JP2019522025A - メマンチン経皮送達システム - Google Patents
メマンチン経皮送達システム Download PDFInfo
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- JP2019522025A JP2019522025A JP2019504002A JP2019504002A JP2019522025A JP 2019522025 A JP2019522025 A JP 2019522025A JP 2019504002 A JP2019504002 A JP 2019504002A JP 2019504002 A JP2019504002 A JP 2019504002A JP 2019522025 A JP2019522025 A JP 2019522025A
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- Prior art keywords
- memantine
- transdermal delivery
- delivery system
- layer
- composition
- Prior art date
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- Granted
Links
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- 230000037317 transdermal delivery Effects 0.000 title claims abstract description 127
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- LDDHMLJTFXJGPI-UHFFFAOYSA-N memantine hydrochloride Chemical compound Cl.C1C(C2)CC3(C)CC1(C)CC2(N)C3 LDDHMLJTFXJGPI-UHFFFAOYSA-N 0.000 claims description 45
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- BTFJIXJJCSYFAL-UHFFFAOYSA-N arachidyl alcohol Natural products CCCCCCCCCCCCCCCCCCCCO BTFJIXJJCSYFAL-UHFFFAOYSA-N 0.000 claims description 33
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Abstract
Description
本願は、米国仮出願第62/504,391号(2017年5月10日出願);米国仮出願第62/457,794号(2017年2月10日出願);米国仮出願第62/457,791号(2017年2月10日出願);米国仮出願第62/444,763号(2017年1月10日出願);米国仮出願第62/444,745号(2017年1月10日出願);米国仮出願第62/423,133号(2016年11月16日出願);および米国仮出願第62/367,502号(2016年7月27日出願)の利益を主張する。各々は、その全体が参照により本明細書中に援用される。
本明細書に記載される複数の実施形態は、メマンチン塩基を全身的に送達するための、メマンチンまたはその塩を含有する経皮送達システムに関する。他の実施形態では、メマンチン化合物を含有する送達システムを投与することによって、対象の神経学的障害を処置するための方法が記載される。
メマンチンは、N−メチル−D−アスパルテート(NMDA)受容体に対して低度から中度の親和性を有するアマンタジン誘導体である。これは、NMDA受容体作動性カチオンチャネルに優先的に結合する非競合的なNMDA受容体アンタゴニストである。これは、神経機能障害をもたらし得る過剰なレベルのグルタメートの効果を遮断する。これは現在、アルツハイマー病の処置のため調査中である。これは、3,5−ジメチルアダマンタン−1−アミン(式I)の化学構造を有する。
メマンチンを含む塩基性薬物の経皮送達は、不十分な皮膚透過性のために特に困難であり得る。さらに、一部の活性剤は、典型的な経皮配合物に使用される粘着剤および/または他の構成成分における溶解性が不十分であるか、または低い。さらに、薬剤の投与期間にわたる安定かつ有効な放出をもたらし、長期投与に好適な接着性を有する、抗認知症剤の安定した長期にわたる(例えば、1〜10日間またはそれを超える)投与が必要とされている。
