CA2188566A1 - Topical polymeric drug delivery system - Google Patents

Topical polymeric drug delivery system

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Publication number
CA2188566A1
CA2188566A1 CA 2188566 CA2188566A CA2188566A1 CA 2188566 A1 CA2188566 A1 CA 2188566A1 CA 2188566 CA2188566 CA 2188566 CA 2188566 A CA2188566 A CA 2188566A CA 2188566 A1 CA2188566 A1 CA 2188566A1
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Canada
Prior art keywords
drug
topical
beta
cyclodextrin
progesterone
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.)
Abandoned
Application number
CA 2188566
Other languages
French (fr)
Inventor
Conrad Winters
Sophie-Dorothee Clas
Elizabeth Kwong
Dale Meisner
Elizabeth B. Vadas
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Merck Frosst Canada and Co
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Individual
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Filing date
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Publication of CA2188566A1 publication Critical patent/CA2188566A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/12Aerosols; Foams
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7015Drug-containing film-forming compositions, e.g. spray-on

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Dispersion Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

A topical polymeric drug delivery system for the delivery of drugs to the skin for either topical or systemic effect is described. The system involves the use of a propellant-free airless pump for the delivery.

Description

TITLF, OF THF, INVENTION
TOPICAL POLYMERIC DRUG DELIVERY SYSTEM
This ar~ tirn is a c~ ;...,-in-part of crr~n~1in~
application Serial No. 08/238,409 filed May 5, 1994.
BACKGROUND OF THE INVENTION
The present invention is directed to a topical polymeric delivery system for the ?~I...;";~I"";I~n of certain drugs over an extended period of time via a non-propellant aerosol pump device.
Sustained release devices for controlled topical delivery of drugs is a highly useful method of supplying m~ tinn when it is beneficial to ~.1",;";~1~. m~.tlic~tic~n cnntiml~ ly. The idea of aerosol delivery of a thin film for direct spraying on a woumd has been 5 described in an article by Fujita et aL, "Ph~rm9~-eutir~1 Research" 9, (1992). However, the method described involves a CFC c~.lll;~;ll;
aerosol propellant.
Some of the advantages of this system over known tr~ncd~rm~l delivery systems include:
1 ) Ease of application;
2) Ease of removal since the film is water soluble;
3) Freedom from adhesives;
4) Freedom from the use of a rate controlling Illc;l.ll,l~llle;
S) High patient s~rc-pf?~-ility as the film is practically invisible;
and 6) The use of a propellant-free aerosol which is ~ IVil...l,l....l~lly friendly.
SUMMARY OF THE INVENTION
According to the present invention it has been discovered that certain drugs can be delivered via a propellant-free aerosol as a ~ulllluc~ lll of a polymeric system for prolonged adlllilli~ ion compared to conventional formlll~ n~ In particular, the compound inrlom.oth~lin and certain cyclou~y~llase II inhibitors such as 3-[3,4-WO9~/30409 ~i 8856~ PCT/CA95/00260 diri UUIUIU~ ly]]-4-[4-(methylsulfonyl)phenyl]-2(5H)-furanone can be topically applied usmg the delivery system of the invention resulting in prolonged ~,l.";";~",~ir)n compared to conventional dosage forms.
FUILII~1I1IUI~ the system is capable of providing systemic delivery of 5 the ",r.l;. ~~1~ without causing the gastric irritation a~CoCiAf. d ~vith indc,lll~,Llld~,ul, in particular, and NSAIDs, in general.
DESCRIPTION OF T}~F INVENTIQN
There has been discovered a novel polymeric drug delivery system for prolonged topical delivery of a mf riir~mf nt via a propellant-free aerosol pump. The system is adaptable to arly drug which is soluble and stable in hydroalcoholic solutions and comprises a film forming po]ymer, a pl~ctir.i7in~ agent, a crystAlli7Atil~n hlllibilul/~ilizer, a ~nf tr~tjon enhancer, an alcoholic or hydro~lcnhnlir solution and a suitable drug .
Suitable drugs for use in therdpy with the device of the invention include without limit~ti~n 1. Protein drugs such as insulin;
2. Anti-infectives, such as antibiotics, including penicillin, t~,.la~ycliule, chlorotetracycline bacitracin, nystatin, ~LIUI ~OIIIY~;UI~ neomycin, polymyxin, gramicidin, oxytetracycline, chlul- "l)i.- ,;rol, and ~ LIll~llly-;iul;
sulfnn~mi~ifg, including slllfArft~midP, glllrAlll~ ;ll;~n Sulr~ull~,lll~iulC~ glllf?~fi~7inf, Svlr~ .f~ and s~lfi~oS- 1~, cefoxitin; anti-virals includir~g irfnsllri~iin and other arlti-infectives including ~ lurul~C~ and sodium propionate;
3. Steroidal anti-;~ri- ~ ly agents such as hydrocortisone, cortisone, l~ydluculLi~ullc acetdte, dex~llcLlldsûl~, dex~ll.,Lll~sull~, 21-~ , fluocinolone, triamcinolone, medrysone, prednisolone, prednisolone 21-phosphate and prednisolone acetate;
4. Estrogens such as estrone, 17 ~-estrddiol, ethinyl estradiol and diethyl stilbesterol;

