`(12)
`(10) Patent No.:
`US 6,638,528 B1
`Kanios
`(45) Date of Patent:
`Oct. 28, 2003
`
`
`US006638528B1
`
`(54) COMPOSITIONS AND METHODS TO
`EFFECT THE RELEASE PROFILE IN THE
`TRANSDERMAL ADMINISTRATION OF
`ACTIVE AGENTS
`
`(75)
`
`Inventor: David Kanios, Miami, FL (US)
`
`(73) Assignee: NovenPharmaceuticals, Inc., Miami,
`(US)
`Subject to any disclaimer, the term of this
`patent is extended or adjusted under 35
`USS.C. 154(b) by 0 days.
`
`(*) Notice:
`
`(21) Appl. No.: 10/086,457
`(22)
`Filed
`Mar.
`1, 2002
`ar.
`led:
`1,
`Related U.S. Application Data
`
`(63) Continuation of application No. 09/765,932,filed on Jan. 19,
`2001, now abandoned.
`(60) aan application No. 60/177,103, filed on Jan. 20,
`(51)
`Int. C1
`AG61K 9/70; A6LK 13/00
`(52) US. Ch we 424/449; 424/448; 424/443;
`424/484
`(58) Field of Search 0.0.0.0... 424/448, 449,
`424/484, 487, 488, 443
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`5/1986 Blizzardet al.
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`1/1987 Szycheretal.
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`4/1987 Woodardetal.
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`6/1989 Bakeretal.
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`6/1989 Sweetetal.
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`11/1989 Chienetal.
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`FOREIGN PATENT DOCUMENTS
`
`EP
`EP
`EP
`wo
`WO
`
`wo
`WO
`wo
`wo
`WO
`WO
`WO
`WO
`wo
`Wo
`
`0 224 981
`0 697 860
`913 158
`W094/06436
`W0O94/26257
`
`woosoa
`WO095/31188
`WO96/21433
`WO98/17203
`W098/31349
`W098/39042
`WO099/55286
`WO00/59483
`WO00/74661
`PCT/USO1/01999
`
`6/1987
`4/1994
`6/1999
`3/1994
`11/1994
`
`avis5
`11/1995
`7/1996
`4/1998
`7/1998
`9/1998
`11/1999
`10/2000
`12/2000
`8/2001
`
`OTHER PUBLICATIONS
`Dow Chemical Company, “Product Specification Sheet for
`Ethocel FP Polymers,” Oct. 1998, U.S.A.
`Dow Chemical Company, “Bibliography: ETHOCEL Eth-
`ylcellulose in Pharmaceuticals,” Jun. 1996, U.S.A.
`
`(List continued on next page.)
`
`Primary Examiner—Thurman K. Page
`Assistant Examiner—Robert M. Joynes
`(74) Attorney, Agent, or Firm—Jay G. Kolman, Esq.
`
`(57)
`
`ABSTRACT
`
`Compositions and methods for the transdermal delivery of
`active agents up to a period of seven days or more at
`substantially a zero-order release rate comprising a pharma-
`ceutically acceptable adhesive matrix and a polymericplas-
`tic material that provides a release rate regulating effect on
`the active agents.
`
`6 Claims, 6 Drawing Sheets
`
`13
`
`
`
`
`
`
`
`
`
`
`
`
`i2
`
`MYLAN- EXHIBIT 1030
`
`
`
`US 6,638,528 B1
`Page 2
`
`aa
`
`B1
`B1
`B1
`
`5,118,779
`5,176,915
`5,232,702
`5,446,070
`5,474,783
`5,523,095
`5,556,635
`5,656,286
`5,662,923
`5,662,926
`5,676,969
`5,679,373
`5,716,609
`5,810,786
`5,885,612
`5,904,931
`5,906,814
`6,010,715
`6,024,974
`6,143,319
`6,190,689
`6,231,885
`6,274,165
`
`U.S. PATENT DOCUMENTS
`
`6/1992
`1/1993
`8/1993
`8/1995
`12/1995
`6/1996
`9/1996
`8/1997
`9/1997
`9/1997
`10/1997
`10/1997
`2/1998
`9/1998
`3/1999
`5/1999
`5/1999
`1/2000
`2/2000
`11/2000
`2/2001
`5/2001
`8/2001
`
`*
`
`Szycher
`Hoffmann
`Pfisteret al.
