DK163028B - STABILIZED ANTHRALINE PREPARATION AND PROCEDURE FOR PREPARING THEREOF - Google Patents

STABILIZED ANTHRALINE PREPARATION AND PROCEDURE FOR PREPARING THEREOF Download PDF

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DK163028B
DK163028B DK283884A DK283884A DK163028B DK 163028 B DK163028 B DK 163028B DK 283884 A DK283884 A DK 283884A DK 283884 A DK283884 A DK 283884A DK 163028 B DK163028 B DK 163028B
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anthralin
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water
composition according
oil
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Jonas C T Wang
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Squibb Bristol Myers Co
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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
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/12Ketones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders

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Description

iin

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Anthralin, også kendt som dithranol, har været en almindelig komponent i præparater, som anvendes til perkutan behandling af psoriasis, en dermatologisk lidelse, der udmærker sig ved fortykkede, rødlige, sølvskæl-lignende hudstykker, der kan optræde som 5 nogle få små læsioner eller kan dække store områder af kroppen.Anthralin, also known as dithranol, has been a common component of preparations used for the percutaneous treatment of psoriasis, a dermatological disorder characterized by thickened, reddish, silver scaly-like skin pieces that can appear as a few small lesions or can cover large areas of the body.

Selv om dermatologer i de senere år har anvendt en række nye metoder til behandling af psoriasis, mangler størsteparten af de anvendte terapeutiske midler og kure en vedvarende virkning for hovedpartens vedkommende. Til behandling af psoriasis har der 10 været anvendt en række forskellige topiske behandlingsmidler, for eksempel tjære, tjærederivater, anthralin, kviksølvforbindelser, korti kosteroider og keratolytika.Although in recent years dermatologists have used a number of new methods to treat psoriasis, most of the therapeutic agents used and cures lack a lasting effect for the majority. For the treatment of psoriasis, a variety of topical treatments have been used, for example, tar, tar derivatives, anthralin, mercury compounds, corticosteroids and keratolytics.

Anthralin er fortsat den foretrukne behandling for mange dermatologer ved behandling af psoriasis. I almindelighed anvendes an-15 thralin som en "hovedlinie"-behandling af opholdspatienter og ambulatoriske patienter på de fleste hospitaler. Til dette formål anvendes anthralinet i almindelighed i koncentrationer, der varierer med fra 0,05 til 5 vægtprocent baseret på den totale vægt af præparatet.Anthralin remains the preferred treatment for many dermatologists in the treatment of psoriasis. In general, an-15 thraline is used as a "main line" treatment for stay patients and ambulatory patients in most hospitals. For this purpose, the anthralin is generally used at concentrations ranging from 0.05 to 5% by weight based on the total weight of the preparation.

Med mindre andet er anført i det følgende, betyder vægtprocent 20 procent efter vægt baseret på den totale vægt af præparatet. Ved korrekt anvendelse er anthralin yderst effektivt og dets anvendelse ledsages af minimale til ingen bireaktioner.Unless otherwise stated below, weight percent means 20 percent by weight based on the total weight of the composition. With proper use, anthralin is extremely effective and its use is accompanied by minimal to no side reactions.

Selv om det i almindelighed anerkendes at anthralin er meget effektivt til behandling af psoriasis, lider det alligevel af tre 25 hovedulemper, nemlig instabilitet, pletning af hud og tøj samt hudirritation. Anthralin undergår lyskatalyseret oxidation, dimerisering og/eller kemisk nedbrydning, hvorved 1,8-dihydroxy-anthraquinon og l,8,l',8'-tetrahydroxy-10,10'-dianthron og andre uidentificerede biprodukter dannes.Although it is generally recognized that anthralin is very effective in the treatment of psoriasis, it nevertheless suffers from three major disadvantages, namely instability, skin and clothing staining, and skin irritation. Anthralin undergoes light-catalyzed oxidation, dimerization and / or chemical degradation to form 1,8-dihydroxy-anthraquinone and 1,8, 1 ', 8'-tetrahydroxy-10,10'-dianthrone and other unidentified by-products.

30 Det har været omtalt, at anthralin er modtagelig for autooxidationsnedbrydning (d.v.s. fri radikal-oxidation). Dets nedbrydningsprodukter antages at være inaktive i kemoterapien af psoriasis. Hudens "irritation” eller "anthralin-erythema" antages primært at forårsages af de initiale fri radikal-mellemprodukter af anthralin. Hudens "pletning" af 35 anthralin antages at kunne tilskrives dets oxidationsprodukter, d.v.s.It has been disclosed that anthralin is susceptible to auto-oxidation degradation (i.e., free radical oxidation). Its degradation products are thought to be inactive in the chemotherapy of psoriasis. The skin's "irritation" or "anthralin erythema" is thought to be primarily caused by the initial free radical intermediates of anthralin. The skin's "stain" of anthralin is believed to be attributable to its oxidation products, i.e.

1,8-dihydroxy-anthraquinon eller den dimere.1,8-dihydroxy-anthraquinone or the dimer.

Mange løsninger på problemet med anthralins stabilitet har været anført i den kendte teknik, men ingen har være tilstrækkeligt 2Many solutions to the problem of anthralin stability have been provided in the prior art, but none have been sufficient 2

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tilfredsstillende. Typiske kendte løsninger er sådanne omtalt i US-patentskrifter nr. 4.203.969 og 4.287.214. US-patentskrift nr.satisfying. Typical known solutions are those disclosed in U.S. Patent Nos. 4,203,969 and 4,287,214. U.S. Pat.

4.203.969 omtaler det kritiske i anvendelsen af en vandopløselig, olieuopløselig syre-antioxidant eller en kombination af en syre og en 5 vandopløselig, olieuopløselig antioxidant i den kontinuert vandige fase af en creme. US-patentskrift nr. 4.287.214 omtaler, at antioxi-danter, såsom ascorbinsyre, BHA (butyleret hydroxyanisol) og BHT (butyleret hydroxytoluen), og andre kemikalier, såsom salicylsyre, ikke tilfredsstillende stabiliserer anthralin, mens visse alfβίο hydroxysyrer gør dette. I GB patentskrift nr. 2.107.587 beskrives et præparat i form af en shampoo til behandling af hudsygdomme, hvilket præparat indeholder anthralin, en fedtsyreester, vand og et anionisk eller non-ionisk overfladeaktivt middel. Præparatet er stabilt over for oxidation i en uge, når det opbevares ved ca. +4°C. Ponce-Waelsch og 15 Hulsebosch, Arch.Derm.Forsch. 249,141-152 (1974) omtaler en "Lactacyd ® pH2 " cremevehikel indeholdende anthralin. Tabel 1 i denne reference viser den manglende stabilitet af et sådant præparat ved analyse ved UV-spektroskopi og tyndtlagskromatografi. Selv om Caron og Shroot, J.Pharm.No. 4,203,969 discloses the critical use of a water-soluble, oil-soluble acid antioxidant or a combination of an acid and a water-soluble, oil-soluble antioxidant in the continuous aqueous phase of a cream. U.S. Patent No. 4,287,214 discloses that antioxidants such as ascorbic acid, BHA (butylated hydroxyanisole) and BHT (butylated hydroxytoluene), and other chemicals such as salicylic acid, do not satisfactorily stabilize anthralin, while certain alpha βίο hydroxy acids do. GB Patent No. 2,107,587 discloses a composition in the form of a shampoo for the treatment of skin diseases, which contains anthralin, a fatty acid ester, water and an anionic or nonionic surfactant. The preparation is stable to oxidation for one week when stored at approx. + 4 ° C. Ponce-Waelsch and 15 Hulsebosch, Arch.Derm.Forsch. 249, 141-152 (1974) disclose a "Lactacyd® pH2" cream vehicle containing anthralin. Table 1 of this reference shows the lack of stability of such a preparation by analysis by UV spectroscopy and thin layer chromatography. Although Caron and Shroot, J.Pharm.

Sci. 70:11, 1205-1207 (1981), omtaler salicylsyre i et 0,44% anthralin-20 holdigt præparat, som også indeholder cetylalkohol, natriumlaurylsul fat, paraffin og vaseline, er der rent faktisk ingen klar beskrivelse af, at præparatet indeholder noget vand, og der er heller ingen fremhævelse af nogen anthralin-stabil i serende virkning tilvejebragt af nogen af præparatets komponenter eller de koncentrationsintervaller, hvori 25 sådanne komponenter kunne anvendes for tilvejebringelse af et stabilt vand- og anthralinholdigt præparat i anti-psoriasiseffektive mængder.Sci. 70:11, 1205-1207 (1981) disclose salicylic acid in a 0.44% anthralin-containing preparation which also contains cetyl alcohol, sodium lauryl sulfate, paraffin and vaseline, there is actually no clear description that the composition contains any nor is there any accentuation of any anthralin-stable serous effect provided by any of the composition's components or the concentration ranges in which such 25 components could be used to provide a stable water- and anthralin-containing composition in anti-psoriasis-effective amounts.

