circadian rhythm Effects 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 235000014113 dietary fatty acids Nutrition 0.000 description 1
- IZEKFCXSFNUWAM-UHFFFAOYSA-N dipyridamole Chemical compound C=12N=C(N(CCO)CCO)N=C(N3CCCCC3)C2=NC(N(CCO)CCO)=NC=1N1CCCCC1 IZEKFCXSFNUWAM-UHFFFAOYSA-N 0.000 description 1
- 239000013583 drug formulation Substances 0.000 description 1
- LVGKNOAMLMIIKO-QXMHVHEDSA-N ethyl oleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OCC LVGKNOAMLMIIKO-QXMHVHEDSA-N 0.000 description 1
- 229940093471 ethyl oleate Drugs 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000008020 evaporation Effects 0.000 description 1
- 229930195729 fatty acid Natural products 0.000 description 1
- 239000000194 fatty acid Substances 0.000 description 1
- 230000004907 flux Effects 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 229940068939 glyceryl monolaurate Drugs 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- 230000009474 immediate action Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 239000005022 packaging material Substances 0.000 description 1
- 238000004806 packaging method and process Methods 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 210000000434 stratum corneum Anatomy 0.000 description 1
- 239000006190 sub-lingual tablet Substances 0.000 description 1
- 230000002195 synergetic effect Effects 0.000 description 1
- 230000001839 systemic circulation Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 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
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
-
- 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
- A61K9/7092—Transdermal patches having multiple drug layers or reservoirs, e.g. for obtaining a specific release pattern, or for combining different drugs
Definitions
- This invention describes a transdermal drug delivery system (TDDS) for the delivery of nitroglycerin to humans for the treatment of heart diseases such as angina pectoris, myocardial infarction, cardiac insufficiency and the like.
- TDDS transdermal drug delivery system
- nitroglycerin containing TDDS are used for short duration of action the invention describes a system that is delivering a loading dose for immediate action and a controlled release dose for continuous release.
- the TDDS is a pharmaceutical preparation in the form of a pressure sensitive adhesive matrix patch, consisting of a nitroglycerin impermeable backing foil, nitroglycerin loaded pressure sensitive adhesive layers, and a siliconised protective liner that is discarded upon application of the TDDS to the patient.
- Nitroglycerin is widely used in the therapy and prophylaxis of angina pectoris, myocardial infarction paroxysm, cardiac insufficiency and the like. Its effects include dilation of the coronary artery and dilation of collateral and resistance vessels thereby increasing the oxygen supply to the ischaemic area of cardiac muscle.
- nitroglycerin has been applied as intravenous infusion, sublingual tablets, soft gelatin capsules, and ointments .
- transdermal systems have been available for chronic treatment of the above mentioned therapies or prophylaxis.
- Anginal heart attacks in general follow a circadian rhythm The frequency of heart attacks rises in the early morning hours during the wake-up period. At that times an oral nitroglycerin spray is used normally. Then the incidence of attacks is lowered to rise again in the early afternoon hours, to decline again towards the evening and night time.
- the duration of action of nitroglycerin is limited by tachyphylaxis . After several hours of continuous input, either as infusion or transdermal application, the intensity of action diminishes.
- Nitroglycerin is easily absorbed through the skin. In order to achieve the effective use of the pharmacological effects of nitroglycerin, continuous percutaneous absorption by which a blood level of 0.05 to 2 ng/ml is maintained, is preferable. As the nitroglycerin TDDS are worn for a relatively short time of less than 24 hours it is very important to reach effective plasma levels quickly.
- nitroglycerin is dissolved in an ethanolic gel, forming the content of the reservoir.
- the reservoir is covered with an impermeable backing foil and on the other side with a semipermeable membrane onto which a layer of a pressure sensitive adhesive is coated, forming the skin contact layer.
- the semipermeable membrane controls the release of nitroglycerin as well as that of ethanol that acts as an absorption enhancer.
- Disadvantages of this type of systems are described manifold and include skin irritation caused by the ethanol, expensive manufacturing, and instability of the absorption profile.
- the newly developed systems are matrix systems, i.e.
- nitroglycerin is dispersed within a polymer layer that acts as the adhesive layer, a controlling membrane is omitted.
- DE 3315272 discribes a multilayer matrix system that maintains a time constant release by varying the drug concentration of the layers, beeing lowest at the skin surface, highest underneath the impermeable backing foil .
- the TDDS according the present invention does not use this concept, because the present invention intends to exhibit a non-constant drug release by using several layers.
