JP2010248250A - Metastable pharmaceutical composition - Google Patents
Metastable pharmaceutical composition Download PDFInfo
- Publication number
- JP2010248250A JP2010248250A JP2010172167A JP2010172167A JP2010248250A JP 2010248250 A JP2010248250 A JP 2010248250A JP 2010172167 A JP2010172167 A JP 2010172167A JP 2010172167 A JP2010172167 A JP 2010172167A JP 2010248250 A JP2010248250 A JP 2010248250A
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- JP
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- Prior art keywords
- pharmaceutical composition
- physiologically active
- composition according
- volatile
- volatile solvent
- 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.)
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Abstract
Description
発明の分野
本発明は、生理的に活性な薬剤の経皮送達のための組成物に関し、該組成物の使用に関し、生理的に活性な薬剤の経皮送達方法に関する。
FIELD OF THE INVENTION This invention relates to compositions for transdermal delivery of physiologically active agents, to the use of the compositions, and to methods for transdermal delivery of physiologically active agents.
発明の背景
生理的に活性な薬剤の安全で効果的な投与方法が絶えず求められている。多くの薬剤に関して、その投与型は、患者のコンプライアンスを高く保つために可能な限り単純で非侵襲性であることが重要である。経口投与は、従うには比較的単純な型であるため、一般に用いられる1つの投与型である。しかしながら、胃腸内の炎症および肝臓での薬剤代謝と関連する複雑な状況のため、経口投与経路もまた複雑である。
BACKGROUND OF THE INVENTION There is an ongoing need for safe and effective methods of administering physiologically active drugs. For many drugs it is important that the dosage form be as simple and non-invasive as possible to keep patient compliance high. Oral administration is one commonly used dosage form because it is a relatively simple form to follow. However, the route of oral administration is also complex due to the complex circumstances associated with gastrointestinal inflammation and drug metabolism in the liver.
皮膚を介した生理的に活性な薬剤の投与(「経皮薬剤送達」)は、比較的単純な投薬型を提供するだけでなく、生理的に活性な薬剤の体循環中への放出に関して比較的ゆっくりで制御された経路をも提供するので、注目を高めつつある。しかしながら、経皮薬剤送達は、皮膚が天然のバリアとして機能し、したがって皮膚を介した薬剤の輸送が複雑な機構であるという事実により複雑化されている。 Administration of physiologically active drugs through the skin (“transdermal drug delivery”) not only provides a relatively simple dosage form, but also compares the release of physiologically active drugs into the systemic circulation. It is also gaining attention as it provides a slow and controlled route. However, transdermal drug delivery is complicated by the fact that the skin functions as a natural barrier and thus the transport of drugs through the skin is a complex mechanism.
構造的に、皮膚は、比較的薄く最も外側の層(「表皮」)および厚めの内側領域(「真皮」)、の二つの主要部分からなる。表皮の最も外側の層(「角質層」)は、ケラチンで満たされた平らな死細胞からなる。角質層の平らな死細胞間領域は、皮膚の天然バリア性質を担う層板相を形成する脂質で満たされている。 Structurally, the skin consists of two main parts, a relatively thin outermost layer (“epidermis”) and a thicker inner region (“dermis”). The outermost layer of the epidermis (the stratum corneum) consists of flat dead cells filled with keratin. The flat dead cell region of the stratum corneum is filled with lipids that form the lamellar phase responsible for the natural barrier properties of the skin.
皮膚の表面に適用される生理的に活性な薬剤の効果的な経皮送達(「局所適用」)のために、薬剤はまず媒体から角質層へ分配されなければならず、次に典型的には角質層から生存表皮および真皮へとそれから血流へと分配される前に角質層内に拡散されなければならない。 For effective transdermal delivery (“topical application”) of a physiologically active agent applied to the surface of the skin, the agent must first be distributed from the medium to the stratum corneum and then typically It must diffuse into the stratum corneum before being distributed from the stratum corneum to the living epidermis and dermis and then into the bloodstream.
媒体中の生理的に活性な薬剤の濃度(「熱力学活性」)を最大にするために、生理的に活性な薬剤を飽和溶液または固体として存在させることは一般的である。 In order to maximize the concentration of physiologically active agent in the medium (“thermodynamic activity”), it is common for the physiologically active agent to be present as a saturated solution or solid.
真皮層を介する輸送(「経皮吸収」)に関連する経皮送達に伴う問題のいくつかを解消するために、生理的に活性な薬剤は一般的に1以上の薬剤透過エンハンサーと組み合わせて製剤される。例えば、含水エタノールは、一般的に局所適用の製剤において媒体として使用されるし、エタノールが、溶媒牽引効果のために皮膚を介する活性な薬剤の流れを増大させ得る透過エンハンサーとして作用し得ることは公知である(非特許文献1)。透過エンハンサーは、一部の個人において皮膚の炎症を引き起こすことが知られている。本発明では、エタノールは皮膚に少量適用されるため、薬剤およびエンハンサーを皮膚上に広げる中間溶媒として作用するので、透過エンハンサーとしては作用しないようである。問題の組成物の乾燥時間は2分より短く、インビトロでの重量損失測定により、エタノールは表面温度32℃のブタの皮膚で1分以内に蒸発し、残った全てが薬剤であることが以前に確認されていた。エタノールまたは類似する脂質抽出溶媒の皮膚への2分より短い曝露時間は、皮膚のバリア機能を変化させないようである(非特許文献2)。 To overcome some of the problems associated with transdermal delivery related to transport through the dermal layer (“transdermal absorption”), physiologically active agents are generally formulated in combination with one or more drug penetration enhancers. Is done. For example, hydrous ethanol is commonly used as a vehicle in topical formulations, and that ethanol can act as a permeation enhancer that can increase the flow of active agents through the skin due to solvent traction effects. It is known (Non-Patent Document 1). Permeation enhancers are known to cause skin irritation in some individuals. In the present invention, since ethanol is applied in small amounts to the skin, it acts as an intermediate solvent that spreads the drug and enhancer onto the skin, so it does not appear to act as a permeation enhancer. The dry time of the composition in question is less than 2 minutes, and in vitro weight loss measurements indicate that ethanol will evaporate within 1 minute on porcine skin with a surface temperature of 32 ° C., and all that remains is a drug. It was confirmed. An exposure time of less than 2 minutes to the skin of ethanol or a similar lipid extraction solvent does not appear to change the barrier function of the skin (2).
