EP1239847A1 - Preparation pharmaceutique lisse pour administration par mucosale dans la cavite buccale d'oxycodone ou d'une substance active analogue servant a traiter la douleur et la toxicomanie - Google Patents
Preparation pharmaceutique lisse pour administration par mucosale dans la cavite buccale d'oxycodone ou d'une substance active analogue servant a traiter la douleur et la toxicomanieInfo
- Publication number
- EP1239847A1 EP1239847A1 EP00993377A EP00993377A EP1239847A1 EP 1239847 A1 EP1239847 A1 EP 1239847A1 EP 00993377 A EP00993377 A EP 00993377A EP 00993377 A EP00993377 A EP 00993377A EP 1239847 A1 EP1239847 A1 EP 1239847A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- preparation according
- active ingredient
- pharmaceutical preparation
- dose
- therapy
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 239000004480 active ingredient Substances 0.000 title claims abstract description 43
- 238000002360 preparation method Methods 0.000 title claims abstract description 35
- BRUQQQPBMZOVGD-XFKAJCMBSA-N Oxycodone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(OC)C2=C5[C@@]13CCN4C BRUQQQPBMZOVGD-XFKAJCMBSA-N 0.000 title claims abstract description 30
- 210000000214 mouth Anatomy 0.000 title claims abstract description 11
- 238000002560 therapeutic procedure Methods 0.000 title claims description 18
- 230000036407 pain Effects 0.000 title claims description 11
- 206010012335 Dependence Diseases 0.000 title description 7
- 239000012736 aqueous medium Substances 0.000 claims abstract description 5
- 150000003839 salts Chemical class 0.000 claims abstract description 5
- 239000000825 pharmaceutical preparation Substances 0.000 claims description 28
- 229960002085 oxycodone Drugs 0.000 claims description 25
- 230000003232 mucoadhesive effect Effects 0.000 claims description 16
- 239000013543 active substance Substances 0.000 claims description 15
- 229940127240 opiate Drugs 0.000 claims description 13
- ZPUCINDJVBIVPJ-LJISPDSOSA-N cocaine Chemical group O([C@H]1C[C@@H]2CC[C@@H](N2C)[C@H]1C(=O)OC)C(=O)C1=CC=CC=C1 ZPUCINDJVBIVPJ-LJISPDSOSA-N 0.000 claims description 12
- 210000002200 mouth mucosa Anatomy 0.000 claims description 12
- 238000004519 manufacturing process Methods 0.000 claims description 11
- 238000000034 method Methods 0.000 claims description 11
- 239000003814 drug Substances 0.000 claims description 8
- 239000007858 starting material Substances 0.000 claims description 7
- 229960003920 cocaine Drugs 0.000 claims description 6
- 230000035699 permeability Effects 0.000 claims description 6
- 230000008569 process Effects 0.000 claims description 6
- 238000006467 substitution reaction Methods 0.000 claims description 6
- 239000000203 mixture Substances 0.000 claims description 5
- 230000015572 biosynthetic process Effects 0.000 claims description 4
- 238000005520 cutting process Methods 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 4
- 238000004080 punching Methods 0.000 claims description 4
- 239000002904 solvent Substances 0.000 claims description 4
- 230000009471 action Effects 0.000 claims description 3
- 239000003401 opiate antagonist Substances 0.000 claims description 3
- 229920000642 polymer Polymers 0.000 claims description 3
- OZYUPQUCAUTOBP-QXAKKESOSA-N Levallorphan Chemical compound C([C@H]12)CCC[C@@]11CCN(CC=C)[C@@H]2CC2=CC=C(O)C=C21 OZYUPQUCAUTOBP-QXAKKESOSA-N 0.000 claims description 2
- 230000036592 analgesia Effects 0.000 claims description 2
- 229960000263 levallorphan Drugs 0.000 claims description 2
- UZHSEJADLWPNLE-GRGSLBFTSA-N naloxone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(O)C2=C5[C@@]13CCN4CC=C UZHSEJADLWPNLE-GRGSLBFTSA-N 0.000 claims description 2
- 229960004127 naloxone Drugs 0.000 claims description 2
- DQCKKXVULJGBQN-XFWGSAIBSA-N naltrexone Chemical compound N1([C@@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CCC5=O)O)CC1)O)CC1CC1 DQCKKXVULJGBQN-XFWGSAIBSA-N 0.000 claims description 2
- 229960003086 naltrexone Drugs 0.000 claims description 2
- 229920001169 thermoplastic Polymers 0.000 claims description 2
- 238000009757 thermoplastic moulding Methods 0.000 claims description 2
- 238000010924 continuous production Methods 0.000 claims 1
- 206010013663 drug dependence Diseases 0.000 claims 1
- NETZHAKZCGBWSS-CEDHKZHLSA-N nalbuphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]1(O)CC[C@@H]3O)CN2CC1CCC1 NETZHAKZCGBWSS-CEDHKZHLSA-N 0.000 claims 1
- 229960000805 nalbuphine Drugs 0.000 claims 1
- 238000007493 shaping process Methods 0.000 claims 1
- 239000000725 suspension Substances 0.000 claims 1
- 239000002552 dosage form Substances 0.000 description 20
