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Title: Non-inclusion
cyclodextrin complexes
United States Patent: 7,115,586
Issued: October 3, 2006
Inventors: Loftsson;
Thorsteinn (Reykjavik, IS)
Assignee: Decode Genetics EHF.
(Reykjavik, IS)
Appl. No.:
10/272,936
Filed: October 18, 2002
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Patheon
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Abstract
The invention provides a number of
methods for enhancing the aqueous solubility of an active ingredient which
is insoluble or sparingly soluble in water. In one preferred embodiment,
solubilization of the active ingredient is enhanced by combining it with
.beta.-cyclodextrin in an aqueous complexation medium comprising .beta.-cyclodextrin
and a negatively- or positively-charged compound which forms an inclusion
or non-inclusion complex with .beta.-cyclodextrin and its inclusion
complexes.
SUMMARY AND OBJECTS
OF THE INVENTION
The present invention involves formation
of guest/host inclusion complex microaggregates and their industrial
applications. These aggregates are invisible to the human eye and cannot
be detected by a conventional light microscope and, thus, their diameter
is less than the wavelength of visible light (less than about 600 nm).
Because they in most cases do not produce light scattering, their diameter
is most probably less than one quarter of the wavelength of visible light,
or less than about 140 nm. Such microaggregates will appear transparent or
translucent due to diminished light scattering. The diameter of .beta.-cyclodextrin
is approximately 1.5 nm.
More specifically, the present invention involves non-inclusion
solubilization of water-insoluble compounds within such aggregates. Such
systems consist of cyclodextrin (host), lipophilic or hydrophilic compound
which is able to form an inclusion complex with cyclodextrin (guest) and
compound which does not readily form a complex with cyclodextrin
(accompanying guest). The guest can be a water-soluble compound but it
must be able to form an inclusion complex with cyclodextrin. The
accompanying guest is predominately included within the microaggregate
without forming an inclusion complex with the cyclodextrin, a structure
that resembles solubilization of the accompanying guest in a microemulsion
in which the guest/host inclusion complexes form the surfactant.
Furthermore, this invention involves stabilization of such microaggregate
systems by including polymers. Polymers are well-known to stabilize
micelles (as well as other microparticular systems), i.e., regular
emulsions which sometimes are called macroemulsions, and to enhance their
ability to solubilize water-insoluble compounds (D. AttWOOD AND A. T.
FLORENCE: Surfactant Systems, their Chemistry, Pharmacy and
Biology,Chapman and Hall, London, 1983, pp. 361 365).
Another aspect of this invention is inclusion of a component which
solubilizes and stabilizes the microaggregate. These components can have
comparable effects to those of cosurfactants in microemulsions, i.e., to
enhance the stability of the microaggregates and prevent further
aggregation and precipitation, and/or enhance their solubilizing effect.
In one aspect of the invention (A), there is thus provided a method for
enhancing the aqueous solubility of an active ingredient which is
insoluble or sparingly soluble in water, said active ingredient being a
drug, cosmetic additive, food additive or agrochemical, said method
comprising combining said active ingredient with .beta.-cyclodextrin in an
aqueous complexation medium, said medium comprising from about 0.1% to
about 80% (weight/volume) of .beta.-cyclodextrin and from about 0. 1% to
about 5% (weight/volume) of a negatively- or positively-charged compound
which forms an inclusion or non-inclusion complex with .beta.-cyclodextrin
and its inclusion complexes, said charged compound being acceptable for
use in a pharmaceutical, cosmetic, food or agricultural composition.
In another aspect of the invention (B), there is provided a method for
enhancing the aqueous solubility of an active ingredient which is
insoluble or sparingly soluble in water, said active ingredient being a
drug, cosmetic additive, food additive or agrochemical, said method
comprising combining said active ingredient with .beta.-cyclodextrin in an
aqueous complexation medium, said medium comprising from about 0.1% to
about 80% (weight/volume) of .beta.-cyclodextrin; from about 0.1% to about
10% (weight/volume) of a pharmaceutically inactive water-soluble polymer
acceptable for use in a pharmaceutical, cosmetic, food or agricultural
composition; and from about 0.1% to about 5% (weight/volume) of a
negatively- or positively-charged compound which forms an inclusion or
non-inclusion complex with .beta.-cyclodextrin and its inclusion
complexes, said charged compound being acceptable for use in a
pharmaceutical, cosmetic, food or agricultural composition.
In still another aspect of the invention (C), there is provided a method
for enhancing the aqueous solubility of an active ingredient which is
insoluble or sparingly soluble in water and which does not readily form an
inclusion complex with cyclodextrin, said active ingredient being a drug,
cosmetic additive, food additive or agrochemical, said method comprising
adding said active ingredient to an aqueous complexation medium which
comprises from about 0.1% to about 70% (weight/volume) of said
cyclodextrin, said complexation medium being saturated, prior to addition
of said active ingredient, with a compound which forms an inclusion
complex with said cyclodextrin and which is acceptable for use in a
pharmaceutical, cosmetic, food or agricultural composition.
