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US20090311235A1 - Use of Polymeric Materials with Other Substances for Improved Performance - Google Patents

Use of Polymeric Materials with Other Substances for Improved Performance Download PDF

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Publication number
US20090311235A1
US20090311235A1 US12/403,788 US40378809A US2009311235A1 US 20090311235 A1 US20090311235 A1 US 20090311235A1 US 40378809 A US40378809 A US 40378809A US 2009311235 A1 US2009311235 A1 US 2009311235A1
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Prior art keywords
polymer
stomach
group
canceled
combinations
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Abandoned
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US12/403,788
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English (en)
Inventor
Eric Elenko
Eyal S. Ron
Yishai Zohar
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Gelesis LLC
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Individual
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Priority to US12/403,788 priority Critical patent/US20090311235A1/en
Assigned to GELESIS, INC. reassignment GELESIS, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: ELENKO, ERIC, ZOHAR, YISHAI, RON, EYAL S.
Publication of US20090311235A1 publication Critical patent/US20090311235A1/en
Assigned to HERCULES TECHNOLOGY II, L.P. reassignment HERCULES TECHNOLOGY II, L.P. SECURITY AGREEMENT Assignors: GELESIS, INC.
Priority to US14/597,600 priority patent/US10272155B2/en
Assigned to GELESIS, INC. reassignment GELESIS, INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: HERCULES TECHNOLOGY II, L.P.
Priority to US16/364,908 priority patent/US20190351061A1/en
Abandoned legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/22Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/785Polymers containing nitrogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0065Forms with gastric retention, e.g. floating on gastric juice, adhering to gastric mucosa, expanding to prevent passage through the pylorus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents

Definitions

  • the present invention is in the field of methods for inducing weight loss and treatment of gastrointestinal disorders through mechanical and physiological means using polymers which are pH dependent by inducing the appropriate stomach pH and by further using the polymers in conjunction with other pharmacological and surgical means to induce weight loss.
  • Obesity is associated with increased morbidity and mortality.
  • Detrimental effects of obesity on health include an increased risk of cardiovascular disease and the associated conditions of hypertension, diabetes, and hyperlipidemia. Millions of people are clinically obese and, in view of the deleterious effects of obesity on health, would benefit from treatment. Additionally, many people, although not clinically obese, can improve their health and well-being by losing weight.
  • the pathogenesis of obesity is multifactorial and includes the control of feeding behavior, mechanisms of fat storage, the components of energy intake and expenditure, and genetic and psychological influences.
  • the treatment of obesity is generally multifactorial.
  • the mechanisms of fat storage and genetic influences are not, generally speaking, amenable to treatment.
  • the control of feeding behavior and psychological influences require prolonged treatment.
  • the components of energy intake and expenditure are treatable, many obese individuals are resistant to or incapable of engaging in activities which significantly increase their energy expenditure. Therefore, controlling energy intake is an attractive approach for the treatment of obesity.
  • ⁇ -3 stimulators/agonist, uncoupling protein homologues, and thyroid receptor agonists agents that may increase resting metabolic rate
  • suppressants typically do not create a true feeling of satiation, such as that brought on by a “full” stomach and/or they cause undesirable side-effects, such as anxiety, and hyperactivity and may have adverse side effects.
  • Amphetamines have been used as weight loss and anti-obesity drugs, but can cause unacceptable tachycardia and hypertension. They also have a high rate of abuse potential.
  • Other sympathomimetic adrenergic agents including phentermine, benzphetamine, phendimetrazine, mazindol, and diethylpropion, may have adverse cardiovascular side effects, and their indicated use is only short-term (12 weeks), In 2000, the appetite suppressant phenylpropanolamine was removed from United States market because of unacceptable risks of stroke, especially in adult women.
  • Other weight loss agents such as orlistat and sibutramine, also can have adverse side effects.
  • orlistat use frequently results in adverse events including flatus, oily stools, fecal urgency or fecal incontinence, and abdominal pain, particularly among patients who do not follow the recommended low-fat diet.
  • daily multivitamin supplementation is recommended to prevent the potential of impaired absorption of fat-soluble vitamins (A, D, E, and K) that may theoretically occur with long-term use.
  • the use of sibutramine may increase blood pressure and heart rate, and its use is contraindicated in patients with uncontrolled hypertension, CHD, cardiac dysrhythmias, congestive heart failure, or stroke.
  • U.S. Pat. Nos. 5,405,616 and 6,103,269 to Wounderlich et al. describe a material composed of gelatin or collagen hydrolysate, one or more active agents and one or more excipients (i.e., plasticizers, odorants, etc.).
  • the material is prepared as a solution or suspension and then freeze-dried to obtain a solid material.
