FIELD OF THE INVENTION
[0001] The invention relates generally to the field of devices for administration of pharmaceutically-adive
agents (
e.g., drugs). More specifically, the invention relates to a drug-supply assembly for
incorporation in an inhalation device for use in production of drug-aerosol particles.
BACKGROUND
[0002] Traditionally, inhalation therapy has played a relatively minor role in the administration
of therapeutic agents when compared to more traditional drug administration routes
of oral delivery and delivery via injection. Due to drawbacks associated with traditional
routes of administration, including slow onset, poor patient compliance, inconvenience,
and/or discomfort, alternative administration routes have been sought. Pulmonary delivery
is one such alternative administration route which can offer several advantages over
the more traditional routes. These advantages include rapid onset, the convenience
of patient self-administration, the potential for reduced drug side-effects, ease
of delivery by inhalation, the elimination of needles, and the like. Many preclinical
and clinical studies with inhaled compounds have demonstrated that efficacy can be
achieved both within the lungs and systemically.
[0003] However, despite such results, the role of inhalation therapy in the health care
field has remained limited mainly to treatment of asthma, in part due to a set of
problems unique to the development of inhalable drug formulations, especially formulations
for systemic delivery by inhalation. Metered dose inhaler formulations involve a pressurized
propellant, which is frequently a danger to the environment, and generally produce
aerosol particle sizes undesirably large for systemic delivery by inhalation. Furthermore,
the high speed at which the pressurized particles are released from metered dose inhalers
makes the deposition of the particles undesirably dependent on the precise timing
and rate of patient inhalation. While solving some of the problems with metered dose
inhalers, dry powder formulations are prone to aggregation and low flowability phenomena
which considerably diminish the efficiency of dry powder-based inhalation therapies.
Such problems are particularly severe for dry powders having a small enough aerosol
particle size as to be optimal for deep lung delivery, as difficulty of particle dispersion
increases as particle size decreases. Thus, excipients are needed to produce powders
that can be dispersed. Liquid aerosol formations similarly involve non-drug constituents,
i.e. the solvent, as well as preservatives to stabilize the drug in the solvent. Dispersion
of liquids generally involves complex and cumbersome devices and is effective for
only solutions with specific physical properties,
e.g. viscosity. Such solutions cannot be produced for many drugs due to the solubility
properties of the drug. In addition, these added excipients, solvents, propellants,
etc., impact the purity of the resultant delivered drug. Purity is a critical issue
that must be address for delivery of a drug to humans.
[0004] Volatilization of a drug to form an aerosol while addressing many of the above mentioned
problems subjects the drug to potential chemical degradation via thermal, oxidative,
and/or other means. Volatilization can also impact the purity of the drug being delivered.
[0005] Thus, there remains a need in the art for devices capable of producing a drug aerosol
for delivery by, for example, inhalation or topical application and, in particular,
devices that create highly pure aerosols that do not require added excipients to improve
flowability and prevent aggregation, and/or solvents, propellants, or drug solubility
to disperse the drug.
WO 02/098389 A describes an exemplary drug supply assembly having a thin stainless steel foil on
to which a dose of a compound is deposited. The compound may be coated as a film of
between 10µm and 10nm.
SUMMARY
[0006] The invention provides a drug-supply assembly comprising a metal substrate and a
film comprising a drug compound. The exterior surface of the metal is metal oxide
enriched. The metal oxide enriched surface can be the result of heat or chemical treatment
of the substrate. Alternatively, the metal oxide enriched surface can be a heterologous
layer of material that is applied to the substrate. Exemplary metal substrates include
steel, stainless steel, aluminum, titanium and copper. The metals substrates can be
treated by heat or chemicals to generate an exterior surface comprising, for example,
metal oxides such as iron oxide, chromium oxide, zirconium oxide, aluminum oxide,
silicon oxide, silicon carbide, or a combination thereof. Alternatively, the substrate
can be coated with a oxidation resistant material such as, for example, zirconium
oxide, silicon oxide, aluminum oxide, aluminum nitride, and/or silicon carbide.
[0007] In another aspect, the invention includes a method of preparing the above described
drug-supply assembly for use in an aerosol device, comprising treating a substrate
with heat and/or a chemical to generate an oxidation resistant exterior surface. In
another aspect, the substrate is coated with an oxidation resistant material to generate
an oxidation resistant exterior surface. The exterior surface is then coated with
a film comprising a drug.
[0008] There is also disclosed a method of increasing the purity of drug condensation particles
in a condensation drug aerosol that is produced by substantially vaporizing and condensing
a film comprising a drug on a substrate comprising substantially vaporizing a drug
composition on a modified metal substrate and condensing the vapor to form drug particles,
said method however does not belong to the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0009] Figs. 1A-1B are cross-sectional views of general embodiments of a drug-supply assembly
in accordance with the invention.
[0010] Fig. 2A is a perspective view of a drug-delivery device that incorporates a drug-supply
assembly.
[0011] Fig. 2B shows another drug-delivery device that incorporates a drug-supply assembly,
where the device components are shown in unassembled form.
[0012] Figs. 3A-3E are high speed photographs showing the generation of aerosol particles
from a drug-supply device comprising a drug-supply assembly.
[0013] Figs. 4A-4B are plots of substrate temperature increase, measured in still air with
a thin thermocouple (Omega, Model CO2-K), as a function of time. The substrate in
Fig. 4A was heated resistively by connection to a capacitor charged to 13.5 Volts
(lower line), 15 Volts (middle line), and 16 Volts (upper line); the substrate in
Fig. 4B was heated resistively by discharge of a capacitor at 16 Volts.
[0014] Figs. 5A-5B are plots of substrate temperature in °C, measured in still air with
a thin thermocouple (Omega, Model CO2-K), as a function of time, in seconds, for a
hollow stainless steel cylindrical substrate heated resistively by connection to a
capacitor charged to 21 Volts, where Fig. 5A shows the temperature profile over a
4 second time period and Fig. 5B is a detail showing the temperature profile over
the first second of heating.
[0015] Fig. 6 is a plot comparing purities versus film thickness for flunisolide aerosols
generated using a non-treated stainless steel foil substrate (diamonds) and a heat-treated
stainless steel foil substrate (squares).
[0016] Fig. 7 is a bar graph showing flunisolide vapor purities on non-treated and heat
treated steel foils of 304, T-430 and zirconium oxide coated 304. Note that clean
steel foil T-430 provides very good purities without heat treatment. Also, zirconium
oxide coated steel foils (chemical treatment) provide very good vapor purities compared
to both heat treated and non-treated steel foils.
[0017] Fig. 8 is a plot comparing purities versus film thickness for eletriptan aerosols
generated using a non-treated stainless steel foil substrate (filled circles) and
a heat-treated stainless steel foil substrate (open circles).
[0018] Fig. 9 is a bar graph comparing purities of alprazolam aerosols generated using a
non-treated stainless steel foil substrate, a stainless steel foil substrate heat-treated
for 1 hour at 350°C, and a stainless steel foil substrate heat-treated for 6 hours
at 350°C.
[0019] Fig. 10 is a bar graph comparing purities of bumetanide aerosols generated using
stainless steel foil substrates heat-treated for 6 hours at 350°C, stainless steel
foil substrates treated with nitric acid and non-treated stainless steel foil substrates.
[0020] Fig. 11 is a graph showing budesonide purities on non-treated and heat treated steel
foils 304 and T-430 and zirconium oxide coated steel foil 304. Note that clean steel
foil T-430 provides very good purities without heat treatment. Also, zirconium oxide
coated steel foils (chemical treatment) provide very good vapor purities compared
to both heat treated and non-treated steel foils.
DETAILED DESCRIPTION
[0021] A drug-supply assembly and method for producing a condensation aerosol are disclosed.
The drug-supply assembly includes a heat-conductive substrate with an oxidatively
inert exterior surface. The drug-supply assembly can be combined with an aerosol device.
A film comprising a drug or compound is layered on the exterior surface. The thickness
of the film and the exterior surface of the substrate is such that the aerosol formed
by vaporizing and condensing the film provides an aerosol containing 10% by weight
or less drug-degradation products and at least 50% of the total amount of the drug
composition in the film. The methods for treating the exterior surface include heat
and chemical treatment and formation of a protective overcoat on a substrate are also
provided.
[0022] A drug includes any substance that is used in the prevention, diagnosis, alleviation,
treatment or cure of a condition. The drug is preferably in a form suitable for thermal
vapor delivery, such as an ester, free acid, or free base form. The drugs are typically
not recreational drugs. More specifically, the drugs are typically not recreational
drugs used for non-medicinal recreational purposes,
e.g., habitual use to solely alter one's mood, affect state of consciousness, or to affect
a body function unnecessarily, for recreational purposes. The terms "drug", "compound",
and "medication" are used interchangeably herein.
[0023] The drugs of use in the invention typically have a molecular weight in the range
of about 150-700, typically in the range of about 200-650, more typically in the range
of 250-600, still more typically in the range of about 250-500, and most typically
in the range of about 300-450.
[0024] Specific drugs that can be used include, but are not limited to, drugs of one of
the following classes: anesthetics, anticonvulsants, antidepressants, antidiabetic
agents, antidotes, antiemetics, antihistamines, anti-infective agents, antineoplastics,
antiparkisonian drugs, antirheumatic agents, antipsychotics, anxiolytics, appetite
stimulants and suppressants, blood modifiers, cardiovascular agents, central nervous
system stimulants, drugs for Alzheimer's disease management, drugs for cystic fibrosis
management, diagnostics, dietary supplements, drugs for erectile dysfunction, gastrointestinal
agents, hormones, drugs for the treatment of alcoholism, drugs for the treatment of
addiction, immunosuppressives, mast cell stabilizers, migraine preparations, motion
sickness products, drugs for multiple sclerosis management, muscle relaxants, nonsteroidal
anti-inflammatories, opioids, other analgesics and stimulants, opthalmic preparations,
osteoporosis preparations, prostaglandins, respiratory agents, sedatives and hypnotics,
skin and mucous membrane agents, smoking cessation aids, Tourette's syndrome agents,
urinary tract agents, and vertigo agents.
[0025] Typically, where the drug is an anesthetic, it is selected from one of the following
compounds: ketamine and lidocaine.
[0026] Typically, where the drug is an anticonvulsant, it is selected from one of the following
classes: GABA analogs, tiagabine, vigabatrin; barbiturates such as pentobarbital;
benzodiazepines such as clonazepam; hydantoins such as phenytoin; phenyltriazines
such as lamotrigine; miscellaneous anticonvulsants such as carbamazepine, topiramate,
valproic acid, and zonisamide.