Når anthralin-stabilitet bestemmes ved anvendelse af højtryksvæskekromatografi (HPLC) under anvendelse af den fremgangsmåde, som er beskrevet i Caron, et al., J.Pharm.Sci. 70:11, 1205 (1981), 30 eller den, der er beskrevet i Pharmacopeia! Forum, maj-juni 1982, siderne 1956-1957, The United States Pharmacopeial Convention,When anthralin stability is determined using high pressure liquid chromatography (HPLC) using the procedure described in Caron, et al., J.Pharm.Sci. 70:11, 1205 (1981), or that described in Pharmacopeia! Forum, May-June 1982, pages 1956-1957, The United States Pharmacopeial Convention,

Inc., i stedet for den i United States Pharmacopeia (USP) mere almindeligt anvendte fremgangsmåde til stabilitetsbestemmelse, viser det sig, at de tidligere kendte fremgangsmåder til stabilisering af 35 anthralin ikke er fuldstændig tilfredsstillende, idet de i almindelighed giver mindre stabilitet end hidtil antaget. I modsætning til USP-metoden, som er mindre tilfredsstillende til bestemmelse af anthral in-stabil itet, er HPLC-metoden en selektiv, følsom og reprodu- 3Inc., instead of the more commonly used method of stability determination in United States Pharmacopeia (USP), it appears that the prior art methods of stabilizing anthralin are not completely satisfactory, generally providing less stability than previously believed. . Unlike the USP method, which is less satisfactory for the determination of the anthral instability, the HPLC method is a selective, sensitive and reproducible method.

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cerbar metode til bestemmelse af anthralin-stabilitet. Nylige publikationer, såsom de ovenfor omtalte, har rejst alvorlige spørgsmål om, hvorvidt metoderne ifølge USP og British Pharmacopeia (BP) rent faktisk angiver anthralin-stabilitet. Det forventes, at USP og BP 05 inden for kort tid vil ændre deres prøvemetode til HPLC for alle anthralin-holdige præparater.cerbar method for determining anthralin stability. Recent publications, such as those mentioned above, have raised serious questions about whether the methods of USP and British Pharmacopeia (BP) actually indicate anthralin stability. It is expected that USP and BP 05 will soon change their test method to HPLC for all anthralin-containing preparations.

Til de fleste kommercielle anvendelser markedsføres anthralin-koncentrationer på mere end 0,5 vægtprocent sjældent, hvis overhovedet, til ambulatorisk behandling, idet sådanne præparater 10 undergår hurtigt aktivitetstab og oxidation af anthralin. Hvor plaque-psoriasis havde angrebet mere end 20% af kroppens overfladeareal var behandling ved hospitalsophold nødvendig for at undgå irritation af normal hud i kontakt med anthralin-præparaterne i de højere koncentrationer og for at kontrollere produktstabiliteten 15 under hurtig behandling. Én væsentlig ulempe ved præparater med lav koncentration, d.v.s. 0,5% eller mindre, er, at der er umuligt at foretage den hurtige behandling, som er mulig med præparater indeholdende højere koncentrationer af anthralin.For most commercial applications, anthralin concentrations greater than 0.5% by weight are rarely, if at all, marketed for ambulatory therapy, as such preparations undergo rapid loss of activity and oxidation of anthralin. Where plaque psoriasis had attacked more than 20% of the body's surface area, treatment at hospital stays was necessary to avoid irritation of normal skin in contact with the higher concentrations of anthralin and to control product stability during rapid treatment. One major disadvantage of low concentration preparations, i.e. 0.5% or less is that it is impossible to undertake the rapid treatment possible with preparations containing higher concentrations of anthralin.

Den kendte teknik synes at vise, at: 20 a. Anthralin er modtagelig for auto-oxidationsnedbrydning (fri- radikal-oxidation), og dets nedbrydningsprodukter er inaktive i kemoterapien af psoriasis, b. Hudens irritation eller anthralin-erythema forårsages for det meste af de initiale biologisk aktive friradikal-mellemprodukter af 25 anthralin, c. Pletningen af hud og tøj af anthralin skyldes dets oxidationsprodukter, såsom dets farvede dimer eller 1,8-dihydroxy-anthraquinon.The prior art seems to show that: 20 a. Anthralin is susceptible to auto-oxidation degradation (free radical oxidation) and its degradation products are inactive in the chemotherapy of psoriasis, b. The skin irritation or anthralin erythema is mostly caused by the initial biologically active free radical intermediates of anthralin, c. The staining of anthraline skin and clothing is due to its oxidation products such as its colored dimer or 1,8-dihydroxy-anthraquinone.

Hidtidige forsøg på at stabilisere anthralin mod oxidation om-30 fattede de traditionelle forhindringsmetoder, såsom anvendelsen af ascorbinsyre, BHA, BHT, EDTA (ethylendiamintetraeddikesyre), citronsyre, indstilling af pH på en sur pH-værdi, reduktion af procestemperatur, fjernelse af peroxider og beskyttelse mod lys. Ingen af de foregående forsøg, som beskrevet i den kendte teknik, på at 35 stabilisere anthralin har imidlertid været tilstrækkelige.Previous attempts to stabilize anthralin against oxidation included the traditional prevention methods such as the use of ascorbic acid, BHA, BHT, EDTA (ethylenediaminetetraacetic acid), citric acid, pH adjustment to an acidic pH, reduction of process temperature, removal of peroxides and protection from light. However, none of the previous attempts, as described in the prior art, to stabilize anthralin have been sufficient.

Det er klart fra det foregående, at anthralin-nedbrydningspro-dukterne eller de initiale friradikal-mellemprodukter forårsager det 4It is clear from the foregoing that the anthralin degradation products or the initial free radical intermediates cause it 4

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irritations- og pletningsproblem, som hidtil har været antaget som en uundgåelig følgevirkning ved anthralin-terapi. Såfremt anthralin-stabilitet kunnne forbedres ville irritations- og pletnings-problemerne, som indirekte forårsages af antralin-nedbrydningspro-05 dukter, samtidig blive løst.irritation and staining problem, which has hitherto been assumed to be an inevitable consequence of anthralin therapy. If anthralin stability could be improved, the irritation and staining problems indirectly caused by anthralin degradation products would be solved simultaneously.

Selv om nye sammensætninger af anthralin-produkter er blevet udviklet for bedre patienttolerance, mere bekvemmelighed og mindre misfarvning er instabiliteten af anthralin i sådanne præparater, som manifesteret ved tab af aktivitet og en ændring i farve fra lysegul 10 til brun til sort, hidtil forblevet et uløst problem. Intet anthralin-præparat har hidtil været tilgængeligt, som vil bevirke langtidsstabilitet af anthralin som sådant og fysisk stabilitet af præparatet tillige med et attraktivt udseende og en acceptabel farve. Det er velkendt, at kommercielt tilgængelige anthralin-produkter misfarves 15 på kort tid med et resulterende udseende, der er særdeles uattraktivt og uacceptabelt for den endelige bruger.Although new compositions of anthralin products have been developed for better patient tolerance, more convenience and less discoloration, the instability of anthralin in such preparations, as manifested by loss of activity and a change in color from pale yellow 10 to brown to black, has so far remained a unsolved problem. No anthralin preparation has so far been available which will cause long term stability of anthralin as such and physical stability of the preparation as well as an attractive appearance and acceptable color. It is well known that commercially available anthralin products are discolored in a short time with a resultant appearance that is highly unattractive and unacceptable to the end user.

Det har nu vist sig, at den ønskede stabilisering af anthralin i præparater, som er egnede til topisk anvendelse ved behandlingen af psoriasis, kan opnås ved at tilsætte en anthralin-stabiliserende 20 mængde af et syrestabilt, vandopløseligt anionisk overfladeaktivt middel til et præparat indeholdende vand, anthralin og en olieopløselig antioxidant, og med en pH-værdi på 5,3 eller mindre, hvilket præparat eventuelt endvidere indeholder en vandopløslig antioxidant i den vandige fase. Tilstedeværelsen af en vandopløselig antioxidant 25 i den vandige fase har nu, i modsætning til det i US-patentskrift nr. 4.203.969 omtalte, vist sig ikke at være kritisk for langtidsstabiliteten af anthralin i præparaterne ifølge den foreliggende opfindelse. Selv om det ikke er kritisk, kan tilstedeværelsen af en vandopiøselig antioxidant være ønskelig.It has now been found that the desired stabilization of anthralin in compositions suitable for topical use in the treatment of psoriasis can be achieved by adding an anthralin stabilizing amount of an acid-stable, water-soluble anionic surfactant to a composition containing water. , anthralin and an oil-soluble antioxidant, and having a pH of 5.3 or less, which optionally further contains a water-soluble antioxidant in the aqueous phase. The presence of a water-soluble antioxidant 25 in the aqueous phase has now, contrary to that disclosed in U.S. Patent No. 4,203,969, has not been found to be critical to the long-term stability of anthralin in the compositions of the present invention. Although not critical, the presence of a water-insoluble antioxidant may be desirable.

30 Fortrinsvis vil ifølge den foreliggende opfindelse anthralin blive anvendt i en koncentration på indtil ca. 5,0% vægtprocent.Preferably, according to the present invention, anthralin will be used at a concentration of up to approx. 5.0% by weight.

Mere foretrukkent kan ca. 0,1 til ca. 3,0 vægtprocent anthralin anvendes i præparater, som er egnede til topisk påføring, og mest foretrukkent kan ca. 0,5 til 2,0 vægtprocent anvendes.More preferably, ca. 0.1 to approx. 3.0% by weight of anthralin is used in compositions suitable for topical application, and most preferably about 0.5 to 2.0% by weight is used.