  • the solid material can be administered as a powder, tablet or capsule. When the dried polymeric material comes in contact with the aqueous medium of the stomach, it first becomes swollen in a few minutes and then is dissolved, resulting in a solution that will not interfere with the emptying of the gastrointestinal tract.
  • Low caloric products for controlling body weight can be obtained by using collagenic biopolymers, such as: soluble collagen, gelatin or collagen hydrolysate. See U.S. Pat. Nos. 5,100,688; 5,211,976; 5,219,599; 5,665,234; 5,665,419.
  • Commercial products such as “Dietary Supplement—CALORAD®”, produced by EYI—Essentially Yours Industries, Inc.—USA, have been used for weight loss control and also as a muscular stimulant, as well as an aid for osteoporosis and for arthritis treatment.
  • Absorbent materials for water and aqueous media are well known in the literature. These materials are typically polymer-based and are produced in the form of powders, granules, microparticles or fibers. Upon contact with an aqueous medium, these polymeric materials swell by absorbing the liquid phase into their structure without dissolving.
  • a “hydrogel” is a polymeric material which has the ability to absorb water and swell. If the water absorbency is more than 20 g water per 1 g of dried polymer, the material is referred to as a “superabsorbent polymer” (SAP).
  • SAP superabsorbent polymer
  • the swelling of these materials in the stomach can cause a sensation of satiety (i.e., full stomach).
  • the sensation of satiety as a means of suppressing appetite is well known in the art and has been used to treat obesity and/or induce weight loss.
  • Polymeric hydrogels have also been used for controlled drug delivery, particularly for extended release and/or delayed release formulations.
  • the drug is typically dispersed within the polymeric material.
  • the rate of release of the drug is dependent on the rate of diffusion of the drug from the hydrogel and/or the rate of degradation of the polymer material.
  • the oral administration of drugs generally uses one of two classes of hydrogens a) those which release drug in the stomach and b) those which release drug in the small intestine or other locations such as the oral cavity, duodenum, etc.
  • the use of hydrogels for the controlled release of active agents, using the “full stomach” principle, has been described in U.S. Pat. Nos.
  • the stomach produces a gastric secretion that is an aqueous medium containing water, hydrochloric acid, pepsin and mucus (polysaccharide biogel).
  • This medium has a pH of 1-3 and contains pepsin proteolytic enzyme.
  • the small intestine secretes an aqueous medium with a chemical composition more complex than that of the stomach. It is characterized by pH of 5-9 and displays biodegradative enzymatic activity in both proteins and polysaccharides.
  • Hydrogels which are designed to function in the stomach, must be able to (1) swell in acid aqueous media and maintain its volume for a sufficient amount of time to induce therapeutically relevant effects; and (2) be easily eliminated once its function has been fulfilled, to avoid obstruction of the intestinal or gastric tract and to avoid the generation of toxic byproducts.
  • HPC hydroxypropyl cellulose
  • the present invention relates to a method of enabling or improving the ability of a hydrogel to swell in the stomach of an animal and/or increasing the amount of time said hydrogel remains swollen in the stomach comprising administering to the animal a water-swellable polymer in combination with one or more substances which raise and maintain the pH of the microenvironment of the polymer and/or the stomach.
  • the polymer is a superabsorbent polymer.
  • the polymer is selected from the group consisting of homopolymers, copolymers, polymer blends, cross-linked polymers, polymer composites, and combinations thereof.
  • the polymer is a polymer composite.
  • the one or more substances which alter the pH are selected from the group consisting of buffers, H 2 blockers, proton pump inhibitors, antacids, proteins, nutritional shakes, and combinations thereof.
  • the buffer is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • the H 2 blocker is selected from the group consisting of cimetidine, ranitidine, famotidine, nizatidine, and combinations hereof.
  • the proton pump inhibitor is selected from the group consisting of omeprazole, lansoprazole, esomeprazole, pantoprazole, abeprazole, and combinations thereof.
  • the antacid is selected from the group consisting of aluminum hydroxide, magnesium hydroxide, aluminum carbonate, calcium carbonate, and hydrotalcite.
  • the polymer further comprises one or more pharmaceutically acceptable excipients selected from the group consisting of plasticizers, diluents, binders, lubricants, colorants, stabilizers, surfactants, flavorants, preservatives, anti-oxidants, buffering agents and combinations thereof.
  • the buffering agent is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, odium carbonate, sodium hydroxide, and combinations thereof.
  • the polymer is administered with one or more therapeutically active, diagnostic or prophylactically active agents.