特許文献1は、経皮送達系において特定の溶媒および溶解した修飾剤を皮膚安定化剤と組み合せて真溶液を形成し、そして肌への刺激を最小化した。特許文献2は、皮膚を介した生理的に活性な非閉塞性の送達を説明しているが、この組成物は流動を増大する透過エンハンサーに依存する。透過エンハンサーを使用せずに製剤された組成物は、一般的に生理的に活性な分子の有意な量を皮膚を介して送達するのに充分に効果的ではない。皮膚感染症および炎症状態の局所的治療におけるフルオロキノロンの使用を説明する特許文献3に見られるように、アルコールおよびアセトン媒体を含む組成物は、抗生物質の局所送達に使用されてきた。しかしながら、係る組成物は、本質的に生理的に活性な分子の透過能力が低い。 US Pat. No. 6,057,033 combines a specific solvent and dissolved modifier with a skin stabilizer in a transdermal delivery system to form a true solution and minimizes skin irritation. U.S. Patent No. 6,057,051 describes physiologically active non-occlusive delivery through the skin, but this composition relies on permeation enhancers that increase flow. Compositions formulated without the use of permeation enhancers are generally not effective enough to deliver significant amounts of physiologically active molecules through the skin. As can be seen in US Pat. No. 6,057,038 which describes the use of fluoroquinolones in the topical treatment of skin infections and inflammatory conditions, compositions comprising alcohol and acetone vehicles have been used for topical delivery of antibiotics. However, such compositions inherently have a low ability to permeate physiologically active molecules.
低い透過能力を克服するために、生理的に活性な分子は最大化された熱力学的活性を有しなければならない。特許文献4によると、安定な形状にされた粒子の使用は、医薬製剤の製造に特によく適しており、そこでは継続される遊離および均質な生物学的利用能が特に所望されている。皮膚を介した高い透過率を達成するためには、溶解する薬剤濃度は、それが高い結晶化傾向を有するほどに高い必要があるかもしれないことが示された。結果として、薬剤が保存の間に再結晶する傾向を示すために、経皮貼付剤は、しばしば熱力学活性的に不安定である(非特許文献3)および(非特許文献4)。 In order to overcome the low permeability capacity, the physiologically active molecule must have maximized thermodynamic activity. According to U.S. Pat. No. 6,047,089, the use of stable shaped particles is particularly well suited for the production of pharmaceutical preparations, where continued free and homogeneous bioavailability is particularly desirable. It has been shown that in order to achieve high permeability through the skin, the dissolved drug concentration may need to be so high that it has a high tendency to crystallize. As a result, transdermal patches are often thermodynamically unstable due to the tendency of the drug to recrystallize during storage (Non-patent Document 3) and (Non-patent Document 4).
揮発性溶媒中におけるテストステロンの使用は、先に開示されている(Westerら、1976)。しかしながら、水で割らないアセトン中に溶解させたテストステロンからなるこれらの組成物は、長期にわたる曝露条件下で皮膚を脱脂する(脂質を除去する)性質を有しており、したがって本発明の主体である組成物とは対照的に皮膚の炎症を引き起こすという不都合を欠点としている。 The use of testosterone in volatile solvents has been previously disclosed (Wester et al., 1976). However, these compositions consisting of testosterone dissolved in acetone that is not divided by water have the property of defatting the skin (removing lipids) under prolonged exposure conditions and are therefore the subject of the present invention. In contrast to certain compositions, it has the disadvantage of causing skin irritation.
本発明の背景の議論は、本発明の前後関係を説明するために本明細書中に含まれる。これは、言及される物質のいずれかが、いずれかの請求項の優先日にオーストラリアまたは他のいずれかの国において公表されているか、公知であるか、または共通の一般的な知識の一部であることを容認するものとして捉えられるべきではない。 A discussion of the background of the invention is included herein to explain the context of the invention. This is because any of the substances mentioned is published in Australia or any other country on the priority date of any claim, is known, or is part of common general knowledge It should not be taken as an admission that it is.
本発明の課題は、スプレーまたはエアゾールなどの揮発性媒体を用いて経皮吸収の増強を達成することである。 The object of the present invention is to achieve enhanced percutaneous absorption using volatile media such as sprays or aerosols.
即ち、本発明の要旨は、
〔1〕1以上の生理的に活性な薬剤;および
揮発性の薬学的に許容され得る溶媒;
を含み、揮発性溶媒の蒸発時に生理的に活性な薬剤が準安定な沈着物を形成する、経皮送達のための医薬組成物、
〔2〕アポモルヒネ、フェンタニル、ロピニロール、リバスチグミン、ブスピロン、リザトリプタン、抗コリン作用薬、エチニルエストラジオールまたは薬学的に許容され得る前記のいずれかの塩もしくは誘導体からなる群より選択される1以上の生理的に活性な化合物;および
揮発性の薬学的に許容され得る溶媒;
を含み、揮発性溶媒の蒸発時に生理的に活性な薬剤が準安定な沈着物を形成する、経皮送達のための医薬組成物、
〔3〕キャリアがハイドロフルオロカーボン高圧ガスを含み、エアゾールとしての該組成物の局所適用が揮発性キャリアの蒸発時に準安定な沈着物を提供する、〔1〕記載の医薬組成物、
〔4〕非揮発性透過エンハンサーを実質的に含まない〔1〕記載の医薬組成物、
〔5〕高圧ガスがHFC−134aである〔3〕記載の医薬組成物、
〔6〕ハイドロフルオロカーボン高圧ガスが、医薬組成物全体の15〜50体積%である〔3〕記載の医薬組成物、
〔7〕該組成物をチャンバーから送達するためのバルブ、該組成物をエアゾールとして分散するためのノズルおよび計量された投与量のエアゾールをノズルから提供する手段を含むスプレー塗布器装置のチャンバー内に含まれ、高圧ガスを液体形態で保つようにチャンバー内で圧力をかけた状態で維持されている、〔1〕記載の医薬組成物、
〔8〕揮発性溶媒および高圧ガスが活性な薬剤の単相溶液を提供する〔1〕記載の医薬組成物、
〔9〕0.1%〜10%の生理的に活性な薬剤;ならびに85重量%〜99.8重量%の揮発性溶媒および高圧ガスを含む〔1〕記載の医薬組成物、
〔10〕生理的に活性な薬剤が揮発性溶媒中において0.05%以上の飽和溶解度を有する〔1〕記載の医薬組成物、
〔11〕生理的に活性な薬剤成分が600ダルトンより小さい分子量および200℃より低い融点を有する〔1〕記載の医薬組成物、
〔12〕生理的に活性な薬剤がアポモルヒネ、フェンタニル、ロピニロール、リバスチグミン、ブスピロン、リザトリプタン、エチニルエストラジオールまたはその薬学的に許容され得る塩もしくは誘導体からなる群より選択される1以上の化合物を含む、〔1〕記載の医薬組成物、
〔13〕生理的に活性な薬剤がテストステロン、MENT(7−メチル−19−テストステロン)、またはその薬学的に許容され得る塩もしくは誘導体からなる〔1〕記載の医薬組成物、
〔14〕揮発性溶媒が大気圧および温度32℃において35mmHgより高い蒸気圧を有する〔1〕記載の医薬組成物、
〔15〕揮発性溶媒が1以上の低級アルコールを含む〔1〕記載の医薬組成物、
〔16〕揮発性溶媒の少なくとも60重量%が1以上の低級アルコールを含む〔1〕記載の医薬組成物、
〔17〕揮発性溶媒が本質的に1以上の低級アルカノールからなる〔1〕記載の医薬組成物、
〔18〕低級アルコールがエタノールおよびイソプロパノールから選択される〔16〕記載の医薬組成物、
〔19〕濃化剤が医薬組成物全体の0.1重量%〜20重量%存在する〔1〕記載の医薬組成物、
〔20〕濃化剤がセルロース誘導体、より好ましくはヒドロキシプロピルセルロース、ヒドロキシプロピル−メチルセルロース、ヒドロキシエチルセルロース、またはその混合物である〔19〕記載の医薬組成物、
〔21〕濃化剤がCARBOPOLである〔19〕記載の医薬組成物、
