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Title:
Rapid-heating drug delivery article and method of use
United States Patent: 7,645,442
Issued: January 12, 2010
Inventors: Hale; Ron L.
(Woodside, CA), Lloyd; Peter M. (Walnut Creek, CA), Lu; Amy (Los Altos,
CA), Myers; Daniel J. (Mountain View, CA), Quintana; Reynaldo J. (Redwood
City, CA), Rabinowitz; Joshua D. (Mountain View, CA), Solas; Dennis W.
(San Francisco, CA), Song; Soonho (Palo Alto, CA), Tom; Curtis (San Mateo,
CA), Wensley; Martin J. (San Francisco, CA)
Assignee: Alexza
Pharmaceuticals, Inc. (Mountain View, CA)
Appl. No.: 10/633,876
Filed: August 4, 2003
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Covidien Pharmaceuticals Outsourcing
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Abstract
A device, method, and system for
producing a condensation aerosol are disclosed. The device includes a
chamber having an upstream opening and a downstream opening which allow
gas to flow through the chamber, and a heat-conductive substrate located
at a position between the upstream and downstream openings. Formed on the
substrate is a drug composition film containing a therapeutically
effective dose of a drug when the drug is administered in aerosol form. A
heat source in the device is operable to supply heat to the substrate to
produce a substrate temperature greater than 300.degree. C., and to
substantially volatilize the drug composition film from the substrate in a
period of 2 seconds or less. The device produces an aerosol containing
less than about 10% by weight drug composition degradation products and at
least 50% of the drug composition of said film.
Description of the
Invention
Drug-Supply Article
In one aspect, the invention provides a drug-supply article for production
of drug-aerosol particles. The article is particularly suited for use in a
device for inhalation therapy for delivery of a therapeutic agent to the
lungs of a patient, for local or systemic treatment. The article is also
suited for use in a device that generates an air stream, for application
of drug-aerosol particles to a target site. For example, a stream of air
carrying drug-aerosol particles can be applied to treat an acute or
chronic skin condition, can be applied during surgery at the incision
site, or can be applied to an open wound. In Section A below, the
drug-supply article and use of the drug-supply article in an inhalation
device are described. In Section B, the relationship between drug-film
thickness, substrate area, and purity of drug-aerosol particles are
discussed.
The term "purity" as used herein, with respect to the aerosol purity,
means the fraction of drug composition in the aerosol/the fraction of drug
composition in the aerosol plus drug degradation products. Thus purity is
relative with regard to the purity of the starting material. For example,
when the starting drug or drug composition used for substrate coating
contained detectable impurities, the reported purity of the aerosol does
not include those impurities present in the starting material that were
also found in the aerosol, e.g., in certain cases if the starting material
contained a 1% impurity and the aerosol was found to contain the identical
1% impurity, the aerosol purity may nevertheless be reported as >99% pure,
reflecting the fact that the detectable 1% purity was not produced during
the vaporization-condensation aerosol generation process.
A. Thin-Film Coated Substrate
A drug-supply article according to one embodiment of the invention is
shown in cross-sectional view in FIG. 1A (see Original Patent).
Drug-supply article 10 is comprised of a heat-conductive substrate 12.
Heat-conductive materials for use in forming the substrate are well known,
and typically include metals, such as aluminum, iron, copper, stainless
steel, and the like, alloys, ceramics, and filled polymers. The substrate
can be of virtually any geometry, the square or rectangular configuration
shown in FIG. 1A (see Original Patent) merely exemplary. Heat-conductive
substrate 12 has an upper surface 14 and a lower surface 16.
Preferred substrates are those substrates that have surfaces with
relatively few or substantially no surface irregularities so that a
molecule of a compound vaporized from a film of the compound on the
surface is unlikely to acquire sufficient energy through contact with
either other hot vapor molecules, hot gases surrounding the area, or the
substrate surface to result in cleavage of chemical bonds and hence
compound decomposition. To avoid such decomposition, the vaporized
compound should transition rapidly from the heated surface or surrounding
heated gas to a cooler environment. While a vaporized compound from a
surface may transition through Brownian motion or diffusion, the temporal
duration of this transition may be impacted by the extent of the region of
elevated temperature at the surface which is established by the velocity
gradient of gases over the surface and the physical shape of surface. A
high velocity gradient (a rapid increase in velocity gradient near the
surface) results in minimization of the hot gas region above the heated
surface and decreases the time of transition of the vaporized compound to
a cooler environment. Likewise, a smoother surface facilitates this
transition, as the hot gases and compound vapor are not precluded from
rapid transition by being trapped in, for example, depressions, pockets or
pores. Although a variety of substrates can be used, specifically
preferred substrates are those that have impermeable surfaces or have an
impermeable surface coating, such as, for example, metal foils, smooth
metal surfaces, non-porous ceramics, etc. For the reasons stated above,
non-preferred substrates for producing a therapeutic amount of a compound
with less than 10% compound degradation via vaporization are those that
have a substrate density of less than 0.5 g/cc, such as, for example,
yarn, felts and foams, or those that have a surface area of less than 1
mm.sup.2/particle such as, for example small alumina particles, and other
inorganic particles.
With continuing reference to FIG. 1A, deposited on all or a portion of the
upper surface 14 of the substrate is a film 18 of drug. Preferably the
film has a thickness of between about 0.05 .mu.m and 20 .mu.m. Film
deposition is achieved by a variety of methods, depending in part on the
physical properties of the drug and on the desired drug film thickness.
Exemplary methods include, but are not limited to, preparing a solution of
drug in solvent, applying the solution to the exterior surface and
removing the solvent to leave a film of drug. The drug solution can be
applied by dipping the substrate into the solution, spraying, brushing or
otherwise applying the solution to the substrate. Alternatively, a melt of
the drug can be prepared and applied to the substrate. For drugs that are
liquids at room temperature, thickening agents can be admixed with the
drug to permit application of a solid drug film. Examples of drug film
deposition on a variety of substrates are given below.
FIG. 1B (see Original Patent) is a perspective, cut-away view of an
alternative geometry of the drug-supply article. Article 20 is comprised
of a cylindrically-shaped substrate 22 formed from a heat-conductive
material. Substrate 22 has an exterior surface 24 that is preferably
impermeable by virtue of material selection, surface treatment, or the
like. Deposited on the exterior surface of the substrate is a film 26 of
the drug composition. As will be described in more detail below, in use
the substrate of the drug-supply article is heated to vaporize all or a
portion of the drug film. Control of air flow across the substrate surface
during vaporization produces the desired size of drug-aerosol particles.
In FIG. 1B, the drug film and substrate surface is partially cut-away in
the figure to expose a heating element 28 disposed in the substrate. The
substrate can be hollow with a heating element inserted into the hollow
space or solid with a heating element incorporated into the substrate. The
heating element in the embodiment shown takes the form of an electrical
resistive wire that produces heat when a current flows through the wire.
