Title:  Methods comprising intranasal morphine

United States Patent:  6,677,346

Issued:  January 13, 2004

Inventors:  Achari; Raja G. (Millington, NJ); Behl; Charanjit R. (Hauppauge, NY); deMeireles; Jorge C. (Syosset, NY); Dua; Ramneik (Central Islip, NY); Romeo; Vincent D. (Massapequa Park, NY); Sileno; Anthony P. (Brookhaven, NY)

Assignee:  Nastech Pharmaceutical Company Inc. (Bothell, WA)

Appl. No.:  594916

Filed:  June 15, 2000

Abstract

The present invention relates to a pharmaceutical formulation for intranasal administration comprising morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0. Such formulations provide enhanced absorption of morphine or pharmaceutically acceptable salts thereof. In one embodiment, the present invention provides a method for eliciting an analgesic or anesthetic response in a mammal which includes nasally administering a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0.

SUMMARY OF THE INVENTION

The present invention provides a pharmaceutical formulation for intranasal administration comprising morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0.

In one embodiment, the present invention provides a method for eliciting an analgesic or anesthetic response in a mammal comprising nasally administering a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0.

In yet another embodiment, the present invention provides a method for eliciting an analgesic or anesthetic response in a mammal comprising nasally administering a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0 to the mammal in combination with a nasal delivery system.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

The present invention is a pharmaceutical formulation for intranasal administration comprising morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0. As used herein, "pharmaceutical formulation" is intended to include a pharmaceutically acceptable carrier which incorporates the active agent, i.e., morphine or pharmaceutically acceptable salt thereof. For purposes of the present invention, "pharmaceutical carrier" includes nasal sprays, nasal drops, gels, ointments, creams and the like.

Morphine is (-)7,8-didehydro-4,5.alpha.-epoxy-17-methylmorphinan-3,6.alpha.-diol. As used herein, "chemically modified equivalents" is intended to include compositions which may have a chemical structure that differs from morphine but which functions in a similar manner in the body, such as for example prodrugs, analogs, biologically active fragments and the like.

Chemically modified equivalents of morphine include oxymorphone or (-)4,5.alpha.-epoxy-3,14-dihyroxy-17-methylmorphinan-6-one, hydromorphone or (-)-4,5.alpha.-epoxy-3-hydroxy-17-methylmorphinan-6-one, levorphanol (-)-17-methylmorphinan-3-ol, nalbuphine or (-)-17-(cyclobutylmethyl)-4,5.alpha.-epoxymorphinan-3,5.alpha., 14-triol, naloxone or (-)-17-allyl-4,5.alpha.-epoxy-3,14-dihydroxymorphinan-6-one, naltrexone or (-)-17-(cyclopropylmethyl)-4,5.alpha.-epoxy-3,14-dihydroxymorphinan-6-one, nalmefene or 6-desoxo-6-methylene-naltrexone, butorphanol or (-)-17-(cyclo-butylmethyl)-morphinan-3,14-diol, buprenorphine or (-)-17-(cyclopropylmethyl)-.alpha.-(1,1-dimethylethyl)-4,5-epoxy-18,19-dih ydro-3-hydroxy-6-methoxy-.alpha.-methyl-6,14-ethenomorphinan-7-methanol, codeine, buprenophine, nalorphine, hydrocodone, oxycodone, butorphanol and pharmaceutically acceptable salts thereof.

The present invention includes pharmaceutically acceptable salts of morphine. Some examples of pharmaceutically acceptable salts include those salt-forming acids and bases which do not substantially increase the toxicity of the compound. Some examples of suitable salts include salts of alkali metals such as magnesium, potassium and ammonium. Salts of mineral acids include hydrochloric, hydriodic, hydrobromic, phosphoric, metaphosphoric, nitric and sulfuric acids, as well as salts of organic acids such as tartaric, acetic, citric, malic, benzoic, succinic, arylsulfonic, e.g. p-toluenesulfonic acids, and the like.

Particular examples of preferred pharmaceutically acceptable salts of morphine include morphine sulfate, morphine-6-sulfate, morphine-3-sulfate, morphine-6-glucuronide, morphine-3-glucuronide, morphine tartrate, morphine lactate, morphine hydrochloride and combinations thereof.

