Method for improving aqueous solubility of water-insoluble or slightly water-soluble drugs
11510859 · 2022-11-29
Assignee
Inventors
- Andreas Grassauer (Vienna, AT)
- Eva Prieschl-Grassauer (Vienna, AT)
- Angelika Bodenteich (Steyregg-Plesching, AT)
- Martina Morokutti-Kurz (Vienna, AT)
- Sabine Nakowitsch (Vienna, AT)
- Cornelia Kaintz (Vienna, AT)
Cpc classification
A61K31/436
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K9/1075
HUMAN NECESSITIES
A61K8/604
HUMAN NECESSITIES
A61K9/006
HUMAN NECESSITIES
A61K47/36
HUMAN NECESSITIES
A61K47/18
HUMAN NECESSITIES
A61K47/46
HUMAN NECESSITIES
A61K31/56
HUMAN NECESSITIES
A61K47/26
HUMAN NECESSITIES
A61K9/0034
HUMAN NECESSITIES
A61K31/138
HUMAN NECESSITIES
A61K31/58
HUMAN NECESSITIES
International classification
A61K9/00
HUMAN NECESSITIES
A61K47/26
HUMAN NECESSITIES
A61K47/18
HUMAN NECESSITIES
A61K47/10
HUMAN NECESSITIES
A61K47/46
HUMAN NECESSITIES
A61K31/58
HUMAN NECESSITIES
A61K47/36
HUMAN NECESSITIES
A61K31/56
HUMAN NECESSITIES
A61K31/138
HUMAN NECESSITIES
A61K31/436
HUMAN NECESSITIES
Abstract
A method of increasing the solubility of a water-insoluble or slightly water-soluble hydrophobic organic compound in an aqueous solvent includes adding a saponin component selected from escin, glycyrrhizin, and Quillaya saponaria extract to the aqueous solvent in an amount sufficient to trigger the formation of micelles, wherein in a first step the hydrophobic organic compound is pre-dissolved in an organic solvent, and in a second step the organic solvent comprising the pre-dissolved compound is admixed to the aqueous solvent, whereby at least a part of the insoluble or slightly soluble hydrophobic organic compound gets solubilized and dissolved in the aqueous solvent, yielding an aqueous composition having an increased concentration of said organic compound dissolved therein. Also indicated are pharmaceutical or cosmetic compositions including a water-insoluble or slightly water-soluble organic compound dissolved in an aqueous solvent at substantially increased concentrations.
Claims
1. The pharmaceutical or cosmetic composition comprising a water-insoluble or slightly water-insoluble hydrophobic organic compound dissolved in an aqueous solvent system, wherein the water-insoluble or slightly water-soluble hydrophobic organic compound is selected from the group consisting of budesonide, tacrolimus and fluticasone; the aqueous solvent system comprises: a saponin component comprising escin at or above a critical micelle escin at or above a c concentration, wherein the concentration of escin in the aqueous solvent system is in a range of from 0.01% to 0.1% w/v; a McIlvaine buffer having a pH of 6; propylene glycol at a concentration of from 5-10%; and dexpanthenol at a concentration of from 1% to 5%; and at least part of the water-insoluble or slightly water-insoluble hydrophobic organic compound is dissolved through solubilization by way of attachment to micelles present in the aqueous solvent system.
2. The pharmaceutical or cosmetic composition of claim 1, wherein the pharmaceutical or cosmetic composition comprises at least one further ingredient selected from the group consisting of iota-carrageenan, kappa-carrageenan, and hyaluronic acid.
3. The pharmaceutical or cosmetic composition of claim 1, wherein the pharmaceutical or cosmetic composition is formulated as a gel, a cream, an ointment, a spray, a mouthwash, a gargling solution, a solution for inhalation, or a suppository, for administration to a mucosal surface.
4. The pharmaceutical or cosmetic composition of claim 3, wherein the mucosal surface is selected from the group consisting of a mucosal surface of the nose, the mouth, the eyes, the respiratory tract, the lungs, the genital region, and the anorectal region.
5. A pharmaceutical or cosmetic composition comprising a water-insoluble or slightly water-soluble hydrophobic organic compound dissolved in an aqueous solvent system, wherein the aqueous solvent system comprises a buffer adjusted to a pH value in a range of from pH 4 to pH 8, and a saponin component comprising escin at or above a critical micelle concentration; the concentration of escin is in a range of from 0.01% to 0.5% w/v; the aqueous solvent system further comprises dexpanthenol at a concentration of from 0.5% to 5% v/v, and a pharmaceutically or cosmetically acceptable non-aqueous organic solvent; at least a part of the water-insoluble or slightly water-soluble hydrophobic organic compound is dissolved through solubilization by way of attachment to micelles present in the aqueous solvent system; and the water-insoluble or slightly water-soluble hydrophobic organic compound is selected from the group consisting of analgesics, antirheumatics, antiallergics, antibiotics, chemotherapeutics, antiepileptics, antimycotics, chloroquine, mefloquine, artemisinin, primaquine, lumefantrine, halofantrine, curcumin, corticoids, dermatics, hypnotics, sedatives, immunotherapeutics, cyclosporin, tacrolimus, sirolimus, rapamycin, umirolimus, zotarolimus, everolimus, myolimus, novolimus, pimecrolimus, ridaforolimus, temsirolimus, cytokines, anaesthetics, anti-migraine drugs, parathyroid hormones, calcium metabolism regulators, ophthalmics, psychotropics, sex hormones, inhibitors of sex hormones, cytostatics, and metastasis inhibitors.
6. The pharmaceutical or cosmetic composition of claim 5, wherein the pharmaceutically or cosmetically acceptable non-aqueous organic solvent comprises propylene glycol.
7. The pharmaceutical or cosmetic composition of claim 5, wherein the pharmaceutically or cosmetically acceptable non-aqueous organic solvent comprises propylene glycol present in the composition at a concentration of from 1% to 15% v/v.
8. The pharmaceutical or cosmetic composition of claim 5, wherein the pharmaceutically or cosmetically acceptable non-aqueous organic solvent is selected from the group consisting of DMSO, propylene glycol, polyethylene glycols, propylene carbonate, dimethyl isosorbide, fatty acid alcohols, triacetin monostearate, ethylene glycol distearate, glyceryl monostearate, propylene glycol monostearate, polyvinyl alcohol, carbomers, non-ionic polyethoxylated detergents derived from hydrogenated castor oil, and chemically modified cellulose derivatives.
9. The pharmaceutical or cosmetic composition of claim 5, wherein the pharmaceutical or cosmetic composition comprises at least one further ingredient selected from the group consisting of iota-carrageenan, kappa-carrageenan, and hyaluronic acid.
