WO2023281272A1 - Nasal spray - Google Patents
Nasal spray Download PDFInfo
- Publication number
- WO2023281272A1 WO2023281272A1 PCT/GB2022/051762 GB2022051762W WO2023281272A1 WO 2023281272 A1 WO2023281272 A1 WO 2023281272A1 GB 2022051762 W GB2022051762 W GB 2022051762W WO 2023281272 A1 WO2023281272 A1 WO 2023281272A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- composition
- composition according
- nasal spray
- iota carrageenan
- naci
- Prior art date
Links
- 239000007922 nasal spray Substances 0.000 title claims abstract description 34
- 229940097496 nasal spray Drugs 0.000 title claims abstract description 32
- 239000000203 mixture Substances 0.000 claims abstract description 104
- 229920001525 carrageenan Polymers 0.000 claims abstract description 62
- 235000010418 carrageenan Nutrition 0.000 claims abstract description 59
- 239000000679 carrageenan Substances 0.000 claims abstract description 52
- 229940113118 carrageenan Drugs 0.000 claims abstract description 52
- UHVMMEOXYDMDKI-JKYCWFKZSA-L zinc;1-(5-cyanopyridin-2-yl)-3-[(1s,2s)-2-(6-fluoro-2-hydroxy-3-propanoylphenyl)cyclopropyl]urea;diacetate Chemical compound [Zn+2].CC([O-])=O.CC([O-])=O.CCC(=O)C1=CC=C(F)C([C@H]2[C@H](C2)NC(=O)NC=2N=CC(=CC=2)C#N)=C1O UHVMMEOXYDMDKI-JKYCWFKZSA-L 0.000 claims abstract description 49
- 239000006172 buffering agent Substances 0.000 claims abstract description 24
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 11
- 230000002378 acidificating effect Effects 0.000 claims abstract description 5
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims description 27
- 239000003814 drug Substances 0.000 claims description 12
- 230000000840 anti-viral effect Effects 0.000 claims description 10
- 239000007853 buffer solution Substances 0.000 claims description 8
- 230000000844 anti-bacterial effect Effects 0.000 claims description 6
- 239000007921 spray Substances 0.000 claims description 6
- 230000015572 biosynthetic process Effects 0.000 claims description 5
- 239000001509 sodium citrate Substances 0.000 claims description 5
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 claims description 5
- 239000003795 chemical substances by application Substances 0.000 claims description 4
- 238000000034 method Methods 0.000 claims description 4
- 239000008367 deionised water Substances 0.000 claims description 3
- 238000004090 dissolution Methods 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 238000013019 agitation Methods 0.000 claims description 2
- 239000007864 aqueous solution Substances 0.000 claims description 2
- 238000005507 spraying Methods 0.000 claims description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 abstract description 3
- 239000011780 sodium chloride Substances 0.000 abstract 1
- -1 hydrogen ions Chemical class 0.000 description 8
- 210000003928 nasal cavity Anatomy 0.000 description 7
- 239000000243 solution Substances 0.000 description 7
- 206010020751 Hypersensitivity Diseases 0.000 description 6
- 230000007815 allergy Effects 0.000 description 6
- 241000700605 Viruses Species 0.000 description 5
- 239000011734 sodium Substances 0.000 description 5
- QAOWNCQODCNURD-UHFFFAOYSA-L sulfate group Chemical group S(=O)(=O)([O-])[O-] QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 5
- 241000894006 Bacteria Species 0.000 description 4
- ZNOZWUKQPJXOIG-XSBHQQIPSA-L [(2r,3s,4r,5r,6s)-6-[[(1r,3s,4r,5r,8s)-3,4-dihydroxy-2,6-dioxabicyclo[3.2.1]octan-8-yl]oxy]-4-[[(1r,3r,4r,5r,8s)-8-[(2s,3r,4r,5r,6r)-3,4-dihydroxy-6-(hydroxymethyl)-5-sulfonatooxyoxan-2-yl]oxy-4-hydroxy-2,6-dioxabicyclo[3.2.1]octan-3-yl]oxy]-5-hydroxy-2-( Chemical compound O[C@@H]1[C@@H](O)[C@@H](OS([O-])(=O)=O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H]2OC[C@H]1O[C@H](O[C@H]1[C@H]([C@@H](CO)O[C@@H](O[C@@H]3[C@@H]4OC[C@H]3O[C@H](O)[C@@H]4O)[C@@H]1O)OS([O-])(=O)=O)[C@@H]2O ZNOZWUKQPJXOIG-XSBHQQIPSA-L 0.000 description 4
- 238000001914 filtration Methods 0.000 description 4
- 239000008194 pharmaceutical composition Substances 0.000 description 4
- WMFOQBRAJBCJND-UHFFFAOYSA-M Lithium hydroxide Chemical compound [Li+].[OH-] WMFOQBRAJBCJND-UHFFFAOYSA-M 0.000 description 3
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 3
- 244000052616 bacterial pathogen Species 0.000 description 3
- 239000002585 base Substances 0.000 description 3
- 150000001768 cations Chemical class 0.000 description 3
- 150000002016 disaccharides Chemical group 0.000 description 3
- 239000001257 hydrogen Substances 0.000 description 3
- 229910052739 hydrogen Inorganic materials 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 102000004169 proteins and genes Human genes 0.000 description 3
- 108090000623 proteins and genes Proteins 0.000 description 3
- 230000000241 respiratory effect Effects 0.000 description 3
- 210000002345 respiratory system Anatomy 0.000 description 3
- 150000003839 salts Chemical class 0.000 description 3
- 229910052708 sodium Inorganic materials 0.000 description 3