  • the agent is selected from the group consisting of analgesics, anti-inflammatory drugs, antipyretics, antidepressants, altiepileptics, antihistamines, antimigraine drugs, antimuscarinics, anxioltyics, sedatives, hypnotics, antipsychotics, bronchodilators, anti asthma drugs, cardiovascular drugs, corticosteroids, dopaminergics, electrolytes, gastro-intestinal drugs, muscle relaxants, nutritional agents, vitamins, parasympathomimetics, stimulants, anorectics, appetite suppressants, antiobesity agent, anti-narcoleptics, and combinations thereof.
  • the agent is an appetite suppressant or antiobesity agent.
  • the appetite suppressant or antiobesity agent is selected from the group consisting of sibutramine hydrochloride, orlistat, rimonabant, benzphetamine, diethylpropion, mazindol phendimetrazine, phentermine, amphetamine, fenfluramine, nalmetrene, and combinations thereof.
  • the polymer is formulated for oral administration.
  • the formulation is selected from the group consisting of tablets, capsules, syrups, solutions, suspensions, powders, bars and shakes.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in the same dosage form. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in different dosage forms. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered before or after administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 24 hours of administration of the polymer.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 2 hours of administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 6 hours of administration of the polymer.
  • the methods of the present invention further comprise administering a substance which causes the hydrogel to degrade, disperse, and/or shrink after the hydrogel has resided in the stomach for a time.
  • the substance is administered after the administration of the polymer.
  • the substance acts to lower the pH of the microenvironment of the polymer and/or the stomach.
  • the substance is an organic acid.
  • the substance is an acidic drink, such as orange juice or Coca Cola.
  • the substance is a protein.
  • the protein is an enzyme.
  • the enzyme is selected from the group consisting of pepsin, pancreatin, and combinations thereof.
  • the polymer and substance are administered in conjunction with a surgical intervention for obesity.
  • the surgical intervention to treat obesity is selected from the group consisting of gastric banding, gastric bypass surgery, intragastric balloon, implantable gastric stimulator and gastric electrical stimulation.
  • the water-swellable formulation is in the form of a shake, optionally including vitamins, mineral, or nutraceuticals, which is effective to increase stomach pH to enhance swelling of the polymer, to supplement dietary nutrients, or induce satiation and weight loss.
  • the animal is a primate, bovine, ovine, equine, porcine, avian, rodent, feline, or canine. In a further embodiment, the animal is a human.
  • the present invention relates to a method of delivering a drug to an animal comprising administering to the animal a water-swellable polymer comprising the drug, and one or more substances which raises the pH of the microenvironment of the polymer and/or stomach of the animal.
  • the drug is released from the polymer in a sustained manner.
  • the drug is selected from the group consisting of a therapeutically active, diagnostic, and prophylactically active agent.
  • the agent is selected from the group consisting of analgesics, anti-inflammatory drugs, antipyretics, antidepressants, altiepileptics, antihistamines, antimigraine drugs, antimuscarinics, anxioltyics, sedatives, hypnotics, antipsychotics, bronchodilators, anti asthma drugs, cardiovascular drugs, corticosteroids, dopaminergics, electrolytes, gastro-intestinal drugs, muscle relaxants, nutritional agents, vitamins, parasympathomimetics, stimulants, anorectics, appetite suppressants, antiobesity agent, anti-narcoleptics, and combinations thereof.
  • the agent is an appetite suppressant or antiobesity agent.
  • the appetite suppressant or antiobesity agent is selected from the group consisting of sibutramine hydrochloride, orlistat, rimonabant, benzphetamine, diethylpropion, mazindol phendimetrazine, phentermine, amphetamine, fenfluramine, nalmetrene, and combinations thereof.
  • the polymer is a superabsorbent polymer.
  • the polymer is selected from the group consisting of homopolymers, copolymers, polymer blends, cross-linked polymers, polymer composites, and combinations thereof.
  • the polymer is a polymer composite.
  • the one or more substances which alter the pH are selected from the group consisting of buffers, H 2 blockers, proton pump inhibitors, antacids, proteins, nutritional shakes, and combinations thereof.
  • the buffer is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • the H 2 blocker is selected from the group consisting of cimetidine, ranitidine, famotidine, nizatidine, and combinations hereof.
  • the proton pump inhibitor is selected from the group consisting of omeprazole, lansoprazole, esomeprazole, pantoprazole, abeprazole, and combinations thereof.
  • the antacid is selected from the group consisting of aluminum hydroxide, magnesium hydroxide, aluminum carbonate, calcium carbonate, and hydrotalcite.
  • the polymer further comprises one or more pharmaceutically acceptable excipients selected from the group consisting of plasticizers, diluents, binders, lubricants, colorants, stabilizers, surfactants, flavorants, preservatives, anti-oxidants, buffering agents and combinations thereof.
  • the buffering agent is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, odium carbonate, sodium hydroxide, and combinations thereof.
