Rapid Acting Drug Delivery Compositions

Abstract

Drug formulations for systemic drug delivery with improved stability and rapid onset of action are described herein. The formulations may be administered via buccal administration, sublingual administration, pulmonary delivery, nasal administration, subcutaneous administration, rectal administration, vaginal administration, or ocular administration. In the preferred embodiments, the formulations are administered sublingually or via subcutaneous injection. The formulations contain an active agent and one or more excipients, selected to increase the rate of dissolution. In the preferred embodiment, the drug is insulin, and the excipients include a metal chelator such as EDTA and an acid such as citric acid. Following administration, these formulations are rapidly absorbed by the oral mucosa when administered sublingually and are rapidly absorbed into the blood stream when administered by subcutaneous injection. In one embodiment, the composition is in the form of a dry powder. In another embodiment, the composition is in the form of a film, wafer, lozenge, capsule, or tablet. In a third embodiment, a dry powdered insulin is mixed with a diluent containing a pharmaceutically acceptable carrier, such as water or saline, a metal chelator such as EDTA and an acid such as citric acid. Devices for storing and mixing these formulations are also described.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS [0001] This application claims priority to U.S. Ser. No. 60 / 552,637, entitled “Sublingual Drug Delivery Compositions” to Roderike Pohl and Solomon S. Steiner filed Mar. 12, 2004, and U.S. Ser. No. 60 / 609,194, entitled “Sublingual Drug Delivery Compositions” to Roderike Pohl and Solomon S. Steiner filed Sep. 9, 2004.FIELD THE INVENTION [0002] The invention is in the general field of rapid acting drug delivery formulations. BACKGROUND OF THE INVENTION [0003] An effective, non-invasive oral delivery system for peptides, in general, and insulin, in particular, has not been developed to date, due to several limiting factors. First, tablets or liquids containing peptides, such as insulin, are readily digested in the harsh stomach environment, and thus require extensive protection to survive and be absorbed. Food effects and individual gastrointestinal (GI) transit times confound a dependable temporal or quantitative delivery. [0004] The lack of effe...

AI Technical Summary

Problems solved by technology

An effective, non-invasive oral delivery system for peptides, in general, and insulin, in particular, has not been developed to date, due to several limiting factors.

First, tablets or liquids containing peptides, such as insulin, are readily digested in the harsh stomach environment, and thus require extensive protection to survive and be absorbed.

The lack of effective oral delivery means is further complicated in some cases.

However, this form is too large for rapid absorption though tissue membranes.

However, such liquid sprays are not very useful for delivering hexameric insulin due to its poor absorption.

Additionally, many active agents are not stable in the liquid form and cannot be stored in liquid form.

Buccal administration using sprays of insulin has been attempted with limited bioavailability since hexameric insulin is not readily absorbed and liquids are eventually swallowed.

Also, due to its poor bioavailability, a large dose is required for a useful glucose lowering effect.

Thus, it is not a cost effective or therapeutic alternative.

However, these formulations require the use of an inhaler and may lack good patient compliance if the delivery technique is complicated.

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