WO1999016417A1 - Buccal, polar and non-polar spray or capsule - Google Patents

Buccal, polar and non-polar spray or capsule Download PDF

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Publication number
WO1999016417A1
WO1999016417A1 PCT/US1997/017899 US9717899W WO9916417A1 WO 1999016417 A1 WO1999016417 A1 WO 1999016417A1 US 9717899 W US9717899 W US 9717899W WO 9916417 A1 WO9916417 A1 WO 9916417A1
Authority
WO
WIPO (PCT)
Prior art keywords
composition
active compound
polar solvent
flavoring agent
capsule
Prior art date
Application number
PCT/US1997/017899
Other languages
French (fr)
Inventor
Harry A. Dugger, Iii
Original Assignee
Flemington Pharmaceutical Corporation
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Flemington Pharmaceutical Corporation filed Critical Flemington Pharmaceutical Corporation
Priority to EP07023005A priority Critical patent/EP1952802A3/en
Priority to PCT/US1997/017899 priority patent/WO1999016417A1/en
Priority to EP00109347A priority patent/EP1029536B1/en
Priority to EP97911621A priority patent/EP1019019A1/en
Priority to ES00109347T priority patent/ES2293875T3/en
Priority to DE69738333T priority patent/DE69738333T2/en
Priority to CA2306024A priority patent/CA2306024C/en
Priority to JP2000513555A priority patent/JP2001517689A/en
Priority to EP00109357A priority patent/EP1036561A1/en
Priority to AU48946/97A priority patent/AU4894697A/en
Priority to EP20080020267 priority patent/EP2042161A1/en
Publication of WO1999016417A1 publication Critical patent/WO1999016417A1/en
Priority to US10/100,156 priority patent/US6676931B2/en
Priority to US10/230,085 priority patent/US20030095926A1/en
Priority to US10/230,060 priority patent/US20030077227A1/en
Priority to US10/230,080 priority patent/US20030082107A1/en
Priority to US10/230,072 priority patent/US20030190286A1/en
Priority to US10/230,073 priority patent/US20030077228A1/en
Priority to US10/230,084 priority patent/US20030095925A1/en
Priority to US10/230,059 priority patent/US20030185761A1/en
Priority to US10/230,086 priority patent/US20030095927A1/en
Priority to US10/230,075 priority patent/US20030077229A1/en
Priority to US10/327,195 priority patent/US6998110B2/en
Priority to US10/663,817 priority patent/US20040062716A1/en
Priority to US10/671,710 priority patent/US20040136913A1/en
Priority to US10/671,719 priority patent/US20040136915A1/en
Priority to US10/671,720 priority patent/US20040141923A1/en
Priority to US10/671,709 priority patent/US20050163719A1/en
Priority to US10/671,708 priority patent/US20050180923A1/en
Priority to US10/671,717 priority patent/US20040136914A1/en
Priority to US10/671,715 priority patent/US7632517B2/en
Priority to US10/726,625 priority patent/US6969508B2/en
Priority to US10/726,585 priority patent/US6977070B2/en
Priority to US10/834,815 priority patent/US20050002867A1/en
Priority to US10/928,989 priority patent/US20050025714A1/en
Priority to US10/928,952 priority patent/US20050025712A1/en
Priority to US10/928,997 priority patent/US20050025717A1/en
Priority to US10/928,995 priority patent/US20050025715A1/en
Priority to US10/928,979 priority patent/US20050025713A1/en
Priority to US10/929,001 priority patent/US20050142069A1/en
Priority to US10/928,996 priority patent/US20050025716A1/en
Priority to US11/211,488 priority patent/US20050281752A1/en
Priority to US11/211,487 priority patent/US20050287075A1/en
Priority to US11/211,549 priority patent/US20050281753A1/en
Priority to US11/366,663 priority patent/US20060165604A1/en
Priority to US11/384,444 priority patent/US20060159624A1/en
Priority to US11/391,297 priority patent/US20060171896A1/en
Priority to US11/429,953 priority patent/US20060198790A1/en
Priority to US11/440,095 priority patent/US20060210484A1/en
Priority to US11/442,137 priority patent/US20060222597A1/en
Priority to US11/443,253 priority patent/US20060216240A1/en
Priority to US11/443,254 priority patent/US20060216241A1/en
Priority to US11/443,260 priority patent/US20070048229A1/en
Priority to US11/929,368 priority patent/US20080170995A1/en
Priority to US12/350,602 priority patent/US20090162297A1/en
Priority to US12/350,898 priority patent/US20090118170A1/en
Priority to US12/350,915 priority patent/US20090131514A1/en
Priority to US12/351,275 priority patent/US20090186099A1/en
Priority to US12/351,179 priority patent/US20090186035A1/en
Priority to US12/351,606 priority patent/US20090124554A1/en
Priority to US12/351,576 priority patent/US20090162298A1/en
Priority to US12/351,490 priority patent/US20090123387A1/en
Priority to US12/394,903 priority patent/US20090162300A1/en
Priority to US12/576,457 priority patent/US8236285B2/en
Priority to US12/632,719 priority patent/US20100152262A1/en
Priority to US12/692,213 priority patent/US20100209541A1/en
Priority to US13/197,207 priority patent/US20120027879A1/en
Priority to US13/208,429 priority patent/US20110293536A1/en
Priority to US13/445,331 priority patent/US9078816B2/en
Priority to US13/450,987 priority patent/US20120202866A1/en
Priority to US13/467,441 priority patent/US20120252846A1/en
Priority to US13/683,530 priority patent/US20130199519A1/en
Priority to US14/218,518 priority patent/US20140200516A1/en

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Classifications

    • 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
    • A61K9/006Oral mucosa, e.g. mucoadhesive forms, sublingual droplets; Buccal patches or films; Buccal sprays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/075Ethers or acetals
    • A61K31/085Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/138Aryloxyalkylamines, e.g. propranolol, tamoxifen, phenoxybenzamine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid, pantothenic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/27Esters, e.g. nitroglycerine, selenocyanates of carbamic or thiocarbamic acids, meprobamate, carbachol, neostigmine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/41641,3-Diazoles
    • A61K31/41781,3-Diazoles not condensed 1,3-diazoles and containing further heterocyclic rings, e.g. pilocarpine, nitrofurantoin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/42Oxazoles
    • A61K31/4211,3-Oxazoles, e.g. pemoline, trimethadione
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/433Thidiazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • A61K31/706Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
    • A61K31/7064Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
    • A61K31/7076Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/12Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
    • A61K38/13Cyclosporins
    • 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
    • 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
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/14Esters of carboxylic acids, e.g. fatty acid monoglycerides, medium-chain triglycerides, parabens or PEG fatty acid esters
    • 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
    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
    • 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
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • 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
    • A61P1/08Drugs for disorders of the alimentary tract or the digestive system for nausea, cinetosis or vertigo; Antiemetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/12Aerosols; Foams
    • A61K9/124Aerosols; Foams characterised by the propellant