10. The pharmaceutical or cosmetic composition of claim 5, wherein the water-insoluble or slightly water-soluble hydrophobic organic compound is selected from the group consisting of morphine, codeine, piritramide, fentanyl, levomethadone, tramadol, diclofenac, ibuprofen, indomethacin, naproxen, piroxicam, pheniramine, dimethindene, terfenadine, astemizole, loratidine, doxylamine, meclizine, rifampicin, ethambutol, thiacetazone, carbamazepine, clonazepam, mesuximide, phenytoin, valproic acid, natamycin, amphotericin B, miconazole, clotrimazole, econazole, fenticonazole, bifonazole, ketoconazole, tolnaftate, aldosterone, budesonide, fludrocortisone, betamethasone, dexamethasone, triamcinolone, fluocortolone, flucticasone propionate, hydroxycortisone, prednisolone, prednylidene, cloprednol, methylprednisolone, tetracycline, erythromycin, framycetin, tyrothricin, fusidic acid, vidarabine, amcinonide, fluprednidene, alclometasone, clobetasol, diflorasone, halcinonide, fluocinolone, clocortolone, flumethasone, diflucortolone, fludroxycortide, halomethasone, desoximetasone, fluocinolide, fluocortin butyl, prednicarbate, desonide, cyclobarbital, pentobarbital, methaqualone, flurazepam, midazolam, nitrazepam, lormetazepam, flunitrazepam, triazolam, brotizolam, temazepam, loprazolam, azathioprine, butanilicaine, mepivacaine, bupivacaine, etidocaine, lidocaine, articaine, oxybuprocaine, tetracaine, benzocaine, lisuride, methysergide, dihydroergotamine, ergotamine, methohexital, propofol, etomidate, ketamine, thiopental, droperidol, dihydrotachysterol, cyclodrin, cyclopentolate, homatropine, tropicamide, pholedrine, edoxudine, aciclovir, acetazolamide, diclofenamide, carteolol, timolol, metipranolol, betaxolol, pindolol, bupranolol, levobununol, carbachol, lorazepam, diazepam, clomethiazole, anabolics, androgens, antiandrogens, gestagens, estrogens, antiestrogens, melphalan, carmustine, lomustine, cyclophosphamide, ifosfamide, trofosfamide, chlorambucil, busulphan, prednimustine, thiotepa, fluorouracil, methotrexate, mercaptopurine, tioguanine, vinblastine, vincristine, vindesine, dactinomycin, taxol, dacarbazine, oestramustine, and etoposide.
11. The pharmaceutical or cosmetic composition of claim 5, wherein the pharmaceutical or cosmetic composition is formulated as a gel, a cream, an ointment, a spray, a mouthwash, a gargling solution, a solution for inhalation, or a suppository, for administration to a mucosal surface.
12. The pharmaceutical or cosmetic composition of claim 11, wherein the mucosal surface is selected from the group consisting of a mucosal surface of the nose, the mouth, the eyes, the respiratory tract, the lungs, the genital region, and the anorectal region.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DEFINITIONS
(18) The term “steroid” as used herein shall mean any and all compound(s) that are based on the sterol core structure of four carbocycles, as depicted below in formula A.
(19) ##STR00001##
(20) Steroids exerting hormonal action are divided into two main classes: glucocorticoids, which control carbohydrate, fat and protein metabolism and frequently have anti-inflammatory action, and mineralocorticoids, which control electrolyte and water levels. The steroids referred to herein are typically cortico-steroids and may be selected from the group consisting of glucocorticoids and mineralocorticoids. Suitable examples comprise any one of budesonide, fluticasone, fluticasone propionate, and mometasone furoate.
(21) The term “antimalarial” or “antimalarial drug” as used herein shall mean any and all compounds that are currently known or will be known in the future to terminate, reduce, or prevent infections with mosquito-transmitted intracellular para-sites of the genus plasmodium, and that are insoluble or only slightly soluble in water. Typical representatives of that category of compounds being artemisinins and lumefantrin.
(22) The term “immunosuppressants” or “macrocyclic immunosuppressants” as used herein shall mean any and all macrocyclic molecules that are currently known or will be known in the future to reduce or suppress immune reactions in mammals, preferably those that bind immunophilins, and that are insoluble or only slightly soluble in water. Representative examples of such macrocyclic molecules include cyclosporin, tacrolimus, and sirolimus (rapamycin), and their chemical modifications, as well as compounds such as biolimus A9, zotaro-limus, everolimus, myolimus, novolimus, pimecrolimus, ridaforolimus, and temsirolimus.
(23) The term “saponin” as used herein shall mean glycosides that comprise a triterpenoid or a steroidal aglycone core structure (the sapogenin) and one or more monosaccharide or oligosaccharide residues or chain(s) attached to the sapogenin. The saponins particularly preferred herein are escin, glycyrrhizin, and Quillaja saponaria extract.
(24) The term “escin” as used herein shall encompass any and all saponins referred to in the literature under the terms alpha- and beta-escin, or alpha- and beta-aescin, respectively; their mixtures; their salts comprising mono-, di- or trivalent cations; and esters formed with organic acids and/or alcohols, particularly with low molecular weight, organic acids and/or alcohols, primarily monovalent acids and/or alcohols.
(25) The term “glycyrrhizin” as used herein shall be understood as being equivalent to the term glycyrrhicinic acid in both its 18-alpha and 18-beta forms.
(26) The term Quillaja saponaria extract as used herein shall refer to the commercially available product Quillaja Saponaria (Soapbark Extract) which is approved as an ingredient for use in food and beverages (GRAS) by the United States FDA under Title 21 CFR 172-510, FEMA number 2973. It is also approved as an ingredient for analogous use in the European Union under code E 999, Current CAS number: 068990-67-0 or EPA List 4A CAS number: 1393-03-9 (Quillaja Saponin).
(27) The term “inflammatory condition” as used herein shall encompass all acute or chronic conditions where mammalian body tissue is affected by at least one symptom selected from the group consisting of edema, swelling, locally elevated temperature, tenderness, and pain, and/or by elevated levels of inflammation markers such as reactive protein C, or pro-inflammatory cytokines, or by any combination of such symptoms and elevated levels of inflammation markers.
(28) The term “anti-inflammatory steroid” shall encompass all steroids that are able to reduce any of the above symptoms of inflammation in a mammalian body. The most important members of this group are the glucocorticoids.
DETAILED DESCRIPTION
(29) It has been recognized by the present inventors that even small amounts of saponins, when added to an aqueous solvent, are capable of dramatically increasing the aqueous solubility of hydrophobic organic compounds including numerous therapeutically relevant compounds. The concentrations of effectively dissolved hydrophobic organic compound material in aqueous solvents obtainable in accordance with the invention are at least several times and up to several orders of magnitude higher than the concentrations of the same compounds in conventional saponin-free aqueous, e.g. water/propylene glycol, solvent systems.
