ITMI20081652A1 - TRANSDERMIC COMPOSITIONS FOR HYPOSENSIBILIZING SPECIFIC IMMUNOTHERAPY - Google Patents

TRANSDERMIC COMPOSITIONS FOR HYPOSENSIBILIZING SPECIFIC IMMUNOTHERAPY Download PDF

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ITMI20081652A1
ITMI20081652A1 IT001652A ITMI20081652A ITMI20081652A1 IT MI20081652 A1 ITMI20081652 A1 IT MI20081652A1 IT 001652 A IT001652 A IT 001652A IT MI20081652 A ITMI20081652 A IT MI20081652A IT MI20081652 A1 ITMI20081652 A1 IT MI20081652A1
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compositions
hyposensibilizing
transdermic
specific
therapy
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IT001652A
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Italian (it)
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Berardino Luigi Di
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Antica Ritrovati Medicinal I S A R M Srl Soc
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Priority to IT001652A priority Critical patent/ITMI20081652A1/en
Priority to PCT/EP2009/006597 priority patent/WO2010031519A1/en
Publication of ITMI20081652A1 publication Critical patent/ITMI20081652A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/192Carboxylic acids, e.g. valproic acid having aromatic groups, e.g. sulindac, 2-aryl-propionic acids, ethacrynic acid 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/35Allergens
    • A61K39/36Allergens from pollen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/555Medicinal preparations containing antigens or antibodies characterised by a specific combination antigen/adjuvant
    • A61K2039/55511Organic adjuvants

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Immunology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Description

Descrizione del brevetto per invenzione industriale avente per titolo: Description of the patent for industrial invention entitled:

“COMPOSIZIONI TRANSDERMICHE PER IMMUNOTERAPIA SPECIFICA IPOSENSIBILIZZANTE” "TRANSDERMAL COMPOSITIONS FOR SPECIFIC HYPOSENSITIZING IMMUNOTHERAPY"

La presente invenzione riguarda composizioni transdermiche per immunoterapia specifica iposensibilizzante comprendenti un antigene e acido salicilico in un eccipiente idrofobico come adiuvante. The present invention relates to transdermal compositions for specific hyposensitizing immunotherapy comprising an antigen and salicylic acid in a hydrophobic excipient as an adjuvant.

L’adiuvante secondo l’invenzione (acido salicilico in un eccipiente idrofobico, preferibilmente vaselina) apre una finestra cutanea controllata che consente agli allergeni di attraversare la cute senza manifestare la reazione mastocitaria e raggiungere il sistema immunologico e così esercitare la loro nota attività iposensibilizzante. The adjuvant according to the invention (salicylic acid in a hydrophobic excipient, preferably petroleum jelly) opens a controlled skin window that allows allergens to pass through the skin without manifesting the mast cell reaction and reach the immunological system and thus exert their known hyposensitizing activity.

Le composizioni transdermiche per immunoterapia specifica iposensibilizzante (ITS) oggetto dell’invenzione sono utili per il trattamento di pazienti allergici, che presentano tipiche malattie IgE mediate (oculorinite, asma, dermatite, orticaria e gastroenterite). The transdermal compositions for specific hyposensitizing immunotherapy (ITS) object of the invention are useful for the treatment of allergic patients, who have typical IgE mediated diseases (oculorinitis, asthma, dermatitis, urticaria and gastroenteritis).

Stato della tecnica State of the art

Le linee guida delle società scientifiche definiscono l’ITS come l’unica terapia in grado di cambiare la storia naturale della malattia. Attualmente l’ITS è somministrata prevalentemente per via sottocutanea, orale, sublinguale e intranasale. The guidelines of scientific societies define ITS as the only therapy capable of changing the natural history of the disease. ITS is currently administered mainly subcutaneously, orally, sublingually and intranasally.