21 ~8~66 5. P.u~ AI agents such as pro~,~,at~,lvllc, megestrûl, mf lf n~f. strûl, chlnrmq~linonf, clllialelulle, nul~illy.lodl~
19-nor-~,1u~,_at-,lulle, norethindrone, medroAy~lu~,.,si~lu-le and 17 ,~-hydroxy-pro~ a~-,lulle;
5 6. Humoral agents such as the prosta~lqn~in~) for example, PGE1, PGE2 and PFG2;
7. Allli~,.y.~,lics anolgf~irS such as aspirin, sodium salicylate, salicylamide and ~lifllmi~al;
8. Al.~ ,.. ,n-lins such as atropine, .. ~ inf, papaverine and ~ c.,~,olamine bromide;
9. A..l;l.i~ ...i..f-~, such as lil h~,lllly~ f, dllll~llllydlil~t~, II;~-~f-1~,""A"~;"f.~ F...~ f' and chlolu~ ;llf;
10. Non steroidal anti-i.,llA~ u,y agents such as i".~ llal ... and sulindac; and 1 1. Cyclooxygenase Il inhibitors such as those disclosed in U.S.
Patent No. 5,409,944 issued April 25, 1995 and those disclosed in copending applications 08/147,804 filed November 4, 1993; 08/179,467 filed January 10, 1994;
08/330,172 filed October 27, 1994; 08/361,268 filed December 21, 1994 and 08/371,179 filed January 11, 1995.
Other drugs having the same or different physiological activity as those recited above can be employed in drug-delivery devices within the scope of the present invention.
This system is particularly useful with drugs such as 2s in~nmftllarin which can cause severe upper gAs~ l irritation and nausea when ,a"llllilli~lrlud by conventional means.
The system involves the use of film forming polymers which are soluble and rapidly form a thin film upon application via a Ilydlu-,~bùll propellant-free system. The film fonned allows vapor 30 penetration and can be considered l,lti_lllal~lc. The choice of a chloro-fluoro-carbon (CFC) free preparation was essential due to the potentially cllvi ulllll~ lly damagimg ~ t~,lialh,s of CFC
propellants. With the use of a llydlu~,~bull propellant-free system, it was also essential that the solvent employed be volatile enough to allow 2 1 ~ g 5 6 6 ` ` :

