[0001] The ability of drugs to be administered via the oral route depends on several factors.
The drug must be soluble in the gastrointestinal fluids in order for the drug to be
transported across biological membranes, or be suitable for an active transport mechanism.
Very small particulates (less than 300 nanometers) can be absorbed through the lymphatic
system via the Peyer's Patch system in the intestinal tract. However, this mechanism
is not capable of absorbing large doses of drugs into the systemic circulation.
[0002] A problem arises for hard to dissolve drugs. In the case of conventional drugs, some
drugs are relatively insoluble in gastrointestinal fluids. If the extent of solubility
is low, this may cause incomplete and/or erratic absorption. If the rate of solubility
is low, then absorption will most probably be erratic on an intra-patient and inter-patient
basis. Peptide drugs can be water soluble, and these are not as problematic as insoluble
peptides. Like conventional drugs, insoluble peptides typically exhibit incomplete
or low extent of absorption and erratic absorption or bioavailability.
[0003] The primary difficulty involved in delivering peptides orally is their degradation
by hydrolysis and proteolytic enzymes. There are two basic approaches to eliminating
this difficulty. The first is an "enteric" coating that releases the drug only in
neutral to basic pH (usually pH 6-8), like that found in the intestine, so that the
peptide is not exposed to gastric juices. However, this approach alone is not sufficient
to protect the peptide since proteolytic enzymes exist in the upper intestinal tract,
and degradation of the drug can still occur. The other approach is to incorporate
the peptide in a hydrophobic material so that aqueous fluids cannot penetrate the
system. It is important to select a hydrophobic material that can erode or slowly
dissolve in the intestinal tract so that the drug is released. In this way, the peptide
is protected from proteolytic enzymes. In addition, it is possible to combine the
two approaches. See, for example, with relation to the enteric coating approach.
[0004] However, there are inherent difficulties with the approaches outlined above. First,
many drugs are released too slowly from hydrophobic systems. Also, some peptides will
partition into the hydrophobic phase so that they will not be fully released from
these systems. Thus, both the rate and extent of drug release are crucial components
of any drug delivery system, and are even more important for many peptide drugs.
[0005] EP 0 327 280 A1 discloses a pharmaceutical composition comprising cyclosporin in
admixture with mono- or di-glyceride of a C
6-C
10 fatty acid.
[0006] EP 0 212 875 A2 describes a medicinal composition using intro alia corn oils or sesame
seed oil.
[0007] WO 91/14454 discloses a pharmaceutical formulation comprising a biologically active
material in association with lecithin.
[0008] WO 93/02664 describes a water-in-oil micro-emulsion comprising a medium-chain fatty
acid triglyceride.
[0009] WO 93/02665 discloses a water-in-oil micro-emulsion comprising a long-chain fatty
acid triglyceride.
[0010] WO 94/08604 describes a water-in-oil micro-emulsion comprising C
9-C
13 monoglycerides.
[0011] WO 94/08605 discloses a pharmaceutical composition comprising a medium or a long-chain
fatty acyl triglyceride.
[0012] US 4,990,337 describes a pharmaceutical composition comprising at least one mono
or di-glyceride of a C
6-C
10 fatty acid.
[0013] In accordance with the present invention there is provided a pharmaceutical composition
according to claim 1 or according to claim 7. Preferred embodiments are specified
in the sub-claims.
[0014] The composition is used for convenient delivery of drugs. A wide range of active
agents can be administered in the composition, including antibiotics, antimicrobials,
antineoplastics, antivirals, cardiovascular and renal agents, immunosuppressive and
immunostimulatory agents, and CNS active agents, but it is of particular value for
peptides. Microemulsion, compared with normal (macro-) emulsions, form easily, even
spontaneously, without high energy input, and scale-up easily. They are stable, with
long shelf life, and, being translucent, are easy to monitor spectroscopically. They
have low viscosity for easy transport and mixing. Drug solubilization, protection
against enzyme hydrolysis and, therefore, oral bioavailability, particularly for peptides,
are enhanced.
[0015] In one embodiment, the hydrophobic material forms the discontinuous phase and the
hydrophilic material forms the continuous phase in which the hydrophobic material
is emulsified (oil-in-water). The hydrophobic discontinuous phase and the hydrophilic
continuous phase can each independently be solid, semisolid or liquid. The pharmaceutical
agent is dispersed or incorporated into the hydrophobic material. Preferably the carrier
emulsion is a microemulsion.
[0016] In another embodiment, the hydrophobic material forms the continuous phase and the
hydrophilic material forms the discontinuous phase in which the hydrophobic material
is emulsified(water-in-oil). The hydrophobic continuous phase and hydrophilic discontinuous
phase can each independently be solid, semisolid or liquid. The pharmaceutical agent
is dispersed or incorporated into the hydrophilic material, Preferably the carrier
emulsion is a microemulsion. In this embodiment the invention provides a pharmaceutical
preparation comprising a water-in-oil emulsion, preferably a microemulsion, containing
an oil phase (such as a long chain carboxylic acid or ester or alcohol as specified
in claim 7), a surface active agent (such as poloxamer) and an aqueous phase containing
the drug. The advantage of using a water-in-oil microemulsion is that it has the ability
to dissolve relatively large amounts of polar solutes in an overall oily environment,
creating an oral delivery system for peptide and protein drug molecules.
Figure 1 shows the results of the experiments described in Example 8.
Figure 2 shows the results of the experiments described in Example 9.
Figure 3 shows the results of the experiments described in Example 10.
Figure 4 shows the results of the experiments described in Example 11.
Figure 5 shows the results of the experiments described in Example 12.
[0017] An emulsion is a dispersed system containing at least two immiscible liquid phases,
a hydrophobic phase and a hydrophilic phase. The emulsion comprises the dispersed
phase, the dispersion phase and an emulsifying agent or surfactant agent, as claimed
in claims 1 and 7.
[0018] Usually one of the two immiscible liquids is an oil while the other is aqueous. Which
phase becomes the dispersed phase depends on the relative amounts of the two liquid
phases and which emulsifying agent is selected. Therefore, an emulsion in which the
oil is dispersed as droplets throughout the aqueous phase is called an oil-in-water
(o/w) emulsion and vice versa. The term "colloidal" refers to emulsions in which the
dispersed phase is of very fine particles, usually less than about 1 mm in size. A
"microcolloid" is an emulsion wherein the dispersed particles are usually about 100
um or less in size. Cosurfactants are also common components of microcolloids and
are simply surfactants included in addition to the primary surfactant.