[0027] Typically, where the drug is an antidepressant, it is selected from one of the following
compounds: amitriptyline, amoxapine, benmoxine, butriptyline, clomipramine, desipramine,
dosulepin, doxepin, imipramine, kitanserin, lofepramine, medifoxamine, mianserin,
maprotoline, mirtazapine, nortriptyline, protriptyline, trimipramine, venlafaxine,
viloxazine, citalopram, cotinine, duloxetine, fluoxetine, fluvoxamine, milnacipran,
nisoxetine, paroxetine, reboxetine, sertraline, tianeptine, acetaphenazine, binedaline,
brofaromine, cericlamine, clovoxamine, iproniazid, isocarboxazid, moclobemide, phenyhydrazine,
phenelzine, selegiline, sibutramine, tranylcypromine, ademetionine, adrafinil, amesergide,
amisulpride, amperozide, benactyzine, bupropion, caroxazone, gepirone, idazoxan, metralindole,
milnacipran, minaprine, nefazodone, nomifensine, ritanserin, roxindole, S-adenosylmethionine,
tofenacin, trazodone, tryptophan, and zalospirone.
[0028] Typically, where the drug is an antidiabetic agent, it is selected from one of the
following compounds: pioglitazone, rosiglitazone, and troglitazone.
[0029] Typically, where the drug is an antidote, it is selected from one of the following
compounds: edrophonium chloride, flumazenil, deferoxamine, nalmefene, naloxone, and
naltrexone.
[0030] Typically, where the drug is an antiemetic, it is selected from one of the following
compounds: alizapride, azasetron, benzquinamide, bromopride, buclizine, chlorpromazine,
cinnarizine, clebopride, cyclizine, diphenhydramine, diphenidol, dolasetron, droperidol,
granisetron, hyoscine, lorazepam, dronabinol, metoclopramide, metopimazine, ondansetron,
perphenazine, promethazine, prochlorperazine, scopolamine, triethylperazine, trifluoperazine,
triflupromazine, trimethobenzamide, tropisetron, domperidone, and palonosetron.
[0031] Typically, where the drug is an antihistamine, it is selected from one of the following
compounds: astemizole, azatadine, brompheniramine, carbinoxamine, cetrizine, chlorpheniramine,
cinnarizine, clemastine, cyproheptadine, dexmedetomidine, diphenhydramine, doxylamine,
fexofenadine, hydroxyzine, loratidine, promethazine, pyrilamine and terfenidine.
[0032] Typically, where the drug is an anti-infective agent, it is selected from one of
the following classes: antivirals such as efavirenz; AIDS adjunct agents such as dapsone;
aminoglycosides such as tobramycin; antifungals such as fluconazole; antimalarial
agents such as quinine; antituberculosis agents such as ethambutol; β-lactams such
as cefmetazole, cefazolin, cephalexin, cefoperazone, cefoxitin, cephacetrile, cephaloglycin,
cephaloridine; cephalosporins, such as cephalosporin C, cephalothin; cephamycins such
as cephamycin A, cephamycin B, and cephamycin C, cephapirin, cephradine; leprostatics
such as clofazimine; penicillins such as ampicillin, amoxicillin, betacillin, carfecillin,
carindacillin, carbenicillin, amylpenicillin, azidocillin, benzylpenicillin, clometocillin,
cloxacillin, cyclacillin, methicillin, nafcillin, 2-pentenylpenicillin, penicillin
N, penicillin O, penicillin S, penicillin V, dicloxacillin; diphenicillin; heptylpenicillin;
and metampicillin; quinolones such as ciprofloxacin, clinafloxacin, difloxacin, grepafloxacin,
norfloxacin, ofloxacine, temafloxacin; tetracyclines such as doxycycline and oxytetracycline;
miscellaneous anti-infectives such as linezolide, trimethoprim and sulfamethoxazole.
[0033] Typically, where the drug is an anti-neoplastic agent, it is selected from one of
the following compounds: droloxifene, tamoxifen, and toremifene.
[0034] Typically, where the drug is an antiparkisonian drug, it is selected from one of
the following compounds: amantadine, baclofen, biperiden, benztropine, orphenadrine,
procyclidine, trihexyphenidyl, levodopa, carbidopa, andropinirole, apomorphine, benserazide,
bromocriptine, budipine, cabergoline, eliprodil, eptastigmine, ergoline, galanthamine,
lazabemide, lisuride, mazindol, memantine, mofegiline, pergolide, piribedil, pramipexole,
propentofylline, rasagiline, remacemide, ropinerole, selegiline, spheramine, terguride,
entacapone, and tolcapone.
[0035] Typically, where the drug is an antirheumatic agent, it is selected from one of the
following compounds: diclofenac, hydroxychloroquine and methotrexate.
[0036] Typically, where the drug is an antipsychotic, it is selected from one of the following
compounds: acetophenazine, alizapride, amisulpride, amoxapine, amperozide, aripiprazole,
benperidol, benzquinamide, bromperidol, buramate, butaclamol, butaperazine, carphenazine,
carpipramine, chlorpromazine, chlorprothixene, clocapramine, clomacran, clopenthixol,
clospirazine, clothiapine, clozapine, cyamemazine, droperidol, flupenthixol, fluphenazine,
fluspirilene, haloperidol, loxapine, melperone, mesoridazine, metofenazate, molindrone,
olanzapine, penfluridol, pericyazine, perphenazine, pimozide, pipamerone, piperacetazine,
pipotiazine, prochlorperazine, promazine, quetiapine, remoxipride, risperidone, sertindole,
spiperone, sulpiride, thioridazine, thiothixene, trifluperidol, triflupromazine, trifluoperazine,
ziprasidone, zotepine, and zuclopenthixol.
[0037] Typically, where the drug is an anxiolytic, it is selected from one of the following
compounds: alprazolam, bromazepam, oxazepam, buspirone, hydroxyzine, mecloqualone,
medetomidine, metomidate, adinazolam, chlordiazepoxide, clobenzepam, flurazepam, lorazepam,
loprazolam, midazolam, alpidem, alseroxlon, amphenidone, azacyclonol, bromisovalum,
captodiamine, capuride, carbcloral, carbromal, chloral betaine, enciprazine, flesinoxan,
ipsapiraone, lesopitron, loxapine, methaqualone, methprylon, propanolol, tandospirone,
trazadone, zopiclone, and zolpidem.
[0038] Typically, where the drug is an appetite stimulant, it is dronabinol.
[0039] Typically, where the drug is an appetite suppressant, it is selected from one of
the following compounds: fenfluramine, phentermine and sibutramine.
[0040] Typically, where the drug is a blood modifier, it is selected from one of the following
compounds: cilostazol and dipyridamol.
[0041] Typically, where the drug is a cardiovascular agent, it is selected from one of the
following compounds: benazepril, captopril, enalapril, quinapril, ramipril, doxazosin,
prazosin, clonidine, labetolol, candesartan, irbesartan, losartan, telmisartan, valsartan,
disopyramide, flecanide, mexiletine, procainamide, propafenone, quinidine, tocainide,
amiodarone, dofetilide, ibutilide, adenosine, gemfibrozil, lovastatin, acebutalol,
atenolol, bisoprolol, esmolol, metoprolol, nadolol, pindolol, propranolol, sotalol,
diltiazem, nifedipine, verapamil, spironolactone, bumetanide, ethacrynic acid, furosemide,
torsemide, amiloride, triamterene, and metolazone.
[0042] Typically, where the drug is a central nervous system stimulant, it is selected from
one of the following compounds: amphetamine, brucine, caffeine, dexfenfluramine, dextroamphetamine,
ephedrine, fenfluramine, mazindol, methyphenidate, pemoline, phentermine, sibutramine,
and modafinil.
[0043] Typically, where the drug is a drug for Alzheimer's disease management, it is selected
from one of the following compounds: donepezil, galanthamine and tacrin.
[0044] Typically, where the drug is a drug for cystic fibrosis management, it is selected
from one of the following compounds: tobramycin and cefadroxil.
[0045] Typically, where the drug is a diagnostic agent, it is selected from one of the following
compounds: adenosine and aminohippuric acid.
[0046] Typically, where the drug is a dietary supplement, it is selected from one of the
following compounds: melatonin and vitamin-E.
[0047] Typically, where the drug is a drug for erectile dysfunction, it is selected from
one of the following compounds: tadalafil, sildenafil, vardenafil, apomorphine, apomorphine
diacetate, phentolamine, and yohimbine.
[0048] Typically, where the drug is a gastrointestinal agent, it is selected from one of
the following compounds: loperamide, atropine, hyoscyamine, famotidine, lansoprazole,
omeprazole, and rebeprazole.
[0049] Typically, where the drug is a hormone, it is selected from one of the following
compounds: testosterone, estradiol, and cortisone.
[0050] Typically, where the drug is a drug for the treatment of alcoholism, it is selected
from one of the following compounds: naloxone, naltrexone, and disulfiram.
[0051] Typically, where the drug is a drug for the treatment of addiction it is buprenorphine.
[0052] Typically, where the drug is an immunosupressive, it is selected from one of the
following compounds: mycophenolic acid, cyclosporin, azathioprine, tacrolimus, and
rapamycin.
[0053] Typically, where the drug is a mast cell stabilizer, it is selected from one of the
following compounds: cromolyn, pemirolast, and nedocromil.
[0054] Typically, where the drug is a drug for migraine headache, it is selected from one
of the following compounds: almotriptan, alperopride, codeine, dihydroergotamine,
ergotamine, eletriptan, frovatriptan, isometheptene, lidocaine, lisuride, metoclopramide,
naratriptan, oxycodone, propoxyphene, rizatriptan, sumatriptan, tolfenamic acid, zolmitriptan,
amitriptyline, atenolol, clonidine, cyproheptadine, diltiazem, doxepin, fluoxetine,
lisinopril, methysergide, metoprolol, nadolol, nortriptyline, paroxetine, pizotifen,
pizotyline, propanolol, protriptyline, sertraline, timolol, and verapamil.
[0055] Typically, where the drug is a motion sickness product, it is selected from one of
the following compounds: diphenhydramine, promethazine, and scopolamine.
[0056] Typically, where the drug is a drug for multiple sclerosis management, it is selected
from one of the following compounds: bencyclane, methylprednisolone, mitoxantrone,
and prednisolone.
[0057] Typically, where the drug is a muscle relaxant, it is selected from one of the following
compounds: baclofen, chlorzoxazone, cyclobenzaprine, methocarbamol, orphenadrine,
quinine, and tizanidine.
[0058] Typically, where the drug is a nonsteroidal anti-inflammatory, it is selected from
one of the following compounds: aceclofenac, acetaminophen, alminoprofen, amfenac,
aminopropylon, amixetrine, aspirin, benoxaprofen, bromfenac, bufexamac, carprofen,
celecoxib, choline, salicylate, cinchophen, cinmetacin, clopriac, clometacin, diclofenac,
diflunisal, etodolac, fenoprofen, flurbiprofen, ibuprofen, indomethacin, indoprofen,
ketoprofen, ketorolac, mazipredone, meclofenamate, nabumetone, naproxen, parecoxib,
piroxicam, pirprofen, rofecoxib, sulindac, tolfenamate, tolmetin, and valdecoxib.