Other heating elements are suitable, including but not limited to a solid
chemical fuel, chemical components that undergo an exothermic reaction,
inductive heat, etc. Heating of the substrate by conductive heating is
also suitable. One exemplary heating source is described in U.S. patent
application for SELF-CONTAINED, HEATING UNIT AND DRUG-SUPPLY UNIT
EMPLOYING SAME, U.S. Ser. No. 60/472,697 filed May 21, 2003 which is
incorporated herein by reference.
FIG. 2A (see Original Patent) is a perspective view of a drug-delivery
device that incorporates a drug-supply article similar to that shown in
FIG. 1B (see Original Patent). Device 30 includes a housing 32 with a
tapered end 34 for insertion into the mouth of a user. On the end opposite
tapered end 34, the housing has one or more openings, such as slot 36, for
air intake when a user places the device in the mouth and inhales a
breath. Disposed within housing 32 is a drug-supply article 38, visible in
the cut-away portion of the figure. Drug-supply article includes a
substrate 40 coated on its external surface with a film 42 of a
therapeutic drug to be delivered to the user. The drug-supply article can
be rapidly heated to a temperature sufficient to vaporize all or a portion
of the film of drug to form a drug vapor that becomes entrained in the
stream of air during inhalation, thus forming the drug-aerosol particles.
Heating of the drug-supply article is accomplished by, for example, an
electrically-resistive wire embedded or inserted into the substrate and
connected to a battery disposed in the housing. Substrate heating can be
actuated by a user-activated button on the housing or via breath
actuation, as is known in the art.
FIG. 2B (see Original Patent) shows another drug-delivery device that
incorporates a drug-supply article, where the device components are shown
in unassembled form. Inhalation device 50 is comprised of an upper
external housing member 52 and a lower external housing member 54 that fit
together. The downstream end of each housing member is gently tapered for
insertion into a user's mouth, best seen on upper housing member 52 at
downstream end 56. The upstream end of the upper and lower housing members
are slotted, as seen best in the figure in the upper housing member at 58,
to provide for air intake when a user inhales. The upper and lower housing
members when fitted together define a chamber 60. Positioned within
chamber 60 is a drug-supply unit 62, shown in a partial cut-away view. The
drug supply unit has a tapered, substantially cylindrical substrate 64
coated with a film 66 of drug on its external, smooth, impermeable surface
68. Visible in the cut-away portion of the drug-supply unit is an interior
region 70 of the substrate containing a substance suitable to generate
heat. The substance can be a solid chemical fuel, chemical reagents that
mix exothermically, electrically resistive wire, etc. A power supply
source, if needed for heating, and any necessary valving for the
inhalation device are, contained in end piece 72.
In a typical embodiment, the device includes a gas-flow control valve
disposed upstream of the drug-supply unit for limiting gas-flow rate
through the condensation region to the selected gas-flow rate, for
example, for limiting air flow through the chamber as air is drawn by the
user's mouth into and through the chamber. In a specific embodiment, the
gas-flow valve includes an inlet port communicating with the chamber, and
a deformable flap adapted to divert or restrict air flow away from the
port increasingly, with increasing pressure drop across the valve. In
another embodiment, the gas-flow valve includes the actuation switch, with
valve movement in response to an air pressure differential across the
valve acting to close the switch. In still another embodiment, the
gas-flow valve includes an orifice designed to limit airflow rate into the
chamber.
The device may also include a bypass valve communicating with the chamber
downstream of the unit for offsetting the decrease in airflow produced by
the gas-flow control valve, as the user draws air into the chamber. The
bypass valve cooperates with the gas-control valve to control the flow
through the condensation region of the chamber as well as the total amount
of air being drawn through the device. Thus the total volumetric airflow
through the device, is the sum of the volumetric airflow rate through the
gas-control valve, and the volumetric airflow rate through the bypass
valve. The gas control valve acts to limit air drawn into the device to a
preselected level, e.g., 15 L/minute, corresponding to the selected
air-flow rate for producing aerosol particles of a selected size. Once
this selected airflow level is reached, additional air drawn into the
device creates a pressure drop across the bypass valve which then
accommodates airflow through the bypass valve into the downstream end of
the device adjacent the user's mouth. Thus, the user senses a full breath
being drawn in, with the two valves distributing the total airflow between
desired airflow rate and bypass airflow rate.
These valves may be used to control the gas velocity through the
condensation region of the chamber and hence to control the particle size
of the aerosol particles produced by vapor condensation. More rapid
airflow dilutes the vapor such that it condenses into smaller particles.
In other words, the particle size distribution of the aerosol is
determined by the concentration of the compound vapor during condensation.
This vapor concentration is, in turn, determined by the extent to which
airflow over the surface of the heating substrate dilutes the evolved
vapor. Thus, to achieve smaller or larger particles, the gas velocity
through the condensation region of the chamber may be altered by modifying
the gas-flow control valve to increase or decrease the volumetric airflow
rate. For example, to produce condensation particles in the size range
1-3.5 .mu.m MMAD, the chamber may have substantially smooth-surfaced
walls, and the selected gas-flow rate may be in the range of 4-50
L/minute.
Additionally, as will be appreciated by one of skill in the art, particle
size may be also altered by modifying the cross-section of the chamber
condensation region to increase or decrease linear gas velocity for a
given volumetric flow rate, and/or the presence or absence of structures
that produce turbulence within the chamber. Thus, for example to produce
condensation particles in the size range 20-100 nm MMAD, the chamber may
provide gas-flow barriers for creating air turbulence within the
condensation chamber. These barriers are typically placed within a few
thousands of an inch from the substrate surface.
The heat source in one general embodiment is effective to supply heat to
the substrate at a rate that achieves a substrate temperature of at least
200.degree. C., preferably at least 250.degree. C., or more preferably at
least 300.degree. C. or 350.degree. C., and produces substantially
complete volatilization of the drug composition from the substrate within
a period of 2 seconds, preferably, within 1 second, or more preferably
within 0.5 seconds. Suitable heat sources include resistive heating
devices which are supplied current at a rate sufficient to achieve rapid
heating, e.g., to a substrate temperature of at least 200.degree. C.,
250.degree. C., 300.degree. C., or 350.degree. C. preferably within 50-500
ms, more preferably in the range of 50-200 ms. Heat sources or devices
that contain a chemically reactive material which undergoes an exothermic
reaction upon actuation, e.g., by a spark or heat element, such as
flashbulb type heaters of the type described in several examples, and the
heating source described in the above-cited U.S. patent application for
SELF-CONTAINED HEATING UNIT AND DRUG-SUPPLY UNIT EMPLOYING SAME, are also
suitable. In particular, heat sources that generate heat by exothermic
reaction, where the chemical "load" of the source is consumed in a period
of between 50-500 msec or less are generally suitable, assuming good
thermal coupling between the heat source and substrate.
FIGS. 3A-3E (see Original Patent) are high speed photographs showing the
generation of aerosol particles from a drug-supply unit. FIG. 3A shows a
heat-conductive substrate about 2 cm in length coated with a film of drug.