`Mantelle
`Mirandaetal.
`Wison et al.
`Istin et al.
`Mirandaetal.
`Roreger
`Wicket al.
`Wicket al.
`Wicketal.
`Jain et al.
`Jackson etal.
`Meconietal.
`Lipp etal.
`Epstein
`Wicketal.
`Li eee eeeeeeececteceeeereneneee 424/448
`Meconietal.
`Hoffmannetal.
`Carrara
`Meconietal.
`
`OTHER PUBLICATIONS
`
`Dow Chemical Company, “Ethocel Polymers for General
`Applications,” Mar. 1998, U.S.A.
`Dow Chemical Company, “Ethocel Premium Polymers for
`Pharmaceutical Applications,” May 1996, U.S.A.
`Dow Chemical Company, “Ethocel Premium Ethylcellulose
`in Pharmaceutical Applications,” Dec. 1991, U.S.A.
`Jerry,
`Wiley—Interscience/John Wiley & Sons, March,
`Advanced Organic Chemistry: Reactions, Mechanisms, and
`Structure, 4th Fd., 1992.
`BASFAktiengesellschaft, Buhler, Kollidon® Polyvinylpyr-
`rolidone for the Pharmaceutical Industry, 2nd Ed., Aug.
`1993.
`
`Van Nostrand Reinhold, New York, Satas, Donatas, “Acrylic
`Adhesives,” pp. 396-456, 1989, Handbook of Pressure—
`Sensitive Adhesive Technology, 2nd Edition.
`Van Nostrand Reinhold, New York, Sobieski, Loretta,etal.,
`“Silicone Pressure Sensitive Adhesives,” pp. 508-517;
`1989, Handbook ofPressure Sensitive Adhesive Technology,
`2nd Ed.
`
`* cited by examiner
`
`
`
`U.S. Patent
`
`Oct. 28, 2003
`
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`US 6,638,528 B1
`
`1
`COMPOSITIONS AND METHODS TO
`EFFECT THE RELEASE PROFILE IN THE
`TRANSDERMAL ADMINISTRATION OF
`ACTIVE AGENTS
`
`CROSS-REFERENCE TO RELATED
`APPLICATION
`
`This application is a continuation application of U.S. Ser.
`No. 09/765,932, filed Jan. 19, 2001 now abandoned, which
`is based on and claimsthe benefit of Provisional Application
`No. 60/177,103, filed Jan. 20, 2000. Both of these applica-
`tions are incorporated in their entirety herein by reference.
`
`FIELD OF THE INVENTION
`
`This inventionrelates generally to transdermal drug deliv-
`ery systems, and more particularly to pharmaceutically
`acceptable adhesive matrix compositions,that use polymeric
`plastic materials, in particular insoluble cellulose derivatives
`suchas ethyl celluloses, to regulate the drug release profile.
`‘The invention additionally relates to transdermal drug deliv-
`ery systems providing substantially zero order drug release
`profiles for an extended period of time of up to seven days
`or longer.
`
`BACKGROUNDOF THE INVENTION
`
`The use of transdermal drug delivery systems as a means
`to topically administer an active agent is well known. Such
`systems incorporate the active agent
`into a carrier
`composition, such as a polymeric and/or pressure-sensitive
`adhesive composition, from whichthe active agentis deliv-
`ered through the skin or mucosaof the user.
`In gencral, transdermal drug delivery systems are cither
`reservoir-type or matrix-type devices. Both types of devices
`employ a backing layer that forms the protective outer
`surface of the finished transdermal system and which is
`exposed to the environment during use, and a release liner
`or protective layer that forms the inner surface and which
`covers whatever adhesive meansis employed foraffixing the
`system to the skin or mucosa of a user. The release liner or
`protective layer is removed prior to application, exposing
`the adhesive means, which is typically a pressure-sensitive
`adhesive.
