GB2476471A - Cotinine formulation for the treatment of obesity - Google Patents

Cotinine formulation for the treatment of obesity Download PDF

Info

Publication number
GB2476471A
GB2476471A GB0922398A GB0922398A GB2476471A GB 2476471 A GB2476471 A GB 2476471A GB 0922398 A GB0922398 A GB 0922398A GB 0922398 A GB0922398 A GB 0922398A GB 2476471 A GB2476471 A GB 2476471A
Authority
GB
United Kingdom
Prior art keywords
composition according
cotinine
formulation
obesity
pharmaceutical composition
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.)
Withdrawn
Application number
GB0922398A
Other versions
GB0922398D0 (en
Inventor
Steven Sansom
Eddie Dwyer O'keeffe
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Norwich Pharma Technologies Ltd
Original Assignee
Norwich Pharma Technologies Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Norwich Pharma Technologies Ltd filed Critical Norwich Pharma Technologies Ltd
Priority to GB0922398A priority Critical patent/GB2476471A/en
Publication of GB0922398D0 publication Critical patent/GB0922398D0/en
Publication of GB2476471A publication Critical patent/GB2476471A/en
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/465Nicotine; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/4523Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/4545Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a six-membered ring with nitrogen as a ring hetero atom, e.g. pipamperone, anabasine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/006Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents

Landscapes

  • Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
  • Physiology (AREA)
  • Nutrition Science (AREA)
  • Obesity (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Hematology (AREA)
  • Diabetes (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Child & Adolescent Psychology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

A liquid formulation comprises at least one pharmaceutically active agent selected fromcotinine,myosmine,nicotinen-oxide,anatabineornicotyrine. The formulation is useful in the treatment or prophylaxis of obesity of overweight and as an appetite suppressant. Preferably the composition is provided as a spray or aerosol formulation, in particular, for oral or sub-lingual administration. The formulation may further include carriers such as alkyl alcohols preferably ethanol, propellants and a flaouring oil such as orange oil to enhance the functional properties and improve absorption. A composition comprising a cotinine solution of a lower alcohol or polyol, a propellant and flavouring oil is provided. A device for providing pharmaceutical doses comprising the formulation and a valve means arranged for delivering aerosol doses is also outlined.