35 Højere koncentrationer af anthralin kan naturligvis også stabi liseres ved hjælp af den foreliggende opfindelse, men der må udvises omhu ved brugen af sådanne præparater for at undgå irritation 5Of course, higher concentrations of anthralin can also be stabilized by the present invention, but care must be taken in the use of such preparations to avoid irritation 5

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af normal hud.of normal skin.

Det anloniske overfladeaktive middel anvendes i en mængde, som er tilstrækkelig til at stabilisere anthralinet. Fortrinsvis anvendes det anioniske overfladeaktive middel i en koncentration på 0,05 05 til 10 vægtprocent, mere foretrukkent 0,1 til 5,0 vægtprocent og mest foretrukkent 0,3 til 1,0 vægtprocent.The anlonic surfactant is used in an amount sufficient to stabilize the anthralin. Preferably, the anionic surfactant is used at a concentration of 0.05 to 10% by weight, more preferably 0.1 to 5.0% by weight and most preferably 0.3 to 1.0% by weight.

Selv om det vides fra den kendte teknik, at anthralin er mere stabilt ved en sur pH-værdi, og at pH-værdien af anthralin-holdige præparater kan indstilles ved anvendelse af enhver dermatologisk 10 acceptabel syre, foretrækkes det at anvende en syre såsom citron -eller salicylsyre. pH-værdien af anthralin-holdige præparater indeholdende et syrestabilt, vandopløseligt anionisk overfladeaktivt middel i overensstemmelse med den foreliggende opfindelse er 5,3 eller lavere. Det foretrækkes, at lavere pH-værdier anvendes, idet den 15 begrænsende faktor er hudirritation. Fortrinsvis anvendes en pH-værdi under 4,0 og mere foretrukkent en pH-værdi under 3,4.While it is known from the prior art that anthralin is more stable at an acidic pH and that the pH of anthraline-containing preparations can be adjusted using any dermatologically acceptable acid, it is preferred to use an acid such as lemon or salicylic acid. The pH of anthraline-containing compositions containing an acid-stable, water-soluble anionic surfactant in accordance with the present invention is 5.3 or lower. It is preferred that lower pHs are used, with the limiting factor being skin irritation. Preferably, a pH below 4.0 is used and more preferably a pH below 3.4.

Den foreliggende opfindelse tilvejebringer et anthralin-produkt med langtidsanthralinstabilitet, kosmetisk elegance, bedre patienttolerance og i det væsentlige uden misfarvning efter opbevaring ved 20 passende emballering. Det kan anvendes med godt resultat såvel ved langtidsambulant patientbehandling ved lav styrke som ved korttidshospitalsopholdsbehandling af psoriasis ved høj styrke.The present invention provides an anthralin product with long-term anthralin instability, cosmetic elegance, better patient tolerance and substantially no discoloration after storage by appropriate packaging. It can be used with good results both in long-term outpatient treatment at low strength as well as in short-term hospital stay treatment of psoriasis at high strength.

Det formodes, at den foreliggende opfindelse kan virke, fordi partikler eller dråber af olie dispergeret i flydende medier kan blive 25 ladede på én af to måder. Den første måde involverer reaktiv adsorption af særlige ioner, som er tilstede i opløsning. I tilfælde af vand kan det være hydronium- eller hydroxylionen. Hovedparten af oliepartikler eller -dråber, som er dispergeret i et vandigt medium, optager en negativ ladning på grund af præferentiel adsorption af 30 hydroxylionen. Den anden måde involverer ladninger på partikler eller dråber af olie, hvor ladningerne skyldes ioniseringen af funktionelle grupper af overfladeaktive midler, f.eks. phosphaterne, carboxylaterne, sulfaterne og sulfonaterne, som kan befinde sig på overfladen af partiklen eller interfasen for olie-vandfaserne.It is believed that the present invention may work because particles or droplets of oil dispersed in liquid media can be charged in one of two ways. The first way involves reactive adsorption of particular ions present in solution. In the case of water, it may be the hydronium or hydroxyl ion. The majority of oil particles or droplets dispersed in an aqueous medium take up a negative charge due to preferential adsorption of the hydroxyl ion. The second way involves charges on particles or droplets of oil, the charges being due to the ionization of functional groups of surfactants, e.g. the phosphates, carboxylates, sulfates and sulfonates, which may be on the surface of the particle or interphase of the oil-water phases.

35 Molekyler og ioner, som adsorberes til overflader eller inter- faser kaldes overfladeaktive midler. Et alternativt udtryk er amf if il, der indikerer, at molekylet eller ionen har en vis affinitet til både35 Molecules and ions adsorbed to surfaces or interfaces are called surfactants. An alternative term is amph ifil, indicating that the molecule or ion has some affinity for both

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6 polære og non-polære opløsningsmidler. Det er den amfifile natur af overfladeaktive molekyler eller ioner, som bevirker, at disse adsor-beres ved interfasen, som kan være væske/gas eller væske/væske.6 polar and non-polar solvents. It is the amphiphilic nature of surfactant molecules or ions which causes them to be adsorbed at the interphase, which may be liquid / gas or liquid / liquid.

Den kemiske struktur af anthralin er følgende: 05The chemical structure of anthralin is as follows: 05

HO O OHHO O OH

AJLl HydrofilsideAJLl Hydrofilside

Lipofilside 10Lipophilic side 10

Anthralin er et amfifil-typet molekyle, og anthralin har med andre ord en vis affinitet overfor både polære og non-polære grupper. Den amfifile natur af anthraim-molekyler bevirker også, at disse koncentreres ved overfladen eller interfasen, hvor de er ud-15 sat for let angreb. Under sådanne betingelser vil oxidationsinitiato-rer, såsom oxygen, lys, hydrogenioner eller metalioner, let angribe anthralinet og/eller accelerere dets nedbrydning gennem friradikal auto-oxidation. Høj overflade- eller interfasekoncentration af anthra-lin-molekyler accelererer også dimer-dannelse på grund af den in-20 tramolekylære interaktion.Anthralin is an amphiphilic-type molecule, and in other words, anthralin has some affinity for both polar and non-polar groups. The amphiphilic nature of anthraim molecules also causes them to be concentrated at the surface or interphase where they are exposed to light attack. Under such conditions, oxidation initiators such as oxygen, light, hydrogen ions or metal ions will readily attack the anthralin and / or accelerate its degradation through free radical auto-oxidation. High surface or interphase concentration of anthra-lin molecules also accelerates dimer formation due to the intramolecular interaction.

Det antages, at den foreliggende opfindelse skaber partikler, dråber af olie eller miceller, hvis overflade indeholder en for det meste anionisk ladning, der er tilvejebragt enten af det anioniske overfladeaktive middel alene eller af kombinationen af non-ioniske 25 overfladeaktive midler og anioniske overfladeaktive midler. Den negativt ladede overflade tilvejebringes af de funktionelle grupper, for eksempel sulfonater, sulfater, phosphater, carboxylater, etc. i det eller de anioniske overfladeaktive midler. De anioniske grupper af syrestabile overfladeaktive midler adsorberes på overfladen ved 30 olie/vand-interfacen under dannelse af en negativt ladet overflade på oliepartiklen, dråben eller micellen. Kationer i den vandige fase vil blive tiltrukket til den negativt ladede overflade, der også afviser alle anioner i opløsningen, såsom hydroxyl, nir først den initiale adsorption er komplet. Foruden disse elektriske kræfter har 35 den termiske bevægelse tendens til at frembringe en ensartet fordeling af alle ionerne i opløsning. Som resultat heraf skabes en ligevægtssituation, og systemet som helhed er elektrisk neutralt.It is believed that the present invention creates particles, droplets of oil or micelles whose surface contains a mostly anionic charge provided either by the anionic surfactant alone or by the combination of nonionic surfactants and anionic surfactants. . The negatively charged surface is provided by the functional groups, for example sulfonates, sulfates, phosphates, carboxylates, etc. in the anionic surfactant (s). The anionic groups of acid-stable surfactants are adsorbed on the surface at the oil / water interface to form a negatively charged surface on the oil particle, droplet or micelle. Cations in the aqueous phase will be attracted to the negatively charged surface, which also rejects all anions in the solution, such as hydroxyl, until the initial adsorption is complete. In addition to these electrical forces, the thermal motion tends to produce a uniform distribution of all the ions in solution. As a result, an equilibrium situation is created and the system as a whole is electrically neutral.

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Fordelingsforholdet for anthralin mellem olie og vand er til gunst for den olieagtige fase i et omfang pi ca. mellem 5.000-10.000 til 1. I tilfælde af olie-i-vand emulsionsbaserede præparater, for eksempel cremer, geler, etc. eller emulgeret salve, er anthralin-05 molekylerne derfor opløst i og tilbageholdes praktisk taget i oliefasen. Når først den initiale adsorption på overfladen er komplet, optages overfladearealet af anioniske og/eller non-ioniske overfladeaktive molekyler. Anthralin-molekylerne vil ikke blive ko: centreret ved overfladerne, og de er fuldt beskyttede af den negativt ladede 10 overflade, som afviser tilnærmelsen af hydroxylioner eller andre nedbrydningsinitiatorer.The distribution ratio of anthraline between oil and water is in favor of the oily phase to an extent of approx. Therefore, in the case of oil-in-water emulsion-based preparations, such as creams, gels, etc. or emulsified ointment, the anthralin-05 molecules are dissolved in and practically retained in the oil phase. Once initial surface adsorption is complete, the surface area is occupied by anionic and / or nonionic surfactant molecules. The anthralin molecules will not be co-centered at the surfaces and are fully protected by the negatively charged surface which rejects the approximation of hydroxyl ions or other degradation initiators.