Definitions

  • Aerosol compositions containing a hydrocarbon propellant and a drug for administration to a mucosal surface are described in U.K. 2,082,457, Su, U.S. P. 3, 1 55,574, Silson et aj., U.S. P. 5,01 1 ,678, Wang et aj., and by Parnell in U.S. P. 5, 1 28, 1 32. It should be noted that these references discuss bioavailability of solutions by inhalation rather than through the membranes to which they are administered.
  • SUMMARY OF THE INVENTION A buccal aerosol spray or soft bite gelatin capsule using a polar or non-polar solvent has now been developed which provides biologically active compounds for rapid absorption through the oral mucosa, resulting in fast onset of effect.
  • compositions of the present invention for transmucosal administration of a pharmacologically active compound soluble in a pharmacologically acceptable non-polar solvent comprising in weight % of total composition: pharmaceutically acceptable propellant 5-80%, non- polar solvent 20-85 %, active compound 0.05-50%, suitably additionally comprising, by weight of total composition a flavoring agent 0.01 -10%.
  • the composition comprises: propellant 1 0-85 %, non-polar solvent 25-89.9%, active compound 0.01 -40%, flavoring agent 1 -8%; most suitably propellant 20-70%, non-polar solvent 30-74.75 %, active compound 0.25-35 %, flavoring agent 2-7.5 %.
  • compositions of the present invention for transmucosal administration of a pharmacologically active compound soluble in a pharmacologically acceptable polar solvent comprising in we ⁇ ght% of total composition: polar solvent 30-99.69%, active compound 0.001 -60%, suitably additionally comprising, by weight of total composition a flavoring agent 0.1 -10%.
  • the composition comprises: polar solvent 37- 98.58%, active compound 0.005-55 %, flavoring agent 0.5-8%; most suitably polar solvent 60.9-97.06%, active compound 0.01 -40%, flavoring agent 0.75-7.5%.
  • the soft bite gelatin capsule comprises: non-polar solvent 21 .5-99.975 %, emulsifier 0-1 5%, active compound 0.025-70%, flavoring agent 1 -8%; most suitably: non- polar solvent 28.5-97.9%, emulsifier 0-10%, active compound 0.1 -65.0%, flavoring agent 2-6%.
  • the soft bite gelatin capsule comprises: polar solvent 37-99.95%, emulsifier 0- 1 5 %, active compound 0.025-55 %, flavoring agent 1 -8%; most suitably: polar solvent 44-96.925 %, emulsifier 0-10%, active compound 0.075-50%, flavoring agent 2-6%
  • the buccal pump spray composition of the present invention for transmucosal administration of a pharmacologically active compound where said active compound is soluble in a pharmacologically acceptable non-polar solvent said composition comprise in weight % of total composition: non-polar solvent 30-99.69%, active compound 0.005-55 %, flavoring agent 0.1 -10%.
  • a further object is a sealed aerosol spray container containing a composition of the non polar spray formulation, and a metered valve suitable for releasing from said container a predetermined amount of said composition.
  • the propellant is a non-Freon material, preferably a C 3 . 8 hydrocarbon of a linear or branched configuration.
  • the propellant should be substantially non-aqueous.
  • the propellant produces a pressure in the aerosol container such that under expected normal usage it will produce sufficient pressure to expel the solvent from the container when the valve is activated but not excessive pressure such as to damage the container or valve seals.
  • the non-polar solvent is a non-polar hydrocarbon, preferably a C 7 . 18 hydrocarbon of a linear or branched configuration, fatty acid esters, and triglycerides, such as miglyol.
  • the solvent must dissolve the active compound and be miscible with the propellant, i.e., solvent and propellant must form a single phase at 0-40 ° C at a pressure range of 1 -3 atm.
  • the non-polar aerosol spray compositions of the invention are intended to be administered from a sealed, pressurized container. Unlike a pump spray, which allows the entry of air into the container after every activation, the aerosol container of the invention is sealed at the time of manufacture. The contents of the container are released by activation of a metered valve, will does not allow entry of atmospheric gasses with each activation.
  • Such containers are commercially available.
  • a further object is a pump spray container containing a composition of the spray formulation, and a metered valve suitable for releasing from said container a predetermined amount of said composition.
  • a further object is a soft gelatin bite capsule containing a composition of as set forth above.
  • the formulation may be in the form of a viscous solution or paste containing the active compounds. Although solutions are preferred, paste fills may also be used where the active compound is not soluble or only partially soluble in the solvent of choice. Where water is used to form part of the paste composition, it should not exceed 10% thereof. (All percentages herein are by weight unless otherwise indicated.)
  • the polar or non-polar solvent is chosen such that it is compatible with the gelatin shell and the active compound
  • the solvent preferably dissolves the active compound.
  • other components wherein the active compound is not soluble or only slightly soluble may be used and will form a paste fill.
  • Soft gelatin capsules are well known in the art. See, for example, U.S. P. 4,935,243, Borkan et al., which is incorporated herein by reference for its teaching of such capsules.
  • the capsules of the present invention are intended to be bitten into to release the low viscosity solution or paste therein, which will then coat the buccal mucosa with the active compounds.
  • the shell of a soft gelatin capsule of the invention may comprise, for example: gelatine 50-75 %, glycerine 20-30%, colorants 0.5- 1 .5 %, water 5-10%, and sorbitol 2- 10% .
  • the active compound may include biologically active peptides, central nervous system active amines, sulfonyl ureas, antibiotics, antifungals, antivirals, sleep inducers, antiasthmatics, bronchial dilators, antiemetics, histamine H-2 receptor antagonists, barbiturates, prostaglandins and neutraceuticals.
  • the active compounds may also include antihistamines, alkaloids, hormones, benzodiazepines and narcotic analgesics. While not limited thereto, these active compounds are particularly suitable for non-polar pump spray formulation and application
  • FIG. 1 is a schematic diagram showing routes of absorption and processing of pharmacologically active substances in a mammalian system.
