DK2830589T3 - NICOTINE FORMULATION - Google Patents
NICOTINE FORMULATION Download PDFInfo
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- DK2830589T3 DK2830589T3 DK13712730.4T DK13712730T DK2830589T3 DK 2830589 T3 DK2830589 T3 DK 2830589T3 DK 13712730 T DK13712730 T DK 13712730T DK 2830589 T3 DK2830589 T3 DK 2830589T3
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- Prior art keywords
- film
- nicotine
- solution
- salt
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- SNICXCGAKADSCV-JTQLQIEISA-N (-)-Nicotine Chemical compound CN1CCC[C@H]1C1=CC=CN=C1 SNICXCGAKADSCV-JTQLQIEISA-N 0.000 title claims description 129
- SNICXCGAKADSCV-UHFFFAOYSA-N nicotine Natural products CN1CCCC1C1=CC=CN=C1 SNICXCGAKADSCV-UHFFFAOYSA-N 0.000 title claims description 107
- 229960002715 nicotine Drugs 0.000 title claims description 106
- 239000000203 mixture Substances 0.000 title claims description 35
- 238000009472 formulation Methods 0.000 title description 23
- 239000000243 solution Substances 0.000 claims description 43
- 239000003795 chemical substances by application Substances 0.000 claims description 39
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical class O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 claims description 25
- 239000007864 aqueous solution Substances 0.000 claims description 24
- 150000001768 cations Chemical class 0.000 claims description 19
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 claims description 18
- 230000001105 regulatory effect Effects 0.000 claims description 12
- 238000000034 method Methods 0.000 claims description 11
- AEMOLEFTQBMNLQ-BZINKQHNSA-N D-Guluronic Acid Chemical compound OC1O[C@H](C(O)=O)[C@H](O)[C@@H](O)[C@H]1O AEMOLEFTQBMNLQ-BZINKQHNSA-N 0.000 claims description 9
- AEMOLEFTQBMNLQ-VANFPWTGSA-N D-mannopyranuronic acid Chemical compound OC1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@@H]1O AEMOLEFTQBMNLQ-VANFPWTGSA-N 0.000 claims description 9
- 239000004014 plasticizer Substances 0.000 claims description 9
- 150000003839 salts Chemical class 0.000 claims description 9
- 239000007787 solid Substances 0.000 claims description 9
- 239000000945 filler Substances 0.000 claims description 7
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 claims description 6
- 239000002253 acid Substances 0.000 claims description 6
- WMFOQBRAJBCJND-UHFFFAOYSA-M Lithium hydroxide Chemical group [Li+].[OH-] WMFOQBRAJBCJND-UHFFFAOYSA-M 0.000 claims description 4
- 238000004519 manufacturing process Methods 0.000 claims description 4
- 239000000853 adhesive Substances 0.000 claims 1
- 230000001070 adhesive effect Effects 0.000 claims 1
- 239000002313 adhesive film Substances 0.000 claims 1
- 239000012458 free base Substances 0.000 description 17
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 12
- 230000003232 mucoadhesive effect Effects 0.000 description 11
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 10
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 8
- 238000012384 transportation and delivery Methods 0.000 description 8
- 210000004369 blood Anatomy 0.000 description 6
- 239000008280 blood Substances 0.000 description 6
- 238000005266 casting Methods 0.000 description 6
- 238000001035 drying Methods 0.000 description 6
- 230000000694 effects Effects 0.000 description 6
- 239000000796 flavoring agent Substances 0.000 description 6
- 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 5
- 229940072056 alginate Drugs 0.000 description 5
- 235000010443 alginic acid Nutrition 0.000 description 5
- 229920000615 alginic acid Polymers 0.000 description 5
- 235000015218 chewing gum Nutrition 0.000 description 5
- 235000019504 cigarettes Nutrition 0.000 description 5
- 239000004615 ingredient Substances 0.000 description 5
- 239000007937 lozenge Substances 0.000 description 5
- LDMPZNTVIGIREC-ZGPNLCEMSA-N nicotine bitartrate Chemical compound O.O.OC(=O)[C@H](O)[C@@H](O)C(O)=O.OC(=O)[C@H](O)[C@@H](O)C(O)=O.CN1CCC[C@H]1C1=CC=CN=C1 LDMPZNTVIGIREC-ZGPNLCEMSA-N 0.000 description 5
- 239000000600 sorbitol Substances 0.000 description 5
- 239000007921 spray Substances 0.000 description 5
- 238000004458 analytical method Methods 0.000 description 4
- 239000002610 basifying agent Substances 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 229940069688 nicotine bitartrate Drugs 0.000 description 4
- -1 nicotine salt Chemical class 0.000 description 4
- 210000002381 plasma Anatomy 0.000 description 4
- 210000003296 saliva Anatomy 0.000 description 4
- 239000004408 titanium dioxide Substances 0.000 description 4
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 3
- 239000000443 aerosol Substances 0.000 description 3
- 229940112822 chewing gum Drugs 0.000 description 3
- 239000003085 diluting agent Substances 0.000 description 3
- 235000019634 flavors Nutrition 0.000 description 3
- 235000013355 food flavoring agent Nutrition 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 239000007791 liquid phase Substances 0.000 description 3
- 210000002200 mouth mucosa Anatomy 0.000 description 3
- 238000004806 packaging method and process Methods 0.000 description 3
- 239000004033 plastic Substances 0.000 description 3
- 229920003023 plastic Polymers 0.000 description 3
- 229920000139 polyethylene terephthalate Polymers 0.000 description 3
- 230000000391 smoking effect Effects 0.000 description 3
- 238000003860 storage Methods 0.000 description 3
- 230000009885 systemic effect Effects 0.000 description 3