(30) The experimental data produced so far suggest that the saponin component in the concentrations required for the improvement of solubilization forms specific micelles or micelle-like structures with the hydrophobic organic compounds and in doing so reduces the contact area of the hydrophobic parts of such compounds with the aqueous environment, hence reduces hydrophobicity and increases water-solubility.
(31) Apart from the saponin effect, adding dexpanthenol to compositions prepared in accordance with the invention at concentrations usually higher than those of the saponins and in some embodiments at concentrations within a range of from 1 to 5% v/v, may prevent precipitation of the dissolved hydrophobic organic compounds, especially of steroids, during storage. It may further prevent the disintegration of the mixture of ingredients of such compositions into multi-phase system during long-term storage at room temperature. Moreover, the present invention allows for adjusting the concentrations of the saponins and of dexpanthenol to fully meet the requirements for application to the sensitive mucosal surfaces of the nose, the mouth, of the eyes, of the respiratory tract, of the intestinal tract, of the genital and anorectal regions, and of other parts of the mammalian body.
(32) Accordingly, in an embodiment the invention relates to a method of improving storage stability of aqueous solutions of solubilized water-insoluble or only slightly water-soluble hydrophobic organic compounds, wherein in addition to the saponin component, dexpanthenol is added as a solubilization enhancer and/or as a stabilizing agent.
(33) It shall be pointed out at this occasion that the principle of the present invention may also be applied to existing water-containing solutions, suspensions, emulsions or hydrocolloids of such water-insoluble or slightly soluble compounds, in particular of therapeutically or cosmetically applied compounds, by adding either or both of a saponin component and a dexpanthenol component to such a solution, suspension, emulsion or hydrocolloid. The result being a substantial increase in the concentration of effectively dissolved hydrophobic compound material, i.e. of previously undissolved hydrophobic compound material converted into a dissolved state.
(34) This will have in effect that the bioavailability of these compounds will be enhanced as well, thereby improving the pharmacokinetics and reaction dynamics of the hydrophobic compounds in the recipient's body, and will also trigger an earlier onset of the desired pharmacological action in case of pharmaceutically active compounds.
(35) In addition, it shall be emphasized that particle-free and usually clear and transparent solutions prepared in accordance with a method of the present invention are susceptible to direct sterile filtration. This is in contrast to state-of-the-art methods for obtaining sterile filtered two-phase preparations, i.e. suspensions, emulsions or hydrocolloids, which methods typically comprise sterile filtering a purely organic solution comprising the desired hydrophobic compound, and, independently, sterile filtering an aqueous buffer, and mixing the aqueous buffer with the organic solution. However, this procedure causes the majority of the hydrophobic compound molecules dissolved in the organic phase to precipitate upon contact with the aqueous buffer, thus resulting in a suspension, emulsion or a hydrocolloid containing only a very low amount of effectively solubilized compound together with a much bigger amount of undissolved, optionally particulate, matter of said compound.
(36) Such methods of producing sterile preparations can also be used in embodiments of the present invention, the difference being, however, that the aqueous buffer component further comprises a saponin and optionally also dexpanthenol, resulting in preparations similar to those known in the art, wherein the concentration of dissolved hydrophobic compound is, however, substantially increased relative to the corresponding preparations known in the art without the saponin and the optional dexpanthenol components.
(37) Accordingly, an embodiment herein relates to aqueous two-phase preparations, i.e. preparations selected from the group consisting of suspensions, emulsions, and hydrocolloids, comprising a saponin and optionally also a dexpanthenol component, wherein the concentration of effectively dissolved hydrophobic organic compound is substantially increased over the one achieved in a corresponding conventional preparation without the saponin and the optional dexpanthenol component.
(38) Given that many state-of-the-art preparations comprising hydrophobic compounds are based on solvent systems comprising one or more organic solvents together with a suitable amount of water, it is also an object herein to provide a method for reducing the share of the non-aqueous organic solvent or solvent mixture in a composition comprising a slightly water-soluble or water-insoluble hydrophobic organic compound, and to simultaneously increase the share of the purely aqueous solvent or buffer system in that composition. This will overcome various drawbacks of state-of-the-art preparations as discussed in more detail above and will allow for largely expanding the scope of therapeutic or cosmetic applications, and particularly with regard to prophylactic or therapeutic oral as well as parenteral, e.g., transdermal and transmucosal, applications of such hydrophobic organic compounds or drugs.
(39) Accordingly, another embodiment herein relates to a water-based solvent system for insoluble or slightly water-soluble compounds comprising an aqueous solution and one or more saponins, and optionally dexpanthenol, in addition to conventional organic solvents or solubilizers used in the art for dissolving such compounds.
(40) The term “improving the solubility of hydrophobic compounds” as used herein shall be understood as to render hydrophobic compounds better water-soluble without chemical modification of the compounds. More specifically, this encompasses significantly increasing the concentration an insoluble or sparingly water-soluble compound in its dissolved, non-particulate state in an aqueous solvent relative to the compound's concentration in the dissolved state that could have been achieved without applying the principle of the present invention.
(41) The term “improving the stability” of an aqueous solution of hydrophobic compounds as indicated herein shall be understood as to significantly increase the storage stability of an aqueous solution of a hydrophobic compound relative to the storage stability that could have been achieved without the addition of dexpanthenol. More specifically, “storage stability” shall be understood as a pharmaceutical or cosmetic composition's capability of remaining substantially unchanged over a predetermined period of time, i.e., without the occurrence of any signs of precipitation of the dissolved compound(s) of interest, without any signs of disintegration of the composition into two or more phases such as liquid-liquid phases (emulsion) or liquid-solid phases (suspension), and preferably without a significant loss in physiological activity of the composition.
(42) The various classes or categories of chemically diverse and physiologically distinctly different pharmaceutically active agents referred to herein have in common that they are highly hydrophobic in nature hence only slightly, if at all, water-soluble. Accordingly, while the hydrophobic compounds explicitly referred to herein are suitable examples for use in accordance with the present invention, it will be apparent to those of ordinary skill in the art that the invention may be applied to any such classes or categories of hydrophobic and sparingly water-soluble chemical compounds, whether or not physiologically active or cosmetically useful. Thus, the examples of water-insoluble or slightly soluble hydrophobic organic compounds explicitly referred to herein as being eligible for improvement in aqueous solubility are not exhaustive and shall therefore not be construed as limiting the scope of the present invention laid down in the claims.