En sådan situation kan beskrives under henvisning til figur li, hvor anthralin-molekylerne tilbageholdes i oliefasen, og linien a,a* er overfladen af partiklen, oliedråben eller micellen. De 15 adsorberende ioner, som giver overfladen dens negative ladning, kaldes potentielle bestemmende ioner, og de kommer fra det anioniske overfladeaktive middel. Umiddelbart i nærheden af dette overfladelag findes et område med tæt bundne molekyler fra den kontinuerte vandfase sammen med nogle positive ioner, for det 20 meste hydroniumioner, der også er tæt bundet til overfladen.Such a situation can be described with reference to Figure 1, where the anthralin molecules are retained in the oil phase and the line a, a * is the surface of the particle, oil droplet or micelle. The 15 adsorbing ions that give the surface its negative charge are called potential determining ions and they come from the anionic surfactant. Immediately near this surface layer is a region of tightly bound molecules from the continuous aqueous phase along with some positive ions, mostly 20 hydronium ions, which are also tightly bound to the surface.

Grænsen for dette område er angivet ved linien b,b'. Potentialet ved linien b,b' er stadig negativt, men der er færre kationer end ved det tilstødende negative lag. I området, der afgrænses af linierne b,b‘ og c,c' er der et overskud af negative ioner. Efter 25 linien c,c' er fordelingen af ioner ensartet, og elektrisk neutralitet opnås. Linien d,d* viser den ydre grænse.The boundary of this area is indicated by line b, b '. The potential at line b, b 'is still negative, but there are fewer cations than at the adjacent negative layer. In the region bounded by lines b, b 'and c, c' there is an excess of negative ions. Following line c, c ', the distribution of ions is uniform and electrical neutrality is obtained. The line d, d * shows the outer boundary.

Det eller de anioniske overfladeaktive midler, der anvendes som en stabilisator for anthralin-præparater i overensstemmelse med den foreliggende opfindelse, frembringer en dramatisk forøgelse i 30 anthralins stabilitet. Det antages, at det anioniske overfladeaktive middel beskytter anthralin-molekyler mod angreb ved at skabe en negativt ladet overflade, som danner miceller, eller ved overfladeseparation. Selv om det anioniske overfladeaktive middel ved anvendelse i en anthralin-stabiliserende mængde vil frembringe fordelene 35 ved den foreliggende opfindelse som omtalt ovenfor, kan stabiliseringen yderligere forøges ved anvendelse af antioxidanter, der tidligere har været anvendt i anthralin-holdige præparater.The anionic surfactant (s) used as a stabilizer for anthralin compositions in accordance with the present invention produces a dramatic increase in the stability of anthralin. It is believed that the anionic surfactant protects anthralin molecules from attack by creating a negatively charged surface that forms micelles or by surface separation. Although the anionic surfactant when used in an anthralin stabilizing amount will produce the benefits of the present invention as discussed above, the stabilization can be further enhanced by the use of antioxidants previously used in anthralin-containing compositions.

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δδ

De syrestabile, vandopløselige, anioniske overfladeaktive midler, som anvendes ifølge den foreliggende opfindelse, er let tilgængelige forbindelser, der typisk er udvalgt blandt overfladeaktive midler, der ikke er sæber, såsom alkylsulfater, alkylsulfonater, al-05 kylbenzensulfonater, alfa-sulfonylfedtsyrer, alkylphosphater, dioc- tylsulfosuccinat, isethionater, alkylethersulfater, methylsarcosiner og lignende. Fortrinsvis anvendes natriumlaurylsulfat, natrium-octoxynol-3-sulfonat, natriumdodecylbenzensulfonat, natriumlauryl-sulfonat, DEA-oleth-3-phosphat, natriumdioctylsulfosuccinat, natri-10 umcocylisothionat, natriumlaurethsulfat og natriumlaurylsarcosinat og lignende. Blandinger af sådanne overfladeaktive midler kan også anvendes.The acid-stable, water-soluble anionic surfactants used in the present invention are readily available compounds typically selected from non-soap surfactants such as alkyl sulfates, alkyl sulfonates, alkylbenzenesulfonates, alpha sulfonyl fatty acids, alkyl phosphates, dioctylsulfosuccinate, isethionates, alkylethersulfates, methylsarcosins and the like. Preferably, sodium lauryl sulfate, sodium octoxynol-3-sulfonate, sodium dodecylbenzenesulfonate, sodium lauryl sulfonate, DEA-oleth-3-phosphate, sodium dioctyl sulfosuccinate, sodium cocyl isothionate and sodium laurethsulfate and sodium laurethsulfate Mixtures of such surfactants may also be used.

I modsætning til den kendte teknik har præparaterne ifølge den foreliggende opfindelse langtidsstabilitet uden vandopløselige 15 antioxidanter, selv om sådanne kan tilsættes for forbedrede resultater.Contrary to the prior art, the compositions of the present invention have long-term stability without water-soluble antioxidants, although these can be added for improved results.

Det har yderligere vist sig, at de omhandlede anioniske overfladeaktive midler voldsomt forøger anthralin-stabiliteten, når de anvendes i kombination med olieopløselige antioxidanter. Typiske for 20 sådanne antioxidanter er ascorbylpalmitat, hydroquinon, propylgal-lat, nordihydroguaiaretinsyre, BHT, BHA, alfa-tocopherol, phenyl-alfa-naphthylamin og lecithin.It has further been found that the anionic surfactants in question greatly increase anthralin stability when used in combination with oil-soluble antioxidants. Typical of 20 such antioxidants are ascorbyl palmitate, hydroquinone, propyl gallate, nordihydroguaiaretic acid, BHT, BHA, alpha-tocopherol, phenyl-alpha-naphthylamine and lecithin.

Det har også vist sig, at vandopiøselige antioxidanter yderligere kan anvendes i den vandige fase. Typiske for sådanne anti-25 oxydanter er natriumsulfit, natriummetabisulfit, natriumbisulfit, na-triumthiosulfat, natriumformaldehydsulfoxylat, acetonenatriummetabi-sulfit, ascorbinsyre, isoascorbinsyre, thioglycerol, thiosorbitol, thiourinstof, thioglycolsyre og cysteinhydrochlorid.It has also been found that water-insoluble antioxidants can be further used in the aqueous phase. Typical of such antioxidants are sodium sulphite, sodium metabisulphite, sodium bisulphite, sodium thiosulphate, sodium formaldehyde sulphoxylate, acetone sodium metabulphite, ascorbic acid, isoascorbic acid, thioglycerol, thiosorbitol hydrochloride, thiourea

De omhandlede anioiske overfladeaktive midler kan også anven-30 des med non-ioniske overfladeaktive midler såsom polyalkoxyethere, polyalkoxyestre, polyalkoxyamider, fedtsyreestre af polyvalente alkoholer og fedtalkoholer, der minimerer graden af hudirritation, som forårsages af anionerne. Om ønsket kan de anioniske overfladeaktive midler også anvendes i kombination med forenelige fortykkelsesmid-35 ler såsom methylcellulose, tragacanth, natriumalginat, "Carbopol 934" (CTFA), bentonit, carboxymethylcellulose og V-gummi (eng.: Vee-gum) (CTFA). Som anvendt her og andre steder betyder 9The present anionic surfactants may also be used with nonionic surfactants such as polyalkoxy ethers, polyalkoxy esters, polyalkoxyamides, fatty acid esters of polyhydric alcohols and fatty alcohols which minimize the degree of skin irritation caused by the anions. If desired, the anionic surfactants may also be used in combination with compatible thickeners such as methyl cellulose, tragacanth, sodium alginate, "Carbopol 934" (CTFA), bentonite, carboxymethyl cellulose and Vee gum (CTFA) . As used here and elsewhere means 9

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(CTFA ), at det anvendte navn er en nomenklatur fra CTFA Cosmetic Ingredient Directory, 3rd ed., publiseret af CTFA Association, Inc.(CTFA) that the name used is a nomenclature from the CTFA Cosmetic Ingredient Directory, 3rd ed., Published by the CTFA Association, Inc.