- FEWJPZIEWOKRBE-UHFFFAOYSA-M 3-carboxy-2,3-dihydroxypropanoate Chemical compound OC(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-M 0.000 description 2
- 239000004150 EU approved colour Substances 0.000 description 2
- 150000007513 acids Chemical class 0.000 description 2
- 239000012670 alkaline solution Substances 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000001055 chewing effect Effects 0.000 description 2
- 238000001704 evaporation Methods 0.000 description 2
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- 239000012528 membrane Substances 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 238000002552 multiple reaction monitoring Methods 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 229940006093 opthalmologic coloring agent diagnostic Drugs 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000012071 phase Substances 0.000 description 2
- 239000008363 phosphate buffer Substances 0.000 description 2
- 239000012266 salt solution Substances 0.000 description 2
- 230000005586 smoking cessation Effects 0.000 description 2
- 230000001839 systemic circulation Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 2
- 238000010200 validation analysis Methods 0.000 description 2
- LSPHULWDVZXLIL-UHFFFAOYSA-N (+/-)-Camphoric acid Chemical compound CC1(C)C(C(O)=O)CCC1(C)C(O)=O LSPHULWDVZXLIL-UHFFFAOYSA-N 0.000 description 1
- 229930182840 (S)-nicotine Natural products 0.000 description 1
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 description 1
- 229920002799 BoPET Polymers 0.000 description 1
- 241000167854 Bourreria succulenta Species 0.000 description 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 1
- 235000005979 Citrus limon Nutrition 0.000 description 1
- 244000131522 Citrus pyriformis Species 0.000 description 1
- DSLZVSRJTYRBFB-LLEIAEIESA-N D-glucaric acid Chemical compound OC(=O)[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)=O DSLZVSRJTYRBFB-LLEIAEIESA-N 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- 206010013082 Discomfort Diseases 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 1
- 208000031361 Hiccup Diseases 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 1
- 244000246386 Mentha pulegium Species 0.000 description 1
- 235000016257 Mentha pulegium Nutrition 0.000 description 1
- 235000004357 Mentha x piperita Nutrition 0.000 description 1
- AFVFQIVMOAPDHO-UHFFFAOYSA-M Methanesulfonate Chemical compound CS([O-])(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-M 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- 206010057372 Paraesthesia oral Diseases 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical group C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 1
- RWRDLPDLKQPQOW-UHFFFAOYSA-N Pyrrolidine Chemical group C1CCNC1 RWRDLPDLKQPQOW-UHFFFAOYSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- DZJXKISLUDYJSV-UHFFFAOYSA-N [N].C1CCNC1 Chemical compound [N].C1CCNC1 DZJXKISLUDYJSV-UHFFFAOYSA-N 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 229930013930 alkaloid Natural products 0.000 description 1
- 150000003797 alkaloid derivatives Chemical class 0.000 description 1
- 150000001450 anions Chemical class 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- DLGYNVMUCSTYDQ-UHFFFAOYSA-N azane;pyridine Chemical compound N.C1=CC=NC=C1 DLGYNVMUCSTYDQ-UHFFFAOYSA-N 0.000 description 1
- 239000002585 base Substances 0.000 description 1
- SRSXLGNVWSONIS-UHFFFAOYSA-M benzenesulfonate Chemical compound [O-]S(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-M 0.000 description 1
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 1
- 238000004638 bioanalytical method Methods 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M bisulphate group Chemical group S([O-])(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 230000036765 blood level Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 235000011089 carbon dioxide Nutrition 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- BJDCWCLMFKKGEE-CMDXXVQNSA-N chembl252518 Chemical compound C([C@@](OO1)(C)O2)C[C@H]3[C@H](C)CC[C@@H]4[C@@]31[C@@H]2O[C@H](O)[C@@H]4C BJDCWCLMFKKGEE-CMDXXVQNSA-N 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 235000019693 cherries Nutrition 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 239000000084 colloidal system Substances 0.000 description 1
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- 235000020237 cranberry extract Nutrition 0.000 description 1
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- 239000006185 dispersion Substances 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 1
- 235000002864 food coloring agent Nutrition 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- 235000001050 hortel pimenta Nutrition 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- 150000004679 hydroxides Chemical class 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000001294 liquid chromatography-tandem mass spectrometry Methods 0.000 description 1
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- 238000000622 liquid--liquid extraction Methods 0.000 description 1
- 238000011068 loading method Methods 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229910021645 metal ion Inorganic materials 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 229940087730 nicorette Drugs 0.000 description 1
- 229940015769 nicotine chewing gum Drugs 0.000 description 1
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 description 1