〔22〕〔1〕記載の医薬組成物のスプレーを被験体の皮膚に適用し、揮発性溶媒の蒸発の際に活性な薬剤の準安定性沈着物を形成することを含み、それにより角質層から生存表皮への生理学的に活性な薬剤の分配が増強される、生理的に活性な物質の増強された浸透吸収を提供するための治療方法
に関する。
That is, the gist of the present invention is as follows.
[1] one or more physiologically active agents; and volatile pharmaceutically acceptable solvents;
A pharmaceutical composition for transdermal delivery, wherein the physiologically active agent forms a metastable deposit upon evaporation of the volatile solvent,
[2] One or more physiologically selected from the group consisting of apomorphine, fentanyl, ropinirole, rivastigmine, buspirone, rizatriptan, anticholinergic agent, ethinyl estradiol, or any of the pharmaceutically acceptable salts or derivatives thereof Active compounds; and volatile pharmaceutically acceptable solvents;
A pharmaceutical composition for transdermal delivery, wherein the physiologically active agent forms a metastable deposit upon evaporation of the volatile solvent,
[3] The pharmaceutical composition of [1], wherein the carrier comprises a hydrofluorocarbon high pressure gas, and topical application of the composition as an aerosol provides a metastable deposit upon evaporation of the volatile carrier,
[4] The pharmaceutical composition according to [1] substantially free of a non-volatile permeation enhancer,
[5] The pharmaceutical composition according to [3], wherein the high-pressure gas is HFC-134a,
[6] The pharmaceutical composition according to [3], wherein the hydrofluorocarbon high-pressure gas is 15 to 50% by volume of the whole pharmaceutical composition,
[7] In a chamber of a spray applicator device comprising a valve for delivering the composition from the chamber, a nozzle for dispersing the composition as an aerosol, and means for providing a metered dose of aerosol from the nozzle. A pharmaceutical composition according to [1], which is contained and maintained under pressure in a chamber so as to keep the high-pressure gas in liquid form,
[8] A pharmaceutical composition according to [1], which provides a single-phase solution of a drug in which a volatile solvent and a high-pressure gas are active,
[9] A pharmaceutical composition according to [1], comprising 0.1% to 10% of a physiologically active drug; and 85% to 99.8% by weight of a volatile solvent and high-pressure gas,
[10] The pharmaceutical composition according to [1], wherein the physiologically active drug has a saturation solubility of 0.05% or more in a volatile solvent,
[11] The pharmaceutical composition according to [1], wherein the physiologically active drug component has a molecular weight of less than 600 Daltons and a melting point of less than 200 ° C.
[12] The physiologically active agent comprises one or more compounds selected from the group consisting of apomorphine, fentanyl, ropinirole, rivastigmine, buspirone, rizatriptan, ethinyl estradiol, or a pharmaceutically acceptable salt or derivative thereof, [1] The pharmaceutical composition according to the above,
[13] The pharmaceutical composition according to [1], wherein the physiologically active drug comprises testosterone, MENT (7-methyl-19-testosterone), or a pharmaceutically acceptable salt or derivative thereof,
[14] The pharmaceutical composition according to [1], wherein the volatile solvent has a vapor pressure higher than 35 mmHg at atmospheric pressure and a temperature of 32 ° C.
[15] The pharmaceutical composition according to [1], wherein the volatile solvent contains one or more lower alcohols,
[16] The pharmaceutical composition according to [1], wherein at least 60% by weight of the volatile solvent contains one or more lower alcohols,
[17] The pharmaceutical composition according to [1], wherein the volatile solvent consists essentially of one or more lower alkanols,
[18] The pharmaceutical composition according to [16], wherein the lower alcohol is selected from ethanol and isopropanol,
[19] The pharmaceutical composition according to [1], wherein the thickener is present in an amount of 0.1% to 20% by weight of the whole pharmaceutical composition,
[20] The pharmaceutical composition according to [19], wherein the thickening agent is a cellulose derivative, more preferably hydroxypropylcellulose, hydroxypropyl-methylcellulose, hydroxyethylcellulose, or a mixture thereof.
[21] The pharmaceutical composition according to [19], wherein the thickening agent is CARBOPOL,
[22] Applying a spray of the pharmaceutical composition according to [1] to the skin of a subject to form a metastable deposit of the active agent upon evaporation of the volatile solvent, whereby the stratum corneum The present invention relates to a therapeutic method for providing enhanced osmotic absorption of a physiologically active substance, wherein the distribution of the physiologically active drug from the living epithelium to the living epidermis is enhanced.
本発明により、スプレーまたはエアゾールなどの揮発性媒体を用いた経皮吸収の増強が達成される。 By the present invention, enhanced percutaneous absorption using volatile media such as sprays or aerosols is achieved.