  • the preferred active compounds of the present invention are in anionized, salt form or as the free base of the pharmaceutically acceptable salts thereof (provided, for the aerosol or spray compositions, they are soluble in the spray solvent) . These compounds are soluble in the non-polar solvents of the invention at useful concentrations or can be prepared as pastes at useful concentrations. These concentrations may be less than the standard accepted dose for these compounds since there is enhanced absorption of the compounds through the oral mucosa. This aspect of the invention is especially important when there is a large (40-99.99%) First pass effect.
  • propellants for the non polar sprays propane, N-butane, iso- butane, N-pentane, iso-pentane, and neo-pentane, and mixtures thereof may be used.
  • N-butane and iso-butane, as single gases, are the preferred propellants.
  • the propellant it is permissible for the propellant to have a water content of no more than 0.2%, typically 0.1 -0.2%. (All percentages herein are by weight unless otherwise indicated .)
  • the propellant be synthetically produced to minimize the presence of contaminants which are harmful to the active compounds. These contaminants include oxidizing agents, reducing agents, Lewis acids or bases, and water. The con- centration of each of these should be less than 0.1 %, except that water may be as high as 0.2% .
  • Suitable non-polar solvents for the capsules and the non-polar sprays include (C 2 -C 24 ) fatty acid C 2 -C 6 esters, C 7 -C 18 hydrocarbon, C 2 -C 6 alkanoyl esters, and the triglycerides of the corresponding acids.
  • other liquid components may be used instead of the above low molecular weight solvents. These include soya oil, corn oil, other vegetable oils.
  • solvents for the polar capsules or sprays there may be used low molecular weight polyethyleneglycols (PEG) of 400-1000 Mw (preferably 400-600), low molecular weight (C 2 -C 8 ) mono-and polyols and alcohols of C 7 -C 18 linear or branch chain hydrocarbons, glycerin may also be present and water may also be used in the sprays, but only in limited amount in the capsules.
  • PEG polyethyleneglycols
  • C 2 -C 8 low molecular weight mono-and polyols and alcohols of C 7 -C 18 linear or branch chain hydrocarbons
  • glycerin may also be present and water may also be used in the sprays, but only in limited amount in the capsules.
  • the preferred flavoring agents are synthetic or natural oil of peppermint, oil of spearmint, citrus oil, fruit flavors, sweeteners (sugars, aspartame, saccharin, etc. ), and combinations thereof.
  • the active substances include the active compounds selected from the group consisting of cyclosporine, sermorelin, Octreotide acetate, cal- citonin-salmon, insulin lispro, sumat ⁇ ptan succmate, clozepine, cyclo- benzap ⁇ ne, dexfenfluramine hydrochlo ⁇ de, glybu ⁇ de, zidovudine, erythro- mycin, ciprofloxac ⁇ n, ondansetron hydrochlor ⁇ de, dimenhydr ⁇ nate, c ⁇ metidine hydrochloride, famotidine, phenytoin sodium, phenytoin, carboprost thro- methamine, carboprost, carnitine, valerian, echinacea, diphenhydramine hydrochloride, isoproterenol hydrochloride, terbutaline sulfate, terbutaline, theophylline, albuterol sulfate
  • compositions of the present invention comprise an active compound or a pharmaceutically acceptable salt thereof.
  • pharmaceutically acceptable salts refers to salts prepared from pharmaceutically acceptable non-toxic acids or bases including organic and inorganic acids or bases.
  • salts may be prepared from pharmaceutically acceptable non-toxic bases.
  • Salts derived from all stable forms of inorganic bases include aluminum, ammonium, calcium, copper, iron, lithium, magnesium, manganese, potassium, sodium, zinc, etc. Particularly preferred are the ammonium, calcium, magnesium, potassium, and sodium salts.
  • Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion- exchange resins such as arginine, betaine, caffeine, choline, N,N'- dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2-dimethyl- aminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethyl- piperidine, glucamine, glucosamine, histidine, isopropylamine, lysine, methyl- glucosamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purine, theobromine, triethylamine, trimethylamine, tripropylamine, etc.
  • basic ion- exchange resins such as arginine, betaine, caffeine, choline
  • salts may be prepared from pharmaceutically acceptable non-toxic acids.
  • acids include acetic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethane- sulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, mandelic, methanesulfonic, mucic, nitric, pamoic, panto- thenic, phosphoric, succinic, sulfuric, tartaric, p-toluenesulfonic, etc.
  • Particularly preferred are citric, hydrobromic, maleic, phosphoric, sulfuric, and tartaric acids.
  • Amounts preferred amount most preferred amount insulin 20-60 4-55 5-50 glycerin, 0.1-10 0.25-5 0.1-1.5 dibasic sodium phosphate, 1-15 2.5-10 4-8 m-cresol, 1-25 5-25 7.5-12.5 zinc oxide 0.01-0.25 .05-0.15 0.075-0.10 m-cresol, 0.1-1 0.2-0.8 0.4-0.6 phenol ' trace amounts trace amounts trace amounts ethanol 5-20 7.5-15 9-12 water 30-90 40-80 50-75 propylene glycol 5-20 7.5-15 9-12 flavors 0.1-5 0.5-3 0.75-2 adjust pH to 7.0-7.8 with HCI or NaOH EXAMPLE 2
  • CIMS active amines and their salts including but not limited to tricyclic amines, GABA analogues, thiazides, phenothiazine derivatives, Serotonin antagonists and serotonin reuptake inhibitors
  • Amounts preferred amount most preferred amount sumatriptan succinate 0.5-30 1 -20 10-1 5 ethanol 5-60 7.5-50 10-20 propylene glycol 5-30 7.5-20 10-1 5 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 10-15 flavors 0.1 -5 1 -4 2-3
  • Clozepine 0.5-30 1 -20 10-1 5 ethanol 5-60 7.5-50 1 0-20 propylene glycol 5-30 7.5-20 ' 1 0-1 5 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 1 0-1 5 flavors 0.1 -5 1 -4 2-3 D.
  • ClozeDine Non-Polar lingual spray with propellant 0.5-30 1 -20 10-1 5 ethanol 5-60 7.5-50 1 0-20 propylene glycol 5-30 7.5-20 ' 1 0-1 5 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 1 0-1 5 flavors 0.1 -5 1 -4 2-3 D.
  • Glyburide 0.01-10 0.025-7.5 0.1-4 olive oil 30-60 35-55 30-50 polyoxyethyl- 30-60 35-55 30-50 ated oleic glyce ⁇ des flavors 01-5 1-4 2-3
  • Erythromycin 25-65 30-50 35-45 polyoxyethylene glycol 5-70 30-60 45-55 glycerin 5-20 7.5-15 10-12.5 flavors 1-10 2-8 3-6
  • Ciprofloxacin hydrochloride 25-65 35-55 40-50 glycerin 5-20 7.5-15 10-12.5 polyethylene glycol 20-75 30-65 40-60 flavors 1-10 2-8 3-6
  • Dimenhydrinate 0.5-30 2-25 3-15 glycerin 5-20 7.5-15 10-12.5 polyethylene glycol 45-95 50-90 55-85 flavors 1-10 2-8 3-6
  • Ph is adjusted with sodium hydroxide and/or hydrochloric acid
  • Echinacea extract 30-85 40-75 45-55 soya oil 7550 10-40 125-35 soya lecithin 0001 1 0 0005-05 01-01