- 239000005022 packaging material Substances 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 210000003254 palate Anatomy 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 238000004080 punching Methods 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- 239000011347 resin Substances 0.000 description 1
- 229920005989 resin Polymers 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 239000000661 sodium alginate Substances 0.000 description 1
- 235000010413 sodium alginate Nutrition 0.000 description 1
- 229940005550 sodium alginate Drugs 0.000 description 1
- 238000000638 solvent extraction Methods 0.000 description 1
- 238000013112 stability test Methods 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 229910021653 sulphate ion Inorganic materials 0.000 description 1
- 238000012385 systemic delivery Methods 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-M toluene-4-sulfonate Chemical compound CC1=CC=C(S([O-])(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-M 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
Landscapes
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Description
DESCRIPTION
FIELD OF THE INVENTION
[0001] The present invention relates to a nicotine film formulation for administration of nicotine to a human subject and to a method for preparing such formulation.
BACKGROUND OF THE INVENTION
[0002] A well-known therapeutic approach to aid in smoking cessation is to provide the smoker with nicotine from sources other than cigarettes. For example, there are a number of commercially available nicotine replacement products that deliver nicotine to the systemic circulation via absorption through mucosal membranes or through the skin. These include e.g. nicotine-containing chewing gums and lozenges, as well as transdermal patches.
[0003] Both the nicotine lozenge and the nicotine chewing gum contain nicotine bitartrate or nicotine resinate. On chewing the gum or sucking the lozenge, the nicotine salt is released from the gum or lozenge and absorbed through the lining of the mouth. However, some of the nicotine also will be swallowed together with the saliva, which will reduce the amount entering the systemic circulation directly without passing through the gastric system. Another disadvantage of the lozenge or chewing gum is that the required chewing or sucking must be performed for some time in order for the entire dose to be released, which in some circumstances may be awkward or socially unacceptable. There are other evident disadvantages of these forms of administration, e.g. the taste which is not always perceived as agreeable, the litter resulting from the chewed chewing gum and even the suggested possibility that the resin of the chewing gum may lead to cancer in the mouth or throat.
[0004] By the above-mentioned nicotine delivery devices absorption occurs quite slowly and provides a low, steady-state blood level of nicotine to the patient without the early nicotine concentration spike that occurs due to immediate, arterial delivery of nicotine to the brain obtained when smoking a cigarette. In fact, a goal of these therapies is to eliminate the immediate, pleasurable effects associated with smoking while still alleviating the nicotine withdrawal effects until complete cessation of nicotine is physically and psychologically possible for the patient. However, this complete lack of "rush effect" experienced by the patient, may in part explain the rather low success rates of these conventional therapies, as discussed in e.g. US patent No. 5,298,257 to Bannon et al.
[0005] Nicotine, or 3-[(2S)-1 -methylpyrrolidin-2-yl]pyridine, is a hygroscopic, water-miscible, oily liquid alkaloid containing two basic nitrogen-containing rings, the pyrrolidine ring and the pyridine ring.
3-[(2S)-1 -methylpyrrolidi n-2-yl]pyri dine [0006] The pyrrolidine nitrogen is more basic than the pyridine nitrogen and, thus, nicotine may be dipronotated, monoprotonated or free base (i.e. unprotonated).
unprotonated monoprotonated diprotonated [0007] It is well-known that it is the free base nicotine, present in the cigarette smoke, that is behind the more rapid rush effect. However, in free base form, nicotine evaporates even at a temperature as low as room temperature. Furthermore, as a free base, it also is easily degraded by oxygen and light.
[0008] Free base nicotine also is very aggressive towards its environment and migrates through most known materials. Furthermore, free base nicotine, being very hygroscopic, is very sensitive to moisture. Finally, when exposed to oxygen or air free base nicotine turns brown. These stability and migration problems inherent to the free base nicotine molecule are discussed in US patent No. 6,790,496, which suggests a solution to this problem based on packaging of the nicotine-containing products in special packing materials.
[0009] To the knowledge of the inventors, presently, the only commercially available, nontobacco containing products offering a rush effect similar to that obtained when smoking a cigarette are aerosol devices of the type sold under the trade mark NICORETTE® QuickMist. However, the use of nicotine spray is not without drawbacks. For example, nicotine spray users have reported discomforts such as tingling lips, hiccups and disagreeable taste of the aerosol product. Other drawbacks are e.g. the inherent risk of loss to the surrounding air when using the spray, and the environmentally detrimental need for packaging material in the spray canisters.