È stata anche proposta la via transdermica in US 2007/0292445 per mezzo di un dispositivo che genera micro-canali nella pelle del soggetto da trattare e in WO 2007/059979, che prevede un preventivo trattamento di decheratinizzazione prima dell’applicazione dell’allergene. The transdermal route was also proposed in US 2007/0292445 by means of a device that generates micro-channels in the skin of the subject to be treated and in WO 2007/059979, which provides for a preventive decheratinization treatment before the application of the allergen.

Descrizione dell’invenzione Description of the invention

Si è ora trovato che l’acido salicilico in un eccipiente idrofobico quale vaselina è un adiuvante vantaggioso in grado di aprire un finestra cutanea controllata che consente una adeguata diffusione transcutanea dell’allergene (senza provocare nel derma la reazione mastocitaria). It has now been found that salicylic acid in a hydrophobic excipient such as petroleum jelly is an advantageous adjuvant capable of opening a controlled skin window that allows adequate transcutaneous diffusion of the allergen (without causing the mast cell reaction in the dermis).

L’invenzione fornisce pertanto composizioni transdermiche per immunoterapia specifica iposensibilizzante comprendenti un antigene e acido salicilico in un eccipiente idrofobico come adiuvante. The invention therefore provides transdermal compositions for specific hyposensitizing immunotherapy comprising an antigen and salicylic acid in a hydrophobic excipient as an adjuvant.

Le composizioni dell’invenzione sono ad esempio in forma di cerotto transdermico, preparato secondo le tecniche note nel settore. The compositions of the invention are for example in the form of a transdermal patch, prepared according to the techniques known in the field.

Può essere utilizzato un qualunque allergene di interesse nelle quantità appropriate che saranno generalmente nell’ordine dei microgrammi per cerotto. La concentrazione dell’acido salicilico nell’eccipiente idrofobico sarà di norma compresa tra 1 e 5% in peso. Any allergen of interest can be used in the appropriate quantities which will generally be in the order of micrograms per patch. The concentration of salicylic acid in the hydrophobic excipient will normally be between 1 and 5% by weight.

L’efficacia dell’ITS transcutanea mediante le composizioni dell’invenzione è stata valutata in uno studio clinico randomizzato in doppio cieco a due braccia (attivo verso placebo) condotto in pazienti in età pediatrica affetti da oculorinite allergica da graminacee. The efficacy of transcutaneous ITS using the compositions of the invention was evaluated in a two-arm randomized double-blind clinical study (active versus placebo) conducted in pediatric patients suffering from allergic oculorinitis from grasses.

La terapia di allergene attraverso la finestra cutanea indotta dall’adiuvante ha evidenziato la significativa riduzione dei sintomi e del consumo dei farmaci sintomatici nei pazienti allergici durante l’esposizione naturale dell’allergene. Allergen therapy through the skin window induced by the adjuvant has shown the significant reduction of symptoms and the consumption of symptomatic drugs in allergic patients during natural exposure of the allergen.

La terapia specifica iposensibilizzante somministrata attraverso l’apposizione di un semplice cerotto medicato contenente acido salicilico in vaselina è risultata in grado di controllare la cinetica del passaggio transcutaneo degli allergeni come dimostrato in maggior dettaglio nel seguente Esempio. The specific hyposensitizing therapy administered through the application of a simple medicated plaster containing salicylic acid in petroleum jelly was found to be able to control the kinetics of the transcutaneous passage of allergens as demonstrated in greater detail in the following Example.

Esempio Example

Gli effetti terapeutici raggiungibili mediante la somministrazione dell’ITS attualmente commercializzate possono essere ottenuti anche somministrando l’allergene mediante l’apposizione ripetuta sulla cute di un cerotto. The therapeutic effects achievable by administering the ITS currently marketed can also be obtained by administering the allergen by repeatedly affixing a patch to the skin.

Verifica clinica Clinical verification

Studio monocentrico parallelo in doppio cieco per valutare l'efficacia dell'immunoterapia specifica transcutanea, somministrata pre-stagionalmente nel trattamento della rinocongiuntivite allergica da graminacee in età pediatrica. Single-center parallel double-blind study to evaluate the efficacy of specific transcutaneous immunotherapy, administered pre-seasonally in the treatment of allergic rhinoconjunctivitis due to grasses in pediatric age.