Abstract

Buccal aerosol sprays or capsule using polar and non-polar solvent have now been developed which provide biologically active compounds for rapid absorption through the oral mucosa, resulting in fast onset of effect. The buccal polar compositions of the invention comprises formulation (I): aqueous polar solvent 30-99.89 %, active compound 0.001-60 %, optionally containing flavoring agent 0.1-10 %. The non-polar composition of the invention comprises formulation (II): non-polar solvent 20-85 %, active compound 0.005-50 %, and optionally flavoring agent 0.1-10 % and propellant 50-80 %.

Description

TITLE OF THE INVENTION BUCCAL, POLAR AND NON-POLAR SPRAY OR CAPSULE
BACKGROUND OF THE INVENTION It is known that certain biologically active compounds are better absorbed through the oral mucosa than through other routes of administration, such as through the stomach or intestine. However, formulations suitable for such administration by these latter routes present their own problems. For example, the biologically active compound must be compatible with the other components of the composition such as propellants, solvents, etc. Many such formulations have been proposed. For example, U.S. P. 4, 689,233, Dvorsky et aj., describes a soft gelatin capsule for the administration of the anti-coronary drug nifedipine dissolved in a mixture of polyether alcohols. U.S. P. 4,755,389, Jones et a|., describes a hard gelatin chewable capsule containing nifedipine. A chewable gelatin capsule containing a solution or dispersion of a drug is described in U.S. P. 4,935,243, Borkan et aj. U.S. P. 4,91 9,91 9, Aouda et aj, and U.S. P. 5,370,862, Klokkers-Bethke, describe a nitroglycerin spray for administration to the oral mucosa comprising nitroglycerin, ethanol, and other components. An orally administered pump spray is described by Cholcha in U.S. P. 5, 186,925. Aerosol compositions containing a hydrocarbon propellant and a drug for administration to a mucosal surface are described in U.K. 2,082,457, Su, U.S. P. 3, 1 55,574, Silson et aj., U.S. P. 5,01 1 ,678, Wang et aj., and by Parnell in U.S. P. 5, 1 28, 1 32. It should be noted that these references discuss bioavailability of solutions by inhalation rather than through the membranes to which they are administered. SUMMARY OF THE INVENTION A buccal aerosol spray or soft bite gelatin capsule using a polar or non-polar solvent has now been developed which provides biologically active compounds for rapid absorption through the oral mucosa, resulting in fast onset of effect.
The buccal aerosol spray compositions of the present invention, for transmucosal administration of a pharmacologically active compound soluble in a pharmacologically acceptable non-polar solvent comprising in weight % of total composition: pharmaceutically acceptable propellant 5-80%, non- polar solvent 20-85 %, active compound 0.05-50%, suitably additionally comprising, by weight of total composition a flavoring agent 0.01 -10%. Preferably the composition comprises: propellant 1 0-85 %, non-polar solvent 25-89.9%, active compound 0.01 -40%, flavoring agent 1 -8%; most suitably propellant 20-70%, non-polar solvent 30-74.75 %, active compound 0.25-35 %, flavoring agent 2-7.5 %.
The buccal polar spray compositions of the present invention, for transmucosal administration of a pharmacologically active compound soluble in a pharmacologically acceptable polar solvent comprising in weιght% of total composition: polar solvent 30-99.69%, active compound 0.001 -60%, suitably additionally comprising, by weight of total composition a flavoring agent 0.1 -10%. Preferably the composition comprises: polar solvent 37- 98.58%, active compound 0.005-55 %, flavoring agent 0.5-8%; most suitably polar solvent 60.9-97.06%, active compound 0.01 -40%, flavoring agent 0.75-7.5%.
The soft bite gelatin capsules of the present invention for transmucosal administration of a pharmacologically active compound, at least partially soluble in a pharmacologically acceptable non-polar solvent, having charged thereto a fill composition comprising in weight % of total composition: non-polar solvent 4-99.99%, emulsifier 0-20%, active compound 0.01 -80%, provided that said fill composition contains less than 10% of water, suitably additionally comprising, by weight of the composition: flavoring agent 0.01 -10%. Preferably, the soft bite gelatin capsule comprises: non-polar solvent 21 .5-99.975 %, emulsifier 0-1 5%, active compound 0.025-70%, flavoring agent 1 -8%; most suitably: non- polar solvent 28.5-97.9%, emulsifier 0-10%, active compound 0.1 -65.0%, flavoring agent 2-6%.
The soft bite polar gelatin capsules of the present invention for transmucosal administration of a pharmacologically active compound, at least partially soluble in a pharmacologically acceptable polar solvent, having charged thereto a composition comprising in weight % of total composition: polar solvent 25-99.89%, emulsifier 0-20%, active compound 0.01 -65%, provided that said composition contains less than 10% of water, suitably additionally comprising, by weight of the composition: flavoring agent 01 -10%. Preferably, the soft bite gelatin capsule comprises: polar solvent 37-99.95%, emulsifier 0- 1 5 %, active compound 0.025-55 %, flavoring agent 1 -8%; most suitably: polar solvent 44-96.925 %, emulsifier 0-10%, active compound 0.075-50%, flavoring agent 2-6%
The buccal pump spray composition of the present invention for transmucosal administration of a pharmacologically active compound where said active compound is soluble in a pharmacologically acceptable non-polar solvent said composition comprise in weight % of total composition: non-polar solvent 30-99.69%, active compound 0.005-55 %, flavoring agent 0.1 -10%.
It is an object of the invention to coat the mucosal membranes either with extremely fine droplets of spray containing the active compounds or a solution or paste thereof from bite capsules. It is also an object of the invention to administer to a mammalian in need of same preferably man, a predetermined amount of a biologically active compound by this method or from a soft gelatin bite capsule.
A further object is a sealed aerosol spray container containing a composition of the non polar spray formulation, and a metered valve suitable for releasing from said container a predetermined amount of said composition.
As the propellant evaporates after activation of the aerosol valve, a mist of fine droplets is formed which contains solvent and active compound .
The propellant is a non-Freon material, preferably a C3. 8 hydrocarbon of a linear or branched configuration. The propellant should be substantially non-aqueous. The propellant produces a pressure in the aerosol container such that under expected normal usage it will produce sufficient pressure to expel the solvent from the container when the valve is activated but not excessive pressure such as to damage the container or valve seals.
The non-polar solvent is a non-polar hydrocarbon, preferably a C7.18 hydrocarbon of a linear or branched configuration, fatty acid esters, and triglycerides, such as miglyol. The solvent must dissolve the active compound and be miscible with the propellant, i.e., solvent and propellant must form a single phase at 0-40 ° C at a pressure range of 1 -3 atm.
The non-polar aerosol spray compositions of the invention are intended to be administered from a sealed, pressurized container. Unlike a pump spray, which allows the entry of air into the container after every activation, the aerosol container of the invention is sealed at the time of manufacture. The contents of the container are released by activation of a metered valve, will does not allow entry of atmospheric gasses with each activation. Such containers are commercially available.
A further object is a pump spray container containing a composition of the spray formulation, and a metered valve suitable for releasing from said container a predetermined amount of said composition.
A further object is a soft gelatin bite capsule containing a composition of as set forth above. The formulation may be in the form of a viscous solution or paste containing the active compounds. Although solutions are preferred, paste fills may also be used where the active compound is not soluble or only partially soluble in the solvent of choice. Where water is used to form part of the paste composition, it should not exceed 10% thereof. (All percentages herein are by weight unless otherwise indicated.)
The polar or non-polar solvent is chosen such that it is compatible with the gelatin shell and the active compound The solvent preferably dissolves the active compound. However, other components wherein the active compound is not soluble or only slightly soluble may be used and will form a paste fill.