[0010] Pongjanyakul T., Suksri H, Alginate-magnesium aluminum silicate films for buccal delivery of nicotine, Colloids and Surfaces B: Biointerfaces, Volume 74, Issue 1, 2009, Pages 103-113, discloses a method of manufacturing nicotine-containing mucoadhesive films, obtainable by preparing an aqueous solution at a pH of 10, by admixing nicotine free base, an alkaline pH regulating agent and a film-forming agent comprising an alginate salt of monovalent cation.
[0011] From the above it appears that there still is a need for a smoking cessation product that at the same time is capable of releasing free base nicotine in a way that more or less emulates cigarettes, and still is stable against evaporation or degradation of the nicotine.
SUMMARY OF THE INVENTION
[0012] It is an object of the present invention to provide a product for nicotine delivery that essentially solves the above-mentioned problems of the prior art nicotine delivery products. One important object of the present invention is to provide a nicotine formulation capable of keeping its nicotine content during storage, yet being able to deliver nicotine free base when administered to a human subject.
[0013] Thus, according to a first aspect a nicotine containing mucoadhesive film is provided, obtainable by • preparing an aqueous solution at a pH of from 9.5 to 13, by admixing 1. (i) a nicotine salt, 2. (ii) an alkaline pH-regulating agent, and 3. (iii) a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the film-forming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2; • distributing the solution onto a solid surface; and • permitting the solution to dry on said surface.
[0014] According to another aspect, there is provided a method of manufacturing a nicotine-containing mucoadhesive film, comprising: • preparing an aqueous solution at a pH of from 9.5 to 13, by admixing 1. (i) a nicotine salt, 2. (ii) an alkaline pH-regulating agent, and 3. (iii) a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the film-forming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2; • distributing the solution onto a solid surface; and • permitting the solution to dry on said surface.
[0015] The film of the invention is useful for buccal transmucosal delivery of nicotine.
[0016] Some advantages of the methods and formulations of the present invention are that: • pH buffering systems can be omitted from the formulation of the invention; • high systemic uptake of nicotine free base is obtained through the oral mucosa; • the dry formulation contains only very small amounts of free base nicotine available to reactions induced by air and light, keeping the product stable over time; and • nicotine is incorporated in the formulation in the form of water soluble salt, and as such is easy to distribute evenly throughout a solution, thereby providing a homogeneous distribution of nicotine in the formulation.
[0017] The nicotine film of the present invention suitably is a stand-alone, one layer film.
BRIEF DESCRIPTION OF THE DRAWING
[0018] FIGURE 1 is a graph showing nicotine concentration (mean +/- SEM), in ng/ml, in blood samples collected from 5 healthy subjects over a 2-hour period after administration of a film dosage unit according to the invention containing 2 mg of nicotine (in the form of nicotine salt).
DETAILED DESCRIPTION OF THE INVENTION
[0019] The nicotine film of the present invention is obtainable by: • preparing an aqueous solution at a pH of from 9.5 to 13, by admixing 1. (i) a nicotine salt, 2. (ii) an alkaline pH-regulating agent, and 3. (iii) a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the film-forming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2; • distributing the solution onto a solid surface; and • permitting the solution to dry on said surface.
[0020] The nicotine salt may be any pharmaceutically acceptable nicotine salt. Nicotine is able to form salts with many metals and acids. The acids that may be used to prepare the pharmaceutically acceptable acid salts of nicotine are those that form non-toxic acid salts, i.e., salts containing pharmaceutically acceptable anions, such as hydrochloride, hydrobromide, hydroiodide, nitrate, sulphate or bisulphate, succinate, maleate, fumarate, bitartrate, gluconate, saccharate, benzoate, methanesulphonate, ethanesulphonate, benzenesulphonate, p-toluene sulphonate, camphorate and pamoate salts. Particularly preferred are the tartrate and bitartrate salts.
[0021] Preferably, the alkaline pH regulating agent is a strong base, such as LiOH, NaOH or KOH. In one embodiment, the alkaline pH regulating is NaOH.
[0022] The nicotine formulation of the invention additionally may comprise any suitable excipient, such as one or more fillers or plasticizers. An example of a filler e.g. is microcrystalline cellulose. The plasticizer, when present, may be selected from e.g. polyethylene glycols, glycerol and sorbitol.
[0023] Optionally, the nicotine formulation of the invention also may comprise any physiologically (e.g. non-toxic at the added level) and/or pharmacologically acceptable additive, such as one or more flavouring agents (taste maskers) and/or colouring agents. Examples of flavouring agents are sorbitol, peppermint, orange flavouring, lemon flavouring, cherry flavouring, and cranberry extract. Examples of colouring agents are titanium dioxide and green or red food colour.