発明の要旨
本発明は、発明者の揮発性スプレーおよびエアゾールの研究から、ならびに特に限られた投与量の製剤に関して、スプレーまたはエアゾールなどの揮発性媒体を用いて経皮吸収の相当な増強が皮膚内での準安定な沈着物(deposit)のインサイチュ形成から得られ得るという理解から生じる。
SUMMARY OF THE INVENTION The present invention is based on the inventors' research on volatile sprays and aerosols, and particularly for limited dosage formulations, where significant enhancement of percutaneous absorption is achieved using volatile media such as sprays or aerosols. Arises from the understanding that it can be obtained from the in situ formation of metastable deposits within.
これらのタイプの医薬組成物を用いた先の研究は、皮膚内への分配の速度および範囲は添加される透過エンハンサーが有っても無くてもすでに十分有効であることを示唆している(「J. Pharm. Sci.」(Morganら、87(10)、1213-1218、1998))。本発明は、少なくとも部分的には、生理的に活性な薬剤の経皮吸収における増大が、本来よりも低い融点を有する準安定な薬剤のインサイチュでの慎重な形成により達成され得るか、さもなければ商業的製造業者により決まりきった手順で供給される様々な結晶性の多形体から達成され得るという理解から生じる。この融点の低下は、表皮および真皮を介したならびに血流への薬剤の拡散を増加方向へ移動させる。本発明を実現するために本発明者らは、生理的に活性な薬剤および揮発性溶媒のいくつかの組み合わせが、局所的に使用された場合にインサイチュで準安定な固体を形成することを見出した。 Previous studies with these types of pharmaceutical compositions suggest that the rate and extent of distribution into the skin is already sufficiently effective with or without added permeation enhancers ( "J. Pharm. Sci." (Morgan et al., 87 (10), 1213-1218, 1998)). The present invention is, at least in part, able to achieve an increase in the transdermal absorption of a physiologically active drug by careful in situ formation of a metastable drug having a lower melting point than it would otherwise. Arises from the understanding that it can be achieved from various crystalline polymorphs supplied by procedures routinely determined by commercial manufacturers. This decrease in melting point shifts the diffusion of the drug through the epidermis and dermis as well as into the bloodstream. In order to realize the present invention, the inventors have found that some combinations of physiologically active agents and volatile solvents form in situ metastable solids when used topically. It was.
したがって、本発明は、
1以上の生理的に活性な薬剤;および
揮発性の薬学的に許容され得る溶媒
を含む組成物を提供し、ここで、生理的に活性な薬剤は揮発性溶媒の蒸発時に準安定な沈着物を形成する。より低い融点の準安定な沈着物は、少なくとも部分的には、アルコール溶媒和物、準安定な多形体、準安定な非晶質固体、またはこれらの混合物などの準安定な偽多形体(pseudopolymorph)のいずれかから生じる。典型的には準安定な沈着物により提供される融点(大気圧において)の低下は、1〜50℃および好ましくは2〜30℃の範囲内であろう。
Therefore, the present invention
Provided is a composition comprising one or more physiologically active agents; and a volatile pharmaceutically acceptable solvent, wherein the physiologically active agent is a metastable deposit upon evaporation of the volatile solvent. Form. Lower melting metastable deposits are, at least in part, metastable pseudopolymorphs such as alcohol solvates, metastable polymorphs, metastable amorphous solids, or mixtures thereof. ) From any of the above. The drop in melting point (at atmospheric pressure) typically provided by metastable deposits will be in the range of 1-50 ° C and preferably 2-30 ° C.
固体沈殿物(例えば薬剤の塩誘導体)または高い融点の結晶性多形体とは異なり、準安定な沈着物は揮発性溶媒の蒸発時に容易に皮膚に分配し、角質層を介して容易に拡散する。より高い融点の結晶性沈着物の皮膚での形成は、皮膚の炎症のより高い傾向および経皮吸収効率の低下につながる(拡散輸送に先立つ結晶の融解に高いエネルギーが必要なため)。 Unlike solid precipitates (e.g., salt derivatives of drugs) or high melting crystalline polymorphs, metastable deposits readily partition to the skin upon evaporation of volatile solvents and diffuse easily through the stratum corneum. . The formation of higher melting crystalline deposits in the skin leads to a higher tendency of skin irritation and reduced transdermal absorption efficiency (because higher energy is required for crystal melting prior to diffusive transport).
準安定な沈着物をヒトの皮膚へすり込むことが所望され得るような場合において準安定な沈着物はまた、優れた肌触りおよび感触を有する。 Metastable deposits also have excellent skin feel and feel in cases where it may be desirable to rub the metastable deposits into human skin.
本発明の組成物は、本質的に透過エンハンサーを含まない。透過エンハンサーは、角質層の拡散抵抗を減少させるために角質層の物理化学的性質を可逆的に傷つけたり、または変化させることにより皮膚透過能を増加させる効果を有する。透過エンハンサーは、一般的に大気圧および通常の皮膚温度である32℃で、100より大きい分子量および10mmHg未満の蒸気圧を有する脂肪親和性で非揮発性化合物である。 The compositions of the present invention are essentially free of permeation enhancers. The permeation enhancer has the effect of increasing skin permeability by reversibly damaging or changing the physicochemical properties of the stratum corneum to reduce the diffusion resistance of the stratum corneum. A permeation enhancer is a lipophilic, non-volatile compound with a molecular weight greater than 100 and a vapor pressure less than 10 mm Hg, typically at atmospheric pressure and normal skin temperature of 32 ° C.
改善された経皮吸収効率を提供することに加えて、本発明の組成物はまた、刺激性の透過エンハンサーが除去されているためにベンジルアルコールスプレーなどの他のいくつかの送達系よりも低い刺激性をも提供し得る。また、本発明の医薬組成物は、安定な単相溶液として存在し、したがって薬剤の貯蔵寿命の間、結晶性の性質(または多形復原力)を有しないため、本発明の組成物は既存型の経皮貼付剤の保存が直面する結晶化および/または過飽和を伴う問題を回避し得る。本発明の別の有利な点は、これらのインサイチュで形成する準安定な組成物から皮膚内への迅速な分配であり、これは、皮膚が生理的に活性な薬剤に対する天然の結晶性インヒビターとして作用し得ること、さらには皮膚内での準安定沈着物の安定性を改善することを意味する。これは、所望される投薬間隔(典型的には24時間ごとに1回である)での生理的に活性な薬剤の整合性および信頼性のある送達プロフィールにつながる。 In addition to providing improved transdermal absorption efficiency, the compositions of the present invention are also lower than some other delivery systems, such as benzyl alcohol spray, due to the elimination of irritating permeation enhancers It can also provide irritation. In addition, since the pharmaceutical composition of the present invention exists as a stable single-phase solution, and therefore does not have crystalline properties (or polymorphic stability) during the shelf life of the drug, the composition of the present invention is The problems associated with crystallization and / or supersaturation faced with storage of a type of transdermal patch may be avoided. Another advantage of the present invention is the rapid distribution of these in situ formed metastable compositions into the skin, as a natural crystalline inhibitor for drugs where the skin is physiologically active. It means acting, and also improving the stability of metastable deposits in the skin. This leads to a consistent and reliable delivery profile of the physiologically active agent at the desired dosing interval (typically once every 24 hours).