In yet another aspect of the invention (D), there is provided a method for
enhancing the aqueous solubility of an active ingredient which is
insoluble or sparingly soluble in water and which does not readily form an
inclusion complex with cyclodextrin, said active ingredient being a drug,
cosmetic additive, food additive or agrochemical, said method comprising
adding said active ingredient to an aqueous complexation medium which
comprises from about 0.1% to about 70% (weight/volume) of said
cyclodextrin and from about 0.01% to about 10% (weight/volume) of a
pharmacologically inactive water-soluble polymer acceptable for use in a
pharmaceutical, cosmetic, food or agricultural composition, said
complexation medium being saturated, prior to addition of said active
ingredient, with a compound which forms an inclusion complex with said
cyclodextrin and which is acceptable for use in a pharmaceutical,
cosmetic, food or agricultural composition.
DETAILED DESCRIPTION
OF THE INVENTION AND PREFERRED EMBODIMENTS
Cyclodextrins for use in the present
invention in aspects (C) and (D) summarized above include the natural
cyclodextrins and their derivatives, including the alkylated and
hydroxyalkylated derivatives and the branched cyclodextrins. Cyclodextrins
and their derivatives which have been previously described as useful for
complexation with drugs are of particular interest herein. In addition to
.alpha.-, .beta.-, and .gamma.-cyclodextrins, the ether and mixed ether
derivatives and those derivatives bearing sugar residues are of special
interest. Especially useful herein are the hydroxyethyl, hydroxypropyl
(including 2- and 3-hydroxypropyl) and dihydroxypropyl ethers, their
corresponding mixed ethers and further mixed ethers with methyl or ethyl
groups, such as methyl-hydroxyethyl, ethyl-hydroxyethyl and ethyl-hydroxypropyl
ethers of .alpha.-, .beta.-, and .gamma.-cyclodextrin; the maltosyl,
glucosyl and maltotriosyl derivatives of .alpha.-, .beta.-, and .gamma.-cyclodextrin,
which may contain one or more sugar residues, e.g., glucosyl or diglucosyl,
maltosyl or dimaltosyl, as well as various mixtures thereof, e.g., a
mixture of maltosyl and dimaltosyl derivatives; and the variously
substituted sulfoalkyl ethers of .alpha.-, .beta.-, and .gamma.-cyclodextrins,
particularly when the alkyl group is of moderate length such as C.sub.4
C.sub.8. Specific cyclodextrin derivatives for use herein include
hydroxypropyl-.beta.-cyclodextrin, hydroxyethyl-.beta.-cyclodextrin,
hydroxypropyl-.gamma.-cyclodextrin, hydroxyethyl-.gamma.-cyclodextrin,
dihydroxypropyl-.beta.-cyclodextrin, glucosyl-.alpha.-cyclodextrin,
glucosyl-.beta.-cyclodextrin, diglucosyl-.gamma.-cyclodextrin, maltosyl-.alpha.-cyclodextrin,
maltosyl-.beta.-cyclodextrin, maltosyl-.gamma.-cyclodextrin, maltotriosyl-.beta.-cyclodextrin,
maltotriosyl-.gamma.-cyclodextrin and dimaltosyl-.beta.-cyclodextrin, and
mixtures thereof such as maltosyl-.beta.-cyclodextrin/dimaltosyl-.beta.-cyclodextrin,
as well as methyl-.beta.-cyclodextrin, and the sulfobutyl ether and
sulfoheptyl ether derivatives of .beta.-cyclodextrin (developed by CyDex,
Kansas City, Kans.). Procedures for preparing the various cyclodextrin
derivatives named above are well-known, for example, from Bodor U.S. Pat.
No. 5,024,998 dated Jun. 18, 1991, and references cited therein.
Particularly preferred cyclodextrins for use in the present invention are
.gamma.-cyclodextrin, .alpha.-cyclodextrin, .beta.-cyclodextrin, and the
hydroxypropyl, hydroxyethyl, dihydroxypropyl, glucosyl, maltosyl,
methylated and sulfobutyl ether derivatives of .alpha.-, .beta.-, and
.gamma.-cyclodextrin, and their mixtures, especially those having a molar
degree of substitution of from about 0.05 to about 10. The expression
"molar degree of substitution" is used in the same sense as employed in
Brauns and Muller European Patent No. 0149197 B1.
In the case of aspects (A) and (B) of the invention as summarized
hereinabove, the cyclodextrin is .beta.-cyclodextrin, i.e., the natural,
non-derivatized cyclodextrin. The reasons for particular interest in
improving complexation with this natural cyclodextrin, which can be
achieved in accord with the present invention, are discussed below.