[0024] The film-forming agent of the present invention is an alginate salt of a monovalent cation or a mixture of alginate salts of monovalent cations, the film-forming agent having a mean guluronate (G) content of from 50% to 85% by weight, a mean mannuronate (M) content of from 15% to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that an aqueous solution of 10% thereof at a temperature of 20 °C has a viscosity of 100 mPas to 1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2. Such a film-forming agent is described in patent application PCT/SE2006/050626 (WO 2007/0733 46).
[0025] Thus, the nicotine formulation of the invention is a water-soluble film, such as a mucoadhesive film, which on application to oral mucosa adheres thereto and dissolves, allowing active ingredients contained in the film to penetrate the mucosal membrane and enter the blood stream. Such a mucoadhesive film is generally described in PCT/SE2006/050626 (WO 2007/073346).
[0026] In some embodiments of a nicotine film formulation, sorbitol and/or glycerol are used as plasticizers. A suitable amount of plasticizer is e.g. from 10 to 85 g, or from 30 to 70 g, e.g. from 50 to 60 g of plasticizer per 100 g of film-forming agent, i.e. alginate.
[0027] In some embodiments of the nicotine film formulation, filler(s) are present in an amount of 0-20%, e.g. 5-10% by weight of the total pharmaceutical composition.
[0028] The nicotine formulation according to the present invention is a dry formulation, and is prepared by a method comprising a drying step. By "dry" is meant that the formulation may at most have a humidity corresponding to equilibrium with a surrounding atmosphere having a relative humidity of from 10 to 40%, e.g. from 20 to 30%, at 25 °C.
[0029] In one embodiment of the invention, the alkaline nicotine-containing film-forming solution (the "casting solution") is obtained by: • preparing an aqueous solution of a nicotine salt, and an alkaline pH regulating agent providing an alkaline pH in the aqueous solution; and • admixing said aqueous solution with a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the film-forming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2, so as to obtain an aqueous solution containing the film forming agent and the nicotine salt, said solution having a pH of from 9.5 to 13.
[0030] In this embodiment, the alkaline pH regulating agent may be added to the aqueous nicotine salt solution in an amount providing a pH of at least 10, or at least 11, at least 11.5, at least 12, at least 12.4, or at least 12.5, e.g. a pH in the range of from 10 to 13, or from 11 to 13, such as from 11.5 to 13, e.g. from 12 to 13, or from 12.4 to 12.8, e.g. from 12.5 to 12.7.
[0031] In particular, the alkaline pH regulating agent is added to the aqueous nicotine salt solution in an amount such that after admixing the alkaline nicotine-containing solution (optionally containing also other ingredients, such as flavor, plasticizer, filler etc.) with the alginate salt, a casting solution is obtained having a pH of at least 9.5, at least 9.7, at least 10, at least 10.5, at least 10.7, at least 11, or at least 11.5. For example, the ρΗμ may be from 9.5 to 12.5, or from 9.7 to 12.2, or from 10 to 11.7, such as from 10.5 to 11.5, e.g. from 10.7 to 11.5, or from 11 to 11.5, e.g. from 11.2 to 11.5.
[0032] For example, in one embodiment, a nicotine salt such as nicotine bitartrate is mixed with water and e.g. a suitable metal ion hydroxide salt, such as NaOH, as a basifying agent, so as to provide an aqueous nicotine solution having a pH as indicated herein above, e.g. in the range of from 10 to 13, or from 11 to 13, such as from 11.5 to 13, e.g. from 12 to 13, or from 12.4 to 12.8, e.g. from 12.5 to 12.7. In light of the present disclosure and by consulting also the Examples herein, the person of ordinary skill in the art will be well enabled to find the specific p, necessary in order to obtain the selected pH of at least 9.5 for the casting solution.
[0033] Optional ingredients, such as flavor, plasticizer, filler, may be added at any moment, e.g. after adding the basifying agent, but preferably should be added before admixing of the alginate. Next, the film-forming alginate is admixed with the aqueous nicotine solution and the mixture may then be poured into suitable casting dies or onto a solid casting surface and allowed to dry.
[0034] In one embodiment, the method for preparing the mucoadhesive nicotine-containing film of the invention comprises: 1. (i) preparing an aqueous solution of a nicotine salt and an alkaline pH-regulating agent, said solution having a pH, which is higher than pH, 2. (ii) adding, to the solution obtained in (i), a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the filmforming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2; so as to obtain an aqueous solution containing the film forming agent and the nicotine salt, said solution having a ρΗμ of from 9.5 to 13; 3. (iii) distributing the solution onto a solid surface; and 4. (iv) permitting the solution to dry on said surface.