本発明はまた、1以上の生理的に活性な薬剤を含む局所的スプレー組成物の使用工程を含む方法である準安定な薬剤製剤をホストへ送達する方法、および揮発性溶媒が蒸発して活性な薬剤を含む準安定な沈着物を形成するようなホストの皮膚に対して揮発性の薬学的に許容され得る溶媒を提供する。 The present invention also provides a method for delivering a metastable drug formulation to a host, a method comprising the step of using a topical spray composition comprising one or more physiologically active agents, and a method in which a volatile solvent evaporates and becomes active A pharmaceutically acceptable solvent that is volatile to the skin of the host so as to form a metastable deposit containing the active agent.
本発明はさらに、生理的に活性な薬剤の経皮投与のために患者の皮膚へのスプレー使用するための組成物であって、
(i)生理的に活性な薬剤;
(ii)揮発性の薬学的に許容され得る溶媒;および
(iii)高圧ガス、好ましくはハイドロフルオロカーボン;
を含む組成物を提供し、ここで該組成物はスプレーとして皮膚へ使用される場合、患者の皮膚に準安定な沈着物を形成する。
The present invention further provides a composition for spray use on a patient's skin for transdermal administration of a physiologically active agent comprising:
(i) a physiologically active agent;
(ii) a volatile pharmaceutically acceptable solvent; and
(iii) high pressure gas, preferably hydrofluorocarbon;
Wherein the composition forms a metastable deposit on the patient's skin when used as a spray on the skin.
本発明はまた、圧力をかけた状態で組成物を維持するためのチャンバー、チャンバー内に含まれる生理的に活性な薬剤、皮膚に使用されると揮発し易い薬学的に許容され得る溶媒および好ましくはチャンバー内の圧力をかけた状態で少なくとも部分的に液体状で維持される高圧ガスを含む混合物、ならびに混合物の送達を提供するためのバルブ手段からなる生理的に活性な薬剤の経皮投与のためのスプレー装置を提供し、ここで該混合物は皮膚上に生理的に活性な薬剤の準安定な沈着物を提供する。高圧ガスは、好ましくはHFC-134aまたはHFC-227などのハイドロフルオロカーボンである。HFC-134aは最も好ましい高圧ガスである。ハイドロフルオロカーボンは、好ましくは容積で医薬組成物全体の15〜50%であり、より好ましくは容積で全組成物の20〜40%である。 The invention also provides a chamber for maintaining the composition under pressure, a physiologically active agent contained within the chamber, a pharmaceutically acceptable solvent that is volatile when used on the skin, and preferably For the transdermal administration of a physiologically active agent comprising a mixture comprising a high pressure gas maintained at least partially in liquid form under pressure in the chamber, and a valve means for providing delivery of the mixture A spray device for providing a metastable deposit of a physiologically active agent on the skin. The high pressure gas is preferably a hydrofluorocarbon such as HFC-134a or HFC-227. HFC-134a is the most preferred high pressure gas. The hydrofluorocarbon is preferably 15-50% of the total pharmaceutical composition by volume, more preferably 20-40% of the total composition by volume.
本発明はさらに、患者における病気の治療または予防用の薬物製造のための活性な薬剤の使用を提供し、ここで該組成物は、生理的に活性な薬剤および揮発性のキャリアを含み、典型的には経皮投与のために患者の皮膚に局所的に使用され、ここで揮発性溶媒は蒸発して活性な薬剤を含む準安定な沈着物を形成する。 The present invention further provides the use of an active agent for the manufacture of a medicament for the treatment or prevention of a disease in a patient, wherein the composition comprises a physiologically active agent and a volatile carrier, In particular, it is used topically on the patient's skin for transdermal administration, where the volatile solvent evaporates to form a metastable deposit containing the active agent.
さらに、準安定な組成物は、既存のフィルム形成スプレーまたはエアゾールに見られるスプレーノズル閉塞という不都合を回避する。 Furthermore, the metastable composition avoids the disadvantages of spray nozzle clogging found in existing film forming sprays or aerosols.
本発明はまた、上記のとおりその中の高圧ガスがHFC-134aであるチャンバー内に含まれる組成物を提供する。揮発性溶媒および活性な分子は、好ましくは活性な分子の単相溶液を提供するであろう。 The present invention also provides a composition contained in a chamber in which the high-pressure gas therein is HFC-134a as described above. The volatile solvent and active molecule will preferably provide a single phase solution of the active molecule.
本明細書中で使用される場合、「非晶質の」という語句は実質的に非結晶性を意味する。他に明記されない限り、非晶質という語句はその範囲にいくらかの結晶度を示す状態を含むことが認識されよう。 As used herein, the phrase “amorphous” means substantially non-crystalline. It will be appreciated that the phrase amorphous includes states that exhibit some degree of crystallinity unless otherwise specified.
本発明の生理的に活性な薬剤および揮発性溶媒の組み合せは、商業的製造業者により決まりきった手順で供給されるまたはメタノールもしくはクロロホルムからの結晶化で得られる多様な結晶性の多形体に見られるよりも低い融点を有する準安定な沈着物をともに形成するものに機能的に限定される。この理由のため、活性な薬剤は、ホストの皮膚へ組成物を使用する際に揮発性溶媒のみが生理的温度で蒸発するよう、揮発性溶媒に比べて比較的非揮発性であることが好ましい。 The physiologically active agent and volatile solvent combinations of the present invention are found in a variety of crystalline polymorphs supplied by routine procedures from commercial manufacturers or obtained by crystallization from methanol or chloroform. Functionally limited to those that together form a metastable deposit having a lower melting point than is possible. For this reason, the active agent is preferably relatively non-volatile compared to the volatile solvent so that only the volatile solvent evaporates at physiological temperature when the composition is used on the host skin. .