  • the polymer is formulated for oral administration.
  • the formulation is selected from the group consisting of tablets, capsules, syrups, solutions, suspensions, powders, bars and shakes.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in the same dosage form. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in different dosage forms. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered before or after administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 24 hours of administration of the polymer.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 2 hours of administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 6 hours of administration of the polymer.
  • the methods of the present invention further comprise administering a substance which causes the hydrogel to degrade, disperse, and/or shrink after the hydrogel has resided in the stomach for a time.
  • the substance is administered after the administration of the polymer.
  • the substance acts to lower the pH of the microenvironment of the polymer and/or the stomach.
  • the substance is an organic acid.
  • the substance is an acidic drink, such as orange juice or Coca Cola.
  • the substance is a protein.
  • the protein is an enzyme.
  • the enzyme is selected from the group consisting of pepsin, pancreatin, and combinations thereof.
  • the polymer and substance are administered in conjunction with a surgical intervention for obesity.
  • the surgical intervention to treat obesity is selected from the group consisting of gastric banding, gastric bypass surgery, intragastric balloon, implantable gastric stimulator and gastric electrical stimulation.
  • the water-swellable formulation is in the form of a shake, optionally including vitamins, mineral, or nutraceuticals, which is effective to increase stomach pH to enhance swelling of the polymer, to supplement dietary nutrients, or induce satiation and weight loss.
  • the animal is a primate, bovine, ovine, equine, porcine, avian, rodent, feline, or canine. In a further embodiment, the animal is a human.
  • the methods of the present invention are to treat obesity, induce weight loss, and/or increase gastric retention.
  • the present invention relates to a medicament for enabling or improving the ability of a hydrogel to swell in the stomach of an animal and/or to increase the amount of time said hydrogel remains swollen in the stomach comprising a water-swellable polymer in combination with one or more substances which raise and maintain the pH of the microenvironment of the polymer and/or the stomach.
  • the polymer is a superabsorbent polymer.
  • the polymer is selected from the group consisting of homopolymers, copolymers, polymer blends, polymer composites, and combinations thereof.
  • the polymer is a polymer composite.
  • the one or more substances which alter the pH are selected from the group consisting of buffers, H 2 blockers, proton pump inhibitors, antacids, proteins, nutritional shakes, and combinations thereof.
  • the buffer is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • the H 2 blocker is selected from the group consisting of cimetidine, ranitidine, famotidine, nizatidine, and combinations hereof.
  • the proton pump inhibitor is selected from the group consisting of omeprazole, lansoprazole, esomeprazole, pantoprazole, abeprazole, and combinations thereof.
  • the antacid is selected from the group consisting of aluminum hydroxide, magnesium hydroxide, aluminum carbonate, calcium carbonate, and hydrotalcite.
  • the medicament further comprises one or more pharmaceutically acceptable excipients selected from the group consisting of plasticizers, diluents, binders, lubricants, colorants, stabilizers, surfactants, flavorants, preservatives, anti-oxidants, buffering agents and combinations thereof.
  • the buffering agent is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, odium carbonate, sodium hydroxide, and combinations thereof.
  • the medicament further comprises one or more therapeutically active, diagnostic or prophylactically active agents.
  • the agent is selected from the group consisting of analgesics, anti-inflammatory drugs, antipyretics, antidepressants, altiepileptics, antihistamines, antimigraine drugs, antimuscarinics, anxioltyics, sedatives, hypnotics, antipsychotics, bronchodilators, anti asthma drugs, cardiovascular drugs, corticosteroids, dopaminergics, electrolytes, gastro-intestinal drugs, muscle relaxants, nutritional agents, vitamins, parasympathomimetics, stimulants, anorectics, appetite suppressants, antiobesity agent, anti-narcoleptics, and combinations thereof.
  • the agent is an appetite suppressant or antiobesity agent.
  • the appetite suppressant or antiobesity agent is selected from the group consisting of sibutramine hydrochloride, orlistat, rimonabant, benzphetamine, diethylpropion, mazindol phendimetrazine, phentermine, amphetamine, fenfluramine, nalmetrene, and combinations thereof.
  • the medicament is formulated for oral administration.
  • the formulation is selected from the group consisting of tablets, capsules, syrups, solutions, suspensions, powders, bars and shakes.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach and the polymer are in the same dosage form. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach and the polymer are in different dosage forms.
  • the medicaments of the present invention further comprise a substance which causes the polymer to degrade, disperse, and/or shrink after the polymer has resided in the stomach for a time.
  • the substance acts to lower the pH of the microenvironment or the polymer and/or the stomach.
  • the substance is an organic acid.