`
`In the “classic” reservoir-type device, the active agent is
`usually dissolved or dispersed in a carricr that typically
`yields a non-finite carrier form,like a fluid or gel, and which
`is kept separate from the adhesive means usedto affix the
`device to the user. The device has a pocket or “reservoir”
`which physically serves to hold the active agent and carrier,
`and which is formed in or by the backing layer itself. A
`peripheral adhesive layer is then used to affix the device to
`the user. The early reservoir-type devices incorporated drugs
`which were readily absorbed through the skin like nitro-
`glycerin and nicotine.
`Such devices have a numberof disadvantages including a
`non-uniform drug release profile wherein a high dose of
`drug is released initially upon application to the uscr, often
`described as a “burst effect.” This burst or highinitial release
`of drug then dropsoff after a period of time to a rate that is
`less than is able to achieve a therapeutically effective
`amount. Drug delivery according to this profile is described
`as first order release.
`
`While such classic devices are still in use today, the term
`reservoir is being used interchangeably with matrix-type
`devices which still rely upon a separate adhesive means used
`to affix the device to the user.
`
`10
`
`15
`
`:
`
`25
`
`30
`
`35
`
`45
`
`50
`
`55
`
`60
`
`65
`
`2
`In a matrix-type device, the active agent is dissolved or
`dispersed in a carrier that typically yields a finite carrier
`form, which can be self-adhesive or non-adhesive. Non-
`adhesive matrix-type devices, that is, those whichstill rely
`upon a separate adhesive means to affix the device to the
`user, employ a drug permeable adhesive layer (often referred
`to as an “in-line adhesive” since the drug must pass
`through), applied over the drug matrix carrier layer. In an
`allempt to better control the release rate of the drug, such
`devices often employ one or more additional drug permeable
`layers such as rate controlling membranes, or containing
`excipients, such as drug delivery enhancers. Hence, such
`devices are also commonly referred to as multilayer or
`multilaminate.
`
`In a “monolithic or monolayer” matrix-type device, the
`active agent
`is typically solubilized or homogenously
`blended in an adhesive carrier composition,
`typically a
`pressure-sensitive adhesive or bioadhesive, which functions
`as both the drug carrier and the meansofaffixing the system
`to the skin or mucosa. Such devices, commonly referred to
`as dnig-in-adhesive devices, are described, for example, in
`USS. Pat. Nos. 4,994,267, 5,446,070, 5,474,783 and 5,656,
`286, all of which are assigned to Noven Pharmaceuticals,
`Inc., Miami, Fla.
`While matrix-type devices, especially drug-in-adhesive
`devices, have achieved more uniform and controlled drug
`deliver rates, and for longer periods of time, most transder-
`mal systems remain subject to a higher initial drug release
`than is required to achieve therapeutic efficacy. For many
`drugs and/or therapeutic situations, it would be advanta-
`gcous to climinate or suppress this higherinitial release and
`achieve a “steady state” (zero order) release profile which
`uniformly delivers a therapeutically effective amount of
`drug over the extended duration of device’s desired use.
`For example, the high initial release of certain drugs may
`cause adverse or undesired effects, or create toxicity
`concerns, thereby foreclosing the use of transdermal admin-
`istration. In other instances, the higher initial release may
`reduce the amount of drug required for treatment to the point
`of risking underdosing, or may makeit impracticalto try and
`increase the duration of the device’s application while
`retaining therapeutic effectiveness. The ability to reduce the
`frequency of replacing the transdermal drug delivery system
`would concomitantly increase user compliance, reduce any
`lag or drop off in efficacious. blood levels, and reduce the
`amount of drug required for treatment (also provided by
`reducing the higher initial blood level associated with the
`higher releaserate).
`Therefore, despite the existence of manydifferent types of
`transdermal delivery systems in the art,
`there remains a
`continuing need for improving the release profile of drugs to
`achieve substantially zero order, as well as extending the
`duration of use of each transdermal system.
`US. Pat. Ser. No. 07/897,269 discloses the use of glycerin
`to counteract the burst effect of drugs in transdermal for-
`mulations.