実際には、生理的に活性な薬剤は、アポモルヒネ、フェンタニル、ロピニロール、リバスチグミン、ブスピロン、リザトリプタン、抗コリン作用薬(オキシブチニン、トルテロジンおよびダリフェナシンなど)、テストステロン、MENT(7-メチル-19-テストステロン)、エチニル(ethyinyl)エストラジオール、または薬学的に許容され得る前記いずれかの塩もしくは誘導体を含む一覧表に記載され、600ダルトンより小さい分子量および200℃より低い融点を有する、薬効が強く脂肪親和性の生理的に活性な薬剤の範囲から選択され得ることが見出された。 In fact, physiologically active drugs are apomorphine, fentanyl, ropinirole, rivastigmine, buspirone, rizatriptan, anticholinergics (such as oxybutynin, tolterodine and darifenacin), testosterone, MENT (7-methyl-19-testosterone) , Ethininyl estradiol, or a pharmaceutically acceptable salt or derivative of any of the foregoing, having a molecular weight of less than 600 Daltons and a melting point of less than 200 ° C. It has been found that a range of physiologically active agents can be selected.
薬剤および溶媒は、一般的に完全に混合する能力を有し、そのため溶媒は薬剤の結晶面と相互作用を行うであろう。したがって、薬剤は典型的には、溶媒中において0.05%w/w以上、より好ましくは0.1%w/w以上の飽和溶解度を有するであろう。 The drug and solvent generally have the ability to mix thoroughly so that the solvent will interact with the crystal plane of the drug. Thus, the drug will typically have a saturated solubility in the solvent of 0.05% w / w or higher, more preferably 0.1% w / w or higher.
好ましくは、揮発性溶媒は、大気圧および通常の皮膚温度である32℃で、35mmHgより高い蒸気圧を有する。揮発性溶媒は、好ましくは低級アルコールを含む。より好ましくは、揮発性溶媒は、重量で揮発性溶媒成分全体の少なくとも60%の低級アルコールを含む。 Preferably, the volatile solvent has a vapor pressure higher than 35 mmHg at atmospheric pressure and normal skin temperature of 32 ° C. The volatile solvent preferably contains a lower alcohol. More preferably, the volatile solvent comprises at least 60% lower alcohol by weight of the total volatile solvent component.
最も好ましくは、揮発性溶媒成分は、本質的に1以上の低級アルコールからなる。好ましい低級アルコールは、エタノール、イソプロパノールおよびその混合物である。 Most preferably, the volatile solvent component consists essentially of one or more lower alcohols. Preferred lower alcohols are ethanol, isopropanol and mixtures thereof.
都合のよいことに、該組成物は生理的に活性な薬剤および揮発性溶媒を含む局所的スプレー組成物であり、該方法は組成物をホストの皮膚上にスプレーして生理的に活性な物質を含む準安定な沈着物を形成する工程を含む。 Conveniently, the composition is a topical spray composition comprising a physiologically active agent and a volatile solvent, and the method comprises spraying the composition onto the skin of the host to provide a physiologically active substance. Forming a metastable deposit comprising:
上記の各ケースにおいて準安定な沈着物は、好ましくはホストの表皮中に形成される。 In each of the above cases, metastable deposits are preferably formed in the host skin.
発明の詳細な説明
本発明の利益は、組成物が安定であることであり、それは薬剤の貯蔵寿命の間に過飽和または結晶化しにくいことを意味する。これは、含まれる活性な薬剤の結晶化が過去に問題を呈した経皮貼付剤とよい対照をなし得る。したがって本発明の組成物は、先行技術の経皮貼付剤の貯蔵寿命問題に直面することなく、貯蔵寿命の間、一次容器中に保管され得る。
DETAILED DESCRIPTION OF THE INVENTION An advantage of the present invention is that the composition is stable, which means it is less saturated or crystallized during the shelf life of the drug. This can be in good contrast to transdermal patches where crystallization of the active agent involved has been problematic in the past. Thus, the compositions of the present invention can be stored in primary containers for the shelf life without facing the shelf life issues of prior art transdermal patches.
本発明の組成物は、約0.1%〜約10%の生理的に活性な薬剤および約85%〜約99.8%の揮発性溶媒を含み得る。 The compositions of the present invention may comprise from about 0.1% to about 10% physiologically active agent and from about 85% to about 99.8% volatile solvent.
任意に、媒体はさらなる製薬上の賦形剤、例えばCARBOPOLおよびセルロース誘導体などのゲル剤を有し得る。 Optionally, the vehicle can have additional pharmaceutical excipients, such as gels such as CARBOPOL and cellulose derivatives.
本発明は、これから以下の実施例を参考にして説明されようとしている。実施例は本発明の実例として提供されることおよびそれらは決して本発明の範囲を限定していないことが理解されるべきである。 The invention will now be described with reference to the following examples. It should be understood that the examples are provided by way of illustration of the invention and that they in no way limit the scope of the invention.
実施例1
準安定な薬剤沈着物のインサイチュ形成
角質層内における薬剤の準安定な沈着物の形成により、図1(レベルは非検出)に示すとおり、薬剤の飽和溶液または皮膚表面における固体薬剤の単純な拡散と比較して皮膚を介した薬剤の透過が増大することが期待され得る。
Example 1
In Situ Formation of Metastable Drug Deposits Formation of metastable deposits of drug within the stratum corneum results in simple diffusion of a solid drug in a saturated solution of the drug or on the skin surface, as shown in Figure 1 (level not detected) It can be expected that drug penetration through the skin will increase.
実施例2
揮発性溶媒と混合した種々の活性な薬剤の融点低下
図2および3に示すとおり、揮発性溶媒の蒸発後に薬剤の準安定な沈着物を形成する能力は、溶媒蒸発から24時間後に達せられた融点の低下により決定し得る。
原料
フェンタニル
ブスピロン
テストステロン
エチニルエストラジオール(EE2)
95%EtOH
イソプロピルアルコール(IPA)
クロロホルム
アセトン
以下の表中に示すとおり、選択した活性な薬剤は種々の範囲の物理化学的性質を示した。
Example 2
Melting point reduction of various active drugs mixed with volatile solvents As shown in Figures 2 and 3, the ability to form metastable deposits of drugs after evaporation of volatile solvents was achieved 24 hours after solvent evaporation It can be determined by lowering the melting point.
Raw material Fentanyl buspirone Testosterone Ethinyl estradiol (EE2)
95% EtOH
Isopropyl alcohol (IPA)
Chloroform Acetone As shown in the table below, the selected active agents exhibited various ranges of physicochemical properties.