- 230000008901 benefit Effects 0.000 description 10
- 239000000126 substance Substances 0.000 description 6
- 238000010521 absorption reaction Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 210000003296 saliva Anatomy 0.000 description 4
- 206010052804 Drug tolerance Diseases 0.000 description 3
- 230000000202 analgesic effect Effects 0.000 description 3
- 238000009792 diffusion process Methods 0.000 description 3
- 238000004806 packaging method and process Methods 0.000 description 3
- 210000002784 stomach Anatomy 0.000 description 3
- 230000001225 therapeutic effect Effects 0.000 description 3
- 239000000969 carrier Substances 0.000 description 2
- 239000012876 carrier material Substances 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 239000011888 foil Substances 0.000 description 2
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- RZRNAYUHWVFMIP-KTKRTIGZSA-N 1-oleoylglycerol Chemical group CCCCCCCC\C=C/CCCCCCCC(=O)OCC(O)CO RZRNAYUHWVFMIP-KTKRTIGZSA-N 0.000 description 1
- USSIQXCVUWKGNF-UHFFFAOYSA-N 6-(dimethylamino)-4,4-diphenylheptan-3-one Chemical group C=1C=CC=CC=1C(CC(C)N(C)C)(C(=O)CC)C1=CC=CC=C1 USSIQXCVUWKGNF-UHFFFAOYSA-N 0.000 description 1
- 241000416162 Astragalus gummifer Species 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- IJVCSMSMFSCRME-KBQPJGBKSA-N Dihydromorphine Chemical class O([C@H]1[C@H](CC[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O IJVCSMSMFSCRME-KBQPJGBKSA-N 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- 229920000084 Gum arabic Polymers 0.000 description 1
- 241000978776 Senegalia senegal Species 0.000 description 1
- 229920002125 Sokalan® Polymers 0.000 description 1
- 229920001615 Tragacanth Polymers 0.000 description 1
- 239000000205 acacia gum Substances 0.000 description 1
- 235000010489 acacia gum Nutrition 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000003042 antagnostic effect Effects 0.000 description 1
- 239000005557 antagonist Substances 0.000 description 1
- 239000000730 antalgic agent Substances 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 238000007664 blowing Methods 0.000 description 1
- RMRJXGBAOAMLHD-IHFGGWKQSA-N buprenorphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 RMRJXGBAOAMLHD-IHFGGWKQSA-N 0.000 description 1
- 229960001736 buprenorphine Drugs 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 229940105329 carboxymethylcellulose Drugs 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 239000008199 coating composition Substances 0.000 description 1
- 230000002860 competitive effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 229960002428 fentanyl Drugs 0.000 description 1
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical group C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 238000010579 first pass effect Methods 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 229940014259 gelatin Drugs 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- RZRNAYUHWVFMIP-HXUWFJFHSA-N glycerol monolinoleate Natural products CCCCCCCCC=CCCCCCCCC(=O)OC[C@H](O)CO RZRNAYUHWVFMIP-HXUWFJFHSA-N 0.000 description 1
- 238000009499 grossing Methods 0.000 description 1
- 230000026781 habituation Effects 0.000 description 1
- 238000007757 hot melt coating Methods 0.000 description 1
- 229920003063 hydroxymethyl cellulose Polymers 0.000 description 1
- 229940031574 hydroxymethyl cellulose Drugs 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 239000006224 matting agent Substances 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- 229960001797 methadone Drugs 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
- 235000010981 methylcellulose Nutrition 0.000 description 1
- 229960002900 methylcellulose Drugs 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 229960005181 morphine Drugs 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 229940005483 opioid analgesics Drugs 0.000 description 1
- 230000008058 pain sensation Effects 0.000 description 1
- 230000003285 pharmacodynamic effect Effects 0.000 description 1
- 239000000049 pigment Substances 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 239000004584 polyacrylic acid Substances 0.000 description 1
- 229920002959 polymer blend Polymers 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- CMDGQTVYVAKDNA-UHFFFAOYSA-N propane-1,2,3-triol;hydrate Chemical compound O.OCC(O)CO CMDGQTVYVAKDNA-UHFFFAOYSA-N 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 239000004416 thermosoftening plastic Substances 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 235000012431 wafers Nutrition 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 229920003169 water-soluble polymer Polymers 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