På grund af den dårlige stabilitet af anthralin i dermatologiske 05 præparater blev anthralin-holdige præparater sjældent, hvis overhovedet, solgt med anthralin-koncentrationer på mere end 0,5 vægtprocent. Som følge af den forbedrede anthralin-stabilitet, som tilvejebringes ved hjælp af den foreliggende opfindelse, er det nu muligt at tilbyde meget stabile præparater både med hensyn til 10 anthralin-koncentration og fysisk stabilitet af selve præparaterne, hvilke præparater er særdeles effektive til topisk behandling af psoriasis. Sådanne præparater kan have anthralin-koncentrationer på 0,1 til 5,0 vægtprocent eller mere og er nyttige til ambulant behandling af psoriasis. Endvidere har resultaterne af accelererede 15 højtemperaturlagerstabilitetsstudier og Arrhenius-afbildninger af resultaterne opnået pi sådanne præparater muliggjort forudsigelser for stabiliteten af både anthralin og præparaterne i et tidsrum på mere end 2 år under stuetemperaturopbevaringsbetingelser, når stabiliteten blev målt ved hjælp af HPLC-metoden. I forbindelse med 20 disse studier blev en bibeholdelse på mindre end 90% af anthralin-koncentrationen anset for at være uacceptabel.Due to the poor stability of anthralin in dermatological 05 preparations, anthralin containing preparations were rarely, if at all, sold with anthralin concentrations greater than 0.5% by weight. Due to the improved anthralin stability provided by the present invention, it is now possible to offer very stable compositions both with respect to anthralin concentration and physical stability of the compositions themselves, which are highly effective for topical treatment. of psoriasis. Such preparations may have anthralin concentrations of 0.1 to 5.0% by weight or more and are useful for the outpatient treatment of psoriasis. Furthermore, the results of accelerated 15 high temperature storage stability studies and Arrhenius plots of the results obtained in such preparations have made predictions for the stability of both anthralin and the preparations for a period of more than 2 years under room temperature storage conditions when the stability was measured by the HPLC method. For 20 of these studies, retention of less than 90% of the anthralin concentration was considered unacceptable.

Til påvisning af stabiliteten af de anthralin-holdige produkter ifølge den foreliggende opfindelse fremstilledes gelpræparater indeholdende 1 vægtprocent anthralin (plus 0,05 vægtprocent overskud) 25 i overensstemmelse med den nedenfor viste basis-gelsammensætning i eksempel 1. Alle sådanne gelpræparater svarede til basis-gelsammen-sætningen og var identiske bortset fra det anvendte overfladeaktive middel. Foruden gelpræparater fremstillet med de syrestabilie, vandopløselige anioniske overfladeaktive midler ifølge den forelig-30 gende opfindelse fremstilledes gelpræparater under anvendelse af det kationiske amin-overfladeaktive middel "Richamate 1655", et produkt fra The Richardson Company, og under anvendelse af trietha-nolaminstearat, et syreustabilt, vandopløseligt anionisk overfladeaktivt middel, for at påvise den manglende anthralin-stabilitet i geler 35 indeholdende stoffer fra sådanne grupper af overfladeaktive midler.To demonstrate the stability of the anthralin-containing products of the present invention, gel compositions containing 1% by weight of anthralin (plus 0.05% by weight of excess) were prepared according to the base gel composition of Example 1. All such gel compositions corresponded to the basic gel composition phrase and were identical except for the surfactant used. In addition to gel compositions prepared with the acid-stable, water-soluble anionic surfactants of the present invention, gel compositions were prepared using the cationic amine surfactant "Richamate 1655", a product of The Richardson Company, and using triethanolamine stearate, a acid-unstable, water-soluble anionic surfactant to detect the lack of anthralin stability in gels containing substances from such groups of surfactants.

Prøver vurderedes under opbevaringsbetingelser ved stuetemperatur, 35°C og 45°C.Samples were evaluated under storage conditions at room temperature, 35 ° C and 45 ° C.

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Eksempel 1 Basls-gelpræparat S_Example 1 Basls Gel Preparation S_

Del APart A

05 Mineralolie (USP) 16405 Mineral Oil (USP) 164

Propylgallat 0,5 BHT 2,0Propyl gallate 0.5 BHT 2.0

Salicylsyre 2,0Salicylic acid 2.0

Oleth-2 (CTFA) 60,0 10 lsoceteth-20 (CTFA) 200,0Oleth-2 (CTFA) 60.0 10soceteth-20 (CTFA) 200.0

Ascorbylpalmitat 1,0Ascorbyl palmitate 1.0

Anthralin 10,5Anthralin 10.5

Del BPart B

15 PEG-8 (CTFA) 50,0PEG-8 (CTFA) 50.0

Sorbitolopløsning (70%) 20,0 EDTA 1,0Sorbitol solution (70%) 20.0 EDTA 1.0

Natriumbisulfit 1,0Sodium bisulfite 1.0

Ascorbinsyre 10,0 20 Overfladeaktivt middel 5,0Ascorbic Acid 10.0 Surfactant 5.0

Renset vand (USP) q.s. 1000,0Purified Water (USP) q.s. 1000.0

Præparaterne fremstilledes ved sammenblanding af komponenterne i del A og opvarmning til en temperatur pi 90°C. Omrøring 25 fortsattes, indtil alle de faste stoffer var blandede. Komponenterne fra del B sammenblandedes i en separat beholder og opvarmedes til 90°C med kontinuert omrøring, indtil alle de faste stoffer var opløst. Del B sattes til del A, og den resulterende blanding omrørtes. Omrøring fortsattes i 10 minutter, idet temperaturen holdtes pi 30 90°C. Den resulterende gel afkøledes til pakningstemperatur og em balleredes under en inert gas i aluminiumtuber, der indvendigt var passende overtrukne, således at de ikke reagerede med produktet.The compositions were prepared by mixing the components of Part A and heating to a temperature of 90 ° C. Stirring was continued until all the solids were mixed. The components of Part B were mixed in a separate container and heated to 90 ° C with continuous stirring until all the solids dissolved. Part B was added to Part A and the resulting mixture was stirred. Stirring was continued for 10 minutes, keeping the temperature at 90 ° C. The resulting gel was cooled to packing temperature and embalmed under an inert gas in aluminum tubes which were suitably coated internally so that they did not react with the product.

35 1135 11

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Tabel ITable I

Anthralin-stabilitetAnthralin stability

Opbeva- Svarende til ringstem- -Keep- Similar to ringing voice - -

Overfladeaktivt middel peratur Initial 45 dage 215 dage 05 - ---- - A. Natriumlaurylsulfat RT 1,05% 1,027% 1,09% 35°C 1,05% * 0,96% 45° C 1,05% 1,006% 0,718% B. Kationisk amin RT 1,05% 0,529% 0,42% ("Richamate 1655") 35°C 1,05% 0 0 „A 45° C 1,05% 0 0 10 C. Triethanolaminstearat RT 1,05% 0,599% 0,084% 35°C 1 05% * 0 45°C ΐ'θ5% 0,00343% 0,058% D. Natriumdioctylsulfo- RT 1,05% 1,045% 1,07% succinat 35°C 1,05% * 0,989% 15 45°C 1,05% 0,978% 0,762% E. Natriumal kylolefin- RT 1,05% 1,080% 1,06% sulfonat 35°C 1,05% * 0,935% 45°C 1,05% 1,012% 0,800% F. Natriumcocylisothionat RT 1,05% 1,076%** 1,09%** 35°C 1,05% * 0,958% 20 45°C 1,05% 1,026% 0,833% G. DEA-oleth-3-phosphat RT 1,05% 1,091% 1,09% 35°C 1,05% * 0,989% 45°C 1,05% 1,049% 0,777% H. Natriumlaurethsulfat RT 1,05% 1,089% 1,094% 25 35°C 1,05% * 0,982% 45°C 1,05% 1,046% 0,585% I. Natriumlaurylsulfonat RT 1,05% 1,069% 1,054% 35°C 1,05% * 0,928% 45°C 1,05% 0,943% 0,781% J. Natriumoctoxynol-3- RT 1,05% 1,378% 0,994% 30 sulfonat 35°C 1,05% * 0,936% 45° C 1,05% 1,019% 0,785% * Bestemmelse foretoges ikke.Surfactant Perature Initial 45 days 215 days 05 - ---- - A. Sodium lauryl sulfate RT 1.05% 1.027% 1.09% 35 ° C 1.05% * 0.96% 45 ° C 1.05% 1.006% 0.718% B. Cationic amine RT 1.05% 0.529% 0.42% ("Richamate 1655") 35 ° C 1.05% 0 0 ° A 45 ° C 1.05% 0 0 10 C. Triethanolamine stearate RT 1, 05% 0.599% 0.084% 35 ° C 1 05% * 0 45 ° C θ'5% 0.00343% 0.058% D. Sodium dioctyl sulfate RT 1.05% 1.045% 1.07% succinate 35 ° C 1.05% * 0.989% 45 ° C 1.05% 0.978% 0.762% E. Sodium Al Chylolefin RT 1.05% 1.080% 1.06% Sulfonate 35 ° C 1.05% * 0.935% 45 ° C 1.05% 1.012 % 0.800% F. Sodium cocyl isothionate RT 1.05% 1.076% ** 1.09% ** 35 ° C 1.05% * 0.958% 45 ° C 1.05% 1.026% 0.833% G. DEA-oleth-3 -phosphate RT 1.05% 1.091% 1.09% 35 ° C 1.05% * 0.989% 45 ° C 1.05% 1.049% 0.777% H. Sodium laureth sulfate RT 1.05% 1.089% 1.094% 35 ° C 1.05% * 0.982% 45 ° C 1.05% 1.046% 0.585% I. Sodium lauryl sulfonate RT 1.05% 1.069% 1.054% 35 ° C 1.05% * 0.928% 45 ° C 1.05% 0.943% 0.791 % J. Sodium octoxynol-3-RT 1.05% 1.378% 0.994% sul phonate 35 ° C 1.05% * 0.936% 45 ° C 1.05% 1.019% 0.785% * Determination not made.