The drug-coated substrate was placed in a chamber through which a stream
of air was flowing in an upstream-to-downstream direction (indicated by
the arrow in FIG. 3A) at rate, of about 15 L/min. The substrate was
electrically heated and the progression of drug vaporization monitored by
real-time photography. FIGS. 3B-3E (see Original Patent) show the sequence
of drug vaporization and aerosol generation at time intervals of 50
milliseconds (msec), 100 msec, 200 msec, and 500, msec, respectively. The
white cloud of drug-aerosol particles formed from the drug vapor entrained
in the flowing air is visible in the photographs. Complete vaporization of
the drug film was achieved by 500 msec.
The drug-supply unit generates a drug vapor that can readily be mixed with
gas to produce an aerosol for inhalation or for delivery, typically by a
spray nozzle, to a topical site for a variety of treatment regimens,
including acute or chronic treatment of a skin condition, administration
of a drug to an incision site during surgery or to an open wound. Rapid
vaporization of the drug film occurs with minimal thermal decomposition of
the drug, as will be further demonstrated in Section B.
B. Selection of Drug Film Thickness and Substrate Area
As discussed above, the drug supply article includes a film of drug formed
on a substrate. In a preferred embodiment, the drug composition consists
of two or more drugs. In a more preferred embodiment, the drug composition
comprises pure drug. The drug film in one general embodiment of the
invention has a thickness of between about 0.05-20 .mu.m, and preferably
between 0.1-15 .mu.m, more preferably between 0.2-10 .mu.m and still more
preferably 0.5-10 .mu.m, and most preferably 1-10 .mu.m. The film
thickness for a given drug composition is such that drug-aerosol
particles, formed by vaporizing the drug composition by heating the
substrate and entraining the vapor in a gas stream, have (i) 10% by weight
or less drug-degradation product, more preferably 5% by weight or less,
most preferably 2.5% by weight or less and (ii) at least 50% of the total
amount of drug composition contained in the film. The area of the
substrate on which the drug composition film is formed is selected to
achieve an effective human therapeutic dose of the drug aerosol. Each of
these features of the drug article is described below.
1. Aerosol Particle Purity and Yield
In studies conducted in support of the invention, a variety of drugs were
deposited on a heat-conductive, impermeable substrate and the substrate
was heated to a temperature sufficient to generate a thermal vapor. Purity
of drug-aerosol particles in the thermal vapor was determined by a
suitable analytical method. Three different substrate materials were used
in the studies: stainless steel foil, aluminum foil, and a stainless steel
cylinder. Methods B-G below detail the procedures for forming a drug film
on each substrate and the method of heating each substrate.
The stainless steel foil substrate-employed for drugs tested according to
Method B was resistively heated by placing the substrate between a pair of
electrodes connected to a capacitor. The capacitor was charged to between
14-17 Volts to resistively heat the substrate. FIG. 4A (see Original Patent)
is of substrate temperature increase, measured in still air with a thin
thermocouple (Omega, Model CO2-K), as a function of time, in seconds, for
a stainless steel foil substrate resistively heated by charging the
capacitor to 13.5 V (lower line), 15 V (middle line), and 16 V (upper
line). When charged with 13.5 V, the substrate temperature increase was
about 250.degree. C. within about 200-300 milliseconds. As the capacitor
voltage increased, the peak temperature of the substrate also increased.
Charging the capacitor to 16V heated the foil substrate temperature about
375.degree. C. in 200-300 milliseconds (to a maximum temperature of about
400.degree. C.).
FIG. 4B shows the time-temperature relationship for a stainless steel foil
substrate having a thickness of 0.005 inches. The foil substrate was
heated by charging a capacitor, connected to the substrate through
electrodes, to 16 V. The substrate reached its peak temperature of
400.degree. C. in about 200 milliseconds, and maintained that temperature
for the 1 second testing period.
In Methods D and E, a hollow, stainless steel tube was used as the
drug-film substrate. The cylindrical tube in Method D had a diameter of 13
mm and a length of 34 mm. The cylindrical tube in Method E had a diameter
of 7.6 mm and a length of 51 mm. In Method D, the substrate was connected
to two 1 Farad capacitors wired in parallel, whereas in Method E, the
substrate was connected to two capacitors (a 1 Farad and a 0.5 Farad)
wired in parallel. FIGS. 5A-5B (see Original Patent) show substrate
temperature as a function of time, for the cylindrical substrate of Method
D. FIG. 5B shows a detail of the first 1 second of heating.
Aluminum foil was used as a substrate for testing other compounds, as
described in Methods C, F, and G. The drug-coated substrate was heated
either by wrapping it around a halogen tube and applying 60. V or 90 V
alternating current through the bulb or by placing the substrate in a
furnace.
For each substrate type, a drug film was formed by applying a solution
containing the drug onto the substrate. As described in Method A, a
solution of the drug in a solvent was prepared. A variety of solvents can
be used and selection is based, in part, on the solubility properties of
the drug and the desired solution concentration. Common solvent choices
included methanol, chloroform, acetone, dichloromethane, other volatile
organic solvents, dimethylformamide, water, and solvent mixtures. The drug
solution was applied to the substrate by dip coating, yet other methods
such as spray coating are contemplated as well. Alternatively, a melt of
the drug can be applied to the substrate.
In Examples 1-236 below a substrate containing a drug film of a certain
thickness was prepared. To determine the thickness of the drug film, one
method that can be used is to determine the area of the substrate and
calculate drug film thickness using the following relationship: film
thickness (cm)=drug mass (g)/[drug density (g/cm.sup.3).times.substrate
area (cm.sup.2)] The drug mass can be determined by weighing the substrate
before and after formation of the drug film or by extracting the drug and
measuring the amount analytically. Drug density can be experimentally
determined by a variety of techniques, known by those of skill in the art
or found in the literature or in reference texts, such as in the CRC. An
assumption of unit density is acceptable if an actual drug density is not
known.
In the studies reported in the Examples, the substrate having a drug film
of known thickness was, heated to a temperature sufficient to generate a
thermal vapor. All or a portion of the thermal vapor was recovered and
analyzed for presence of drug-degradation products, to determine purity of
the aerosol particles in the thermal vapor. Several drugs are discussed
here as merely exemplary of the studies reported in Examples 1-236.
Example 10 describes preparation of a drug-supply article containing
atropine, a muscarinic antagonist. Substrates containing films of atropine
ranging in thickness from between about 1.7 .mu.m to about 9.0 .mu.m were
prepared. The stainless steel substrates were heated and the purity of the
drug-aerosol particles in the thermal vapor generated from each substrate
was determined. FIG. 6 (see Original Patent) shows the results, where drug
aerosol purity as a function of drug film thickness is plotted. There is a
clear relationship between film thickness and aerosol particle purity,
where as the film thickness decreases, the purity increases. An atropine
film having a thickness of 9.0 .mu.m produced a thermal vapor having a
purity of 91%; an atropine film having a thickness of 1.7 .mu.m produced a
thermal vapor having a purity of 98%.
