DK2361081T3 - Flerdelt intraoral doseringsform og anvendelse deraf - Google Patents
Flerdelt intraoral doseringsform og anvendelse deraf Download PDFInfo
- Publication number
- DK2361081T3 DK2361081T3 DK09820843.2T DK09820843T DK2361081T3 DK 2361081 T3 DK2361081 T3 DK 2361081T3 DK 09820843 T DK09820843 T DK 09820843T DK 2361081 T3 DK2361081 T3 DK 2361081T3
- Authority
- DK
- Denmark
- Prior art keywords
- nicotine
- dosage form
- form according
- disintegrating
- intraoral dosage
- Prior art date
Links
- 239000002552 dosage form Substances 0.000 title claims description 52
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- SNICXCGAKADSCV-UHFFFAOYSA-N nicotine Natural products CN1CCCC1C1=CC=CN=C1 SNICXCGAKADSCV-UHFFFAOYSA-N 0.000 claims description 138
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- 239000000203 mixture Substances 0.000 claims description 95
- 239000003826 tablet Substances 0.000 claims description 55
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- -1 isomers Chemical class 0.000 claims description 22
- UIKROCXWUNQSPJ-VIFPVBQESA-N (-)-cotinine Chemical compound C1CC(=O)N(C)[C@@H]1C1=CC=CN=C1 UIKROCXWUNQSPJ-VIFPVBQESA-N 0.000 claims description 21
- MYKUKUCHPMASKF-VIFPVBQESA-N (S)-nornicotine Chemical compound C1CCN[C@@H]1C1=CC=CN=C1 MYKUKUCHPMASKF-VIFPVBQESA-N 0.000 claims description 21
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- 239000004375 Dextrin Substances 0.000 claims description 7
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Landscapes
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- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
Claims (37)
1. Flerdelt intraoral doseringsform omfattende en komponent til behandling af tobaksafhængighed, hvilken er nikotin og/eller metabolitter deraf, valgt fra cotinin, nikotin-N'-oxid, nornikotin- og (S)-nikotin-N-p-glucuronid og blandinger, isomerer, salte og komplekser deraf i en hvilken som helst form, hvor mindst en del af den flerdelte intraorale doseringsform hurtigt desintegrerer og mindst en del langsomt desintegrerer, hvor henfaldstiden for delen med den langsomste desintegration er mindst to gange længere end for delen med den mest hurtige desintegration, og hvor hver del omfatter mindst et element valgt fra følgende elementer: en farmaceutisk aktiv komponent, en nikotin-efterlignende komponent, en pH-buffer komponent, en pH-regulerende komponent, et smagsstof, en barrierekomponent, en farvekomponent, en klæbemiddelkomponent, et smagsmaskeringsmiddel, et tandafblegningsmiddel, et åndeforfriskningsmiddel, et oralt sundhedsfremmende middel, et anti-cariesmiddel, og et anti-inflammatorisk middel; og hvor mindst én hurtigt desintegrerende del yderligere omfatter en vand-kvældbar excipiens valgt fra natriumstivelsesglycolat, crospovidon, croscarmellose, mikrokrystallinsk cellulose, stivelser, hydroxypropylcellulose, og alginsyre.
2. Flerdelt intraoral doseringsform ifølge krav 1, hvor en farmaceutisk aktiv komponent er en komponent til behandling af tobaksafhængighed.
3. Flerdelt intraoral doseringsform ifølge krav 1 eller 2 der ikke er et tyggegummi eller triturat.
4. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, omfattende en buffer og/eller et pH-justerende middel, hvilket ved administration til et individ midlertidigt forhøjer pH af individets spyt med 0,2 - 3,5 pH enheder, fortrinsvis med 0,5-2,0 pH enheder.
5. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 2-4, hvor mindst en af de hurtigt og langsomt desintegrerede dele omfatter en komponent til at danne en mærkbar organoleptisk følelse; hvor fortrinsvis den organoleptiske følelse/følelser er i form af én eller flere af sanseindtryk af eller en ændring i sanseindtrykket afsmag, afkøling, forbrænding, varme, opvarmning, knasning, prikning, sprudlende, skumning, brusning, mundvand, fysisk form, klæbrighed, og tekstur, fx hårdhed, blødhed, ruhed og gravering; hvor fortrinsvis den organoleptiske følelse/følelser er således at den/de gør det let for et individ der anvender doseringsformen at differentiere mellem forskellige dele deraf; og hvor fortrinsvis den organoleptiske følelse er et sanseindtryk af smag eller en ændring i sanseindtrykket af smag.