** Selv om resultaterne efter 45 dage og 215 dage viser, at 215 35 dages prøver havde større stabilitet end efter 45 dage, skyl des dette, at den analytiske metode ikke er tilstrækkelig følsom til at skelne forskelle ved si lave koncentrationer.** Although the results after 45 days and 215 days show that 215 35-day samples had greater stability than after 45 days, this is because the analytical method is not sufficiently sensitive to distinguish differences at low concentrations.

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Basis-gelsammensætningen fra eksempel 1 anvendtes med højere koncentrationer af overfladeaktivt middel for at påvise de øvre grænser for det interval, hvor de syrestabile, vandopløselige, an-ioniske overfladeaktive midler ifølge den foreliggende opfindelse kan 05 anvendes. Selv om endnu højere koncentrationer er mulige, er hudirritation en begrænsende faktor. Efterfølgende tabel II viser resultaterne af dette studium.The base gel composition of Example 1 was used with higher surfactant concentrations to detect the upper limits of the range in which the acid-stable, water-soluble, anionic surfactants of the present invention can be used. Although even higher concentrations are possible, skin irritation is a limiting factor. Subsequent Table II shows the results of this study.

Tabel IITable II

10 Opbeva- Svarende til ringstem- -10 Keep- Similar to ringing voice - -

Overfladeaktivt middel peratur Initial 45 dage 215 dageSurfactant perature Initial 45 days 215 days

Natriumlaurylsulfat (5%) RT 1,05% 1,068 1,09% 35°C 1,05% * * 45°C*** 1,05% 0,978% 0,136% 15 Natriumlaurylsulfat (10%) RT 1,05% 1,01% 1,03% 35°C 1,05% * 0,932% 45°C*** 1,05% 0,389% 0,119% *** Tabet af aktivitet i disse prøver antages at skyldes lækager i tuberne som følge af defekte forseglinger og pi grund af vis-20 kositetstab ved høj temperatur.Sodium lauryl sulfate (5%) RT 1.05% 1.068 1.09% 35 ° C 1.05% * 45 ° C *** 1.05% 0.978% 0.136% Sodium lauryl sulfate (10%) RT 1.05% 1 , 01% 1.03% 35 ° C 1.05% * 0.932% 45 ° C *** 1.05% 0.389% 0.119% *** The loss of activity in these samples is thought to be due to leaks in the tubes due to defects seals and because of high temperature viscosity loss.

* Bestemmelse foretoges ikke.* Determination was not made.

Eksempel 2 25 Et tilfredsstillende gelpræparat fremstilledes ud fra følgende forskrift: 2_Example 2 A satisfactory gel preparation was prepared from the following specification:

Del APart A

Anthralin (inklusiv 15% overskud) 1,15 30 lsoceteth-20 (CTFA) 20,0Anthralin (including 15% excess) 1.15 lsoceteth-20 (CTFA) 20.0

Mineralolie (USP) 16,0Mineral Oil (USP) 16.0

Oleth-2 (CTFA) 6,0Oleth-2 (CTFA) 6.0

Salicylsyre 0,2Salicylic Acid 0.2

Ascorbylpalmitat 0,1 35 BHT 0,1Ascorbyl palmitate 0.1 BHT 0.1

Propylgallat 0,01 13Propyl gallate 0.01 13

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Del BPart B

PEG-8 (CTFA) 5,0PEG-8 (CTFA) 5.0

Sorbitolopløsning 2,0Sorbitol Solution 2.0

Ascorbinsyre 1,0 05 Natriumlaurylsulfat 0,3Ascorbic acid 1.0 05 Sodium lauryl sulfate 0.3

Citronsyre 0,1Citric acid 0.1

Natriumbisulfit 0,05 EDTA 0,01Sodium bisulfite 0.05 EDTA 0.01

Renset vand (USP) q.s. 100,00 10Purified Water (USP) q.s. 100.00 10

Gelen fremstilledes ved at sammenblande komponenterne fra del A og opvarme til en temperatur på 90°C. Omrøring fortsattes, indtil alle de faste stoffer var blandede. I en separat beholder sammenblandedes komponenterne fra del B og opvarmedes til 90°C under 15 kontinuert omrøring, indtil alle de faste stoffer var opløste. Del B blandedes med del A, og omrøring fortsattes i 10 minutter, mens temperaturen holdtes på 90°C. Den resulterende gel afkøledes til pakningstemperatur og emballeredes i aluminiumtuber med en ikke-reaktiv indvendig belægning under en gasatmosfære.The gel was prepared by mixing the components of Part A and heating to a temperature of 90 ° C. Stirring was continued until all the solids were mixed. In a separate container, the components from Part B were mixed together and heated to 90 ° C under continuous stirring until all the solids were dissolved. Part B was mixed with Part A and stirring was continued for 10 minutes while maintaining the temperature at 90 ° C. The resulting gel was cooled to packing temperature and packaged in aluminum tubes with a non-reactive interior coating under a gas atmosphere.

20 Præparatet fra eksempel 2 underkastedes klinisk afprøvning. IThe preparation of Example 2 was subjected to clinical testing. IN

alle tilfælde anvendtes den samme sammensætning, bortset fra at anthralin-koncentrationen varieredes. Kliniske studier foretoges af kliniske dermatologer med stor erfaring i vurdering af lægemidler anvendt i behandlingen af psoriasis.in all cases the same composition was used except that the anthralin concentration varied. Clinical studies were performed by clinical dermatologists with extensive experience in the evaluation of drugs used in the treatment of psoriasis.

25 Disse kliniske studier viser, at gel præparaterne ifølge den foreliggende opfindelse, indeholdende 0,5 til 2 vægtprocent anthra-lin, bevirker særlig gode resultater i patienter, som underkastes en kortvarig terapi på 10 til 20 minutter én gang daglig over en 6 ugers behandlingsperiode. De således behandlede patienter havde 30 psoriasis varierende fra lokale læsioner til læsioner over en større del af deres legemsoverflade. Patienterne vurderedes efter 6 uger. Resultaterne af sådanne vurderinger er vist i tabel III nedenfor og viser klart effektiviteten af 0,5 til 2 vægtprocent anthralin-holdig gel stabiliseret i overensstemmelse med den foreliggende opfindelse.These clinical studies show that the gel compositions of the present invention, containing 0.5 to 2% by weight anthracline, produce particularly good results in patients undergoing short-term therapy of 10 to 20 minutes once daily over a 6-week treatment period. . The patients thus treated had 30 psoriasis varying from local lesions to lesions over a larger portion of their body surface. Patients were assessed at 6 weeks. The results of such assessments are shown in Table III below and clearly show the efficacy of 0.5 to 2% by weight of anthralin-containing gel stabilized in accordance with the present invention.

35 1435 14

DK 163028 BDK 163028 B

Tabel 111Table 111

Anthralin Hudkon- Antal (%) takt, tid Klinisk pa- Underbehandling (minutter) Tilført reaktion** tienter søger 05 - - - - - -Anthralin Skin Con- Number (%) rate, time Clinical pa- Sub-treatment (minutes) Added reaction ** patients seeking 05 - - - - -

1% 1. uge 20 hele god 9 Dr. H1% 1st week 20 very good 9 Dr. H

2% 5 uger 10 kroppen2% 5 weeks 10 body

1% 1. uge 20 kun læ- fremragende 10 Dr. R1% 1st week 20 read only excellent 10 Dr. R

2% 5 uger 10 sioner2% 5 weeks 10 sions

iA 0,5% 1. uge 20 kun læ- fremragende 10 Dr. EiA 0.5% 1st week 20 read only excellent 10 dr. E

1% 5 uger 10 sioner*1% 5 weeks 10 sions *

0,5% 1. uge 20 kun læ- fremragende 20 Dr. V/E0.5% 1st week 20 only read excellent 20 Dr. V / E

1% 5 uger 10 sioner*1% 5 weeks 10 sions *

0,5% 1. uge 20 kun læ- fremragende 11 Dr. B0.5% 1st week 20 read only excellent 11 Dr. B

1% 5 uger 10 sioner* 15 * Der startedes med påføringen pi hele kroppen, men graden af irritation pi ikke-involveret hud var en sådan, at skemaet ændredes til kun læsioner, hvorefter der ikke var nogen proble mer.1% 5 weeks 10 sessions * 15 * The application was started on the entire body, but the degree of irritation in uninvolved skin was such that the schedule changed to only lesions, after which there were no problems.