Soft gelatin capsules are well known in the art. See, for example, U.S. P. 4,935,243, Borkan et al., which is incorporated herein by reference for its teaching of such capsules. The capsules of the present invention are intended to be bitten into to release the low viscosity solution or paste therein, which will then coat the buccal mucosa with the active compounds. Typical capsules, which are swallowed whole or bitten and then swallowed, deliver the active compounds the stomach, which results in significant lag time before maximum blood levels can be achieved or subject the compound to a large first pass effect. Because of the enhanced absorption of the compounds through the oral mucosa and no chance of a first pass effect, use of the bite capsules of the invention will eliminate much of the lag time, resulting in hastened onset of biological effect. The shell of a soft gelatin capsule of the invention may comprise, for example: gelatine 50-75 %, glycerine 20-30%, colorants 0.5- 1 .5 %, water 5-10%, and sorbitol 2- 10% .
The active compound may include biologically active peptides, central nervous system active amines, sulfonyl ureas, antibiotics, antifungals, antivirals, sleep inducers, antiasthmatics, bronchial dilators, antiemetics, histamine H-2 receptor antagonists, barbiturates, prostaglandins and neutraceuticals.
The active compounds may also include antihistamines, alkaloids, hormones, benzodiazepines and narcotic analgesics. While not limited thereto, these active compounds are particularly suitable for non-polar pump spray formulation and application
BRIEF DESCRIPTION OF THE DRAWING The figure is a schematic diagram showing routes of absorption and processing of pharmacologically active substances in a mammalian system.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The preferred active compounds of the present invention are in anionized, salt form or as the free base of the pharmaceutically acceptable salts thereof (provided, for the aerosol or spray compositions, they are soluble in the spray solvent) . These compounds are soluble in the non-polar solvents of the invention at useful concentrations or can be prepared as pastes at useful concentrations. These concentrations may be less than the standard accepted dose for these compounds since there is enhanced absorption of the compounds through the oral mucosa. This aspect of the invention is especially important when there is a large (40-99.99%) First pass effect. As propellants for the non polar sprays, propane, N-butane, iso- butane, N-pentane, iso-pentane, and neo-pentane, and mixtures thereof may be used. N-butane and iso-butane, as single gases, are the preferred propellants. It is permissible for the propellant to have a water content of no more than 0.2%, typically 0.1 -0.2%. (All percentages herein are by weight unless otherwise indicated .) It is also preferable that the propellant be synthetically produced to minimize the presence of contaminants which are harmful to the active compounds. These contaminants include oxidizing agents, reducing agents, Lewis acids or bases, and water. The con- centration of each of these should be less than 0.1 %, except that water may be as high as 0.2% .
Suitable non-polar solvents for the capsules and the non-polar sprays include (C2-C24) fatty acid C2-C6 esters, C7-C18 hydrocarbon, C2-C6 alkanoyl esters, and the triglycerides of the corresponding acids. When the capsule fill is a paste, other liquid components may be used instead of the above low molecular weight solvents. These include soya oil, corn oil, other vegetable oils.
As solvents for the polar capsules or sprays there may be used low molecular weight polyethyleneglycols (PEG) of 400-1000 Mw (preferably 400-600), low molecular weight (C2-C8) mono-and polyols and alcohols of C7-C18linear or branch chain hydrocarbons, glycerin may also be present and water may also be used in the sprays, but only in limited amount in the capsules.
It is expected that some glycerin and water used to make the gelatin shell will migrate from the shell to the fill during the curing of the shell.
Likewise, there may be some migration of components from the fill to the shell during curing and even throughout the shelf-life of the capsule.
Therefore, the values given herein are for the compositions as prepared, it being within the scope of the invention that minor variations will occur.
The preferred flavoring agents are synthetic or natural oil of peppermint, oil of spearmint, citrus oil, fruit flavors, sweeteners (sugars, aspartame, saccharin, etc. ), and combinations thereof.
The active substances include the active compounds selected from the group consisting of cyclosporine, sermorelin, Octreotide acetate, cal- citonin-salmon, insulin lispro, sumatπptan succmate, clozepine, cyclo- benzapπne, dexfenfluramine hydrochloπde, glybuπde, zidovudine, erythro- mycin, ciprofloxacιn, ondansetron hydrochlorιde, dimenhydrιnate, cιmetidine hydrochloride, famotidine, phenytoin sodium, phenytoin, carboprost thro- methamine, carboprost, carnitine, valerian, echinacea, diphenhydramine hydrochloride, isoproterenol hydrochloride, terbutaline sulfate, terbutaline, theophylline, albuterol sulfate, and the like.
The formulations of the present invention comprise an active compound or a pharmaceutically acceptable salt thereof. The term "pharmaceutically acceptable salts" refers to salts prepared from pharmaceutically acceptable non-toxic acids or bases including organic and inorganic acids or bases.
When an active compound of the present invention is acidic, salts may be prepared from pharmaceutically acceptable non-toxic bases. Salts derived from all stable forms of inorganic bases include aluminum, ammonium, calcium, copper, iron, lithium, magnesium, manganese, potassium, sodium, zinc, etc. Particularly preferred are the ammonium, calcium, magnesium, potassium, and sodium salts. Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion- exchange resins such as arginine, betaine, caffeine, choline, N,N'- dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2-dimethyl- aminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethyl- piperidine, glucamine, glucosamine, histidine, isopropylamine, lysine, methyl- glucosamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purine, theobromine, triethylamine, trimethylamine, tripropylamine, etc.
When an active compound of the present invention is basic, salts may be prepared from pharmaceutically acceptable non-toxic acids. Such acids include acetic, benzenesulfonic, benzoic, camphorsulfonic, citric, ethane- sulfonic, fumaric, gluconic, glutamic, hydrobromic, hydrochloric, isethionic, lactic, maleic, mandelic, methanesulfonic, mucic, nitric, pamoic, panto- thenic, phosphoric, succinic, sulfuric, tartaric, p-toluenesulfonic, etc. Particularly preferred are citric, hydrobromic, maleic, phosphoric, sulfuric, and tartaric acids.
In the discussion of methods of treatment herein, reference to the active compounds is meant to also include the pharmaceutically acceptable salts thereof. While certain formulations are set forth herein, the actual amounts to be administered to the mammal or man in need of same are to be determined by the treating physician.
The invention is further defined by reference to the following examples, which are intended to be illustrative and not limiting. NOT FURNISHED UPON FILING
NOT FURNISHED UPON FILING
Octreotide acetate (Sandostatinw) lingual spray
Amounts preferred amount most preferred amount octreotide acetate 0.001- 0.5 0.005-0.250 0.01-0.10 acetic acid 1-10 2-8 4-6 sodium acetate 1-10 2-8 4-6 sodium chloride 3-30 5-25 15-20 flavors 0.1-5 0.5-.4 2-3 ethanol 5-30 7.5-20 9.5-15 water 15-95 35-90 65-85 flavors 0.1-5 1-4 2-3
G. Calcitonin-salmon lingual spray
Amounts preferred amount most preferred amount
Calcitonin-salmon 0.001-5 0.005-2 .01-1.5 ethanol 2-15 3-10 7-9.5 water 30-95 50-90 60-80 polyethylene glycol 2-15 3-10 7-9.5 sodium chloride 2.5-20 5-15 10-12.5 flavors 0.1-5 1-4 2-3
insulin lispro. lingual spray
Amounts preferred amount most preferred amount insulin, 20-60 4-55 5-50 glycerin, 0.1-10 0.25-5 0.1-1.5 dibasic sodium phosphate, 1-15 2.5-10 4-8 m-cresol, 1-25 5-25 7.5-12.5 zinc oxide 0.01-0.25 .05-0.15 0.075-0.10 m-cresol, 0.1-1 0.2-0.8 0.4-0.6 phenol ' trace amounts trace amounts trace amounts ethanol 5-20 7.5-15 9-12 water 30-90 40-80 50-75 propylene glycol 5-20 7.5-15 9-12 flavors 0.1-5 0.5-3 0.75-2 adjust pH to 7.0-7.8 with HCI or NaOH EXAMPLE 2