したがって、これらの欠点に対処する経皮組成物、デバイス、および方法の必要性が存在する。
下に記載され例証される、以下の態様およびその実施形態は、例示的かつ例証的であることを意図したものであり、範囲に関して限定的なものではない。
これより、以下において、様々な態様についてより完全に説明する。しかしながら、そのような態様は、多くの異なる形態で具体化することができ、本明細書に示される実施形態に限定されるものとして解釈されるべきではない;むしろ、これらの実施形態は、本開示が網羅的かつ完全であり、当業者にその範囲を完全に伝えることができるように提供されるものである。
I.定義
メマンチンを全身的に送達するための経皮送達システム、および経皮送達システムにおいて使用するための組成物が提供される。この経皮システムは概して、皮膚接触用粘着剤層および薬物リザーバから構成され、これら2つは、常にそうとは限らないが典型的には布もしくは膜または他の非粘着剤材料である、中間層によって分離されていてよい。これより、システムの組成物および層について説明する。
ある特定の態様では、メマンチン化合物を担体とともに含むシステムを、任意選択で、メマンチン化合物を含むパッチまたは坐薬を配合するための説明書とともに含むキットが、本明細書に記載される。キットの構成要素、例えば、メマンチン化合物および担体を、任意選択で他の成分、例えば、ゲル化剤、エモリエント、界面活性剤、保湿剤、粘度向上剤、乳化剤などとともに、1つまたは複数の区画に含むシステム。キットは、任意選択で、CNS疾患の処置において、システムを配合するための説明書および/または構成要素を使用するための説明書を、個別あるいは一緒に含んでもよい。
他の態様では、経皮組成物、デバイス、および/またはシステムにより、少なくとも1種の活性剤を経皮投与することによって、疾患、状態、および/または障害を処置する方法が、本明細書に記載される。
アルツハイマー病は、老年認知症の最も一般的な原因であり、コリン作動性ニューロンの変性に関連する認知欠損により特徴付けられる。アルツハイマー病は、65歳を超える人々の6〜8%、および85歳を超える人々の約30%に影響を及ぼし(Sozioら、Neurophsychiatric Disease and Treatment、2012年、8巻:361〜368頁)、認知機能および行動能力の喪失を伴う。アルツハイマー病の原因は未だ完全には分かっていない。アルツハイマー病は、アセチルコリン(Ach)を含むいくつかの脳内神経伝達物質の低いレベルに関連付けられるため、現在の処置は、コリンエステラーゼ阻害剤を投与することを含む。コリンエステラーゼ阻害剤は、コリンエステラーゼおよび/またはブチリルコリンエステラーゼを阻害することによりシナプス間隙におけるアセチルコリンの加水分解を低減させ、これによりアセチルコリンレベルが上昇し、結果として神経伝達が改善する(同上)。
メマンチン経皮送達システム
メマンチンを含む経皮送達システムを、以下の通りに調製する。
炭酸水素ナトリウムを含むメマンチン塩経皮配合物
粘着剤中薬物の調製:2.0gの量のグリセリンおよび2.0gのオクチルドデカノールを、29.35gの酢酸エチルおよび1.86gのイソプロピルアルコールの混合物と混合した。溶液中で、5.0gのメマンチン塩酸塩および1.95gの炭酸水素ナトリウムを、撹拌することによって分散させた。この分散体に対して、3.0gの架橋ポリビニルピロリドン(KOLLIDON(登録商標)CL−M)を添加し、Silversonミキサーホモジナイザーを使用して均質化した。この均質化された薬物/架橋ポリビニルピロリドン分散体に対して、11.99gのアクリレートコポリマー(DURO−TAK(登録商標)387−2287、固形分含量50.5%)を添加し、よく混合した。この湿潤粘着剤配合物を剥離ライナー上にコーティングし、Werner Mathisコーターを使用することで乾燥させて、15mg/cm2の乾燥塗工重量を得た。
経皮送達システムによるメマンチンのIn vivo投与
メマンチンを含む経皮送達システムを、実施例1に記載されているように調製する。ヒト対象を、経皮送達システムによって処置される群または研究の1日目および7日目に服用される7mgのメマンチン(NAMENDA(登録商標))の経口投与によって処置される群の2つに無作為化する。経皮送達システムは、皮膚に対して適用され、1週間着用された後、取り外される。経皮送達システムで処置される対象からは、血液試料を毎日採取する。経口送達したメマンチンで処置された群では、血液試料を1日目および7日目に頻度の高い時間間隔で採取し、8、10、12、および14日目にも再度採取した。処置群におけるメマンチンの平均血漿中濃度を測定する。