(43) One representative of the saponin component most useful herein is escin. Escin is a well-known triterpene saponin product that can be obtained from horse chestnuts (the fruits of Aesculus hippocastanum) by extraction with alcohol and other organic solvents. It is a mixture of closely related highly hydroxylated triterpene derivatives in which tiglic acid or acetic acid are bound as esters while two glucuronic acid molecules are attached through glycosidic bonds. The components in the mixture constituting escin differ with respect to their sugar residues, and also with respect to the acetyl substituent of the aglycone. The main glycoside in escin has the following chemical structure (formula B):
(44) ##STR00002##
(45) Escin-based formulations have been used for treating various conditions of venous insufficiency and excessive microvascular permeability for several decades. Topical gels containing escin are commercially available for the treatment of local edema from varicose veins or hemorrhoids which typically contain propylene glycol, isopropanol, and carbomers. Oral escin preparations are also available.
(46) European Patent EP 1 090 629 teaches combinations of escin and dextran sulfate to prevent or treat irritations around an individual's eye.
(47) Glycyrrhizin, a saponin from Glycyrrhiza glabra, consists of the triterpene glycyrrhetinic acid aglycone and glucuronic acid. It is the sweet-tasting component of licorice, and has many uses in the food and cosmetics industry. Glycyrrhizin has reportedly anti-inflammatory, anti-diabetic, antioxidant, anti-tumor, antimicrobial, anti-viral, and hepatoprotective properties. Its structure is as follows (formula C):
(48) ##STR00003##
(49) International patent application WO2002/074238 discloses the use of glycyrrhizin in the preparation of highly water-soluble complexes of a broad variety of sparingly soluble compounds that contain at least one nitrogen atom. The complexes are preferably ionic and the molar ratio of glycyrrhizin to active agent is preferably 1:1 to 1:3.
(50) In contrast, the embodiments of the present invention require no nitrogen atom in the compounds to be solubilized, require no ionic states to be present, and require only low amounts of saponins, i.e., amounts that are far below the ones taught in WO2002/074238 for glycyrrhizin and that are typically in a range of only fractions of the amounts of the compounds to be solubilized. Nevertheless, glycyrrhizin may be applied in accordance with the invention either as a free base or in form of its salts, particularly its potassium or ammonium salts, and optionally in combination with another saponin, following the protocol described herein. Surprisingly, its aglycone, i.e. glycyrrhetinic acid or enoxolone, may not be used as a solubilization enhancer in accordance with the invention.
(51) The saponin component as used herein is typically provided at concentrations ranging from 0.01% to 10% weight by volume (w/v) of the final cosmetic or pharmaceutical preparation containing the desired water-insoluble or slightly soluble organic compound. In various embodiments, the concentration of the saponin component will be in a range of from 0.02% to 0.1% or from 0.5 to 5% weight by volume of the final aqueous solution or preparation, respectively, depending on the kind of saponin used in a given embodiment for a specific purpose.
(52) Dexpanthenol, the D-enantiomer (or stereochemically, the R-form) of pantothenol, is the amide of pantoic acid and β-alanine. Because it is an essential nutrient required to synthesize coenzyme A, it is also known as vitamin B5. Its structure is as follows (formula D):
(53) ##STR00004##
(54) Dexpanthenol is widely used as an emollient and humectant in cosmetics and topical personal care products and it also has medical utility. More specifically, it may support the healing of small dermal abrasions, local first-degree burns, and dermatoses.
(55) It has been found that dexpanthenol could be useful as a stabilizer for solutions of insoluble or sparingly water-soluble compounds prepared either according to methods known in the art or according to the present application.
(56) The dexpanthenol component as used herein is typically provided at concentrations ranging from 0.5% to 10% volume by volume (v/v) of the final preparation, e.g. a cosmetic or pharmaceutical composition containing the desired water-insoluble or slightly soluble organic compound. In various embodiments, the concentration of the dexpanthenol component will be in a range of from 1% to 5% volume by volume of the final solution or composition.
(57) Various pharmaceutical compositions comprising as a physiologically active ingredient a sparingly water-soluble organic compound are currently being used in the treatment of inflammatory conditions, in the treatment of diseases such as malaria, and also in the treatment of autoimmune disorders and in the course of post-operative immunosuppression in connection with graft surgery. For example, cyclophilin-binding immunosuppressive drugs are currently being used to treat autoimmune disorders that cause conditions such as atopic dermatitis, psoriasis, vitiligo, ulcerative colitis, rheumatoid arthritis, systemic lupus, and autoimmune uveitis. Specific immunosuppressants from this group may also be administered in order to prevent undesired immune reactions such as a rejection of an allogeneic organ transplant, including graft-versus-host disease from bone marrow transplants. All of these compositions may be substantially improved in accordance with embodiments of the invention described herein.
(58) The aqueous solutions prepared in accordance with the invention typically comprise one or more pharmaceutically or cosmetically acceptable non-aqueous solvents, carriers, and/or excipients, and optionally further comprise preservatives and/or other additives. The solvents, carriers and/or excipients may be selected from the group comprising polyethylene glycols such as PEG-400; fatty acid alcohols such as stearyl, cetyl, or oleyl alcohol, triacetin monostearate, ethylene glycol distearate, glyceryl monostearate, propylene glycol monostearate, and polyvinyl alcohol; carbomers such as carboxy polymethylene; DMSO; non-ionic polyethoxylated detergents obtained by reacting hydrogenated castor oil with ethylene oxide such as those known under the brand name Cremophor®; and chemically modified cellulose derivatives such as carboxy-methylcellulose, and hydroxypropyl cellulose.
(59) The other additives may comprise detergents, emulsifiers and/or surfactants optionally selected from the group comprising sorbitan fatty acid esters such as polyoxyethylene sorbitan and its monolaurate and monooleates (e.g., Tween 20, Tween 60, or Tween 80), sorbitan palmitate, oleate, and stearates (e.g., Span 40, Span 60, Span 65, or Span 80); polyoxyethylene esters; polyethylene glycol fatty acid esters such as Cremophor™; diethylene glycol monolaurate, triethanolamine oleate, ethyl laurate, sodium lauryl sulfate, Pluronic F68, Poloxamer 188; and the preservatives may be selected from the group comprising cetrimonium bromide, cetylpyridinium chloride, benzalkonium chloride, and/or mixtures of the foregoing compounds.
(60) The pharmaceutical compositions of embodiments described herein may be adjusted for various modes of administration. For example, they may be adjusted for systemic absorption using one of the oral, parenteral, or transmucosal routes; or they may be adjusted for topical use on dermal or mucosal tissues.
(61) Compositions for parenteral use may be specifically adapted for intravascular infusion or for bolus injection.
(62) Oral drug compositions intended for swallowing may be formulated as sweet syrups but may also be formulated into soft or hard capsules or other suitable galenic forms.