- 230000009974 thixotropic effect Effects 0.000 description 3
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 2
- COVZYZSDYWQREU-UHFFFAOYSA-N Busulfan Chemical compound CS(=O)(=O)OCCCCOS(C)(=O)=O COVZYZSDYWQREU-UHFFFAOYSA-N 0.000 description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 2
- 241000755093 Gaidropsarus vulgaris Species 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 2
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Natural products OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 2
- 206010057190 Respiratory tract infections Diseases 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 208000026935 allergic disease Diseases 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid group Chemical group C(C1=CC=CC=C1)(=O)O WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- UWYVPFMHMJIBHE-OWOJBTEDSA-N hydroxymaleic acid group Chemical group O/C(/C(=O)O)=C/C(=O)O UWYVPFMHMJIBHE-OWOJBTEDSA-N 0.000 description 2
- SUMDYPCJJOFFON-UHFFFAOYSA-N isethionic acid Chemical compound OCCS(O)(=O)=O SUMDYPCJJOFFON-UHFFFAOYSA-N 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 230000007774 longterm Effects 0.000 description 2
- LNOPIUAQISRISI-UHFFFAOYSA-N n'-hydroxy-2-propan-2-ylsulfonylethanimidamide Chemical compound CC(C)S(=O)(=O)CC(N)=NO LNOPIUAQISRISI-UHFFFAOYSA-N 0.000 description 2
- 239000002245 particle Substances 0.000 description 2
- 244000052769 pathogen Species 0.000 description 2
- WLJVXDMOQOGPHL-UHFFFAOYSA-N phenylacetic acid Chemical compound OC(=O)CC1=CC=CC=C1 WLJVXDMOQOGPHL-UHFFFAOYSA-N 0.000 description 2
- 230000002265 prevention Effects 0.000 description 2
- VWDWKYIASSYTQR-UHFFFAOYSA-N sodium nitrate Chemical compound [Na+].[O-][N+]([O-])=O VWDWKYIASSYTQR-UHFFFAOYSA-N 0.000 description 2
- 241000894007 species Species 0.000 description 2
- FYGDTMLNYKFZSV-URKRLVJHSA-N (2s,3r,4s,5s,6r)-2-[(2r,4r,5r,6s)-4,5-dihydroxy-2-(hydroxymethyl)-6-[(2r,4r,5r,6s)-4,5,6-trihydroxy-2-(hydroxymethyl)oxan-3-yl]oxyoxan-3-yl]oxy-6-(hydroxymethyl)oxane-3,4,5-triol Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@H]1OC1[C@@H](CO)O[C@@H](OC2[C@H](O[C@H](O)[C@H](O)[C@H]2O)CO)[C@H](O)[C@H]1O FYGDTMLNYKFZSV-URKRLVJHSA-N 0.000 description 1
- LBLYYCQCTBFVLH-UHFFFAOYSA-N 2-Methylbenzenesulfonic acid Chemical compound CC1=CC=CC=C1S(O)(=O)=O LBLYYCQCTBFVLH-UHFFFAOYSA-N 0.000 description 1
- 208000035285 Allergic Seasonal Rhinitis Diseases 0.000 description 1
- 229920002498 Beta-glucan Polymers 0.000 description 1
- 241001474374 Blennius Species 0.000 description 1
- 241000711573 Coronaviridae Species 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 241000709661 Enterovirus Species 0.000 description 1
- OTMSDBZUPAUEDD-UHFFFAOYSA-N Ethane Chemical compound CC OTMSDBZUPAUEDD-UHFFFAOYSA-N 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 241000606768 Haemophilus influenzae Species 0.000 description 1
- 206010024971 Lower respiratory tract infections Diseases 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 241000588655 Moraxella catarrhalis Species 0.000 description 1
- 208000034486 Multi-organ failure Diseases 0.000 description 1
- 208000002606 Paramyxoviridae Infections Diseases 0.000 description 1
- 201000007100 Pharyngitis Diseases 0.000 description 1
- 208000037656 Respiratory Sounds Diseases 0.000 description 1
- 241000725643 Respiratory syncytial virus Species 0.000 description 1
- 206010062106 Respiratory tract infection viral Diseases 0.000 description 1
- 208000036071 Rhinorrhea Diseases 0.000 description 1
- 206010039101 Rhinorrhoea Diseases 0.000 description 1
- 241000193998 Streptococcus pneumoniae Species 0.000 description 1
- 241000193996 Streptococcus pyogenes Species 0.000 description 1
- 206010046306 Upper respiratory tract infection Diseases 0.000 description 1
- 206010047924 Wheezing Diseases 0.000 description 1
- 238000005903 acid hydrolysis reaction Methods 0.000 description 1
- 229910001854 alkali hydroxide Inorganic materials 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000008044 alkali metal hydroxides Chemical class 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 229910001860 alkaline earth metal hydroxide Inorganic materials 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- 239000013566 allergen Substances 0.000 description 1
- 230000002009 allergenic effect Effects 0.000 description 1
- 208000030961 allergic reaction Diseases 0.000 description 1
- 208000028004 allergic respiratory disease Diseases 0.000 description 1
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 1
- 230000001601 anti-carrageenan Effects 0.000 description 1
- 230000000845 anti-microbial effect Effects 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 239000007975 buffered saline Substances 0.000 description 1
- AXCZMVOFGPJBDE-UHFFFAOYSA-L calcium dihydroxide Chemical compound [OH-].[OH-].[Ca+2] AXCZMVOFGPJBDE-UHFFFAOYSA-L 0.000 description 1
- 239000000920 calcium hydroxide Substances 0.000 description 1
- 229910001861 calcium hydroxide Inorganic materials 0.000 description 1
