CA2135203C - Metering spray designed for pernasal application - Google Patents

Metering spray designed for pernasal application

Info

Publication number
CA2135203C
CA2135203C CA002135203A CA2135203A CA2135203C CA 2135203 C CA2135203 C CA 2135203C CA 002135203 A CA002135203 A CA 002135203A CA 2135203 A CA2135203 A CA 2135203A CA 2135203 C CA2135203 C CA 2135203C
Authority
CA
Canada
Prior art keywords
sex hormone
spray
application
testosterone
dopamine
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
CA002135203A
Other languages
French (fr)
Other versions
CA2135203A1 (en
Inventor
Claudia Mattern
Rudiger Hakker
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
M&P Patent AG
Original Assignee
Arrowdean Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Arrowdean Ltd filed Critical Arrowdean Ltd
Publication of CA2135203A1 publication Critical patent/CA2135203A1/en
Application granted granted Critical
Publication of CA2135203C publication Critical patent/CA2135203C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • A61K31/198Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • A61K31/568Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0043Nose

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Molecular Biology (AREA)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Cosmetics (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

Described is a metering spray designed for pernasal application, the spray containing at least one sex hormone or at least one metabolic precursor of a sex hormone or at least one derivative of a sex hormone or combinations of these, excepting the precursors of testosterone, or at least one biogenic amine, with the exception of catecholamines.

Description

f~ gj 3 -METERING SPRAY DESIGNED FOR PERNASAL APPLICATION

The invention relates to the use of novel dosing or metering sprays for pernasal application.

Numerous pharmaceutical substances have their pharmacodynamic action in the central nervous system. Thus, the latest research has revealed that sex hormones and their derivatives in part reveal unexpected, positive side-effects in the central nervous system, particularly in that the general psychophysiological stressability of the patient perceptibly rises. Other substances, such as certain biogenic amines have a therapeutic activity which is directly dependent on a facilitated access to the central nervous system. This is a decisive action prerequisite for example, for medicaments for treating Parkinson's disease, such as, for example, dopamine, dopamine derivatives, NADH or NADPH.

If, as a result of their chemical properties, active substances undergo modifications in the gastrointestinal tract due to the varying pH-conditions and enzymatic processes (such as e.g. most biogenic amines) or if they are only water-soluble to a limited extent (such as sex hormones) hitherto complicated galenic administration forms have been necessary, or it has been necessary to use the parenteral administration form, which stresses the patient and requires the calling in of the doctor.

EP-A-272 097 points out that progesterone from the nasal cavity is absorbed in such a way that the resulting blood levels are virtually equivalent to intravenous administration.

EP-A-160 501 discloses an intranasal formulation for catecholamine, which is suspended fatty acid or ester and emulsified with polyoxyethylene.

The object of the present invention is to provide an administration form, which favours the access of certain r_ active substances to the central nervous system and therefore permits a reduction in the single dose and/or supply of active substances, which cannot be perorally supplied for the indicated reasons.

According to the invention this object is achieved by a dosing spray having a content of at least one sex hormone or at least one metabolic precursor of a sex hormone or a combination thereof, excepting the precursors of testosterone, or at least one biogenic amine, excepting catecholamines.

Particular preference is given to a dosing spray having a content of dopamine, dopamine derivative, NADH, NADPH or a combination thereof.

Thus, according to the invention, there is provided a use of at least one sex hormone or at least one precursor of a sex hormone in the metabolic process or at least one derivative of a sex hormone or of a combination thereof, apart from the precursors of testosterone or of dopamine, a dopamine derivative, NADH, NADPH or a combination thereof for producing a medicament in the form of a dispensing spray for pernasal application for controlled dosage reduction or for facilitating the passage through the blood-brain barrier.

The preferred dosage is from 2 to 20 mg of active substance per spray stroke.
Further features and advantages of the invention can be gathered from the following description of a preferred embodiment.