Hydromorphone, an analgesic, was also tested, as describe in Example 66.
Substrates having a drug film thickness of between about 0.7 .mu.m to
about 2.7 .mu.m were prepared and heated to generate a thermal vapor.
Purity of the aerosol particles improved as the thickness of the drug film
on the substrate decreased.
FIG. 7 (see Original Patent) shows the relationship between drug film
thickness and aerosol-purity for donepezil. As described in Example 44,
donepezil was coated onto foil substrates to film thicknesses ranging from
about 0.5 .mu.m to about 3.2 .mu.m. Purity of the aerosol particles from
each of the films on the substrates was analyzed. At drug film thicknesses
of 1.5 .mu.m to 3.2 .mu.m, purity of the aerosol particles improved as
thickness of the drug film on the substrate decreased, similar to the
trend found for atropine and hydromorphone. In contrast, at less than 1.5
.mu.m thickness, purity of the aerosol particles worsened as thickness of
the drug film on the substrate decreased. A similar pattern was also
observed for albuterol, as described in Example 3, with aerosol particles
purity peaking for films of approximately 3 .mu.m, and decreasing for both
thinner and thicker films as shown in FIG. 23 (see Original Patent).
FIGS. 9-23 (see Original Patent) present data for aerosol purity as a
function of film thickness for the following compounds: buprenorphine
(Example 16), clomipramine (Example 28), ciclesonide (Example 26),
midazolam (Example 100), nalbuphine (Example 103), naratriptan (Example
106), olanzapine (Example 109), quetiapine (Example 127), tadalafil
(Example 140), prochlorperazine (Example 122), zolpidem (Example 163),
fentanyl (Example 57), alprazolam (Example 4), sildenafil (Example 134),
and albuterol (Example 3).
In FIGS. 6-23 (see Original Patent), the general relationship between
increasing aerosol purity with decreasing film thickness is apparent;
however the extent to which aerosol purity varies with a change in film
thickness varies for each drug composition. For example, aerosol purity of
sildenafil (FIG. 22 (see Original Patent)) exhibited a strong dependence
on film thickness, where films about 0.5 .mu.m in thickness had a purity
of greater than 99% and films of about 1.6 .mu.m in thickness had a purity
of between 94-95%. In contrast, for midazolam (FIG. 12 (see Original Patent)),
increasing the film thickness from approximately 1.2 .mu.m to
approximately 5.8 .mu.m resulted in a decrease in aerosol particle purity
from greater than 99.9% to approximately 99.5%, a smaller change in
particle purity despite a larger increase in film thickness compared with
the sildenafil example. Moreover, as was discussed above, the inverse
relationship between film thickness and purity of aerosolized drug
observed for many compounds in the thickness range less than about 20 .mu.m
does not necessarily apply at the thinnest film thicknesses that were
tested. Some compounds, such as illustrated by donepezil (FIG. 7 (see Original Patent))
show a rather pronounced decrease in purity at film thicknesses both below
and above an optimal film thickness, in this case, above and below about 2
.mu.m film thicknesses.
One way to express the dependence of aerosol purity on film thickness is
by the slope of the line from a plot of aerosol purity against film
thickness. For compounds such as donepezil (FIG. 7), the slope of the line
is taken from the maximum point in the curve towards the higher film
thickness. Table 1 (see Original Patent), discussed below, shows the slope
of the line for the curves shown in FIGS. 6-23 (see Original Patent).
Particularly preferred compounds for delivery by the various embodiments
of the present invention are compounds with a substantial (i.e., highly
negative) slope of the line on the aerosol purity versus thickness plot,
e.g., a slope more negative than -0.1% purity per micron and more
preferably -0.5% purity per micron.
In addition to selection of a drug film thickness that provides aerosol
particles containing 10% or less drug-degradation product (i.e., an
aerosol particle purity of 90% or more), the film thickness is selected
such that at least about 50% of the total amount of drug composition
contained in the film is vaporized when the substrate is heated to a
temperature sufficient to vaporize the film. In the studies described
herein, the percentage of drug film vaporized was determined by
quantifying (primarily by HPLC or weight) the mass of drug composition
collected upon vaporization or alternatively by the amount of substrate
mass decrease. The mass of drug composition collected after vaporization
and condensation was compared with the starting mass of the drug
composition film that was determined prior to vaporization to determine a
percent yield, also referred to herein as a percent emitted. This value is
indicated in many of the Examples set forth below. For example, in Example
1 a film having a thickness of 1.1 .mu.m was formed from the drug
acebutolol, a beta adrenergic blocking agent. The mass coated on the
substrate was 0.89 mg and the mass of drug collected in the thermal vapor
was 0.53 mg, to give a 59.6 percent yield. After vaporization, the
substrate and the testing chamber were washed to recover any remaining
drug. The total drug recovered from the test apparatus, including the
emitted thermal vapor, was 0.8 mg, to give a 91% total recovery. In
another example, midazolam was coated onto a impermeable substrate, as
described in Example 100. A drug film having a thickness of 9 .mu.m was
formed. Heating of the substrate generated a thermal vapor containing drug
aerosol particles having a purity of 99.5%. The fraction of drug film
collected on the filter, i.e., the percent yield, was 57.9%. After
vaporization, the substrate and the testing chamber were washed to recover
any remaining drug. The total drug recovered from the test apparatus and
the filter was 5.06 mg, to give a 94.2% total recovery.
2. Substrate Area
Another feature of the drug-supply article is that the selected substrate
surface area is sufficient to yield a therapeutic dose of the drug aerosol
when used by a subject. The amount of drug to provide a therapeutic dose
is generally known in the art or can be determined as discussed above. The
required dosage and selected film thickness, discussed above, dictate the
minimum required substrate area in accord with the following relationship:
film thickness (cm).times.drug density (g/cm.sup.3).times.substrate area
(cm.sup.2)=dose (g) As noted above, drug density can be determined
experimentally or from the literature, or if unknown, can be assumed to be
1 g/cc. To prepare a drug supply article comprised of a drug film on a
heat-conductive substrate that is capable of administering an effective
human therapeutic dose, the minimum substrate surface area is determined
using the relationships described above to determine a substrate area for
a selected film thickness that will yield a therapeutic dose of drug
aerosol. Table 1 shows a calculated substrate surface area for a variety
of drugs on which an aerosol purity-film thickness profile was
constructed.
The actual dose of drug delivered, i.e., the percent yield or percent
emitted, from the drug-supply article will depend on, along with other
factors, the percent of drug film that is vaporized upon heating the
substrate. Thus, for drug films that yield upon heating 100% of the drug
film and aerosol particles that have a 100% drug purity, the relationship
between dose, thickness, and area given above correlates directly to the
dose provided to the user. As the percent yield and/or particle purity
decrease, adjustments in the substrate area can be made as needed to
provide the desired dose. Also, as one of skill in the art will recognize,
larger substrate areas other than the minimum calculated area for a
particular film thickness can be used to deliver a therapeutically
effective dose of the drug. Moreover as can be appreciated by one of skill
in art, the film need not coat the complete surface area if a selected
surface area exceeds the minimum required for delivering a therapeutic
dose from a selected film thickness.