- A61K9/70—Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/485—Morphinan derivatives, e.g. morphine, codeine
-
- 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
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/006—Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/04—Centrally acting analgesics, e.g. opioids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/30—Drugs for disorders of the nervous system for treating abuse or dependence
- A61P25/36—Opioid-abuse
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/16—Otologicals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
Definitions
- the present invention relates to a sheet-like pharmaceutical preparation for the transmucosal administration of oxycodone or a pharmacologically comparable active substance in the area of the oral cavity, and to the use of such a pharmaceutical preparation in pain therapy and in substitution therapy for the treatment of opiate and cocaine dependency.
- the invention relates to sheet-like medicinal preparations of the type mentioned which are disintegrable in aqueous media and are in the form of foils, films, papers or wafers.
- the invention further encompasses methods which are suitable for producing such pharmaceutical preparations.
- the use of opiates in pain therapy places special demands on the dosage forms used for this.
- the main difficulty is to adjust the dose to the individual patient's subjective pain experience, ie as needed. It is important to avoid that the patient is exposed to unacceptable pain conditions and that tolerance development and possibly dependency develop as a result of overdosing. For this reason, it is desirable and necessary that suitable active ingredients and administration forms are available which enable a rapidly occurring analgesic effect in order to rapidly bring about a dose adjustment that is necessary if required. Therefore, the active ingredient or the dosage form should be characterized by the shortest possible flooding time. In addition, such a dosage form should be such that it can be applied by the patient himself in an uncomplicated and at the same time reliable manner.
- flat dosage forms such as. B. film or wafer-like preparations
- the small thickness compared to the surface results in a short diffusion path when such a dosage form is applied to the oral mucosa, for example. This leads to a rapid dissolution of the preparation under the influence of saliva and to a correspondingly quick release of the active ingredient, which can be quickly and directly absorbed through the oral mucosa.
- DE-OS 27 46 414 which describes a film-like band of active ingredient, binder and other auxiliaries, can be regarded as fundamental for this dosage form. Due to the homogeneous thickness, density and width, there is a direct relationship between a unit length of the strip and the dose of active ingredient contained therein. The advantages of Continuous meterability was also recognized by other applicants and described in special individual variants. So DE-PS 36 30 603 describes a flat carrier material, for. B. in the form of a release paper with an active ingredient-containing coating, the latter being pre-divided in dosage units from the carrier material in a dose.
- DE-OS 196 52 188 AI describes a flat medicinal preparation which is suitable for the application and release of the opiate anaesthetic buprenorphine in the oral cavity.
- this dosage form a large part of the amount of active ingredient contained therein is transported and metabolized via the saliva into the stomach, since this dosage form is not or not sufficiently mucoadhesive.
- the analgesic agents that are well suited for oral administration also include the opiate oxycodone, which has been used successfully in pain therapy for years. After oral administration, two thirds of it is bioavailable, i. H. it appears to a good effect in the bloodstream.
- the oral mucosa for the active ingredient has sufficient permeability, taking into account the necessary dose.
- the permeability in turn depends to a large extent on the physicochemical properties of the active ingredient.
- Oxycodone is already effective in small amounts and has good oral absorption, the average duration of action being 4-6 h.
- the flooding times for normal oral application are 15-30 min. This period is too long for dose adjustment as required and means an unnecessarily long waiting time for the patient to experience relief.