[0019] A "microemulsion" is an optically isotropic and thermodynamically or kinetically
stable liquid emulsion. Microemulsions are composed of an oily phase, an aqueous phase,
a surfactant and sometimes a cosurfactant. They are ideal for oral drug delivery systems
since they are homogeneous, thermodynamically stable, have uniform droplet sizes of
approximately 200Å and are optically clear. A water-in-oil microemulsion, in particular,
has small aqueous phase droplets, uniformly dispersed in a continuous oil phase. Therefore,
over a wide range of peptide solubilities the peptide is protected from proteolytic
enzymes that are soluble in the digestive fluids. In general, the chemical structure
of peptides dictates that they be at least somewhat if not mostly water soluble, and
thus will be located inside the water droplet or very near the surface of the droplet
of the water-in-oil microemulsion system. Thus, the outer oily phase of the microemulsion
will prohibit migration of proteolytic enzymes through the delivery system. The outer
oily phase of the microemulsion is also able to incorporate into the intestinal cell
matrix, thus creating channels (either para cellularly or transcellularly) through
which the peptide drug could pass.
[0020] Therefore it is important to select a hydrophobic material that can erode or slowly
dissolve in the intestine or become incorporated into the intestinal cell matrix so
that the drug is released. In addition, it is possible to combine the two approaches,
for example, with relation to the enteric coating approach.
[0021] The oil-in-water emulsions of the invention are generally made by adding hot (70-80°
C) hydrophobic phase (smaller by weight) to hot (70-80° C) hydrophilic phase (larger
by weight) forcing inversion of the surface active agent to form a disperse emulsion
of unaggregated dispersed phase particles. This produces an emulsion when processed
under suitable shear. The drug is usually added with the hydrophobic material when
it is an organic molecule that is poorly soluble in aqueous media. The drug is usually
added after the emulsion has been formed and allowed to cool when it is a peptide.
The drug in emulsion formulation is then filled into a soft or hard gelatin capsule,
tablet or other oral dosage form.
[0022] In accordance with the present invention certain hydrophobic materials, when emulsified
in a continuous phase of a hydrophilic material provide enhanced absorption capabilities
for oral delivery of peptide drugs and drugs that are poorly soluble in aqueous media.
In accordance with the invention, these materials are selected from the group which
is specified in claim 1.
[0023] Further, certain materials, when combined in accordance with the invention to form
a water-in-oil microemulsion, give enhanced absorption capabilities. These materials
are an oily phase composed of long chain fatty acids or esters or alcohols as specified
in claim 7, an aqueous phase composed primarily of water, and a surface active agent,
primarily of the non-ionic block copolymer type, that are mixed together to form a
water-in-oil microemulsion.
[0024] Long chain carboxylic acids, generally contain from 4-36 carbon atoms and preferably
contains at least 12 carbon atoms, most preferably 12 to 22. In some cases this carbon
chain is fully saturated and unbranched, while others contain one or more double bonds.
They can have saturated, unsaturated, branched or straight chain hydrocarbon chains.
A few contain 3-carbon rings or hydroxyl groups. The compounds are not surface active.
They are poorly soluble in water and the longer the acid chain and the fewer the double
bonds, the lower the solubility in water. The carboxylic acid group is polar and ionized
at neutral pH. This accounts for the slight solubility of short-chain acids in water.
[0025] Examples of such acids are those ranging from C
16 to C
22 with up to three unsaturated bonds (also branching). Examples of saturated straight
chain acids are n-dodecanoic acid, n-tetradecanoic acid, n-hexadecanoic acid, caproic
acid, caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid, stearic
acid, arachidic acid, behenic acid, montanic acid and melissic acid. Also useful are
unsaturated monoolefinic straight chain monocarboxylic acids. Examples of these are
oleic acid, gadoleic acid and erucic acid. Also useful are unsaturated (polyolefinic)
straight chain monocaboxyic acids. Examples of these are linoleic acid, ricinoleic
acid, linolenic acid, arachidonic acid and behenolic acid. Branched acids include,
for example, diacetyl tartaric acid.
[0026] The long chain carboxylic acids to be used according to the present invention are
specified in claim 1 and claim 7.
[0027] Examples of long chain carboxylic acid esters include, but are not limited to, those
from the group of: glyceryl monostearates; glyceryl monopalmitates; mixtures of glyceryl
monostearate and glyceryl monopalmitate (Myvaplex 600, Eastman Fine Chemical Company);
glyceryl monolinoleate; glyceryl monooleate; mixtures of glyceryl monopalmitate, glyceryl
monostearate, glyceryl monooleate and glyceryl monolinoleate (Myverol 18-92, Eastman
Fine Chemical Company) ; glyceryl monolinolenate; glyceryl monogadoleate; mixtures
of glyceryl monopalmitate, glyceryl monostearate, glyceryl monooleate, glyceryl monolinoleate,
glyceryl monolinolenate and glyceryl monogadoleate (Myverol 18-99, Eastman Fine Chemical
Company); acetylated glycerides such as distilled acetylated monoglycerides (Myvacet
5-07, 7-07 and 9-45, Eastman Fine Chemical Company); mixtures of propylene glycol
monoesters, distilled monoglycerides, sodium stearoyl lactylate and silicon dioxide
(Myvatex TL, Eastman Fine Chemical Company); mixtures of propylene glycol monoesters,
distilled monoglycerides, sodium stearoyl lactylate and silicon dioxide (Myvatex TL,
Eastman Fine Chemical Company) d-alpha tocopherol polyethylene glycol 1000 succinate
(Vitamin E TPGS, Eastman Chemical Company); mixtures of mono- and di-glyceride esters
such as Atmul (Humko Chemical Division of Witco Chemical); calcium stearoyl lactylate;
ethoxylated mono- and di-glycerides; lactated mono- and di-glycerides; lactylate carboxylic
acid ester of glycerol and propylene glycol; lactylic esters of long chain carboxylic
acids; polyglycerol esters of long chain carboxylic acids, propylene glycol mono-
and di-esters of long chain carboxylic acids; sodium stearoyl lactylate; sorbitan
monostearate; sorbitan monooleate; other sorbitan esters of long chain carboxylic
acids; succinylated monoglycerides; stearyl monoglyceryl citrate; stearyl heptanoate;
cetyl esters of waxes; stearyl octanoate; C
10-C
30 cholesterol/lavosterol esters; and sucrose long chain carboxylic acid esters.
[0028] The long chain carboxylic acid esters to be used according to the present invention
are mono glyceryl esters as specified in claim 1 and claim 7.
[0029] Examples of the self-emulsifying long chain carboxylic acid esters include those
from the groups of stearates, palmitates, ricinoleates, oleates, behenates, ricinolenates,
myristates, laurates, caprylates, and caproates.
[0030] The alcohol useful in the invention is oleyl alcohol.