- More simple systems are composed of - in general - two layers, the drug impermeable backing layer and the drug containing pressure sensitive adhesive matrix. These systems may contain additional absorption enhancers or in order to improve the cohesion of the matrix, additional cross linkers. If the cohesion of the polymer matrix is too low the matrix may exhibit an undesired creeping tendency that may lead to an adhesion of the cutted edges to the packaging pouch. This may lead to difficulties during the removal of the TDDS from the package often resulting in destruction of the system by the patient.
- WO 86/00814, US 5,186,938 describe a partially cross linked matrix system that maintains its integrity during storage or wearing on the skin.
- European Patent EP 219 539 describes a nitroglycerin patch composed of an acrylic acid polymer pressure sensitive adhesive without cross linker, 10 to 45% nitroglycerin, and a combination of ethyl oleate and glyceryl monolaurate as synergistic absorption enhancers.
- the patent does not disclose any information on the adhesive properties or the pharmacokinetic behaviour. From the WO 86/00814 can be concluded that nitroglycerin as a solvent like acting drug will soften the adhesive so that the polymer may be dissolved, especially in high concentrations of nitroglycerin.
- the absorption enhancers also act like plasticisers so that the cohesion of the drug containing polymer matrix will be further decreased.
- absorption enhancers promote the permeation of drugs through the skin by disturbing the structure of the stratum corneum. Thus, they may cause rash skin irritations. It will be advantageous to avoid absorption enhancers in order to maintain the integrity of the skin. A patch according to this patent will not be able to exhibit a quick onset of action.
- EP 285550 describes a matrix patch, containing nitroglycerin in a concentration of 5 to 20% in an acrylic pressure sensitive adhesive.
- the polymer is not cross linked.
- the drug load must be relatively low because of the solvent properties of nitroglycerin that may lead to a dissolution of the adhesive.
- This invention does not consider the pharmacokinetic needs and thus does not include a biphasic absorption profile.
- EP 450986 describes an improved patch founded on the invention described in EP 285550, in that an absorption enhancer, a fatty acid alkylester, and for an improvement of cohesivity -colloidal hydrophobic silicid acid anhydride - is added.
- EPA 464573 describes a composition of acrylic adhesives containing plasticising drugs and/or absorption enhancers. It is said that cross linking is disadvantageous because the concentration of the cross linker cannot be adjusted sufficiently to the needs of the softening agents. Therefore a non adhesive polymer, increasing the consistency of the matrix is added. This film forming polymer reduces the adhesivity of the matrix. Consequently a tackifyer has to be added that may be a resin derivative. This invention also does not consider the pharmacokinetic needs.
- EP 588839 describes an acrylic adhesive based matrix patch containing nitroglycerin.
- the adhesive has to be cross linked like described in WO 86/00814. No additional advantage over this invention can be deduced from the patent.
- the patch described in EP 588839 is composed from only one layer containing the nitroglycerin. Thus, no loading dose is effective as can be seen in the in vitro release profiles enclosed in the patent. The inventors have not considered the therapeutic neccessary release profile .
- EPA 622075 describes a self cross-linking acrylic adhesive matrix containing drugs like nitroglycerin.
- the goals of the invention are identical to that of WO 86/00814, US 5,186,938 and EP 588839.
- the inventors state that the cross linking takes place in the temperature range of 20 - 65°C and that in this range the evaporation of nitroglycerin during the drying process is low. It cannot be seen that there is any advantage over the EP 588839 because acrylic adhesives of the latter patent are cross linking in the same temperature range.
- a first objective of this present invention is to achieve the quick onset of effective blood levels by use of an effective loading dose.
- a second objective of the present invention is to maintain effective plasma levels, after the loading dose has been exhausted, up to 24 hours.
- a third objective of the present invention is to make available a transdermal drug delivery system with good skin compatibility.
- a fourth objective of the present invention is to make available a TDDS with optimal adhesive properties.
- a fifth objective of the present invention is to maintain the integrity of the matrix while having a high drug load in order to avoid absorption enhancers.
- a sixth objective of the present invention is to have a TDDS with good physical stability, i.e. small tendency of creeping of the matrix in order to remove the systems easily from the ' package .
- TDDS transdermal drug delivery system
- NG nitroglycerin
- an optionally cross-linked acrylic adhesive layer having a content of NG and optionally a tackifying agent (tackifyer, tackifying resin or resin) , and
- the TDDS according to the invention can be characterized in that the concentration of NG is 30 to 45 % based on the total weight of layer (ii) and layer (iii) .
