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Title: Microparticles for drug delivery across mucosa
and the blood-brain barrier
United States Patent: 6,419,949
Inventors: Gasco; Maria Rosa (Lungo Po Antonelli, 207,
Torino, IT)
Appl. No.: 555828
Filed: June 2, 2000
PCT Filed: November 27, 1998
PCT NO: PCT/EP98/07664
371 Date: June 1, 2000
102(e) Date: June 1, 2000
PCT PUB.NO.: WO99/27918
PCT PUB. Date: June 10, 1999
Abstract
Pharmaceutical composition comprising micro particles having an average
diameter ranging from 40 to 150 nm, consisting of one or more lipids, a drug
and, optionally, a steric stabilizer, suitable to the transmucosal passage
and to the overcoming of the blood-brain barrier and the blood-cerebrospinal
fluid barrier, said micro particles being obtained dispersing in an aqueous
medium cooled to 2-4oC. an oil/water or a water/oil/water micro
emulsion comprising said constituents.
DETAILED DESCRIPTION OF THE INVENTION
The characteristics and the advantages of the pharmaceutical compositions
in the form of microparticles suitable to the passage through the intestinal
mucosa, the blood-brain barrier and the blood-cerebrospinal fluid barrier
according to the present invention will be mostly shown during the following
description.
Said microparticles are obtained dispersing in an aqueous medium cooled at
2-4oC. an oil/water or water/oil/water microemulsion prepared
according to the following description.
The preparation by the oil/water microemulsion is carried out by the
following steps:
a) a mixture consisting of one or more lipids, at least a surfactant agent
and at least a cosurfactant agent is warmed at a temperature at least equal
to the melting temperature of the lipids;
b) a mixture consisting of a drug dissolved or dispersed in water and
optionally a steric stabilizer, warmed at a temperature at least equal to
the temperature of the step a) is added to said mixture of step a),
obtaining an oil/water microemulsion;
c) the microemulsion is dispersed in an aqueous medium at 2-4oC.
obtaining the microparticles in suspension;
d) the microparticles suspension is washed by an aqueous medium by
diafiltration and freeze-dried.
The preparation by the water/oil/water microemulsion is carried out by the
following steps:
a') a mixture consisting of one or more lipids, at least a surfactant agent
and at least a cosurfactant agent is warmed at a temperature at least equal
to the melting temperature of the lipids;
b') a mixture consisting of a drug dissolved or dispersed in water warmed at
a temperature at least equal to the temperature of the step a') is added to
the mixture of step a') obtaining a water/oil microemulsion;
c') a mixture consisting of water, at least a surfactant agent and at least
a cosurfactant agent and optionally a steric stabilizer warmed at a
temperature at least equal to the temperature of the step a') is added to
said microemulsion obtaining the water/oil/water microemulsion;
d') said water/oil/water microemulsion is dispersed in an aqueous medium at
2-4oC. obtaining the microparticles in suspension;
e') the microparticles suspension is washed by water by diafiltration and
freeze-dried.
The amount of water used in the steps c) and d') is ranging from 5 to 200
volumes per volume of the respective microemulsion.
The obtained microparticles have an average diameter ranging from 40 to 150
nm and preferably from 60 to 100 nm and a polydispersion index ranging from
0.15 to 0.28.
The lipids used in the preparation of the microparticles according to the
present invention are selected from the group consisting of the stearic
acid, the palmitic acid, the triglycerides, the diglycerides and the
monoglycerides.
The surfactant agents are selected among soy-bean phosphatidylcholine,
dioleyl phosphatidylcholine, dipalmitoyl phosphatidylcholine, hydrogenated
soy-bean phosphatidylcholine, phosphatidylethanolamine and
phosphatidylserine.
The cosurfactant agents are selected among ethanol, propanol, isopropanol,
butanol, sodium taurocholate, sodium glycocholate, propylene glycol, butyric
acid and benzoic acid.
The possible steric stabilizer is selected among dipalmitoyl phosphatidyl
ethanolamine-PEG, PEG-stearate, the esters of the fatty acids from the
myristic acid to the docosanoic acid with methyl ether PEG, the
diacylphosphatidyl ethanolamines esterified with methyl ether PEG and the
polylactates and the polyglycolactates esterified with methyl ether PEG.
The methyl ether PEG has preferably a molecular weight ranging from 750 to
2000.