(63) Compositions for mucosal and transmucosal administration will typically be formulated as gels, creams, ointments, sprays, mouthwashes, gargling solutions, solutions for inhalation, or suppositories, as the case may be.
(64) The compositions described herein may also contain carrageenans. The carrageenans most frequently used are iota-, kappa- and lambda-carrageenan, wherein iota- and kappa-carrageenans have specific antiviral and antiallergic activities.
(65) The following examples are for illustrative purposes and shall facilitate understanding of the invention without confining the invention to the examples explicitly disclosed hereinafter.
Example 1: Nasal Spray with Budesonide (5% Final Propylene Glycol Concentration)
(66) Preparation of Solutions
(67) A. Budesonide Pre-Solution
(68) 1 g budesonide was weighed in a glass flask, dissolved under gentle stirring and heating in propylene glycol, and filled up to 100 ml with propylene glycol. The concentration of actually dissolved budesonide measured by HPLC was 10 mg/ml.
(69) B. McIlvaine Buffer
(70) The following substances were weighed and dissolved in distilled water to produce 1× McIlvaine Buffer pH 6: 22.52 g Na.sub.2HPO.sub.4×2H.sub.2O, 7.73 g citric acid monohydrate, 4.0 g EDTA sodium. Distilled water was added to give 1000 ml solution of pH 6, which was sterile filtered and stored at room temperature.
(71) C. Escin Containing McIlvaine Buffer
(72) 0.5 g escin was weighed and dissolved in 1× McIlvaine buffer, filled up to 250 ml and sterile filtered (hereinafter named McIlvaine 0.05%, because this solution was used to prepare samples containing a final concentration of 0.05% escin). Other escin concentrations in McIlvaine buffer were prepared by mixing different parts of McIlvaine buffer and McIlvaine 0.05% as described in Table 1.
(73) TABLE-US-00001 TABLE 1 Preparation of buffers with different Escin concentrations McIlvaine 0.05% McIlvaine buffer Buffer Name [ml] [ml] McIlvaine 0.03% 30 20 McIlvaine 0.02% 20 30 McIlvaine 0.01% 10 40
(74) D. Carrageenan Stock Solution
(75) a) 2.4 g iota-carrageenan was weighed and dissolved in distilled water under mild heating and stirring and filled up to 1000 ml with distilled water.
(76) b) 2.4 g iota-carrageenan and 0.8 mg/ml kappa-carrageenan were weighed and dissolved in distilled water under light heating and stirring and filled up to 1000 ml with distilled water.
(77) Solutions were put for 1 h at 80° C. followed by hot sterile filtration.
(78) Commercially available carrageenan products are frequently mixtures of iota-, kappa- and/or lambda carrageenan. For most embodiments referred to herein the carrageenan component used for the manufacture of the various preparations shall be understood as comprising at least 50% wt, usually at least 80% wt, and typically at least 90% by weight of either iota carrageenan or of a combination of iota- and kappa-carrageenan, relative to the total of all carrageenans present in the carrageenan product used herein.
(79) E. Preparation of Experimental Compositions
(80) Samples of series A (0% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 5 ml carrageenan stock solution and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water.
(81) Samples of series B (2% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.2 ml dexpanthenol, 5 ml carrageenan stock solution and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water. Samples of series C (5% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.5 ml dexpanthenol, 5 ml carrageenan stock solution and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water. The resulting formulations were put at 80° C. for 1 h before hot sterile filtration. The samples were filled in glass vials and stored for 3 months at room temperature.
(82) Analysis of Experimental Compositions
(83) After 3 months storage at room temperature, samples were taken and centrifuged for 11 min at 15700 rcf. The clear supernatant was filled into glass vials and the concentration of dissolved budesonide (maximal 500 μg/ml) was measured in duplicates by HPLC.
(84) HPLC Method:
(85) Budesonide was analyzed by RP-HPLC (UV absorbance detection at 244 nm) using isocratic elution with 55% acetonitrile 0.01% TFA/45% water 0.01% TFA at 1 ml/min for 7 min on an Agilent Zorbax SB C18 3.5 μm 4.6×150 mm column with 4×4 mm RP8 pre-column. From the budesonide-containing samples 40 μl were injected and analyzed.
(86) The system was calibrated with ten dilutions in the range of 20 to 640 ng/μl budesonide in acetonitrile/water 2:8. From the calibration samples 25 μl each were injected in triplicates, spanning a range of 0.5 to 16 μg budesonide per analysis.
(87) The results obtained from the solubility enhancement experiments are described below and are depicted in
(88) It is preferred herein that nasal sprays contain no more than 0.05% w/v escin in order to avoid undesired side effects in the sensitive nasal mucosa. In order to optimize the solubility enhancing activity of the saponin component, glycyrrhizin and/or Quillaja saponaria extract may be supplemented to escin at acceptable concentrations set out hereinafter.
(89) The carrageenans optionally present in the compositions along with the anti-inflammatory steroid may contribute as antiallergic and/or antiviral active adjuvants to the overall therapeutic efficacy of the compositions.
Example 2: Nasal Spray with Budesonide (10% Final Propylene Glycol Concentration)
(90) Preparation of Solutions
(91) Solutions were prepared as described in Example 1, paragraphs A-D
(92) Preparation of Experimental Compositions
(93) Samples of series A (0% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 5 ml carrageenan stock solution, 0.5 ml propylene glycol and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water.
(94) Samples of series B (2% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.2 ml dexpanthenol, 5 ml carrageenan stock solution, 0.5 ml propylene glycol and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water.
(95) Samples of series C (5% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.5 ml dexpanthenol, 5 ml carrageenan stock solution, 0.5 ml propylene glycol and 0.5 ml budesonide pre-solution and filled up to 10 ml with distilled water.
(96) The resulting formulations were heated up to and maintained at 80° C. for 1 h before hot sterile filtration. The samples were filled in glass vials and stored for 1 month at room temperature.
(97) Analysis of Experimental Compositions
(98) After 1 month storage at room temperature, samples were taken and centrifuged for 11 min at 15700 rcf. The clear supernatant was filled into HPLC analysis glass vials and the concentration of dissolved budesonide (maximum 500 μg/ml) was measured in duplicates by HPLC. HPLC method as described in Example 1
(99) The results obtained from the solubility enhancement experiments are described below and are depicted in
Example 3: Eye Drop Formulation with Fluticasone Propionate
(100) Preparation of Solutions
(101) A. Fluticasone Propionate Pre-Solution
(102) 1 mg fluticasone propionate was weighed in a glass flask and dissolved in propylene glycol and filled up to 10 ml with propylene glycol. The concentration of fluticasone propionate determined by HPLC was 100 μg/ml.