20 ** Som her anvendt antyder "god" moderat til signifikant forbedring, og "fremragende1* antyder signifikant til fuldstændig forbedring. 1 2 3 4 5 6 7 8 9 10 1120 ** As used herein, "good" indicates moderate to significant improvement, and "excellent1 * signifies significant to complete improvement. 1 2 3 4 5 6 7 8 9 10 11

Det er her værd at bemærke, at klinisk vurdering af præpara 2 tet ifølge eksempel 6 allerede er blevet påbegyndt. Præliminære re 3 sultater viser ingen forskel med hensyn til klinisk effektivitet ved 4 korttidsbehandling af psoriasis mellem præparatet ifølge eksempel 2 5 (indeholdende vandopløslig antioxidant i den vandige fase) og præ- 6 paratet ifølge eksempel 6 (ikke indeholdende vandopløselig antioxi 7 dant i den vandige fase).It is worth noting here that clinical assessment of the preparation of Example 6 has already begun. Preliminary results 3 show no difference in clinical efficacy in 4 short-term treatment of psoriasis between the preparation of Example 25 (containing water-soluble antioxidant in the aqueous phase) and the preparation of Example 6 (not containing water-soluble antioxidant 7 in the aqueous). phase).

88

Det bør her understreges, at løsningen på anthralins stabili 9 tetsproblem ved hjælp af præparaterne ifølge den foreliggende op 10 findelse letter anvendelsen af korttidsterapi og er særdeles nyttig 11 ved behandlingen af psoriasis.It should be emphasized here that the solution to anthralin's stability problem by means of the compositions of the present invention facilitates the use of short-term therapy and is particularly useful in the treatment of psoriasis.

1515

DK 163028 BDK 163028 B

Eksempel 3Example 3

Et tilfredsstillende cremepræparat fremstilledes ud fra følgende forskrift: £1_A satisfactory cream preparation was prepared according to the following regulation: £ 1_

05 Del A05 Part A

Vaseline 200,0Vaseline 200.0

Mineralolie (USP) 50,0Mineral Oil (USP) 50.0

Steareth-2 (CTFA) 12,5Steareth-2 (CTFA) 12.5

Steareth-100 (CTFA) 2,5 10 AnthraJin 11,5+ (inkluderer 15% overskud)Steareth-100 (CTFA) 2.5 10 AnthraJin 11.5+ (includes 15% excess)

Salicylsyre 3,5Salicylic acid 3.5

Propylgallat 0,05 BHT 0,5 15 Ascorbylpalmitat 0,5Propyl gallate 0.05 BHT 0.5 Ascorbyl palmitate 0.5

Del BPart B

Natriumlaurylsulfat 1,50Sodium lauryl sulfate 1.50

Ascorbinsyre 2,0 20 PEG-8 (CTFA) 60,0 Tørret natriumphosphat 0,75 EDTA 0,5Ascorbic Acid 2.0 20 PEG-8 (CTFA) 60.0 Dried Sodium Phosphate 0.75 EDTA 0.5

Sorbinsyre 0,5Sorbic Acid 0.5

Xanthangummi (USP) 3,25 25 Renset vand (USP) q.s. 500,00Xanthan Gum (USP) 3.25 Purified Water (USP) q.s. 500.00

Cremen fremstilledes ved at sammenblande komponenterne fra del A og opvarme til en temperatur pi 70°C. Omrøring fortsattes, indtil alle de faste stoffer var blandet. I en separat beholder sam-30 menblandedes komponenterne fra del B og opvarmedes til 70°CThe cream was prepared by mixing the components from part A and heating to a temperature of 70 ° C. Stirring was continued until all the solids were mixed. In a separate container, the components from Part B were mixed together and heated to 70 ° C

under fortsat omrøring, indtil alle de faste stoffer var opløst. Del B blandedes i del A, og omrøringen fortsattes, idet der holdtes en temperatur på 70°C, indtil begge dele var grundigt blandede. Den resulterende creme afkøledes til emballeringstemperatur og emballe-35 redes.with continued stirring until all the solids were dissolved. Part B was mixed in Part A and stirring was continued, maintaining a temperature of 70 ° C until both parts were thoroughly mixed. The resulting cream was cooled to packaging temperature and packaged.

1616

DK 163028 BDK 163028 B

©©

Eksempel 4Example 4

Et tilfredsstillende stift-præpar at fremstilledes på grundlag af følgende forskrift: S_ 05 "Syncrowax HGL-C" (Croda) 45,0 "Syncrowax ERL-C" (Croda) 15,0A satisfactory pin preparation to be made on the basis of the following specification: S_ 05 "Syncrowax HGL-C" (Croda) 45.0 "Syncrowax ERL-C" (Croda) 15.0

Vaseline 310,0Vaseline 310.0

Mineralolie (USP) 120,0Mineral Oil (USP) 120.0

Salicylsyre 0,5 10 Propylgallat 0,05 BHT 0,25Salicylic acid 0.5 Propyl gallate 0.05 BHT 0.25

Ascorbylpalmitat 0,5Ascorbyl palmitate 0.5

Natriumlaurylsulfat 2,5Sodium lauryl sulfate 2.5

Ascorbinsyre 0,25 15 Anthralin 5,75Ascorbic Acid 0.25 Anthraline 5.75

Renset vand (USP) 4,0Purified Water (USP) 4.0

Natriumsulfatet og ascorbinsyre opløstes i vandet og sattes til de resterende komponenter, der var forblandede ved 80°C, og der-20 næst afkøledes til 75°C. Præparatet hældtes i forme, afkøledes og størknede og emballeredes.The sodium sulfate and ascorbic acid were dissolved in the water and added to the remaining components premixed at 80 ° C and then cooled to 75 ° C. The preparation was poured into molds, cooled and solidified and packaged.

Eksempel 5Example 5

Et tilfredsstillende salve-præparat fremstilledes pi grundlag af 25 følgende forskrift: S_A satisfactory ointment preparation was prepared on the basis of the following specification: S_

Cetostearylal kohol 280,0Cetostearylal carbon 280.0

Hvid blød paraffin 500,0White soft paraffin 500.0

Flydende paraffin 200,0 30 Natriumlaurylsulfat 5,0Liquid paraffin 200.0 Sodium lauryl sulfate 5.0

Salicylsyre 2,0Salicylic acid 2.0

Ascorbylpalmitat 1,0 BHA 0,5 EDTA 0,05 35 Ascorbinsyre 0,05Ascorbyl palmitate 1.0 BHA 0.5 EDTA 0.05 Ascorbic acid 0.05

Anthralin 11,5Anthralin 11.5

Renset vand (USP) 4,00 17Purified Water (USP) 4.00 17

DK 163028 BDK 163028 B

Alle komponenterne med undtagelse af anthralinet blandedes grundigt med vand ved 75°C, indtil bobbeldannelse ophørte. Anthralinet tilsattes dernæst, og omrøring fortsattes i yderligere 30 minutter. Præparatet afkøledes til 55°C og emballeredes.All the components except the anthralin were thoroughly mixed with water at 75 ° C until bubble formation ceased. The anthralin was then added and stirring was continued for another 30 minutes. The preparation was cooled to 55 ° C and packaged.

0505

Eksempel 6 og 7 viser to yderligere præparater, der kan fremstilles ved hjælp af den i eksempel 1 angivne fremgangsmåde, og som er særdeles stabile under langvarige opbevaringsbetingelser.Examples 6 and 7 show two additional compositions which can be prepared by the method of Example 1 and which are extremely stable under prolonged storage conditions.

10 Eksempel 6 £_Example 6

Del APart A

Anthralin 11,5 lsoceteth-20 (CTFA) 200,0 15 Oleth-2 (CTFA) 60,0Anthralin 11.5 lsoceteth-20 (CTFA) 200.0 Oleth-2 (CTFA) 60.0

Mineralolie (USP) 165,0Mineral Oil (USP) 165.0

Propylgallat 0,1 BHT 1,0Propyl gallate 0.1 BHT 1.0

Salicylsyre 2,0 20 Ascorbylpalmitat 1,0Salicylic acid 2.0 Ascorbyl palmitate 1.0

Del BPart B

PEG-8 (CTFA) 50,0PEG-8 (CTFA) 50.0

Sorbitol (70% opløsning) 20,0 25 EDTA 0,2Sorbitol (70% solution) 20.0 EDTA 0.2

Citronsyre 5,5Citric acid 5.5

Natriumlauryisulfat 5,0Sodium lauric sulfate 5.0

Renset vand (USP) g.s. 1000,0 1 35 18Purified Water (USP) e.g. 1000.0 1 35 18

DK 163028 BDK 163028 B

Eksempel 7 2_Example 7 2_

Del APart A

Anthralin 10,5 05 lsoceteth-20 (CTFA) 200,0Anthralin 10.5 05 lsoceteth-20 (CTFA) 200.0

Oleth-2 (CTFA) 60,0Oleth-2 (CTFA) 60.0

Mineralolie (USP) 160,0Mineral Oil (USP) 160.0

Propylgallat 0,5 BHT 2,0 10 Salicylsyre 2,0Propyl gallate 0.5 BHT 2.0 Salicylic acid 2.0

Ascorbylpalmitat 1,0Ascorbyl palmitate 1.0

Del BPart B

PEG-8 (CTFA) 50,0 15 Sorbitol (70% opløsning) 20,0PEG-8 (CTFA) 50.0 Sorbitol (70% solution) 20.0

Ascorbinsyre 10,0Ascorbic Acid 10.0

Natriumbisulfit 1,0 EDTA 1,0Sodium Bisulfite 1.0 EDTA 1.0

Natriumlaurylsulfat 5,0 20 Renset vand (USP) q.s. 1000,0Sodium Lauryl Sulfate 5.0 Purified Water (USP) q.s. 1000.0