[0059] Typically, where the drug is an opioid, it is selected from one of the following
compounds: alfentanil, allylprodine, alphaprodine, anileridine, benzylmorphine, bezitramide,
buprenorphine, butorphanol, carbiphene, cipramadol, clonitazene, codeine, dextromoramide,
dextropropoxyphene, diamorphine, dihydrocodeine, diphenoxylate, dipipanone, fentanyl,
hydromorphone, L-alpha acetyl methadol, lofentanil, levorphanol, meperidine, methadone,
meptazinol, metopon, morphine, nalbuphine, nalorphine, oxycodone, papaveretum, pethidine,
pentazocine, phenazocine, remifentanil, sufentanil, and tramadol.
[0060] Typically, where the drug is an other analgesic it is selected from one of the following
compounds: apazone, benzpiperylon, benzydramine, caffeine, clonixin, ethoheptazine,
flupirtine, nefopam, orphenadrine, propacetamol, and propoxyphene.
[0061] Typically, where the drug is an opthalmic preparation, it is selected from one of
the following compounds: ketotifen and betaxolol.
[0062] Typically, where the drug is an osteoporosis preparation, it is selected from one
of the following compounds: alendronate, estradiol, estropitate, risedronate and raloxifene.
[0063] Typically, where the drug is a prostaglandin, it is selected from one of the following
compounds: epoprostanol, dinoprostone, misoprostol, and alprostadil.
[0064] Typically, where the drug is a respiratory agent, it is selected from one of the
following compounds: albuterol, ephedrine, epinephrine, fomoterol, metaproterenol,
terbutaline, budesonide, ciclesonide, dexamethasone, flunisolide, fluticasone propionate,
triamcinolone acetonide, ipratropium bromide, pseudoephedrine, theophylline, montelukast,
and zafirlukast.
[0065] Typically, where the drug is a sedative and hypnotic, it is selected from one of
the following compounds: butalbital, chlordiazepoxide, diazepam, estazolam, flunitrazepam,
flurazepam, lorazepam, midazolam, temazepam, triazolam, zaleplon, zolpidem, and zopiclone.
[0066] Typically, where the drug is a skin and mucous membrane agent, it is selected from
one of the following compounds: isotretinoin, bergapten and methoxsalen.
[0067] Typically, where the drug is a smoking cessation aid, it is selected from one of
the following compounds: nicotine and varenicline.
[0068] Typically, where the drug is a Tourette's syndrome agent, it is pimozide.
[0069] Typically, where the drug is a urinary tract agent, it is selected from one of the
following compounds: tolteridine, darifenicin, propantheline bromide, and oxybutynin.
[0070] Typically, where the drug is a vertigo agent, it is selected from one of the following
compounds: betahistine and meclizine.
[0071] As used herein the term "a" and "the" in combination with a particular reference
means single and plural unless the context clearly indicates otherwise. For example,
"a drug" includes a single drug species or a combination of drug species.
[0072] The terms "drug composition" as used herein refers to a composition that comprises
only pure drug, two or more drugs in combination, or one or more drugs in combination
with additional components. Additional components can include, for example, pharmaceutically
acceptable excipients, carriers, and surfactants.
[0073] The term "drug degradation product" as used herein refers to a compound resulting
from a chemical modification of the drug compound during a drug vaporization-condensation
process. The modification, for example, can be the result of a thermally or photochemically
or catalytically induced reaction. Such reactions include, without limitation, oxidation
and hydrolysis.
[0074] The term "fraction drug degradation product" as used herein refers to the quantity
of drug degradation products present in the aerosol particles divided by the quantity
of drug plus drug degradation product present in the aerosol, i.e. (sum of quantities
of all drug degradation products present in the aerosol)/((quantity of drug composition
present in the aerosol) + (sum of quantities of all drug degradation products present
in the aerosol)). The term "percent drug degradation product" as used herein refers
to the fraction drug degradation product multiplied by 100%, whereas "purity" of the
aerosol refers to 100% minus the percent drug degradation products.
[0075] The term "effective therapeutic dose" means the amount required to achieve the desired
effect or efficacy,
e.g., abatement of symptoms or cessation of the episode, in a subject (
e.g., a mammal, such as a human). The dose of a drug delivered in the thermal vapor refers
to a unit dose amount that is generated by heating of the drug under defined delivery
conditions. A "unit dose amount" is the total amount of drug in a given volume of
inhaled thermal vapor.
[0076] The term "exterior surface" refers to the exterior-most boundary of a substrate.
Typically, the exterior surface consists of the exterior-most 2 nm, 20 nm, or 200
nm of a substrate. In another aspect, the "exterior surface" is a surface in direct
contact with a drug or compound comprising a layer disposed upon a heat conductive
substrate. The layer can be a discreet layer upon the substrate, such that the exterior
surface layer composition may be different from the bulk material of the substrate
(
e.g., an overcoat material). Suitable exterior surfaces are typically oxidatively inert.
Examples of suitable substrates include: steel, stainless steel, aluminum, chromium,
copper, iron, titanium, conducting ceramics, and alloys of thermally conducting metals.
Examples of suitable exterior substrates include: metal oxides (MO, M
2O
3, MO
2), where the oxidation state of M is +2 (
e.g., Fe, Ca, Sr, Zn) or +3 (
e.g., Fe, Al, Cr, Mo, Lanthanides) or +4 (
e.g., Zr, Ce, Si and lanthanides); mixed metal oxides (M
1M
2Ox, where M
1 and M
2 are metals having oxidation states of +2, +3, or +4;
e.g., MgOAl
2O
2, FeOFe
2O
c, ZnOAl
2O
3).
[0077] The term "substrate interior" refers to the portion of a solid or bulk material of
the substrate, excluding the exterior surface.
[0078] The term "metal oxide-enriched exterior surface" refers to the exterior surface of
a substrate, which contains a greater amount of one or more metal oxides than does
a reference exterior surface of such a substrate material. Compared to the oxide layer
of the reference exterior surface, the metal oxide-enriched exterior surface may be
distinguished by a greater depth of the oxide layer, an increased content of a specific
metal oxide species in the exterior surface, and/or a reduced content of a specific
non-oxidized metal species in the exterior surface. Typically, when the substrate
comprises stainless steel, the reference exterior surface comprises predominantly
iron oxide and chromium oxide layer of less than 5 nm in thickness. In contrast, a
metal oxide-enriched exterior surface of a stainless steel substrate may comprise
an iron oxide and chromium oxide layer of 7.5 nm or more in thickness, or may contain
a greater amount of oxidation resistant metal oxides in the exterior-most 5 nm than
does the reference exterior surface, or may contain a lesser amount of metals/alloys
such as iron, nickel, chromium, molybdenum, silicon, aluminum or manganese in the
exterior-most 5 nm than does the reference exterior surface. Methods of analyzing
the exterior surface of a metal substrate are known in the art. For example, static
or dynamic secondary ion mass spectroscopy (SIMS), x-ray photoelectron spectroscopy/electron
spectroscopy for chemical analysis (XPS/ESCA), ellipsometry, and Auger electron spectroscopy
(AES) can be used to analyze the exterior surface.
[0079] The term "reference exterior surface" of a substrate material refers to the exterior
surface layer that forms upon brief (
e.g. 1 month) exposure of the material to air at room temperature. To form a reference
exterior surface, one means is to process bulk metal substrate material,
e.g., by slicing the bulk material, such that a portion of the interior of the bulk material
becomes the exterior surface of the processed material. Storage of the processed material
in air at room temperature for a brief period (
e.g., I month, with storage for as little as I day generally giving a similar outcome)
results in formation of a reference exterior surface.
[0080] "Thermal vapor" refers to a vapor phase, aerosol, or mixture of aerosol-vapor phases,
formed by, for example, heating. The thermal vapor may comprise a drug and optionally
a carrier, and may be formed by heating the drug and optionally a carrier. Vapor phase
refers to a gaseous phase. An aerosol phase comprises solid and/or liquid particles
suspended in a gaseous phase.
[0081] A "treated exterior surface" refers to an exterior surface that has been subjected
to heat, and/or chemical treatment/overcoat modifications. A treated surface may result
in metal oxide-enrichment of the surface. An overcoat provides an oxidation resistant/protective
coat of chemically less reactive metals/metal oxides to a substrate.
[0082] In one aspect, the invention provides a drug-supply assembly for use in an aerosol
device, for producing an aerosol of a compound such as a drug compound. The aerosol
is produced by a vaporization-condensation technique. The assembly is particularly
suited for use in a device for inhalation therapy for delivery of a compound (
e.g., a therapeutic agent) to the lungs of a subject, for local or systemic treatment.
The assembly 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.
The assembly and its use in an inhalation device are described.
[0083] Among the advantages and features of a drug-supply assembly of the invention is the
formation of substantially pure aerosol particles upon vaporization of a drug from
the assembly by application of heat to the drug.
[0084] A drug-supply assembly for use in a condensation aerosol device according to one
embodiment of the invention is shown in cross-sectional view in Fig. 1A. Drug-supply
assembly
10 is comprised of a heat-conductive substrate
12. In one aspect, the substrate comprises a metal and/or metal al loy. Examples of metals
appropriate for the substrate include aluminum, titanium, iron, copper, stainless
steel, and the like. Heat-conductive substrate
12 has an exterior surface
14 and a substrate interior
16. The exterior surface
14 can be an overlay of an oxidatively inert material applied to the heat conductive
substrate. In another aspect, the exterior surface
14 comprises an oxide layer of the substrate
12 obtained by heat or chemical treatment of the substrate
12. The substrate can be of virtually any geometry; the square or rectangular configuration
shown in Fig. 1A merely exemplary.
[0085] Where an overlay of an oxidatively inert material is to be performed, the substrate
is typically a metal, ceramic, glass or other material. An overlay layer can be applied
to a substrate by any number of methods known in the art. For example, an overlay
layer can be applied to a substrate using solution casting or suspension casting techniques.
In general, solution cast routes are advantageous because they provide homogeneous
structures and ease of processing. With solution cast routes, the overlay layer may
be easily fabricated by spin, spray or dip coating. Suspension casting still provides
the possibility of spin, spray or dip coating but more heterogeneous structures than
with solution casting are expected. For systems where one or more materials are soluble
in a common solvent, the film can be fabricated by solution casting. This allows for
soluble materials to be dissolved and a composite film formed in a single step upon
solvent evaporation. In suspension casting, one or more materials are suspended and/or
dissolved in a common solvent. Suspension casting is a rather general technique applicable
to a wide range of chemical species. In one application of suspension casting, the
material is dissolved in an appropriate solvent, a second material is then suspended
in this solution and the resulting mixture is used to dip coat or spray coat a substrate.
[0086] With continuing reference to Fig. 1A, deposited on all or a portion of the exterior
surface
14 of the substrate
12 is a film
18 comprising a drug. Thus, the exterior surface
14 is in contact with molecules of a drug to be aerosolized. As discussed above, the
exterior surface
14 is oxidatively inert and/or is selected or modified to avoid oxidative or chemical
degradation of the film
18 (
e.g., before and/or during heating of the substrate
12 and exterior surface
14). In one embodiment of the invention, the exterior surface
14 is treated to improve the oxide content of the exterior surface
14.