`
`It has now been found that the addition of certain poly-
`meric plastic polymers,
`in particular insoluble cellulose
`derivatives such as ethyl celluloses, into a pressure-sensitive
`adhesive matrix composition, eliminates or suppresses the
`initial high release rate of a drug subject to a first order
`release rate profile such that the system achieves substan-
`tially zero order release, and is able to maintain a substan-
`tially zcro order release profile for an extended period of
`time up to seven days or longer.
`Although not wishing to be bound bytheory, particularly
`in this case where the structure of the composition has not
`
`
`
`US 6,638,528 B1
`
`3
`been analyzed,it is postulated that the insoluble polymeric
`plastic material affects the uptake/absorption of water or
`moisture from the application site into the matrix composi-
`tion which would otherwise create some of the kinetic
`driving force for release of the drug. ‘his appears especially
`significant in the presence of hydrophobic drugs and/or in
`conjunction with the use of hydrophilic crystallization
`inhibitors, such as polyvinylpyrrolidones.
`Ethyl celluloses have been extensively used in industrial
`applications since their commercial introduction in the mid-
`1930s. They are recognized and widely used as well for
`many different purposes in pharmaceutical applications,
`especially in conjunction with water-sensilive ingredients.
`Ethyl celluloses are most frequently used as binders,fillers,
`flavor fixatives, controlled release coatings/barriers in
`microencapsulation and other solid dosage forms, particu-
`larly multiparticulate systems, granulation aids, tablet film
`formers and taste maskers.
`
`10
`
`15
`
`4
`It is still another object of the invention to achieve a
`substantially zero-order release profile of the active agent for
`an extendedperiodoftime of up to seven daysor longer, and
`effectively continue to deliver the active agent in a thera-
`peutically effective amount.
`It is a further object of the invention to provide a method
`of eliminating or suppressing the high initial release or burst
`of active agent from an adhesive matrix type transdermal
`drug delivery system containing a drug subject to a first
`order release profile.
`It is yet another object of the invention to provide a
`transdermal drug delivery system that can deliver an active
`agent at substantially zero-order for an extended period of
`time in excess of 72 hours and up to seven days or more
`without substantially increasing the surface area of the
`transdermal delivery system.
`BRIEF DESCRIPTION OF‘THE DRAWINGS
`
`FIG. 1 is a schematic illustration of a matrix-type trans-
`dermal drug delivery system of the present invention.
`FIG. 2 isa graphical representation comparing the in vitro
`flux rate of estradiol and norethindrone acetate through
`cadaver skin from a pressure-sensitive adhesive matrix
`composition of the present invention with the flux rate for a
`composition of the prior art.
`FIG. 3 is a graphical representation of the in vitro first
`order flux rate of estradiol through cadaver skin from a
`transdermal drug delivery system of the prior art as com-
`paredto the in vitro steady state flux rate of estradiol through
`cadaver skin from an transdermal drug delivery system of
`the present invention.
`FIG. 4 is a graphical representation of the in vitro flux
`rates of estradiol through cadaver skin from two pressure-
`sensitive adhesive matrix compositionsof the present inven-
`tion using various amounts of ethyl cellulose as compared to
`the in vitro flux rate of estradiol from a pressure-sensitive
`adhesive matrix composition without ethyl cellulose.
`FIG. 5 is a graphical representation of the in vitro flux
`rates of estradiol
`through cadaver skin from pressure-
`sensitive adhesive matrix compositions of the present inven-
`tion comparing the effect of varying amounts of ethyl
`cellulose with varying amounts of estradiol.
`FIG. 6 is a graphical representation of the in vitro flux
`rates of estradiol and norethindrone acetate through cadaver
`skin from pressure-sensitive adhesive matrix compositions
`comparing the effect of using a combination of ethyl cellu-
`lose and cellulose acetate butyrate versus either polymer
`alone.