Claims (38)
- メマンチンを全身的に送達するための経皮送達システムであって、
(a)使用者の皮膚に前記経皮送達システムを付着させるための皮膚接触用粘着剤層、
(b)前記接触用粘着剤層に直接接する中間層、
(c)前記中間層に接する薬物リザーバ層であって、(i)アクリレートコポリマー、(ii)高級アルコールである透過促進剤、(iii)親水性溶媒担体、および(iv)メマンチンの塩とアルカリ塩との反応によってin situで生成されるメマンチン塩基から構成される、薬物リザーバ層
を含む、
経皮送達システム。 - 前記アクリレートコポリマーが、アクリル酸/酢酸ビニルのコポリマーを含む、請求項1に記載の経皮送達システム。
- 前記高級アルコールが、ラウリルアルコール、イソステアリルアルコール、オクチルドデカノール、およびオレイルアルコールからなる群から選択される、請求項2に記載の経皮送達システム。
- 前記担体が、グリセロール、プロピレングリコール、および液体ポリエチレングリコールからなる群から選択される、請求項1から3のいずれか一項に記載の経皮送達システム。
- 前記皮膚接触用粘着剤層が、透過促進剤をさらに含む、請求項1から4のいずれか一項に記載の経皮送達システム。
- 前記薬物リザーバが、ポリビニルピロリドン(PVP)もしくはポリビニルアルコール(PVA)、またはそれらの架橋誘導体から選択される崩壊剤を含む、請求項1から5のいずれか一項に記載の経皮送達システム。
- 前記崩壊剤が、ポリビニルピロリドン架橋材料(PVP−CLM)である、請求項6に記載の経皮送達システム。
- 前記中間層が、速度制御膜である微多孔質膜である、先行する請求項のいずれかに記載の経皮送達システム。
- 微多孔質膜が、前記透過促進剤を含有する複数の細孔を有する微多孔質ポリプロピレンから構成される、請求項8に記載の経皮送達システム。
- 前記中間層が、不織ポリエステルである、請求項8に記載の経皮送達システム。
- 前記メマンチンの塩が、メマンチンのハロゲン化物塩である、先行する請求項のいずれかに記載の経皮送達システム。
- 前記メマンチンのハロゲン化物塩が、メマンチン塩酸塩である、請求項11に記載の経皮送達システム。
- 前記薬物リザーバ層内の前記アルカリ塩が、酢酸ナトリウム、ホウ酸ナトリウム、メタホウ酸ナトリウム、炭酸ナトリウム、炭酸水素ナトリウム、炭酸カリウム、炭酸水素カリウム、クエン酸カリウム、酢酸カリウム、リン酸ナトリウム、リン酸カリウム、リン酸水素二ナトリウム、オキシル酸ナトリウム、コハク酸ナトリウム、クエン酸ナトリウム、およびサリチル酸ナトリウムからなる群から選択される、先行する請求項のいずれかに記載の経皮送達システム。
- 前記薬物リザーバ層内の前記アルカリ塩が、炭酸水素ナトリウムまたは炭酸水素カリウムである、請求項13に記載の経皮送達システム。
- 前記皮膚接触用粘着剤層が、高級アルコール、生体適合性ポリマーまたはコポリマー、ならびにマトリックス改質剤および分散性シリカのうちの少なくとも1つを含む、先行する請求項のいずれかに記載の経皮送達システム。
- 前記高級アルコールが、ラウリルアルコール、イソステアリルアルコール、オクチルドデカノール、およびオレイルアルコールからなる群から選択される、請求項15に記載の経皮送達システム。
- 前記生体適合性ポリマーが、ポリイソブチレン(PIB)、シリコーンポリマー、アクリレートコポリマー、ブチルゴム、ポリブチレン、スチレン−イソプレン−スチレンブロックコポリマー、スチレン−ブタジエン−スチレンブロックコポリマー、エチレン−酢酸ビニル(EVA)、それらの混合物、またはそれらのコポリマーからなる群から選択される、請求項15に記載の経皮送達システム。
- 前記マトリックス改質剤が、架橋ポリビニルピロリドン(PVP)、可溶性PVP、セルロース誘導体、ポリアクリルアミド、ポリアクリル酸、およびクレイからなる群から選択される、請求項15に記載の経皮送達システム。
- (i)メマンチンの塩とアルカリ塩との反応によってin situで生成されるメマンチン塩基、(ii)親水性溶媒担体、および(iii)アクリレートコポリマーを含む、薬物リザーバを含む、組成物。
- 前記親水性溶媒担体が、グリセロールである、請求項19に記載の組成物。
- 前記薬物リザーバが、透過促進剤をさらに含む、請求項19または20に記載の組成物。
- 前記透過促進剤が、ラウリルアルコール、イソステアリルアルコール、オクチルドデカノール、およびオレイルアルコールからなる群から選択される高級アルコールである、請求項21に記載の組成物。
- 薬物リザーバが、架橋ポリビニルピロリドンをさらに含む、請求項19から22のいずれか一項に記載の組成物。