Applicants have unexpectedly found that pharmaceutical formulations including morphine or pharmaceutically acceptable salts thereof at a pH from about 3.0 to about 7.0 have enhanced or substantial absorption, even though the drug is mostly ionized. Further, it was found that at pH ranges where the drug is mostly ionized, the nasal absorption is pH sensitive. Preferably, morphine or pharmaceutically acceptable salt thereof is at a pH from about 4.0 to about 7.0, more preferably from about 4.0 to about 6.0, and most preferably, from about 5.0 to about 6.0.

As used herein, enhanced or substantial absorption includes increases in free morphine plasma concentrations by from about 5% to about 700%. Accordingly, a lower amount of drug can be used to achieve the same therapeutic levels that elicit an analgesic or anesthetic response.

Morphine, chemical equivalents of morphine and pharmaceutically acceptable salts of morphine may be obtained from various manufactures. For example, morphine sulfate is available from Roxane Pharmaceuticals Inc., USA.

The amount of pharmaceutically acceptable morphine salt, such as for example, morphine sulfate that can be used to make the formulations of the present invention can vary depending on the amount needed to achieve analgesia or anesthesia in the mammal. Preferably, the amount of morphine salt used is from about 0.01% to below about 50%, more preferably, from about 1% to below about 10%, and most preferably, from about 3% to below about 5% by weight of the total weight of the formulation (w/w). In any event, the practitioner is guided by skill and knowledge in the field, and the present invention includes without limitation amounts of morphine that are needed to achieve the described effect.

In the most preferred embodiment, morphine or pharmaceutically acceptable salt thereof is dissolved in a suitable solvent for intranasal administration. Suitable solvents include water, alcohol, glycerin, propylene glycol and the like. Preferably, the amount of solvent is sufficient to dissolve morphine aor pharmaceutically acceptable salt thereof. Most preferably, morphine is mixed at room temperature and at one atmosphere of pressure.

Intranasal Administration

The present invention includes nasally administering to the mammal a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof. As used herein, nasally administering or nasal administration includes administering morphine or pharmaceutically acceptable salt thereof to the mucous membranes of the nasal passage or nasal cavity of the mammal.

In one embodiment, the present invention provides a pharmaceutical formulation comprising a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof in combination with a nasal delivery system.

As used herein, pharmaceutical formulations include therapeutically effective amounts of morphine or pharmaceutically acceptable salt thereof. Such formulations can be administered, for example, as a nasal spray, nasal drop, suspension, gel, ointment, cream or powder. Administration of morphine formulations of the present invention may also take place using a nasal tampon or nasal sponge containing morphine or pharmaceutically acceptable salt thereof.

Nasal powder formulations can be made by mixing morphine or pharmaceutically acceptable salt thereof with an excipient, both possessing the desired particle size. Other methods to make a suitable powder formulation can be selected. First, a solution of morphine or pharmaceutically acceptable salt thereof is made, followed by precipitation, filtration and pulverization. It is also possible to remove the solvent by freeze drying, followed by pulverization of the powder in the desired particle size by using conventional techniques, known in the pharmaceutical arts. Powders can be administered using a nasal insufflator or any other suitable device.

Powders may also be administered in such a manner that they are placed in a capsule. The capsule is set in an inhalation or insufflation device. A needle is penetrated through the capsule to make pores at the top and the bottom of the capsule and air is sent to blow out the powder particles. Powder formulation can also be administered in a jet-spray of an inert gas or suspended in liquid organic fluids.

Morphine or pharmaceutically acceptable salt thereof can also be brought into a viscous base, using systems, conventionally used, for example natural gums, methylcellulose and derivatives, acrylic polymers (carbopol) and vinyl polymers (polyvinylpyrrolidone). Pharmaceutical formulations of the present invention may include, many other excipients, known from the pharmaceutical arts, such as preservatives, surfactants, co-solvents, adhesives, antioxidants, buffers, viscosity and absorption enhancing agents and agents to adjust the pH and osmolarity.

Preferably, morphine or pharmaceutically acceptable salt thereof is combined with a suitable delivery system for absorption across the nasal mucosa of a mammal. The nasal delivery system includes a pharmaceutically acceptable buffer, a thickening agent, a humectant, absorption enhancer and combinations thereof. Such nasal delivery system can take various forms including for example, aqueous solutions and non-aqueous solutions.

Aqueous solutions, include for example, aqueous gels, aqueous suspensions, aqueous liposomes, aqueous emulsions, aqueous microemulsions. Non aqueous solutions include, for example, non-aqueous gels, non-aqueous suspensions, non-aqueous liposomes, non-aqueous emulsions and non-aqueous microemulsions.