CIMS active amines and their salts: including but not limited to tricyclic amines, GABA analogues, thiazides, phenothiazine derivatives, Serotonin antagonists and serotonin reuptake inhibitors
A. Sumatriptan succinate lingual spray
Amounts preferred amount most preferred amount sumatriptan succinate 0.5-30 1 -20 10-1 5 ethanol 5-60 7.5-50 10-20 propylene glycol 5-30 7.5-20 10-1 5 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 10-15 flavors 0.1 -5 1 -4 2-3
Sumatriptan succinate bite capsule
Amounts preferred amount most preferred amount sumatriptan succinate 0.01 -5 0.05-3.5 0.075-1 .75 polyethylene glycol 25-70 30-60 35-50 glycerin 25-70 30-60 35-50 flavors 0.1 - 1 0 1 -8 3-6
C. Clozepine lingual spray
Amounts preferred amount most preferred amount
Clozepine 0.5-30 1 -20 10-1 5 ethanol 5-60 7.5-50 1 0-20 propylene glycol 5-30 7.5-20 ' 1 0-1 5 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 1 0-1 5 flavors 0.1 -5 1 -4 2-3 D. ClozeDine Non-Polar lingual spray with propellant
Amounts preferred most preferred amount amount
Clozepine 0.5-30 1-20 10-15
Migylol 20-85 25-70 30-40
Butane 15-80 30-75 60-70 flavors 0.1-5 1-4 2-3
E. ClozeDine Non -Polar lingual spray without propellant
Amounts preferred most preferred amount amount
Clozepine 0.5-30 1-20 10-15
Migylol 70-99.5 80-99 85-90 flavors 0.1-5 1-4 2-3
F. CvclobenzaDrine Non polar lingual spray
Amounts preferred most preferred amount amount
Cyclobenzaprine 0.5-30 1-20 10-15
(base)
Migylol 20-85 25-70 30-40
Iso-butane 15-80 30-75 60-70 flavors 0.1-5 1-4 2-3
G. dexfenfluramine hydrochloride lingual spray
Amounts preferred most preferrec amount amount dexfenfluramine Hcl 5-30 7.5-20 10-15 ethanol 5-60 7.5-50 10-20 propylene glycol 5-30 7.5-20 10-15 polyethylene glycol 0-60 30-45 35-40 water 5-30 7.5-20 10-15 flavors 0.1-5 1-4 2-3 EXAMPLE 3
Sulfonylureas
A. Glvburide linqual ε ;pray
Amounts preferred amount most preferred amount
Glyburide 025-25 05-20 0.75-15 ethanol 5-60 7.5-50 10-20 propylene glycol 5-30 7.5-20 10-15 polyethylene glycol 0-60 30-45 35-40 water 2.5-30 5-20 6-15 flavors 01-5 1-4 2-3
B. Glyburide non-pol ar bite capsule
Amounts preferred most preferred amount amount
Glyburide 0.01-10 0.025-7.5 0.1-4 olive oil 30-60 35-55 30-50 polyoxyethyl- 30-60 35-55 30-50 ated oleic glyceπdes flavors 01-5 1-4 2-3
EXAMPLE 4 Antibiotics anti-fungals and anti-virals zidovudine [formerly called azidothymidine (AZT) (Retrovir) non-polar lingual spray
Amounts preferred most preferred amount amount zidovudine 10-50 15-40 25-35
Soya oil 20-85 25-70 30-40
Butane 15-80 30-75 60-70 flavors 0.1-5 1-4 2-3 B. Erythromvcin bite capsule bite capsule
Amounts preferred amount most preferred amount
Erythromycin 25-65 30-50 35-45 polyoxyethylene glycol 5-70 30-60 45-55 glycerin 5-20 7.5-15 10-12.5 flavors 1-10 2-8 3-6
Ciprofloxacin hydrochloride bite capsule
Amounts preferred amount most preferred amount
Ciprofloxacin hydrochloride 25-65 35-55 40-50 glycerin 5-20 7.5-15 10-12.5 polyethylene glycol 20-75 30-65 40-60 flavors 1-10 2-8 3-6
D. zidovudine [fo rmerly called Amounts preferred amount most preferred amount zidovudine 10-50 15-40 25-35 water 30-80 40-75 45-70 ethanol 5-20 7.5-15 9.5-12.5 polyethylene glycol 5-20 7.5-15 9.5-12.5 flavors 0.1-5 1-4 2-3
EXAMPLE 5 Anti-emetics A. Ondansetron hydrochloride lingual spray
Amounts preferred amount most preferred amount ondansetron hydrochloride 1-25 2-20 2.5-15 citric acid monohydrate, 1-10 2-8 2.5-5 sodium citrate dihydrate 0.5-5 1-4 1.25-2.5 water 1-90 5-85 10-75 ethanol 5-30 7.5-20 9.5-15 propylene glycol 5-30 7.5-20 9.5-15 polyethylene glycol 5-30 7.5-20 9.5-15 flavors 1-10 3-8 5-7.5 Dimenhydrinate bite capsule Amounts preferred amount most preferred amount
Dimenhydrinate 0.5-30 2-25 3-15 glycerin 5-20 7.5-15 10-12.5 polyethylene glycol 45-95 50-90 55-85 flavors 1-10 2-8 3-6
C. Dimenhydrinate polar lingual spray
Amounts preferred most preferred amount amount Dimenhydrinat :ee 3-50 4-40 5-35 water 5-90 10-80 15-75 ethanol 1-80 3-50 5-10 polyethylene 1-80 3-50 5-15 glycol Sorbitol 0.1-5 0.2-4 0.4-1.0 aspartame 0.01-0.5 0.02-0.4 0.04-0.1 flavors 0.1-5 1-4 2-3
EXAMPLE 6
Histamine H-2 receptor antagonists
A. Cimetidine hvdrochloride bite caDsule
Amounts preferred amount most preferred
Cimetidine Hcl 10-60 15-55 25-50 glycerin 5-20 7.5-15 10-12.5 polyethylene glyyccooll 20-90 25-85 30-75 flavors 1-10 2-8 3-6
Famotidine lingual spray Amounts preferred amount most preferred amount Famotidine 1-35 5-30 7-20 water 2.5-25 3-20 5-10
L-aspartic acid 0.1-20 1-15 5-10 polyethylene glycol 20-97 30-95 50-85 flavors 0.1-10 1-7.5 2-5 Famotidine non-polar lingual spray
Amounts preferred most preferred amount amount
Famotidine 1-35 5-30 7-20
Soya oil 10-50 15-40 15-20
Butane 15-80 30-75 45-70 polyoxyethyl- 10-50 15-40 15-20 ated oleic glycerides flavors 0.1-5 1-4 2-3
EXAMPLE 7 Barbiturates
A. Phenytoin sodium lingual spray
Amounts preferred amount most preferred amount
Phenytoin sodium 10-60 15-55 20-40 water 2.5-25 3-20 5-10 ethanol 5-30 7.5-20 9.5-15 propylene glycol 5-30 7.5-20 9.5-15 polyethylene glycol 5-30 7.5-20 9.5-15 flavors 1-10 3-8 5-7.5
B. Phenvtoin non-pol ar lingual spray
Amounts preferred most preferred amount amount
Phenytoin 5-45 10-40 15-35 migylol 10-50 15-40 15-20
Butane 15-80 30-75 60-70 polyoxyethyl- 10-50 15-40 15-20 ated oleic glycerides flavors 0.1-10 1-8 5-7.5 EXAMPLE 8 Prostaglandins
Carboprost thromethamine lingual spray
Amounts preferred amount most preferred amount
Carboprost thromethamine 0.05-5 0.1-3 0.25-2.5 water 50-95 60-80 65-75 ethanol 5-20 7.5-15 9.5-12.5 polyethylene glycol 5-20 7.5-15 9.5-12.5 sodium chloride 1-20 3-15 4-8 flavors 0.1-5 1-4 2-3
Ph is adjusted with sodium hydroxide and/or hydrochloric acid
Carboprost non-polar lingual spray
Amounts preferred most preferred amount amount
Carboprost 0.05-5 0.1-3 0.25-2.5 migylol 25-50 30-45 35-40
Butane 5-60 10-50 20-35 polyoxyethyl- 25-50 30-45 35-40 ated oleic glycerides flavors 0.1-10 1-8 5-7.5
EXAMPLE 9 Neutraceuticals Carnitine as bite capsule (contents are a paste)
Amounts preferred amount most preferred amount
Carnitine fumarate 6-80 30-70 45-65 soya oil 7.5-50 10-40 12.5-35 soya lecithin 0.001-1.0 0.005-0.5 .01-0.1
Soya fats 7.5-50 10-40 12.5-35 flavors 1-10 2-8 3-6 Valerian as lingual spray Amounts preferred amount most preferred amount
Valerian extract 01-10 02-7 025-5 water 50-95 60-80 65-75 ethanol 5-20 75-15 95-125 polyethylene glycol 5-20 75-15 95-125 flavors 1-10 2-8 3-6
B Echinacea as bite capsule Amounts preferred amount most preferred amount
Echinacea extract 30-85 40-75 45-55 soya oil 7550 10-40 125-35 soya lecithin 0001 1 0 0005-05 01-01
Soya fats 75-50 10-40 125-35 flavors 1-10 2-8 3-6
Mixtures of ingredients Amounts preferred amount most preferred amount
Magnesium oxide 15-40 20-35 25-30 Chromium picolinate 001-1 0 002-05 025-075 folic acid 025-30 005-20 025-05 vitamin B-12 001-1 0 002-05 025-075 vitamin E 15-40 20-35 25-30
Soya oil 10-40 125-35 15-20 soya lecithin 01-5 02-4 05-15 soya fat 10-40 15-35 175-20
EXAMPLE 10 Sleep Inducers (also CNS active amine) Djphenhvdramine hydrochloride lingual spray
Amounts preferred most preferred amount amount
Diphenhydramine 3-50 4-40 5-35 Hcl water 5-90 10-80 50-75 ethanol 1-80 3-50 5-10 polyethylene 1-80 3-50 5-15 glycol
Sorbitol 0.1-5 0.2-4 0.4-1.0 aspartame 0.01-0.5 0.02-0.4 0.04-0.1 flavors 0.1-5 1-4 2-3
EXAMPLE 11 Anti-Asthmatics-Bronchodilators Isoproterenol Hydrochloride as polar lingual spray
Amounts preferred most preferred amount amount
Isoproterenol 0.1-10 0.2-7.5 0.5-6
Hydrochloride water 5-90 10-80 50-75 ethanol 1-80 3-50 5-10 polyethylene 1-80 3-50 5-15 glycol
Sorbitol 0.1-5 0.2-4 0.4-1.0 aspartame 0.01-0.5 0.02-0.4 0.04-0.1 flavors 0.1-5 1-4 2-3 B. Terbutaline sulfate as polar lingual spray
Amounts preferred most preferred amount amount
Terbutaline 0.1-10 0.2-7.5 0.5-6 sulfate water 5-90 10-80 50-75 ethanol 1-10 2-8 2.5-5
Sorbitol 0.1-5 0.2-4 0.4-1.0 aspartame 0.01-0.5 0.02-0.4 0.04-0.1 flavors 0.1-5 1-4 2-3
C. Terbutaline as non -polar lingual spray
Amounts preferred most preferred amount amount
Terbutaline 0.1-10 0.2-7.5 0.5-6 migylol 25-50 30-45 35-40 isobutane 5-60 10-50 20-35 polyoxyethylated 25-50 30-45 35-40 oleic glycerid< 3S flavors 0.1-10 1-8 5-7.5
D. Theophvlline polar bite capsule
Amounts preferred most preferred amount amount
Theophylline 5-50 10-40 15-30 polyethylene 20-60 25-50 30-40 glycol glycerin 25-50 35-45 30-40 propylene glycol 25-50 35-45 30-40 flavors 0.1-5 1-4 2-3 E. Albuterol sulfate as polar lingual spray
Amounts preferred most preferred amount amount
Albuterol sulfate 0.1-10 0.2-7.5 0.5-6 water 5-90 10-80 50-75 ethanol 1-10 2-8 2.5-5
Sorbitol 0.1-5 0.2-4 0.4-1.0 aspartame 0.01-0.5 0.02-0.4 0.04-0.1 flavors 0.1-5 1-4 2-3