- the object of the invention was therefore to provide pharmaceutical preparations based on and with the general advantages of flat active substance carriers, which by the combination with a special active substance have additional therapeutic and / or economic advantages over pharmaceutical preparations of the same active ingredient based on conventional dosage forms.
- the active ingredient mentioned is to be released in the oral cavity in a manner without the disadvantages described in the prior art occurring.
- the object was to provide an application form for oxycodone which releases the active ingredient in the oral cavity without having the disadvantages described in the prior art.
- the dosage forms should also be safe and easy to use and meet the practical requirements in pain therapy or addiction weaning therapy.
- the object of the invention was furthermore to specify production processes for such preparations which would enable production under competitive conditions.
- the object is surprisingly achieved by a flat, film, film, paper or wafer-shaped medicinal preparation which can disintegrate in aqueous media and which contains oxycodone, or an active ingredient comparable to oxycodone, or a therapeutically suitable salt of oxycodone or the pharmacologically comparable one Has active ingredient.
- a medicinal preparation according to the invention as claimed in claim 1 is, as will be explained in the following, far superior to a conventional dosage form for the administration of oxycodone both from an economic and therapeutic point of view and is particularly suitable on the one hand for analgesia in severe pain conditions and on the other hand also for the therapy of Addiction to opiate or cocaine in the sense of substitution therapy or a weaning program.
- the pharmaceutical preparation according to claim 1 can be brought directly into contact with the oral mucosa during application. Due to the flat design, at least about half of the already large surface of the dosage form is immediately on the mucosa immediately after application. The oxycodone released from the preparation therefore finds two particularly favorable factors for entry into the body, namely a short diffusion path and a large diffusion area.
- the disintegration time being a few minutes after application or after introduction into an aqueous medium
- the superiority of an oxycodone-containing film over an oxycodone-containing tablet will therefore become apparent.
- the advantageous properties of the preparations according to the invention appear so clearly because oxycodone is effective even in small doses.
- the present invention combines the high effectiveness of the oxycodone with the advantageous release and release characteristics of sheet-like transmucosal dosage forms.
- the invention thus provides pharmaceutical preparations which are capable of making a highly effective analgesic available in the body in an efficient and rapid manner.
- the invention makes use of the fact that the oral mucosa has a good permeability for this active substance due to the physicochemical characteristics of the oxycodone, which is why it is particularly well suited for buccal or sublingual application.
- the pharmaceutical preparation according to the invention is preferably used for the transmucosal administration of oxycodone or its pharmaceutically acceptable salts or other pharmacologically acceptable derivatives of oxycodone.
- oxycodone possibly in the form of one of its therapeutically acceptable salts - is the most preferred active ingredient
- the invention also includes active ingredients which are pharmacologically similar or comparable to oxycodone, since the advantages of the invention described, albeit to different degrees , can also come into play here.
- active ingredients which are pharmacologically similar or comparable to oxycodone” are understood in particular to be those which are attributable to the opiates or opioids, since many of them have not only pharmacodynamic but also pharmacokinetic similarities to oxycodone, ie. H. Efficacy at a relatively low dose, good membrane permeability and high first-pass effect. From this group of active substances, morphine or dihydromorphine derivatives and substances from the methadone and fentanyl groups are particularly preferred.
- the active ingredient is released by permeation through the oral mucosa.
- the prerequisite for this is that the flat preparation is in close contact with the mucosa during the application period, that is, until the dissolution or disintegration of the preparation has taken place.
- the pharmaceutical preparation contains an adhesion-promoting auxiliary or an auxiliary mixture which imparts bio- or mucoadhesive properties to the preparation.
- Certain pharmaceutically customary, orally administrable auxiliaries are known to have mucosal properties.
- mucoadhesive substances examples include polyacrylic acid, carboxymethyl cellulose, hydroxymethyl cellulose, methyl cellulose, tragacanth, alginic acid, gelatin and gum arabic.
- various non-mucoadhesive substances are known to also form mucoadhesive properties in certain mixing ratios.
- An example of such a mixture is glycerol monooleate / water in the ratio 84:16 (Engström et al., Pharm. Tech. Eur. 7 [1995], No. 2, pp. 14-17).
- a two- or multi-layer structure of the dosage form of the preparation according to the invention is preferred.
- Preferred embodiments are therefore constructed in two or more layers, one of the two layers or, in the case of a multilayer structure, one of the layers having bio- or mucoadhesive properties.