[0035] In another embodiment, the method for preparing the mucoadhesive nicotine-containing film of the invention comprises 1. (i) preparing separately: 1. (a) an aqueous solution of a film-forming agent comprising an alginate salt of monovalent cation or a mixture of alginate salts of monovalent cations, the filmforming agent having a mean guluronate (G) content of from 50 to 85% by weight, a mean mannuronate (M) content of from 15 to 50% by weight, a mean molecular weight of from 30,000 g/mol to 90,000 g/mol and being such that a 10% aqueous solution thereof at a temperature of 20°C has a viscosity of 100-1000 mPas, as measured at a shear rate of 20 rpm by use of a Brookfield viscometer with a spindle No. 2; and 2. (b) an aqueous solution of a nicotine salt; whereby at least one of the two solutions (a) and (b) contains an alkaline pH regulating agent; 2. (ii) admixing the two solutions so as to obtain a nicotine-containing film-forming solution having a pH of from 9.5 to 13; 3. (iii) distributing the solution onto a solid surface; and 4. (iv) permitting the solution to dry on said surface.
[0036] In one embodiment, solution (a) contains an alkaline pH regulating agent.
[0037] In one embodiment, solution (b) contains an alkaline pH regulating agent.
[0038] Drying preferably is effected until the formulation reaches a level of dryness equal to that which it would have in equilibrium with a surrounding atmosphere having a relative humidity of 10 to 40% at 25 °C, e.g. 20 to 30% at 25°C, e.g. a water content of about 8% by weight.
[0039] To prepare a dry film, the process for preparing a dry film as generally described in WO 2007/073346 may be followed.
[0040] For example, the casting solution is distributed onto a solid, flat surface as a wet film having a thickness of from e.g. 0.1 to 4 mm, such as 0.2 to 2 mm, e.g. 0.5 to 1.5 mm. The wet film then is allowed to dry on the surface, e.g. in room temperature or in a ventilated oven or drying cabinet at a temperature of 45-60 °C, e.g. at a temperature of from 52 to 54 °C, for a time period of e.g. 20 to 40 minutes, or from 20 to 30 minutes.
[0041] After drying at least partly of the film, the dry or semi-dry film thus obtained may be divided into suitably sized dosage units, e.g. by cutting or punching.
[0042] The film may be imprinted imprinted at one or both sides with words, figures or other markings, e.g. a trade mark or an indicating of the dosage, using an ink suitable for human ingestion. For example a 2 mg dosage unit may be imprinted with "2 mg".
[0043] The dry dosage units may be packaged into suitable containers, e.g. resealable containers of a water and air tight material suitable for use in packaging of products for human ingestion, e.g. a metallised polyethylene film (Alu/PET).
[0044] As illustrated in the stability test described herein below, by the method of the present invention, a nicotine film formulation having a high shelf life is obtained. It is remarkable that the nicotine content of the film remains essentially unchanged over a time period of nearly four months without any precautions being taken to preserve the film from either light or surrounding air.
[0045] When administered to the mouth of a human subject, the formulation will dissolve by the action of the saliva, releasing the basifying pH regulating agent and nicotine free base. As the nicotine free base penetrates the oral lining and enters the blood stream, the desired rush effect may be obtained.
[0046] It is an advantageous feature of the nicotine formulation of the present invention that it is in the form of a mucoadhesive film. When applied to the mucous membrane of the mouth, the dry film will adhere thereto and dissolve over a given time period, e.g. 1 minute to 10 minutes, such as 1-5 minutes, or 1-3 minutes. As the film dissolves, the nicotinic salt and the basifying agent are released. The basifying agent will provide a high local pH in the liquid phase formed by the saliva at the oral mucosa in contact with the dissolving mucoadhesive film. In this high pH liquid solution nicotine will be present again as a free base, and as such will penetrate the mucous membrane and enter the blood stream of the body. Systemic parenteral delivery of free base nicotine thereby is obtained.
[0047] The dry film formulation according to the invention preferably has a thickness of 0.01 to 2 mm, or 0.02 to 1 mm, e.g. 0.05 to 0.5 mm, or from 0.06 to 0.4 mm, or from 0.06 to 0.1 mm, e.g. about 0.07 mm.
[0048] In one embodiment, the nicotine-containing film of the invention is provided in dosage units. Such dosage unit may be of any suitable surface area, having regard to the concentration of the nicotine salt within the film and the suitable nicotine dosage to be administered. As an example, a dosage unit having a surface area of from 1 cm2 to 10 cm2 may be selected, e.g. from 2 to 8 cm2, or from 4 to 7 cm2, such as about 6 cm2. It will be within the knowledge of the skilled person to adapt the size and shape of the film dosage unit having regard to such parameters as e.g. the loading of the nicotine salt within the film and the required dosage. Also, it should be realized that the film dosage unit may have any appropriate shape, e.g. it may be rectangular, circular, oblong, oval etc.