Ap~lication of testosterone by means of a dosinq sPraY

The advantages of administration by means of a dosing spray were tested in comparison with the oral administration of testosterone.
~.-~7.' ~
_ ' The peroral supply of 100 mg of testosterone by means of a capsule increased the blood level from a starting concentration between 32.5 and 37.5 nmole/l to values between 45 and 50 nmole/l. The concentration maximum was reached 30 minutes after administration, but was subject to marked individual fluctuations.

The profile of the steroids eliminated in the urine reacted very strongly and there were increases in the testosterone/epitestosterone quotient starting from the normal range between 0.9 and 2.8 to values of up to 60.
The blood level kinetics individually varied widely and in part 60 to 90 minutes following administration the initial values were again reached.
When testosterone was administered by means of a nasal spray, only a dose of 7 or 14 mg per application was needed in order to achieve the same rise in the blood level.

Application was much better to control. The blood concentrations which increased in individual test persons in a stable manner were 1.5 to 2 times the individual starting concentrations. The time during which the maximum blood concentration was reached was clearly reduced to from 15 to a maximum of 90 minutes.

The disturbances in the urine steroid profile were clearly reduced and the testosterone/epitestosterone quotient only rose to values between 15 and 20 and was normalized within 24 3 0 hours .

Following pernasal application all the test persons mentionedan improved psychophysiological stressability. This effect was not observed with peroral administration. It is attributed to the preferred influencing of the central nervous steroid receptors, probably caused by easier passage through the blood-brain barrier in pernasal application.

FJ

A~plication of anti-Parkinson's disease aqents For therapeutics used in the treatment of Parkinson's disease, an essential action prerequisite is the passage through the blood-brain barrier.

Building up on the aforementioned results NADH was pernasally applied in a pilot study. In pilot studies with parenteral administration of 5 to 10 mg of NADH (infusion over 30 minutes it was found that the tremor frequency significantly decreased and both the mobility and target accuracy or aim of the movements improved. For the same dosage intranasal NADH
application revealed the same action. Thus, it is possible to avoid the risky, stressing intravenous infusion and instead to obtain by means of the dosing spray an application which is more appropriate for the disease and age.

In the case of pernasal application the active substance can also be available in powder form. As a result of the spray stroke there is a very fine distribution in the vicinity of the nose and nasal sinuses, which favours absorption over a large surface. The galenic formulation as a dry substance eliminates the problems associated with the keeping quality and stability of the active substance. The preferred administration as a nasal spray is consequently particularly suitable for out-patient therapy of Parkinson's disease.

The features of the invention disclosed in the description and claims can be essential to the implementation of the invention in its various embodiments either singly or in random combination.

Claims (2)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. Use of at least one sex hormone or at least one precursor of a sex hormone in a metabolic process or at least one derivative of a sex hormone or of a combination thereof, apart from the precursors of testosterone or of dopamine, a dopamine derivative, NADH, NADPH or a combination thereof for producing a medicament in the form of a dispensing spray for pernasal application for controlled dosage reduction or for facilitating the passage through the blood-brain barrier.
2. Use according to claim 1, wherein the dispensing spray is applied at a dosage of from 2 to 20 mg active substance per spray stroke.
CA002135203A 1992-06-03 1993-05-17 Metering spray designed for pernasal application Expired - Lifetime CA2135203C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DEP4218291.3 1992-06-03
DE19924218291 DE4218291A1 (en) 1992-06-03 1992-06-03 Dosing spray for pernasal application
PCT/DE1993/000442 WO1993024107A1 (en) 1992-06-03 1993-05-17 Metering spray designed for pernasal application

Publications (2)

Publication Number Publication Date
CA2135203A1 CA2135203A1 (en) 1993-12-09
CA2135203C true CA2135203C (en) 1998-12-29

Family

ID=6460299

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002135203A Expired - Lifetime CA2135203C (en) 1992-06-03 1993-05-17 Metering spray designed for pernasal application

Country Status (6)

