WO2004050083A1 - Iontophoretic delivery of rotigotine for the treatment of parkinson's disease - Google Patents
Iontophoretic delivery of rotigotine for the treatment of parkinson's disease Download PDFInfo
- Publication number
- WO2004050083A1 WO2004050083A1 PCT/EP2003/013111 EP0313111W WO2004050083A1 WO 2004050083 A1 WO2004050083 A1 WO 2004050083A1 EP 0313111 W EP0313111 W EP 0313111W WO 2004050083 A1 WO2004050083 A1 WO 2004050083A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- rotigotine
- disease
- parkinson
- concentration
- chloride
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/38—Heterocyclic compounds having sulfur as a ring hetero atom
- A61K31/381—Heterocyclic compounds having sulfur as a ring hetero atom having five-membered rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0002—Galenical forms characterised by the drug release technique; Application systems commanded by energy
- A61K9/0009—Galenical forms characterised by the drug release technique; Application systems commanded by energy involving or responsive to electricity, magnetism or acoustic waves; Galenical aspects of sonophoresis, iontophoresis, electroporation or electroosmosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/14—Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
- A61P25/16—Anti-Parkinson drugs
Definitions
- the present invention relates to an effective method for treating or alleviating symptoms of Parkinson's disease, which uses iontophoretic delivery of the dopamine receptor agonist rotigotine (INN) .
- Parkinson's disease is believed to be primarily caused by the degeneration of dopaminergic neurons in the substantia nigra. This, in effect, results in loss of tonic dopamine secretion and dopamine-related modulation of neuronal activity in the caudate nucleus, and thus in a deficiency of dopamine in certain brain regions .
- the resulting imbalance of neurotransmitters acetylcholine and dopamine eventually results in disease related symptoms.
- Parkinson's disease is now considered to be a more complex disorder that involves both motor and nonmotor systems.
- Parkinson's disease is characterized by major clinical features including tremor, bradykinesia, rigidity, dyskinesia, gait disturbances, and speech disorders. In some patients, dementia may accompany these symptoms. Involvement of the autonomic nerve system may produce orthostatic hypotension, paroxysmal flushing, problems with thermal regulation, constipation, and loss of bladder and sphincter control . Psychological disorders such as loss of motivation and depression may also accompany Parkinson's disease. Parkinson's disease is primarily a disease of middle age and beyond, and it affects both men and women equally. The highest rate of occurrence of Parkinson's disease is in the age group over ' 70 years old, where Parkinson's disease exists in 1.5 to 2.5% of that population. The mean age at onset is between 58 and 62 years of age, and most patients develop Parkinson's disease between the ages of 50 and 79. There are approximately 800,000 people in the United States alone with Parkinson's disease.
- Parkinson's disease Early motor deficits of Parkinson's disease can be traced to incipient degeneration of nigral dopa ine-releasing cells. This neuronal degeneration produces a defect in the dopaminergic pathway that connects the substantia nigra to the striatum. As the disease progresses, refractory motor, autonomic, and mental abnormalities may develop, which implies that there is progressive degeneration of striatal receptor mechanisms.
- Parkinson's disease The clinical diagnosis of Parkinson's disease is based on the presence of characteristic physical signs. The disease is known to be gradual in onset, slowly progressive, and variable in clinical manifestation. Evidence suggests that the striatal dopamine content declines to 20% below levels found in age-matched controls before symptoms occur.
- L-dopa levodopa
- Levodopa passes the blood-brain barrier as a precursor for dopamine and is then converted into dopamine in the brain.
- L-dopa improves the symptoms of Parkinson's disease but may cause severe side effects.
- the drug tends to lose its effectiveness after the first two to three years of treatment. After five to six years, only 25% to 50% of patients maintain improvement.
- Dopamine receptor agonists are substances which, while structurally different from dopamine, bind to different subtypes of dopamine receptors and trigger an effect which is comparable to that of dopamine. Due to the reduced side-effects, it is advantageous when the substances selectively bind to a subgroup of dopamine receptors, i.e. the D2 receptors.
- Rotigotine is the International Non-Proprietary Name (INN) of the compound (-) -5 , 6, 7 , 8-tetrahydro-6- [propyl- [2- (2- thienyl) ethyl] -amino] -1-naphthalenol having the structure shown below
- R-apomorphine is the International Non-Proprietary Name (INN) of the compound (R) -5, 6, 6a, 7-tetrahydro-6-methyl-4H-dibenzoquinoline-ll, 12- diol having the structure shown below
- Ropinirole hydrochloride A further dopamine antagonist is ropinirole hydrochloride .