6. Flerdelt intraoral doseringsform ifølge krav 5, hvor en organoleptisk følelse leveres fra en del som et signal til at informere et individ der anvender doseringsformen at en vis fraktion af, eksempelvis mere end tre fjerdedele af, alt af eller næsten alt af, en farmaceutisk aktiv bestanddel der indledningsvis er til stede i delen er blevet frigivet derfra.
7. Flerdelt intraoral doseringsform ifølge krav 5 eller krav 6, hvor en organoleptisk følelse leveres fra en del som et signal til at informere et individ der anvender doseringsformen at en farmaceutisk aktiv bestanddel der er til stede i delen er påbegyndt at blive frigivet derfra.
8. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor I. de hurtigt og langsomt desintegrerede dele omfatter det samme farmaceutisk aktive middel, eller II. de hurtigt og langsomt desintegrerede dele omfatter forskellige farmaceutisk aktive midler, eller III. de hurtigt og langsomt desintegrerende dele, uden hensyn til deres respektive henfaldstid, har de samme eller forskellige farmaceutiske aktive midler, og/eller IV. doseringsformen giver mulighed for at inkludere ikke-kompatible bestanddele, såsom smagskomponenter, buffere og farmaceutisk aktive midler der ikke er kompatible, ved formulering af sådanne bestanddele i separate dele.
9. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor henfaldstiden for den langsomst desintegrerende del er 3 - 10 gange længere, fortrinsvis 3-5 gange længere, end for den hurtigst desintegrerende dele.
10. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor de hurtigt integrerende del(e) omfatter et brusemiddel.
11. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor den mindst ene hurtige desintegrerende del mindst delvist dækker den mindst ene langsomt desintegrerende del.
12. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor de langsomt integrerende del(e) mindst delvist dækker overfladen af den hurtigt desintegrerende dele.
13. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, i form afen pastil, en tablet, en oral film, en sublingual tablet, en troche, en slikkepind, et bolsje, en chokoladelinse, en mikrokugle, gele, et gelebolsje, en vingummi, et halvfast stof, en centerfyldt doseringsform eller en kombination deraf.
14. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, hvor hver desintegrerende del er sammensat af to eller flere underdele, hver underdel omfattende et farmaceutisk aktivt middel, hvor det farmaceutisk aktive middel i mindst én af disse underdele er overtrukket.
15. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav omfattende en komponent til behandling af tobaksafhængighed, der er valgt fra gruppen bestående af et nikotin-salt, den frie baseform af nikotin, et nikotinderivat, såsom en nikotin-kationombytter, et nikotin-inklusionskompleks eller nikotin i en hvilken som helst ikke-kovalent binding, nikotin bundet til zeolitter, nikotin bundet til cellulose eller stivelsemikrokugler, et nikotin-pro-drug, og/eller blandinger deraf; hvor nikotin-inklusionskomplekset fortrinsvis er et cyclodextrinkompleks, hvor cyclodextrinen der anvendes er valgt blandt α-, β- og γ-cyclodextrin, hydroxypropylderivater af α-, β- og y-cyclodextrin, sulfoalkylethercyclodextriner såsom sulfobutylether^-cyclodextrin, alkylerede cyclodextriner såsom tilfældigt methyleret β-cyclodextrin, og forgrenede cyclodextriner såsom glucosyl- og maltosyl^-cyclodextrin; og hvor nikotinkationombytteren fortrinsvis er en polyacrylatkationombytter; og hvor nikotin-saltet fortrinsvis er monotartrat-, hydrogentartrat-, citrat-, malat- og/eller hydrochloridsalt; hvor nikotin-og/eller metabolitter deraf er til stede i en mængde på 0,05 - 12 mg, fortrinsvis i en mængde på 0,1 - 6 mg, mere fortrinsvis i en mængde på 1 - 6 mg, og mest fortrinsvis i en mængde på 2 - 5 mg beregnet som den frie baseform af nikotin pr. enhedsdosis.