`
`DETAILED DESCRIPTION OF THE
`INVENTION
`
`The prior art generally discloses the use of insoluble
`polymerssuch asethyl cellulose as optional componentsin °
`transdermal systems as thickening agents and as cohesive-
`ness strengthening agents whicheffect the carrier’s adhesive
`properties. For example, U.S. Pat. No. 5,232,702 discloses
`the use of a variety of substances that include ethyl cellulose
`and polyvinyl alcohol as cohesive strengthening agents
`(reducing flow properties of silicone adhesives) in a trans-
`dermal delivery system.
`The present invention is able to regulate the release profile
`of the drug in a transdermal system without modifying the
`adhesive properties of the pressure-sensitive adhesive
`matrix so that the transdermal system possesses the required
`degree of adhesion and tackiness to remainaffixed to thesite
`of application for extended periods of time, which can be
`seven days or more, but at
`the same time can beeasily
`removed as required.
`The prior art further generally discloses the use of
`insoluble polymers in transdermal systems as the non-
`adhesive matrix carrier itself, and even as a “suitable adhe-
`sive” for the matrix carricr itsclf (but which presumably
`includes the addition of a plasticizer or tackifier, or plasti-
`cizing liquid drug like nicotine,
`to create stickiness since
`such polymers are not adhesives). For example, U.S. Pat.
`No. 6,010,715 discloses the use of thermoplastic polymers
`that are melt-blended with active agents and enhancersthat
`are heat stable at the melt temperature of the polymer. The
`melt-blend can then be thermoformed into carrier layers
`without the use of commonsolvents to produce a controlled
`release layer in a transdermal drug delivery system. Cellu-
`lose derivatives such as ethyl cellulose are generally dis-
`closed as “suitable adhesives” for use as the matrix.
`
`25
`
`30
`
`35
`
`45
`
`50
`
`US. Pat. No. 5,904,931 discloses the use of cthyl ccllu-
`lose as a crystallization inhibitor in a transdermal drug
`delivery system. Cellulose ether and polyvinyl compounds
`are generally described as additional matrix additives.
`SUMMARY OF THE INVENTION
`
`It is therefore an objective of the present objective to
`provide for methods and pharmaceutically acceptable
`flexible, finite compositions and systemsfor the transdermal
`administration of active agents that achieve a substantially
`zero-order release profile when applied to a user.
`It is another object of the invention to provide an adhesive
`matrix-type transdermal drug delivery system which
`achieves a substantially zero-order release profile of the
`active agent by incorporating a polymeric plastic material
`into an adhesive drug matrix.
`
`55
`
`60
`
`65
`
`The foregoing and other objects are achieved by this
`invention which provides a transdermal drug delivery sys-
`tem wherein the use of a polymeric plastic material provides
`a release rate regulating effect on the active agents incor-
`porated into the adhesive matrix composition.
`Unless defined otherwise, all
`technical and scientific
`terms used herein have the same meaning as commonly
`understood by one of ordinary skill in the art to which the
`invention pertains.
`The term “topical” or “topically” is used herein in its
`conventional meaningas referring to direct contact with an
`anatomical site or surface area on a mammal including skin,
`tecth, nails and mucosa.
`The term “mucosa” as used herein means any moist
`anatomical membraneor surface on a mammalsuchasoral,
`buccal, vaginal, rectal, nasal or ophthalmic surfaces.
`
`
`
`US 6,638,528 B1
`
`5
`The term “transdermal”as used herein means passage into
`and/or through skin or mucosa for localized or systemic
`delivery of an active agent.
`The term “solubilized” is intended to mean that in the
`carrier composition there is an intimate dispersion or disso-
`lution of the active agent at the crystallinc, molecular or
`ionic level. As such,the active agent is considered herein to
`be in “non-crystallized” form when in the compositions of
`the present invention.
`As used herein, the term “flux” is defined as the absorp-
`tion of the drug through the skin or mucosa,and is described
`by Fick’s first law of diffusion:
`
`J=-D(dCm/dx),
`
`Where J is the flux in g/em2/sec, D is the diffusion coeffi-
`cient of the drug through the skin or mucosa in cm2/sec and
`Dem/dx is the concentration gradient of the drug across the
`skin or mucosa.