Description

OBESITY CONTROL FORMULATION
Field of the Invention
The invention relates to medicinal compositions to assist in controlling weight gain, and particularly obesity, in humans. Particularly, the invention relates to formulations to reduce appetite.
Background and Prior Art Known to the Applicant
Excess weight, and in its extreme form, obesity, are problems affecting much of the developed world. The prevalence of these conditions has escalated over the past few decades and has reached what the World Health Organisation describes as "a global epidemic" (WHO (1998). Obesity: Preventing and managing the global epidemic. Report of WHO consultation on obesity. Geneva: World Health Organization).
In its simplest form, overweight or obesity is the result of an imbalance between the cumulative energy consumed by an individual, and the cumulative energy expended.
Obesity is typically assessed by a measure of the Body Mass Index (BMI) -the ratio of an individual's mass (kg) to the square of their height (m). A BMI of 18.5 to 25 kg m2 is considered normal for adults, with a BMI of between 25 to 29.9 being considered overweight, and a BMI of more than 30 defining obesity.
The USA has the highest prevalence of obesity worldwide. In the period 2003-4, surveys showed that over 17% of US citizens aged 2 to 19 years were overweight, with over 30% of adults over 20 being classified as obese. It is well known that obesity is related to a range of clinical disorders such as cardiovascular disease and diabetes, and so methods to aid weight loss and weight control are of key importance for public health.
As well as the health and clinical implications, weight loss and weight control also has cosmetic applications. Many societies regard a slimmer figure as more attractive, thus making weight loss a lifestyle choice as well as a clinical and healthcare intervention.
Restoring or reversing the imbalance between energy intake and expenditure is key to achieving weight loss or weight control. This may be achieved by a combination of exercise or reduction of food intake. The hunger response of humans is well developed, and considerable willpower is required to reduce food intake in the face of such a strong stimulus. A number of therapeutic drug interventions have been developed to assist in weight loss through appetite suppression such as Sibutramine and Phentermin, although these require careful clinical supervision and may cause unwanted side effects.
Summary of the Invention
Accordingly, the invention provides a liquid pharmaceutical composition comprising a pharmaceutically active agent which is cotinine.
Cotinine, (S)-i -methyl-5-(3-pyridinyl)-2-Pyrrolidinone, occurs as a metabolic breakdown product of nicotine, and the inventors have found that when administered to humans in the form of a spray, or aerosol, it acts as an appetite suppressant, thereby having a beneficial role in the treatment or prevention of overweight and obesity.
The cotinine may be administered in solution as a drink, but the inventors have found that it is particularly effective when administered by spray or aerosol delivery. They have found several factors that lead to this surprising improvement: Firstly, when administered as a drink, or as drops, although appetite-supressing effects are produced, this administration route leads to excessive salivation by the user leading to the medicament being swallowed. If this occurs (as opposed to being absorbed by the mucosal route) then absorption is poor, and much of the cotinine is simply excreted in the urine without optimal effect. When absorbed by the mucosal route, however, over 80% of the administered cotinine is typically absorbed, and the appetite-supressing effect of the cotinine has a rapid onset. This is particularly important when the medicament is used to control hunger pangs, and to prevent indiscriminate food intake.
Secondly, the inventors have found that the use of a spray or aerosol delivery further enhances the rate and extent of absorption of the cotinine as a result of the large surface area of the droplets produced. Again, this rapid absorption of the drug has beneficial effects in its efficacy.
A yet more preferable embodiment of the invention comprises such a liquid pharmaceutical composition adapted for sublingual delivery. Whilst a liquid, spray or aerosol formulation may be absorbed through the skin, oral or preferably sublingual delivery provides the most rapid and effective uptake of the cotinine.
Preferred doses contain between 50 and 500 microgrammes of cotinine. The composition is also preferably adapted such that a dose in this range is contained in 25 -100 microlitres of diluent. Significantly more than this volume leads to too great a volume of the composition in the mouth which, apart from being unpleasant for the user, again leads to inadvertent swallowing of the composition, and subsequent reduced absorption.
Preferably, the composition further comprises a propellant. Particularly preferred propellants are 1,1,1,2-tetrafluoroethane (HFC-1 34a) or 1,1,1,2,3,3,3 -heptafluoropropane (HFC-227). The use of a propellant provides a particular advantage in that, being highly volatile, rapid evaporation of the propellant occurs in the mouth, again leading to a reduction of the volume of the composition thereby reducing or preventing swallowing of the cotinine, and thus again improving absorption.
Further preferred embodiments of the invention comprise such a composition further comprising at least one carrier. Preferred carriers are lower alkyl alcohols, especially ethanol, or a pharmaceutically acceptable polyol. The use of such a carrier enhances the solvation of the cotinine, thus improving further the absorption kinetics.
Further preferred embodiments of the invention comprise such compositions further comprising a flavouring oil. Of the essential oils, orange oil is particularly preferred, as it is particularly effective at masking the flavour of the cotinine, making the medicament more acceptable to the user, and thus improving user compliance with the pharmaceutical routine. The flavouring oils also have a beneficial role in improving the transport of the cotinine across the mucosal membranes.
Included within the scope of the invention is the use of cotinine in the preparation of one or more such pharmaceutical compositions described herein as an appetite suppressant.
Included within the scope of the invention is the use of cotinine in the preparation of one or more such pharmaceutical compositions described herein for the treatment or prophylaxis of obesity or overweight.
Also included within the scope of the invention is the use in medicine of a composition as described herein.
Further included within the scope of the invention is a device for providing pharmaceutical doses comprising a container containing a pharmaceutical composition as described herein and valve means arranged for delivering aerosol doses of said pharmaceutical composition to the exterior of the container.
It is particularly preferred that at least a portion, and preferably substantially all of such device is formed from a polyester. The inventors have found that this material is particularly suitable, being resistant to both the ingredients as well as the carrier and propellant. It is particularly preferred, therefore, that regions of the device in contact with the composition are formed from a polyester. Particularly preferred polyesters are polyalkylene benzene dicarboxylate, polyalkylene terephthalate and polybutylene terephthalate.
It is further preferred that transparent or translucent regions of the device (such as regions constructed from Type 1 glass) are coated with an amber-coloured film to prevent degredation of the composition by the action of UV light.
Also included within the scope of the invention is a method of treating overweight or obesity comprising the administration to a patient in need thereof of a therapeutically effective amount of cotinine in the form of a composition as described herein, preferably by the sub-lingual route.
Description of Preferred Formulations
A particularly preferred composition according to the invention is: Component Preferred Lower Limit Preferred Upper Limit Propellant 75 % (w/w) 95% (w/w) Cotinine Solution * 5% (w/w) 25% (w/w) Flavouring Oil 0.1% (w/w) 2% (w/w) *The cotinine solution itself preferably comprises a combination of 2 -8% (w/w) cotinine and 98-92% (w/w) of a lower alkyl alcohol (preferably ethanol) or a pharmaceutically-acceptable polyol. Particularly preferred polyols include one or more polyols selected from the group comprising polypropylene glycol, glycerol and polyethylene glycol.