FDA has introduced a Biopharmaceutics Classification System (BCS) for oral
drug products. In this system, drugs are classified into four groups based
on the ability of a given drug substance to permeate biological membranes
and its aqueous solubility. The groups/classes are as follows: Class I:
highly soluble; highly permeable Class II: poorly soluble; highly
permeable Class III: highly soluble; poorly permeable Class IV: poorly
soluble; poorly permeable
In the BCS, a given drug substance is considered "highly soluble" when the
highest dose strength is soluble in less than 250 mL of water over a pH
range of 1 to 7.5 and "highly permeable" when the extent of absorption in
humans is determined to be .gtoreq.90% of an administered dose (in
solution), based on mass-balance or related to an intravenous reference
dose. Thus, for rapidly dissolving solid oral dosage forms (like
conventional tablets), the dose-to-solubility ratio (D:S) of the drug must
be less than 250 mL over a pH range of 1 to 7.5. For other types of solid
dosage forms (such as sublingual or buccal tablets, and rectal and vaginal
tablets), the D:S ratio must be less than 5 to 10 mL.
Class I consists of water-soluble drugs that are well-absorbed from the
gastrointestinal tract and, in general, have the preferred physicochemical
properties. For immediate release dosage forms, the absorption rate will
be controlled by the gastric emptying rate. However, to secure constant
high bioavailability, the dissolution rate must be relatively fast, or
over 85% dissolution in 15 minutes.
Class II consists of water-insoluble drugs which, when dissolved, are
well-absorbed from the gastrointestinal tract. The dissolution rate in
vivo is usually the rate-limiting step in drug absorption.
Class III consists of water-soluble drugs that do not readily permeate
biomembranes. For these drugs, the rate-limiting factor in drug absorption
is their permeability.
Class IV consists of water-insoluble drugs which when solubilized do not
readily penetrate biomembranes. These drugs are usually very difficult to
formulate for effective oral delivery.
Through complexation with water-soluble cyclodextrins it is possible to
move Class II drugs, and sometimes even Class IV drugs, into Class I by
increasing their apparent solubility in water. The natural cyclodextrins
and their complexes have, however, limited aqueous solubility. For
example, the solubility of .beta.-cyclodextrin in water is only about 18.5
mg/mL at room temperature and the maximum amount of hydrocortisone which
can be dissolved in saturated .beta.-cyclodextrin solution (water
saturated with .beta.-cyclodextrin) is 2.2 mg/mL (See Tables 3 and 4 in
Experiments C and D to follow). Various water-soluble cyclodextrin
derivatives have been synthesized. These derivatives and their complexes
are much more water-soluble than the parent .beta.-cyclodextrin.
Cyclodextrin derivatives of current pharmaceutical interest include
2-hydroxypropyl-.beta.-cyclodextrin, 2-hydroxypropyl-.gamma.-cyclodextrin,
sulfobutyl ether .beta.-cyclodextrin, randomly methylated .beta.-cyclodextrin,
and some branched cyclodextrins such as maltosyl-.beta.-cyclodextrin.
Including cyclodextrins in pharmaceutical formulations will increase the
formulation bulk of solid dosage forms. Even under the best conditions,
cyclodextrin complexation will on the average result in about a 10-fold
increase in the formulation bulk. This limits the use of cyclodextrins in
solid oral dosage forms to relatively potent drugs that possess good
complexing properties. Cyclodextrin derivatives have greater molecular
weight (MW) than their parent cyclodextrins and thus result in greater
increase in the formulation bulk, i.e., in the case of natural
cyclodextrins, the drug occupies a greater fraction of the complex powder.
Based on the molecular weights given in the above Table, it can be seen
that if the cyclodextrin derivatives can be replaced by the natural
cyclodextrin, the formulation bulk will be decreased by as much as 50%.
However, this can only be done if the D:S ratio is below 250 mL for
conventional oral formulations (e.g., tablets and capsules) and, for
example, below 5 mL for sublingual tablets. By the present invention, the
aqueous solubility of .beta.-cyclodextrin and its complexes can be
enhanced, lowering the D:S ratio to an acceptable level, in other words,
to a level which is sufficient to move a given water-insoluble drug from
Class II to Class I.