- the TDDS according to the invention can be characterized in that the backing layer consists of polyethylene, polypropylene, polyester, polyurethane or polyvinylchloride .
- the TDDS according to the invention can be characterized by a backing layer having a thickness of from 5 to 100 and preferably 10 to 50 ⁇ m.
- the TDDS according to the invention can be characterized in that the release liner consists of a sheet of a polymer, especially polyethylene, polypropylene, polyester or polyvinylchloride, or paper, or a compound of these materials, especially a polymer-coated paper, preferably a polyethylene coated paper.
- the polymer can be siliconized.
- the TDDS according to the invention can be characterized by a layer of an acrylic adhesive selected from the group of vinylacetate containing co-polymers.
- the TDDS according to the invention can be characterized by at least one layer of an acrylic adhesive obtained from glycidyl methacrylate as co-monomer.
- the TDDS according to the invention can be characterized by at least one layer of an acrylic adhesive obtained without any use of ethylacrylate as co-monomer.
- the TDDS according to the invention can be characterized by a tackifying agent selected from the group consisting of rosin, rosin derivatives, aromatic hydrocarbon resins, aliphatic hydrocarbon resins, terpene resins, and phthalate esters of hydroabietyl alcohol .
- a tackifying agent selected from the group consisting of rosin, rosin derivatives, aromatic hydrocarbon resins, aliphatic hydrocarbon resins, terpene resins, and phthalate esters of hydroabietyl alcohol .
- the TDDS according to the invention can be characterized by an acrylic adhesive layer (ii) or (iii) cross- linked by a metal chelate, especially titanium acetylacetonide, aluminium acetylacetonide or esters of titanic acid as cross- linker, such as a butyl titanate polymer as titanic acid ester, preferably having a molecular mass of from 750 to 2000 and more preferably of from 1000 to 1500.
- the concentration of the butyl titanate polymer can be up to 5 % and especially 0.2 to 5 % based on the weight of layer (ii) and/or layer (iii) .
- the TDDS according to the invention can be characterized in that layer (iii) contains less tackifying agent and more cross-linker than layer (ii) .
- a specific embodiment of the invention concerns a TDDS characterized in that
- layer (ii) has a lower NG concentration compared with layer
- a transdermal system composed of three layers: a drug free backing layer, a first nitroglycerin containing optionally cross-linked acrylic adhesive layer attached to the backing layer, and a second nitroglycerin containing cross-linked acrylic adhesive layer, containing optionally either the same or a different concentration of cross linker as the first layer, and a tackifying agent, with a different or equal nitroglycerin concentration as the first layer, and a release liner, it is possible to get a very quick onset of effective nitroglycerin blood levels, good cohesion of the system so that within 3 years storage at room temperature no adhesion to the packaging material was observed, and excellent skin compatibility.
- the backing foil for a nitroglycerin TDDS can be any occlusive material with a thickness of 10 to 50 ⁇ m like polyethylene, polypropylene, polyester, and the like, but preferably polyester materials.
- the release liner is that part of the transdermal drug delivery system that is removed by the patient before application and discarded.
- the release liner my be any siliconised sheet of material, polyethylene, polypropylene, polyester, polyvinylchloride, paper or a combination of materials like siliconised polyethylene coated paper where the siliconisation is made on the polyethylene layer.
- Such a compound release liner has the advantage to be rigid for easy removability with a low thickness of polyethylene layer.
- Acrylic pressure sensitive adesives are known to exhibit excellent adhesive properties. According Donatas Satas (ed.), Handbook of Pressure Sensitive Adhesives, Van Nostrand, 2nd ed., 1989, p.396 ff., no additional tackifying resins are neccessary unless one uses non adhesive acrylates or adhesives for high temperature application.
- the adhesivity decreases so that often the backing foil is peeled off by the patient seperately after the application period. It was now found that the anchoring properties could be optimised by adding a resin into the polymer matrix and by using an acrylic copolymer containing a small amount of glycidyl methacrylate . Thus, the cohesivity of the matrix could be increased in order to minimise the creep. In this layer the main amount of nitroglycerin is present that assures the maintenance of effective plasma levels for a time period up to 24 hours.
- the tackifying resins may be chosen from the group of rosin and its derivatives, aromatic or aliphatic hydrocarbon resins, terpene resins, but preferable phthalate esters of hydroabietyl alcohol .