(103) B. McIlvaine Buffer
(104) As described in Example 1
(105) C. McIlvaine Buffer Containing Escin
(106) As described in Example 1
(107) D. Hyaluronic Acid Stock Solution
(108) 2.5 g hyaluronic acid were weighed and dissolved in distilled water under mild heating, filled up to 120 ml with distilled water, and held at 80° C. for one hour before hot sterile filtration.
(109) Preparation of Experimental Compositions
(110) Samples of series A (0% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 3.6 ml hyaluronic acid stock solution and 0.5 ml Fluticasone propionate pre-solution and filled up to 10 ml with distilled water. Samples of series B (2% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.2 ml dexpanthenol, 3.6 ml Hyaluronic acid stock solution and 0.5 ml fluticasone propionate pre-solution and filled up to 10 ml with distilled water.
(111) Samples of series C (5% dexpanthenol): 2.5 ml solution containing the respective escin concentration (McIlvaine 0.01%, 0.02%, 0.03% or McIlvaine buffer) were mixed with 0.5 ml dexpanthenol, 3.6 ml hyaluronic acid stock solution and 0.5 ml fluticasone propionate pre-solution and filled up to 10 ml with AD.
(112) The resulting formulations were put at 80° C. for 1 h before hot sterile filtration. The samples were filled in glass vials and stored for 1 month at room temperature.
(113) Analysis of Experimental Compositions
(114) After 1 month storage at room temperature, samples were taken and centrifuged for 11 min at 15700 rcf. The clear supernatant was filled into glass vials and the concentration of dissolved FP (maximal 5 μg/ml) was measured in duplicates by HPLC.
(115) HPLC Method:
(116) Fluticasone propionate in the presence of hyaluronic acid was analyzed by RP-HPLC (UV absorbance detection at 235 nm) using a gradient from 5% acetonitrile to 90% acetonitrile in water containing 0.01% TFA (see detailed gradient description below).
(117) Solvent A: water HPLC gradient grade 0.01% trifluoroacetic acid. Solvent B: acetonitrile HPLC gradient grade 0.01% trifluoroacetic acid, flow 1 ml/min. A gradient of 5-90% solvent B for 10 min, 90% solvent B for 2 min, 90-5% solvent B for 2 min and 5% solvent B for 1 min was run on a HPLC column Thermo Aquastar 4.6×150 mm, S/N 0202797K with a 4×4 RP-8 Merck pre-column at 25° C. From the fluticasone propionate containing samples 40 μl each were injected and analyzed. Fluticasone propionate eluted as symmetric peak at about 9.95 min.
(118) The system was calibrated with seven dilutions in the range of 0.1 to 80 ng/μl fluticasone propionate in acetonitrile/water 4:6 containing a range from 0.5 to 2000 ng per analysis.
(119) The results obtained from the solubility enhancement experiments are described below and are depicted in
Example 4: Solubility Enhancement of Different Drugs
(120) McIlvaine Buffer containing escin as the saponin component:
(121) 1 g escin was weighed and dissolved in a small volume of McIlvaine buffer (buffer composition: 22.52 g Na.sub.2HPO.sub.4×2 H.sub.2O, 7.73 g citric acid monohydrate, and 4.0 g EDTA dissolved in 1 L of distilled water; pH 6.0), filled up to 250 ml with McIlvaine buffer, and sterile filtered to make a stock solution containing 0.4% (w/v) escin. This escin stock solution was used to prepare samples containing a final concentration of 0.1% escin, herein below referred to as “McIlvaine 0.1%”.
(122) Sample Compound Solutions
(123) To prepare 1 ml solutions of the experimental compounds in a buffered solvent containing 10% propylene glycol, 0.1% escin, and 5% dexpanthenol the following compounds were provided in a small container:
(124) 250 μl “McIlvaine 0.1%” were mixed with 50 μl dexpanthenol stock solution, brought to 900 μl with distilled water, and combined and vigorously mixed with 100 μl experimental compound pre-dissolved resp. pre-suspended in propylene glycol. Alternative solutions with compound pre-dilutions/pre-suspensions in DMSO were prepared. Samples were centrifuged for 10 min at 15800 rcf. Aliquots of the clear supernatants were transferred into autosampler glass vials and the content of the dissolved experimental compounds was analyzed by HPLC using isocratic elution with 70% or 80% acetonitrile 0.01% TFA/10% or 30% water 0.01% TFA at 1 ml/min and 50° C. for 10 min on an Agilent Zorbax Eclipse Plus C18 column (3.5 μm, 4.6×150 mm) and UV absorbance detection at the wavelengths appropriate for the respective experimental compound.
(125) TABLE-US-00002 TABLE 2 Saturation concentrations of stock solutions in different buffers Saturation concentration Saturation concentration in 10% propylene glycol in 10% propylene glycol or DMSO without escin or DMSO, 0.1% escin Compound or dexpanthenol and 5% dexpanthenol Cyclosporine A 43 μg/ml 394 μg/ml Tacrolimus/ 132 μg/ml 774 μg/ml FK506 Lumefantrine 0.12 μg/ml 6 μg/ml Lumefantrine <0.05 μg/ml 14 μg/ml (pre-dilution in dimethylsulfoxide) Budesonide 197 μg/ml 847 μg/ml Fluticasone 0.68 μg/ml 5 μg/ml propionate Curcumin <0.2 μg/ml 126 μg/ml* 285 μg/ml** Pimecrolimus <0.1 μg/ml 34.5 μg/ml*** Paclitaxel 2.71 μg/ml 32.7 μg/ml *0.03% escin; **2% glycyrrhizin instead of escin; ***1% glycyrrhizin instead of escin
Example 5 (Comparative Example): Solubility of Budesonide in Aqueous Solution in the Absence of a Saponin Component
(126)
(127) Even at a propylene glycol concentration of 15 wt %, which is pharmacologically inacceptable for most applications other than topical applications to the skin, the dissolved budesonide concentration is as low as 175 μg/ml.
Example 6: Solubility of Budesonide in Aqueous Solution in the Presence of a Saponin Component
(128)
Example 7: Effect of Dexpanthenol on Storage Stability
(129)
(130) The addition of dexpanthenol seems to improve the stability of the experimental solutions, particularly at lower propylene glycol concentrations (
Example 8: Effect of Dexpanthenol on Budesonide Solubility
(131)
Example 9: Effects of Glycyrrhizin and Quillaja saponaria Extract on Steroid Solubility
(132)
Example 10: Solubility of Fluticasone Propionate in Various Settings
(133)
(134) It appears that the best dissolution of the experimental compound is achieved at the highest propylene glycol and dexpanthenol concentrations in the presence of at least 0.03% of the saponin component. It is further derivable from the data that the solubility of fluticasone propionate increases independently with increasing PG concentrations as well as with increasing dexpanthenol concentrations, even absent any saponin component. However, without saponin the best achieved concentration is only about 50% of the maximum concentration obtained in the presence of at least 0.03% saponin, i.e. escin in this example.