[0087] In addition to the substrate having an exterior surface, the substrate should have
an exterior surface with relatively few or substantially no surface irregularities,
so that a molecule of a compound vaporized from a film on the exterior surface is
unlikely to acquire sufficient energy through contact with (i) other hot vapor molecules,
(ii) hot gases surrounding the area, or (iii) the substrate surface to result in cleavage
of chemical bonds and hence compound decomposition. To minimize the energy input to
a vaporized compound that might result in chemical 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 on the substrate or exterior surface. For the reasons stated above,
non-preferred substrates are those that have a substrate density of less than 0.5
g/cc.
[0088] With continuing reference to Fig. 1A, film
18 comprising a drug has a thickness of between about 0.05 µm and 20 µm. 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 a 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. For example, a film comprising
a drug can be applied to a substrate using solution casting and/or suspension casting
techniques. In general, solution cast routes are advantageous because they provide
homogeneous structures and ease of processing. With solution cast routes, the film
may be easily fabricated by spin, spray or dip coating. Suspension casting still provides
the possibility of spin, spray or dip coating but more heterogeneous structures than
with solution casting are expected. For systems where one or more drugs and/or carriers
or other materials are soluble in a common solvent, the film can be fabricated by
solution casting. This allows for soluble drugs to be dissolved and a composite film
formed in a single step upon solvent evaporation. In suspension casting, one or more
drugs, carriers, or other materials are suspended and/or dissolved in a common solvent.
Suspension casting is a rather general technique applicable to a wide range of chemical
species. In one application of suspension casting, the drug is dissolved in an appropriate
solvent, a second compound or drug is then suspended in this solution and the resulting
mixture is used to dip coat or spray coat an exterior surface. 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.
[0089] In another aspect, the drug film is treated to improve the thermal stability of the
flow,
e.g., melt viscosity and fluidity, uniformity of heating, and the like, at elevated temperatures
compared to untreated drug. Such increased thermal stability may also increase the
shelf-life stability of the drug in the film by decreasing the shelf-life degradation
of the drug composition. Alternatively, or in addition, the increased thermal stability
of the drug in the film may serve to increase the purity of the condensation aerosol
formed upon heating the drug film, by decreasing the thermal degradation of the drug
during heating and subsequent vaporization of the film comprising the drug.
[0090] Fig. 1B is a perspective, cut-away view of an alternative geometry of the drug-supply
assembly for use in a condensation aerosol device. Drug-supply assembly
20 is comprised of a cylindrically-shaped substrate
22 formed from a heat-conductive material. In the embodiment shown in Fig. 1B, substrate
22 has a metal-oxide enriched or oxidation resistance exterior surface
24. Deposited on the exterior surface
24 of the substrate
22 is a film
26 comprising a drug. As will be described in more detail below, in use, the substrate
22 of assembly
20 is heated to vaporize all or a portion of the film
26. Control of air flow across the substrate surface during vaporization produces the
desired size of drug-aerosol particles. In Fig. 1B, the film
26 and exterior surface
24 is partially cut-away to expose a heating element
28 in thermal communication with substrate
22. The heating element
28 may also comprise a sensor to maintain an operating temperature of 300-500 °C. Operation
at higher temperatures is also possible. The heater can be in the form of a resistive
coil, thick film, or sheet heater. A suitable thermocouple attachment is made to the
sensor for accurate temperature monitoring. Other heating elements are suitable including,
but not limited to, a solid chemical fuel, chemical components that undergo an exothermic
reaction, inductive heat, and the like. Heating of the substrate by conductive heating
is also suitable. One exemplary heating source is described in International Patent
Application entitled, "SELF-CONTAINED HEATING UNIT AND DRUG-SUPPLY UNIT EMPLOYING
SAME," filed
May 20, 2004, published as WO 2004/104490. For example, 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
28 in the embodiment shown in Fig. 1B takes the form of an electrical resistive wire
that produces heat when a current flows through the wire.
[0091] Fig. 2A is a perspective view of a drug-delivery device that incorporates a drug-supply
assembly for use in a condensation aerosol device similar to that shown in Fig. 1B.
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 drug-supply assembly
20, visible in the cut-away portion of the figure. Drug-supply assembly
20 includes a substrate with an exterior surface
24 coated with a film
26 comprising a drug to be delivered to the user. The assembly
20 can be rapidly heated to a temperature sufficient to vaporize all or a portion of
the film
26 comprising the drug to form a drug vapor that becomes entrained in the stream of
air during inhalation, thus forming drug-aerosol particles. Heating of the drug-supply
assembly
20 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.
[0092] Fig. 2B shows another drug-delivery device that incorporates a drug-supply assembly,
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
52 and lower
54 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
52 and lower
54 housing members when fitted together define a chamber
60. Positioned within chamber
60 is a drug-supply assembly
62, shown in a partial cut-away view. The drug supply unit has a tapered, substantially
cylindrical substrate
64 coated with a film
66 comprising a drug on the exterior surface
68 of substrate
64. Visible in the cut-away portion of the drug-supply unit is an interior region
70 of the substrate containing a heat element or heating substance suitable to generate
heat. The heat element or heating substance can be a solid chemical fuel, chemical
reagents that mix exothermically, electrically resistive wire and the like. A power
supply source, if needed for heating, and any necessary valving for the inhalation
device are contained in end piece
72 which is in electrical, mechanical and/or thermal communication with substrate
64.
[0093] In a typical embodiment, the device includes a gas-flow control valve disposed upstream
of the drug-supply assembly for limiting gas-flow rate through the condensation region.
For example, the gas flow control valve limits 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 inlet port increasingly,
with increasing pressure drop across the valve. In another embodiment, the gas-flow
valve includes an actuation switch coupled with valve movement such that in response
to an air pressure differential across the valve, the valve acts to close the switch.
In still another embodiment, the gas-flow valve includes an orifice designed to limit
airflow rate into the chamber.
[0094] 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 or volume 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.
[0095] 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 having a mass
median aerodynamic diameter (MMAD) in the size range 1-3.5 µm, the chamber may have
substantially smooth-surfaced walls, and the selected gas-flow rate may be in the
range of 4-50 L/minute.
[0096] 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.
[0097] The heat source in one embodiment is effective to supply heat to the substrate at
a rate that achieves a substrate temperature of at least 150°C, at least 250 °C, at
least 350 °C, or at least 400 °C, and produces substantially complete volatilization
of the drug composition from the substrate within a period of 2 seconds, within a
period of 1 second, or more typically within a period of 0.5 seconds. Suitable heat
sources include resistive heating devices that are supplied with electrical current
at a rate sufficient to achieve rapid heating to a substrate temperature of at least
150°C, 200°C, 250 °C, 300 °C, or 350 °C within 50-500 ms, but typically 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 and the heating source
described in the above-cited International Application entitled, "SELF-CONTAINED HEATING
UNIT AND DRUG-SUPPLY UNIT EMPLOYING SAME,"
WO2004/104490, 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, with good thermal coupling between the heat
source and substrate.
[0098] Figs. 3A-3E are high speed photographs showing the generation of aerosol particles
from a drug-supply assembly. Fig. 3A shows a cylindrical stainless steel substrate
about 2 cm in length coated with a film comprising a drug. Prior to coating the substrate
with the film, the steel substrate was heated about three times in air to a temperature
of approximately 400°C for a period of approximately 2 seconds to form a metal-oxide
enriched exterior surface. 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 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.
[0099] The drug-supply assembly generates a drug vapor that can readily be mixed with gas
to produce an aerosol for inhalation or for delivery, to a topical site, typically
by spray nozzle, for a variety of treatment regimens, including acute or chronic treatment
of a skin condition, or 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 when the substrate advantageously has a treated exterior
surface.
[0100] As discussed above, the drug-supply assembly for use in a condensation aerosol device
includes a film comprising a drug formed on a substrate having an exterior surface.
In one aspect, the surface of the substrate is treated to provide a treated exterior
surface. In one embodiment, the film comprises two or more drugs. In another embodiment,
the film comprises a pure drug. A film, in one embodiment of the invention, has a
thickness of between about 0.05-20 µm, between 0.1-15 µm, between 0.2-10 µm, or 0.5-10
µm, but is most typically 1-10 µm. The film thickness for a given drug or drug composition
is such that drug-aerosol particles formed by vaporizing the drug or drug composition
by heating the substrate and entraining the vapor in a gas stream have (i) 10% by
weight or less drug-degradation product, typically 5% by weight or less, and commonly
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 treated exterior surface of the substrate on
which the drug film is formed is selected to achieve an effective therapeutic dose
of the drug aerosol. In some aspects, the substrate is treated by means including
heat treatment and chemical treatment to yield an exterior surface with an enhanced
oxidation resistance, metal oxide layer thickness, enhanced content of one or more
metals or metal oxides in the oxide layer, or a decreased amount of one or more non-oxidized
metal species.
[0101] The substrate may be treated by a variety of means to enrich or coat the substrate
exterior with oxidation resistant materials or metal oxides to generate an exterior
surface comprising a metal oxide layer. One means of treating the substrate surface
is heat treatment. In one aspect, the invention includes a method of preparing a drug-supply
assembly for use in an aerosol device, wherein the assembly comprises a heat-conductive
metal substrate comprising heat-treating the metal substrate and coating at least
a portion of said substrate with a film comprising a drug. The film comprising a drug
is coated on the exterior surface of the metal substrate, where the film thickness
and exterior surface are such that an aerosol formed by vaporizing the drug film by
heating the substrate and condensing the vaporized drug composition contains 10% by
weight or less drug-degradation products and at least 50% of the total amount of the
drug composition in the film. The substrate may be heat-treated (prior to coating
with the film) at a temperature between approximately 60 °C and 800 °C, more typically
between 100 °C and 500 °C, or most commonly between 200 °C and 400 °C. At such temperatures,
the substrate may acquire a desirable exterior surface in about 1 second at around
400°C, although longer periods of heat-treatment,
e.g., for minutes, hours, or days may result in a desirable exterior surface. However,
heat treatment of the substrate may not enhance the purity of drugs, if the substrate
is already oxidation resistant or metal oxide enriched prior to heat treatment. In
general, when a lower temperature is used for the treatment, longer treatment duration
is typically performed, and when a higher temperature is used for the treatment, shorter
treatment duration is typically performed. Thus, the substrate may be heat-treated
for a period of between 1 second and 5 days, typically between 5 minutes and 24 hours,
and commonly between 15 minutes and 8 hours. The treatment may be carried out in air,
dried air, oxygen, or partial vacuum with oxygen present, among other conditions.
In a specific example, heat treatment includes heating the substrate for at least
6 hours at 350 °C; or at least 2 seconds, and typically at least 5 seconds at 500
°C in air.
[0102] When the substrate is a metal, heat treatment generally results in a metal oxide-enriched
substrate exterior surface characterized by a thicker layer of metal oxide than that
of the reference exterior surface that is not heat treated. Typically, the reference
exterior surface has a passive layer with an oxide layer thickness for stainless steel
substrates of < 5 nm, whereas the heat-treated substrate has an oxide layer thickness
of > 7.5 nm, > 10 nm, and typically > 20 nm. Heat treatment produces a more fully
oxidized exterior surface, i.e., an exterior surface containing a reduced quantity
of non-oxidized metal species compared with the reference exterior surface. In the
case where the metal substrate is steel or stainless steel, the exterior surface upon
heat treatment becomes enriched, among other species, with iron oxide and depleted
of metallic iron. In the case wherein the metal substrate is aluminum, heat treatment
increases the substrate exterior aluminum oxide layer thickness, or increases the
aluminum oxide content of the substrate exterior surface, or decreases the content
of metallic aluminum or other metals in the exterior surface.