Suitable polymers for use herein in aspects (B) and (D) summarized above
are those which are soluble in water, are acceptable for use in
pharmaceuticals and are pharmacologically inactive. Such polymers are
well-known excipients commonly used in the field of pharmaceutical
formulations. [See, for example, Remington's Pharmaceutical Sciences, 18th
edition, Alfonso R. Gennaro (editor), Mack Publishing Company, Easton,
Pa., 1990, pp. 291 294; ALFRED MARTIN, JAMES SWARBRICK AND ARTHUR COMMARAM,
Physical Pharmacy. Physical Chemical Principles in Pharmaceutical
Sciences, 3rd edition, Lea & Febinger, Philadelphia, Pa., 1983, pp. 592
638; A. T. FLORENCE AND D. ATTWOOD, Physicochemical Principles of
Pharmacy, 2nd edition, Chapman and Hall, New York, N.Y. 1988,PP. 281 334.]
Suitable polymers include water-soluble natural polymers, water-soluble
semi-synthetic polymers (such as the water-soluble derivatives of
cellulose) and water-soluble synthetic polymers. The natural polymers
include polysaccharides such as inulin, pectins, algin derivatives (e.g.,
sodium alginate) and agar, and polypeptides such as casein and gelatin.
The semisynthetic polymers include cellulose derivatives such as
methylcellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, their
mixed ethers such as hydroxypropyl methylcellulose and other mixed ethers
such as hydroxyethyl ethylcellulose and hydroxypropyl ethylcellulose,
hydroxypropyl methylcellulose phthalate and carboxymethylcellulose and its
salts, especially sodium carboxymethylcellulose. The synthetic polymers
include polyoxyethylene derivatives (polyethylene glycols) and polyvinyl
derivatives (polyvinyl alcohol, polyvinylpyrrolidone and polystyrene
sulfonate) and various copolymers of acrylic acid (e.g., carbomer). Other
natural, semi-synthetic and synthetic polymers not named here which meet
the criteria of water solubility, pharmaceutical acceptability and
pharmacological inactivity are likewise considered to be within the ambit
of the present invention. Particularly preferred polymers for use herein
are sodium carboxymethylcellulose, hydroxypropyl methylcellulose and
polyvinylpyrrolidone.
Water-soluble polymers for use with drugs herein, as pointed out above,
need to be pharmaceutically acceptable and pharmacologically inactive.
Generally speaking, such water-soluble polymers will also be acceptable
for use with food additives, cosmetic additives and agrochemicals
(agricultural chemicals), since the most stringent requirements are
usually placed on pharmaceuticals, particularly for parenteral use.
Conversely, however, a polymer which is not pharmaceutically acceptable
could, for example, nevertheless be agriculturally acceptable,
particularly for non-crop applications; such a polymer is intended for use
herein in compositions with those non-drug materials, e.g., agrochemicals,
which do not require pharmaceutical acceptability. Similarly, the
water-soluble polymers for use with food and cosmetic additives need only
be acceptable for use in foods and cosmetics.
As insoluble or sparingly soluble food additives which are contemplated
herein for use, there can be mentioned, by way of example, flavoring
agents, preservatives, antioxidants, sweetening agents, vitamins and
coloring agents. Illustrative of such additives are flavors such as
vanillin, aromatic flavoring oils such as lemon oil, cinnamon oil, oil of
anise, oil of bitter almond or benzaldehyde, oil of clove, oil of orange,
oil of peppermint, garlic oil, onion oil and menthol; sweeteners such as
aspartame and saccharin; colors such as methyl yellow as well as natural
colors; preservatives such as methylparaben, propylparaben, chlorbutol,
benzoic acid and salicylic acid; and antioxidants such as butylated
hydroxyanisol. Some food additives may also be classified as drugs, e.g.,
the vitamins, discussed in more detail hereinbelow.
In the case of cosmetic additives contemplated for use in this invention,
many of the same classes of ingredients (including some of the same
specific ingredients) noted above as food additives are intended; in some
cases, cosmetic additives may also be classified as drugs as discussed
more fully below, for example, the vitamins, including the retinoids.
Illustrative classes of cosmetic additives include preservatives,
antioxidants, aromatic oils (fragrances), coloring agents and vitamins
(also noted as drugs herein). Specific additives of interest for cosmetics
include fragrant aromatic oils such as lavender oil, pine oil, oil of
geranium, oil of rose, oil of sweet bay, oil of lemon, oil of lemon grass,
preservatives such as camphor and vitamins such as vitamin D.sub.2 (cholecalciferol),
vitamin D.sub.3, and vitamin E, as well as vitamin A and the other
retinoids such as retinoic acid.