rapid film formation on A.l,..;..;~, Al;on Alcohols or hydroalcoholic solutiorls using lower alkanol solvents such as ethanol and isv,u~v~ol have been found useful with ethanol being the preferred solvent. Other potential solvent systems may include ethyl acetate.
The film forlning polymer selected was ~ ~ " ,;. ,~ in view of the solvent employed. It is necessary that the polymer be soluble in the solvent chosen. Polymers which have been foumd to be useful in the invention include J~ yla~s, celluloses, siloxanes amd copoly2ners of methac~ylates, celluloses and silox~mes. PrefeIred polymers are meth-0 acrylates with poly(2-hydroxy ethyl ~~ iLa.,~ylaL~) (PHEMA) the most prefeIred choice. PED~A was the most preferred because of the quality of the film formed in the system.
Plasticizing agerlts are also necessary for the delivery system.
The rlAchr.i7~rc are used to impart the desired IIIF. IIAII;I .A1 proper~ies to the fi]m such as fiexibility. Suitable r1A~ agents include Tween 20 (TradeMarkforpolyoxyethylene(20)sorbitan~.. r.1A ~AIr)andTween (Trade Mark) products of higher molecular weight, low molecular weight po~yethylene glycola, glycerine or Labrasol (Trade Mark for PEG-8-capryiic-capritriglyceride). Preferred rlAch~i7~rc are the Tween (Trade 2 o Mark) products with Tween 20 the most prefelred. The rlA chr;7in~ agent is generally present in an amount from about 10%-50% as a IJ~ of the total solid contents of the film An additional ~ for the delively system is a cr~st^Alli7Ah~-n ir~hibitor/stabilizer andlor a penetration erlhancer. These are2 5 used to modulate drug delivery. Suitable c~lmr~ ' include, 1 ~
~y~ 1.~1. . 11 .1.~ such as ~dlu~.yl~uyyl beta-cyclodextrm (HPBCD), Ly~Lu~.,lLyl beta-~iy~,lod~"~L...~ diethyl beta-~y-,lod.,~L~ and hy~Lu~,Lilyl and Ly~Lu~y~lu~yl ga~ma cyclodextrin and transcutol, urea and ;s..t 1~ ~ ~ The choice of cyclodextrm iâ governed by the si_e of the drug 3 o . molecule used in the particular ff~rmlll~hr~n Hydroxypropyl beta-cyclodextnn (HPBCD) was the preferred cry~-c~lli7Ahon m~ubitor.
The following example illustrates the invention but is not construed to be limiting.
AMENDE~ SHEE`T

`21 ~856~

E~AMPLE 1 Fihn Formation PHEMA was dissolved in a Tween (Trade Mark)/ethanol solution w_ich hadbeen warmed to 50C. TnrTr)m.-fhArin free acid was 5 added to the solution and when fully dissolved the resultant solution was poured imto a glass petri dish. The petri dish was covered with an inverted funnel and the solution was left to evaporate to dryness at room C~ . The films were placed in a vacuum oven for 16 hours at 37C
to ensure that the moisture level in all fihns was cnmr~r-hl~ Moisture 0 levels were d~ .. ;"~.d to be less than 3/O, in all fihns, by theremogravi-metric analysis As a p~ of the total solid contents of the fihn, ;".1,).,.. ~ was present in quantities ranging from 9 to 14%, and Tween 20 (Trade Mark) from 14 to 45%. In films containing HPBCD, ~uanthies were used which gave molar ratios of 1:1, 1:2 and 1 3, inrlrlm~t~A-5 cin:HPBCD.
EXAMPL~ II .
In Yitr~ Dissolution Testin~ of Fihns ~ th T...TI~..,, :1. . .;..
Films were cut to the ~ U~Iial~ size to fit an Enhancer (Trade 2 o Mark) cell (Varlkel Industries, USA) and were weighted before testing. The film was covered with a Durapore (Trade Mark) .. I~ filter (Millipore, USA) to provide additional -.f.~ I support. Dissolution testing, using the USP paddle method (100 r.p.m ), waS carried out irl phosphate buffer (pH 7.2) at 37C. Sarnples were taken over an eighthour 2 5 period and inrTr m~.th~rin c~" ,~...., l, A; ~r~n was qTl~n1;tAtPd by HPLC.
HPLC Conditions A Beclc~nan Ultrasphere 511 C-18 (Trade Mark) (4.6 x 250 mm) colurnn was used at 40C with a mobile phase of 35% aqueous (3% acetic 3 o acid in distilled water) and 65% organic (15% aAetr ni~ and 85%
methanol) phases. F1QW rate was 1 ml/min When arl~lyzing T.,~ .;"
AMENDED SHET