選択された薬剤−物理化学的性質
方法
活性な薬剤および揮発性溶媒の種々の%w/v混合物を調製した:次に10マイクロリットルのアルミニウムマイクロ−DSCパンを50マイクロリットルのアルミニウムDSCパンの中に置き、各製剤の5マイクロリットルのアリコートを10マイクロリットルのDSCパンの中へピペットで移した。揮発性溶媒を蒸発させ、充分な残渣が残るまでさらにアリコートを再度注いだ。
Methods Various% w / v mixtures of active drug and volatile solvent were prepared: 10 microliters of aluminum micro-DSC pan was then placed in 50 microliters of aluminum DSC pan and 5 microliters of each formulation Aliquots were pipetted into 10 microliter DSC pans. The volatile solvent was evaporated and another aliquot was poured again until enough residue remained.
パン(pan)を環境温度および相対湿度33%で24時間維持した。この後、パンを覆い、密封した。次に、窒素流中で、10℃/分で、薬剤に依存した温度範囲内でDSCを行った。 The pan was maintained at ambient temperature and 33% relative humidity for 24 hours. After this, the pan was covered and sealed. Next, DSC was performed in a nitrogen flow at 10 ° C./min within a temperature range depending on the drug.
結果
各溶媒の蒸発により融点変化が生じた(図2)。溶媒蒸発後におけるブスピロンのDSC分析からより安定した融点の低下が示された(図3)。対照的に、フェンタニル、テストステロンおよびEE2では、溶媒に非常に依存した融点の低下が見られた。各ケースにおいて化合物ベースと比較した場合、イソプロピルアルコールが融点変化において最も有意な差異を示した。我々が見出したことには、融点低下は、組成物が経皮吸収に関して増加を有するであろうことを示唆する。さらに、角質層が結晶化を妨げ、その結果、溶媒に沈着される準安定な固体が角質層内に生じ得る。
Results Melting point changes were caused by evaporation of each solvent (Fig. 2). DSC analysis of buspirone after solvent evaporation showed a more stable melting point reduction (Figure 3). In contrast, fentanyl, testosterone and EE2 showed a solvent-dependent melting point decrease. Isopropyl alcohol showed the most significant difference in melting point change when compared to the compound base in each case. What we have found is that the lower melting point suggests that the composition will have an increase in percutaneous absorption. Furthermore, the stratum corneum prevents crystallization, so that a metastable solid deposited in the solvent can form in the stratum corneum.
実施例3 経皮透過における準安定な組成物の効果
組成物中に使用される溶媒の選択は、所望される薬理学的効果を達成するために経皮透過(その1例は図4に示される)により測定されるような所望される経皮送達プロフィールに基づいて選択し得る。
前記の実施例は、限定していることを意味せず、揮発性溶媒の組み合せはまた、所望される薬理学的効果を得るために使用し得ると考えられ、例えば、重量ベースで;
エタノール : IPA 20-80:20-80
エタノール : アセトン
もしくはIPA またはクロロホルム 60-90:10-40
またはその混合物
である。
Example 3 Effect of Metastable Composition on Percutaneous Permeation The selection of the solvent used in the composition allows the percutaneous penetration (one example is shown in FIG. 4) to achieve the desired pharmacological effect. May be selected based on the desired transdermal delivery profile as measured by.
The above examples are not meant to be limiting, and combinations of volatile solvents could also be used to obtain the desired pharmacological effect, eg, on a weight basis;
Ethanol: IPA 20-80: 20-80
Ethanol: Acetone or IPA or chloroform 60-90: 10-40
Or its mixture
It is.
拡散研究
皮膚を介した準安定な組成物の送達プロフィールを決定するために拡散研究を行った。
Diffusion studies Diffusion studies were performed to determine the delivery profile of metastable compositions through the skin.
製剤
エタノール中のフェンタニル(1モル)
イソプロピルアルコール中のフェンタニル(1モル)
全ての製剤を、適量の生理的に活性な分子を容積測定フラスコ中で正確に計量することで調製し、適切な揮発性溶媒で容積を合わせた。
Formulation Fentanyl (1 mol) in ethanol
Fentanyl (1 mol) in isopropyl alcohol
All formulations were prepared by accurately weighing an appropriate amount of physiologically active molecules in a volumetric flask and volumed with an appropriate volatile solvent.
方法
インビトロでの拡散実験は、32℃に維持されたヒトの表皮を用いて、ステンレススチール製のフロースルー拡散セルを用いて行った。受容溶液は0.002%NaN3中の10%EtOHまたは0.002%NaN3中の20%EtOHのいずれかからなるものであった。各条件に対して8個のセルを適切なドナー相5μlで処理し、それぞれが製剤に応じて限られた投与量であった。試料を適切な時点で回収し、高速液体クロマトグラフィー(HPLC)で分析した。
Methods In vitro diffusion experiments were performed using a stainless steel flow-through diffusion cell with a human epidermis maintained at 32 ° C. The receiving solution consisted of either 10% EtOH in 0.002% NaN3 or 20% EtOH in 0.002% NaN3. Eight cells for each condition were treated with 5 μl of the appropriate donor phase, each with a limited dose depending on the formulation. Samples were collected at appropriate time points and analyzed by high performance liquid chromatography (HPLC).
表1.受容溶液解析のHPLC条件 Table 1. HPLC conditions for receiving solution analysis
結果
モデル化合物としてフェンタニルを用いて、エタノールおよびイソプロピルアルコール蒸発後の拡散実験を行った。
Results Diffusion experiments after evaporation of ethanol and isopropyl alcohol were conducted using fentanyl as a model compound.
ヒト表皮によるフェンタニル拡散プロフィールは、溶媒依存性である送達プロフィールに変化を示す(図5)。エタノールからの蒸発後、フェンタニルは、S字状、一次拡散プロフィールを示し、これは皮膚を介したイニシャルバーストが制限されていることを示す。しかし、イソプロピルアルコールからの蒸発後、フェンタニルは0次放出速度プロフィールを示す。それゆえ、残留傾向(leaving tendency)は、揮発性溶媒ビヒクルを変更することにより修正されうる。 The fentanyl diffusion profile by the human epidermis shows a change in the delivery profile that is solvent dependent (FIG. 5). After evaporation from ethanol, fentanyl exhibits a sigmoidal, first order diffusion profile, indicating that the initial burst through the skin is limited. However, after evaporation from isopropyl alcohol, fentanyl exhibits a zero order release rate profile. Therefore, the leaving tendency can be corrected by changing the volatile solvent vehicle.