- the latter are preferably designed such that they have or have a lower permeability for the active substance than the bio- or mucoadhesive layer. In this way it can be avoided that active substance is released into the saliva of the oral cavity, which would lead to loss of active substance.
- the present invention also includes those preparations which, in addition to oxycodone or a comparable active ingredient, contain at least one further active ingredient for transmucosal application.
- a preparation can be advantageous in several ways. For one thing, it is a recognized method of treating multiple symptoms or conditions that occur at the same time to administer a fixed combination of active ingredients in a single medication.
- any therapeutically useful active ingredients can be incorporated into the preparation according to the invention.
- the combination of an opiate active ingredient with another substance which is provided in a further embodiment of the invention and which can reduce the specific risks of opiate administration is particularly useful and advantageous.
- opiate antagonists - or also partial opiate antagonists - such as B.
- the medicinal preparation according to the invention is preferably pre-divided in doses and separated from one another in suitable packaging so that each dose unit can be removed, for example in the form of a blister pack, in which each dose unit is individually sealed in a deep-drawing bowl.
- the dosage may have to be adjusted.
- the analgesic single dose will be 5 to 20 mg, but may be significantly higher for use in addiction therapy or substitution therapy.
- the pharmaceutical preparations are produced in several steps.
- Two basic process variants are suitable for producing a web-shaped starting material, from which either the individual cans or entire packaging units are finally divided by cutting or punching.
- the first group of processes includes those in which with aqueous or solvent-containing liquids, some of which are increased Can have viscosity, a tape or a process film coated evenly and then subjected to a drying process.
- the coating composition is first produced, for which purpose at least one water-soluble polymer capable of film formation, as well as the active ingredient (s) and a suitable, vaporizable liquid must be mixed intimately.
- the sheet-like starting material can be produced by thermoplastic molding, ie without the use of liquids. This includes all hot melt coating processes and all extrusion processes. A prerequisite in this case is that the polymer or polymer mixture capable of film formation is thermoplastic.
- the required ingredients are mixed and shaped under the action of pressure and / or heat by extrusion, blowing or by coating tapes or foils and, after solidification, passed on for further processing.
- Appropriately modified methods are suitable for the production of preparations according to the invention with a multilayer structure, it being irrelevant whether a plurality of sheet-like materials are produced and joined together at the same time or in succession.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Chemical & Material Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Organic Chemistry (AREA)
- Emergency Medicine (AREA)
- Neurosurgery (AREA)
- Neurology (AREA)
- Addiction (AREA)
- Nutrition Science (AREA)
- Physiology (AREA)
- Biomedical Technology (AREA)
- Pain & Pain Management (AREA)
- Psychiatry (AREA)
- Rheumatology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