[0103] Another method of producing a treated exterior surface of a substrate is chemical
treatment or forming a protective overcoat of the substrate surface. Chemical treatment
can be done with acids (
e.g., hydrofluoric acid, sulfuric acid, nitric acid, hydrochloric acid, formic acid, and
citric acid), bases (
e.g., sodium hydroxide), water, salt solutions (
e.g., chloride or phosphate salts), with and without application of an electric potential
across the metal substrate. In the case of nitric acid treatment of a stainless steel
substrate, for example, the treated exterior surface is primarily enriched in metal
oxide. This is reflected in an increase in chromium oxide content of the substrate's
exterior surface with a corresponding decrease in the content of metallic iron and
chromium in the exterior-most portion of the substrate in contact with a drug film.
Chemical treatment is typically conducted by soaking a metal substrate in a chemical
solution for a period of time, such as, for example, 30 minutes, 15 minutes, 5 minutes,
or 3 minutes. Additionally, sonication and/or heat may also be used. After chemical
treatment, the substrate is typically washed and dried. Chemically less reactive metals
or metal oxides or ceramics (
e.g., gold platinum, zirconium oxide, silicon carbide) can be deposited (
e.g., by vapor deposition, electroplating, dip coating, spray coating, and the like) onto
the substrate surface to provide a chemically altered exterior surfaces of metallic
substrates. After forming a chemical overcoat, the substrate is typically washed and
dried with appropriate solvents.
[0104] The above treatment approaches are applicable to a diversity of metals and alloys
including, without limitation, steel, stainless steel, aluminum, chromium, copper,
iron, titanium, and the like, with aluminum, copper, and steel (including stainless
steel), being typically used.
[0105] In studies conducted in support of the invention, a variety of drugs were deposited
as a film 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. To determine the percent fraction of drug degradation
products, the aerosol is typically collected in a trap, such as a filter, glass wool,
an impinger, a solvent trap, or a cold trap, with collection in a filter being the
common technique used. The trap is then extracted with a solvent,
e.g. acetonitrile, and the extract subjected to analysis by any of a variety of analytical
methods known in the art, with gas and liquid chromatography methods typically being
used, and high performance liquid chromatography (HPLC) particularly useful. The gas
or liquid chromatography method includes a detector system such as a mass spectrometry
detector or ultraviolet absorption detector. Ideally, the detector system allows determination
of the quantity of the components of the drug composition and drug degradation product
by weight. This is achieved in practice by measuring the signal obtained upon analysis
of one or more known mass(es) of components of the drug composition or drug degradation
product (standards) and comparing the signal obtained upon analysis of the aerosol
to that obtained upon analysis of the standard(s), an approach well known in the art.
In many cases, the structure of a drug degradation product may not be known or a standard
of the drug degradation product may not be available. In such cases, it is acceptable
to calculate the weight fraction of the drug degradation product by assuming that
the drug degradation product has an identical response coefficient (
e.g., for ultraviolet absorption detection, identical extinction coefficient) to the drug
component or components in the drug composition. When conducting such analysis, for
purposes of practicality, drug degradation products present at less than a very small
fraction of the drug compound,
e.g., less than 0.2% or 0.1% or 0.03% of the drug compound, are generally excluded from
analysis. Because of the frequent necessity to assume an identical response coefficient
between drug and drug degradation product in calculating a weight percentage of drug
degradation product, it is preferred to use an analytical approach in which such an
assumption has a high probability of validity. In this respect, high performance liquid
chromatography with detection by absorption of ultraviolet light at 225 nm is typically
used. UV absorption at other than 225 nm, most commonly 250 nm, is used for detection
of compounds in cases where the compound absorbs substantially more strongly at 250
nm or for other reasons one skilled in the art would consider detection at 250 nm
the most appropriate means of estimating purity by weight using HPLC analysis. In
certain cases where analysis of the drug by UV is not viable, other analytical tools
such as GC/MS or LC/MS may be used to determine purity.
[0106] Exemplary studies in support of the invention (which should not be construed to limit
the invention) were carried out on four different substrate materials: 302/304 stainless
steel (foil and cylinder), T-430 stainless steel foil, 302/304 steel foil coated with
zirconium oxide and a stainless steel cylinder. The substrates were either untreated
or treated as described herein.
[0107] To volatilize a drug film coated on the stainless steel foil substrate, the stainless
steel substrate was resistively heated by placing the substrate between a pair of
electrodes connected to a capacitor that was charged to between 14-17 Volts. Fig.
4A is a plot of temperature increase in °C, measured in no airflow with a thin thermocouple
(Omega, Model CO2-K), against 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 °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 °C in 200-300 milliseconds
(to a maximum temperature of about 400 °C). Surface substrate temperature was found
to be similar for both untreated and treated substrates.
[0108] Fig. 4B shows the time-temperature relationship for a 0.005 inch thick stainless
steel foil substrate that was heated by a 1 Farad capacitor charged to 16 V, again
measured by a thin thermocouple (Omega Model CO2-K). The substrate reached its peak
temperature of 400 °C in about 200 milliseconds, and maintained that temperature for
the 1 second testing period.
[0109] In another test, a hollow, stainless steel tube was used as the drug-film substrate.
To volatilize a drug film, a cylindrical tube having a diameter of 13 mm and a length
of 34 mm was connected to two I Farad capacitors wired in parallel. Figs. 5A-5B show
substrate temperature measured by a thin thermocouple (Omega Model CO2-K) as a function
of time, for a cylindrical substrate that had been heat-treated by heating for about
three times to about 400°C for about two seconds in air. Such heat-treatment was produced
by passing current through the substrate from the charged capacitors. Fig. 5B shows
a detail of the first 1 second of heating.
[0110] Aluminum is another substrate material used in an aerosol generation device. The
aluminum substrate in the embodiment is heated by conductive means,
e.g., by bringing the aluminum in contact with a heat source (
e.g., a halogen bulb), to vaporize the drug film. Such techniques are useful due to the
higher thermal conductivity and higher electrical conductivity of aluminum relative
to stainless steel. To obtain a treated exterior surface of an aluminum substrate,
the substrate is placed in an oxygen-containing oven.
[0111] For each substrate type, a film comprising a drug was formed by applying a solution
containing the drug onto the substrate. 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 acetone, methanol, ethanol, acetone,
chloroform, 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.
[0112] To determine the thickness of the film to be applied, one method that can be used
is to determine the area of the substrate and calculate drug film thickness using
the following relationship:

[0113] 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.
[0114] 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. Example
1 describes preparation of a substrate assembly containing flunisolide, a respiratory
steroid used in the treatment of asthma. Prior to coating, half of the substrates
were heat-treated, while another half were not heat-treated. 304 stainless steel foil
substrates containing films of flunisolide ranging in thickness from between about
0.2 µm to about 2.7 µm were prepared. The coated stainless steel substrates were heated
and the purity of the drug-aerosol particles in the thermal vapor generated from each
substrate was determined. The results are shown in Fig. 6. Unexpectedly, there was
a marked improvement in aerosol purity from the heat-treated substrates compared to
the non-treated substrates. For example, for a flunisolide film having a thickness
of about 0.2 µm, vaporization from a heat-treated substrate yielded a thermal vapor
having a purity of about 93%; in contrast, a comparable thickness of coating from
a non-treated substrate yielded a thermal vapor having a purity of only about 50%.
However, surprisingly, T-430 steel foils coated with flunisolide exhibit good vapor
purities without heat treatment. Further, there was no marked improvement in flunisolide
aerosol purity upon vaporizing off heat-treated T-430 foils. Furthermore, flunisolide
coated onto 304 stainless steel foils having an exterior surface made of zirconium
oxide offers good aerosol purities without heat treatment. Similar results were also
obtained at other film thicknesses for flunisolide, and also for other drugs (see
Examples 2, 3, 4 and 5). The examples provided herein indicate that oxidation resistant
metals or metal oxide surfaces provide improved aerosol purities compared to oxidation
prone metallic substrates.
[0115] In addition to there being a relationship between substrate surface and aerosol purity,
there is also a relationship between film thickness and aerosol particle purity, such
that as the film thickness decreases, the purity increases. Such a relationship was
found from both heat-treated and non-treated substrates. For example, from a heat-treated
substrate, a flunisolide film having a thickness of about 0.2 or 0.5 µm produced a
thermal vapor having a purity of about 93%; a flunisolide film having a thickness
of about 2.6 µm produced a thermal vapor having a purity of 83%. From a non-treated
substrate, a flunisolide film having a thickness of about 0.2 µm produce a thermal
vapor having a purity of about 50%; a flunisolide film having a thickness of about
1.5 µm produced a thermal vapor having a purity of 38%.
[0116] Substrate heat-treatment also improved aerosol yield. For example, the 0.5 µm coating
on the heat-treated substrate yielded about 0.3 mg of aerosol particles. This corresponds
to 97% - 100% of the coated dose being emitted from the test apparatus containing
the assembly comprising the flunisolide-coated, heat-treated substrate. In contrast,
the 1.5 µm coating on the non-treated substrate yielded only 0.2 mg of aerosol particle,
which corresponds to about 25% of the coated dose being emitted from the test apparatus.
This represents not only a lower percent emitted dose for the untreated surface, but
also a lower quantity of material emitted overall than that from the much thinner
coating on a heat treated surface.
[0117] Thus, the nature of the substrate exterior in contact with the drug substance as
well as the thickness of the drug film has an effect on aerosol production. Oxidation
resistant or heat-treated substrates are effective substrates, as are other substrates
with metal-oxide enriched exteriors such as, for example, chemically treated surfaces,
protective overcoats, for the production of both pure aerosol and high aerosol yields.
[0118] Another feature of the drug-supply assembly is that a substrate's surface area should
be sufficient to yield a therapeutic dose of the drug aerosol when used by a subject.
For an aerosol delivery device or assembly of the invention, the unit dose yield may
be determined by collecting the thermal vapor evolved upon actuation of the device
or assembly and analyzing its composition as described herein, and comparing the results
of analysis of the thermal vapor to those of a series of reference standards containing
known amounts of the drug..The amount of drug or drugs required in the starting composition
for delivery as a thermal vapor depends on the amount of drug or drugs entering the
thermal vapor phase when heated (
i.e., the dose produced by the starting drug or drugs), the bioavailability of the thermal
vapor phase drug or drugs, the volume of inhalation, and the potency of the thermal
vapor drug or drugs as a function of plasma drug concentration.
[0119] Typically, the bioavailability of thermal vapors ranges from 20-100% and is typically
in the range of 50 -100% relative to the bioavailability of drugs infused intravenously.