`
`10
`
`15
`
`6
`lohde viscometer). Ethyl cellulose polymers having such
`solution viscosities exhibit melting point temperatures in the
`range of about 165° C.
`to about 200° C. Suitable ethyl
`cellulose polymers are commercially available and include
`those sold under the trademark ETHOCEL® by the Dow
`Chemical Company, Midland, Mich. Preferred ETHOCEL®
`polymers are ETHOCEI® Standard 7, 10, 14 and 20,
`Premium or Industrial grades.
`Acrystallization inhibitor or solubility enhancer may also
`be employed in the invention, for example polyvinylpyrroli-
`done polymers, polyethylene oxide, polyacrylic acid, poly-
`vinyl alcohol, silicone dioxide, silica, celluloses and cellu-
`lose derivatives such as hydroxymethyl cellulose,
`hydroxypropyl cellulose, gelatins, gums, starches, dextrins
`and dextrans, sterols, bile acids and other absorptive agents
`that possess the capability to absorb and hold water or
`moisture.
`‘The term
`Particularly preferred compounds are PVPs.
`“nolyvinylpyrrolidone” or “PVP”refers to a polymer, ether
`a homopolymeror copolymer, containing vinylpyrrolidone
`(also referred to as N-vinylpyrrolidone, N-vinyl-2-
`pyrrolidone and N-vinyl-2-pyrrolidinone) as a monomeric
`unit. PVP polymers include soluble and insoluble
`homopolymeric PVPs, and copolymers such as
`vinylpyrrolidone/vinyl acetate and vinylpyrrolidone/
`dimethylamino-ethylmethacrylate. The cross-linked hom-
`polymer (such as KOLLIDON® CL from BASF)
`is
`insoluble and is generally known in the pharmaceutical
`industry under the designations polyvinylpolypyrrolidone,
`crospovidone and PVP. The copolymer vinylpyrrolidone-
`vinyl acetate is generally known in the pharmaceutical
`industry under the designations Copolyvidon (e), Copoly-
`vidonum or VP-VAc.
`
`Particularly preferred PVPs are soluble. The term
`“soluble” when used with reference to PVP meansthat the
`polymeris soluble in water and generally is not substantially
`cross-linked, and has a molecular weight of less than about
`2,000,000. See, generally, Buhler, KOLLIDON®: POLYVI-
`NYLPRYRROLIDONE FOR THE PHARMACEUTICAL
`
`INDUSTRY, BASF Aktiengesellschaft (1992). Soluble PVP
`polymers have been identified in the pharmaceutical indus-
`try under a variety of names,
`the most commonly used
`include Povidone, Polyvidon (ec), Polyvidonum, poly
`(N-vinyl-2-pyrrolidinone, poly (N-vinylbutyrolactam), poly
`(1-vinyl-2-pyrrolidinone, poly [1-(2-oxo-lpyrrolidinyl)
`ethylene].
`‘The amount and type of PVP required in the preferred
`embodiments will depend on the quantity and type of drug
`present in the adhesive matrix composition, as well as the
`type of adhesives, but can be readily determined through
`routine experimentation.
`Typically, the PVP is present in an amount from about 5%
`to about 50% byweight, preferably from about 10% to about
`40% by weight based on the dry weightof the total adhesive
`matrix composition. However, the amount of PVP can be
`higher than 20% for example, up to 40%, depending on the
`particular drug used and on the desired properties of the
`matrix blend.
`
`Said PVP preferably has a molecular weight of about
`2,000 to 2,000,000, more preferably 5,000 to 100,000, and
`most preferably 7,000 to 54,000. PVP having a molecular
`weight of about 1,000,000 to about 1,500,000 is also pre-
`ferred.
`PVPs are sold to the pharmaceutical industry under the
`trademarks KOLLIDON by BASF (Parsippanny, N.J.);
`PLASDONE, POLYPLASDONE and COPOLYMER 958
`by ISP Technologies, Wayne, N.J. Preferred PVPs are KOL-
`LIDON 12PF, 17PF, 25, 30, 90 and VA-64.