16. Flerdelt intraoral doseringsform ifølge et hvilket som helst af de foregående krav, omfattende en komponent til behandling af tobaksafhængighed der er valgt fra én eller flere af vareniclin, bupropion, nortriptylin, doxepin, fluoxetin, imipramin, moclobemid, og/eller cytisin.
17. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 til anvendelse for at opnå en hurtig og/eller vedvarende og/eller fuldstændig reduktion af trangen til røg eller anvendelse af tobak.
18. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1 - 16, hvor mindst én hurtigt desintegrerende del omfatter en komprimerbar excipiens valgt fra isomalt, dextrosemonohydrat, maltodextrin, lactosemonohydrat, dextrin, mannitol, lactitol, sorbitol, xylitol, erythritol, saccharose, og lactose, og blandinger eller derivater deraf; hvor fortrinsvis den hurtigt desintegrerende del omfatter mindst 40 vægtprocent af en komprimerbar excipiens valgt fra isomalt, dextrose monohydrate, maltodextrin, lactosemonohydrat, dextrin, mannitol, lactitol, sorbitol, xylitol, erythritol, saccharose, og lactose, og blandinger deraf; hvor fortrinsvis den komprimerbare expiens er i form af partikler med en gennemsnitlig partikeldiameter på ca. 50 til ca. 400 mikrometer.
19. Flerdelt intraoral doseringsform ifølge krav 18, hvor vægtforholdet af den komprimerbare expiens til den vand-kvældbare excipiens er fra ca. 10:1 til ca. 500:1.
20. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1 - 16, hvor mindst én hurtigt desintegrerende del yderligere omfatter en pH-buffer komponent og/eller en pH-justerende komponent valgt fra et carbonat inkluderende bicarbonat eller sesquicarbonat, glycinat, phosphat, glycerophosphat eller citrat af et alkalimetal, såsom kalium eller natrium, eller ammonium, inkluderende trinatriumphosphat, dinatriumhydrogenphosphat; trikaliumphosphat, dikaliumhydrogenphosphat, og calciumhydroxid, natriumglycinat, trometamol eller en aminosyre; og blandinger deraf.
21. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 20, hvor den hurtigt desintegrerende del eller dele har en hårdhed på mindre end ca. 15 kp/cm2, og den langsomt desintegrerende del eller dele har en hårdhed på større end ca. 15 kp/ cm2.
22. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 21, hvor den langsomt desintegrerende del eller dele omfatter en excipiens valgt fra, men ikke begrænset til, gruppen bestående af isomalt, saccharose, dextrose, dextrosemonohydrat, majssirup, lactitol, lycasin, mannitol, sorbitol, erythritol, xylitol, stivelser, gelatinerede stivelser, maltodextrin, lactose, lactosemonohydrat, dextrin, og blandinger og/eller derivater deraf.
23. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 -22, hvor den langsomt desintegrerende del eller dele omfatter mindst 50 vægtprocent, af en sukker valgt fra isomalt, saccharose, dextrose, majssirup, lactitol, og lycasin, og blandinger og/eller derivater deraf; hvor fortrinsvis den hurtigt desintegrerende del eller dele yderligere omfatter et brusemiddel-par omfattende et medlem valgt fra gruppen bestående af natriumbicarbonat, kaliumbicarbonat, calciumcarbonat, magnesiumcarbonat, og natriumcarbonat og et medlem valgt fra gruppen bestående af citronsyre, æblesyre, fumarsyre, vinsyre, og alginsyre.
24. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18-23, hvor det farmaceutisk aktive middel er i form af partikler der yderligere er overtrukket med en smagsmaskeringspolymer og hvor den gennemsnitlige partikeldiameter af partiklerne er fra ca. 50 mikrometer til ca. 1000 mikrometer.
25. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 -24, hvor mindst én af de langsomt desintegrerende dele omfatter er flerhed af åbninger der eksponerer overfladearealet af den/disse del(e), og i det væsentlige dækker overfladearealet af mindst de hurtigt desintegrerende dele, hvor de langsomt desintegrerende del(e) yderligere omfatter en flerhed af indhak, som under kontakt med væsker i den orale kavitet, er tilpasset til at opløse og eksponere overfladearealet af de hurtigt desintegrerende del(e).
26. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 25, hvor et farmaceutisk aktivt middel inde i en hurtig desintegrerende del er valgt fra gruppen bestående af zink, chlorhexidin, L. reuteri, nystatin, amphotericin, miconazol, phenylephrin, dextromethorphan, pseudoephedrin, acetaminophen, ibuprofen, ketoprofen, loperamid, famotidin, calciumcarbonat, simethicon, pseudoephedrin, chlorpheniramin, methocarbomal, chlophedianol, ascorbinsyre, menthol, pektin, dyclonin, benzocain, og menthol, og farmaceutisk acceptable salte og derivater deraf.
27. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 26, hvor fronten af mindst en del har en konveks form og fronten af en tilstødende del har en konkav form.
28. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 27 der har geometriske lighedspunkter til en sfære, et åbent eller lukket aflangt objekt, en sandwich, en hamburger eller en torus.
29. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 28 der har lag mellem delene der omfatter et spiseligt klæbemiddel-lignende materiale; hvor fortrinsvis det spiselige klæbemiddel-lignende materiale omfatter en bestanddel valgt fra gruppen bestående af polyethylenglycol, polyethylenoxid, polycaprolacton, carnaubavoks, mikrokrystallinsk voks, oppanol, shellakvoks og bivoks.
30. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 29, hvor mindst én hurtigt desingrerende del omfatter mindst ét farmaceutisk middel valgt fra gruppen af phenylephrin, dextromethorphan, chlorpheniramin, chlophedianol, og pseudoephedrin, og hvor mindst én langsomt desintegrerende del omfatter mindst ét farmaceutisk middel valgt fra gruppen af menthol, nikotin, dyclonin, pektin, benzocain, thymol, methylsalicylat og eucalyptol.
31. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 30, hvor mindst én hurtigt desintegrerende del er i det væsentlige fri for nikotin, hvor i det væsentlige fri er defineret som indeholdende 0,05 mg pr. enhedsdosis eller derunder.
32. Flerdelt intraoral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18-31, hvor mindst én hurtigt desintegrerende del er en sammenpresset del og hvor mindst én langsomt desintegrerende del har en matriks der er et bolsje-glas.
33. Flerdelt inter-oral doseringsform ifølge et hvilket som helst af de foregående krav, hvor den langsomt eller den hurtigt desintegrerende del(e) har indhak og/eller huller fyldt med de andre desintegrerende dele.
34. Flerdelt inter-oral doseringsform ifølge et hvilket som helst af kravene 1-16 eller 18 - 33 omfattende nikotin-og/eller metabolitter deraf, såsom cotinin, nikotin-N'-oxid, nornikotin, (S)-nikotin-N^-glucuronid og blandinger, isomerer, salte og komplekser deraf i en hvilken som helst form til anvendelse i terapi hvor terapien er behandling af en sygdom valgt fra gruppen bestående af tobaks- eller nikotinafhængighed, Alzheimer's sygdom, Crohn's sygdom, Parkinson's sygdom, Tourette's syndrom, ulcerøs colitis.