2 1 ~ 8 5 6~ . . ` `

samples and standards, 4-androsten-17,~-ol-3-one (t~,DLUb~lUllC) was used as _n int~m_l standard. Detechon was by W Dy~.LI..D~,u~y measuring at 260 nm. An inflf~rnf th~^in standard curve was cl .,.~I. . . t~ ~ by prepa7ing st~7ndards in met7aanol which ramged from 0.5 to 10 ~/ml each with 10 5 ~g/ml ot ~eD~uDt~ u l . c. The limit of detection for inflf mf th -f in ~
by 1 IPL'~ with W detection at 260 nm was d~ .. rd as 0.05 ~lg/ml.
D~ , was linear over the range O. l to 100 ~/rnl. The ~ irul ~ y of detection was ~ . ".;,.. 3 by injecting the same st~mdard ten times and ~,7~tf.nnjnin~ the relative standard deviation for the peak areaD obtained. The relative standard deviation was less than two.
EXAMPLE m Fil7n Fomlation PH~MA was dissolved in a Tween (Trade Mark)/HPBCD/-eth~nol solution which had been warmed to 50C. 3-[3,4-Difluorophenyl]-4-E4-(methylsulforlyl)phenyl]-2(5H)-furanone was added to the solution and stir~ed umtil fully dissolved. The resulting solution was filled into a Valois (Trade Mark) airless pump and made up to volume with ethanol.
The pump was sealed with a metered valve (200ml, VP36, 20m7n CS gasket 2 o 3/~æ, spring 1674). As a ~ L.~ of the total solid content of the f~m 3-r3,4-difluoro-phenyl}-4-[4-~ LhylDulru,.yl)phenyl]-2(5H)-furanone was present in quantities ranging from 1.15% to 4.45/0, HPBCD at 10% amd Tween 20 (Trade Mark) from 14 to 4~%.
2~ Rat Paw Edenna Assav-Protocol Five Fuzzy rats (250-300g) (Harlan Sprague Dawley, In~ f lic ~. USA) were used. The dorsal mid-lumbar area was spayed topica7.1y with the r.. ~ .T~ .. covering an area of about 4 x 4 cm.
This 5l.1.. ~l.rl.. was given once a day for tbree days. On the 3 o th7rd day, one hour at^ter the topica7. ~.l, .., ., . ~l ". l ;f n a line was d7 awn using a p~.. . ,~L marker at the level above the a7~1e 7n one hind paw .

AMENDED SHEEr to define the area of the paw to be monitored. The paw volume was measured using a pL,ll~ llu~ ,t~,l (Ugo-Basile, Italy) based on ~e principle of water ~ "~ , l The animals were then injected Z~"~ ly with 50 ~11 of a 1% call~g~ll~l solution in saline (FMC
5 Corp., Maine) into the paw using an insulin syringe with a 25-gauge needle (i.e., S00 llg C~ lldll per paw). Three hours later, the paw volume was measured and the increases in the paw volume were r~ ,d A five hour plasma sample was also taken to correlate the plasma levels with % paw edema inhi1~i*nn The animals were ;,f d by C02 d~ iàli-J.I. Paw edema data were compared with the vehicle control group and percent inhibition r~ taking the values in the control group as 100%. The topical fnrrmlls'fi~n was given at different doses to the animals and was also compared to an orally ,d dose of j"~ ;., and a ~ ... f l~ lly available topical gel fnrrnllls~if~)n of illf~l.lllr~ ;ll Re~ ive results are shown in Table 1.