The potency of the thermal vapor drug or drugs per unit plasma drug concentration
is equal to or greater than that of the drug or drugs delivered by other routes of
administration. It may substantially exceed that of oral, intramuscular, or other
routes of administration in cases where the clinical effect is related to the rate
of rise in plasma drug concentration more strongly than the absolute plasma drug concentration.
In some instances, thermal vapor delivery results in increased drug concentration
in a target organ such as the brain, relative to the plasma drug concentration (
Lichtman et al., The Journal of Pharmacology and Experimental Therapeutics 279:69-76
(1996)). Thus, for medications currently given orally, the human dose or effective therapeutic
amount of that drug in thermal vapor form is generally less than the standard oral
dose (
e.g., less than 80%, more typically less than 40%, and most commonly less than 20% of the
standard oral dose). For medications currently given intravenously, the drug dose
in a thermal vapor will generally be similar to or less than the standard intravenous
dose (
e.g., less than 200%, typically less than 100%, and most commonly less than 50% of the
standard intravenous dose).
[0120] Determination of the appropriate dose of thermal vapor to be used to treat a particular
condition can be performed via animal experiments and a dose-finding (Phase I/II)
clinical trial. Such animal experiments involve measuring plasma drug concentrations
after exposure of the test animal to the drug thermal vapor. These experiments may
also be used to evaluate possible pulmonary toxicity of the thermal vapor. Because
accurate extrapolation of these results to humans is facilitated if the test animal
has a respiratory system similar to humans, mammals such as dogs or primates are typically
used as the test animals. Conducting such experiments in mammals also allows for monitoring
of behavioral or physiological responses in mammals. Initial dose levels for humans
will generally be less than or equal to: current standard intravenous dose, current
standard oral dose, dose at which a physiological or behavioral response was obtained
in the mammal experiments, and dose in the mammal model which resulted in plasma drug
levels associated with a therapeutic effect of drug in humans. Dose escalation may
then be performed in humans, until either an optimal therapeutic response is obtained
or dose-limiting toxicity is encountered.
[0121] The actual effective amount of drug for a particular subject can vary according to
(i) the specific drug or combination thereof being utilized, (ii) the particular composition
formulated, (iii) the mode of administration and the age, weight, and condition of
the subject, and (iv) severity of the episode being treated. The amount of drug to
provide a therapeutic dose is generally known in the art or can be determined as discussed
above.
[0122] The dosage and the film thickness (to yield the desired aerosol purity, per the film
thickness-purity relationship described herein) determine the minimum substrate area
sufficient to yield a therapeutic dose of the drug aerosol when used by a subject
in accord with the following relationship: film thickness (cm) x drug density (g/cm
3) x substrate area (cm
2) = dose (g)
[0123] As noted herein, 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 delivery device assembly
comprised of a drug film on a heat-conductive substrate that is capable of administering
an effective therapeutic dose, the minimum substrate surface area is determined using
the relationships described above. For example, for flunisolide a film thickness of
0.5 µm at unit density coated onto 6 cm
2 gives a dose delivery of 0.3 mg, a therapeutic amount. Based on accommodating a therapeutic
amount of compound and the desire to form an aerosol with less than 10% compound degradation
via vaporization, substrates having a surface area of less than 1 mm
2/particle are not preferred.
[0124] 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
100% upon heating of the drug film and aerosol particles that have 100% drug purity,
the relationship between dose, thickness, and area given above correlates directly
to the dose provided to the subject. 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 area for delivering a therapeutic dose from a selected film
thickness. Although it is advantageous for all or most of the substrate exterior in
contact with drug substance to be metal oxide-enriched, it is necessary for only a
portion of the substrate surface to be so enriched.
[0125] 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 is the use of thinner
films. Likewise, the aerosol yield may also be optimized in this manner. Similarly,
as described above, appropriate treatment of the substrate may improve aerosol purity
and/or yield. There are further contemplated strategies in addition to, or in combination
with, adjusting film thickness and treatment of the substrate 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.
[0126] Thus, in one example, there is disclosed generation of and/or use of an altered form
of the drug, such as, for example, use of a pro-drug, or a free base, free acid or
salt form of the drug. 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 one embodiment of the invention, the free
base and free acid forms of the drugs are used.
[0127] Another approach contemplates generation of drug-aerosol particles having a desired
level of drug purity by forming the thermal vapor under a controlled atmosphere of
an inert gas, such as argon, nitrogen, helium, and the like.
[0128] In another example, there is disclosed, a method of forming an assembly 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 one example
of the method, a drug film with a known film thickness is prepared on a substrate
(
e.g., a metal substrate). The substrate is heated to vaporize the film, thereby producing
aerosol particles containing the drug compound. The purity of the aerosol particles
in the thermal vapor is determined, as well as the percent yield,
i.e., the fraction of compound vaporized and delivered by the method. The substrate exterior
surface is then optimized by use of the treatment methods described above or others
known in the art to yield the desired aerosol purity. In one particular example, there
is described, a method of increasing the purity of drug condensation particles in
a condensation drug aerosol that is produced by substantially vaporizing and condensing
a drug composition film on a substrate comprising substantially vaporizing a drug
composition on an oxidation resistant or oxide-enriched metal substrate and condensing
the vapor to form drug particles. For example, if a non-oxidation resistant substrate
coated with a particular drug at 1 µm thickness were to yield an 80% pure aerosol,
the substrate could then be heat-treated to increase the metal oxide content of the
surface, coated with 0.5 µm of the drug, and the drug film could presumably vaporize
to yield a 95% pure aerosol.
[0129] As can be appreciated from the above examples showing generation of a purer drug
thermal vapor from thin films (
e.g. 0.02-20 µm) of the drug coated onto a metal substrate with a treated exterior surface,
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, an assembly
for production of a thermal vapor that contains drug-aerosol particles. The assembly
includes a treated 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 150°C to about 200°C, still more typically at least about 250°C,
most commonly at least about 350°C or 400 °C, a thermal vapor is generated that has
10% or less drug-degradation product.
[0130] In another aspect, the invention relates to a method of forming a drug-supply assembly
comprised of a substrate having an oxidation resistant or metal oxide-enriched exterior
surface and a film comprising a drug. The metal oxide enrichment of the substrate
exterior surface can be accomplished by, for example, heating or chemically treating
or coating, as described above. The film of drug is then coated on the exterior surface.
[0131] A drug-supply assembly comprised of a substrate having an oxidation resistant or
metal oxide-enriched exterior 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 µm. 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 I µm tend to have poor deposition and those above 3.5 µm 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,
typically between about 1-3 µm MMAD. For a drug such as flunisolide, where delivery
to the small airways for the treatment of asthma is most beneficial, 1-3 µm particles
are also appropriate, although slightly larger particles may also be useful.
[0132] Accordingly, a drug-supply assembly for use in an aerosol device comprising a substrate
having an oxidation resistant metal oxide enriched exterior 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, typically less than about
5% drug degradation product, and most typically less than about 2.5 % drug degradation
product, is provided. 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 µm 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.
[0133] 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, typically from about 5-30 L/min.
[0134] 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
150°C to at least about 200 °C, more typically at least about 250 °C, and most commonly
at least about 350 °C or 400 °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, less than about 500 milliseconds, and still more typically for less than
about 200 milliseconds. The drug-aerosol particles are inhaled by a subject for delivery
to the lung.
[0135] In another embodiment, there is provided a drug-supply assembly for use in a device
for producing an aerosol of drug 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 150 °C, or in other embodiments greater than 200 °C, 250 °C, 350 °C or 400 °C,
and to substantially volatilize a drug film from the substrate in a period of 2 seconds
or less. The thickness of the film of drug composition on the substrate and the treated
substrate exterior surface 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.
[0136] The device includes a drug-supply assembly composed of a substrate having an oxidation
resistant exterior surface (
e.g., a metal oxide-enriched exterior), a film of a selected drug composition on the exterior
surface, and a heat source for supplying heat to the substrate at a rate effective
to heat the substrate to a temperature greater than 150 °C or in other embodiments
to a temperature greater than 200 °C, 250 °C, 350 °C or 400 °C, to produce substantially
complete volatilization of the drug composition within a period of 2 seconds or less.
[0137] The drug film 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%.
[0138] Alternatively, the drug composition in the assembly and device 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.
[0139] The drug composition in the assembly and device may be one that, when vaporized from
a film on an oxidation resistant or treated exterior of a substrate, the aerosol exhibits
a desired purity and drug content, but when vaporized from a comparable film on a
non-treated substrate or substrate having a reference exterior, exhibits a reduced
purity or drug content. In particular, the assembly may be such that, when a drug
composition film is vaporized and condensed to form aerosol particles, under selected
conditions that lead to at least 50% recovery of drug composition in the aerosol,
the aerosol produced exhibits (i) less than about 10% by weight drug degradation products
and (ii) decreased levels of drug degradation products as compared to an aerosol produced
when the substrate is not a metal oxide-enriched substrate surface.
[0140] The assembly is useful in a method for producing a condensation aerosol by the steps
of heating the substrate that has been heat-treated or that has a metal oxide-enriched
exterior at a rate that heats the substrate to a temperature greater than 150°C, or
in other alternatives to a temperature greater than 200 °C, 250 °C, 350 °C, or 400
°C, and produces substantially complete volatilization of the compounds within a period
of 2 seconds or less.
[0141] The following examples further illustrate the invention described herein and are
in no way intended to limit the scope of the invention.
Examples
Materials
[0142] Solvents were of reagent grade or better and purchased commercially.
[0143] Unless stated otherwise, the drug free base or free acid form was used in the
Examples.
Methods
A. Preparation of Drug-Coating Solution
[0144] 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
[0145] Strips of clean stainless steel foil of type 304 (0.0125 cm thick, Thin Metal Sales),
type 430 (0.0124 cm thick, AK steels), type 304 coated with 1.5 micron thick zirconium
oxide (vapor deposited by thin film research corporation) 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
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:

If the drug density is not known, a value of 1 g/cm
3 is assumed. The film thickness in microns is obtained by multiplying the film thickness
in cm by 10,000.
[0146] After drying, the drug-coated foil was placed into a volatilization chamber constructed
of a Delrin
® 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
® 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 °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
® 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, 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 Stainless Steel Cylindrical Substrate
[0147] 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 heat-treat the stainless steel surface. The substrate was then dip-coated with
a drug coating solution. 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
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 herein: 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.
[0148] The drug-coated substrate was placed in a surrounding glass tube connected at the
exit end via Tygon® tubing to a filter holder fitted with a Teflon® 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 °C (see Fig. 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® filter.
[0149] 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) x 100). 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.
D. Heat Treatment of Stainless Steel Foil Substrate
[0150] Stainless steel foils (304 and T-430) were cleaned in organic solvent (such as dichloromethane,
acetone, or acetonitrile) and then heated in an oven at 350 °C for 6 hours (in air).
The appearance of the foils was noticeably changed, turning from silver to a bronze
color.