- 230000001886 ciliary effect Effects 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- AFAXGSQYZLGZPG-UHFFFAOYSA-N ethanedisulfonic acid Chemical compound OS(=O)(=O)CCS(O)(=O)=O AFAXGSQYZLGZPG-UHFFFAOYSA-N 0.000 description 1
- 210000003746 feather Anatomy 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 239000003349 gelling agent Substances 0.000 description 1
- 150000004676 glycans Chemical class 0.000 description 1
- 229940047650 haemophilus influenzae Drugs 0.000 description 1
- 206010022000 influenza Diseases 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 229940045996 isethionic acid Drugs 0.000 description 1
- 239000007951 isotonicity adjuster Substances 0.000 description 1
- 230000001665 lethal effect Effects 0.000 description 1
- VTHJTEIRLNZDEV-UHFFFAOYSA-L magnesium dihydroxide Chemical compound [OH-].[OH-].[Mg+2] VTHJTEIRLNZDEV-UHFFFAOYSA-L 0.000 description 1
- 239000000347 magnesium hydroxide Substances 0.000 description 1
- 229910001862 magnesium hydroxide Inorganic materials 0.000 description 1
- 150000007522 mineralic acids Chemical class 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 210000002850 nasal mucosa Anatomy 0.000 description 1
- 201000009240 nasopharyngitis Diseases 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 230000008518 non respiratory effect Effects 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 150000007524 organic acids Chemical class 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
- 201000004335 respiratory allergy Diseases 0.000 description 1
- 208000020029 respiratory tract infectious disease Diseases 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 210000004927 skin cell Anatomy 0.000 description 1
- 206010041232 sneezing Diseases 0.000 description 1
- 239000004317 sodium nitrate Substances 0.000 description 1
- 235000010344 sodium nitrate Nutrition 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 229940031000 streptococcus pneumoniae Drugs 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 239000002562 thickening agent Substances 0.000 description 1
- 239000010409 thin film Substances 0.000 description 1
- 206010044008 tonsillitis Diseases 0.000 description 1
- XPFJYKARVSSRHE-UHFFFAOYSA-K trisodium;2-hydroxypropane-1,2,3-tricarboxylate;2-hydroxypropane-1,2,3-tricarboxylic acid Chemical compound [Na+].[Na+].[Na+].OC(=O)CC(O)(C(O)=O)CC(O)=O.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O XPFJYKARVSSRHE-UHFFFAOYSA-K 0.000 description 1
- 241000701161 unidentified adenovirus Species 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
Classifications
-
- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0043—Nose
-
- 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
- A61K47/02—Inorganic compounds
-
- 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
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/12—Carboxylic acids; Salts or anhydrides thereof
Definitions
- the composition contains no further active antibacterial, antiviral or antiallergenic agents.
- the composition can comprise 0.5-0.9% w/w iota carrageenan, optionally 0.6-0.8% w/w iota carrageenan.
- the composition can comprise 0.6-0.7% w/w iota carrageenan.
- the composition can comprise 0.7-0.8% w/w iota carrageenan.
- the composition can comprise 0.3-0.9% w/w NaCI, optionally 0.4-0.6% w/w NaCI, and preferably about 0.5% w/w NaCI.
- a range of organic and inorganic buffer solutions can be used as the one or more buffering agents including those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric or nitric acid and the like; and salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, aspartic, glutamic, benzoic, salicylic, sulfanilic, acetoxybenzoic, fumaric, toluenesulfonic, naphthyldisulfonic, methanesulfonic, ethane disulfonic, oxalic or isethionic acid, and the like.
- inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric or nitric acid
- a nasal spray comprising the composition according to the first aspect of the invention in combination with a nasal spray delivery device charged with the composition.
- the nasal spray may be configured to deliver 0.1 mg to 3.0mg, optionally 0.5mg to 1.5mg, of iota carrageenan per spray.
- the composition according to the first aspect of the invention for use in a nasal spray as a medicament.
- the composition can be for use in a nasal spray as an antibacterial medicament, an antiviral medicament or an antiallergenic medicament.
- Carrageenans including iota-carrageen have been demonstrated to have a broad spectrum antiviral activity against a wide range of viruses including those associated with respiratory tract infection, including Respiratory Syncytial Virus, Influenza and Parainfluenza viruses, Rhinoviruses, Coronaviruses and Adenoviruses, noting that in some cases these pathogens can lead to systemic diseases and damage to non- respiratory organs and even multi organ failure, though the route of entry is via the upper respiratory tract.