[0031] The types of protective or sustained release coatings that can be used include, but
are not limited to, ethylcellulose, hydroxypropylmethylcellulose, hydroxypropylcellulose,
hydroxyethylcellulose and esters of methacrylic and ethacrylic acid (Eudragit RL,
RS, and NE polymer products, Rohm Pharma, Darmstadt, Germany). The enteric protective
materials or coatings can be, for example, cellulose acetate pthalate, hydroxypropylmethylcellulose
pthalate, ethylvinylacetate pthalate, polyvinylacetate pthalate and esters of methacrylic
and ethacrylic acid (Eudragit S, Budragit L and Eudragit E30D, Rohm Pharma, Darmstadt,
Ger.).
[0032] The composition or preparation of the invention further includes at least one surfactant
as specified in claim 1 or claim 7, or a mixture of two or more surfactants including
at least one surfactant as specified in claim 1 or claim 7. A surfactant is an amphiphilic
molecule consisting of a hydrophobic tail and a hydrophilic head. These molecules
possess distinct regions of both hydrophilic and hydrophobic character. The hydrophobic
tail can be a hydrocarbon or fluorocarbon chain of 8 to 18 carbon atoms. They are
long chain molecules such as, for example, soaps or detergents. Surfactants accumulate
at the hydrophilic/hydrophobic (water/oil) interface and lower the surface tension.
Surface active agents or surfactants are long chain molecules, such as soaps and detergents,
which accumulate at the hydrophilic/hydrophobic (water/oil) interface and lower the
surface tension at the interface. One effect of a reduced surface tension is the stabilization
of the emulsions. This is because molecules with both polar and non-polar groups become
oriented such that the hydrocarbon tail embeds itself into the hydrophobic phase and
the hydrophilic head protrudes into the hydrophilic phase. Where the hydrophobic composition
or other component of the preparation includes a surface-active agent, such as a surfactant,
it is usually present in amounts of about 0.05% to 50.0% weight/weight of the hydrophobic
composition with a preferred range of 1.0% to 3.0% (w/w) . Surfactants include, for
example, the Tween(polyoxyethylene sorbate) family of surfactants (ICI, Wilmington
DE), the Span(sorbitan long chain carboxylic acid esters) family of surfactants (ICI),
the Pluronic(ethylene or propylene oxide block copolymers) family of surfactants (BASF,
Parsippany NJ), the Labrasol, Labrafil and Labrafac(each polyglycolyzed glycerides)
families of surfactants(Gappe Fosse, St. Priest, France), sorbitan esters of oleate,
stearate, laurate or other long chain carboxylic acids, poloxamers (polyethylene-polypropylene
glycol block copolymers), other sorbitan or sucrose long chain carboxylic acid esters,
mono and diglycerides, PEG derivatives of caprylic/capric triglycerides and mixtures
thereof.
[0033] The drugs to be incorporated individually or as combinations in the pharmaceutical
preparations of the invention are those having less than about 80% oral bioavailability.
The term "bioavailability" as used here means the rate and extent of systemic absorption
of a drug from the oral route of administration.
[0034] In one aspect, the drug is a polypeptide, usually of less than about 15 amino acids.
Examples include cyclosporin, angiotensin I, II and III, encephalins, enkephalins
and their analogs, ACTH, antiinflammatory peptides I, II, III, bradykinin, calcitonin,
cholecystikinin (CCK) fragments 26-33 and 30-33, pre/pro CCK (V-9-M), β-endorphin,
dinorphin, leucokinin, leutinizing hormone releasing hormone (LHRH), neurokinins (e.g.
neurokinin A), somatostatin, substance P, thyroid releasing hormone (TRH), vasopressin,
fibrinogen receptor antagonists (arginine-glycine-aspartic acid containing peptides)
which are platelet aggregation inhibitors, growth hormone releasing peptides (GHRP),
insulin, LH-RH releasers and inhibitors, endothelins, artial natreutetic factor, gastrin,
cytoprotectives, MSH modulators, or elastase or growth factors and cytokines, renin
inhibitors, and HIV protease inhibitors.
[0035] In another aspect, the drug is an organic molecule that is poorly soluble in aqueous
media. These organic molecules usually have a molecular weight (m.w.) of less than
about 1,000 daltons, and usually less than about 600 daltons. Examples include cabamazepine,
griseofulvin, angiotensin converting enzyme inhibitors, flutamide, nifedipine, acyclovir,
gancyclovir, indomethacin, naproxen, estrogens, testosterones, steroids, phenytoin,
ergotamines and cannabinoids.
[0036] Preferred drugs that meet these criteria include, but are not limited to, angiotensin
I, II and III, ACTH, antiinflammatory peptides 1, 2 and 3, bradykinin, cyclosporin,
calcitonin, CCK fragments 26-33 and 30-33, Pre- pro-CCK (V-9-M), beta-endorphin, dynorphin,
leucokinin, LHRH, neurokinin A, somatostatin, substance P, TRH, vasopressin, enkephalin
analogues, ebiratide, galanin, and growth hormone releasing hormone.
[0037] In accordance with the invention, drugs are incorporated into the microemulsions
by admixture using conventional mixing devices and homogenizers used for semi-solid
ointments and lotions, with agitation at speeds common to emulsified products such
as creams and emulsions. Examples of common equipment employed are propeller or turbine
mixers, homogenizers, colloid mills, ultrasonic mixers and microfluidizers. Examples
of such brand name mixing equipment are Lee Kettle, Gaulin mixer and Stephan. The
shear of the agitation should be sufficient to form a stable dispersion, but not too
great to cause degradation of the drug. The shear forces will form aggregates that
have diameters ranging from 100 - 500 angstroms. Suitable homogenizers are available
from Micromedics, Inc., Silverson, and APV Crepaco, Arde Barinco. Stephen and Pryma
mixers can also be employed with suitable vacuum to prevent formation of bubbles.
Monitoring and evaluation of pH, viscosity, specific gravity and aggregate sizes are
necessary.
[0038] Using these devices, the mixture of drug in the hydrophobic material (in the oil-in-water
embodiment) is formed into particles, e.g. beads or spheres, by spray-congealing or
"prilling". This process uses a spray nozzle which atomizes the material in a cooling
tower or chamber. As the material is sprayed, surface tension causes a uniform spherical
bead to be formed. As the bead falls through the cooling chamber, it hardens into
a stable, intact sphere.
[0039] The particles generally have a particle size of from 0.5 microns to 100 microns.
It is preferred to reduce the size of the sphere as much as possible, most preferably
below 10 microns. Optionally, the particles are coated with a sustained-release coating
and/or an enteric coating to modify the rate of drug release from the particles.
[0040] The particles can be incorporated into hard gelatin capsules, either with additional
excipients, or alone. Typical excipients to be added to a capsule formulation include,
but are not limited to: fillers such as microcrystalline cellulose, soy polysaccharides,
calcium phosphate dihydrate, calcium sulfate, lactose, sucrose, sorbitol, or any other
inert filler. In addition, there can be flow aids such as fumed silicon dioxide, silica
gel, magnesium stearate, calcium stearate or any other material imparting flow to
powders. Because of their hydrophobic nature, the particles should not need a lubricant,
but one can be added if necessary by using polyethylene glycol, leucine, glyceryl
behenate, magnesium stearate or calcium stearate.