La présente invention concerne une préparation pharmaceutique lisse du type feuille, film, papier ou fine rondelle, pouvant se désagréger dans des milieux aqueux, ladite préparation servant à l'administration par voie mucosale dans la cavité buccale de substances actives et se caractérisant en ce qu'elle contient de l'oxycodone, une substance active analogue à l'oxycodone, un sel de l'oxycodone approprié du point de vue pharmaceutique, ou un sel de la substance active analogue de point de vue pharmacologique.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19960154A DE19960154A1 (de) | 1999-12-14 | 1999-12-14 | Flache Arzneizubereitung zur transmucosalen Verabreichung von Oxycodon oder einem vergleichbaren Wirkstoff in der Mundhöhle, für die Anwendung in der Schmerztherapie und Suchttherapie |
| DE19960154 | 1999-12-14 | ||
| PCT/EP2000/012093 WO2001043728A1 (fr) | 1999-12-14 | 2000-12-01 | Preparation pharmaceutique lisse pour administration par mucosale dans la cavite buccale d'oxycodone ou d'une substance active analogue servant a traiter la douleur et la toxicomanie |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP1239847A1 true EP1239847A1 (fr) | 2002-09-18 |
Family
ID=7932547
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP00993377A Withdrawn EP1239847A1 (fr) | 1999-12-14 | 2000-12-01 | Preparation pharmaceutique lisse pour administration par mucosale dans la cavite buccale d'oxycodone ou d'une substance active analogue servant a traiter la douleur et la toxicomanie |
Country Status (18)
| Country | Link |
|---|---|
| US (1) | US20040024003A1 (fr) |
| EP (1) | EP1239847A1 (fr) |
| JP (1) | JP2003516961A (fr) |
| KR (1) | KR100597806B1 (fr) |
| CN (1) | CN1407889A (fr) |
| AR (1) | AR027902A1 (fr) |
| AU (1) | AU781946B2 (fr) |
| BR (1) | BR0016504A (fr) |
| CA (1) | CA2393838A1 (fr) |
| CZ (1) | CZ20022063A3 (fr) |
| DE (1) | DE19960154A1 (fr) |
| HU (1) | HUP0203733A2 (fr) |
| IL (1) | IL150127A0 (fr) |
| MX (1) | MXPA02005857A (fr) |
| PL (1) | PL355816A1 (fr) |
| RU (1) | RU2002115277A (fr) |
| WO (1) | WO2001043728A1 (fr) |
| ZA (1) | ZA200204225B (fr) |
Families Citing this family (40)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20190328679A1 (en) | 2001-10-12 | 2019-10-31 | Aquestive Therapeutics, Inc. | Uniform films for rapid-dissolve dosage form incorporating anti-tacking compositions |
| US10285910B2 (en) | 2001-10-12 | 2019-05-14 | Aquestive Therapeutics, Inc. | Sublingual and buccal film compositions |
| US20110033542A1 (en) | 2009-08-07 | 2011-02-10 | Monosol Rx, Llc | Sublingual and buccal film compositions |
| US8900498B2 (en) | 2001-10-12 | 2014-12-02 | Monosol Rx, Llc | Process for manufacturing a resulting multi-layer pharmaceutical film |
| US8900497B2 (en) | 2001-10-12 | 2014-12-02 | Monosol Rx, Llc | Process for making a film having a substantially uniform distribution of components |
| US7357891B2 (en) | 2001-10-12 | 2008-04-15 | Monosol Rx, Llc | Process for making an ingestible film |
| US8765167B2 (en) | 2001-10-12 | 2014-07-01 | Monosol Rx, Llc | Uniform films for rapid-dissolve dosage form incorporating anti-tacking compositions |
| US20070281003A1 (en) | 2001-10-12 | 2007-12-06 | Fuisz Richard C | Polymer-Based Films and Drug Delivery Systems Made Therefrom |
| US8603514B2 (en) | 2002-04-11 | 2013-12-10 | Monosol Rx, Llc | Uniform films for rapid dissolve dosage form incorporating taste-masking compositions |
| US11207805B2 (en) | 2001-10-12 | 2021-12-28 | Aquestive Therapeutics, Inc. | Process for manufacturing a resulting pharmaceutical film |
| CN1655771A (zh) * | 2002-05-24 | 2005-08-17 | 艾克发照像有限责任公司 | 含有活性化合物且至少部分可降解的膜及其制备方法 |
| US20040202717A1 (en) | 2003-04-08 | 2004-10-14 | Mehta Atul M. | Abuse-resistant oral dosage forms and method of use thereof |