- Pet allergies arise as an allergic reaction to proteins found in an animal's skin cells, saliva or urine. Signs of pet allergy include those common to hay fever, such as sneezing and runny nose. Some people may also experience signs of asthma, such as wheezing and difficulty breathing. Carrageenans have a high affinity to protein particles due to electrostatic forces causing the large scale carrageenan molecules to envelop and hence sequestrate the smaller proteins associated with pet allergy.
- a method of treating a condition comprising the steps of: providing a composition according to the first aspect of the invention in a nasal spray; and spraying the interior of the nose of a subject with the composition.
- the condition can be an antibacterial, antiviral medicament or antiallergenic condition.
- a method of manufacturing a composition according to the first aspect of the invention comprising the steps of: dissolving one of more buffering agents in de-ionised water to provide a buffer solution having a pH of 4.0-4.4; dissolving NaCI in the buffer solution in an amount sufficient that the composition comprises 0.1 -0.9% w/w NaCI; and adding iota carrageenan to the buffer solution with sufficient agitation to ensure dissolution of the iota carrageenan without substantial gel clump formation, wherein the iota carrageenan is added in an amount sufficient that the composition comprises 0.1-1.0% w/w iota carrageenan.
- a final filtering stage can be advantageous to remove any inadvertent gel clumps that may have formed during mixing of the iota carrageenan.
- a 400 micron mesh filter, or any other suitable filter grades, can be used.
- the method of manufacturing the composition can be performed at a temperature between 20-25 degrees Celsius. In general, mixing below 18 degrees Celsius should be avoided to prevent excessive gel clump formation. While filtration will remove any gel clumps that form, this will adversely affect the iota-Carrageenan concentration present in the mixture.
- Figure 1 is a cutaway drawing of a nasal spray delivery device containing a composition according to an embodiment of the invention.
- the composition is an aqueous composition, and comprises 0.1 -1.0% w/w carrageenan, 0.1 -0.9% w/w NaCI and one or more acidic buffering agents or alkaline buffering agents to maintain the composition within a pH range of 4.0-4.4.
- the composition comprises water in an amount to make the composition up to 100% by weight.
- the composition consists essentially of carrageenan, NaCI, buffering agents and water.
- Availability of the negative sulphate groups to bond is also a function of the concentration of the iota carrageenan since there is an equilibrium between ‘free’ iota carrageenan and carrageenan to carrageenan intermolecular linkages.
- concentrations of the iota carrageenan, hydrogen ions and sodium cations have been selected to ensure that the composition is an advantageous state, providing an equilibrium state so that the composition becomes a thixotropic gel.
- the composition provides a gel that has long-term stability at pH 4.0-4.4 and which can be readily broken into a free liquid for an optimal spray plume when a sheer stress is applied via activation of the spray pump.
- composition returns to a gel state or a semi- gel-like state in the nasal cavity as a thin film once sprayed, which improves the efficacy of the composition.
- a composition is provided which is particularly well suited to use in a nasal spray as a medicament.
- Citric acid and sodium citrate are preferred as buffering agents owing to their compatibility with the components of the composition and their suitability for use in pharmaceutical compositions for inhalation.
- the buffering agents are each present in a concentration of 1mM to 0.1M.
- other suitable buffering agents may be used, for example, but not limited to, those derived from hydrochloric, hydrobromic, nitric, phosphoric, sulfamic and/or sulfuric acid and salts prepared from acetic, acetoxybenzoic, ascorbic, aspartic, benzoic, citric, ethane disulfonic, fumaric, glutamic, glycolic, lactic, maleic, hydroxymaleic, isethionic, malic, methanesulfonic, naphthyldisulfonic, oxalic, pamoic, propionic, phenylacetic, salicylic, stearic, succinic, sulfanilic, tartartic and/or tolu
- the citric acid and sodium nitrate buffering agents maintain the pH of the composition once it has been administered into the nasal cavity, which also maintains its antimicrobial activity for a longer period than a solution that is not buffered.
- the compound provides a broad spectrum of action on respiratory viruses, bacteria and allergens, including cat hair, dog hair and feather allergies.
- the composition may be prepared by any suitable method, although a preferred method will now be described.
- the composition may be prepared by dissolving the required amount of buffering agents in de-ionised water in the desired concentration to obtain a pH of 4.0-4.4.
- the desired weight of NaCI is then dissolved in the buffer solution.
- the desired mass of carrageenan is slowly added to the buffered saline solution with continuous mixing to ensure complete dissolution of the iota carrageenan while avoiding the formation of gel clumps.
- a filtration stage may be advantageous for example with a 400 micron mesh filter, noting other mesh grades of filter may be acceptable.
- a controlled room temperature between 20-25 degrees Celsius is ideal and mixing below 18 degrees Celsius should generally be avoided to prevent excessive gel clump formation. While filtration will remove any gel clumps that form this will adversely affect the iota-Carrageenan concentration present in the mixture.