Claims

WHAT IS CLAIMED IS:
1 . A buccal aerosol spray composition for transmucosal administration of a pharmacologically active compound provided that where the said active compound is soluble in a pharmacologically acceptable polar solvent said composition comprises in weight % of total composition: aqueous polar solvent 30-99.69%, active compound 0.001 -60%, and where said active compound is soluble in a pharmacologically acceptable non-polar solvent said composition comprises in weight % of total composition: pharmaceutically acceptable propellant selected from the group consisting of C3.8 hydrocarbon of a linear or branched configuration 50-80%, non-polar solvent 20-85 %, active compound 0.05-50%, wherein the active compound is selected from the group consisting of bio- logically active peptides, central nervous system active amines, sulfonyl ureas, antibiotics, antifungals, antivirals, sleep inducers, antiasthmatics, bronchial dilators, antiemetics, histamine H-2 receptor antagonists, barbiturates, prostoglandins, anti-asthmatics, bronchial dilators and neutraceuticals.
2. The composition of claim 1 additionally comprising, by weight of total composition: flavoring agent 0.1 -10% .
3. The composition of claim 1 comprising: polar solvent 37- 98.58%, active compound 0.0005-55 %, flavoring agent 0.5-8%.
4. The composition of claim 1 comprising: polar solvent 60.9-97.06%, active compound 0.01 -40%, flavoring agent 0.75-7.5 %.
5. The composition of Claim 1 wherein the polar solvent is selected from the group consisting of low molecular weight polyethylene- glycols (PEG) of 400-1000 MW, C2-C8 mono- and poly-alcohols, and alcohols of C7-C18 hydrocarbons of a linear or branched configuration.
6. The composition of Claim 1 wherein the solvent is aqueous ethylene glycol.
7. The composition of Claim 1 wherein the solvent is aqueous ethanol.
8. The composition of Claim 1 wherein the active compound is selected from the group consisting of cyclosporin, clozapine, zidevudine, erythromycin, odansetron, cimetidine, phenytoin, carboprost thromethamine, valerian and isoproterenol in their nonionized form or as the pharmaceutically acceptable salts thereof.
9. The composition of Claim 2 wherein the flavoring agents are selected from the group consisting of synthetic or natural oil of peppermint, oil of spearmint, citrus oil, fruit flavors, sweeteners and combinations thereof.
10. The composition of Claim 2 of the formulation: polar solvent 75-85%, cyclosporin 1 5-25%, flavoring agent 0.1 -5%.
1 1 . The composition of Claim 2 of the formulation: polar solvent 75-84%, odansitron hydrochloride 2.5- 1 5 %, flavoring agent 1 -10%.
12. A method of administering a pharmacologically active compound to a mammal in needed of same, by spraying the oral mucosa of said mammal with a composition of claim 1 .
1 3. The method of claim 1 2 wherein the amount of spray administered is predetermined.
14. The composition of claim 1 comprising: propellant 10-25 %, non-polar solvent 25-89.95%, active compound 0.1 -40%, flavoring agent
1 -8%.
1 5. The composition of claim 1 comprising: propellant 20-70%, non-polar solvent 30-74.75 %, active compound 0.25-35%, flavoring agent 2-7.5%.
1 6. The composition of Claim 1 wherein the propellant is propane, N-butane, iso-butane, N-pentane, iso-pentane, or neo-pentane, and mixtures thereof.
1 7. The composition of Claim 1 wherein the propellant is n-butane or iso-butane and has a water content of no more than 0.2% and oxidizing agents, reducing agents, and Lewis acids or bases content in a concentration of less than 0.1 %.
1 8. The composition of Claim 1 wherein the solvent is a selected from the group consisting of (C2-C24) fatty acid 1C2-C6) esters, C7-C18 hydrocarbons of a linear or branched configuration, and C2-C6 alkanoyl esters, and triglycerides of the corresponding acids.
19. The composition of Claim 1 wherein the solvent is miglyol.
20. The composition of Claim 1 of the formulation: propellant 1 5-80%, non-polar solvent 20-85 %, clozepine 0.5-30%, flavoring agent 1 -5%.
21 . The composition of Claim 1 of the formulation: propellant 1 5-80%, non-polar solvent 20-85%, zidovudine 25-35 %, flavoring agent 0.1 -5%.
22. The composition of Claim 1 of the formulation: propellant 5-
60%, non-polar solvent 1 5-98.5%, carboprost 0.05-5%, flavoring agent 0.1 -10%.
23. The composition of Claim 1 of the formulation: propellant 5-60%, non-polar solvent 20-94.8%, terbutaline 0.5-6%, flavoring agent
0.01 -10%.
24. A soft bite gelatin capsule for transmucosal administration of a pharmacologically active compound, where said active compound is at least partially soluble in a pharmacologically acceptable polar solvent, having charged thereto a fill composition comprising in weight % of total fill composition: polar solvent 25-99.89%, emulsifier 0-20%, active compound 0.01 -65%, and where said active compound is at least partially soluble in a pharmaco- logically acceptable non-polar solvent, having charged thereto a fill composition comprising in weight % of total fill composition: non-polar solvent 4-99.99%, emulsifier 0-20%, active compound 0.01 -80%, wherein the active compound is selected from the group consisting of biologically active peptides, central nervous system active amines, sulfonyl ureas, antibiotics, antifungals, antivirals, sleep inducers, antiasthmatics, bronchial dilators, antiemetics, histamine H-2 receptor antagonists, barbiturates, prostoglandins and neutraceuticals, provided that said composition contains less than 10% of water.
25. The composition of Claim 24 wherein the active compound is selected from the group consisting of cyclosporin, clozapine, glyburide, erythromycin, odansetron, cimetidine, phenytoin, carboprostthromethamine and valerian in their nonionized form or as the pharmaceutically acceptable salts thereof.
26. The capsule of Claim 24 wherein the active compound is in their nonionized form or as the free base of the pharmaceutically acceptable salts thereof.
27. The capsule of Claim 24 wherein the flavoring agents are synthetic or natural oil of peppermint, oil of spearmint, citrus oil, fruit flavors, or sweeteners and combinations thereof.
28. The capsule of claim 24 additionally comprising, by weight of the fill composition: flavoring agent 0.1 -10%.
29. The soft bite gelatin capsule of Claim 24 comprising as the fill composition: polar solvent 37-98.95 %, emulsifier 0- 1 5 %, active compound 0.025-55%, flavoring agent 1 -8%.
30. The soft bite gelatin capsule of Claim 24 comprising as the fill composition: polar solvent 44-96.925%, emulsifier 0-10%, active compound 0.075-50%, flavoring agent 2-6%.
31 . The capsule of Claim 24 wherein the solvent is selected from the group consisting of low molecular weight polyethyleneglycols (PEG) of 400-1000 MW, C2-C8 mono- and poly-alcohols, and alcohols of C7-C18 hydrocarbons of a linear or branched configuration.
32. The capsule of Claim 24 wherein the solvent is selected from low molecular weight polyethyleneglycols (PEG) of 400-600 MW.
33. The capsule of Claim 24 comprising: non-polar solvent 21 .5- 99.975%, emulsifier 0-1 5%, active compound 0.025-70%, flavoring agent
1 -8%.
34. The capsule of Claim 24 comprising: non-polar solvent 28.5-97.9%, emulsifier 0-10%, active compound 0.1 -65%, flavoring agent 2-6%.
35. The capsule of Claim 24 wherein the solvent is selected from the group consisting of (C2-C24) fatty acid (C2-C6) esters, C7-C18 hydrocarbons of a linear or branched configuration, and C2-C6 alkanoyl esters, and triglycerides of the corresponding acids.
36. The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 75-99%, emulsifier 0-20%, cyclosporine 1 5-25%, flavoring agent 0.1 -6%.
37. The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 25-99.89%, emulsifier 0-20%, sumatriptan succinate 0.01 -5 %, flavoring agent 0.1 -10%.
38. The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 30-89%, emulsifier 0-20%, cimetidine hydrochloride 10-60%, flavoring agent 1 -10%.
39. The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 60-98.5 %, emuisifier 0-20%, dimenhydrinate 0.5- 30%, flavoring agent 1 -10%.
40. The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 45-94.9%, emulsifier 0-20%, theophylline 5.0- 50%, flavoring agent 0.5-5%.
41 . The capsule of Claim 24 comprising as the fill composition the formulation: polar solvent 7.5-99.8%, emulsifier 0-20%, carnitine fumarate 6-80%, flavoring agent 1 -10%.
42. A buccal pump spray composition for transmucosal administra- tion of a pharmacologically active compound where said active compound is soluble in a pharmacologically acceptable non-polar solvent said composition comprises in weight % of total composition: non-polar solvent 30-99.69%, active compound 0.005-55%, flavoring agent 0.1 -10%, wherein the active compound is selected from the group consisting of bio- logically active peptides, central nervous system active amines, sulfonyl ureas, antibiotics, antifungals, antivirals, sleep inducers, antiasthmatics, bronchial dilators, antiemetics, histamine H-2 receptor antagonists, barbiturates, prostoglandins and neutraceuticals.
43. A buccal pump spray composition fortransmucosal administration of a pharmacologically active compound where said active compound is soluble in a pharmacologically acceptable non-polar solvent said composition comprises in weight % of total composition: non-polar solvent 30-99.69%, active compound 0.005-55%, flavoring agent 0.1 -10%, wherein the active compound is selected from the group consisting of antihistamines, alkaloids, hormones, benzodiazepines and narcotic analgesics.
PCT/US1997/017899 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule WO1999016417A1 (en)

Priority Applications (72)