21 8856~

F~rm~ tio3ls Dose (m~ ) % Inhibition Plasma Conc (3hr) (U~lml~
(5hr) 5 Tnt-lm~th~in spray 1 31 + l 3.6 i 1,2 3 54:~2 7,6~2.1 ', 10 70 i: 2 8.5 i l.2 0 Amuno~) Gel 5 41 i 2 4,5 i 1.5 Oral Tntl~m~th~.in (0,5 % Methocel - Trade Mark) 3 55 i 3 7,2 i 3.1 3-[3,4-Diiluoro-phenyl]4-[4-(methyl-sulfonyl)phenyl 1]-2-(5H)-f~ranone spray 7 56 i 5 1.2 ~ 0 2

Claims (18)

WHAT IS CLAIMED IS:
1. A topical polymeric delivery system suitable for administering a drug soluble in hydroalcoholic solutions which comprises:
(a) a film forming polymer;
(b) a plasticizing agent;
(c) a crystallization inhibitor/stabilizer;
(d) a penetration enhancer;
(e) an alcoholic or hydroalcoholic solution; and (f) a suitable drug.
2. The system according to Claim 1 wherein the drug is adapted to be administered via a propellant-free aerosol pump.
3. The system according to Claim 1 wherein the film forming polymer is selected from the group consisting of methacrylates, celluloses and siloxanes and co-polymers of methacrylates, celluloses and siloxanes.
4. The system according to Claim 3 wherein the film forming polymer is a methacrylate.
5. The system according to Claim 4 wherein the methacrylate is poly(2-hydroxy ethyl methacrylate).
6. The system according to Claim 1 wherein the plasticizing agent is selected from Tween (Trade Mark), low molecular weight polyglycols, glycerin and Labrasol (Trade Mark).
7. The system according to Claim 6 wherein the plasticizing agent is Tween 20 (Trade Mark).
8. The system according to Claim 1 wherein the crystallization inhibitor is selected from the group consisting of hydroxypropyl beta-cyclodextrin, hydroxyethyl beta-cyclodextrin, diethyl beta-cyclodextrin, hydroxyethyl gamma-cyclodextrin or hydroxypropyl gamma-cyclodextrin.
9. The system according to Claim 1 wherein the suitable drug is selected from the group consisting of a) Protein drugs such as insulin;
b) Anti-infectives, such as antibiotics, including penicillin, tetracycline, chlorotetracycline bacitracin, nystatin, streptomycin, neomycin, polymyxin, gramicidin, oxytetracycline, chloramphenicol, and erythromycin;
sulfonamides, including sulfacetamide, sulfamethizole, sulfamethazine, sulfadiazine, sulfamerazine, and sulfisoxazole, cefoxitin; anti-virals including idoxuridine;
and other anti-infectives including nitrofurazone and sodium propionate;
c) Steroidal anti-inflammatory agents such as hydrocortisone, cortisone, hydrocortisone acetate, dexamethasone, dexamethasone 21-phosphate, fluocinolone, triamcinolone, medrysone, prednisolone, prednisolone 21-phosphate, and prednisolone acetate;
d) Estrogens such as estrone, 17 .beta.-estradiol, ethinyl estradiol, and diethyl stilbesterol;
e) Progestational agents such as progesterone, megestrol, melengestrol, chlormadinone, ethisterone, norethynodrel, 19-nor-progesterone, norethindrone, medroxyprogesterone and 17 .beta.-hydroxy-progesterone;
f) Humoral agents such as the prostaglandins, for example, PGE1, PGE2 and PFG2;
g) Antipyretics analgesics such as aspirin, sodium salicylate, salicylamide, and diflunisal;

h) Antispasmodics such as atropine, methantheline, papaverine, and methscopolamine bromide;
i) Antihistamines such as diphenhydramine, dimenhydrinate, tripelennamine, perphenazine, and clorophenazine;
j) Non steroidal anti-inflammatory agents such as indomethacin, and sulindac; and k) Cyclooxygenase II inhibitors such as 3-[3,4-difluorophenyl]-4-[4-(methylsulfonyl)phenyl]-2(5H)-furanone.
10. The system according to Claim 9 wherein the drug is selected from the group consisting of non-steroidal and steroidal anti-inflammatory agents, antihistamines and cyclooxygenase II inhibitors.
11. A method for the topical or systemic delivery of a therapeutic dose of a drug selected from the group consisting of a) Protein drugs such as insulin;
b) Anti-infectives, such as antibiotics, including penicillin, tetracycline, chlorotetracycline bacitracin, nystatin, streptomycin, neomycin, polymyxin, gramicidin, oxytetracycline, chloramphenicol, and erythromycin;
sulfonamides, including sulfacetamide, sulfamethizole, sulfamethazine, sulfadiazine, sulfamerazine, and sulfisoxazole, cefoxitin; anti-virals including idoxuridine;
and other anti-infectives including nitrofurazone and sodium propionate;
c) Steroidal anti-inflammatory agents such as hydrocortisone, cortisone, hydrocortisone acetate, dexamethasone, dexamethasone 21-phosphate, fluocinolone, triamcinolone, medrysone, prednisolone, prednisolone 21-phosphate, and prednisolone acetate;
d) Estrogens such as estrone, 17 .beta.-estradiol, ethinyl estradiol, and diethyl stilbesterol;