- Citric acid 2.32g, providing a 0.011 M solution of Citric acid Sodium citrate: 2.32g, providing a 0.009M solution of Na Citrate Water: 984.36g
- composition described in the Example was incorporated into a nasal spray delivery device and used to produce an efficacious nasal spray.
Abstract
According to the invention there is provided an aqueous composition for use in a nasal spray, wherein the aqueous composition comprises: 0.1-1.0% w/w iota carrageenan; 0.1-0.9% w/w NaCl; one or more acidic buffering agents or alkaline buffering agents to provide the aqueous composition with a pH of 4.0-4.4; and water present in an amount to make the aqueous composition up to 100% by weight.
Description
NASAL SPRAY
The present invention relates to nasal sprays, and particularly to nasal spray compositions comprising iota carrageenan. Such compositions may be for use as antibacterial, antiviral and/or antiallergenic medicaments.
BACKGROUND
Nasal sprays are used to deliver medicated and non-medicated compositions into the nasal cavity and may be used for the prevention and/or treatment of a range of conditions.
Carrageenans are sulphated polysaccharides that are extracted from red seaweeds, with the most industrially relevant carrangeenans being categorised into three different classes based on the number of sulphate groups per disaccharide unit: kappa carrageenan having one sulphate group per disaccharide, iota carrageenan having two and lambda carrageenan having three.
Carrageenans may be soluble in water, with their solubility being dependent on a number of factors, such as the number of hydrophilic sulphate groups per disaccharide unit, the presence of associated cations and the pH and temperature of the solution.
In the food, pharmaceutical, and biotechnology industries, carrageenans are used as gelling and thickening agents, with different types of carrageenans displaying differing rheological properties. For example, kappa carrageenan forms a stiff and brittle gel, while iota carrageenan forms a flexible, soft gel.
In pharmaceutical compositions, carrageenans may be used to provide formulations with improved drug delivery profiles, such as sustained release compositions. Furthermore, carrageenans are known to have anti-viral properties, and carrageenan-containing nasal spray compositions for use in preventing and treating the common cold, for example, are known. Carrageenan-containing nasal spray compositions may also be used in the prevention and treatment of allergies, enveloping and trapping the allergenic particles inhaled into the nasal cavity so that they can be cleared by ciliary action upon the mucous layer of the nasal cavity. Carrageenans are generally well tolerated.
EP2178533 discloses the use of iota and/or kappa carrageenan in an antiviral pharmaceutical composition, which may be provided as a nasal spray. The composition may comprise NaCI as a preservative. The document discloses the effect of different concentrations of carrageenan on a range of viruses.
WO201 7/009351 discloses a composition for the treatment of respiratory viral infections and allergies. The composition comprises iota and/or kappa carrageenan with a non-ionic osmolality adjusting agent such as sorbitol and, optionally, an ionic osmolality adjusting agent, which may be NaCI, present in a quantity which is no more than 1.5% w/v. The pH of the composition may be 3.5-8.0.
WO201 7/069721 discloses an antiviral pharmaceutical composition which can be used in a nasal spray, the composition comprising iota carrageenan and beta glucan, the combination of which is said to enhance their stability and provide higher efficiency. The composition may comprise NaCI as an isotonic agent.
It is known that low-pH solutions have an inhibitory and/or a lethal effect on both viruses and bacteria, particularly those that are pathogens of the respiratory tract. However, as carrageenans are susceptible to acid hydrolysis, they may be unstable in low-pH solutions over time, which can lead to problems for the shelf-life of low-pH, carrageenan-containing compositions. In addition, for compositions that are delivered into the nasal cavity, the pH of the composition must be well tolerated by the nasal mucosa.
It is an object of the present invention to provide an improved iota carrageenan containing composition for use in a nasal spray.
For the avoidance of doubt, when reference is made herein to ‘open-ended’ terms such as ‘comprising’, ‘comprise’ and ‘comprises’, the invention is understood to relate also to embodiments in which the open-ended terms are replaced by ‘closed’ terms such as ‘consisting of and ‘consisting essentially of.
Also for the avoidance of doubt, the invention extends to ranges of a feature made up of any combination of upper limits, lower limits, specific values or endpoints disclosed in relation to specific ranges of the feature within the specification. For example, where ranges of 0.5-0.9% and 0.6-0.7% of a feature are explicitly
disclosed, a range of 0.5-0.6% of the feature falls within the scope of the invention also.
SUMMARY OF INVENTION
In a first aspect of the invention there is provided an aqueous composition for use in a nasal spray, wherein the aqueous composition comprises:
0.1-1.0% w/w iota carrageenan;
0.1 -0.9% w/w NaCI; one or more acidic buffering agents or alkaline buffering agents to provide the aqueous composition with a pH of 4.0-4.4; and water present in an amount to make the aqueous composition up to 100% by weight.
The applicant has found that the concentrations of iota carrageenan, hydrogen ions and sodium cations of the invention provide a composition in an advantageous state, providing an equilibrium state in which the composition becomes a thixotropic semi gel with long-term stability at pH 4.0-4.4 and which can be readily broken into a free liquid for an optimal spray plume when a sheer stress is applied via activation of the nasal spray pump. The composition returns to a gel state or a semi-gel-like state in the nasal cavity, which improves the efficacy of the composition. As a result, a composition according to the invention is particularly well suited to use in a nasal spray as a medicament.
