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Title: Medicated chewing gum delivery system for
nicotine
United States Patent: 6,344,222
Inventors: Cherukuri; Subraman R. (Vienna, VA); Pinney; John
M. (Bethesda, MD); Henningfield; Jack E. (Baltimore, MD); Sasan; Aradhana
(Springfield, VA); Cone; Edward J. (Severna Park, MD); Shiffman; Saul
(Pittsburgh, PA); Gitchell; Joe (Chevy Chase, MD); Malvestutto; Carlos D.
(Silver Spring, MD)
Assignee: JSR LLC (Bethesda, MD)
Appl. No.: 389339
Filed: September 2, 1999
Abstract
A chewing gum delivery system has nicotine, gum base and a buffer
system with an improved release rate for the nicotine. The resulting
delivery system advantageously provides a convenient, reliable, practical,
and relatively painless system for delivering an active. The delivery
system is capable of delivering initial and second doses of a craving
reduction active or other actives (e.g., nicotine), the combination of
which rapidly reduces cravings, or provides some other pharmacological
effect, and provides the pharmacological effect or protection from such
cravings over a prolonged period of time beyond the initial dose. Notably,
the delivery system is capable of rapidly achieving a pharmacologically
effective concentration of the active (e.g., nicotine) in the bloodstream
(e.g., within 5 minutes, or more desirably within 3 minutes, or in some
cases, within 1-2 minutes), and is also capable of keeping the
concentration of the active in the bloodstream at or near the
pharmacologically effective concentration for at least 20 minutes after
chewing of the delivery system begins, or more desirably about 30 minutes
to about 50 minutes after chewing begins.
SUMMARY OF THE INVENTION
The present invention can be configured to provide an initial rapid
release of medicine over the first few minutes of chewing followed by
slower release over a period of 30 minutes or more. The improved rapid
release of medication preferably is accompanied by release of buffer that
allows for rapid absorption of active from the mouth into the bloodstream,
resulting in initial higher blood levels of medication and corresponding
faster relief of symptoms, such as cravings and withdrawal symptoms.
The objects of the invention can be provided in the form of a nicotine
delivery system that preferably comprises a chewing gum. The chewing gum
composition of the invention contains a gum base matrix and preferably a
tobacco alkaloid such as nicotine as the active. The formulation
hereinafter described desirably releases at least about 15%, more
desirably at least about 20%, and preferably at least about 25% or even
more of its nicotine content within about 3-5 minutes of mastication or
preferably even less time (as those terms are used herein,
"chewing" and "mastication" refers to continuous
chewing, grinding or gnashing action, as well as to a regimen of chewing
followed by a period of inactivity, which is followed by chewing again,
and the like).
In some embodiments hereinafter described, a composition according to the
present invention can deliver at least about 40-50% of its nicotine
content within about 3-5 minutes, or even less time, as for example about
1-2 minutes. As a result, a loaded nicotine concentration in the
bloodstream of about 2 to 5 nanograms of nicotine per milliliter of blood
can be achieved within about 10 minutes. The delivery system also can
provide continued release of nicotine over the next 20 minutes or so of
chewing. The overall release pattern provided by this formulation is
considered a form of sustained release delivery system.
The present invention therefore can be configured to provide a sustained
release formulation that initially releases an active upon initial chewing
over a period of 1-10 minutes, and that follows the initial release with a
continued release of active that occurs with further chewing over 20
minutes or so. Although a majority of active is released by the physical
act of biting the gum together with the leaching action of saliva, there
is some release of active that occurs when the gum formulation is not
chewed, but the leaching action of saliva continues. This pulsatile
pattern of release of active that occurs as the gum is chewed followed by
a pause and subsequent slower release of active is somewhat different from
the more conventional pattern of sustained release obtained with other
commercial formulations, e.g., controlled release capsules, in which
release of active occurs in a more continuous manner.
In another preferred embodiment of the invention, the nicotine delivery
chewing gum composition desirably delivers about 60% of its nicotine
content within 10 minutes of mastication. It is further contemplated that
the chewing gum release up to about 90%, and more preferably about 100% of
its nicotine content within about 50 minutes, more desirably within about
30 minutes. In this way, a prolonged loaded concentration of nicotine of
at least about 3 nanograms per milliliter of blood is maintained for at
least about 20 minutes, more preferably about 30 minutes, and even more
desirably about 60 minutes after use begins.
By thereby providing an initial significant burst of nicotine, the
formulation more closely approximates the smoking experience and sensation
smokers feel after first lighting up and then dragging on a cigarette,
cigar, pipe or other tobacco product for about 3-5 minutes or so.
Importantly, the composition herein described provides further sustained
release of the drug throughout the course of chewing for up to about 30
minutes or even longer.
In another embodiment of the invention, a nicotine chewing gum delivery
system provides an optimal combination of nicotine together with a buffer
system. The buffer system raises pH levels in the mouth to as much as
about 9.0 within the first few minutes of chewing. This results in a
greater conversion of nicotine to its free base form, which in turn
facilitates nicotine absorption in the buccal cavity. The rapid early
release of nicotine as described above, together with release of buffer in
the oral cavity, allows attainment of nicotine blood levels sufficient to
provide the chewer with early craving relief in a superior manner to
existing nicotine gum formulations. At the same time, continued release of
nicotine over the course of about 30 minutes keeps the nicotine
concentration in the bloodstream at or near a pharmacologically effective
concentration.
The composition in all its embodiments can be soft and pliable inside the
mouth, both upon initial chew and after prolonged mastication. It is
highly preferable that the formulation be substantially non-liquid as
well.
Still another aspect of the invention is a method of smoking cessation or
of reducing cigarette smoking which comprises the administration of the
nicotine delivery system herein set forth. A method of nicotine
administration involves the mastication of the composition herein
described.
Claim 1 of 21 Claims
What is claimed is:
1. A chewing gum composition for systemic, oral administration of a
nicotine constituent, said composition comprising:
a) a nicotine constituent;
b) a gum base matrix, said gum base matrix including at least one
substantially hydrophilic polymer and at least one hydrophobic polymer;
and
c) a buffer, whereby said nicotine constituent is administered by the
chewing gum composition in a bi-phasic manner.
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