Disegno dello studio: Study design:

in doppio cieco, randomizzato, controllato vs. placebo a 2 gruppi paralleli. double-blind, randomized, controlled vs. placebo in 2 parallel groups.

Trattamento: Treatment:

Vaccino specifico iposensibilizzante transcutaneo per graminacee, somministrato 1 volta alla settimana per 12 settimane prima dell’inizio dell’impollinazione. Il cerotto è stato mantenuto in loco per 24 ore. Specific transcutaneous hyposensitizing vaccine for grasses, administered once a week for 12 weeks before the start of pollination. The patch was kept in place for 24 hours.

Gruppi sperimentali: Experimental groups:

Gruppo A: vaccino transcutaneo Group A: transcutaneous vaccine

Gruppo B: placebo Group B: placebo

Durata complessiva del trattamento: 12 dosi settimanali Total duration of treatment: 12 weekly doses

Flow chart delle fasi cliniche effettuate: Flow chart of the clinical phases carried out:

Visita 1 di reclutamento Visit 1 for recruitment

visita clinica con dati generali ed informazioni allergiche specifiche, verifica dei criteri di inclusione ed esclusione, medicazioni precedenti, data e consenso informato, Prick test. clinical visit with general data and specific allergic information, verification of inclusion and exclusion criteria, previous medications, date and informed consent, Prick test.

Visita 2 Inizio terapia Visit 2 Start of therapy

inizio terapia e consegna del vaccino al paziente istruito initiation of therapy and delivery of the vaccine to the instructed patient

Visita 3 di fine terapia Visit 3 at the end of therapy

rilievo tollerabilità e quanto altro durante la terapia, consegna del diario. Visita 4 follow-up finale relief of tolerability and anything else during therapy, delivery of the diary. Visit 4 final follow-up

visita clinica, ritiro e controllo diari clinici, Prick test. clinical visit, collection and control of clinical diaries, Prick test.

Compilazione del RQLQ (rhinoconjunctivitis quality of life questionare). Compilation of the RQLQ (rhinoconjunctivitis quality of life questionare).

Criteri di inclusione: Inclusion criteria:

pazienti di ambo i sessi, 6 - 14 anni, con diagnosi di oculorinite e/o asma patients of both sexes, 6 - 14 years, diagnosed with oculorinitis and / or asthma

Criteri di esclusione: Exclusion criteria:

Pazienti con ipersensibilità IgE mediata (prick test positivo e/o presenza di IgE specifiche nel siero) verso fagaceae, oleaceae, urticaceae. Patients with IgE mediated hypersensitivity (positive prick test and / or presence of specific IgE in the serum) towards fagaceae, oleaceae, urticaceae.

Pazienti con allergia alimentare importante (specie molluschi e/o crostacei) o con allergia al latex. Patients with severe food allergy (especially molluscs and / or crustaceans) or with latex allergy.

Paziente già in trattamento con terapia iposensibilizzante. Patient already being treated with hyposensitizing therapy.

Mancanza di collaborazione del paziente. Lack of patient cooperation.

Altre condizioni che sconsigliano l’ITS secondo Memorandum SIAIC e/o Position Paper EAACI (1993). Other conditions that advise against ITS according to the SIAIC Memorandum and / or Position Paper EAACI (1993).

Risultati Results

Nessun paziente ha segnalato effetti collaterali durante l’esecuzione dell’immunoterapia. No patient reported side effects while performing immunotherapy.

Dai risultati riportati nella tabella sottostante si evidenzia l’efficacia The results shown in the table below show the effectiveness

della terapia transcutanea, esistono infatti significative differenze fra i due of transcutaneous therapy, there are indeed significant differences between the two

gruppi (attivo vs placebo). groups (active vs placebo).

Il gruppo attivo ha riportato un minor consumo di farmaci (antistaminico The active group reported lower drug use (antihistamine

all’inizio della stagione pollinica e corticosteroide topico alla fine). at the beginning of the pollen season and topical corticosteroid at the end).