In some embodiments, the composition contains no further active antibacterial, antiviral or antiallergenic agents.
The composition may consist essentially of:
0.1-1.0% w/w iota carrageenan;
0.1 -0.9% w/w NaCI; one or more buffering agents to provide the aqueous composition with a pH of 4.0- 4.4; and
water present in an amount to make the aqueous composition up to 100% by weight.
The composition can comprise 0.5-0.9% w/w iota carrageenan, optionally 0.6-0.8% w/w iota carrageenan. The composition can comprise 0.6-0.7% w/w iota carrageenan. The composition can comprise 0.7-0.8% w/w iota carrageenan.
The composition can comprise 0.3-0.9% w/w NaCI, optionally 0.4-0.6% w/w NaCI, and preferably about 0.5% w/w NaCI.
The one or more buffering agents can provide the aqueous composition with a pH of 4.1-4.3, optionally about 4.2. The buffering agents can comprise citric acid and sodium citrate, in which case the citric acid and/or the sodium citrate can be present in the aqueous solution in a concentration of 1 mM to 0.1 M, optionally about 0.01 M.
Alternatively, a range of organic and inorganic buffer solutions can be used as the one or more buffering agents including those derived from inorganic acids such as hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric or nitric acid and the like; and salts prepared from organic acids such as acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, aspartic, glutamic, benzoic, salicylic, sulfanilic, acetoxybenzoic, fumaric, toluenesulfonic, naphthyldisulfonic, methanesulfonic, ethane disulfonic, oxalic or isethionic acid, and the like. Additionally acceptable salts also include those derived from metal bases, including alkali metal bases, for example, alkali hydroxides such as sodium hydroxide, potassium hydroxide and lithium hydroxide in which the metal is a monovalent species, alkaline earth metal bases, for example, alkaline earth metal hydroxides such as magnesium hydroxide and calcium hydroxide in which the metal is a polyvalent species.
In a second aspect of the invention there is provided a nasal spray comprising the composition according to the first aspect of the invention in combination with a nasal spray delivery device charged with the composition. The nasal spray may be configured to deliver 0.1 mg to 3.0mg, optionally 0.5mg to 1.5mg, of iota carrageenan per spray.
In a third aspect of the invention there is provided the composition according to the first aspect of the invention for use in a nasal spray as a medicament. The composition can be for use in a nasal spray as an antibacterial medicament, an antiviral medicament or an antiallergenic medicament.
Carrageenans including iota-carrageen have been demonstrated to have a broad spectrum antiviral activity against a wide range of viruses including those associated with respiratory tract infection, including Respiratory Syncytial Virus, Influenza and Parainfluenza viruses, Rhinoviruses, Coronaviruses and Adenoviruses, noting that in some cases these pathogens can lead to systemic diseases and damage to non- respiratory organs and even multi organ failure, though the route of entry is via the upper respiratory tract.
Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis are the most common bacterial pathogens in upper and lower respiratory tract infections. Streptococcus pyogenes is the predominant bacterial pathogen in pharyngitis and tonsillitis. Bacteria are adapted to their environment and thus respiratory bacterial pathogens are adapted to the respiratory tract pH of 6.6 and thus these respiratory bacteria are intolerant of an acidic pH environment, in particular when this pH is less than 4.4.
Pet allergies arise as an allergic reaction to proteins found in an animal's skin cells, saliva or urine. Signs of pet allergy include those common to hay fever, such as sneezing and runny nose. Some people may also experience signs of asthma, such as wheezing and difficulty breathing. Carrageenans have a high affinity to protein particles due to electrostatic forces causing the large scale carrageenan molecules to envelop and hence sequestrate the smaller proteins associated with pet allergy. In a fourth aspect of the invention there is provided a method of treating a condition comprising the steps of: providing a composition according to the first aspect of the invention in a nasal spray; and spraying the interior of the nose of a subject with the composition.
The condition can be an antibacterial, antiviral medicament or antiallergenic condition.
In a fifth aspect of the invention there is provided a method of manufacturing a composition according to the first aspect of the invention comprising the steps of: dissolving one of more buffering agents in de-ionised water to provide a buffer solution having a pH of 4.0-4.4; dissolving NaCI in the buffer solution in an amount sufficient that the composition comprises 0.1 -0.9% w/w NaCI; and adding iota carrageenan to the buffer solution with sufficient agitation to ensure dissolution of the iota carrageenan without substantial gel clump formation, wherein the iota carrageenan is added in an amount sufficient that the composition comprises 0.1-1.0% w/w iota carrageenan.
A final filtering stage can be advantageous to remove any inadvertent gel clumps that may have formed during mixing of the iota carrageenan. A 400 micron mesh filter, or any other suitable filter grades, can be used.
The method of manufacturing the composition can be performed at a temperature between 20-25 degrees Celsius. In general, mixing below 18 degrees Celsius should be avoided to prevent excessive gel clump formation. While filtration will remove any gel clumps that form, this will adversely affect the iota-Carrageenan concentration present in the mixture.
Whilst the invention has been described above, it extends to any inventive combination of features set out above or in the following description. For example, features described in relation to one aspect of the invention are disclosed in relation to another aspect of the invention.