| CA2544776C (fr) * | 2003-05-28 | 2014-04-15 | Monosolrx Llc | Films a base d'oxyde de polyethylene et systemes d'administration de medicaments en etant faits |
| DE10332160A1 (de) * | 2003-07-15 | 2005-02-03 | Röhm GmbH & Co. KG | Multipartikuläre Arzneiform, enthaltend mucoadhaesiv formulierte Peptid- oder Protein-Wirkstoffe, sowie ein Verfahren zur Herstellung der Arzneiform |
| US8003122B2 (en) * | 2004-03-31 | 2011-08-23 | Cordis Corporation | Device for local and/or regional delivery employing liquid formulations of therapeutic agents |
| US7846940B2 (en) * | 2004-03-31 | 2010-12-07 | Cordis Corporation | Solution formulations of sirolimus and its analogs for CAD treatment |
| DE102005007859A1 (de) * | 2005-02-21 | 2006-08-24 | Lts Lohmann Therapie-Systeme Ag | Vefahren für eine medikamentöse Kombinations-Behandlung, sowie hierfür geeignete Arzneimittel-Kombinationen |
| CN1813740B (zh) * | 2005-11-22 | 2010-05-05 | 岳振江 | 一种含有盐酸纳洛酮的舌下膜剂及其制备方法 |
| US9522188B2 (en) * | 2005-12-13 | 2016-12-20 | Biodelivery Sciences International, Inc. | Abuse resistant transmucosal drug delivery device |
| DE102006027790A1 (de) * | 2006-06-16 | 2007-12-20 | Lts Lohmann Therapie-Systeme Ag | Typ-2-Diabetes Kombinations-Wafer |
| DE102006027794A1 (de) * | 2006-06-16 | 2007-12-20 | Lts Lohmann Therapie-Systeme Ag | Antihypertonie-Kombinationswafer |
| DE102006027793A1 (de) * | 2006-06-16 | 2007-12-20 | Lts Lohmann Therapie-Systeme Ag | Opioid-Kombinations-Wafer |
| DE102006027791A1 (de) * | 2006-06-16 | 2007-12-20 | Lts Lohmann Therapie-Systeme Ag | AchE-NMDA-Kombinationswafer |
| DE102006027792A1 (de) * | 2006-06-16 | 2007-12-20 | Lts Lohmann Therapie-Systeme Ag | Antidepressiva-Kombinations-Wafer |
| KR101230804B1 (ko) * | 2006-07-21 | 2013-02-08 | 바이오딜리버리 사이언시스 인터내셔널 인코포레이티드 | 향상된 흡수를 갖는 경점막 전달 장치 |
| US8420110B2 (en) * | 2008-03-31 | 2013-04-16 | Cordis Corporation | Drug coated expandable devices |
| CA2728912C (fr) * | 2008-06-23 | 2018-04-10 | Biodelivery Sciences International, Inc. | Dispositifs d'administration mucosale a directions multiples et leurs procedes d'utilisation |
| US20110269841A1 (en) * | 2010-05-03 | 2011-11-03 | Innoteq, Inc. | Thin film with methadone active ingredient |
| US9149959B2 (en) | 2010-10-22 | 2015-10-06 | Monosol Rx, Llc | Manufacturing of small film strips |
| US8703177B2 (en) | 2011-08-18 | 2014-04-22 | Biodelivery Sciences International, Inc. | Abuse-resistant mucoadhesive devices for delivery of buprenorphine |
| WO2013096811A2 (fr) * | 2011-12-21 | 2013-06-27 | Biodelivery Sciences International, Inc. | Dispositifs d'administration transmucosale de médicament pour une utilisation dans le soulagement de la douleur chronique |
| US9901539B2 (en) | 2011-12-21 | 2018-02-27 | Biodelivery Sciences International, Inc. | Transmucosal drug delivery devices for use in chronic pain relief |
| WO2013171146A1 (fr) * | 2012-05-15 | 2013-11-21 | Lts Lohmann Therapie-Systeme Ag | Film oral contenant un résinate d'opiate à libération entérique |
| US12427121B2 (en) | 2016-05-05 | 2025-09-30 | Aquestive Therapeutics, Inc. | Enhanced delivery epinephrine compositions |
| US11273131B2 (en) | 2016-05-05 | 2022-03-15 | Aquestive Therapeutics, Inc. | Pharmaceutical compositions with enhanced permeation |
| US12433850B2 (en) | 2016-05-05 | 2025-10-07 | Aquestive Therapeutics, Inc. | Enhanced delivery epinephrine and prodrug compositions |
| US11191737B2 (en) | 2016-05-05 | 2021-12-07 | Aquestive Therapeutics, Inc. | Enhanced delivery epinephrine compositions |
| IL318587A (en) * | 2018-07-23 | 2025-03-01 | Trevi Therapeutics Inc | Treatment of chronic cough, shortness of breath and wheezing |
| CA3166928A1 (fr) | 2020-01-10 | 2021-07-15 | Trevi Therapeutics, Inc. | Methodes d'administration de nalbuphine |