E. Heat Treatment of Stainless Steel Cylindrical Substrate
[0151] Stainless steel cylinder substrates were cleaned in organic solvent (such as dichloromethane,
acetone, or acetonitrile) and then heated to between 300°C and 500°C for approximately
5 seconds by passing electrical current through the uncoated substrate from a capacitor
(as described for a drug-coated substrate above) in air. The heat treatment was repeated
1 to 5 times.
F. Base Treatment of Stainless Steel Foil Substrate
[0152] Stainless steel foils were soaked in 1N sodium hydroxide solution for 30 minutes,
sonicated for 5 minutes and thoroughly washed with de-ionized water. Further, the
base-treated foils were sonicated in ethanol for three to five minutes and washed
with de-ionized water followed by acetone and dried at 50°C.
G. Citric Acid Treatment of Stainless Steel Foil Substrate
[0153] 7.0 g of CitriSurf 2250 solution (Stellar Solutions) was diluted fivefold by adding
35 g of de-ionized water. Base-cleaned stainless steel foils were suspended in hot
CitriSurf solution (90°C) for 15 minutes and then sonicated. Finally, the surface-treated
foils were thoroughly washed with de-ionized water and air-dried. Alternatively, 2.0
g of citric acid (Aldrich) was dissolved in 38.0 g of distilled deionized water. Base-cleaned
steel foils were suspended in hot citric acid solution (90°C) for 15 minutes and then
sonicated. Finally, the foils were thoroughly washed with de-ionized water and air
dried.
H. Phosphoric Acid Treatment of Stainless Steel Foil Substrate
[0154] 4.0 g of 85% orthophosphoric acid was diluted by adding 36.0 g of de-ionized water.
Base-cleaned steel foils were suspended in hot phosphoric acid solution (90°C) for
15 minutes and then sonicated. Finally, the treated foils were thoroughly washed with
de-ionized water and air-dried.
I. Pickling of Stainless Steel Foil Substrate
[0155] A pickling solution containing 20% nitric acid and 5% hydrofluoric acid was prepared
by adding 14.3 ml of 70% HNO
3 and 5.2 ml of 48% HF to 30.5 ml of de-ionized water. Base-cleaned stainless steel
foils were suspended in the pickling solution for 3 minutes and sonicated for a minute
(the pickling solution turns slightly green) and then thoroughly washed with de-ionized
water. A batch of pickled stainless steel foil samples were additionally treated with
1N NaOH and then washed with water, while the other batch of samples was washed with
acetone. Both of them were dried at 100°C.
J. Nitric Acid Treatment of Stainless Steel Foil Substrate
[0156] 4.0 g of 70% nitric acid was diluted by adding 36 g of de-ionized water. Base-cleaned
steel foils were suspended in diluted nitric acid solution and sonicated for five
minutes. The stainless steel foils were rinsed with acetone and air dried after thorough
washing with deionized water.
K. Zirconium oxide overcoat on 304 Stainless Steel
[0157] 1.5 micron thick zirconium oxide coating was deposited onto clean surface of 0.0125
cm thick 304 stainless steel foils using ion assisted physical vapor deposition process
at the research facility of Thin Films Research Incorporation, Westford, MA.
Example 1
[0158] Generation of flunisolide aerosol from clean and treated stainless steel substrates 304 and T-430: Strips of steel foils 304 (0.0125 cm thick, Thin Metal Sales), T-430 (0.0125 cm thick,
AK steels), and 304 foils coated with zirconium oxide (0.0125 cm thick, coated with
1.5 micron thick ZrO
2 overcoat, Thin films Research Inc.) having dimensions 1.3 cm by 7.0 cm were cleaned
by sonication in 6.5% Ridoline 298 aqueous solution for 30 min followed by thorough
rinsing with DI water and acetone. Half of non-zirconium oxide coated 304 foil and
half of the T-430 steel foils were heated in an oven at 350 °C for 6 hours in an air
atmosphere. As a result of the heating, these foils were oxidized, and underwent a
color change from silver to bronze. All foils were dip-coated with a flunisolide solution
in dichloromethane. The concentration of the solution was varied to alter the flunisolide
coating thickness on the steel foils. After drying, the drug coating from the last
2-3 cm was carefully scraped off with a razor blade. Foils were subsequently vaporized
as described in herein. The discharge voltage was set to 13.5V for 304 steel foils,
14.5 Volts for T-430 and 14.0 Volts for 304 coated with zirconium oxide to achieve
peak substrate temperature of about 350 °C, as measured by an infrared camera (FLIR
Thermacam SC3000).
[0159] In all cases, the quantity of drug remaining on the foil after vaporization was less
than 15% of the loaded dose.
[0160] For the heat-treated substrate 304 having a drug film thickness of 0.5 µm, 0.253
mg of drug was applied to the substrate. After volatilization of drug from this substrate,
0.253 mg was recovered from the filter, for a percent yield of 100%. Purity of the
drug aerosol particles was 94.4%. A total mass of 0.253 mg was recovered from the
test apparatus and substrate, for a total recovery of 100%.
[0161] For the non-treated substrate 304 having a drug film thickness of 0.9 µm, 0.485 mg
of drug was applied to the substrate. After volatilization of drug from this substrate,
0.206 mg was recovered from the filter, for a percent yield of 42.4%. Purity of the
drug aerosol particles was 36.3%. A total mass of 0.210 mg was recovered from the
test apparatus and substrate, for a total recovery of 43.3%.
[0162] For the non-treated substrate T-430 having a drug film thickness of 1.3 µm, 0.68
mg of drug was applied to the substrate. After volatilization of drug from this substrate,
0.47 mg was recovered from the filter, for a percent yield of 69.1 %. Purity of the
drug aerosol particles was 82.8%. A total mass of 0.51 mg was recovered from the test
apparatus and substrate, for a total recovery of 75.0%.
[0163] For the substrate 304 having a drug film thickness of 1.2 µm, 0.65 mg of drug was
applied to the substrate. After volatilization of drug from this substrate, 0.161
mg was recovered from the filter, for a percent yield of 24.7%. Purity of the drug
aerosol particles was 30.2%. A total mass of 0.172 mg was recovered from the test
apparatus and substrate, for a total recovery of 26.4 %.
[0164] For the heat-treated substrate 304 having a drug film thickness of 1.5 µm, 0.443
mg of drug was applied to the substrate. After volatilization of drug from this substrate,
0.255 mg was recovered from the filter, for a percent yield of 57.5%. Purity of the
drug aerosol particles was 76.5%. A total mass of 0.265 mg was recovered from the
test apparatus and substrate, for a total recovery of 59.9%.
[0165] For the zirconium oxide coated substrate 304 having a drug film thickness of 0.8
µm, 0.44 mg of drug was applied to the substrate. After volatilization of drug from
this substrate, 0.246 mg was recovered from the filter, for a percent yield of 55.9%.
Purity of the drug aerosol particles was 90.0%. A total mass of 0.31 mg was recovered
from the test apparatus and substrate, for a total recovery of 70.0%.
[0166] The thermal drug vapor purity formed upon heating of flunisolide films of between
0.2 µm and 2.6 µm from heat-treated versus non-treated stainless steel substrates
304 is shown in Fig. 6. The heat-treated foils show a marked increase in the flunisolide
aerosol purity. In addition, as noted above, non-treated T-430 foils and 304 foils
coated with zirconium oxide also provide improved purities compared to non-treated
304 foils, see Fig. 7.
Example 2
[0167] Generation of eletriptan aerosol from heat-treated stainless steel substrate having a heat-treated exterior: Strips of 304 stainless-steel foil (0.0125 cm thick, Thin Metal Sales) having dimensions
1.3 cm by 7.0 cm were cleaned by sonication in 6.5% Ridoline 298 aqueous solution
for 30 min followed by thorough rinsing with DI water and acetone. Half of the foils
were heated in an oven at 350 °C for 6 hours with air flow into the oven. As a result
of the heating, these foils became strongly oxidized, and underwent a color change
from silver to bronze. All foils were dip-coated with an eletriptan solution in acetone.
The concentration of the solution was varied to alter the eletriptan coating thickness
on the steel foils. Foils were subsequently vaporized as described in herein. The
discharge voltage was set to 17.5 Volts, which results in a peak substrate temperature
of about 450 °C, as measured by an infrared camera (FLIR Thermacam SC3000).
[0168] In all cases, the quantity of drug remaining on the foil after vaporization was less
than 15% of the loaded dose.
[0169] For the heat-treated substrate having a drug film thickness of 4.2 µm, 2.26 mg of
drug was applied to the substrate. After volatilization of drug from this substrate,
1.78 mg was recovered from the filter, for a percent yield of 78.9%. Purity of the
drug aerosol particles was 95.6%. A total mass of 1.79 mg was recovered from the filter,
test apparatus, and substrate, for a total recovery of 79.3%.
[0170] For the non-treated substrate having a drug film thickness of 4.2 µm, 2.26 mg of
drug was applied to the substrate. After volatilization of drug from this substrate,
1.647 mg was recovered from the filter, for a percent yield of 72.9%. Purity of the
drug aerosol particles was 92.8%. A total mass of 1.65 mg was recovered from the filter,
test apparatus and substrate, for a total recovery of 73%.
[0171] The thermal drug vapor purity between 4.0 and 9.5 µm is shown in Fig. 8. The heat-treated
foils show an increase in the eletriptan aerosol purity.
Example 3
Generation of alprazolam aerosol from heat-treated stainless steel substrate:
[0172] Strips of 302/304 stainless-steel foil (0.00125 cm thick, Thin Metal Sales), having
dimensions 6.8 cm by 1.3 cm, were cleaned by rinsing with dichloromethane. One-third
of the foils were then heated in an oven at 350 °C for 1 hour. Another third of the
foils were heated in an oven at 350 °C for 6 hours. As a result of the heating, these
foils became strongly oxidized, and underwent a color change from silver to bronze.
All foils were dip-coated with an alprazolam solution in dichloromethane. The concentration
of the solution was 50 mg/mL. The foil was then partially dipped two times into pure
dichloromethane to rinse drug off of the bottom of the dipped end of the foil. The
final coated area was about 2 cm by 1.3 cm on both sides of the foil, for a total
area of about 5.2 cm
2. Several foils, of both the control and the two heat-treated groups, were extracted
immediately with acetonitrile and quantified on HPLC. These amounts were used to determine
the loaded dose of alprazolam, which in conjunction with the known coated surface
area, allowed us to calculate the drug coating thickness. There was no significant
difference in the amount of alprazolam coated on the different foil lots. The coating
thickness was calculated to be 0.8-1.0 µm.
[0173] After drying, the drug-coated foil was placed into a volatilization chamber constructed
of a Delrin
® block (the airway) and brass bars, which served as electrodes. The dimensions of
the airway were 1.3 high by 2.6 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 glass fiber filter (Pall Gelman) and filter housing, which
were in turn connected to the house vacuum. Airflow (45 L/min) was initiated, at which
point the capacitor was charged with a power supply to 7.0 Volts. The circuit was
closed with a switch, causing the drug-coated foil to resistively heat. After the
drug had vaporized, airflow was stopped and the filter was extracted with acetonitrile.