- Ropinirole (INN) is (4- [2-dipropylamina) ethyl] -1, 3-dihydro- 2H-indol-2-one) having the structure shown below
- treatment in the context of this application is meant to designate a treatment or alleviation of the symptoms of Parkinson's disease, rather than a real causative treatment leading to a complete cure .
- the present invention provides the use of a composition comprising rotigotine and at least one chloride salt in a concentration of 1 to 140 mmol/1, the composition having a pH of 4 to 6.5 for the preparation of a iontophoretic device for the treatment of Parkinson's disease.
- Iontophoresis is the introduction of various ions into the skin by means of electricity. If compared to passive transdermal delivery, iontophoresis provides for several advantages which are useful in the treatment of Parkinson's disease :
- iontophoretic flux is influenced by several parameters, it is crucial for achieving an optimal flux to separately optimise these parameters.
- the rotigotine concentration may be varied in accordance with the patient ' s needs and the flux required for obtaining a therapeutic effect in the treatment Parkinson's disease. However, for a optimal performance it is preferably at least 0.5 mg/ml, more preferably 0.5 mg/ml to 3 mg/ml .
- All chloride salts which are pharmaceutically acceptable may be employed in the composition of the invention.
- the chloride salt is selected from NaCl, triethylammonium chloride and tributylammonium chloride . Triethylammonium chloride and tributylammonium chloride are especially preferred, because they result in higher fluxes of rotigotine.
- the composition which is used as the donor phase of the iontophoretic device, comprises rotigotine in a concentration of 0.5 to 3 mg/ml and at least one of triethylammonium chloride and tributylammonium chloride in a concentration of 60 to 80 mmol/1, the donor phase has a pH of 4.5 to 5.5.
- the present invention provides a method for the treatment of Parkinson's disease, wherein a iontophoretic device, which comprises a composition comprising rotigotine and at least one chloride salt in a concentration of 1 to 140 mmol/1, the composition having a pH of 4 to 6.5, is applied onto the skin of a patient in need thereof.
- a iontophoretic device which comprises a composition comprising rotigotine and at least one chloride salt in a concentration of 1 to 140 mmol/1, the composition having a pH of 4 to 6.5, is applied onto the skin of a patient in need thereof.
- Any conventional iontophoretic device may be used in the invention.
- Such iontophoretic devices are described e.g. in V. Nair, 0. Pillai, R. Poduri , R. Panchagnula,
- the current density employed during iontophoresis may be varied according to the patient's needs and will depend on the iontophoretic device and the composition used.
- a suitable current may be determined by the attendant physician. In general, a suitable current density will be in the range of preferably 200 to 500 ⁇ A/cm 2 .
- the two outer chambers contained the silver plate (anode) or silver/silver chloride (cathode) driver electrons.
- the donor phase consisted of rotigotine solution buffered with 5 mM citrate buffer (2.1 mM sodium citrate dihydrate and 2.9 mM citric acid) .
- Example 2 Using a similar procedure as in Example 1 and a concentration of rotigotine of 1.4 mg/ml (3.98 mM) , a pH in the donor chamber of 5, a current density of 500 ⁇ A/cm 2 , a pH in the acceptor chamber of 7.4 and a temperature of 20 °C, but substituting triethylammonium chloride (TEACl) or tributylammonium chloride (TBACl) for NaCl , the influence of the different cations on the flux was evaluated.
- the concentration of the chloride salts in the donor solution was 70 mmol/1.
- Example 2 Using a similar procedure and the same parameters as in Example 2, the influence of reducing the pH in the acceptor chamber from 7.4 to 6.2 was evaluated for different chloride salts.
- the concentration of the chloride salts in the donor solution was 70 mmol/1.