  • the substance is an acidic drink, such as orange juice or Coca Cola.
  • the substance is a protein.
  • the medicament is in the form of a shake, optionally including vitamins, mineral, or nutraceuticals, which is effective to increase stomach pH to enhance swelling of the polymer, to supplement dietary nutrients, or induce satiation and weight loss.
  • the present invention relates to a medicament for delivering a drug to an animal comprising a water-swellable polymer comprising the drug, and one or more substances which raises the pH of the microenvironment of the polymer and/or stomach of the animal.
  • the drug is released from the polymer in a sustained manner.
  • the drug is selected from the group consisting of a therapeutically active, diagnostic, and prophylactically active agent.
  • the agent is selected from the group consisting of analgesics, anti-inflammatory drugs, antipyretics, antidepressants, altiepileptics, antihistamines, antimigraine drugs, antimuscarinics, anxioltyics, sedatives, hypnotics, antipsychotics, bronchodilators, anti asthma drugs, cardiovascular drugs, corticosteroids, dopaminergics, electrolytes, gastro-intestinal drugs, muscle relaxants, nutritional agents, vitamins, parasympathomimetics, stimulants, anorectics, appetite suppressants, antiobesity agent, anti-narcoleptics, and combinations thereof.
  • the agent is an appetite suppressant or antiobesity agent.
  • the appetite suppressant or antiobesity agent is selected from the group consisting of sibutramine hydrochloride, orlistat, rimonabant, benzphetamine, diethylpropion, mazindol phendimetrazine, phentermine, amphetamine, fenfluramine, nalmetrene, and combinations thereof.
  • the polymer is a superabsorbent polymer.
  • the polymer is selected from the group consisting of homopolymers, copolymers, polymer blends, cross-linked polymers, polymer composites, and combinations thereof.
  • the polymer is a polymer composite.
  • the one or more substances which alter the pH are selected from the group consisting of buffers, H 2 blockers, proton pump inhibitors, antacids, proteins, nutritional shakes, and combinations thereof.
  • the buffer is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • the H 2 blocker is selected from the group consisting of cimetidine, ranitidine, famotidine, nizatidine, and combinations hereof.
  • the proton pump inhibitor is selected from the group consisting of omeprazole, lansoprazole, esomeprazole, pantoprazole, abeprazole, and combinations thereof.
  • the antacid is selected from the group consisting of aluminum hydroxide, magnesium hydroxide, aluminum carbonate, calcium carbonate, and hydrotalcite.
  • the polymer further comprises one or more pharmaceutically acceptable excipients selected from the group consisting of plasticizers, diluents, binders, lubricants, colorants, stabilizers, surfactants, flavorants, preservatives, anti-oxidants, buffering agents and combinations thereof.
  • the buffering agent is selected from the group consisting of ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, odium carbonate, sodium hydroxide, and combinations thereof.
  • the polymer is formulated for oral administration.
  • the formulation is selected from the group consisting of tablets, capsules, syrups, solutions, suspensions, powders, bars and shakes.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in the same dosage form. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered simultaneously with the polymer in different dosage forms. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered before or after administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 24 hours of administration of the polymer.
  • the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 2 hours of administration of the polymer. In a further embodiment, the substance which raises the pH of the microenvironment of the polymer and/or the stomach is administered within 6 hours of administration of the polymer.
  • the medicaments of the present invention further comprise a substance which causes the hydrogel to degrade, disperse, and/or shrink after the hydrogel has resided in the stomach for a time.
  • the substance is administered after the administration of the polymer.
  • the substance acts to lower the pH of the microenvironment of the polymer and/or the stomach.
  • the substance is an organic acid.
  • the substance is an acidic drink, such as orange juice or Coca Cola.
  • the substance is a protein.
  • the protein is an enzyme.
  • the enzyme is selected from the group consisting of pepsin, pancreatin, and combinations thereof.
  • the medicament is administered in conjunction with a surgical intervention for obesity.
  • the surgical intervention to treat obesity is selected from the group consisting of gastric banding, gastric bypass surgery, intragastric balloon, implantable gastric stimulator and gastric electrical stimulation.
  • the water-swellable formulation is in the form of a shake, optionally including vitamins, mineral, or nutraceuticals, which is effective to increase stomach pH to enhance swelling of the polymer, to supplement dietary nutrients, or induce satiation and weight loss.
  • the animal is a primate, bovine, ovine, equine, porcine, avian, rodent, feline, or canine. In a further embodiment, the animal is a human.
  • polymer composite refers to a macromolecular material composed of two or more polymer chains, wherein the polymer chains interact via non-covalent interactions such as Van der Waals forces, hydrogen bondings, ionic interactions, etc.