[0041] The particles may also be incorporated into a tablet, in particular by incorporation
into a tablet matrix, which rapidly disperses the particles after ingestion. In order
to incorporate these particles into such a tablet, a filler/binder must be added to
a tablet that can accept the particles, but will not allow their destruction during
the tableting process. Materials that are suitable for this purpose include, but are
not limited to, microcrystalline cellulose (Avicel), soy polysaccharide (Emcosoy),
pre-gelatinized starches (STARCH 1500, National 1551), and polyethylene glycols (Carbowax).
The materials should be present in the range of 5-75% (w/w), with a preferred range
of 25-50% (w/w).
[0042] In addition, disintegrants are added in order to disperse the particles once the
tablet is ingested. Suitable disintegrants include, but are not limited to: cross-linked
sodium carboxymethyl cellulose (Ac-Di-Sol), sodium starch glycolate (Explotab, Primojel),
and cross-linked polyvinylpolypyrrolidone (Plasdone-XL). These materials should be
present in the range of 3-15% (w/w), with a preferred range of 5-10% (w/w).
[0043] Lubricants are also added to assure proper tableting, and these can include, but
are not limited to: magnesium stearate, calcium stearate, stearic acid, polyethylene
glycol, leucine, glyceryl behanate, and hydrogenated vegetable oil. These lubricants
should be present in amounts from 0.1-10% (w/w), with a preferred range of 0.3-3.0%
(w/w).
[0044] Tablets are formed, for example, as follows. The particles are introduced into a
blender along with Avicel, disintegrants and lubricant, mixed for a set number of
minutes to provide a homogeneous blend which is then put in the hopper of a tablet
press with which tablets are compressed. The compression force used is adequate to
form a tablet; however, not sufficient to fracture the beads or coatings.
[0045] The capsule or tablet can also be enteric coated. Either the particles can be enteric
coated (Ph sensitive) and released in the stomach or the capsule or tablet can be
enteric coated (thereby releasing the particles in the intestine), in which case the
particles need not be so coated. To use only a sustained release coating on the particle
one would also need an enteric coated capsule or tablet. There are three approaches
here. First, there is the uncoated hydrophobic particle in an enteric coated capsule.
Second, there is the sustained release coated particle within an enteric coated capsule
or tablet. Third, there is the enteric coated particle enclosed within a regular soft
gelatin capsule or uncoated tablet.
[0046] The capsule may be further processed to provide gastric protection by enterically
coating the capsule. When the contents of the capsule are released into the gastrointestinal
milieu, it spontaneously forms a microcolliodal emulsion with the gastrointestinal
fluid. The gastrointestinal fluid acting as the aqueous phase.
[0047] Microemulsions are generally formed by adding the aqueous phase, oily phase, and
surfactant to a suitable vessel and mixing. If any of the ingredient is a solid, it
should be added to a liquid phase in which it is soluble and heated to dissolve. For
example, if the surfactant is a solid, and it is soluble in the oily phase, then it
should be dissolved completely, then followed with aqueous phase, etc. On the other
hand, if the surfactant is soluble in the aqueous phase, then it should first be added
to the aqueous phase, dissolved completely, followed by the oily phase. Appropriate
mixing devices as mentioned above can be employed for this purpose.
[0048] The preparation of an oil-in-water emulsion based system, requires that the drug
be dispered into the hydrophobic material as described above and specified in claim
1, with the aqueous phase being added in the presence of surfactant as defined in
claim 1 or self-emulsifying hydrophobic long chain carboxylic acid ester. This procedure
under suitable shear forms a microemulsion. This emulsion is then filled into a soft
or hard gelatin capsule. The capsule may be further processed to provide gastric protection
by enterically coating the capsule.
[0049] Example 5 describes a formulation that illustrates the oil-in-water embodiment of
the invention.
Non-inventive EXAMPLE 1
[0050]
| Phase |
Ingredients |
%W/W |
| B |
Carbamazepine |
5 |
| B |
Glyceryl Monostearate |
5-60 |
| A |
Polysorbate 80 |
5 |
| A |
Oleic Acid |
2-10 |
| A |
Water |
q.s. to 100 |
[0051] The ingredients of each phase are heated separately to 70-80° C. Phase B is added
to phase A while mixing in an appropriate mixing device. The mixture is then cooled
to room temperature. The resultant emulsion is ready to be incorporated into any suitable
oral delivery dosage form.
Non-inventive EXAMPLE 2
[0052]
| Phase |
Ingredients |
%W/W |
| B |
Cyclosporine |
5 |
| B |
Medium Chain Mono and Diglycerides |
17 |
| A |
Polysorbate 80 |
5 |
| B |
Oleyl Alcohol |
2-10 |
| A |
Water |
q.s. to 100 |
The procedure is the same as that described in Example 1.
Non-inventive EXAMPLE 3
[0053]
| Phase |
Ingredients |
%W/W |
| B |
ACE Inhibitor |
5 |
| A |
Peg-25 Glyceryl Trioleate |
30-60 |
| B |
Oleyl Alcohol |
2-10 |
| A |
Water |
q.s. to 100 |
The procedure is the same as that described in Example 1.
Non-inventive EXAMPLE 4
[0054]
| Phase |
Ingredients |
%W/W |
| B |
Somatostatin |
5 |
| B |
Medium chain Mono and Diglycerides |
17 |
| A |
Polysorbate 80 |
5 |
| A |
Oleic Acid |
2-10 |
| A |
Water |
q.s. to 100 |
The procedure is the same as that described in Example 1.
EXAMPLE 5
[0055]
| Phase |
Ingredient |
%W/W |
| A |
Enkephalin |
5 |
| B |
Oleyl alcohol |
14 |
| C |
Sorbitan Monooleate |
14 |
| D |
Polysorbate 80 |
14 |
| E |
Water |
q.s. 100 |
Phase A and B are mixed together, then C through E are added in any order with stirring.
Non-inventive EXAMPLE 6
[0056]
| Phase |
Ingredient |
%W/W |
| A |
TRH |
5 |
| B |
d-Alphatocopheryl Polyethylene |
|
| |
glycol 1000 succinate |
10 |
| C |
d-alpha Tocophenol acetate |
3 |
| D |
Oleyl alcohol |
2-10 |
| E |
Water |
q.s. 1000 |
Ingredients B and C are heated to >40° C and mixed. Ingredient A is then added. Ingredient
D is then added to the above and the resultant mixture is then added to ingredient
E, which is at - 70-80°C. This is then mixed while cooling.