With regard to agrochemicals, those contemplated for use in this invention
include pesticides (including, for example, insecticides and nematocides),
fungicides, herbicides and plant growth regulators. Illustrative of such
agrochemicals are pesticides such as pentachlorophenol, mevinphos,
piperonyl butoxide, hydroprene, methoprene and kinoprene; fungicides such
as 4-chloro-3-methylbenzothiazolone and pyrrolnitrin; and herbicides such
as pentachlorophenol and 2,6-dichlorobenzonitrile. Yet other agrochemicals
contemplated for use in the instant methods and compositions include
herbicides such as atrazine, barban, bromoxynil, butachlor, carbetamide,
chlorpropham, chlortoluron, 2,4-D, 2,4-DB, diallate, dicamba, dichlorprop,
diuron, EPTC, ethofumesate, fluometuron, ioxynil, isoproturon, linuron,
MCPA, mecoprop, metamitron, methabenzthiazuron, metribuzin, oxadiazon,
pebulate, phenmedipham, prometryn, propachlor, propanil, propham, simazine,
thiobencarb, isoxaflutole, triallate and trifluralin; fungicides such as
2,6-dimethyl-4-tridecylmorpholine, methyl
N-(1-butylcarbarmoylbenzimidazol-2-yl)carbamate,
1,2-bis(3-methoxycarbonyl-2-thioureido)benzene, isopropyl
1-carbamoyl-3-(3,5-dichlorophenyl)hydantoin and
1-(4-chlorophenoxy)-3,3-dimethyl-1-(1,2,4-triazol-1-yl)butan-2-one;
acaricides such as dicofol and antiparasitic antibiotics, such as
ivermectin, avermectins and milbemycins, which are also insecticidal; and
insecticides such as chlorpyrifos, dementon-S-methyl, disulfoton,
ethoprofos (or ethoprop), fenitrothion, malathion, parathion, phosalone,
cyfuthrin, cypermethrin, deltamethrin, fenpropathrin, fenvalerate,
permethrin, bendiocarb, endosulfan, lindane, fipronil, and synthetic
pyrethroids, for example, permetrin and cypermethrin.
It is well-known that a number of food and cosmetic additives,
particularly flavors, fragrances and colors, as well as agrochemicals
(pesticides, herbicides, insecticides and fungicides) can be complexed
with cyclodextrin, while others cannot be.
Among the insoluble or sparingly soluble drugs which are contemplated for
use in the methods of the present invention, there can be mentioned
antineoplastics (anticancer/antitumor agents), sedatives, antiinflammatory
steroids (glucocorticoids), tranquilizers, anticonvulsants, antivirals,
antihistaminics, vitamins/nutritional factors, emetics, anticoagulants,
cardiotonics (including cardiac glycosides), diuretics, non-steroidal
analgesic and/or anti-inflammatory agents (NSAID's), androgens, estrogens,
anabolic agents, vasodilators, antidepressants, antipsychotics, hypnotics,
antifungals, progestins, antiprotozoals, anthelmintics, anesthetics,
vasoconstrictors, hypoglycemics, antibacterials/antibiotics, and anti-infectives,
platelet inhibitors, muscle relaxants, antiemetics, radiodiagnostics,
antispasmodics, antiarrythmics, carbonic anhydrase inhibitors,
gastrointestinal agents (including H.sub.2-antagonists and other
anti-ulcer agents), antihypertensives especially including those useful as
anti-glaucoma agents, serotonin antagonists, narcotic antagonists,
narcotic agonists, mixed narcotic agonists-antagonists, pharmacologically
active proteins such as peptide hormones, enzymes, antibodies and other
biologically produced substances, anti-Parkinsonism/dopamineric agents and
drugs for treating Alzheimer's disease.
It is now well-known that insoluble or sparingly soluble drugs which
complex with cyclodextrin have the required shape and size to fit at least
partially into the cavity of the hydrated cyclodextrin molecule; see, for
example, Brauns and Muller European Patent No. 0149197 B1. Drugs whose
water solubility can be improved by complexation with cyclodextrins
exhibit significantly increased complexation and water solubility when
treated in accord with the present invention.