`
`The phrase “pharmaceutically acceptable flexible, finite” :
`is intended to mean a solid form capable of conforming to
`a surface to which it is applied, and which is capable of
`maintaining the contact in such solid form soasto facilitate
`topical application without adverse physiological response,
`and without being appreciably decomposed by aqueous
`contact during use bya subject.
`The term “user” or “subject” is intended to include all
`warm-blooded mammals, preferably humans.
`The phrase “substantially zero-order” as used herein
`meanstransdermal delivery of an active agent at a release
`rate which is approximately constant once steady state is
`attained, typically within 12 to 24 hours aftcr topical appli-
`cation. While variability in blood levels of active agent are
`contemplated within the scope of this meaning once steady
`state release is attained, the depletion rate of active agent
`over the duration of use should typically not exceed about
`20% to about 25%.
`Any polymeric plastic material may be employed for the
`present invention provided it is insoluble or substantially
`insoluble in water, and includes cellulose derivatives such as
`cellulose acetates,
`(cellulose acetate butyrate, cellulose
`acetate propionate, cellulose acetate phthalate, etc.), methyl,
`ethyl and propyl celluloses; polycarbonates; polystyrenes;
`alkylacrylates such as polymethyl methacrylate, polyethyl
`ethacrylate, polyethylene methacrylate and other lower alkyl
`acrylates; vinyl polymers; polyurethanes; polyacrylonitriles;
`and mixtures, combinations and multipolymers
`(copolymers, terpolymers,etc.) thereof.
`In preferred embodiments, the polymeric plastic material
`is a cellulose derivative. Preferred are cellulose esters such
`
`25
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`30
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`35
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`40
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`45
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`50
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`as cellulose acctatcs including cellulose acetate, cellulose
`acetate butyrate, cellulose acetate phthalate, cellulose
`acetate propionate, and cellulose ethers.
`Copending provisional application, Ser. No. 60/137,827,
`describes the use of cellulose derivatives, particularly cel-
`lulose esters, as drug solubility enhancers in matrix carrier
`compositions.
`Particularly preferred cellulose ethers are ethyl cellulose
`polymers. Ethyl cellulose polymers can be manufactured in
`a variety of molecular weights, whichtranslates into a range
`of viscosilies when in solution. In practicing the subject
`invention, it has been foundthat solution viscosities ranging
`from about 3 centipoise to about 49 centipoise are preferred,
`and more preferably from about 6 centipoise to about 40
`centipoise, and optimally from about 6 centipoise to about
`22 centipoise (viscosities are for 5% solutions,
`in 80%
`toluene and 20% ethanol, measured at 25° C. in an Ubbe-
`
`55
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`60
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`65
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`
`US 6,638,528 B1
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`10
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`15
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`7
`Particularly preferred embodiments of the invention
`include soluble PVP in a polyacrylate and polysiloxane
`pressure-sensitive adhesive matrix blend.
`The amount and type of polymeric plastic material
`required in the practice of the invention will depend on the
`one or more additional materials used in the adhesive matrix
`composition, and on the amount and typeofactive agent(s).
`Generally, the amount of polymeric plastic material to be
`used is an amount sufficient to deliver a therapeutically
`cffcctive amount of the active agent at a substantially
`zero-order kinetic rate of delivery for an extended period of
`timeof at least three days and up to seven daysor longer, and
`to eliminate or suppress the high initial release rate of a drug
`subject to a first order release profile. Typically, the amount
`of polymeric plastic material to be used ranges from about
`0.5% to about 30%, preferably from about 2.5% to 20%, and
`more preferably from about 5.0% to 15% by weight based
`on the dry weight of the total adhesive matrix composition.
`Amounts greater than 30% typically result in loss of adhe-
`sive properties necessary to maintain the system topically :
`for an extended period of time.