Zirtec nasonex Zirtec nasonex

april 3<rd>0,41 0,31 April 3 <rd> 0.41 0.31

april 4<th>0,02 0,34 april 4 <th> 0.02 0.34

may 1<st>0,05 0,10 may 1 <st> 0.05 0.10

may 2nd 0,208 0,004 may 2nd 0.208 0.004

p < 0,05 = riduzione significativa p <0.05 = significant reduction

Il gruppo attivo ha segnalato una netta e significativa riduzione sia dei The active group reported a clear and significant reduction in both

sintomi respiratori sia oculari. respiratory and ocular symptoms.

<to>prur. occhi scolo nas.<pruri><to> prur. eyes runny nose. <pruri>

nas. starnuti naso ch.<diff.>nas. sneezing nose ch. <diff.>

resp.occhilacrimaz. rossi april 3rd 0,32 0,17 0,98 0,54 0,25 0,23 0,41 0,82 april 4th 0,05 0,76 0,54 0,10 0,04 0,12 0,05 0,04 may 1st 0,08 0,35 0,17 0,04 0,04 0,01 0,04 0,01 may 2nd 0,003 0,008 0,060 0,000 0,015 0,003 0,009 0,007 resp.occhilacrimaz. rossi april 3rd 0.32 0.17 0.98 0.54 0.25 0.23 0.41 0.82 april 4th 0.05 0.76 0.54 0.10 0.04 0.12 0.05 0.04 may 1st 0.08 0.35 0.17 0.04 0.04 0.01 0.04 0.01 may 2nd 0.003 0.008 0.060 0.000 0.015 0.003 0.009 0.007

p < 0,05 = riduzione significativa p <0.05 = significant reduction

Andamento stagionale del polline delle graminacee nella zona dove è Seasonal trend of grass pollen in the area where it is

stata effettuata la verifica clinica: clinical verification was carried out:

14-04/ 21-04/ 28-04/ 05-05/ 12-05/ 19-05/ 20-04 27-04 04-05 11-05 18-05 25-05 Granuli per m3 10 43 111 153 48 19 14-04 / 21-04 / 28-04 / 05-05 / 12-05 / 19-05 / 20-04 27-04 04-05 11-05 18-05 25-05 Granules per m3 10 43 111 153 48 19

L’obiettivo primario è stato raggiunto con la dimostrazione The primary objective was achieved with the demonstration

dell’efficacia terapeutica dell’immunoterapia specifica iposensibilizzante per the therapeutic efficacy of specific hyposensitizing immunotherapy for

graminacee somministrata per via transcutanea (riduzione della sintomatologia e del consumo di farmaci sintomatici durante il periodo di esposizione dei pazienti al polline). grasses administered transcutaneously (reduction of symptoms and the consumption of symptomatic drugs during the period of exposure of patients to pollen).

Sono state convalidate sia la preparazione del cerotto sia le sue modalità d’uso. Both the preparation of the patch and its methods of use have been validated.

L’assenza di reazioni cutanee durante l’esecuzione della terapia dimostra che l’appropriata concentrazione di acido salicilico in vaselina ha aperto una finestra cutanea in grado di lasciar passare la dose allergenica che si è dimostrata terapeutica senza scatenare la reazione mastocitaria nel derma. The absence of skin reactions during the execution of the therapy demonstrates that the appropriate concentration of salicylic acid in petroleum jelly has opened a skin window capable of allowing the allergenic dose to pass, which has proved therapeutic without triggering the mast cell reaction in the dermis.