Drug extracted from the filter was analyzed by HPLC UV absorbance at 225 nm using
a gradient method aimed at detection of impurities to determine percent purity. In
all cases, the quantity of drug remaining on the foil after vaporization was less
than 10% of the loaded dose.
[0174] For the non-treated substrate, 0.419 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.405 mg was recovered from the filter,
for a percent yield of 96.8%. Purity of the drug aerosol particles was 98.4%. A total
mass of 0.405 mg was recovered from the filter, test apparatus, and substrate, for
a total recovery of 96.8%.
[0175] For the I hour heat-treated substrate, 0.442 mg of drug was applied to the substrate.
After volatilization of drug from this substrate, 0.422 mg was recovered from the
filter, for a percent yield of 95.7%. Purity of the drug aerosol particles was 99.5%.
A total mass of 0.427 mg was recovered from the filter, test apparatus, and substrate,
for a total recovery of 96.5%.
[0176] For the 6 hour heat-treated substrate, 0.519 mg of drug was applied to the substrate.
After volatilization of drug from this substrate, 0.516 mg was recovered from the
filter, for a percent yield of 99.4%. Purity of the drug aerosol particles was 99.6%.
Total drug recovered from the filter, test apparatus, and substrate was ~100%.
[0177] Fig. 9 shows the purities of two experiments for each of the three conditions. Note
that drug vapor purity increases from using heat-treated stainless steel substrates.
Example 4
[0178] Generation of bumetanide aerosol from heat-treated and acid-treated stainless steel substrates having a metal oxide-enriched exterior: Strips of 304 stainless-steel foil (0.0125 cm thick, Thin Metal Sales) having dimensions
1.3 cm by 7.0 cm were cleaned by sonication in 6.5% Ridoline 298 aqueous solution
for 30 min followed by thorough rinsing with DI water and acetone. One-third of the
foils were heated in an oven at 350 °C for 6 hours in an air atmosphere. As a result
of the heating, these foils became strongly oxidized, and underwent a color change
from silver to bronze. Another one-third of the foils were treated by washing in nitric
acid, following procedure J except using a sonication time of 30 minutes. All foils
were dip-coated with a bumetanide solution in 5:1 methanol:dichloromethane. The drug
coating from the last few cm was carefully scraped off with a razor blade. The final
coated area was about 2.2 cm by 1.3 cm on both sides of the foil, for a total area
of about S.5 cm
2. Several foils, of the control, acid-treated, and heat-treated groups, were extracted
with acetonitrile and quantified on HPLC. These amounts determined the average loaded
dose of bumetanide to be 0.77 mg. There was no significant difference in the amount
of bumetanide coated on the different foil lots. In conjunction with the known coated
surface area, this allowed us to calculate the average drug coating thickness of 1.4µm.
Foils were subsequently vaporized as described in herein. The discharge voltage was
set to 15.0 Volts, which results in a peak substrate temperature of about 320 °C,
as measured by an infrared camera (FLIR Thermacam SC3000).
[0179] In all cases, the quantity of drug remaining on the foil after vaporization was less
than 5% of the loaded dose.
[0180] For the heat-treated substrate, 0.77 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.40 mg was recovered from the filter,
for a percent yield of 52%. Purity of the drug aerosol particles was 99.3%. A total
mass of 0.41 mg was recovered from the filter, test apparatus, and substrate, for
a total recovery of 53%.
[0181] For the acid-treated substrate, 0.77 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.41 mg was recovered from the filter,
for a percent yield of 53%. Purity of the drug aerosol particles was 98.3%. A total
mass of 0.42 mg was recovered from the filter, test apparatus and substrate, for a
total recovery of 55%.
[0182] For the non-treated substrate, 0.77 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.37 mg was recovered from the filter,
for a percent yield of 48%. Purity of the drug aerosol particles was 97.9%. A total
mass of 0.37 mg was recovered from the filter, test apparatus and substrate, for a
total recovery of 48%.
Example 5
[0183] Generation of budesonide aerosol from clean and treated steel foils 304 and T-430. Strips of steel foils 304 (0.0125 cm thick, Thin Metal Sales), T-430 (0.0125 cm thick,
AK steels), 304 foils coated with zirconium oxide (0.0125 cm thick coated with 1.5
micron thick ZrO
2 overcoat, Thin films Research Inc.) having dimensions 1.3 cm by 7.0 cm were cleaned
by sonication in 6.5% Ridoline 298 aqueous solution for 30 min followed by thorough
rinsing with DI water and acetone. Half of 304 and T-430 steel foils were heated in
an oven at 350 °C for 6 hours in an air atmosphere. As a result of the heating, these
foils became oxidized, and underwent a color change from silver to bronze. All foils
were dip-coated with a budesonide solution in dichloromethane. The drug coating from
the last few cm was carefully scraped off with a razor blade. The final coated area
was about 2.2-2.5 cm by 1.3 cm on both sides of the foil, for a total area of about
5.7-6.5 cm
2. Several foils, of the control were extracted with acetonitrile and quantified on
HPLC. These amounts determined the average loaded dose of budesonide to be 0.55 mg
(clean and heat treated 304, clean T-430), 0.85 mg (heat treated T-430), and 0.28
mg (304 coated with zirconium oxide). In conjunction with the known coated surface
area, this allowed us to calculate the average drug coating thicknesses. Foils were
subsequently vaporized as described in herein. The discharge voltage was set to 13.5V
for 304 steel foils, 14.5 Volts for T-430 and 14.0 Volts for 304 coated with zirconium
oxide to achieve peak substrate temperature of about 350 °C, as measured by an infrared
camera (FLIR Thermacam SC3000)
[0184] In all cases, the quantity of drug remaining on the foil after vaporization was less
than 5% of the loaded dose.
[0185] For the clean substrate 304, 0.55 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.067 mg was recovered from the filter,
for a percent yield of 12.7%. Purity of the drug aerosol particles was 23.1%. A negligible
amount of budesonide was recovered from the test apparatus, and substrate.
[0186] For the clean substrate T-430, 0.55 mg of drug was applied to the substrate. After
volatilization of drug from this substrate, 0.37 mg was recovered from the filter,
for a percent yield of 68.5%. Purity of the drug aerosol particles was 73.3%. A total
mass of 0.44 mg was recovered from the filter, test apparatus and substrate, for a
total recovery of 80%.
[0187] For the heat treated substrate 304, 0.60 mg of drug was applied to the substrate.
After volatilization of drug from this substrate, 0.373 mg was recovered from the
filter, for a percent yield of 62%. Purity of the drug aerosol particles was 71.6%.
A total mass of 0.373 mg was recovered from the filter, test apparatus and substrate,
for a total recovery of 62%.
[0188] For the heat treated substrate T-430, 0.85 mg of drug was applied to the substrate.
After volatilization of drug from this substrate, 0.47 mg was recovered from the filter,
for a percent yield of 55.5%. Purity of the drug aerosol particles was 66.9.9%. A
total mass of 0.472 mg was recovered from the filter, test apparatus and substrate,
for a total recovery of 55.5%.
[0189] For the 304 substrate coated with zirconium oxide, 0.28 mg of drug was applied to
the substrate. After volatilization of drug from this substrate, 0.162 mg was recovered
from the filter, for a percent yield of 57.8%. Purity of the drug aerosol particles
was 81.8%. A total mass of 0.176 mg was recovered from the filter, test apparatus
and substrate, for a total recovery of 62.8%.
Example 6
[0190] X-ray Photoelectron Spectroscopy Studies on Non-Treated and Heat Treated 304 and T-430 Foils. XPS analysis was carried out (at Charles Evans & Associates of Sunnyvale, CA) on
non-treated and heat-treated (in air at 350°C for 6 h) steel foils 304 and T-430 to
determine the surface elemental composition of the substrates. Because the chemical
vapor purity of the drugs is deemed to be in direct correlation with the surface properties
of heating substrates. XPS data is quantified using relative sensitivity factors and
a model that assumes a homogeneous layer. The analysis volume is the product of the
area of analysis (spot size or aperture size) and the depth of information. Photoelectrons
are generated within the X-ray penetration depth (typically many microns), but only
the photoelectrons within the top three photoelectron escape depths are detected.
Analytical parameters of this experiment are described in Table 1. Escape depths are
on the order of 15-35 Å, which leads to an analysis depth of~50-100 Å. Typically,
95% of the signal originates from within this depth. Tables 2 and 3 reveal the chemical
composition of non-treated and heat treated steel foils 304 and 430. It is clear from
these two tables that heat treatment increases the oxide content on surface and reduces
the reactive metal content (
e.g. Fe). Further, T-430 steel foils, which are known for their oxidation resistance at
higher temperatures, have low content of pure metals or their alloys (
e.g., low iron and no nickel) and higher content of inert metal oxides (
e.g. silicon oxide) on its surface. Probably, this explains the reason for improved purities
observed for drugs flunisolide and budesonide over T 430 steel foils compared to 304
steel foils (see Figs. 7 and 11).
Table 1. Analytical Parameters
| Instrument |
PHI Quantum 2000 |
| X-ray source |
Monochromated Alkα 1486.6eV |
| Acceptance Angle |
±23° |
| Take-off angle |
45° |
| Analysis area |
1400µm x 300µm |
| Charge Correction |
C1s 284.8 eV |
Table 2: Atomic Concentration of non-treated and heat treated steel foils 304 (in
%)a
| Sample |
C |
N |
O |
Na |
Si |
P |
S |
Cl |
K |
Ca |
Cr |
Mn |
Fe |
Ni |
Non-treated
304 foils |
24.3 |
1.0 |
51.0 |
1.9 |
0.4 |
2.5 |
0.8 |
-b |
0.1 |
1.1 |
4.8 |
- |
11.5 |
0.6 |
Heat treated 304
@350°C for 6h |
13.1 |
- |
62.8 |
1.0 |
1.5 |
- |
02 |
0.3 |
0.2 |
- |
0.1c |
0.2 |
20.5 |
- |
a Normalized to 100% of the elements detected. XPS does not detect H or He.
b A dash line "-" indicates the element is not detected.
c This is the maximum Cr possible; low levels of Cr are difficult to quantify due to
interference from NaKLL lines. |
Table 3: Atomic Concentrations of non-treated and heat treated steel foils T-430 (in
%)a
| Sample |
C |
N |
O |
F |
Na |
Si |
S |
Cr |
Ca |
V |
Cr |
Mn |
Fe |
| T-430-0hr |
324 |
4.1 |
39.1 |
-b |
- |
8.8 |
0.2 |
- |
0.3 |
0.7 |
8.6 |
1.1 |
3.8 |
| T-430-6hr |
28.1 |
0.6 |
53.3 |
0.3 |
0.3 |
1.1 |
0.2 |
0.2 |
0.3 |
0.1 |
1.1 |
0.7 |
13.2 |
a Normalized to 100% of the elements detected. XPS does not detect H or He.
b A dash line "-" indicates the element is not detected. |
[0191] The foregoing examples illustrate various aspects of the invention and practice of
the manufacturing methods of the invention. The examples are not intended to provide
an exhaustive description of the many different embodiments of the invention.