[0049] A suitable dosage unit e.g. may be contain from 0.5 mg to 4 mg nicotine in the form of nicotine salt, e.g. from 1 to 2 mg nicotine, or any other suitable amount. For example, a dosage unit may be a dry film unit having a surface area of 3 cm2, a thickness of about 0.2 mm and containing about 2 mg nicotine. In one embodiment, the dosage unit is a dry film unit having a surface area of 6 cm2, a thickness of about 0.07 mm, containing about 2 mg nicotine.
In another embodiment, the dosage unit is a dry film unit having a surface area of 6 cm2, a thickness of about 0.07 mm, containing about 1 mg nicotine.
[0050] An important advantageous feature of the nicotine film of the present invention is its capacity of providing a high systemic availability due to the transmucosal absorption of nicotine. Compared to nicotine chewing gums, where a large part of the nicotine is swallowed down with the saliva, this will allow for a reduced dosage of nicotine.
[0051] A further advantage provided by the nicotine film of the invention is the very simple, easy to handle dosage form, compared e.g. to the aerosol spray.
[0052] Another advantageous feature of the nicotine film of the invention is storage stability of the nicotine in the film, which may allow for a multi-dosage package of dosage units of the film without any need for individual packaging of each dosage unit. Thus, in one embodiment, a resealable package is provided containing a plurality of nicotine-containing film dosage units according to the invention. For example, such a resealable package may contain from 5 to 200 dosage units, or from 10 to 100 dosage units, e.g. from 20 to 50 dosage units, such as 30 dosage units.
[0053] In some embodiments, each dosage unit is packaged separately in an air and water tight material, such as a metallised polymeric film, e.g. an Alu/PET film. For example, each dosage unit may be provided separately in an Alu/PET envelope.
[0054] Herein below, the invention will be illustrated by the following non-limiting examples.
EXAMPLES EXAMPLE 1 [0055] A mucoadhesive nicotine-containing film according to the invention was prepared using the ingredients listed in Table 1.
Table 1
[0056] The film was prepared as follows: In a beaker, water was mixed with nicotine tartrate and NaOH until a clear solution was obtained. The pH was adjusted to within a range of from 11.8 to 12.8. Titanium dioxide was added and the solution was sonicated to provide a homogenous dispersion of titanium dioxide in the nicotine solution. Next, 1/3 of the alginate was added and the solution was mixed in a mixer so as to obtain a visibly homogeneous liquid phase. While maintaining the stirring, glycerol, sorbitol and the flavouring agents were added.
The remainder of the alginate then was added and the mixing was continued until obtaining a homogenous, viscous liquid phase. The liquid mixture then was transferred to a glass beaker and sonicated again to remove any air bubbles therein. Subsequently, % of the liquid mixture was distributed homogeneously over a glass plate at a thickness of 0.89 mm by means of a draw down blade for wet film application. The film was dried in a drying cabinet at a temperature of 45 to 60 °C for 25 minutes. The dry film was cut into rectangular pieces of 2x3 cm2 and the samples of nicotine film were placed in clean, plastic pockets.
[0057] A stability study of nicotine in the film of the invention was performed in order to establish the shelf life of nicotine in an opened multi-dose package. The dosage units prepared in EXAMPLE 1 were used in the test. At day 0 of the study, the plastic pocket containing the dry film samples was opened and the nicotine concentration in 3 dosage units (i.e. three 6 cm2 pieces) of the film formulation was determined. The remaining dosage units contained in the plastic pocket were stored in the open at a temperature ranging from 21 to 24°C and a relative humidity of 19-32 %. These film dosage units were not stored in the dark, but simply kept in the open, on a shelf in the laboratory. The nicotine concentration of 3 different dosage units was measured again at day 7 and at day 102, respectively. The results are listed in Table 2 herein below.
Table 2
Overview of method and equipment for analysis [0058] Analysis was performed using the following equipment:
Isocratic HPLC-pump: Constametric Model III
Auto injector: Dynamax Model AI3 (Loop volume 50pl)
Column heater: Jones Chromatography Model 7981 (Temperature 35°C)
Column: Dr Maisch, Reprosil-Pur Basic, C18-AQ 5pm, 150x4mm UV-detector: PerSeptive Biosystems UVIS-205 (at 260nm)
Flow rate 1 ml/min
Mobile phase: 30%ACN, 70% 10mM Phosphate Buffer pH 8,5
Diluent 15%ACN, 85% 10mM Phosphate Buffer pH 8,5
[0059] A standard curve using nicotine bitartrate dihydrate in diluent was used. The samples where diluted in 100 ml of diluent and filtrated through a 0.4pm filter. EXAMPLE 2 [0060] A mucoadhesive nicotine-containing film according to the invention was prepared essentially as described in EXAMPLE 1, using the ingredients listed in Table 3.
Table 3
[0061] Dosage units containing 2 mg nicotine/unit were prepared. The systemic delivery of nicotine by peroral administration of these dosage units was assessed on 5 healthy subjects.