The washing by diafiltration of the steps d) and e') has the aim to remove
the surfactant agent, the cosurfactant agent and the possible drug not
included in the lipid so that the final composition of the microparticles
results:
lipids, from 80 to 99% by weight,
drug, from 1 to 20% by weight, or:
lipids, from 75 to 98.5% by weight,
steric stabilizer, from 0.5 to 15% by weight,
drug, from 1 to 10% by weight.
The microparticles according to the present invention are successfully used
in the preparation of the compositions suitable to the administration by
mouth for the transmucosal absorption directed towards the lymphatic system
and for the intravenous administration for the overcoming of the blood-brain
barrier and the blood-cerebrospinal fluid barrier.
The compositions containing the steric stabilizer are particularly suitable
for the intravenous administration.
Forms suitable to the administration by mouth are aqueous dispersions,
having a microparticle content ranging from 20 to 200 mg/ml.
Forms suitable to the intravenous administration are aqueous dispersions
having a microparticle content ranging from 30 to 150 mg/ml.
Drugs particularly suitable for the transmucosal way are cytostatic drugs
used for the therapy of the lymphomas such as methotrexate, hydarubicin,
cyclophosphamide, vincristine and vinblastine, antibiotics such as the
gentamicin and peptides such as calcitonin, LHRH and analogous ones.
Drugs particularly suitable for the passage of the blood-brain barrier and
the blood-cerebrospinal fluid barrier are the peptides such as LHRH and
analogous ones, enkephalins, antibiotics such as ampicillin and gentamicin
and anti-tumour drugs such as the cyclophosphamide and derivatives,
carmustine and carboplatinum.
As far as the transmucosal transport is concerned we have the advantage that
the transport by lymphatic way avoids the first passage through the liver,
it allows the administration by mouth of drugs, such as lipids, for which
such administration is not always possible and it allows the treatment of
the lymphatic system cancers.
As far as the transport through the blood-brain barrier and the
blood-cerebrospinal fluid barrier is concerned, the compositions according
to the present invention allow the passage of drugs included in the carriers
which normally do not pass or pass in an insufficient amount to obtain a
suitable therapeutic effect.
Pharmacological Experimentation
Radio-labelled microparticles have been prepared acting according to the
Example 3, reported below, and adding a solution of 131 iodoheptadecanoic
acid to the warm oil/water microemulsion.
The experimentation has been carried out in male albin rats of a Wistar
strain (Charles River-Italy) having a weight equal to 550-650 g.
Doses equal to 10 mg/kg (about 40 .mu.Ci) of an aqueous dispersion of
microparticles have been administered at the duodenal level to different
groups of rats.
Samples of lympha from the thoracic duct and blood from the jugular vein
have been taken at different times.
The data are reported in the Table 1 wherein the radioactivity percentage is
reported with respect to the dose administered per gram of lympha and per
gram of blood as a function of the time.
TABLE 1
Average values of radioactivity percentage of the administered
dose per gram of lympha (A) or of blood (B) determined in time
by gamma counting.
Time after A B
the administration radioactivity radioactivity
%/Lympha g. %/Blood g.
30' 1 0.09
60' 1.5 0.08
90' 3 0.08
120' 9 0.07
150 8 0.07
180 7.5 0.07
The same dispersion has been administered by intravenous way to the rats
(10 mg/kg) (about 30 .mu.Ci). The passage through the blood-brain barrier is
pointed out by the presence in the liquor of about 5% of the total
radioactivity after 10 minutes from the administration.
Claim 1 of 7 Claims
What is claimed is:
1. Compositions suitable to oral administration for transmucosal absorption
and to intravenous administration for overcoming of the blood-brain barrier
and the blood-cerebrospinal fluid barrier, comprising aqueous dispersions of
microparticles having an average diameter ranging from 40 to 150 nm and a
polydispersion index ranging from 0.15 to 0.28, said microparticles
consisting of one or more lipids, a drug and, optionally, a stabilizing
agent selected from the group consisting of dipalmitoyl phosphatidyl
ethanolamine-PEG, PEG-stearate, esters of the fatty acids from myristic acid
to docosanoic acid with methyl ether PEG, diacylphosphatidyl ethanolamines
esterified with methyl ether PEG and polylactates and polyglycolactates
esterified with methyl ether PEG, said microparticles prepared by dispersing
in an aqueous medium, cooled at 2 to 4oC., an oil in water or a
water/oil/water microemulsion warmed at a temperature near the melting
temperature of the lipids, washing with water by diafiltration and
freeze-drying.
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