35. Flerdelt inter-oral doseringsform ifølge et hvilket som helst af de foregående krav, kendetegnet ved at det ene eller flere farmaceutisk aktive midler er valgt fra de anti-inflammatoriske midler diclofenac, ketorolac, indometacin, tornoxicam, piroxicam, tenoxicam, ketoprofen, celecoxib og roficoxib; de muskelafslappende midler orphenadrin og baclofen; lægemidlerne alendronsyre og risendronsyre der påvirker knoglemineralisering; de smertestillende midler propoxyphen, buprenorfin, ketobenidon, hydromorphon, tramadol, morfin, og tapentadol; antimigrænepræparaterne: dihydroergotamin, ergotamin, eletriptan, naratriptan, rizatriptan, sumatriptan og zolmitriptan; anti-Parkinson-lægemidlerne pramipexol, ropinirol og selegilin; de angstdæmpende midler alprazolam, diazepam, lorazepam og oxazepam; sovemidlerne flunitrazepam, midazolam, nitrazepam, triazolam, zaleplon, zopiclon, zolpiderm, clometiazol og propiomazin; psykostimulanten koffein; lægemidlerne bupropion, lobelin, naltrexon og metadon mod stofafhængighed; mavesårsmedicinen famotidin; det krampestillende middel hyoscyamin; kvalmemidlerne metoclopramid, ondansetron, scopolamin, hyoscin, perfenazin, procloperazin og haloperidol; de anti-diabetiske midler rosiglitazon; de kardiovaskulære midler etilefrin, glyceryltrinitrat, isosorbid-dinitrat og isosorbid-mononitrat; det blodtrykssænkende middel hydralazin; de vanddrivende midler furosemid og amilorid; de beta-receptor blokerende midler propranolol og timolol; det kalciumkanal blokerende middel amlodipin; ACE-inhibitorerne kaptopril, lisinopril og fosinopril; det serum-lipid-reducerende middel simvastatin; anti-psoriasismidlet acitretin; det antiastmatiske middel terbutalin; de hostehæmmende midler kodein og noskapin, og antihistaminerne clemastin, chlorpheniramin, cyproheptadin, loratadin og acrivastin; det anti-depressive og anti-seksuel dysfunktions lægemiddel dapoxetin; anti-seksuel dysfunktionslægemidlerne sildenafil (Viagra), tadalafil, vardenafil, cabergolin og pramipexol, det antiepileptiske middel topiramat, og det oralt og/eller gastrointestinalt og/eller generelt helbredsfremmende middel Lactobacillus reuteri.
36. Flerdelt inter-oral doseringsform ifølge krav 35, kendetegnet ved at den omfatter nikotin og Lactobacillus reuteri.
37. Flerdelt inter-oral doseringsform ifølge krav 35, kendetegnet ved at den omfatter terbutalin og loratadin.
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-
2009
- 2009-10-13 ES ES09820843.2T patent/ES2592882T3/es active Active
- 2009-10-13 MX MX2011003984A patent/MX2011003984A/es not_active Application Discontinuation
- 2009-10-13 AU AU2009303979A patent/AU2009303979A1/en not_active Abandoned
- 2009-10-13 CA CA2737307A patent/CA2737307A1/en not_active Abandoned
- 2009-10-13 RU RU2011119494/15A patent/RU2011119494A/ru unknown
- 2009-10-13 BR BRPI0920216A patent/BRPI0920216A2/pt not_active IP Right Cessation
- 2009-10-13 PT PT98208432T patent/PT2361081T/pt unknown
- 2009-10-13 EP EP09820843.2A patent/EP2361081B1/en not_active Revoked
- 2009-10-13 WO PCT/SE2009/051163 patent/WO2010044736A1/en not_active Ceased
- 2009-10-13 NZ NZ591710A patent/NZ591710A/xx not_active IP Right Cessation
- 2009-10-13 JP JP2011532041A patent/JP2012505878A/ja active Pending
- 2009-10-13 CN CN2009801416312A patent/CN102186461A/zh active Pending
- 2009-10-13 DK DK09820843.2T patent/DK2361081T3/da active
- 2009-10-13 KR KR1020117010990A patent/KR20110071008A/ko not_active Withdrawn
- 2009-10-14 AR ARP090103936A patent/AR073851A1/es not_active Application Discontinuation
Also Published As
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|---|---|
| KR20110071008A (ko) | 2011-06-27 |
| EP2361081A1 (en) | 2011-08-31 |
| MX2011003984A (es) | 2011-05-10 |
| AR073851A1 (es) | 2010-12-09 |
| WO2010044736A1 (en) | 2010-04-22 |
| CA2737307A1 (en) | 2010-04-22 |
| RU2011119494A (ru) | 2012-11-27 |
| ES2592882T3 (es) | 2016-12-02 |
| JP2012505878A (ja) | 2012-03-08 |
| NZ591710A (en) | 2012-11-30 |
| CN102186461A (zh) | 2011-09-14 |
| PT2361081T (pt) | 2016-09-05 |
| EP2361081A4 (en) | 2013-08-21 |
| BRPI0920216A2 (pt) | 2019-09-24 |
| AU2009303979A1 (en) | 2010-04-22 |
| EP2361081B1 (en) | 2016-06-29 |
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