- 前記メマンチンの塩が、メマンチン塩酸塩であり、前記アルカリ塩が、酢酸ナトリウム、ホウ酸ナトリウム、メタホウ酸ナトリウム、炭酸ナトリウム、炭酸水素ナトリウム、炭酸カリウム、炭酸水素カリウム、クエン酸カリウム、酢酸カリウム、リン酸ナトリウム、リン酸カリウム、リン酸水素二ナトリウム、オキシル酸ナトリウム、コハク酸ナトリウム、クエン酸ナトリウム、およびサリチル酸ナトリウムからなる群から選択される、請求項19から23のいずれか一項に記載の組成物。
- メマンチンの塩とアルカリ塩との反応によってin situで生成されるメマンチン塩基、透過促進剤、親水性溶媒担体、ならびに架橋ポリビニルピロリドンおよびアクリレートポリマーを含むポリマー性の粘着剤マトリックスから本質的になる薬物リザーバを含む、組成物。
- (a)約10〜30重量%のメマンチンHClと約5〜15重量%の炭酸水素ナトリウムとの反応によってin situで生成されるメマンチン塩基、
(b)約5〜15重量%のオクチルドデカノール、
(c)約5〜15重量%のグリセロール、
(d)約10〜30重量%の架橋ポリビニルピロリドン、ならびに
(e)約20〜65重量%のアクリレートポリマー
から本質的になる薬物リザーバを含む、組成物。 - (a)約22〜27重量%のメマンチンHClと約7〜12重量%の炭酸水素ナトリウムとの反応によってin situで生成されるメマンチン塩基、
(b)約8〜12重量%のオクチルドデカノール、
(c)約8〜12重量%のグリセロール、
(d)約13〜17重量%の架橋ポリビニルピロリドン、ならびに
(e)約25〜50重量%のアクリレートポリマー
から本質的になる薬物リザーバを含む、組成物。 - (a)請求項19から27のいずれか一項に記載の組成物から構成される薬物リザーバ、
(b)複数の細孔を有する速度制御膜、および
(c)皮膚接触用粘着剤
を含む、組成物。 - 前記速度制御膜が、微多孔質ポリプロピレン膜である、請求項28に記載の組成物。
- 前記複数の細孔が、透過促進剤またはオクチルドデカノールを含有する、請求項29に記載の組成物。
- 前記皮膚接触用粘着剤が、高級アルコールおよび生体適合性ポリマーまたはコポリマーを含む、請求項28から30のいずれか一項に記載の組成物。
- 前記高級アルコールが、ラウリルアルコール、イソステアリルアルコール、オクチルドデカノール、およびオレイルアルコールからなる群から選択される、請求項31に記載の組成物。
- 前記生体適合性ポリマーが、ポリイソブチレン(PIB)、シリコーンポリマー、アクリレートコポリマー、ブチルゴム、ポリブチレン、スチレン−イソプレン−スチレンブロックコポリマー、スチレン−ブタジエン−スチレンブロックコポリマー、エチレン−酢酸ビニル(EVA)、またはそれらの混合物を含む、請求項31に記載の組成物。
- それを必要とする対象に対してメマンチンを送達するための方法であって、前記対象の組織を請求項1から33のいずれか一項に記載の経皮送達システムと接触させることを含み、
それによって、前記接触させることが、前記対象に対するメマンチンの経皮送達を達成する、
方法。 - 前記組織が皮膚組織である、請求項34に記載の方法。
- 前記対象が、CNS障害を患っているか、またはその診断を受けている、請求項34または請求項35に記載の方法。
- 前記CNS障害が、アルツハイマー病および血管性認知症から選択される、請求項36に記載の方法。
- 前記対象がヒト対象である、請求項34から37のいずれか一項に記載の方法。
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AU2017301929A1 (en) | 2019-02-14 |
CN109789113A (zh) | 2019-05-21 |
US10945968B2 (en) | 2021-03-16 |
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KR102508993B1 (ko) | 2023-03-10 |
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CA3032103A1 (en) | 2018-02-01 |
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SG11201900712SA (en) | 2019-02-27 |
KR20190032551A (ko) | 2019-03-27 |
MX2019001104A (es) | 2019-10-02 |
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