Claims (14)

  1. CLAIMS1. A liquid pharmaceutical composition comprising at least one pharmaceutically active agents selected from the group comprising: cotinine; myosmine; nicotine n-oxide; anatabine; and nicotyrine.
  2. 2. A liquid pharmaceutical composition according to claim 1, and comprising a plurality of said agents.
  3. 3. A composition according to either of claim 1 or claim 2 adapted for spray or aerosol delivery.
  4. 4. A liquid pharmaceutical composition according to any preceding claim, adapted for sublingual delivery.
  5. 5. A composition according to any preceding claim further comprising a propellant.
  6. 6. A composition according to any preceding claim further comprising at least one carrier.
  7. 7. A composition according to claim 6 wherein the at least one carrier comprises ethanol.
  8. 8. A composition according to any preceding claim further comprising a flavouring oil.
  9. 9. A composition according to claim 8 wherein the flavouring oil is orange oil.
  10. 10. The use of a pharmaceutically active agent selected from the group comprising: cotinine; myosmine; nicotine n-oxide; anatabine; and nicotyrine in the preparation of a pharmaceutical composition according to any preceding claim as an appetite suppressant.
  11. 11. The use of a pharmaceutically active agent selected from the group comprising: cotinine; myosmine; nicotine n-oxide; anatabine; and nicotyrine in the preparation of a pharmaceutical composition according to any preceding claim for the treatment or prophylaxis of obesity or overweight.
  12. 12. The use in medicine of a composition according to any preceding claim.
  13. 13. A device for providing pharmaceutical doses comprising a container containing a pharmaceutical composition according to any of claims 1 to 9 and valve means arranged for delivering aerosol doses of said pharmaceutical composition to the exterior of the container.
  14. 14. A method of treating overweight or obesity comprising the administration to a patient in need thereof of a therapeutically effective amount of cotinine in the form of a composition according to any of claims 1-9 by the sub-lingual route.
GB0922398A 2009-12-22 2009-12-22 Cotinine formulation for the treatment of obesity Withdrawn GB2476471A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB0922398A GB2476471A (en) 2009-12-22 2009-12-22 Cotinine formulation for the treatment of obesity

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB0922398A GB2476471A (en) 2009-12-22 2009-12-22 Cotinine formulation for the treatment of obesity

Publications (2)

Publication Number Publication Date
GB0922398D0 GB0922398D0 (en) 2010-02-03
GB2476471A true GB2476471A (en) 2011-06-29

Family

ID=41717381

Family Applications (1)

Application Number Title Priority Date Filing Date
GB0922398A Withdrawn GB2476471A (en) 2009-12-22 2009-12-22 Cotinine formulation for the treatment of obesity