Abstract
Description
Claims
Priority Applications (16)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PT02026871T PT1426049E (en) | 2002-12-02 | 2002-12-02 | IONTOFORETIC ADMINISTRATION OF ROTIGOTINE FOR THE TREATMENT OF PARKINSON'S DISEASE |
AU2003294718A AU2003294718B2 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of Parkinson's disease |
CA2505040A CA2505040C (en) | 2002-12-02 | 2003-11-21 | Composition for iontophoretic delivery of rotigotine |
DE60309203T DE60309203T2 (en) | 2002-12-02 | 2003-11-21 | IONTOPHORETIC ADMINISTRATION OF ROTIGOTIN FOR THE TREATMENT OF PARKINSON'S DISEASE |
DK03785652T DK1567146T3 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of Parkinson's disease |
EP03785652A EP1567146B1 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease |
JP2004556165A JP2006514937A (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of Parkinson's disease |
BR0316947-2A BR0316947A (en) | 2002-12-02 | 2003-11-21 | Ionophoretic release of rotigotine for the treatment of parkinson's disease |
SI200330539T SI1567146T1 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease |
KR1020057009547A KR101168431B1 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic Delivery of Rotigotine for the Treatment of Parkinson's Disease |
MXPA05005462A MXPA05005462A (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease. |
NZ540190A NZ540190A (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine and a hydrochloride salt for the treatment of Parkinson's disease |
IL168387A IL168387A (en) | 2002-12-02 | 2005-05-04 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease |
NO20052959A NO335491B1 (en) | 2002-12-02 | 2005-06-16 | Iontophoretic delivery of rotigotine for the treatment of Parkinson's disease |
HK05111244A HK1079108A1 (en) | 2002-12-02 | 2005-12-08 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease |
CY20061101696T CY1106256T1 (en) | 2002-12-02 | 2006-11-23 | IONIPHORETIC DELIVERY OF ROTIGOTINE FOR THE TREATMENT OF PARKINSON'S DISEASE |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP02026871.0 | 2002-12-02 | ||
EP02026871A EP1426049B1 (en) | 2002-12-02 | 2002-12-02 | Iontophoretic delivery of rotigotine for the treatment of Parkinson's disease |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004050083A1 true WO2004050083A1 (en) | 2004-06-17 |
Family
ID=32309357
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2003/013111 WO2004050083A1 (en) | 2002-12-02 | 2003-11-21 | Iontophoretic delivery of rotigotine for the treatment of parkinson's disease |
Country Status (24)
Country | Link |
---|---|
US (1) | US7632859B2 (en) |
EP (2) | EP1426049B1 (en) |
JP (1) | JP2006514937A (en) |
KR (1) | KR101168431B1 (en) |
CN (1) | CN100333723C (en) |
AT (2) | ATE295726T1 (en) |
AU (1) | AU2003294718B2 (en) |
BR (1) | BR0316947A (en) |
CA (1) | CA2505040C (en) |
CY (1) | CY1106256T1 (en) |
DE (2) | DE60204229T2 (en) |
DK (2) | DK1426049T3 (en) |
ES (2) | ES2239196T3 (en) |
HK (2) | HK1065706A1 (en) |
IL (1) | IL168387A (en) |
MX (1) | MXPA05005462A (en) |
NO (1) | NO335491B1 (en) |
NZ (1) | NZ540190A (en) |
PL (1) | PL219696B1 (en) |
PT (2) | PT1426049E (en) |
RU (2) | RU2339372C2 (en) |
SI (2) | SI1426049T1 (en) |
WO (1) | WO2004050083A1 (en) |
ZA (1) | ZA200503750B (en) |
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WO2010149363A2 (en) | 2009-06-26 | 2010-12-29 | Ucb Pharma Gmbh | A pharmaceutical composition |
US7872041B2 (en) | 2004-03-24 | 2011-01-18 | Ucb Pharma Gmbh | Use of rotigotine for treating and preventing Parkinson's plus syndrome |
WO2011076879A1 (en) | 2009-12-22 | 2011-06-30 | Ucb Pharma Gmbh | Polyvinylpyrrolidone for the stabilization of a solid dispersion of the non-crystalline form of rotigotine |
US8283376B2 (en) | 2003-12-24 | 2012-10-09 | Ucb Pharma Gmbh | Use of substituted 2-aminotetralins for preventive treatment of parkinson's disease |
WO2013026547A1 (en) | 2011-08-19 | 2013-02-28 | Ucb Pharma Gmbh | Rotigotine in the treatment of hemispatial neglect and other deficits following stroke |
WO2014079573A1 (en) | 2012-11-22 | 2014-05-30 | Ucb Pharma Gmbh | Multi-day patch for the transdermal administration of rotigotine |
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US11426359B2 (en) | 2014-05-20 | 2022-08-30 | Lts Lohmann Therapie-Systeme Ag | Method for adjusting the release of active agent in a transdermal delivery system |
US11633367B2 (en) | 2014-05-20 | 2023-04-25 | Lts Lohmann Therapie-Systeme Ag | Transdermal delivery system containing rotigotine |
US11752110B2 (en) | 2014-05-20 | 2023-09-12 | Lts Lohmann Therapie-Systeme Ag | Transdermal delivery system including an interface mediator |
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