Claims (22)
揮発性の薬学的に許容され得る溶媒;
を含み、揮発性溶媒の蒸発時に生理的に活性な薬剤が準安定な沈着物を形成する、経皮送達のための医薬組成物。 One or more physiologically active agents; and a volatile pharmaceutically acceptable solvent;
A pharmaceutical composition for transdermal delivery, wherein the physiologically active agent forms a metastable deposit upon evaporation of the volatile solvent.
揮発性の薬学的に許容され得る溶媒;
を含み、揮発性溶媒の蒸発時に生理的に活性な薬剤が準安定な沈着物を形成する、経皮送達のための医薬組成物。 One or more physiologically active selected from the group consisting of apomorphine, fentanyl, ropinirole, rivastigmine, buspirone, rizatriptan, anticholinergics, ethinyl estradiol or any of the pharmaceutically acceptable salts or derivatives thereof A compound; and a volatile pharmaceutically acceptable solvent;
A pharmaceutical composition for transdermal delivery, wherein the physiologically active agent forms a metastable deposit upon evaporation of the volatile solvent.
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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AUPS3173A AUPS317302A0 (en) | 2002-06-25 | 2002-06-25 | Metastable pharmaceutical compositions |
Related Parent Applications (1)
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JP2004514438A Division JP2005534670A (en) | 2002-06-25 | 2003-06-24 | Metastable pharmaceutical composition |
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JP2010248250A true JP2010248250A (en) | 2010-11-04 |
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JP2004514438A Withdrawn JP2005534670A (en) | 2002-06-25 | 2003-06-24 | Metastable pharmaceutical composition |
JP2010172167A Withdrawn JP2010248250A (en) | 2002-06-25 | 2010-07-30 | Metastable pharmaceutical composition |
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JP2004514438A Withdrawn JP2005534670A (en) | 2002-06-25 | 2003-06-24 | Metastable pharmaceutical composition |
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EP (1) | EP1531867A4 (en) |
JP (2) | JP2005534670A (en) |
KR (1) | KR20050120726A (en) |
AU (1) | AUPS317302A0 (en) |
BR (1) | BR0312003A (en) |
CA (1) | CA2490057A1 (en) |
EA (1) | EA012648B1 (en) |
NZ (1) | NZ537436A (en) |
WO (1) | WO2004000361A1 (en) |
Cited By (1)
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JP2014508809A (en) * | 2011-03-22 | 2014-04-10 | ザ・ポピュレイション・カウンシル,インコーポレイテッド | Regeneration of myelin using androgen |
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JPH0794378B2 (en) * | 1989-08-18 | 1995-10-11 | 久光製薬株式会社 | Aerosol |
JPH0383924A (en) * | 1989-08-28 | 1991-04-09 | Kanebo Ltd | Composition for percutaneous administration |
JP2974081B2 (en) * | 1990-07-26 | 1999-11-08 | 小池化学株式会社 | Aerosol composition for human body |
CA2094266C (en) * | 1990-10-18 | 1999-06-01 | Robert K. Schultz | Aerosol formulations of beclomethasone-17,21-dipropionate |
CA2101496A1 (en) * | 1992-07-31 | 1994-02-01 | Masao Kobayashi | Base for transdermal administration |
AUPN814496A0 (en) * | 1996-02-19 | 1996-03-14 | Monash University | Dermal penetration enhancer |
DE19616539A1 (en) * | 1996-04-25 | 1997-11-06 | Luitpold Pharma Gmbh | Alcoholic solutions containing acetylsalicylic acid for percutaneous use, their use for antithrombotic therapy and medicines |
US5968919A (en) * | 1997-10-16 | 1999-10-19 | Macrochem Corporation | Hormone replacement therapy drug formulations for topical application to the skin |
DE60006069T2 (en) * | 1999-02-05 | 2004-07-29 | Cipla Ltd. | TOPICAL SPRAYS CONTAINING A FILM-FORMING COMPOSITION |
US6368618B1 (en) * | 1999-07-01 | 2002-04-09 | The University Of Georgia Research Foundation, Inc. | Composition and method for enhanced transdermal absorption of nonsteroidal anti-inflammatory drugs |
CA2419573C (en) * | 2000-08-30 | 2007-04-03 | Unimed Pharmaceuticals, Inc. | Method of increasing testosterone and related steroid concentrations in women |
BR0113651A (en) * | 2000-08-30 | 2004-11-09 | Unimed Pharmaceuticals Inc | Method to treat erectile dysfunction and increase libido in man |
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2002
- 2002-06-25 AU AUPS3173A patent/AUPS317302A0/en not_active Abandoned
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2003
- 2003-06-24 CA CA002490057A patent/CA2490057A1/en not_active Abandoned
- 2003-06-24 KR KR1020047020966A patent/KR20050120726A/en not_active Application Discontinuation
- 2003-06-24 NZ NZ537436A patent/NZ537436A/en not_active IP Right Cessation
- 2003-06-24 EP EP03729714A patent/EP1531867A4/en not_active Withdrawn
- 2003-06-24 EA EA200500083A patent/EA012648B1/en not_active IP Right Cessation
- 2003-06-24 WO PCT/AU2003/000785 patent/WO2004000361A1/en active Application Filing
- 2003-06-24 BR BR0312003-1A patent/BR0312003A/en not_active IP Right Cessation
- 2003-06-24 JP JP2004514438A patent/JP2005534670A/en not_active Withdrawn
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
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JP2014508809A (en) * | 2011-03-22 | 2014-04-10 | ザ・ポピュレイション・カウンシル,インコーポレイテッド | Regeneration of myelin using androgen |
US9364488B2 (en) | 2011-03-22 | 2016-06-14 | The Population Council, Inc. | Myelin regeneration with androgens |
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EP1531867A1 (en) | 2005-05-25 |
NZ537436A (en) | 2007-01-26 |
JP2005534670A (en) | 2005-11-17 |
EP1531867A4 (en) | 2011-03-23 |
CA2490057A1 (en) | 2003-12-31 |
EA200500083A1 (en) | 2005-08-25 |
KR20050120726A (en) | 2005-12-23 |
EA012648B1 (en) | 2009-12-30 |
BR0312003A (en) | 2005-03-22 |
WO2004000361A1 (en) | 2003-12-31 |
AUPS317302A0 (en) | 2002-07-18 |
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