Non-inventive EXAMPLE 7
[0057]
| Phase |
Ingredient |
%W/W |
| A |
Bbiratide |
5 |
| B |
Acetylated monoglycerides |
10 |
| C |
Dioctyl sodium sulfosyccinate |
10 |
| D |
Apricot Kernal oil |
10 |
| E |
Water |
q.s. 100 |
Phase A is dissolved into D, then the other ingredients are added with gentle stirring.
[0058] Examples 8-10 and 12 describe formulations that illustrate the water-in-oil embodiment
of the invention and demonstrate in vitro delivery enhancement across Caco-2 cells
using the model peptide DAGO enkephalin.
Preparation of Caco-2 Cells
[0059] An
in vitro model of intestinal epithelium, the Caco-2 human colon carcinoma cell line is used
as the preliminary assay system. These cells differentiate in culture to form a confluent
monolayer with the barrier properties of normal intestinal epithelium. Cells are grown
on permeable membranes in a transport system with discrete, accessible liminal and
basil compartments.
[0060] The time course of differentiation, barrier formation, and active transport of glucose
has been determined. Cells have been found to form brush borders and tight junctions
between cells as demonstrated by electron microscopy, enzyme assays, and reversible
opening of calcium dependent junctions by chelation. Transport of labeled peptides
is measured from luminal to basal compartments with time. Microemulsions are compounded
using physiologic buffers vs. the aqueous phase and applied to the luminal surface
of the cell monolayer. Appearance of peptides is quantified and percent transport
per hour per square centimeter calculated and compared to buffer alone.
Example 8
[0061]
| Ingredients |
% |
| Poloxamer 124 |
27.0 |
| Linoleic acid |
63.1 |
| Aqueous phase |
9.9 |
General Procedure
[0062] Mix ingredients well using one of the above mentioned appropriate mixing devices
in a suitable container to form an optically clear solution. Add 10 mM DAGO enkephalin
and apply solution to Caco-2 cells. The results are shown in Figure 1.
Example 9
[0063]
| Ingredients |
% |
| Poloxamer 124 |
19 |
| Oleyl alcohol |
75.9 |
| Aqueous phase |
5.1 |
General Procedure
[0064] Mix ingredients well using one of the above mentioned appropriate mixing devices
in a suitable container to form an optically clear solution. Add 10 mM DAGO enkephalin
and apply solution to Gaco-2 cells. The results are shown in Figure 2.
Example 10
[0065]
| Ingredients |
% |
| Poloxamer 124 |
27.0 |
| Oleic acid |
63.1 |
| Aqueous phase |
9.9 |
General Procedure
[0066] Mix ingredients well using one of the above mentioned appropriate mixing devices
in a suitable container to form an optically clear solution. Add 10 mM DAGO enkephalin
and apply solution to Caco-2 cells. The results are shown in Figure 3.
Non-inventive Example 11
[0067]
| Ingredients |
% |
| Poloxamer 124 |
27.0 |
| Linoleic acid |
61.7 |
| Aqueous phase |
9.9 |
| Behenic acid |
1.35 |
General Procedure
[0068] Melt behenic acid in linoleic in a suitable container at 50-80°C. Cool to 40°C, add
remaining ingredients and mix well. Add 10 mM DAGO enkephalin and apply solution to
Caco-2 cells. This microemulsion is a solid at room temperature. The results are shown
in Figure 4.
Example 12
[0069]
| Ingredients |
% |
| Poloxamer 105 |
27.0 |
| Linoleic acid |
63.1 |
| Aqueous phase |
9.9 |
General Procedure
[0070] Mix ingredients well using one of the above mentioned appropriate mixing devices
in a suitable container to form an optically clear solution. Add 10 mM DAGO enkephalin
and apply solution to Caco-2 cells. The results are shown in Figure 5.
Example 13
Pluronic L44/Fatty Acid or Alcohol/Bank's Microemulsion System for the Transport of
Peptides Across Caco-2 Cells
[0071] Microemulsion system formulations containing Pluronic L44 as the surfactant, Hank's
buffer as the aqueous phase and several possible oily phases: oleyl alcohol, oleic
acid, and linoleic acid were prepared.
[0072] The following materials were used as received to prepare the formulations: Polysorbate
20, 60 and 80 (Tween 20, 60, and 80, ICI Surfactants, Wilmington DE); glyceryl monooleate/propylene
glycol mixture, (Arlacel 186, ICI Surfactants, Wilmington DE); glyceryl monooleate
(Aldo MO, Lonza Specialty Chemicals, Fair Lawn, NJ); sorbitan monooleate (Crill 4,
Croda, Parsippany, NJ); oleyl alcohol (Janssen Chemica, Geer, Belgium); and linoleic
acid (Emersol 315 Henkel).
[0073] Multiple formulations were examined in an effort to utilize the polysorbate surfactant
class in a microemulsion vehicle for peptide delivery. The three ICI surfactants Tween
20, 60, and 80 were employed in solution and microemulsion systems with and without
cosurfactants. The following present the formulations prepared.
[0074] Microemulsion formulations, consisting of Tween 80, Arlacel 186, oleyl alcohol and
distilled water and the corresponding Emulsifier (4 parts Tween 80/1 part Arlacel
186) solutions in Hank's buffer were prepared. See Table 1.
TABLE 1
| Ingredients |
72A(%) |
72B1(%) |
72B2(%) |
B3(%) |
B4(%) |
| Tween 80 |
28.6 |
4 |
8 |
12 |
16 |
| Arlacel 186 |
42.9 |
1 |
2 |
3 |
4 |
| Distilled Water |
25 |
95 |
90 |
85 |
80 |
[0075] Formulations with a higher percent of Emulsifier (4 parts Tween 80/1 part Arlacel
186) solutions in Hank's buffer were also prepared See Table 2.
TABLE 2
| Ingredients |
1 |
2 |
3 |
4 |
| Tween 80 |
16 |
20 |
24 |
28 |
| Arlacel |
4 |
5 |
6 |
7 |
| Hank's buffer |
80 |
75 |
70 |
65 |
[0076] The formulation for a waterless microemulsion system, consisting of Tween 80, Arlacel
186 and Oleyl alcohol was also prepared. See Table 3.
TABLE 3
| Ingredients |
% |
| Tween 80 |
36.9 |
| Arlacel 186 |
36.9 |
| Oleyl alcohol |
26.1 |
[0077] The formulations for 10% solutions of Tween 20, 60 and 80 in Hank's buffer each at
pH 3.5 and 6.5 - 7.0 were prepared. In this case, the peptide incorporated for the
is vasopressin at 10 µM. See Table 4.
TABLE 4
| Ingredients |
F(%) |
G(%) |
H(%) |
I(%) |
J(%) |
K(%) |
| Tween 20 |
10 |
- |
- |
10 |
- |
- |
| Tween 60 |
- |
10 |
- |
- |
10 |
- |
| Tween 80 |
- |
- |
10 |
- |
- |
- |
| Hank's buffer |
90 |
90 |
90 |
90 |
90 |
90 |
| Ph |
6.51 |
6.91 |
6.82 |
3.54 |
3.4 |
3.59 |
[0078] The formulation for a waterless microemulsion system, consisting of Tween 20, Arlacel
186 and Oleyl alcohol. (Note different surfactant from formula above). See Table 5.