  • the composite has a macromolecular configuration of a three-dimensional network type stabilized by multiple bond types.
  • polymer blend refers to a macroscopically homogeneous mixture of two or more different species of polymer.
  • the polymer can be a homopolymer, a copolymer, a cross-linked polymer, a polymer blend or polymer composite.
  • the polymer is a superabsorbent polymer.
  • Suitable polymers which form can form a hydrogel include, but are not limited to, synthetic or natural polymers.
  • synthetic polymers include polyacrylic and polymethacrylic acid polymers, cellulose derivatives such as hydroxypropyl cellulose, polyethyleneglycol polymers, copolymers and block copolymers, and other water swellable, biocompatible polymers.
  • Examples of natural polymers include collagen, hyaluronic acid, gelatin, albumin, polysaccharide, and derivatives thereof. Natural polymers can also be of the type isolated from various plant materials such as psyllium.
  • the water-absorbent polymeric materials are three-dimensional macromolecular configurations. They are produced through several methods: a) synthesis from monomers (cross-linking polymerization); b) synthesis from polymers and polymerization auxiliary (grafting and crosslinking polymerization); c) synthesis from polymers and non-polymerization auxiliary (cross-linking polymers); d) synthesis from polymers with energy sources (cross-linking polymers without auxiliaries) and e) synthesis from polymers (cross-linking by reactive polymer-polymer intercoupling).
  • the raw materials and technology used in synthesis are main factors in the creation of hydrogels' key properties and their range of applications.
  • Dehydrothermo-crosslinking as with the other physical methods for obtaining three-dimensional structures, eliminates the risk of toxic effects that can be produced by secondary products of the reaction or energy state modification of the reaction product (in which appear new types of covalent, ionic or coordinative bonds), which can occur in the activation of some chemical processes. Moreover, compared with freeze-drying or cross-linking via microwaves, dehydrothermo-crosslinking offers many more possibilities to regulate the structural characteristics of the resulting three-dimensional networks (i.e., Scotchford C. A., Cascone G.
  • the polymeric material can be co-administered with one or more pH modifying agents to raise and maintain the pH of the microenvironment of the polymer and/or the stomach.
  • pH modifying agents include buffers, proton pump inhibitors, H 2 blocker, and antacids. Example of these pH modifying agents are described below.
  • the compositions can act as stomach filling materials which, upon hydration, swell and generate a sensation of satiety.
  • the pH modifying agent can be administered simultaneously with the polymer in the same dosage form, simultaneously with the polymer is separate dosage forms or sequentially. If the pH modifying agent in administered sequentially with the polymer composition, than the pH modifying agent is preferably administered within 24 hours, more preferably with 12 hours, and most preferably within 6 hours of administration of the polymer composition.
  • Suitable pH buffers include, but are not limited to, ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • Suitable proton pump inhibitors include, but are not limited to, omeprazole (Losec®, Prilosec®), omeprazole in combinations with bicarbonate (Zegerid®, Rapinex®), lansoprazole (Prevacid®, Zoton®, esomeprazole (Nexium®), pantoprazole (Protonix®, Somac®, Pantoloc®), and rabeprazole (Aciphex®, Pariet®) iii H 2 Blockers Suitable H 2 blockers include, but are not limited to, climetidine (Tagamet®)), ranitidine (Zantac®), famotidine (Pepcid®), famotidine in combination with calcium carbonate and magnesium hydroxide (Pepcid® complete), and nizatidine (Axid®, Tazac®) iv Antacids Suitable over-the-counter antacids include, but are not limited to, aluminum hydroxide (Am
  • compositions can also be used for the controlled delivery of one or more therapeutically active, diagnostic, or prophylactic agents.
  • the release rate of the active agent is dependent on the rate of diffusion of the active agent from the hydrogel as well as the rate of degradation of the polymeric composite.
  • agents include analgesics, anti-inflammatory agents, antihelmintics, anti-arrhythmic agents, anti-bacterial agents, anti-viral agents, anti-hypertensive agents, anti-coagulants, anti-depressants, anti-diabetics, anti-epileptics, anti-fungal agents, anti-gout agents, anti-malarials, anti-migraine agents, anti-muscarinic agents, anti-neoplastic agents, erectile dysfunction improvement agents, immunosupressants, anti-protozoal agents, anti-thyroid agents, anxiolytic agents, sedatives, hypnotics, neuroleptics, -blockers, cardiac inotropic agents, corticosteroids, diuretics, anti-parkinsonian agents, gastro-intestinal agents, histamine H 1 and H 2 receptor antagonists, keratolytics, lipid regulating agents, anti-anginal agents, nutritional agents, opioid analgesics, sex hormones, stimulants, muscle relaxants
  • the polymer composition is administered in combination with an appetite suppressant.