Example 11: Effect of Dexpanthenol and Glycyrrhizin Concentrations on the Solubility of Fluticasone Propionate
(135)
Example 12: Budesonide Solubility in the Presence of a Carrageenan Component
(136)
(137) It appears that the highest drug concentrations observed after 3 months storage come with the preparations comprising at least 0.03% escin, as well as with preparations comprising at least 0.02% escin together with the highest tested dexpanthenol concentration, i.e. 5% dexpanthenol. The experimental compositions used in this example and in example 13 hereinafter may advantageously be adapted for use as a nasal spray.
Example 13: Budesonide Solubility and Storage Stability in the Presence of Carrageenan
(138)
(139)
(140) From the results depicted in
Example 14: Effect of Varying Escin and Dexpanthenol Concentrations on Fluticasone Solubility in the Presence of Hyaluronic Acid
(141)
(142) Dexpanthenol seems to synergistically boost the solubility enhancing activity of escin on fluticasone propionate under the given circumstances, i.e. in the presence of hyaluronic acid. Absent the saponin component an addition of dexpanthenol at the tested concentrations does not exert any significant effect on fluticasone solubility.
Example 15: Solubilization Correlates with the Presence of Micelles
(143) In water and aqueous buffers containing a detergent below the critical micelle concentration fluorescence of the Hoechst 33342 dye is almost undetectable. Upon increase of the detergent concentration until the critical micelle concentration is reached micelles begin to form and the dye starts getting incorporated into the micelles, whereupon an increase of a fluorescence signal can be detected. For the experiments of this example, the dye was mixed at a final concentration of 7 μM with aqueous buffer comprising different concentrations of saponin in black, flat and clear bottom 96-well plates and emission spectra were measured using a microplate reader (filters used: ex=355 nm and em=460 nm). Finally, data were background corrected.
(144) As shown in
(145) In addition, integrating the hydrophobic organic compounds into micelle structures will also contribute to protecting such compounds from undesired hydrolysis and in case of drugs will assist in maintaining physiological activity.
(146) It is therefore preferred that the method of solubilization carried out in accordance with the present invention is performed in a way that results in the formation of micelle structures in the final preparation. Micelle formation is also envisaged when using glycyrrhizin as a saponin component, as opposed to some state of the art literature teaching the formation of special glycyrrhizin-drug complexes. Accordingly, it is advantageous to dissolve—in a first step—the insoluble or slightly soluble hydrophobic organic compound in a suitable, pharmaceutically or cosmetically acceptable organic solvent at a high concentration and insert this solution—in a second step—into a likewise acceptable aqueous solvent system comprising a saponin component, and optionally dexpanthenol, usually under gentle stirring at a temperature of between 20 and 80 degrees C., particularly between 30 and 40 degrees C., and at a pH of from 4 to 8. Switching the steps of admixture of organic and aqueous solutions to insert the aqueous phase into the organic phase would substantially hamper the formation of micelle structures and thus substantially reduce the advantageous effects of the invention, and is therefore not preferred.
(147) Temperatures above 50 deg C. tend to destroy the micelle structures, and at temperatures of or above 80 deg C. no micelles will be formed, even though temporary overheating may not always be detrimental to the end product, at least where the experimental compound is not heat sensitive. Experiments have shown that subsequent cooling down of shortly overheated preparations to a temperature below 50 deg C. will in most cases restore at least the micelle structures.
(148) Applying pH values outside the preferred range of from pH 4 to 8 will generate undesired side effects, e.g. itching, pain and others, upon administration of the pharmaceutical compositions to mucosal surfaces of e.g. the nose, the eyes, the respiratory tract, the lungs, or the genital and anorectal areas. Also, at pH values below 4 escin tends to decompose while glycyrrhizin tends to solidify. Moreover, pH values above 8 are inacceptable for preparations that are intended for various envisaged kinds of injection including, for example, subcutaneous, intracutaneous, intradermal, intravenous, intramuscular, intraarticular, intrathekal, intraspinal, intracardial, intraperitoneal or intrapulmonal injections.
(149) It is also envisaged herein that the fluorescence dye might be used as an analytical tool for confirming the dissolution of a hydrophobic organic compound in a micelle forming solvent system. It could be applied in a fast and simple method of determining the eligibility of a water insoluble or slightly soluble hydrophobic organic compound for improvement of its solubility in an aqueous solvent system, i.e. wherein detectable fluorescence indicates at least qualitatively if not quantitatively the onset of micelle formation, hence solubilization of the respective compound. It could thus provide guidance for determining the metes and bounds of the present invention by way of a functional rather than structural definition of the compounds eligible for improved solubilization in accordance with the methods of the present invention.
Example 16: Lyophilization Enables Dry Formulations which can be Reconstituted without Substantial Losses
(150) Lyophilisation experiments were conducted with dissolved FK-506 containing ethanol as a solvent and trehalose as a lyophilisation enhancer. More specifically, FK-506 dissolved in 100% ethanol was diluted 1:20 to a final solution comprising 5% ethanol, citrate buffer pH 6.0, 1% (10 mg/ml) glycyrrhizin, 0.03% (0.3 mg/ml) escin and 150 mM trehalose. The liquid formulations were deep-frozen in liquid nitrogen and then lyophilised in an Alpha 1-4 LSCplus freeze-drying system. After lyophilisation the formulations were reconstituted in water containing 50 mg/ml dexpanthenol and either 30 mg/ml or 50 mg/ml propylene glycol. The concentrations of dissolved FK-506 prior to lyophilisation and 24 hours after reconstitution were determined by HPLC.
(151) In
(152) As can be derived from
Example 17: Mucosal Administration—Bioavailability Testing
(153) In order to test for the bioavailability of compositions prepared in accordance with the present invention, experiments were conducted ex vivo wherein an experimental composition comprising fluticasone propionate as a compound of interest was compared to a composition comprising the same compound at the same concentration but without a saponin as a solubilization enhancer.
(154)
(155) The results very nicely show that the concentration of active drug that successfully permeated into the mucosal tissue is around five times higher when using the experimental composition prepared in line with the invention as compared to the non-experimental drug suspension.
Example 18: Comparison of In Vivo Physiological Activity of Budesonide
(156) Experiments were conducted in a mouse model to compare bioavailability and physiological activity of budesonide administered by way of state-of-the-art suspension at two different concentrations, as opposed to an experimental composition comprising 0.03% escin, 5% dexpanthenol and 5% propylene glycol in an aqueous buffer.