The various forms of the nasal delivery system set forth above can include a buffer to maintain the pH of morphine or pharmaceutically acceptable salt thereof, a pharmaceutically acceptable thickening agent, humectant, absorption enhancer and combinations thereof.

As stated above, Applicants have unexpectedly found that pharmaceutical formulations including morphine or pharmaceutically acceptable salts thereof have substantial absorption across the nasal mucosa at a pH from about 3.0 to about 7.0, even though morphine is in its ionized state. A suitable balance between the extent of drug absorption, dug stability, and drug solubility is selecting the pH of the nasal formulation. Preferably, morphine or pharmaceutically acceptable salt thereof is combined with a nasal delivery system at a pH from about 4.0 to about 7.0, more preferably from about 4.0 to about 6.0, and most preferably, from about 5.0 to about 6.0.

To maintain the formulation at a pH below about 7.0, the nasal delivery system may include a buffer with the desired buffer capacity as understood by those skilled in the art. The particular buffer, of course, can vary depending upon the particular nasal delivery system used, as well as the specific morphine formulation selected. Buffers that are suitable for use in the present invention include, for example, acetate, citrate, prolamine, carbonate and phosphate buffers and combinations thereof Some particularly preferred buffers are sodium citrate dihydrate and citric acid.

With respect to the non-aqueous and powder formulations set forth above, suitable forms of buffering agents can be selected so that when the formulation is delivered into the nasal cavity of a mammal, selected pH ranges are achieved therein upon contact with, e.g., the nasal mucosa.

As stated above, the pH of the pharmaceutical formulation should be from about 3.0 to about 7. Therefore, the pharmaceutical formulations of the present invention may include a pH adjusting agent. Examples of pH adjusting agents include trolamine, sulfuric acid, sodium hydroxide, diluted hydrochloric acid and the like. More preferably, the pH adjusting agent is added to the formulation as needed to maintain the pH at from about 4.0 to about 6.0, and most preferably, from about 5.0 to about 6.0.

The viscosity of the formulations of the present invention can be maintained at a desired level using a pharmaceutically acceptable thickening agent. Thickening agents that can be used in accordance with the present invention include for example, methyl cellulose, xanthan gum, carboxymethyl cellulose, hydroxypropyl cellulose, carbomer, polyvinyl alcohol, alginates, acacia, chitosans and combinations thereof. Such agents will also be used in the particulate formulations of the present invention. The concentration of the thickening agent will depend upon the agent selected and the viscosity desired. A most preferred thickening agent is polyvinyl alcohol. Such agent may be present in the formulation at a concentration of from about 0.1% to about 20% by weight of the total weight of the formulation.

The formulations of the present invention may also include a tolerance enhancer to reduce or prevent drying of the mucus membrane and to prevent irritation thereof. Suitable tolerance enhancers that can be used in the present invention include humectants, such as for example, sorbitol, mineral oil, vegetable oil, glycerol, glycerin, soothing agents, membrane conditioners, sweeteners and combinations thereof. The concentration of the tolerance enhancer(s) in the present formulations will also vary with the agent selected. The tolerance enhancer can be present in the delivery system in a concentration ranging from about 0.01% to about 20% by weight of the pharmaceutical formulation.

In order to enhance absorption of the morphine or pharmaceutically acceptable salt thereof through the nasal mucosa, a therapeutically acceptable absorption enhancer is added to the nasal delivery system. Suitable absorption enhancers that can be used in accordance with the present invention include, for example, sodium lauryl sulfate, sodium salicylate, oleic acid, lecithin, dehydrated alcohol, Tween, Span, polyoxyl 40 stearate, polyoxy ethylene 50 stearate, edetate disodium, propylene glycol, glycerol monooleate, fusieates, bile salts, octoxynol and combinations thereof. As used herein, Tween includes all Tweens such as Tween 20, Tween 40, Tween 60, Tween 80 and the like. Span include all Spans, such as Span 20, Span 40, Span 80 and the like. Suitable absorption enhancers include non-ionic, anionic and cationic surfactants. These absorption enhancers can be present in the delivery system in a concentration ranging from about 0.01% to about 50% by weight of the total formulation.

For example, preferred concentrations of sodium salicylate, sodium lauryl sulfate and edetate disodium can be from about 0.01% to about 5% by weight of the total formulation. Preferred concentrations of polyoxyl 40 stearate, lecithin, dehydrated alcohol, can be from about 0.1% to about 10% by weight of the total formulation. Preferred concentrations of oleic acid can be from about 0.01% to about 5% by weight of the total formulation. Preferred concentrations of propylene glycol and Tween 20 can be from about 0.1% to about 25% by weight of the total formulation.