BRIEF DESCRIPTION OF DRAWINGS
Figure 1 is a cutaway drawing of a nasal spray delivery device containing a composition according to an embodiment of the invention.
DETAILED DESCRIPTION AND EXAMPLES
Referring to Figure 1 there is illustrated a nasal spray delivery device 10 containing a composition 20 according to an embodiment of the present invention. The delivery device 10 comprises a bottle body 11 and a spray cap 12.
The composition is an aqueous composition, and comprises 0.1 -1.0% w/w carrageenan, 0.1 -0.9% w/w NaCI and one or more acidic buffering agents or alkaline buffering agents to maintain the composition within a pH range of 4.0-4.4. The composition comprises water in an amount to make the composition up to 100% by weight. In some embodiments, the composition consists essentially of carrageenan, NaCI, buffering agents and water.
While iota carrageenan is generally insoluble in cold water, the presence of suitable cations increases its solubility in cold water through the interaction of the cations with the carrageenan sulphate groups lota carrageenan comprises large, flexible molecules which can form a gel via carrageenan to carrageenan intermolecular linkages. In compositions according to the invention, the sulphate groups of the iota carrageenan interact with the sodium cations of the NaCI and the hydrogen ions from the citric acid buffer.
Availability of the negative sulphate groups to bond is also a function of the concentration of the iota carrageenan since there is an equilibrium between ‘free’ iota carrageenan and carrageenan to carrageenan intermolecular linkages. The concentrations of the iota carrageenan, hydrogen ions and sodium cations have been selected to ensure that the composition is an advantageous state, providing an equilibrium state so that the composition becomes a thixotropic gel. The composition provides a gel that has long-term stability at pH 4.0-4.4 and which can be readily broken into a free liquid for an optimal spray plume when a sheer stress is applied via activation of the spray pump. The composition returns to a gel state or a semi- gel-like state in the nasal cavity as a thin film once sprayed, which improves the efficacy of the composition. As a result, a composition is provided which is particularly well suited to use in a nasal spray as a medicament.
Citric acid and sodium citrate are preferred as buffering agents owing to their compatibility with the components of the composition and their suitability for use in pharmaceutical compositions for inhalation. The buffering agents are each present in
a concentration of 1mM to 0.1M. However, other suitable buffering agents may be used, for example, but not limited to, those derived from hydrochloric, hydrobromic, nitric, phosphoric, sulfamic and/or sulfuric acid and salts prepared from acetic, acetoxybenzoic, ascorbic, aspartic, benzoic, citric, ethane disulfonic, fumaric, glutamic, glycolic, lactic, maleic, hydroxymaleic, isethionic, malic, methanesulfonic, naphthyldisulfonic, oxalic, pamoic, propionic, phenylacetic, salicylic, stearic, succinic, sulfanilic, tartartic and/or toluensulfonic acid.
In addition to contributing to the thixotropic state of the composition, the citric acid and sodium nitrate buffering agents maintain the pH of the composition once it has been administered into the nasal cavity, which also maintains its antimicrobial activity for a longer period than a solution that is not buffered. As such, the compound provides a broad spectrum of action on respiratory viruses, bacteria and allergens, including cat hair, dog hair and feather allergies.
The composition may be prepared by any suitable method, although a preferred method will now be described. The composition may be prepared by dissolving the required amount of buffering agents in de-ionised water in the desired concentration to obtain a pH of 4.0-4.4. The desired weight of NaCI is then dissolved in the buffer solution. The desired mass of carrageenan is slowly added to the buffered saline solution with continuous mixing to ensure complete dissolution of the iota carrageenan while avoiding the formation of gel clumps. Finally a filtration stage may be advantageous for example with a 400 micron mesh filter, noting other mesh grades of filter may be acceptable.
A controlled room temperature between 20-25 degrees Celsius is ideal and mixing below 18 degrees Celsius should generally be avoided to prevent excessive gel clump formation. While filtration will remove any gel clumps that form this will adversely affect the iota-Carrageenan concentration present in the mixture.
Example
To make 1000ml solution with iota-carrageenan at a concentration of 0.6%, NaCI at a concentration of 0.5%, pH buffered to 4.2 using Citric acid and Na Citrate, the
following ingredients measured w/w, were combined as described in the preceding section. lota carrageenan: 6.0g NaCI: 5.0g
Citric acid: 2.32g, providing a 0.011 M solution of Citric acid Sodium citrate: 2.32g, providing a 0.009M solution of Na Citrate Water: 984.36g
The composition described in the Example was incorporated into a nasal spray delivery device and used to produce an efficacious nasal spray.
Claims
1. An aqueous composition for use in a nasal spray, wherein the aqueous composition comprises:
0.1-1.0% w/w iota carrageenan;
0.1 -0.9% w/w NaCI; one or more acidic buffering agents or alkaline buffering agents to provide the aqueous composition with a pH of 4.0-4.4; and water present in an amount to make the aqueous composition up to 100% by weight.
2. The composition according to claim 1 , wherein the composition contains no further active antibacterial, antiviral or antiallergenic agents.