| WO2023076281A1 (fr) | 2021-10-25 | 2023-05-04 | Aquestive Therapeutics, Inc. | Compositions orales et nasales et méthodes de traitement |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4626539A (en) * | 1984-08-10 | 1986-12-02 | E. I. Dupont De Nemours And Company | Trandermal delivery of opioids |
| EP0375689B1 (fr) * | 1987-06-01 | 1992-08-12 | Warner-Lambert Company | Composition pharmaceutique adaptee a l administration transdermique d'un medicament opioid. |
| US5236714A (en) * | 1988-11-01 | 1993-08-17 | Alza Corporation | Abusable substance dosage form having reduced abuse potential |
| DE19642043A1 (de) * | 1995-10-23 | 1997-04-24 | Hexal Ag | Transdermales therapeutisches System (TTS) für die Verabreichung von Wirkstoffen zur Behandlung von Drogenabhängigkeit oder Drogensucht |
| DE19652188C2 (de) * | 1996-12-16 | 2002-02-14 | Lohmann Therapie Syst Lts | Flache Arzneizubereitung zur Applikation und Freisetzung von Buprenorphin oder einer pharmakologisch vergleichbaren Substanz in der Mundhöhle und Verfahren zu ihrer Herstellung |
| WO1999015210A2 (fr) * | 1997-09-26 | 1999-04-01 | Noven Pharmaceuticals, Inc. | Compositions bioadhesives et methodes d'administration locale d'agents actifs |
| DE19923551A1 (de) * | 1999-05-21 | 2000-11-30 | Lohmann Therapie Syst Lts | Pharmazeutisches Präparat mit dem Wirkstoff Diamorphin und seine Verwendung in einem Verfahren zur Behandlung der Opiatsucht |
-
1999
- 1999-12-14 DE DE19960154A patent/DE19960154A1/de not_active Withdrawn
-
2000
- 2000-12-01 WO PCT/EP2000/012093 patent/WO2001043728A1/fr not_active Ceased
- 2000-12-01 EP EP00993377A patent/EP1239847A1/fr not_active Withdrawn
- 2000-12-01 CZ CZ20022063A patent/CZ20022063A3/cs unknown
- 2000-12-01 CN CN00816787A patent/CN1407889A/zh active Pending
- 2000-12-01 RU RU2002115277/15A patent/RU2002115277A/ru unknown
- 2000-12-01 US US10/149,980 patent/US20040024003A1/en not_active Abandoned
- 2000-12-01 KR KR1020027007565A patent/KR100597806B1/ko not_active Expired - Fee Related
- 2000-12-01 AU AU28392/01A patent/AU781946B2/en not_active Ceased
- 2000-12-01 JP JP2001544667A patent/JP2003516961A/ja active Pending
- 2000-12-01 BR BR0016504-2A patent/BR0016504A/pt not_active Application Discontinuation
- 2000-12-01 CA CA002393838A patent/CA2393838A1/fr not_active Abandoned
- 2000-12-01 IL IL15012700A patent/IL150127A0/xx unknown
- 2000-12-01 PL PL00355816A patent/PL355816A1/xx not_active Application Discontinuation
- 2000-12-01 MX MXPA02005857A patent/MXPA02005857A/es unknown
- 2000-12-01 HU HU0203733A patent/HUP0203733A2/hu unknown
- 2000-12-13 AR ARP000106618A patent/AR027902A1/es unknown
-
2002
- 2002-05-28 ZA ZA200204225A patent/ZA200204225B/en unknown
Non-Patent Citations (1)
| Title |
|---|
| MUTSCHLER E.: "Arzneimittelwirkungen", 1986, WISSENSCHAFTLICHE VERLAGSGESELLSCHAFT, STUTTGART * |
Also Published As
| Publication number | Publication date |
|---|---|
| RU2002115277A (ru) | 2004-01-10 |
| HUP0203733A2 (en) | 2003-05-28 |
| KR20020067544A (ko) | 2002-08-22 |
| MXPA02005857A (es) | 2002-10-23 |
| IL150127A0 (en) | 2002-12-01 |
| CN1407889A (zh) | 2003-04-02 |
| PL355816A1 (en) | 2004-05-17 |
| JP2003516961A (ja) | 2003-05-20 |
| BR0016504A (pt) | 2002-11-05 |
| DE19960154A1 (de) | 2001-07-12 |
| ZA200204225B (en) | 2003-03-03 |
| AR027902A1 (es) | 2003-04-16 |
| US20040024003A1 (en) | 2004-02-05 |
| CA2393838A1 (fr) | 2001-06-21 |
| CZ20022063A3 (cs) | 2002-09-11 |
| KR100597806B1 (ko) | 2006-07-10 |
| AU781946B2 (en) | 2005-06-23 |
| AU2839201A (en) | 2001-06-25 |
| WO2001043728A1 (fr) | 2001-06-21 |
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