Country Status (1)

Country Link
GB (1) GB2476471A (en)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995029676A1 (en) * 1994-04-29 1995-11-09 Pharmaco Behavioral Associates, Inc. Human body weight management
WO1999015171A1 (en) * 1997-09-25 1999-04-01 Pharmacia & Upjohn Ab Nicotine compositions and methods of formulation thereof
WO2007093796A2 (en) * 2006-02-14 2007-08-23 Cotrex Llc Tobacco extraction methods and formulations
WO2007118653A2 (en) * 2006-04-11 2007-10-25 Koko Kosmetikvertrieb Gmbh & Co. Kg Nanoparticle containing nicotine and/or cotinine, dispersions and use thereof
WO2008103818A1 (en) * 2007-02-21 2008-08-28 University Of Louisville Research Foundation Therapeutic cotinine compositions

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995029676A1 (en) * 1994-04-29 1995-11-09 Pharmaco Behavioral Associates, Inc. Human body weight management
WO1999015171A1 (en) * 1997-09-25 1999-04-01 Pharmacia & Upjohn Ab Nicotine compositions and methods of formulation thereof
WO2007093796A2 (en) * 2006-02-14 2007-08-23 Cotrex Llc Tobacco extraction methods and formulations
WO2007118653A2 (en) * 2006-04-11 2007-10-25 Koko Kosmetikvertrieb Gmbh & Co. Kg Nanoparticle containing nicotine and/or cotinine, dispersions and use thereof
WO2008103818A1 (en) * 2007-02-21 2008-08-28 University Of Louisville Research Foundation Therapeutic cotinine compositions

Also Published As

Publication number Publication date
GB0922398D0 (en) 2010-02-03

Similar Documents

Publication Publication Date Title
CA2914089C (en) Nicotine-containing liquid formulations and uses thereof
ES2275229T3 (en) METHODS FOR THE TREATMENT OF DISORDERS OF THE URERARY URINARY TRACT USING ANTIMUSCARINES AND MODULATORS OF THE ALFA-2-DELTA SUBUNITY OF THE CALCIUM CHANNEL.
RU2432950C2 (en) Sublingual fentanyl-based spray
JP5041643B2 (en) Anti-infectious composition for treating damaged tissue such as herpes simplex
WO2021003467A1 (en) Metered dosing compositions and methods of use of psychedelic compounds
AU2007298814B2 (en) Galenic form for the trans-mucosal delivery of active ingredients
WO2010132882A2 (en) Sublingual dexmedetomidine compositions and methods of use thereof
US20090191249A1 (en) Sheet substrates impregnated with aromatic releasing compositions and a method of delivery of aromatic releasing compositions
MX2007009968A (en) Method for a treatment with a medicament combination and medicament combinations suitable for the same.
TW200918048A (en) Drug combinations for the treatment of sialorrhoea
KR20010021851A (en) Spray formulations of antihyperalgesic opiates and method of treating topical hyperalgesic conditions and pruritus therewith
AU2010240654B2 (en) Sublingual spray formulation comprising dihydroartemesinin
GB2476471A (en) Cotinine formulation for the treatment of obesity
JP6847654B2 (en) Oral and / or throat composition
JP2006508994A5 (en)
US20160051494A1 (en) Multi-dose medication kit for treating anaphylaxis
US20060252711A1 (en) Method and medicament for treating ocular infections
JP7081002B2 (en) Liquid oropharyngeal drug
TW201116274A (en) Pharmaceutical composition
WO2024015915A2 (en) Cannabinoid formulations
Nashier et al. A CONCISE REVIEW ON DESIGNING OF DOSAGE FORMS
JP2023108188A (en) Topical preparation for noses
KR20230116048A (en) Compositions comprising fexofenadine
WO2022123511A1 (en) A composition comprising fexofenadine
rights are reserved by Himanshu A Comprehensive Review on Pharmaceutical Liquid Dosage Form

Legal Events

Date Code Title Description
WAP Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1)