3. The composition according to claim 1 wherein the composition consists essentially of:
0.1-1.0% w/w iota carrageenan;
0.1 -0.9% w/w NaCI; one or more buffering agents to provide the aqueous composition with a pH of 4.0-4.4; and water present in an amount to make the aqueous composition up to 100% by weight.
4. The composition according to any preceding claim comprising 0.5-0.9% w/w iota carrageenan.
5. The composition according to claim 4 comprising 0.6-0.7% w/w iota carrageenan.
6. The composition according to any preceding claim comprising 0.3-0.9% w/w NaCI.
7. The composition according to claim 6 comprising 0.4-0.6% w/w NaCI.
8. The composition according to claim 7 comprising about 0.5% w/w NaCI.
9. The composition according to any preceding claim wherein the one or more buffering agents provides the aqueous composition with a pH of 4.1-4.3.
10. The composition according to claim 9 wherein the one or more buffering agents provides the aqueous composition with a pH of about 4.2.
11. The composition according to any preceding claim wherein the buffering agents comprise citric acid and sodium citrate.
12. The composition according to claim 11 wherein the citric acid and/or the sodium citrate is present in the aqueous solution in a concentration of 1mM to 0.1M, optionally about 0.01 M.
13. A nasal spray comprising the composition according to any preceding claim in combination with a nasal spray delivery device charged with the composition.
14. A nasal spray according to claim 13 configured to deliver 0.1 mg to 3.0mg, optionally 0.5mg to 1.5mg, of iota carrageenan per spray.
15. The composition according to any one of claims 1 to 12 for use in a nasal spray as a medicament.
16. The composition according to any one of claims 1 to 12 for use in a nasal spray as an antibacterial medicament.
17. The composition according to any one of claims 1 to 12 for use in a nasal spray as an antiviral medicament.
18. The composition according to any one of claims 1 to 12 for use in a nasal spray as an antiallergenic medicament.
19. A method of treating a condition comprising the steps of: providing a composition according to any one of claims 1 to 12 in a nasal spray; and spraying the interior of the nose of a subject with the composition.
20. A method of manufacturing a composition according to any one of claims 1 to 12 comprising the steps of: dissolving one of more buffering agents in de-ionised water to provide a buffer solution having a pH of 4.0-4.4; dissolving NaCI in the buffer solution in an amount sufficient that the composition comprises 0.1 -0.9% w/w NaCI; and adding iota carrageenan to the buffer solution with sufficient agitation to ensure dissolution of the iota carrageenan without substantial gel clump formation, wherein the iota carrageenan is added in an amount sufficient that the composition comprises 0.1 -1.0% w/w iota carrageenan.
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GBGB2109888.4A GB202109888D0 (en) | 2021-07-08 | 2021-07-08 | Nasal spray |
GB2109888.4 | 2021-07-08 |
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WO2023281272A1 true WO2023281272A1 (en) | 2023-01-12 |
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PCT/GB2022/051762 WO2023281272A1 (en) | 2021-07-08 | 2022-07-08 | Nasal spray |
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WO (1) | WO2023281272A1 (en) |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2178533A1 (en) | 2007-08-24 | 2010-04-28 | Marinomed Biotechnologie GmbH | Antiviral composition comprising a sulfated polysaccharide |
WO2017009351A1 (en) | 2015-07-14 | 2017-01-19 | Marinomed Biotechnologie Gmbh | Stuffy nose deblocking composition having antiviral activity |
WO2017069721A1 (en) | 2015-10-22 | 2017-04-27 | Tolcheyev Yuriy Zakharovych | Antiviral pharmaceutical composition |
US11013687B1 (en) * | 2020-06-08 | 2021-05-25 | Amcyte Pharma, Inc. | Preventive and therapeutic treatment for COVID 19 and any other disease caused by SARS CoV 2 |
-
2021
- 2021-07-08 GB GBGB2109888.4A patent/GB202109888D0/en not_active Ceased
-
2022
- 2022-07-08 WO PCT/GB2022/051762 patent/WO2023281272A1/en unknown
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2178533A1 (en) | 2007-08-24 | 2010-04-28 | Marinomed Biotechnologie GmbH | Antiviral composition comprising a sulfated polysaccharide |
WO2017009351A1 (en) | 2015-07-14 | 2017-01-19 | Marinomed Biotechnologie Gmbh | Stuffy nose deblocking composition having antiviral activity |
WO2017069721A1 (en) | 2015-10-22 | 2017-04-27 | Tolcheyev Yuriy Zakharovych | Antiviral pharmaceutical composition |
US11013687B1 (en) * | 2020-06-08 | 2021-05-25 | Amcyte Pharma, Inc. | Preventive and therapeutic treatment for COVID 19 and any other disease caused by SARS CoV 2 |
Non-Patent Citations (1)
Title |
---|
ECCLES RON ET AL: "Efficacy and safety of an antiviral Iota-Carrageenan nasal spray: a randomized, double-blind, placebo-controlled exploratory study in volunteers with early symptoms of the common cold", RESPIRATORY RESEARCH, BIOMED CENTRAL LTD., LONDON, GB, vol. 11, no. 1, 10 August 2010 (2010-08-10), pages 108, XP021071327, ISSN: 1465-9921, DOI: 10.1186/1465-9921-11-108 * |
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