Specific drugs contemplated for use in the present invention include
antineoplastics such as chlorambucil, lomustine, melphalan, methotrexate,
hexamethylmelamine, teniposide, etoposide, semustine (methyl CCNU),
fazarabine (Ara-AC), mercaptopurine, tubulazole, carmofur, carmustine,
amsacrine, doxorubicin, bruceantin, diaziquone, dideminin B, echinomycin
and PCNU; anti-inflammatory steroids such as betamethasone,
fludrocortisone, dexamethasone, cortisone, hydrocortisone, triamcinolone,
triamcinolone acetonide, prednisone and prednisolone; estrogens such as
17.beta.-estradiol, 17.alpha.-ethynylestradiol (ethinylestradiol),
ethynylestradiol 3-methyl ether, estrone, mestranol and estriol;
progestins such as dimethisterone, norethindrone, norethindrone acetate,
norgestrel, norethynodrel, ethisterone, medroxyprogesterone acetate and
progesterone; synthetic estrogens such as diethylstilbestrol, benzestrol,
dienestrol, hexestrol and the like; immunosuppressive agents such as
cyclosporine (also known as cyclosporin A); anticonvulsants such as
phenytoin (diphenylhydantoin) and carbamazepine; barbiturates such as
pentobarbital, phenobarbital and secobarbital, variously useful as
hypnotics, anticonvulsants and sedatives; antivirals such as acyclovir,
trifluridine, zidovudine, vidarabine and virazole (also known as ribavirin);
vitamins/nutritional factors such as retinol (vitamin A), vitamin
A-acetate, cholecalciferol, retinal, retinoic acid (also known as
tretinoin or Retin-A.TM.), isotretinoin, etretinate, acitretin and
.beta.-carotene, collectively referred to herein as retinoids, as well as
other fat-soluble vitamins such as the E, D and K vitamins;
.beta.-blockers such as timolol, atenolol, propranolol, nadolol, carteolol,
carvedilol, celiprolol, esmolol, labetalol, metoprolol, penbutolol,
pindolol and sotalol, variously of interest not only as antihypertensives
but also as anti-glaucoma agents; emetics such as apomorphine; diuretics
such as chlorthalidone, furosemide and other sulfonamide-type diuretics
and spironolactone, an aldosterone antagonist-type diuretic;
anticoagulants such as dicumarol; cardiotonics such as digoxin and
digitoxin; non-steroidal analgesics and/or anti-inflammatory agents such
as aspirin, ibuprofen, indomethacin, piroxicam, sulindac and flurbiprofen;
androgens such as 17-methyltestosterone and testosterone; mineral
corticoids such as desoxycorticosterone; steroidal hypnotics/anesthetics
such as alfaxalone; anabolic agents such as fluoxymesterone and
methanstenolone; antidepressants such as sulpiride; antibiotics such as
ampicillin and penicillin G; anti-infectives, such as benzalkonium
chloride, cetylpyridinium chloride and chlorhexidine; coronary
vasodilators such as nitroglycerin, flunarizine, lidoflazine and
mioflazine; hypnotics such as etomidate; carbonic anhydrase inhibitors
such as acetazolamide, chlorzolamide, ethoxzolamine, methazolamide,
L-671,152 and MK-927; antifungals such as imidazole-type antifungals,
e.g., econazole, clotrimazole, oxiconazole, bifonazole, metronidazole (metronidazole
benzoate), fenticonazole, miconazole, sulconazole, tioconazole,
isoconazole, butoconazole, ketoconazole, doconazole, parconazole,
orconazole, valconazole and lombazole, and triazole-type antifungals,
e.g., terconazole and itraconazole; antiprotozoals such as imidazole-type
antiprotozoals, e.g., metronidazole, ornidazole, carnidazole, ipronidazole,
tinidazole and nimorazole, and benzimidazole-type antifungals, e.g.,
flubendazole; H.sub.2-antagonists, including those of the imidazole-type,
e.g., burimamide, metiamide, cimetidine and oxmetidine; imidazole-type
antineoplastics, such as tubulazole, a microtubule inhibitor; anthelmintic
agents, including those of the benzimidazole-type, for example,
thiabendazole, oxibendazole, cambendazole, fenbendazole, flubendazole,
albendazole and oxfendazole; antihistaminics, including benzimidazoles
such as astemizole, piperidines such as levocabastine and piperazines such
as flunarizine, oxatomide and cinnarizine; antipsychotics, including those
of the piperidine-type such as fluspirilene, pimozide and penfluridole;
gastrointestinal agents, including piperidine derivatives such as
loperamide and cisapride; serotonin antagonists, for example those of the
piperidine-type such as ketanserin, ritanserin and altanserin, and those
of the piperazine-type such as mianserin (also an antihistaminic);
anesthetics such as lidocaine; hypoglycemics such as acetohexamide;
anti-emetics such as dimenhydrinate; antibacterials such as cotrimoxazole;
dopaminergic agents such as L-DOPA; anti-Alzheimer's agents such as THA;
famotidine, an anti-ulcer agent/H.sub.2-antagonist; benzodiazepines, for
example chlordiazepoxide, diazepam, medazepam, oxazepam, lorazepam,
flunitrazepam, estazolam, flurazepam, loprazolam, lormetazepam, nitrazepam,
quazepam, temazepam and triazolam, variously useful as sedatives,
hypnotics, anticonvulsants, tranquilizers and muscle relaxants;
prostaglandins, for example PGE's such as PGE.sub.1 (alprostadil), a
vasodilator, and PGI.sub.2 (prostacyclin or epoprostenol), a platelet
inhibitor; angiotensive converting enzyme inhibitors (ACE inhibitors),
such as enalaprilic acid (the diacid, sometimes called `enalaprilate`),
the ethyl ester of enalaprilic acid (sometimes called enalapril),
captopril, lisinopril and SCH-33861, useful as antihypertensives;
tetracycline antibiotics, such as tetracycline, chlortetracycline,
oxytetracycline, demeclocycline, methacycline, doxycycline and minocycline;
and macrolide antibiotics, such as erythromycin, josamycin, rosamycin,
tylosin, troleandomycin and spiramycin.