3. Characteristics of the Drug-Supply Article
The drug-supply article of the invention is heated to generate a thermal
vapor containing drug aerosol particles for therapeutic administration to
a patient. In studies performed in support of the invention, high speed
photography was used to monitor visually production of the thermal vapor.
FIGS. 24A-24D are high speed photographs showing the generation of a
thermal vapor of phenytoin from a film coated on a substrate, prepared as
described in Example 116. FIG. 24A is a photograph showing the drug-coated
substrate prior to heating (t=0 milliseconds (ms)). The photographs in
FIGS. 24B-24D show formation of a thermal vapor as a function of time
after initiation of substrate heating. The photograph in FIG. 24B, taken
50 milliseconds after initiation of substrate heating, shows formation of
a thermal vapor over the substrate surface. The subsequent photographs
show that the majority of the thermal vapor is formed prior to 100
milliseconds after initiation of substrate heating (FIG. 24C), with
formation substantially completed by about 200 milliseconds after
initiation of substrate heating (FIG. 24D).
FIGS. 25A-25D are high speed photographs showing the generation of a,
thermal vapor of disopyramide from a film of drug coated on a substrate,
prepared as described in Example 42. FIG. 25A shows the drug-coated
substrate prior to heating (t=0 milliseconds (ms)). The photographs in
FIGS. 25B-25D show formation of a thermal vapor as a function of time
after initiation of substrate heating. As seen, 50 milliseconds after
initiation of substrate heating (FIG. 25B), a thermal vapor is present
over the substrate surface. The subsequent photographs show that the
majority of the thermal vapor is formed prior to 100 milliseconds after
initiation of substrate heating (FIG. 25C), with formation substantially
completed by about 200 milliseconds after initiation of substrate heating
(FIG. 25D).
Similar photographs are shown for buprenorphine in FIGS. 26A-26E. Upon
heating of a buprenorphine substrate, prepared as described in Example 16,
presence of a thermal vapor is evident in the photograph taken 50
milliseconds after heating was initiated (FIG. 26B). At 100 milliseconds
(FIG. 26C) and 200 milliseconds (FIG. 26D) after initiation of substrate
heating the thermal vapor was still observed in the photographs.
Generation of the thermal vapor was complete by 300 milliseconds (FIG.
26E).
4. Modifications to Optimize Aerosol Purity and/or Yield
As discussed above, purity of aerosol particles for many drugs correlates
directly with film thickness, where thinner films typically produce
aerosol particles with greater purity. Thus, one method to optimize purity
disclosed in this invention is the use of thinner films. Likewise, the
aerosol yield may also be optimized in this manner. The invention,
however, further contemplates strategies in addition to, or in combination
with, adjusting film thickness to increase either aerosol purity or yield
or both. These strategies include modifying the structure or form of the
drug, and/or producing the thermal vapor in an inert atmosphere.
Thus, in one embodiment, the invention contemplates generation of and/or
use of an altered form of the drug, such as, for example but not
limitation, use of a pro-drug, or a free base, free acid or salt form of
the drug. As demonstrated in various Examples below, modifying the form of
the drug can impact the purity and or yield of the aerosol obtained.
Although not always the case, the free base or free acid form of the drug
as opposed to the salt, generally results in either a higher purity or
yield of the resultant aerosol. Thus, in a preferred embodiment of the
invention, the free base and free acid forms of the drugs are used.
Another approach contemplates generation of drug-aerosol particles having
a desired level of drug composition purity by forming the thermal vapor
under a controlled atmosphere of an inert gas, such as argon, nitrogen,
helium, and the like. Various Examples below show that a change in purity
can be observed upon changing the gas under which vaporization occurs.
More generally, and in another aspect, the invention contemplates a method
of forming an article for use in an aerosol device, for producing aerosol
particles of a drug composition that have the desired purity and a film
that provides a desired percent yield. In the method, a drug film with a
known film thickness is prepared on a heat-conductive, impermeable
substrate. The substrate is heated to vaporize the film, thereby producing
aerosol particles containing the drug compound. The drug composition
purity of the aerosol particles in the thermal vapor is determined, as
well as the percent yield, i.e., the fraction of drug composition film
vaporized and delivered by the method. If the drug composition purity of
the particles is less than about 90%, but greater than about 60%, more
preferably greater than about 70%, or if the percent yield is less than
about 50%, the thickness of the drug film is adjusted to a thickness
different from the initial film thickness for testing. That is, a
substrate having an adjusted film thickness is heated and the percent
purity and percent yield are determined. The film thickness is continually
adjusted until the desired drug composition aerosol purity and yield are
achieved. For example, the initial film thickness can be between about
1-20 .mu.m. A second, different film thickness would be between about
0.05-10 .mu.m. This method is particularly suited for drug compositions
that exhibit a percent yield of greater than about 30% and a drug
composition aerosol purity of between about 60%-90%, more preferably
between about 70%-90%.
Examples 166-233 correspond to studies conducted on drugs that when
deposited as a thin film on a substrate produced a thermal vapor having a
drug purity of less than about 90% but greater than about 60% or where the
percent yield was less than about 50%. Purity of the thermal vapor of many
of these drugs would be improved by using one or more of the approaches
discussed above. More specifically, for some drugs a simple adjustment in
film thickness, typically to a thinner film, improves purity of the
aerosol particles. For other drugs, heating the substrate in an inert
atmosphere, such as an argon or nitrogen atmosphere, alone or in
combination with an adjustment in film thickness, achieves aerosol
particles with the requisite purity of 90% or more and volatilization of a
fraction of the drug film that is greater than about 50%.
Based on the studies conducted, the following drugs are particularly
suited to the method and approaches to optimizing purity or yield:
adenosine, amoxapine, apomorphine, aripiprazole, aspirin, astemizole,
atenolol, benazepril, benztropine, bromazepam, budesonide, buspirone,
caffeine, captopril, carbamazepine, cinnarizine, clemastine, clemastine
fumarate, clofazimine, desipramine, dipyridamole, dolasetron, doxylamine,
droperidol, enlapril maleate, fluphenazine, flurazepam, flurbiprofen,
fluvoxamine, frovatriptan, hydrozyzine, ibutilide, indomethacine
norcholine ester, ketorolac, ketorolac norcholine ester, levodopa,
melatonin, methotrexate, methysergide, metoclopramide, nabumetone,
naltrexone, nalmefene, perphenazine, pimozide, piroxicam, pregnanolone,
prochlorperazine 2HCl, protriptyline HCl, protriptyline, pyrilamine,
pyrilamine maleate, quinine, ramipril, risperidone, scopolamine, sotalol,
sulindac, terfenadine, triamcinolone acetonide, trihexyphenidyl,
thiothixene, telmisartan, temazepam, triamterene, trimipramine,
ziprasidone, and zonisamide.