[0062] Before administration of the dosage unit, a blood sample was withdrawn from the subject to establish a zero level. At that point of time, the subjects had not used any nicotine-containing product for at least 24 hours.
[0063] At time zero, a film dosage unit of the invention was applied to the palate of each subject. Blood samples were collected from each subject at regular intervals during 2 hours. Plasma was separated, frozen using dry ice and sent to a GLP accredited laboratory for analysis. The analytical method was developed at the laboratory and validated according to the FDA Guidance for Industry - Bioanalytical Method Validation (CDER, May 2001). The tabulated summary of this validation is shown in Table 4.
Table 4
[0064] Samples of human plasma with an added internal standard were extracted using a liquid-liquid extraction procedure. After evaporation and resuspension in LC mobile phase, the samples were analyzed by LC-MS/MS. Positive ions were monitored in the multiple reaction monitoring (MRM) mode. Quantification was by peak area ratio.
[0065] The results, in terms of plasma nicotine concentration (in ng/ml) in the blood plasma samples, are illustrated in Figure 1. The indicated values are mean values calculated from the 5 subjects participating in the test. EXAMPLE 3 [0066] The ingredients used in the Example are indicated in Table 5.
Table 5
[0067] An aqueous nicotine bitartrate solution of 5.1 g nicotine bitartrate in about 160 ml of water was prepared and 2 M NaOH was added until an alkaline pH was reached (pH,). Titanium dioxide, dissolved in a small amount of water (V2 ml), was added. The total volume of the aqueous alkaline solution was adjusted to 195 ml by addition of further water. Sorbitol, glycerol, and flavours were added to the the alkaline solution, followed by the sodium alginate. The pH was measured (pHj,) on a sample diluted 1:2. The solution then was cast and dried to provide a dry film. From the dry film 6 cm2, 0.07 mm thick samples weighing 70 mg were cut and dissolved in 10 ml of water, and the pH of the aqueous solution was measured. The nicotine contents of film samples were measured directly after drying and after 30 days storage at 25°C, ambient RH, packed in Alu/PET pouches. The results are shown in Table 6.
Table 6
[0068] From the results in Table 6, it surprisingly appears that a nicotine containing film prepared by use of a film-forming solution of the invention, having a pH of at least 9.5, has a good stability, whereas when the pH of the film-forming solution is lower than about 9.5, the stability of the nicotine in the dry film is insufficient.
REFERENCES CITED IN THE DESCRIPTION
This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.
Patent documents cited in the description • US5298257A [0604] • US6790496B (00081
• SE2006050626W [00241 [00251
Non-patent literature cited in the description • PONGJANYAKUL T.SUKSRI HAIginate-magnesium aluminum silicate films for buccal delivery of nicotineColloids and Surfaces B: Biointerfaces, 2009, vol. 74, 1103-
Claims (14)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201261615997P | 2012-03-27 | 2012-03-27 | |
| EP12161483 | 2012-03-27 | ||
| PCT/EP2013/055456 WO2013143891A1 (en) | 2012-03-27 | 2013-03-15 | Nicotine formulation |
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| Publication Number | Publication Date |
|---|---|
| DK2830589T3 true DK2830589T3 (en) | 2019-04-29 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DK13712730.4T DK2830589T3 (en) | 2012-03-27 | 2013-03-15 | NICOTINE FORMULATION |
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| CY (1) | CY1121570T1 (en) |
| DK (1) | DK2830589T3 (en) |
| ES (1) | ES2720488T3 (en) |
| HR (1) | HRP20190598T1 (en) |
| HU (1) | HUE043009T2 (en) |
| IL (1) | IL234771B (en) |
| LT (1) | LT2830589T (en) |
| ME (1) | ME03456B (en) |
| PT (1) | PT2830589T (en) |
| TR (1) | TR201905664T4 (en) |
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- 2013-03-15 HU HUE13712730A patent/HUE043009T2/en unknown
- 2013-03-15 ME MEP-2019-104A patent/ME03456B/en unknown
- 2013-03-15 HR HRP20190598TT patent/HRP20190598T1/en unknown
- 2013-03-15 TR TR2019/05664T patent/TR201905664T4/en unknown
- 2013-03-15 DK DK13712730.4T patent/DK2830589T3/en active
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| IL234771B (en) | 2019-10-31 |
| LT2830589T (en) | 2019-05-27 |
| IL234771A0 (en) | 2014-11-30 |
| CY1121570T1 (en) | 2020-05-29 |
| ES2720488T3 (en) | 2019-07-22 |
| ME03456B (en) | 2020-01-20 |
| PT2830589T (en) | 2019-05-20 |
| HRP20190598T1 (en) | 2019-06-14 |
| TR201905664T4 (en) | 2019-05-21 |
| HUE043009T2 (en) | 2019-07-29 |
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