Application Number Priority Date Filing Date Title
EP07023005A EP1952802A3 (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule
PCT/US1997/017899 WO1999016417A1 (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule
EP00109347A EP1029536B1 (en) 1997-10-01 1997-10-01 Buccal non-polar spray
EP97911621A EP1019019A1 (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule
ES00109347T ES2293875T3 (en) 1997-10-01 1997-10-01 NON-POLAR ORAL SPRAY.
DE69738333T DE69738333T2 (en) 1997-10-01 1997-10-01 Non-polar spray for buccal administration
CA2306024A CA2306024C (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule
JP2000513555A JP2001517689A (en) 1997-10-01 1997-10-01 Polar or non-polar buccal spray or capsule
EP00109357A EP1036561A1 (en) 1997-10-01 1997-10-01 Buccal, non-polar spray
AU48946/97A AU4894697A (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule
EP20080020267 EP2042161A1 (en) 1997-10-01 1997-10-01 Propellant-free spray composition comprising anti-emetic agent
US10/100,156 US6676931B2 (en) 1997-10-01 2002-03-18 Buccal, polar and non-polar spray or capsule
US10/230,085 US20030095926A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the gastrointestinal tract or urinary tract
US10/230,060 US20030077227A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the central nervous system
US10/230,080 US20030082107A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating an infectious disease or cancer
US10/230,072 US20030190286A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating allergies or asthma
US10/230,073 US20030077228A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating endocrine disorders
US10/230,084 US20030095925A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders
US10/230,059 US20030185761A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating pain
US10/230,086 US20030095927A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing drugs for treating muscular and skeletal disorders
US10/230,075 US20030077229A1 (en) 1997-10-01 2002-08-29 Buccal, polar and non-polar spray or capsule containing cardiovascular or renal drugs
US10/327,195 US6998110B2 (en) 1997-10-01 2002-12-24 Buccal, polar and non-polar spray or capsule
US10/663,817 US20040062716A1 (en) 1997-10-01 2003-09-17 Buccal, polar and non-polar spray of capsule
US10/671,710 US20040136913A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing sumatriptan
US10/671,719 US20040136915A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing atropine
US10/671,720 US20040141923A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing alprazolam
US10/671,709 US20050163719A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing diazepam
US10/671,708 US20050180923A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing testosterone
US10/671,717 US20040136914A1 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing ondansetron
US10/671,715 US7632517B2 (en) 1997-10-01 2003-09-29 Buccal, polar and non-polar spray containing zolpidem
US10/726,625 US6969508B2 (en) 1997-10-01 2003-12-04 Buccal, polar and non-polar spray or capsule containing drugs for treating pain
US10/726,585 US6977070B2 (en) 1997-10-01 2003-12-04 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the central nervous system
US10/834,815 US20050002867A1 (en) 1997-10-01 2004-04-27 Buccal, polar and non-polar sprays containing propofol
US10/928,989 US20050025714A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders
US10/928,952 US20050025712A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating allergies or asthma
US10/928,997 US20050025717A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating muscular and skeletal disorders
US10/928,995 US20050025715A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating endocrine disorders
US10/928,979 US20050025713A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing cardiovascular or renal drugs
US10/929,001 US20050142069A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating an infectious disease or cancer
US10/928,996 US20050025716A1 (en) 1997-10-01 2004-08-27 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the gastrointestinal tract or urinary tract
US11/211,488 US20050281752A1 (en) 1997-10-01 2005-08-26 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the central nervous system
US11/211,487 US20050287075A1 (en) 1997-10-01 2005-08-26 Buccal, polar and non-polar spray or capsule containing drugs for treating pain
US11/211,549 US20050281753A1 (en) 1997-10-01 2005-08-26 Buccal, polar and non-polar spray or capsule
US11/366,663 US20060165604A1 (en) 1997-10-01 2006-03-03 Buccal, polar and non-polar spray containing sumatriptan
US11/384,444 US20060159624A1 (en) 1997-10-01 2006-03-21 Buccal, polar and non-polar spray containing zolpidem
US11/391,297 US20060171896A1 (en) 1997-10-01 2006-03-29 Buccal, polar and non-polar spray containing alprazolam
US11/429,953 US20060198790A1 (en) 1997-10-01 2006-05-09 Buccal, polar and non-polar spray containing ondansetron
US11/440,095 US20060210484A1 (en) 1997-10-01 2006-05-25 Buccal, polar and non-polar spray containing testosterone
US11/442,137 US20060222597A1 (en) 1997-10-01 2006-05-30 Buccal, polar and non-polar sprays containing propofol
US11/443,253 US20060216240A1 (en) 1997-10-01 2006-05-31 Buccal, polar and non-polar spray containing zolpidem
US11/443,254 US20060216241A1 (en) 1997-10-01 2006-05-31 Buccal, polar and non-polar spray containing diazepam
US11/443,260 US20070048229A1 (en) 1997-10-01 2006-05-31 Buccal, polar and non-polar spray containing atropine
US11/929,368 US20080170995A1 (en) 1997-10-01 2007-10-30 Buccal, polar and non-polar spray or capsule containing cardiovascular or renal drugs
US12/350,602 US20090162297A1 (en) 1997-10-01 2009-01-08 Buccal, polar and non-polar spray containing ondansetron
US12/350,898 US20090118170A1 (en) 1997-10-01 2009-01-08 Buccal, polar and non-polar spray or capsule
US12/350,915 US20090131514A1 (en) 1997-10-01 2009-01-08 Buccal, polar and non-polar sprays containing propofol
US12/351,275 US20090186099A1 (en) 1997-10-01 2009-01-09 Buccal, polar and non-polar spray or capsule containing drugs for treating disorders of the central nervous system
US12/351,179 US20090186035A1 (en) 1997-10-01 2009-01-09 Buccal, polar and non-polar spray or capsule containing drugs for treating an infectious disease or cancer
US12/351,606 US20090124554A1 (en) 1997-10-01 2009-01-09 Buccal, polar and non-polar spray or capsule containing drugs for treating pain
US12/351,576 US20090162298A1 (en) 1997-10-01 2009-01-09 Buccal, polar and non-polar spray containing sumatriptan
US12/351,490 US20090123387A1 (en) 1997-10-01 2009-01-09 Buccal, polar and non-polar spray or capsule containing cardiovascular or reneal drugs
US12/394,903 US20090162300A1 (en) 1997-10-01 2009-02-27 Buccal, polar and non-polar spray containing alprazolam
US12/576,457 US8236285B2 (en) 1997-10-01 2009-10-09 Buccal, polar and non-polar spray containing zolpidem
US12/632,719 US20100152262A1 (en) 1997-10-01 2009-12-07 Buccal, polar and non-polar spray containing ondansetron
US12/692,213 US20100209541A1 (en) 1997-10-01 2010-01-22 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders
US13/197,207 US20120027879A1 (en) 1997-10-01 2011-08-03 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders
US13/208,429 US20110293536A1 (en) 1997-10-01 2011-08-12 Buccal, polar and non-polar spray containing zolipidem
US13/445,331 US9078816B2 (en) 1997-10-01 2012-04-12 Buccal, polar and non-polar spray containing ondansetron
US13/450,987 US20120202866A1 (en) 1997-10-01 2012-04-19 Buccal, polar and non-polar spray containing ondansetron
US13/467,441 US20120252846A1 (en) 1997-10-01 2012-05-09 Buccal, polar and non-polar spray or capsule containing drugs for treating pain
US13/683,530 US20130199519A1 (en) 1997-10-01 2012-11-21 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders
US14/218,518 US20140200516A1 (en) 1997-10-01 2014-03-18 Buccal, polar and non-polar spray or capsule containing drugs for treating metabolic disorders

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US1997/017899 WO1999016417A1 (en) 1997-10-01 1997-10-01 Buccal, polar and non-polar spray or capsule

Related Child Applications (1)

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US53711800A Continuation-In-Part 1997-10-01 2000-03-29

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WO1999016417A1 true WO1999016417A1 (en) 1999-04-08

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US (5) US6676931B2 (en)
EP (5) EP1029536B1 (en)
JP (1) JP2001517689A (en)
AU (1) AU4894697A (en)
CA (1) CA2306024C (en)
DE (1) DE69738333T2 (en)
ES (1) ES2293875T3 (en)
WO (1) WO1999016417A1 (en)

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US20030039680A1 (en) 2003-02-27
CA2306024C (en) 2011-04-26
US20030211047A1 (en) 2003-11-13
US20040062716A1 (en) 2004-04-01
AU4894697A (en) 1999-04-23
US20050281753A1 (en) 2005-12-22
EP2042161A1 (en) 2009-04-01
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US6676931B2 (en) 2004-01-13
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US6998110B2 (en) 2006-02-14

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