Selv om anthraiin-præparaterne ifølge den foreliggende opfindelse kan formuleres og anvendes i form af creme, gel, salve eller stift, er creme- og gelformerne de foretrukne, da de er lettest 25 at påføre. 1 35Although the anthrain compositions of the present invention can be formulated and used in the form of cream, gel, ointment or stiff, the cream and gel forms are preferred as they are most easily applied. 1 35

Claims (16)

1. Farmaceutisk acceptabelt præparat, som er egnet til topisk behandling af psoriasis og indeholder vand og anthralin i en mængde, der er tilstrækkelig til at tilvejebringe en anti-psoriasisvirkning, 5 kendetegnet ved, at præparatet indeholder et olieopløseligt antioxidationsmiddel og et syrestabilt, vandopløseligt anionisk overfladeaktivt middel i en mængde, der er tilstrækkelig til at stabilisere anthralinet ved pH 5,3 og derunder, og eventuelt en vandopløselig antioxidant i den vandige fase. 10A pharmaceutically acceptable composition suitable for topical treatment of psoriasis and containing water and anthralin in an amount sufficient to provide an anti-psoriasis action, characterized in that the composition contains an oil-soluble antioxidant and an acid-stable, water-soluble anionic surfactant in an amount sufficient to stabilize the anthralin at pH 5.3 and below, and optionally a water-soluble antioxidant in the aqueous phase. 10 2. Præparat ifølge krav 1, kendetegnet ved, at det har en pH-værdi på ca. 4 og derunder.Composition according to claim 1, characterized in that it has a pH of approx. 4 and below. 3. Præparat ifølge krav log2, kendetegnet ved, at det 15 har en pH-værdi på ca. 3 til ca. 4.Composition according to claim log2, characterized in that it has a pH of approx. 3 to approx. 4th 4. Præparat ifølge krav 1 til 3, kendetegnet ved, at det har en pH-værdi på ca. 3,2.Composition according to claims 1 to 3, characterized in that it has a pH of approx. 3.2. 5. Præparat ifølge krav 1 til 4, k e n d e t e g n e t ved, at det indeholder anthralin i en mængde på ca. 0,5 til ca. 5,0 vægtprocent og det overfladeaktive middel i en mængde på ca. 0,05 til ca. 10 vægtprocent, idet vægtprocenterne er baseret på vægten af hele præparatet.5. A composition according to claims 1 to 4, characterized in that it contains anthralin in an amount of approx. 0.5 to approx. 5.0% by weight and the surfactant in an amount of approx. 0.05 to approx. 10% by weight, the weight percentages being based on the weight of the entire composition. 6. Præparat ifølge krav 5, kendetegnet ved, at det inde holder anthralin i en mængde på ca. 0,1 til ca. 3,0 vægtprocent og det overfladeaktive middel i en mængde på ca. 0,1 til ca. 5,0 vægtprocent, idet vægtprocenterne er baseret på vægten af hele præparatet.Composition according to claim 5, characterized in that it contains anthralin in an amount of approx. 0.1 to approx. 3.0% by weight and the surfactant in an amount of approx. 0.1 to approx. The weight percentages are based on the weight of the entire composition. 7. Præparat ifølge krav 6, kendetegnet ved, at det inde holder anthralin i en mængde på ca. 0,5 til ca. 2,0 vægtprocent og det overfladeaktive middel i en mængde på ca. 0,3 til ca. 1,0 vægtprocent, idet vægtprocenterne er baseret på vægten af hele præparatet.Composition according to claim 6, characterized in that it contains anthralin in an amount of approx. 0.5 to approx. 2.0% by weight and the surfactant in an amount of approx. 0.3 to approx. The weight percentages are based on the weight of the entire composition. 8. Præparat ifølge krav ltil 7, kendetegnet ved, at det overfladeaktive middel er udvalgt fra gruppen bestående af alkylsulfa-ter, alkylsulfonater, al kyl benzensulfonater, sulfonylfedtsyrer, al kyl-phosphater, dioctylsulfosuccinat, isethionater, alkylethersulfater, DK 163028 B methylsarcosiner og lignende anioniske overfladeaktive midler, der ikke er sæber, eller blandinger heraf.Composition according to claims 1 to 7, characterized in that the surfactant is selected from the group consisting of alkyl sulfates, alkyl sulfonates, all alkyl benzenesulfonates, sulfonyl fatty acids, all alkyl phosphates, dioctylsulfosuccinate, isethionates, alkyl ether sulfates, DK 1630 nonionic anionic surfactants or mixtures thereof. 9. Præparat ifølge krav 8, kendetegnet ved, at det 5 overfladeaktive middel er natriumlaurylsul fat.Composition according to claim 8, characterized in that the surfactant is sodium lauryl sulphate. 10. Præparat ifølge krav 1 til 9, kendetegnet ved, at det er en olie-i-vand emulsion, og at emulsionen ikke indeholder antioxidant i den vandige fase. 10A composition according to claims 1 to 9, characterized in that it is an oil-in-water emulsion and that the emulsion does not contain antioxidant in the aqueous phase. 10 11. Præparat ifølge krav ltil 9, kendetegnet ved, at det er en olie-i-vand emulsion eller vand-i-olie emulsion, og at oliefasen indeholder den olieopløselige antioxidant i en mængde, der er tilstrækkelig til at forøge anthralin-stabilitet. 15Composition according to claims 1 to 9, characterized in that it is an oil-in-water emulsion or water-in-oil emulsion and that the oil phase contains the oil-soluble antioxidant in an amount sufficient to increase anthralin stability. 15 12. Præparat ifølge krav 11, kendetegnet ved, at det er en olie-i-vand emulsion.Composition according to claim 11, characterized in that it is an oil-in-water emulsion. 13. Præparat ifølge krav 11, kendetegnet ved, at det 20 indeholder en vandopløselig antioxidant i den vandige fase i en mængde, der er tilstrækkelig til at forøge anthralin-stabilitet.Composition according to claim 11, characterized in that it contains a water-soluble antioxidant in the aqueous phase in an amount sufficient to increase anthralin stability. 14. Præparat ifølge krav 1 til 13, k e n d e t e g n e t ved, at det er på fast form, cremeform, gel form eller salveform. 25A composition according to claims 1 to 13, characterized in that it is in solid, cream, gel or ointment form. 25 15. Fremgangsmåde til forøgelse af stabiliteten af anthralin-hol-dige præparater, kendetegnet ved, at man til sådanne præparater sætter et olieopløseligt antioxidationsmiddel og et syrestabilt, vandopløseligt anionisk overfladeaktivt middel i en mængde, der er til - 30 strækkelig til at stabilisere anthralinet, ved pH 5,3 og derunder, og eventuelt en vandopløselig antioxidant i den vandige fase.Process for increasing the stability of anthralin-containing compositions, characterized in that an oil-soluble antioxidant and an acid-stable, water-soluble anionic surfactant are added to such compositions in an amount sufficient to stabilize the anthralin, at pH 5.3 and below, and optionally a water-soluble antioxidant in the aqueous phase. 16. Fremgangsmåde ifølge krav 15, kendetegnet ved, at man tilsætter en vandopløselig antioxidant. 35Process according to claim 15, characterized in that a water-soluble antioxidant is added. 35
DK283884A 1983-06-09 1984-06-08 STABILIZED ANTHRALINE PREPARATION AND PROCEDURE FOR PREPARING THEREOF DK163028C (en)

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US4551480A (en) * 1983-06-21 1985-11-05 Stiefel Laboratories, Inc. Compositions for the treatment of psoriasis
DE3413569A1 (en) * 1984-04-11 1985-10-24 Röhm Pharma GmbH, 6108 Weiterstadt PHARMACEUTICAL AGENT FOR PSORIASIS THERAPY
GB8729855D0 (en) * 1987-12-22 1988-02-03 Drythanol Ltd New dithranol compositions
AT408067B (en) * 1995-03-17 2001-08-27 Gebro Pharma Gmbh PHARMACEUTICAL COMPOSITION FOR TOPICAL APPLICATION AND METHOD FOR THE PRODUCTION THEREOF

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GB1070949A (en) * 1964-10-16 1967-06-07 Hyman Yarrow Topical compositions for the treatment of psoriasis
GB1574090A (en) * 1977-07-06 1980-09-03 Drythanol Ltd Dithranol composition for the treatment of psoriasis
DE3008805A1 (en) * 1980-03-07 1981-09-24 Paul 8501 Oberasbach Unger Ski brake made as U=shaped bow - has linkage to heel down holder housing part of ski binding and acts automatically on removal of boot
CA1174171A (en) * 1981-10-23 1984-09-11 Jean-Francois Grollier Oxidation-stable anhydrous composition containing anthralin or a derivative thereof in a fatty acid alkyester and its use for the treatment of skin deseases
FR2520233A1 (en) * 1982-01-28 1983-07-29 Oreal COMPOSITION OF ANTHRALIN OR ONE OF ITS DERIVATIVES IN AN AROMATIC ESTER AND ITS USE IN THE TREATMENT OF SKIN DISEASES
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OA07720A (en) 1985-08-30
DK283884A (en) 1984-12-10
IT1183058B (en) 1987-10-05
FR2547725A1 (en) 1984-12-28
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DK163028C (en) 1992-06-09
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