Claims (3)

RIVENDICAZIONI 1. Composizioni transdermiche per immunoterapia specifica iposensibilizzante comprendenti un antigene e acido salicilico in un eccipiente idrofobico come adiuvante. CLAIMS 1. Transdermal compositions for specific hyposensitizing immunotherapy comprising an antigen and salicylic acid in a hydrophobic excipient as an adjuvant. 2. Composizioni secondo la rivendicazione 1 in cui l’eccipiente idrofobico è vaselina. 2. Compositions according to claim 1 in which the hydrophobic excipient is petroleum jelly. 3. Composizioni secondo la rivendicazione 1 o 2 in forma di cerotto transdermico.3. Compositions according to claim 1 or 2 in the form of a transdermal patch.
IT001652A 2008-09-16 2008-09-16 TRANSDERMIC COMPOSITIONS FOR HYPOSENSIBILIZING SPECIFIC IMMUNOTHERAPY ITMI20081652A1 (en)

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IT001652A ITMI20081652A1 (en) 2008-09-16 2008-09-16 TRANSDERMIC COMPOSITIONS FOR HYPOSENSIBILIZING SPECIFIC IMMUNOTHERAPY
PCT/EP2009/006597 WO2010031519A1 (en) 2008-09-16 2009-09-11 Transcutaneous compositions for specific immuno-modulatory treatment

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0304786A2 (en) * 1987-08-27 1989-03-01 Bayer Corporation Intranasal vaccination of horses with inactivated microorganisms or antigenic materials
EP0445581A1 (en) * 1990-03-06 1991-09-11 Berlin-Chemie Ag Stable immunostimulating preparation for parenteral application, preparation and use thereof
WO1999011247A1 (en) * 1997-08-29 1999-03-11 Pharmaderm Laboratories, Ltd. Biphasic lipid vesicle composition for transdermal administration of an immunogen
EP1201232A1 (en) * 1999-07-27 2002-05-02 Hisamitsu Pharmaceutical Co. Inc. Patches for external use
EP1340496A1 (en) * 2000-11-07 2003-09-03 Hisamitsu Pharmaceutical Co. Inc. Pharmaceutical preparation of percutaneous absorption type
US20040105898A1 (en) * 1994-02-21 2004-06-03 Aberdeen University, A Great Britain Corporation Acidified nitrite as an antimicrobial agent
WO2005077411A2 (en) * 2004-02-10 2005-08-25 Innate Pharma Composition and method for the treatment of carcinoma
US20060002959A1 (en) * 1996-11-14 2006-01-05 Government Of The United States Skin-sctive adjuvants for transcutaneous immuization
EP1849477A1 (en) * 1998-02-25 2007-10-31 THE GOVERNMENT OF THE UNITED STATES, as represented by THE SECRETARY OF THE ARMY Use of skin penetration enhancers and barrier disruption agents to enhance the transcutaneous immune response induced by ADP-ribosylating exotoxin

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0304786A2 (en) * 1987-08-27 1989-03-01 Bayer Corporation Intranasal vaccination of horses with inactivated microorganisms or antigenic materials
EP0445581A1 (en) * 1990-03-06 1991-09-11 Berlin-Chemie Ag Stable immunostimulating preparation for parenteral application, preparation and use thereof
US20040105898A1 (en) * 1994-02-21 2004-06-03 Aberdeen University, A Great Britain Corporation Acidified nitrite as an antimicrobial agent
US20060002959A1 (en) * 1996-11-14 2006-01-05 Government Of The United States Skin-sctive adjuvants for transcutaneous immuization
WO1999011247A1 (en) * 1997-08-29 1999-03-11 Pharmaderm Laboratories, Ltd. Biphasic lipid vesicle composition for transdermal administration of an immunogen
EP1849477A1 (en) * 1998-02-25 2007-10-31 THE GOVERNMENT OF THE UNITED STATES, as represented by THE SECRETARY OF THE ARMY Use of skin penetration enhancers and barrier disruption agents to enhance the transcutaneous immune response induced by ADP-ribosylating exotoxin
EP1201232A1 (en) * 1999-07-27 2002-05-02 Hisamitsu Pharmaceutical Co. Inc. Patches for external use
EP1340496A1 (en) * 2000-11-07 2003-09-03 Hisamitsu Pharmaceutical Co. Inc. Pharmaceutical preparation of percutaneous absorption type
WO2005077411A2 (en) * 2004-02-10 2005-08-25 Innate Pharma Composition and method for the treatment of carcinoma

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WO2010031519A1 (en) 2010-03-25

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