`The adhesive matrix compositions of the present inven-
`tion are designed to effectively deliver an active agent in a
`therapeutically effective amount for an extended period of
`time up to seven days or longer. As used herein, “therapeu-
`tically effective” means an amountof an active agent that is
`sufficient to achieve the desired local or systemic effect or
`result, such as to prevent, cure, diagnose, mitigate or treat a
`disease or condition, when applied topically over the dura-
`tion of intended use. Seven days is generally the preferred
`maximum duration for application of a transdermal drug
`delivery system of the present invention because the site of
`applicationis typically adverselyaffected when occluded for
`a period of time greater than seven days. However, if a
`non-occlusive backing material (i.e., permeable to water
`vapor and/or oxygen) is used, then the transdermal system
`may be applied for periods longer than seven days without
`adverse effects occurring,if at all, until a muchlater time.
`While delivery of drug by the present invention is preferred
`for at least a seven-day continuous application, the trans-
`dermal system may be used discontinuously (i.e., replaced at
`any time during rather than at
`the end of the intended
`duration of use) since the drug release profile is substantially
`zero order.
`The term “active agent” (and its equivalents “agent,”
`“drug,” “medicament” and “pharmaceutical”) is intended to
`have the broadest meaning and includesat least one of any
`therapeutic, prophylactic, pharmacological or physiological
`active substance, cosmetic and personal care preparations,
`and mixtures thereof, which is delivered to a mammal to
`produce a desired, usually beneficial, effect. More
`specifically, any active agent that is capable of producing a
`pharmacological response, localized or systemic, irrespec-
`tive of whether therapeutic, diagnostic, cosmetic or prophy-
`lactic in nature, is within the contemplation of the invention.
`It should be noted that
`the active agents can be used
`singularly or in combinations and mixtures.
`There is no limitation on the type of active agent that can
`be used in this invention. However, active agents that are
`solid or crystalline at room temperature are preferred over
`liquid drugs, especially nicotine. Moreover, drug forms
`other than the free base form are also preferred.
`The active agents contained in the adhesive matrix com-
`position can be in different forms such as pharmaceutically
`acceptable salts, bases, esters, amides or pro-drugs, or may
`be modified by appending one or more appropriate func-
`tionalities to enhance selected physical or biological
`
`8
`properties, for example as neutral molecules, components of
`molecular complexes or free bases to improve solubility or
`release characteristics; or as pharmaceutically acceptable
`ethers, esters, amides and the like which have desirable
`retention and release characteristics but which are easily
`metabolized at body pH.
`Compounds may be converted into pharmaceutically
`acceptable salts, and the salts may be converted into phar-
`maceutically acceptable free compound using standard pro-
`ecdures known to those skilled in the art of synthctic organic
`chemistry and described,
`for example, by J. March,
`Advanced Organic Chemistry: Reactions, Mechanisms and
`Structure, 4 Ed. (New York: Wiley-Interscience, 1992).
`Acid addition salts are prepared from the free base (e.g.,
`compounds having a neutral —NH,or cyclic amine group)
`using conventional means, involving reaction with a suitable
`acid. An acid addition salt may be convertedto the free base
`by treatment with a suitable base. Basic salts of acid
`moieties which may be present(e.g., carboxylic acid groups)
`can be prepared in a similar manner using pharmaceutically
`acceptable inorganic or organic bases. Compounds may also
`be converted into pharmaceutically acceptable esters. Suit-
`able esters include branched or unbranched, saturated or
`unsaturated C, to C, alky esters, for example, methyl, ethyl
`and vinyl esters. Preparation of esters involves functional-
`ization of hydroxyl and/or carboxyl groups which may be
`present. Pharmaceutically acceptable esters maybe prepared
`using methods known to those skilled in the art and/or
`described in the pertinent literature. Esters can be recon-
`verted to the free acids, if desired, by using conventional
`hydrogenolysis or hydrolysis procedures. Preparation of
`amides and pro-drugs can be performed in an analogous
`manner.
`
`Steroids and hormonal active agents (including both
`natural, semi-synthetic and synthetic compoundsand their
`derivatives having steroidal or hormonal activity) are pre-
`ferred and include,
`for example,
`(a) estrogens such as
`Colpormon, Conjugated Estrogens, Estradiol (17B- and a-)
`and its Esters (e.g., Acetate, Benzoate, Cypionate, Dipropi-
`onate Diacetate, Enanthate, Estradiol-16,17-Hemisucci