TABLE 5
| Ingredients |
72A(%) |
72B1(%) |
72B2 (%) |
B3(%) |
B4(%) |
| Tween 80 |
28.6 |
4 |
8 |
12 |
16 |
| Arlacel 186 |
42.9 |
1 |
2 |
3 |
4 |
| Distilled Water |
25 |
95 |
90 |
85 |
80 |
[0079] Tween 20/Span 20 microemulsion formulations containing linoleic acid as the oily
phase were also prepared. See Table 6.
TABLE 6
| Ingredients |
6A |
6B |
6C |
6D |
6E |
| Tween 20 |
38.3 |
42.8 |
26.3 |
29 |
47.5 |
| Span 20 |
9.6 |
4.8 |
2.9 |
- |
- |
| Linoleic Acid |
47.8 |
47.5 |
68.1 |
67.6 |
47.5 |
| Oleic Acid |
- |
- |
- |
- |
- |
| Oleyl Alcohol |
- |
- |
- |
- |
- |
| Hank's buffer |
4.6 |
5.1 |
3 |
3.6 |
5.2 |
[0080] Tween 20/Span 20 microemulsion formulations containing either linoleic acid, oleic
acid or oleyl alcohol were also prepared. See Table 7.
TABLE 7
| Ingredients |
6A |
68 |
6C |
6D |
6E |
13A |
13B |
13C |
13D |
13E |
14B |
| Tween 20 |
38.3 |
42.8 |
26.3 |
29 |
47.5 |
38.3 |
42.8 |
26.3 |
29 |
47.5 |
39.9 |
| Span 20 |
9.6 |
4.8 |
2.9 |
- |
- |
9.6 |
4.8 |
2.9 |
- |
- |
9.7 |
| Linoleic Acid |
47. 8 |
47. 5 |
68. 1 |
67.6 |
47. 5 |
|
|
|
|
|
|
| Oleic Acid |
- |
- |
- |
- |
- |
47. 8 |
47. 5 |
68.1 |
67. 6 |
47.5 |
|
| Oleyl Alcohol |
- |
- |
- |
- |
- |
|
|
|
|
|
48.7 |
| Hank's buffer |
4.6 |
5.1 |
3 |
3.6 |
5.2 |
4.6 |
5.1 |
3 |
3.6 |
5.2 |
2.6 |
[0081] Three additional microemulsion formulations were also prepared. See Table 8.
TABLE 8
| Ingredients |
A(%) |
B(%) |
C(%) |
| Pluronic L44 |
26.8 |
- |
- |
| Labrasol |
- |
38.1 |
- |
| Labrafac CM-10 |
- |
9.5 |
- |
| Tween 20 |
- |
- |
42.8 |
| Span 20 |
- |
- |
4.76 |
| Linoleic Acid |
63.2 |
47.6 |
47.6 |
| Hank's buffer |
9.9 |
4.76 |
4.76 |
[0082] Further formulation efforts with Tween 20 led to a microemulsion in which Span 20
is the cosurfactant. Span 20, or sorbitan monolaurate, acts as an ideal cosurfactant.
The oily phase of the new microemulsion systems has also been changed to linoleic
acid or oleic acid, which are known to promote peptide transport in other vehicles.
Hank's buffer is the aqueous phase and linoleic acid, oleic acid or oleyl alcohol
are the oily phases.
Example 14
Polysorbate Surfactant Systems and Microemulsions in Oral Peptide Delivery.
[0083] The primary research initiative has been to screen and identify systems that increase
peptide transport across Caco-2 monolayers. One such system explored contains the
surfactant Pluronic L44. Several microemulsion systems formulations have been developed
using this surfactant. This example summarizes these systems.
[0084] The following materials were used as received to prepare the formulations: Pluronic
L44 (BASF, Parsippany, NJ); oleyl Alcohol (Jannsen Chemica, Geer, Belgium); oleic
acid (Emersol 221, Henkel, Emery Group, Cincinnati, OH); linoleic acid (Emersol 315,
Henkel, Emery Group, Cincinnati, OH); and Hank's buffer (Cellgro, Mediatech).
[0085] The following tables list formulations prepared for use in transport experiments.
The tables give detailed information on the ingredients, amounts and pH, if appropriate.
TABLE 9
| Percent Pluronic L44 in Hank's Buffer |
| |
Formulation |
| |
|
G |
H |
I |
| Ingredient |
% |
% |
% |
% |
| Pluronic L44 |
0 |
7.5 |
15 |
30.0 |
| Hank's buffer |
100 |
92.5 |
85.0 |
70.0 |
TABLE 10
| Formulation of Pluronic Microemulsions |
| |
Formulation |
| |
D |
E |
| Ingredients |
% |
% |
| Pluronic L44 |
26.8 |
30 |
| Oleyl alcohol |
62.5 |
70 |
| Hank's |
10.7 |
0 |
TABLE 11
| Microemulsions Containing Pluronic L44, Oleyl Alcohol, Bank's Buffer and Solutions
of Pluronic F68 and F108 |
| |
Formulations |
Ratio Pluronic L44 to Oleyl Alcohol |
| Ingredients |
A |
B |
|
|
| Pluronic L44 |
27 |
28.3 |
|
3 |
| oleyl alcohol |
63.1 |
66 |
|
7 |
| Hank's buffer |
9.9 |
5.7 |
|
|
| |
|
|
|
|
| Ingredients |
C |
D |
E |
|
| Pluronic L44 |
41.8 |
44.76 |
47.44 |
5 |
| oleyl alcohol |
41.8 |
44.76 |
47.44 |
5 |
| Hank's buffer |
16.3 |
10.47 |
5.12 |
|
| |
| Ingredients |
F |
RATIO |
G |
|
| Pluronic L44 |
19 |
2 |
34.2 |
4 |
| oleyl alcohol |
75.9 |
8 |
51.3 |
6 |
| Hank's buffer |
5.1 |
|
9.4 |
|
| |
| Ingredients |
H |
I |
J |
|
| Pluronic F68 |
30 |
15 |
7.5 |
|
| Hank's buffer |
70 |
85 |
92.5 |
|
| |
| Ingredients |
L |
M |
N+ |
|
| Pluronic F108 |
15 |
7.5 |
3.75 |
|
| Hank's buffer |
85 |
9.25 |
9.625 |
|
TABLE 12
| Microemulsions with Pluronic L44 to Oily Phase Ratio of 3:7. Oily phases are either
oleic acid or linoleic acid. Percent aqueous phase (Hank's buffer) varies changes
from about 10% to about 14%. |
| Formulation A |
% |
| Pluronic L44 |
27 |
| oleic acid |