  • the appetite suppressant can be administered before or after administration of the polymer composition.
  • the appetite suppressant can be administered simultaneously with the polymer composition.
  • Suitable appetite suppressants include, but are not limited to, Meridia (sibutramine hydrochloride available from Abbott Laboratories), Xenical (orlistat available from Roche USA), Acomplia (Rimonabant, developed by Sanofi-Aventis and awaiting FDA approval), rimonabant, benzphetamine, diethylpropion, mazindol phendimetrazine, phentermine, amphetamine, fenfluramine, nalmetrene, and combinations thereof.
  • the polymer composition can also be administered in combination with surgical treatments to treat obesity such as gastric banding, gastric bypass surgery, intragastric balloon, implantable gastric stimulator (awaiting U.S. approval) and gastric electrical stimulation (awaiting U.S. approval).
  • the polymeric composites described herein can be formulated with one or more pharmaceutically acceptable excipients to treat a variety of gastrointestinal disorders as well as to provide controlled release of one or more active agents.
  • Suitable excipients include pH modifying agents, plasticizers, colorants, flavorants, preservatives, anti-oxidants, surfactants, dispering agents, glidants, diluents, binding agents, and combinations thereof.
  • Shakes include any drink containing food additives.
  • Food additives include, but are not limited to, flavorings, vitamins, minerals, and buffers.
  • the polymer composition is administered as a shake or in conjunction with a shake, which is consumed by the patient.
  • a shake containing vitamins, minerals, optionally nutraceuticals, can serve the purpose of supplying nutrients which the patient might otherwise not ingest due to reduced meal size.
  • the shake can contain one or more proteins which are co-administered with the polymer composition. It is well known in the art that proteins can raise and maintain the pH of the stomach.
  • the shake can contain buffers which raise the pH of the stomach, allowing the polymer to swell and exert a therapeutic effect.
  • Such buffers may include, but are not limited to, ammonium bicarbonate, ammonium carbonate, ammonium hydroxide, sodium bicarbonate, calcium carbonate, calcium hydroxide, magnesium carbonate, potassium bicarbonate, potassium carbonate, potassium hydroxide, sodium carbonate, sodium hydroxide, and combinations thereof.
  • the shake can contain any combination of vitamins, minerals and buffers. A number of shakes are known to induce satiety, leading to weight loss (e.g., Slim Fast®).
  • the polymer can be used in combination with the shake to have an advantageous effect in promoting satiety.
  • the polymer may be taken in combination with commercially available shakes to raise stomach pH and/or supply required nutrients patients lack due to reduced meal size and/or produce an enhanced effect on satiety.
  • shakes include, but are not limited to, Slim Fast®, Golcan® Protein Meal Chocolate Shake, Optimum Nutrition Complete Protein Diet Meal Shake Mix, Walker Diet Low Carb Shake, Walker Diet® Fiber Combinations, Diet Lean Low Carb Shakes, NATURADE® Diet Lean—Low Carb Dieter's Shake, DIET SHAKE VANILLA ATKINS® NUTRITIONALS, OxeSlim Diet Shake 2 Go, Protein Drink Mix by Herbalife®, Formula I Nutritional Shake Mix by Herbalife®, Basic Organics Pat's Diet Shake, UNIVERSAL NUTRITION® Specialized Protein for Dieting, Meal Replacement Protein Shake by SportPharma, Whey Protein Shake by SportPharmag, Medifast® Ready-toDrink Shakes, Eating for LifeRight!
  • the polymer compositions are typically administered orally.
  • Suitable oral dosage forms include tablets, capsules, caplets, powders, syrups, solutions, suspension and shakes.
  • the polymer compositions is compressed with one or more excipients and optionally with one or more pH modifying agents, and/or one or more active agents to form a tablet.
  • Suitable excipients used to prepare tablets include binding agents, preservatives, antioxidants, glidants, flavorants, colorants, and combinations thereof.
  • the polymer is encapsulated in a hard or soft gelatin capsule.
  • the capsule fill material contains the polymer, and optionally one or more pH modifying agents and/or active agents.
  • the fill material may also contain one or more excipients. Suitable excipients include, but are not limited to, plasticizers, crystallization inhibitors, wetting agents, bulk filling agents, solubilizers, bioavailability enhancers, solvents, and combinations thereof.
  • a substance which increases the acidity of the microenvironment of the polymer and/or the stomach is administered to cause the polymer to shrink (by lowering the pH).
  • Suitable substances include, but are not limited to, organic acids such as citric acid and phosphonic acid salts.
  • organic acids such as citric acid and phosphonic acid salts.
  • enzymes such as pepsin or pancreatin are suitable substances.