Examples 234-235 correspond to studies conducted on combinations of drugs
that when deposited as a thin film of produced a thermal vapor (aerosol)
having a drug purity of greater than 90% and a recovered yield of each
drug in the aerosol of greater than 50%.
Example 235 corresponds to studies conducted on drugs that when deposited
as a thin film on a substrate produce a thermal vapor having a drug purity
of less than about 60%.
It will be appreciated that to provide a therapeutic dose the substrate
surface area is adjusted according to the film thickness that yields the
desired particle purity and percent yield, as discussed above.
III. Utility
Thin-Film Article, Device, and Methods
As can be appreciated from the above examples showing generation of a pure
drug thermal vapor, from thin films (i.e. 0.02-20 .mu.m) of the drug, the
invention finds use in the medical field in compositions and articles for
delivery of a therapeutic of a drug. Thus, the invention includes, in one
aspect, a drug-supply article for production of a thermal vapor that
contains drug-aerosol particles. The drug-supply article includes a
substrate coated with a film of a drug composition to be delivered to a
subject, preferably a human subject. The thickness of the drug composition
film is selected such that upon vaporizing the film by heating the
substrate to a temperature sufficient to vaporize at least 50% of the drug
composition film, typically to a temperature of at least about 200.degree.
C., preferably at least about 250.degree. C., more preferably at least
about 300.degree. C. or 350.degree. C., a thermal vapor is generated that
has 10% or less drug-degradation product. The area of the substrate is
selected to provide a therapeutic dose, and is readily determined based on
the equations discussed above.
In another aspect the invention relates to a method of forming a
drug-supply article comprised of a substrate and a film of a drug
composition. The method includes identifying a thickness of drug
composition film that yields after vaporization of the film the drug
composition in a substantially non-pyrolyzed form, as evidenced, for
example, by the purity of the vapor. This may be done by an iterative
process where one first prepares on a heat-conductive substrate, a drug
composition having a given film thickness, e.g., 1-10 microns. The
substrate is then heated, e.g., to a selected temperature between
200.degree. C.-600.degree. C., preferably 250.degree. C. to 550.degree.
C., more preferably, 300.degree. C.-500.degree. C., or 350.degree. C. to
500.degree. C., to produce an aerosol of particles containing the
compound. As seen in the examples below, the aerosol may be collected in
particle form or simply collected on the walls of a surrounding container.
The purity of the drug composition is then determined, e.g., expressed as
a weight percent or analytical percent degradation product. If the percent
degradation product is above a selected threshold, e.g., 1, 2.5, 5, or 10
percent, the steps above are repeated with different compound thicknesses,
typically with successively lower thicknesses, until the aerosolized
compound is within the desired limit of degradation, e.g., 1, 2.5, 5, or
10%. Similarly, if the initial volatilization study shows very low levels
of degradation, e.g., less than 0.1, 1, 2, or 5%, it may be desirable in
subsequent tests to increase film thickness, to obtain a greatest film
thickness at which an acceptable level of drug degradation is observed.
After identification of the film thickness that generates a highly pure
thermal drug composition vapor (e.g., drug composition purity greater than
about 90%), the area of substrate required to accommodate a therapeutic
dose, when inhaled by a human, is determined. For example, the required
oral dose for atropine is 0.4 mg (Example 10). Using the data shown in
FIG. 6, a thermal vapor comprised of substantially non-pyrolyzed drug,
e.g., a vapor having greater than about 90% drug purity, is produced from
film thicknesses of less than about 10 .mu.m. Assuming unit density for
atropine, a substrate area of about 0.8 cm.sup.2 coated with a 5 .mu.m
thick drug film is required to accommodate the oral dose of 0.4 mg if a
drug of 95% purity is desired. Selection of an atropine film thickness of
about 1.7 .mu.m generated a thermal vapor having drug-aerosol particles
with less than 2% pyrolysis (i.e., greater than 98% drug purity).
Selection of a film having a thickness of 1.7 .mu.m requires a substrate
area of at least about 2.4 cm.sup.2 to accommodate a dose of 0.4 mg.
The drug-delivery article comprised of a substrate coated with a thin drug
film is particularly suited, in another aspect of the invention, for
forming a therapeutic inhalation dose of drug-aerosol particles. The
inhalation route of drug administration offers several advantages for many
drugs, including rapid uptake into the bloodstream, and avoidance of the
first pass effect allowing for an inhalation dose of a drug that can be
substantially less, e.g., one half, that required for oral dosing.
Efficient aerosol delivery to the lungs requires that the particles have
certain penetration and settling or diffusional characteristics. For
larger particles, deposition in the deep lungs occurs by gravitational
settling and requires particles to have an effective settling size,
defined as mass median aerodynamic diameter (MMAD), of between 1-3.5 .mu.m.
For smaller particles, deposition to the deep lung occurs by a diffusional
process that requires having a particle size in the 10-100 nm, typically
20-100 nm range. Particle sizes that fall in the range between 100 nm and
1 .mu.m tend to have poor deposition and those above 3.5 .mu.m tend to
have poor penetration. Therefore, an inhalation drug-delivery device for
deep lung delivery should produce an aerosol having particles in one of
these two size ranges, preferably between about 1-3 .mu.m MMAD.
Accordingly, a drug-supply article comprised of a substrate and having a
drug composition film thickness selected to generate a thermal vapor
having drug composition-aerosol particles with less than about 10% drug
degradation product is provided, more preferably less than about 5% drug
degradation product, and most preferably less than about 2.5% drug
degradation product. A gas, air or an inert fluid, is passed over the
substrate at a flow rate effective to produce the particles having a
desired MMAD. The more rapid the airflow, the more diluted, the vapor and
hence the smaller the particles that are formed. In other words the
particle size distribution of the aerosol is determined by the
concentration of the compound vapor during condensation. This vapor
concentration is, in turn, determined by the extent to which airflow over
the surface of the heating substrate dilutes the evolved vapor. Thus, to
achieve smaller or larger particles, the gas velocity through the
condensation region of the chamber may be altered by modifying the
gas-flow control valve to increase or decrease the volumetric airflow
rate. For example, to produce condensation particles in the size range
1-3.5 .mu.m MMAD, the chamber may have substantially smooth-surfaced
walls, and the selected gas-flow rate may be in the range of 4-50
L/minute.
Additionally, as will be appreciated by one of skill in the art, particle
size may be also altered by modifying the cross-section of the chamber
condensation region to increase or decrease linear gas velocity for a
given volumetric flow rate, and/or the presence or absence of structures
that produce turbulence within the chamber. Thus, for example to produce
condensation particles in the size range 20-100 nm MMAD, the chamber may
provide gas-flow barriers for creating air turbulence within the
condensation chamber. These barriers are typically placed within a few
thousands of an inch from the substrate surface.
Typically, the flow rate of gas over the substrate ranges from about 4-50
L/min, preferably from about 5-30 L/min.