Country Link
EP (1) EP0643575B1 (en)
JP (1) JP3705600B2 (en)
CA (1) CA2135203C (en)
DE (2) DE4218291A1 (en)
ES (1) ES2085775T3 (en)
WO (1) WO1993024107A1 (en)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2735293A1 (en) * 1995-01-17 1996-07-18 Menuco Corp. Nadh and nadph therapeutic agents for dermal administration
US5712259A (en) * 1996-04-22 1998-01-27 Birkmayer Pharmaceuticals NADH and NADPH pharmaceuticals for treating chronic fatigue syndrome
US5668114A (en) * 1996-05-08 1997-09-16 Birkmayer Pharmaceuticals NADH and NADPH pharmaceuticals for treating hypertension
WO2001041732A1 (en) * 1999-12-06 2001-06-14 Gore Stanley L Compositions and methods for intranasal delivery of active agents to the brain
PT2068825E (en) 2006-10-04 2011-02-11 M & P Patent Ag Controlled release delivery system for nasal application of neurotransmitters
US8652443B2 (en) 2008-02-14 2014-02-18 Precision Dermatology, Inc. Foamable microemulsion compositions for topical administration
AR086400A1 (en) 2011-05-13 2013-12-11 Trimel Pharmaceuticals Corp FORMULATIONS IN INTRANASAL GEL OF TESTOSTERONE IN DOSE OF LOWER POWER AND USE OF THE SAME FOR THE TREATMENT OF ANORGASMIA OR THE DISORDER OF HYPOACTIVE SEXUAL DESIRE
US9757388B2 (en) 2011-05-13 2017-09-12 Acerus Pharmaceuticals Srl Intranasal methods of treating women for anorgasmia with 0.6% and 0.72% testosterone gels
US20130045958A1 (en) 2011-05-13 2013-02-21 Trimel Pharmaceuticals Corporation Intranasal 0.15% and 0.24% testosterone gel formulations and use thereof for treating anorgasmia or hypoactive sexual desire disorder
US11744838B2 (en) 2013-03-15 2023-09-05 Acerus Biopharma Inc. Methods of treating hypogonadism with transnasal testosterone bio-adhesive gel formulations in male with allergic rhinitis, and methods for preventing an allergic rhinitis event

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR6033M (en) 1967-02-10 1968-05-13
US4581225A (en) * 1984-04-25 1986-04-08 Eli Lilly And Company Sustained release intranasal formulation and method of use thereof
NZ222907A (en) * 1986-12-16 1990-08-28 Novo Industri As Preparation for intranasal administration containing a phospholipid absorption enhancing system
GB8828477D0 (en) * 1988-12-06 1989-01-05 Riker Laboratories Inc Medical aerosol formulations
DE4003272A1 (en) * 1990-02-03 1991-08-08 Boehringer Ingelheim Kg NEW GAS MIXTURES AND THEIR USE IN MEDICINE PREPARATIONS
EP0536204B1 (en) * 1990-06-27 1994-04-06 Minnesota Mining And Manufacturing Company The use of soluble fluorosurfactants for the preparation of metered-dose aerosol formulations
US5116847A (en) * 1991-01-25 1992-05-26 The Procter & Gamble Company Use of loperamide and related compounds for treatment of respiratory disease symptoms
DE4214953C2 (en) * 1992-05-06 1995-05-18 Arrowdean Ltd Medicines to increase testosterone levels

Also Published As

Publication number Publication date
ES2085775T3 (en) 1996-06-01
WO1993024107A1 (en) 1993-12-09
CA2135203A1 (en) 1993-12-09
JPH07507279A (en) 1995-08-10
DE59301810D1 (en) 1996-04-11
JP3705600B2 (en) 2005-10-12
EP0643575A1 (en) 1995-03-22
DE4218291A1 (en) 1993-12-09
EP0643575B1 (en) 1996-03-06

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Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20130517

MKEC Expiry (correction)

Effective date: 20131009