  • the primary objective of this study was to understand the residence time of PMSF-1 in the stomachs of rats following oral gavage of PMSF-1 in three different experimental conditions: 1) when animals do not eat food following intake of PMSF-1; 2) when animals are given H2 blockers which raises stomach pH prior to oral gavage of the polymer; and 3) when animals are allowed to eat food following oral gavage of the PMSF-1 polymer.
  • a combination of visual inspection and quantification of stomach contents were used to reach conclusions.
  • the animals which were pre-medicated with H2 blockers, clearly had a greater amount of PMSF-1 in their stomachs at the observed time points compared to animals which did not received H2 blockers.
  • the secondary objective of this study was to determine if oral gavage of the PMSF-1 materials produced any gross toxicology or obvious GI pathology. No acute toxicology was observed in the animals. In addition, fecal output and consistency was normal suggesting normal GI function. Gross histopathological examination of the stomach did not reveal any obvious abnormalities.
  • Wistar rats with the characteristics listed in Table 1 were housed individually in Velaz T4 cages in conventional laboratory conditions. Room temperature was 20-24° C. and the relative humidity was between 30-70%. Fluorescent lighting provided illumination approximately 12 hours per day. Feed and water containers were changed and sanitized at least once weekly. Lignocel (Velaz Ltd., Czech Republic) was used as bedding.
  • the animals were fed ad libium with standard pelletized rodent diet (NOE H4, Racio Breclav, Czech Republic) of monitored quality (analyzed minimally 2 times per year for possible toxic or microbiological contamination) during the acclimation and study periods. Water of monitored quality (analyzed minimally 2 times per year for possible toxic or microbiological contamination) was supplied ad libitum during the acclimation and study period.
  • the rats were branded with picric acid solution and acclimated for 5 days.
  • the experimental design and group allocation are presented in Tables 2 and 3, respectively.
  • the first group of rats were premedicated with the H2 blocker PepcidAC® (10 mg Famotidine, Johnson & Johnson-Merck Consumer Pharmaceuticals, 1 capsule/rat) 4 hours before administration.
  • the second group was not premedicated and was not allowed access to food following oral gavage of PMSF-1.
  • the third group was not premedicated, but was allowed access to food following oral gavage of PMSF-1.
  • the PMSF-1 powder was mixed with tap water at a ratio of 640 mg PMSF-1 to 50 mL water in order to swell the material. Rats were administered 5 mL of the swollen PMSF-1 by oral gavage. Rats in Group 3 (F5, F6) were given food which had been weighed immediately following oral gavage of PMSF-1 and were kept in the dark until necropsy. The food consumption of Group 3 was measured and recorded. Necropsy was performed according to Table 4.
  • Rats were euthanized using ether, the animals' stomachs were excised and after the stomach outlets were tied off to prevent leakage, the stomachs were weighed. Next, the stomachs were cleaned and the stomach contents were weighed and visually inspected. Rats were observed for any signs of toxicity including vomiting, diarrhea, changes in activity and behavior after oral gavage of PMSF-1. Food consumption of Group 3 was recorded. Results for real time of PMSF-1 administration, necropsy period, and stomach contents examination are presented in Table 5.

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US11160474B2 (en) 2003-12-18 2021-11-02 Metronom Health, Inc. Implantable biosensor and methods of use thereof
US20090324537A1 (en) * 2006-03-30 2009-12-31 Mircea Dan Bucevschi Polymeric Materials as Stomach Filler and Their Preparation
US20100234233A1 (en) * 2007-08-10 2010-09-16 Alessandro Sannino Polymer hydrogels and methods of preparation thereof
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US8876761B2 (en) 2010-05-26 2014-11-04 Ethicon Endo-Surgery, Inc. Intestinal brake inducing intraluminal therapeutic substance eluting devices and methods
US9353191B2 (en) 2011-06-07 2016-05-31 Gelesis Llc Method for producing hydrogels
US11130823B2 (en) 2011-06-07 2021-09-28 Gelesis Llc Method for producing hydrogels
US11628184B2 (en) 2014-06-20 2023-04-18 Gelesis, Llc Methods for treating overweight or obesity
US9855294B2 (en) 2014-06-20 2018-01-02 Gelesis, Llc Methods for treating overweight or obesity
US10179824B2 (en) 2015-01-29 2019-01-15 Gelesis Llc Method for producing hydrogels coupling high elastic modulus and absorbance
US10584183B2 (en) 2015-01-29 2020-03-10 Gelesis, Llc Method for producing hydrogels coupling high elastic modulus and absorbance
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WO2025072841A1 (en) * 2023-09-28 2025-04-03 Syntis Bio, Inc. Synergistic permeation enhancers for gastrointestinal synthetic epithelial linings

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