(157) In an LPS-induced acute lung inflammation model, anesthetized mice were intra-nasally treated 3 hours before LPS challenge either with placebo, or with an experimental solution comprising 300 μg/ml budesonide dissolved, or with comparative compositions of budesonide formulated as dispersions at concentrations of 300 μg/ml and of 1.28 mg/ml, respectively. The LPS induced TNF-alpha release into the bronchoalveolar lavage (BAL) was evaluated 2 hours post challenge as a surrogate parameter for inflammation with a commercially available ELISA-kit. The results are depicted in
(158)
(159) It can be derived from
(160) It can be inferred from the data obtained from the experiments disclosed in the Examples 1-18 above and represented in the corresponding Figures that the addition of a saponin component such as escin, and optionally dexpanthenol, can increase and optionally stabilize the concentration of a dissolved insoluble or slightly soluble hydrophobic organic compound of interest in an aqueous solvent system up to one or more orders of magnitude. Yet, it shall be emphasized at this occasion that for providing compositions suitable for mucosal or transmucosal applications the maximum concentration of escin should preferably not exceed 0.5% w/v, the maximum concentration of glycyrrhizin should preferably not exceed 5% w/v, the maximum concentration of dexpanthenol should preferably not exceed 5%, and the maximum concentration of propylene glycol should preferably not exceed 10% w/v, of the final ready-for-use composition.
(161) In addition, the experimental results disclosed herein provide clear evidence that escin as a most suitable saponin component not only substantially increases the solubility of several classes of hydrophobic organic compounds but also allows for the conclusion that for a given compound selected from one of these classes it is possible to specifically adjust the concentrations of escin and dexpanthenol in order to achieve the best improvement in solubility and the best stabilization of the resulting solution for long-term storage. Also it can be derived from the data that a successful outcome as described herein does not depend on the presence of any particular chemical structure in the organic compound to be solubilized, as long as it is hydrophobic in nature and water-insoluble or only slightly soluble.
(162) A person of ordinary skill in the art will understand from the present disclosure including the figures referred to herein that the principle of the invention can be applied to improve the solubilization of any hydrophobic organic compound that is insoluble or only slightly soluble in water or aqueous solvents, regardless of whether it is a pharmaceutically active drug, a desired cosmetic ingredient or another chemical substance.
(163) Compounds of particular interest in connection with the present invention comprise various drugs the optimal use of which is frequently hindered due to solubility constraints. The present invention may not only offer an improvement in taking many of them into solution at substantially increased levels but in addition may even expand their utilities into novel fields of medical therapy or cosmetic applicability, as the case may be.
(164) Examples of compounds of interest not yet mentioned hereinbefore of which a poor aqueous solubility could be improved using the present invention comprise inter alia:
(165) a. Analgesics and antirheumatics such as, e.g., morphine, codeine, piritramide, fentanyl, levomethadone, tramadol, diclofenac, ibuprofen, indomethacin, naproxen, piroxicam;
(166) b. Antiallergics such as, e.g., pheniramine, dimethindene, terfenadine, astemizole, loratidine, doxylamine and meclozine;
(167) c. Antibiotics and chemotherapeutics such as, e.g., rifampicin, ethambutol, thiacetazone;
(168) d. Antiepileptics such as, e.g., carbamazepine, clonazepam, mesuximide, phenytoin, valproic acid;
(169) e. Antimycotics such as, e.g., natamycin, amphotericin B, miconazole, clotrimazole, econazole, fenticonazole, bifonazole, ketoconazole, tolnaftate;
(170) f. Antimalarials such as, e.g., chloroquine, mefloquine, artemisinin, primaquine, lumefantrine, halofantrine;
(171) g. Corticoids such as, e.g., aldosterone, budesonide, fludrocortisone, betamethasone, dexamethasone, triamcinolone, fluocortolone, flucticasone propionate, hydroxycortisone, prednisolone, prednylidene, cloprednol, methylprednisolone
(172) h. Dermatics such as, e.g., antibiotics from the group comprising tetracycline, erythromycin, framycetin, tyrothricin, fusidic acid; virostatics such as vidarabine; corticoids from the group comprising amcinonide, fluprednidene, alclometasone, clobetasol, diflorasone, halcinonide, fluocinolone, clocortolone, flumethasone, diflucortolone, fludroxycortide, halomethasone, desoximetasone, fluocinolide, fluocortin butyl, fluprednidene, prednicarbate, desonide;
(173) i. Hypnotics and sedatives such as, e.g., cyclobarbital, pentobarbital, methaqualone, benzodiazepines from the group comprising flurazepam, midazolam, nitrazepam, lormetazepam, flunitrazepam, triazolam, brotizolam, temazepam, loprazolam;
(174) j. Immunotherapeutics and cytokines such as, e.g., azathioprine, cyclosporin, pimecrolimus, sirolimus, tacrolimus, rapamycin;
(175) k. Local anaesthetics such as butanilicaine, mepivacaine, bupivacaine, etidocaine, lidocaine, articaine, oxybuprocaine, tetracaine, benzocaine;
(176) l. Anti-migraine agents such as, e.g., lisuride, methysergide, dihydroergotamine, ergotamine;
(177) m. Anaesthetics such as, e.g., methohexital, propofol, etomidate, ketamine, thiopental, droperidol, fentanyl;
(178) n. Parathyroid hormones, calcium metabolism regulators such as, e.g., dihydrotachysterol
(179) o. Ophthalmics such as, e.g., cyclodrin, cyclopentolate, homatropine, tropicamide, pholedrine, edoxudine, aciclovir, acetazolamide, diclofenamide, carteolol, timolol, metipranolol, betaxolol, pindolol, bupranolol, levobununol, carbachol;
(180) p. Psychotropics such as, e.g., benzodiazepines including lorazepam and diazepam, clomethiazole;
(181) q. Sex hormones and their inhibitors such as, e.g., anabolics, androgens, antiandrogens, gestagens, estrogens, antiestrogens;
(182) r. Cytostatics and metastasis inhibitors such as, e.g., alkylating agents from the group comprising melphalan, carmustine, lomustine, cyclophosphamide, ifosfamide, trofosfamide, chlorambucil, busulphan, prednimustine, thiotepa; antimetabolites from the group comprising fluorouracil, methotrexate, mercaptopurine, tioguanine; alkaloids from the group comprising vinblastine, vincristine, vindesine; antibiotics such as dactinomycin; taxol and related or analogous compounds; dacarbazine, oestramustine, etoposide.
(183) While the experiments disclosed herein have mainly been carried out using escin as the saponin component, it shall be reiterated that also glycyrrhizin and Quillaja saponaria extract have been found to exert solubility boosting activities, particularly in the presence of dexpanthenol, as disclosed hereinabove.