e) Progestational agents such as progesterone, megestrol, melengestrol, chromadinone, ethisterone, norethynodrel, 19-nor-progesterone, norethindrone, medroxyprogesterone and 17.beta.-hydroxy-progesterone;
f) Humoral agents such as the prostaglandins, for example, PGE1, PGE2 and PFG2;
g) Antipyretics analgesics such as aspirin, sodium salicylate, salicylamide and diflunisal;
h) Antispasmodics such as atropine, methantheline, papaverine and methscopolamine bromide;
i) Antihistamines such as diphenhydramine, dimenhydrinate, tripelennamine, perphenazine and chlorophenazine;
j) Non steroidal anti-inflammatory agents such as indo-methacin and sulindac k) Cyclooxygenase II inhibitors such as 3-[3,4-difluorophenyl]-4-[4-(methylsulfonyl)phenyl]-2(5H)-furanone, which comprises employing the system of Claim 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
12. A method for the topical or systemic delivery of a therapeutic dose of a drug selected from the group consisting of non-steroidal and steroidal anti-inflammatory agents, antihistamines and cyclooxygenase II inhibitors which comprises employing the system of Claim 1,2,3,4,5,6,7,8,9,10 or 11.
13. A method for the topical or systemic delivery of a therapeutic dose of indomethacin which comprises employing the system of Claim 1,2,3,4,5,6,7,8,9,10 or 11.
14. A topical polymeric delivery system according to Claim 1 wherein the polymer is poly(2-hydroxy ethyl methacrylate), the plasticizing agent is Tween 20 (Trade Mark), the crystallization inhibitor is hydroxypropyl beta-cyclodextrin, the alcoholic solution is absolute ethanol and the drug is indomethacin.
15. A method for the topical or systemic delivery of a therapeutic dose of 3-[3,4-difluorophenyl]-4-(methylsulfonyl)phenyl]-2-(5H)-furanone which comprises employing the system of Claim 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10.
16. A topical polymeric delivery system according to Claim 1 wherein the polymer is poly(2-hydroxy ethyl methacrylate), the plasticizing agent is Tween 20 (Trade Mark), the crystallization inhibitor is hydroxypropyl beta-cyclodextrin, the alcoholic solution is absolute ethanol and the drug is 3-[3,4-difluorophenyl]-4-[4-(methylsulfonyl)phenyl]-2(5H)-furanone.
17. A topical polymeric delivery system for administering a drug which comprises:
(a) a film forming polymer;
(b) a plasticizing agent;
(c) a solvent effective for film formation of said polymer, and (d) at least one of:
(i) a crystallization inhibitor/stabilizer; and (ii) a penetration enhancer.
18. A system of Claim 17 for use in topical or systemic delivery of a drug soluble in said solvent.
CA 2188566 1994-05-05 1995-05-02 Topical polymeric drug delivery system Abandoned CA2188566A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US23840994A 1994-05-05 1994-05-05
US238,409 1994-05-05

Publications (1)

Publication Number Publication Date
CA2188566A1 true CA2188566A1 (en) 1995-11-16

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EP (1) EP0758229A1 (en)
JP (1) JPH09512562A (en)
AU (1) AU2402495A (en)
CA (1) CA2188566A1 (en)
WO (1) WO1995030409A1 (en)

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