Prior to, simultaneous with, or subsequent to passing a gas over the
substrate, heat is applied to the substrate to vaporize the drug
composition film. It will be appreciated that the temperature to which the
substrate is heated will vary according to the drug's vaporization
properties, but is typically heated to a temperature of at least about
200.degree. C., preferably of at least about 250.degree. C., more
preferably at least about 300.degree. C. or 350.degree. C. Heating the
substrate produces a drug composition vapor that in the presence of the
flowing gas generates aerosol particles in the desired size range. In one
embodiment, the substrate is heated for a period of less than about 1
second, and more preferably for less than about 500 milliseconds, still
more preferably for less than about 200 milliseconds. The drug-aerosol
particles are inhaled by a subject for delivery to the lung.
IV. Utility
Rapid-Heating Device and Method
In another general embodiment, there is provided a device for producing an
aerosol of compound condensation particles, e.g., for use in inhalation
therapy. The device has the elements described above with respect to FIGS.
2A and 2B, where the heat source is designed to supply-heat to the
substrate in the device at a rate effective to produce a substrate
temperature greater than, 200.degree. C. or in other embodiments greater
than 250.degree. C., 300.degree. C. or 350.degree. C., and to
substantially volatilize the drug composition film from the substrate in a
period of 2 seconds or less. The thickness of the film of drug composition
on the substrate is such that the device produces an aerosol containing
less than 10% by weight drug degradation and at least 50% of the drug
composition on the film.
The device includes a drug composition delivery assembly composed of the
substrate, a film of the selected drug composition on the substrate
surface, and a heat source for supplying heat to the substrate at a rate
effective to heat the substrate to a temperature greater than 200.degree.
C. or in other embodiments to a temperature greater than 250.degree. C.,
300.degree. C. or 350.degree. C., and to produce substantially complete
volatilization of the drug composition within a period of 2 seconds or
less.
The drug composition in the assembly and device may be one that, when
vaporized from a film on an impermeable surface of a heat conductive
substrate, the aerosol exhibits an increasing level of drug degradation
products with increasing film thicknesses, particularly at a thickness of
greater than 0.05-20 microns. For this general group of drug compositions,
the film thickness on the substrate will typically be between 0.05 and 20
microns, e.g., the maximum or near-maximum thickness within this range
that allows formation of a particle aerosol with drug degradation less
than 5%.
Alternatively, the drug may show less than 5-10% degradation even at film
thicknesses greater than 20 microns. For these compounds, a film thickness
greater than 20 microns, e.g., 20-50 microns, may be selected,
particularly where a relatively large drug dose is desired.
The device is useful in a method for producing a condensation aerosol by
the steps of heating the device substrate at a rate that heats the
substrate to a temperature greater than 200.degree. C., or in other
embodiments to a temperature greater than 250.degree. C., 300.degree. C.,
or 350.degree. C., and produces substantially complete volatilization of
the compounds within a period of 2 seconds or less.
V. Examples
The following examples further illustrate the invention described herein
and are in no way intended to limit the scope of the invention.
Materials
Solvents were of reagent grade or better and purchased commercially.
Unless stated otherwise, the drug free base or free acid form was used in
the Examples.
Methods
A. Preparation of Drug-Coating Solution
Drug was dissolved in an appropriate solvent. Common solvent choices
included methanol, dichloromethane, methyl ethyl ketone, diethyl ether,
3:1 chloroform:methanol mixture, 1:1 dichloromethane: methyl ethyl ketone
mixture, dimethylformamide, and deionized water. Sonication and/or heat
were used as necessary to dissolve the compound. The drug concentration
was typically between 50-200 mg/mL.
B. Preparation of Drug-Coated Stainless Steel Foil Substrate
Strips of clean 304 stainless steel foil (0.0125 cm thick, Thin Metal
Sales) having dimensions 1.3 cm by 7.0 cm were dip-coated with a drug
solution. The foil was then partially dipped three times into solvent to
rinse drug off of the last 2-3 cm of the dipped end of the foil.
Alternatively, the drug coating from this area was carefully scraped off
with a razor blade. The final coated area was between 2.0-2.5 cm by 1.3 cm
on both sides of the foil, for a total area of between 5.2-6.5 cm.sup.2
Foils were prepared as stated above and then some were extracted with
methanol or acetonitrile as standards. The amount of drug was determined
from quantitative HPLC analysis. Using the known drug-coated surface area,
the thickness was then obtained by: film thickness (cm)=drug mass
(g)/[drug density (g/cm.sup.3).times.substrate area (cm.sup.2). If the
drug density is not known, a value of 1 g/cm.sup.3 is assumed. The film
thickness in microns is obtained by multiplying the film thickness in cm
by 10,000.
After drying, the drug-coated foil was placed into a volatilization
chamber constructed of a Delrin.RTM. block (the airway) and brass bars,
which served as electrodes. The dimensions of the airway were 1.3 cm high
by 2.6 cm wide by 8.9 cm long. The drug-coated foil was placed into the
volatilization chamber such that the drug-coated section was between the
two sets of electrodes. After securing the top of the volatilization
chamber, the electrodes were connected to a 1 Farad capacitor (Phoenix
Gold). The back of the volatilization chamber was connected to a two
micron Teflon.RTM. filter (Savillex) and filter housing, which were in
turn connected to the house vacuum. Sufficient airflow was initiated
(typically 30 L/min=1.5 m/sec), at which point the capacitor was charged
with a power supply, typically to between 14-17 Volts. The circuit was
closed with a switch, causing the drug-coated foil to resistively heat to
temperatures of about 280-430.degree. C. (as measured with an infrared
camera (FLIR Thermacam SC3000)), in about 200 milliseconds. (For
comparison purposes, see FIG. 4A, thermocouple measurement in still air.)
After the drug had vaporized, airflow was stopped and the Teflon.RTM.
filter was extracted with acetonitrile. Drug extracted from the filter was
analyzed generally by HPLC UV absorbance generally at 225 nm using a
gradient method aimed at detection of impurities to determine percent
purity. Also, the extracted drug was quantified to determine a percent
yield, based on the mass of drug initially coated onto the substrate. A
percent recovery was determined by quantifying any drug remaining on the
substrate and chamber walls, adding this to the quantity of drug recovered
in the filter and comparing it to the mass of drug initially coated onto
the substrate.
C. Preparation of Drug-Coated Aluminum Foil Substrate
A substrate of aluminum foil (10 cm.times.5.5 cm; 0.0005 inches thick) was
precleaned with acetone. A solution of drug in a minimal amount of solvent
was coated onto the foil substrate to cover an area of approximately 7-8
cm.times.2.5 cm. The solvent was allowed to evaporate. The coated foil was
wrapped around a 300 watt halogen tube (Feit Electric Company, Pico
Rivera, Calif.), which was inserted into a glass tube sealed at one end
with a rubber stopper. Sixty volts of alternating current (driven by line
power controlled by a Variac) were run through the bulb for 5-15 seconds,
or in some studies 90 V for 3.5-6 seconds, to generate a thermal vapor
(including aerosol) which was collected on the glass tube walls. In some
studies, the system was flushed through with argon prior to
volatilization. The material collected on the glass tube walls was
recovered and the following determinations were made: (1) the amount
emitted, (2) the percent emitted, and (3) the purity of the aerosol by
reverse-phase HPLC analysis with detection typically by absorption of 225
nm light. The initial drug mass was found by weighing the aluminum foil
substrate prior to and after drug coating. The drug coating thickness was
calculated in the same manner as described in Method B.