- the cross linkers used herein may be metal chelates like titanium or aluminium acetylacetonide or esters of titanic acid.
- butyltitanate polymer with a molecular mass of approx. 1000 to 1500 is used.
- the acrylate pressure sensitive adhesives were chosen from the group of vinylacetate containing copolymers . It was found that adding small amounts of glycidyl methacrylate monomer during the polymerisation of the polymer was very effective for the overall adhesivity in combination with the resin.
- the polymer should contain no ethyl acrylate.
- the second nitroglycerin containing layer being in direct contact to the skin, has a higher drug concentration and may have different concentrations of resin and cross linker, according to the needs of the matrix in order to fulfill its desired function. In general, the resin concentration may be reduced, compared with the first layer, and the cross linker concentration may be increased because of the plasticising action of nitroglycerin.
- variable cross linker and tackifyer concentrations it is possible to balance the overall cohesivity of a transdermal system and the ratio of adhesivity to skin and backing foil.
- the adhesion, expressed as peel force can be adjusted to the type of backing foil, without affecting the peel force on the skin and vice versa.
- the ratio of drug concentrations in the first and second matrix layer determines in combination with the thickness of each layer and the degree of cross linking the absorption profile of the nitroglycerin.
- Cross linking will lead to a "harder" polymer in which the diffusion coefficient of substances will be decreased.
- the second - skin contacting - matrix layer has the same nitroglycerin concentration as the first layer, but they differ in the concentration of the cross linker so that the concentration of for example polybutyl titanate is lower in the second layer the drug dissolved in this layer will diffuse faster into the skin than from the first layer.
- a control of drug release can be achieved by this variation. The effect can be increased further when the second layer has a higher drug concentration than the second.
- the roll of layer 2 is unwound and the intermediate liner is removed. Parallely the layer 1 is unwound in the same machine, the intermediate lin ⁇ r removed, and the two adhesive layers are pressed against each other to give the final laminate composed of a backing foil, two drug containing adhesive layers and a release liner.
- Thelaminate is
- the adhesive layer being near the backing foil has increased resin and cross linker concentrations. As a consequence of a higher degree of cross linking the nitroglycerin containing matrix the adhesion to the backing foil is decreased. Increasing the resin concentration in the first layer adjusts the adhesion to form the optimal bond to the foil. The reduced cross linker in the second layer may lead to a higher diffusivity of nitroglycerin in this matrix.
- the laminate is eventually slitted into small rolls according to the size of a TDDS.
- the small rolls are fed into a suitable die cutting machine where the patches are cut to their final shape and packeged into air tight pouches.
- the roll of layer 2 is unwound and the intermediate liner is removed. Parallely the layer 1 is unwound in the same machine, the intermediate liner is removed, and the two adhesive layers are pressed against, each other to give the final laminate composed of a backing foil, two drug containing adhesive layers and a release liner.
- the laminate is wound up to a roll.
- the adhesive layer being near the backing foil has increased resin and reduced cross linker and nitroglycerin concentrations, whereas the layer 2, being in contact with the release liner has increased nitroglycerin and cross linker concentrations.
- the second layer, being in contact with the skin after application of the transdermal system, contains a higher nitroglycerin concentration than the first layer, resulting in a faster release of a part of the whole nitroglycerin dose. Due to the softening effect of the nitroglycerin the cross linker concentration has to be increased additionally.
- the laminate is eventually slitted into small rolls according to the size of a TDDS.
- the small rolls are fed into a suitable die cutting machine where the patches are cut to their final shape and packeged into air tight pouches.
- the roll of layer 2 is unwound and the intermediate liner is removed. Parallely the layer 1 is unwound in the same machine, the intermediate liner is removed, and the two adhesive layers are pressed against each other to give the final laminate composed of a backing foil, two drug containing adhesive layers and a release liner.
- the laminate is wound up to a roll.
- the adhesive layer being near the backing foil has reduced resin, reduced cross linker and reduced nitroglycerin concentrations, whereas the layer 2, being in contact with the release liner has increased nitroglycerin, cross linker, and resin concentrations.
- the second layer being in contact with the skin after application of the transdermal system, assures a quick and long onset and the first layer contains a small maintenence dose . Because of the reduced nitroglycerin concentration the cross linker and the resin concentrations may be lower because of the lack of softening effect of the drug.