63.1 |
| Hank's buffer |
9.9 |
| |
|
| Formulation B |
% |
| Pluronic L44 |
27 |
| linoleic acid |
63.1 |
| Hank's buffer |
9.9 |
| |
|
| Formulation C |
% |
| Pluronic L44 |
25.8 |
| oleic acid |
60.1 |
| Hank's buffer |
14.1 |
| |
|
| Formulation D |
% |
| Pluronic L44 |
25.8 |
| linoleic acid |
60.1 |
| Hank's buffer |
14.1 |
TABLE 12
| A) Pluronic L44/linoleic acid/Hank's buffer and B) Pluronic L44/oleic acid/Hank's
buffer microemulsions at pH 6.5. The pH was increased using NaOH pellets. |
| Ingredients |
% |
| Pluronic L44 |
27 |
| linoleic acid |
63.1 |
| Hank's buffer |
9.9 |
| NaOH pellets |
|
| pH 6.5 |
|
| |
|
| Ingredients |
% |
| Pluronic L44 |
27 |
| oleic acid |
63.1 |
| Hank's buffer |
9.9 |
| NaOH pellets |
|
| pH 6.5 |
|
TABLE 14
| Formulations of Pluronic L44/linoleic acid/Hank's buffer at various pH's. The pH was
increased using NaOH pellets. |
| PD0002-9D1 |
| Formulations PD0002- |
| Ingredients |
9D1 |
9D2 |
9D3 |
| Pluronic L44 |
27 |
27 |
27 |
| linoleic acid |
63.1 |
63.1 |
63.1 |
| Hank's buffer |
9.9 |
9.9 |
9.9 |
| pH |
3.5 |
4.5-5.0 |
6.0-6.5 |
PD0002-9D2: Same As D1, but pH 4.5-5.0
PD0002-9D3: Same As D1, but pH 6.0-6.5 |
| PD0002-9E1 |
| Formulations PD0002- |
| Ingredients |
9E1 |
9E2 |
9E3 |
| Pluronic L44 |
27 |
27 |
27 |
| oleic acid |
63.1 |
63.1 |
63.1 |
| Hank's buffer |
9.9 |
9.9 |
9.9 |
| pH |
3.5 |
4.5-5.0 |
6.0-6.5 |
PD0002-9E2: Same As E1, but pH 4.5-5.0
PD0002-9E3: Same As E1, but pH 6.0-6.5 |
TABLE 15
| Microemulsion component controls at various pH's: A) Pluronic L44 solutions at pH
2.2, 3.5, 4.8 and 7.9; B) Hank's buffer at pH 2.1, 3.5, 5.0, 7.8; and C) linoleic
acid. |
| A |
| |
Date |
|
| PD0002-10A |
5.4.94 |
26.8% Pluronic L44 in Hank's buffer pH 7.9 |
| PD0002-10B |
5.4.94 |
26.8% Pluronic L44 in Hank's buffer pH 4.8 |
| PD0002-10C |
5.4.94 |
26.8% Pluronic L44 in Hank's buffer pH 3.5 |
| PD0002-10D |
5.4.94 |
26.8% Pluronic L44 in Hank's buffer pH 2.2 |
| B |
| |
Date |
|
| PD0002-11A |
5.4.94 |
100% HANK'S BUFFER pH 7.8 |
| PD0002-11B |
5.4.94 |
100% HANK'S BUFFER pH 5.0 |
| PD0002-11C |
5.4.94 |
100% HANK'S BUFFER pH 2.1 |
| PD0002-11D |
5.4.94 |
100% HANK'S BUFFER pH 3.5 |
| C |
| |
Date |
|
| PD0002-10E |
5.4.94 |
100% LINOLEIC ACID |
TABLE 16
| Pluronic L44/linoleic acid/Hank's buffer microemulsion at pH 3.5, 5.0 and 7.0. |
| |
PD0002-12 |
| Ingredients |
A |
B |
C |
| Pluronic L44 |
27 |
26.8 |
25.5 |
| linoleic acid |
63.1 |
62.6 |
59.6 |
| Hank's buffer |
9.9 |
9.8 |
15 |
| pH |
3.5-3.8 |
4.9 |
7 |
Example 15
Variations of the Pluronic L44/Linoleic Acid/Hank's Microemulsion System
[0086] The following materials were used as received to prepare the formulations: Pluronic
L44 (BASF, Parsippany, NJ); linoleic Acid (Bmersol 315, Henkel, emery Group, Cincinnati,
OH); oleic Acid (Emersol 221, Henkel, Emery Group, Cincinnati, OH); linolenic Acid
(Aldrich, Milwaukee, WI); Hank's Buffer (Cellgro, Mediatech); Ethanol (Alcohol, dehydrated
USP, Midwest Grain Products of Illinois, Grain Processing Corp., Muscarine, IA); and
Tween 20 (ICI Surfactants, Wilmington, DE).
[0087] Ricinoleic acid (P-10 Acids, Cas Chem, Bayonne, NJ) was centrifuged for 30 minutes
at 15,000 rpm to remove solids.
[0088] The following tables list the formulations prepared. The tables give detailed information
on the ingredients and amounts and pH if appropriate.
1. Pharmazeutische Zusammensetzung, bei der es sich um eine Öl-in-Wasser-Emulsion handelt,
die umfaßt:
(a) eine diskontinuierliche hydrophobe Phase, die aus einem pharmazeutischen Mittel
und mindestens einem der folgenden Bestandteile besteht: Ölsäure, Gadoleinsäure, Erucasäure,
Linolsäure, Linolensäure, Ricinolsäure, Arachidonsäure, Monoglycerylester von Ölsäure,
Gadoleinsäure, Linolsäure oder Linolensäure, Oleylalkohol, d-alpha-Tocopherol-polyethylenglykol
1000-succinat (TPGS) und Behensäure;
(b) eine kontinuerliche wässrige hydrophile Phase; und
(c) mindestens ein oberflächenaktives Mittel, das aus einem Polyethylen-Polypropylenglykol-Blockpolymeren,
einem polyglycosylierten Glycerid, Sorbitanlaurat und einem Polyoxyethylensorbat ausgewählt
ist.
2. Zusammensetzung nach Anspruch 1, wobei die hydrophobe Phase Linolsäure umfasst.
3. Zusammensetzung nach Anspruch 1, wobei die hydrophobe Phase d-alpha-Tocopherol-polyethylenglykol
1000-succinat umfasst.
4. Zusammensetzung nach Anspruch 1, wobei die hydrophobe Phase einen Bestandteil aus
der Gruppe, die aus Linolsäure, Linolensäure und d-alpha-Tocopherol-polyethylenglykol
1000-succinat besteht, umfasst.