D. Preparation of Drug-Coated Stainless Steel Cylindrical Substrate
A hollow stainless steel cylinder with thin walls, typically 0.12 mm wall
thickness, a diameter of 13 mm, and a length of 34 mm was cleaned in
dichloromethane, methanol, and acetone, then dried, and fired at least
once to remove any residual volatile material and to thermally passivate
the stainless steel surface. The substrate was then dip-coated with a drug
coating solution (prepared as disclosed in Method A). The dip-coating was
done using a computerized dip-coating machine to produce a thin layer of
drug on the outside of the substrate surface. The substrate was lowered
into the drug solution and then removed from the solvent at a rate of
typically 5-25 cm/sec. (To coat larger amounts of material on the
substrate, the substrate was removed more rapidly from the solvent or the
solution used was more concentrated.) The substrate was then allowed to
dry for 30 minutes inside a fume hood. If either dimethylformamide (DMF)
or a water mixture was used as a dip-coating solvent, the substrate was
vacuum dried inside a desiccator for a minimum of one hour. The
drug-coated portion of the cylinder generally has a surface area of 8
cm.sup.2. By assuming a unit density for the drug, the initial drug
coating thickness was calculated. The amount of drug coated onto the
substrates was determined in the same manner as that described in Method
B: the substrates were coated, then extracted with methanol or
acetonitrile and analyzed with quantitative HPLC methods, to determine the
mass of drug coated onto the substrate.
The drug-coated substrate was placed in a surrounding glass tube connected
at the exit end via Tygon.RTM. tubing to a filter holder fitted with a
Teflon.RTM. filter (Savillex). The junction of the tubing and the filter
was sealed with paraffin film. The substrate was placed in a fitting for
connection to two 1 Farad capacitors wired in parallel and controlled by a
high current relay. The capacitors were charged by a separate power source
to about 18-22 Volts and most of the power was channeled to the substrate
by closing a switch and allowing the capacitors to discharge into the
substrate. The substrate was heated to a temperature of between about
300-500.degree. C. (see FIGS. 5A & 5B) in about 100 milliseconds. The
heating process was done under an airflow of 15 L/min, which swept the
vaporized drug aerosol into a 2 micron Teflon.RTM. filter.
After volatilization, the aerosol captured on the filter was recovered for
quantification and analysis. The quantity of material recovered in the
filter was used to determine a percent yield, based on the mass of drug
coated onto the substrate. The material recovered in the filter was also
analyzed generally by HPLC. UV absorbance at typically 225 nm using a
gradient method aimed at detection of impurities, to determine purity of
the thermal vapor. Any material deposited on the glass sleeve or remaining
on the substrate was also recovered and quantified to determine a percent
total recovery ((mass of drug in filter+mass of drug remaining on
substrate and glass sleeve)/mass of drug coated onto substrate). For
compounds without UV absorption GC/MS or LC/MS was used to determine
purity and to quantify the recovery. Some samples were further analyzed by
LC/MS to confirm the molecular weight of the drug and any degradants.
E. Preparation of Drug-Coated Stainless Steel Cylindrical Substrate
A hollow stainless steel cylinder like that described in Example D was
prepared, except the cylinder diameter was 7.6 mm and the length was 51
mm. A film of a selected drug was applied as described in Example D.
Energy for substrate heating and drug vaporization was supplied by two
capacitors (1 Farad and 0.5 Farad) connected in parallel, charged to 20.5
Volts. The airway, airflow, and other parts of the electrical set up were
as described in Example D. The substrate was heated to a temperature of
about 420.degree. C. in about 50 milliseconds. After drug film
vaporization, percent yield, percent recovery, and purity analysis were
done as described in Example D.
F. Preparation of Drug-Coated Aluminum Foil Substrate
A solution of drug was coated onto a substrate of aluminum foil (5
cm.sup.2-150 cm.sup.2; 0.0005 inches thick). In some studies, the drug was
in a minimal amount of solvent, which was allowed to evaporate. The coated
foil was inserted into a glass tube in a furnace (tube furnace). A glass
wool plug was placed in the tube adjacent to the foil sheet and an air
flow of 2 L/min was applied. The furnace was heated to 200-550.degree. C.
for 30, 60, or 120 seconds. The material collected on the glass wool plug
was recovered and analyzed by reverse-phase HPLC analysis with detection
typically by absorption of 225 nm light or GC/MS to determine the purity
of the aerosol.
G. Preparation of Drug-Coated Aluminum Foil Substrate
A substrate of aluminum foil (3.5 cm.times.7 cm; 0.0005 inches thick) was
precleaned with acetone. A solution of drug in a minimal amount of solvent
was coated onto the foil substrate. The solvent was allowed to evaporate.
The coated foil was wrapped around a 300 watt halogen tube, (Feit Electric
Company, Pico Rivera, Calif.), which was inserted into a T-shaped glass
tube sealed at two ends with parafilm. The parafilm was punctured with ten
to fifteen needles for air flow The third opening was connected to a 1
liter, 3-neck glass flask. The glass flask was further connected to a
piston capable of drawing 1.1 liters of air through the flask. Ninety
volts of alternating current (driven by line power controlled by a Variac)
was run through the bulb for 6-7 seconds to generate a thermal vapor
(including aerosol) which was drawn into the 1 liter flask. The aerosol
was allowed to sediment onto the walls of the 1 liter flask for 30
minutes. The material collected on the flask walls was recovered and the
following determinations were made: (1) the amount emitted, (2) the
percent emitted, and (3) the purity of the aerosol by reverse-phase HPLC
analysis with detection by typically by absorption of 225 nm light.
Additionally, any material remaining on the substrate was collected and
quantified.
Claim 1 of 28 Claims
1. A device for producing a condensation
aerosol comprising (a) a chamber comprising an upstream opening and a
downstream opening, the openings allowing gas to flow therethrough (b) a
heat-conductive substrate, the substrate located at a position between the
upstream and downstream openings, (c) a drug composition film on the
substrate, the film comprising a therapeutically effective dose of a drug
when the drug is administered in aerosol form (d) a heat source for
supplying heat to said substrate to produce a substrate temperature
greater than 300.degree. C., and to substantially volatilize the drug
composition film from the substrate in a period of 2 seconds or less, and
(e) means for producing an air flow across the substrate producing aerosol
particles by condensation, wherein the device produces a condensation
aerosol containing about 10% or less by weight drug composition
degradation products and at least 50% of the drug composition of said
film. ____________________________________________
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