- the roll of layer 2 is unwound and the intermediate liner is removed. Parallely the layer 1 is unwound in the same machine, the intermediate liner is removed, and the two adhesive layers are pressed against each other to give the final laminate composed of a backing foil, two drug containing adhesive layers and a release liner. The laminate is wound up to a roll .
- This example describes a laminate in which the adhesive layer being near the backing foil has an increased resin concentration.
- the increased resin concentration assures an optimal contact of the drug containing cross-linked matrix to the backing foil.
- Each of the drug and cross linker concentrations are identical in both adhesive layers.
- the laminate is eventually slitted into small rolls according to the size of a TDDS.
- the small rolls are fed into a suitable die cutting machine where the patches are cut to their final shape and size, 12.5 or 25 cm 2 , releasing 5 or 10 mg nitroglycerin/24 hours, and packed into air tight pouches.
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Abstract
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE0944384T DE944384T1 (de) | 1996-12-10 | 1997-12-10 | Transdermales arzneistoffverabreichungssystem zur behandlung von herzerkrankungen |
AT97952048T ATE214271T1 (de) | 1996-12-10 | 1997-12-10 | Transdermales arzneistoffverabreichungssystem zur behandlung von herzerkrankungen |
GR990300039T GR990300039T1 (en) | 1996-12-10 | 1997-12-10 | Transdermal drug delivery system for the treatment of heart diseases |
DE69711075T DE69711075D1 (de) | 1996-12-10 | 1997-12-10 | Transdermales arzneistoffverabreichungssystem zur behandlung von herzerkrankungen |
EP97952048A EP0944384B1 (fr) | 1996-12-10 | 1997-12-10 | Systeme d'administration de medicaments transdermiques pour le traitement des maladies du coeur |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP96119801.7 | 1996-12-10 | ||
EP96119801A EP0856311A1 (fr) | 1996-12-10 | 1996-12-10 | Système transdermique pour l'administration d'un médicament pour le traitement des maladies du coeur |
EP96119879 | 1996-12-11 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1998025591A1 true WO1998025591A1 (fr) | 1998-06-18 |
Family
ID=26142356
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP1997/006892 WO1998025591A1 (fr) | 1996-12-10 | 1997-12-10 | Systeme d'administration de medicaments transdermiques pour le traitement des maladies du coeur |
Country Status (1)
Country | Link |
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WO (1) | WO1998025591A1 (fr) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998036740A3 (fr) * | 1997-02-21 | 1998-11-19 | Lohmann Therapie Syst Lts | Systeme a emplatre transdermique ou topique avec matrice au polyacrylate a proprietes physiques ameliorees |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3315272A1 (de) * | 1983-04-27 | 1984-10-31 | Lohmann Gmbh & Co Kg, 5450 Neuwied | Pharmazeutisches produkt |
JPS59199628A (ja) * | 1983-04-25 | 1984-11-12 | Sekisui Chem Co Ltd | 貼付剤 |
EP0518113A1 (fr) * | 1991-06-10 | 1992-12-16 | Schwarz Pharma Ag | Pancement de nitroglycerine et son procédé de préparation |
-
1997
- 1997-12-10 WO PCT/EP1997/006892 patent/WO1998025591A1/fr active IP Right Grant
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS59199628A (ja) * | 1983-04-25 | 1984-11-12 | Sekisui Chem Co Ltd | 貼付剤 |
DE3315272A1 (de) * | 1983-04-27 | 1984-10-31 | Lohmann Gmbh & Co Kg, 5450 Neuwied | Pharmazeutisches produkt |
EP0518113A1 (fr) * | 1991-06-10 | 1992-12-16 | Schwarz Pharma Ag | Pancement de nitroglycerine et son procédé de préparation |
EP0588839A1 (fr) * | 1991-06-10 | 1994-03-30 | Sanol Arznei Schwarz Gmbh | Emplatre a la nitroglycerine et son procede de fabrication. |
Non-Patent Citations (1)
Title |
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PATENT ABSTRACTS OF JAPAN vol. 9, no. 6 (C - 271)<1789> 26 March 1985 (1985-03-26) * |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998036740A3 (fr) * | 1997-02-21 | 1998-11-19 | Lohmann Therapie Syst Lts | Systeme a emplatre transdermique ou topique avec matrice au polyacrylate a proprietes physiques ameliorees |
US6436433B1 (en) | 1997-02-21 | 2002-08-20 | Lts Lohmann Therapie-Systeme Ag | Transdermal or topical plaster system with a polyacrylate matrix with improved physical properties |
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