5. Zusammensetzung nach Anspruch 1, wobei die Emulsion in einer Kapsel, die ein erst
im Darm lösliches Beschichtungsmaterial umfasst, eingekapselt ist.
6. Zusammensetzung nach Anspruch 1, wobei es sich bei der Emulsion um eine mikrokolloidale
Emulsion handelt, die in einer Kapsel eingekapselt ist, die in einer sauren wässrigen
Umgebung löslich ist.
7. Pharmazeutische Zusammensetzung, bei der es sich um eine Wasser-in-Öl-Emulsion handelt,
die umfaßt:
(a) eine kontinuierliche hydrophobe Phase, die aus mindestens einem der folgenden
Bestandteile besteht: Ölsäure, Gadoleinsäure, Erucasäure, Linolsäure, Linolensäure,
Ricinolsäure, Arachidonsäure, Monoglycerylester von Ölsäure, Gadoleinsäure, Linolsäure
oder Linolensäure, Oleylalkohol und d-alpha-Tocopherol-polyethylenglykol 1000-succinat
(TPGS);
(b) eine diskontinuerliche wässrige hydrophile Phase mit einem Gehalt an einem pharmazeutischen
Mittel; und
(c) mindestens ein oberflächenaktives Mittel, das aus einem Polyethylen-Polypropylenglykol-Blockpolymeren,
einem polyglycosylierten Glycerid, Sorbitanlaurat und einem Polyoxyethylensorbat ausgewählt
ist.
8. Zusammensetzung nach Anspruch 7, wobei die hydrophobe Phase Linolsäure umfasst.
9. Zusammensetzung nach Anspruch 7, wobei die hydrophobe Phase d-alpha-Tocopherol-polyethylenglykol
1000-succinat umfasst.
10. Zusammensetzung nach Anspruch 7, wobei das pharmazeutische Mittel eine biologische
Verfügbarkeit von weniger als etwa 80 aufweist.
11. Zusammensetzung nach Anspruch 7, wobei es sich beim pharmazeutischen Mittel um ein
Polypeptid mit bis zu etwa 15 Aminosäuren handelt.
12. Zusammensetzung nach Anspruch 7, wobei das Polypeptid bis zu etwa 12 Aminosäuren enthält.
13. Zusammensetzung nach Anspruch 7, wobei es sich beim pharmazeutischen Mittel um ein
organisches Molekül mit weniger als etwa 1000 Dalton handelt.
14. Zusammensetzung nach Anspruch 13 wobei das organische Molekül weniger als etwa 600
Dalton aufweist.
15. Zusammensetzung nach Anspruch 7, wobei die Emulsion in einer Kapsel, die ein erst
im Darm lösliches Beschichtungsmaterial umfasst, eingekapselt ist.
16. Zusammensetzung nach Anspruch 7, wobei es sich bei der Emulsion um eine mikrokolloidale
Emulsion handelt, die in einer Kapsel eingekapselt ist, die in einer sauren wässrigen
Umgebung löslich ist.
1. Composition pharmaceutique qui est une émulsion huile dans l'eau composée de:
(a) une phase hydrophobe discontinue constituée d'un agent pharmaceutique et au moins
l'un parmi : l'acide oléique, l'acide gadoléique, l'acide érucique, l'acide 5 linoléique,
l'acide linolénique, l'acide ricinoléique, l'acide arachidonique, les esters mono
glycéryle des acides oléique, gadoléique, linoléique ou linolénique, l'alcool oléylique,
le d-alpha-tocophérol de poly(éthylène glycol) 1 000 succinate (TPGS) et l'acide béhénolique
;
(b) une phase hydrophile aqueuse continue ; et
(c) au moins un agent tensioactif choisi parmi un polymère séquencé de poly(éthylène)-poly(propylène
glycol), un glycéride poly(glycolisé), le laurate de sorbitan et le sorbate de poly(sorbate
d'oxyéthylène).
2. Composition selon la revendication 1, dans laquelle la phase hydrophobe comprend l'acide
linoléique.
3. Composition selon la revendication 1, dans laquelle la phase hydrophobe comprend le
d-alpha-tocophérol de poly(succinate d'éthylène glycol 1 000).
4. Composition selon la revendication 1, dans laquelle la phase hydrophobe comprend un
élément du groupe choisi parmi l'acide linoléique, l'acide linolénique, et le d-alpha-tocophérol
de poly(succinate d'éthylène glycol 1 000).
5. Composition selon la revendication 1, dans laquelle l'émulsion est encapsulée dans
une capsule comprenant un matériau d'enrobage gastrorésistant et entérosoluble.
6. Composition selon la revendication 1, dans laquelle l'émulsion est une émulsion microcolloïdale
qui est encapsulée dans une capsule qui est soluble dans un environnement aqueux acide.
7. Composition pharmaceutique qui est une émulsion eau dans l'huile composée de :
(a) une phase hydrophobe continue consistant en au moins l'un parmi : l'acide oléique,
l'acide gadoléique, l'acide érucique, l'acide linoléique, l'acide linolénique, l'acide
ricinoléique, l'acide arachidonique, les esters mono glycéryle des acides oléique,
gadoléique, linoléique ou linolénique, l'alcool oléylique et le d-alpha-tocophérol
de poly(succinate d'éthylène glycol 1 000) (TPGS) ;
(b) une phase hydrophile aqueuse discontinue contenant un agent pharmaceutique ; et
(c) au moins un agent tensioactif choisi parmi un polymère séquencé de poly(éthylène)-poly(propylène
glycol), un glycéride poly(glycolisé), le laurate de sorbitan et le de poly(sorbate
d'oxyéthylène).
8. Composition selon la revendication 7, dans laquelle la phase hydrophobe comprend l'acide
linoléique.
9. Composition selon la revendication 7, dans laquelle la phase hydrophobe comprend le
d-alpha-tocophérol de poly(succinate d'éthylène glycol 1 000).
10. Composition selon la revendication 7, dans laquelle l'agent pharmaceutique a une biodisponibilité
inférieure à environ 80 %.
11. Composition selon la revendication 7, dans laquelle l'agent pharmaceutique est un
polypeptide contenant jusqu'à environ 15 acides aminés.
12. Composition selon la revendication 7, dans laquelle le polypeptide contient jusqu'à
environ 12 acides aminés.
13. Composition selon la revendication 7, dans laquelle l'agent pharmaceutique est une
molécule organique de moins d'environ 1 000 daltons.
14. Composition selon la revendication 13, dans laquelle la molécule organique est de
moins d'environ 600 daltons.
15. Composition selon la revendication 7, dans laquelle l'émulsion est encapsulée dans
une capsule comprenant un matériau d'enrobage gastrorésistant et entérosoluble.
16. Composition selon la revendication 7, dans laquelle l'émulsion est une émulsion microcolloïdale
qui est encapsulée dans une capsule qui est soluble dans un environnement aqueux acide.