In particularly preferred aspects of the present invention, the drug
contemplated for use herein is a steroid, particularly an
anti-inflammatory steroid (glucocorticoid) such as hydrocortisone, a
steroidal estrogen such as estradiol, a synthetic estrogen such as
diethylstilbestrol, a benzodiazepine such as alprazolam, or an
immunosuppressive such as cyclosporin A.
In the case of aspects (C) and (D) of the invention as summarized
hereinabove, the active ingredient is one of the above-described active
ingredients which is insoluble or sparingly soluble in water but which
also does not readily form an inclusion complex with cyclodextrin. An
insoluble/sparingly soluble active ingredient meeting this second
criteria, that is, which does not readily form an inclusion complex with
cyclodextrin, can be defined in terms of its solubility. Thus, an active
ingredient which has a solubility of less than 10 mg/mL in 60%
(weight/volume) aqueous hydroxypropyl-.beta.-cyclodextrin at 25.degree.
C., preferably, less than 5 mg/mL, is considered an active ingredient
which does not readily form an inclusion complex with cyclodextrin.
Appropriate active ingredients can be readily selected from those
discussed above by simply determining what their solubility is in 60%
(weight/volume) hydroxypropyl-.beta.-cyclodextrin at 25.degree. C. Poorly
soluble drugs that do not readily form cyclodextrin complexes, or do it
very poorly, include: antifungal drugs such as amphotericin, clotrimazole,
econazole, fluconazole, griseofulvin, intraconazole, ketoconazole,
miconazole and nystatin; benzodiazepines such as alprazolam, diazepam,
oxazepam and triazolam; antihypertensive agents such as allopurinol and
rofecoxib; tetracyclines such as tetracycline, doxycycline and minocycline;
steroids such as 17-methyltestosterone and norgestrel; retinoids such as
all-trans-retinoic acid, all-trans-retinal and retinal; macrobides such as
erythromycin, amphotericin B and nistatin; vitamins such as
cholecalciferol; and antiviral drugs such as acyclovir.
In the case of aspects (A) and (B) of the invention as summarized
hereinabove, a negatively- or positively-charged compound which forms an
inclusion or non-inclusion complex with .beta.-cyclodextrin and its
inclusion complexes is required. These solubility enhancing agents, which
must be acceptable for use in a pharmaceutical, cosmetic, food or
agricultural composition, include negatively-charged compounds such as
sodium salicylate, sodium benzoate, sodium gentisate, sodium acetate and
sodium propionate; the potassium salts of such compounds; non-steroidal
antiinflammatory and/or analgesic agents which are in the salt form of a
carboxylic acid which has at least one benzene ring, the salt being that
of an alkali-metal (e.g., sodium or potassium), alkaline-earth metal
(e.g., calcium or magnesium) or aluminum. Specific salts of such aromatic
ring-containing antiinflammatory or analgesic agents include amfenac
sodium, bromfenac sodium, diclofenac sodium, diflumidone sodium, enolicam
sodium, fenoprofen calcium, ibuprofen aluminum, indomethacin sodium,
magnesium salicylate, meclofenamate sodium, naproxen sodium, sodium
salicylate, tifurac sodium, tolmetin sodium and zomepirac sodium.
Thus, it can be said that suitable negatively-charged compounds fall into
two groups.
The first group consists of salts of monofunctional carboxylic acids which
do not form inclusion complexes with beta-cyclodextrin or do so very
poorly. The term "monofunctional" refers to acids which do not have any
functional groups (e.g., hydroxy groups) in addition to the carboxylic
acid moiety. Such salts are typified by sodium acetate, sodium propionate
and other alkali metal, alkaline-earth metal or aluminum salts of acids
such as acetic and propionic.
The second group consists of salts of carboxylic acids having a lipophilic
moiety or moieties that fit into the .beta.-cyclodextrin cavity and thus
form inclusion complexes with .beta.-cyclodextrin. Often the members of
this group have an aromatic moiety. Such salts are typified by sodium
benzoate, sodium salicylate and the aforenoted salts of nonsteroidal
antiinflammatory or analgesic carboxylic acids, all of which likewise can
be alkali metal, alkaline-earth metal or aluminum salts.
Positively-charged compounds useful for this purpose include, for example,
benzalkonium chloride.