The absorption enhancers of the present invention, increase plasma levels of free morphine above that observed without the absorption enhancer. Preferably, free morphine plasma concentrations are increased by from about 5% to about 700%. Accordingly, a lower amount of drug can be used to achieve the same therapeutic levels that elicit an analgesic or anesthetic response.

In the present invention other optional ingredients may also be incorporated into the nasal delivery system provided they do not interfere with the action of morphine or pharmaceutically acceptable salt thereof or significantly decrease the absorption of it across the nasal mucosa. Such ingredients can include, for example, pharmaceutically acceptable excipients and preservatives. The excipients that can be used in accordance with the present invention include, for example, bio-adhesives and/or swelling/thickening agents and combinations thereof.

To extend shelf life, preservatives can be added to the present formulations. Suitable preservatives that can be used with the present formulations include, for example, benzyl alcohol, parabens, thimerosal, chlorobutanol, benzalkonium and combinations thereof, with benzalkonium chloride being preferred. Typically, the preservative will be present in the formulations in a concentration of from about 0.001% up to about 5% by weight of the total formulation. The exact concentration of the preservative, however, will vary depending upon the intended use and can be easily ascertained by one skilled in the art.

Other ingredients which extend shelf life can be added such as for example, antioxidants. Some examples of antioxidants include sodium metabisulfite, potassium metabisulfite, ascorbyl palmitate and the like. Typically, the antioxidant will be present in the formulations in a concentration of from about 0.01% up to about 5% by weight of the total formulation.

It has been unexpectedly discovered that pharmaceutical formulations comprising morphine or pharmaceutically acceptable salt thereof at a pH from about 3.0 to about 7.0, achieve enhanced or substantial absorption and can be used to elicit analgesic or anesthetic effects as that observed with morphine at higher pH ranges. Further, it was found that at pH ranges where the drug is mostly ionized, the nasal absorption is pH sensitive.

Therapeutically Effective Amounts

As used herein, a therapeutically effective amount of morphine or pharmaceutically acceptable salt thereof is that amount effective to elicit an analgesic or anesthetic response. For example, morphine or pharmaceutically acceptable salt thereof can achieve the relief or palliation of acute, chronic or breakthrough pain. Preferably, morphine or pharmaceutically acceptable salt thereof is administered in an amount that limits the most common side effects such as respiratory depression, constipation and lethargy.

The minimal dosage of morphine or pharmaceutically acceptable salt thereof is the lowest dosage which elicits analgesia or anesthesia in the mammal. For example, morphine or pharmaceutically acceptable salt thereof can be administered at a minimal dosage of preferably from at least about 0.01 mg/kg to about 4 mg/kg of body weight, more preferably from at least about 1 mg/kg to about 4 mg/kg of body weight, and most preferably from at least about 2 mg/kg to about 4 mg/kg of body weight.

Maximal dosage for a mammal is the highest dosage which elicits analgesia or anesthesia which does not cause undesirable or intolerable side effects such as respiratory depression. In any event, the practitioner is guided by skill and knowledge in the field, and the present invention includes without limitation dosages which are effective to achieve the described effect in the mammal.

As used herein, analgesia or an analgesic response includes relieving pain in the mammal without causing loss of consciousness. Typically, morphine or pharmaceutically acceptable salt thereof can be used to elicit analgesia in the treatment of acute and chronic pain. Morphine or pharmaceutically acceptable salt thereof can also be used to produce anesthesia or an anesthetic response in the mammal. Typically, the mammal experiences loss of feeling or sensation, especially loss in pain sensation, to permit the performance of surgery or other painful procedures. Accordingly, when analgesia is induced the mammal loses consciousness.

Mammals include, for example, humans, as well as pet animals such as dogs and cats, laboratory animals, such as rats and mice, and farm animals, such as horses and cows.

Claim 1 of 13 Claims

What is claimed is:

1. A method for eliciting an analgesic or anesthetic response in a mammal in need thereof comprising nasally administering a therapeutically effective amount of morphine sulfate at a pH from 4.0 to 6.0, wherein said pH of the morphine sulfate is maintained with a buffer selected from the group consisting of acetate, citrate, prolamine, carbonate and phosphate and combination thereof.

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