In the experimental data to follow, it is shown that cyclodextrin
complexes form aggregates. The consequences of the aggregate formations
include the following possibilities in accord with this invention: (a)
solubilization of drugs which do not form complexes with .beta.-cyclodextrin
and its derivatives (such as 2-hydroxypropyl-.beta.-cyclodextrin) or do it
very poorly (by formation of non-inclusion complexes within the
aggregates) using a compound that forms cyclodextrin complexes; (b)
solubilization of .beta.-cyclodextrin complexes by addition of a compound
that associates with the rather water-insoluble .beta.-cyclodextrin
complex aggregates (e.g., salicylate and acetate ions); and (c)
stabilization and further solubilization of .beta.-cyclodextrin complexes
by addition of a small amount of a water-soluble polymer (e.g., 0.1% w/v
hydroxypropyl methylcellulose) to the aggregates mentioned in (b).
Compounds which form cyclodextrin complexes which can further solubilize
drugs which do not readily form cyclodextrin complexes include, for
example, sodium diflunisal and cholesterol, as discussed in more detail
above. Poorly soluble drugs that do not readily form cyclodextrin
complexes, or do it very poorly, are likewise fully discussed above, as
are the negatively-charged and positively-charged compounds that can
enhance the aqueous solubility of .beta.-cyclodextrin complexes. Also see
aspects (A) through (D) of the invention summarized above.
.beta.-Cyclodextrin and its complexes have very limited solubility in
water. Thus, phase-solubility diagrams (as that shown in FIG. 8 below)
frequently level off at a .beta.CD concentration between 1 and 2% (w/v).
Addition of a water-soluble polymer increases somewhat the solubility of
the complex. This effect of polymers is well-documented in the literature.
However, it has now been discovered that by adding sodium acetate or
sodium salicylate or other charged compounds as discussed hereinabove, one
can solubilize the drug/.beta.CD complexes and observe much greater drug
solubility (Examples B to E below). Addition of a polymer to such systems
increases the amount of dissolved complex even further, as determined by
the amount of dissolved drug. See, in particular, aspects (A) and (B) of
the invention summarized above.
When a water-soluble polymer is used in a process according to the present
invention, notably in aspects (B) and (D) summarized above, the aqueous
medium is typically maintained from about 30.degree. C. to about
150.degree. C. for from about 0.1 to about 100 hours after the active
ingredient is added. Other conditions useful in these processes are known,
for example, from Loftsson U.S. Pat. No. 5,472,954.
In the case of aspects (C) and (D) of the invention as summarized
hereinabove, in addition to the active ingredient which does not readily
form an inclusion complex with cyclodextrin, a further compound is
required which does form an inclusion complex with said cyclodextrin and
which can be thus used to further solubilize the
difficultly.gamma.-complexed active ingredient. This further compound,
with which the complexation medium is saturated prior to adding the active
ingredient, must of course be acceptable for use in a pharmaceutical,
cosmetic, food or agricultural composition. In addition, it should have a
log P value (where P stands for the octanol/water partition coefficient)
greater than about 3.5, and preferably greater than about 4.0, in its
unionized form. When ionized, the ionizable compound should preferably
possess surface activity. Compounds with appropriate log P values include
cholesterol (8.5), carotene (>10), dehydrocholesterol (7.8), retinoic acid
(6.3), triclosan (4.8), and non-steroidal antiinflammatory drugs (NSAIDs)
which have log P values of 3.5 (e.g., ibuprofen) or preferably higher,
such as diclofenac (4.4), diflunisal (4.4), fenclofenac (4.8) and
indomethacin (4.3). Compounds which are highly lipophilic, such as
cholesterol, or which are surface active drugs, such as diflunisal, are
preferred. The log P values of many compounds are known or can be readily
determined by known methods.
Claim 1 of 24 Claims
1. A method for enhancing the
aqueous solubility of an active ingredient which is insoluble or sparingly
soluble in water, said active ingredient being a drug, cosmetic additive,
food additive or agrochemical, said method comprising combining said active
ingredient with .beta.-cyclodextrin in an aqueous complexation medium, said
medium comprising from about 0.1% to about 80% (weight/volume) of .beta.-cyclodextrin;
from about 0.1% to about 10% (weight/volume) pharmacologically inactive and
pharmaceutically, cosmetically or agriculturally acceptable water-soluble
polymer which is a polysaccharide, a polypeptide, a cellulose derivative, a
polyoxyethylene derivative, a polyvinyl derivative or a copolymer of acrylic
acid; and from about 0.1% to about 5% (weight/volume) of a negatively- or
positively-charged compound which forms an inclusion or non-inclusion
complex with .beta.-cyclodextrin and its inclusion complexes, said charged
compound being pharmaceutically, cosmetically or agriculturally acceptable,
said negatively-charged compound being a salt of a monofunctional carboxylic
acid which forms a non-inclusion complex with .beta.-cyclodextrin or a salt
of a carboxylic acid having a lipophilic moiety which forms an inclusion
complex with .beta.-cyclodextrin.
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