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Injectable sustained release composition and method of using the same for treating inflammation in joints and pain associated therewith

a technology of sustained release and composition, which is applied in the direction of drug composition, extracellular fluid disorder, dermatological disorder, etc., can solve the problems of corticosteroid injection, thinning of the skin, and systemic side effects of injections, so as to reduce inflammation, reduce pain, and high drug loading

Inactive Publication Date: 2018-03-15
EUPRAXIA PHARMA USA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present patent provides the use of a pharmaceutical preparation for sustained release of a corticosteroid, such as fluticasone, to decrease inflammation and reduce pain in a patient. This is achieved through a method of administration that involves injecting a therapeutically effective amount of the pharmaceutical preparation into an article of the patient. The injected preparation contains microparticles that release the corticosteroid over a period of time, resulting in a pseudo-zero order release without an initial burst and over the course of several months for low solubility steroids. This method offers a safer and more effective treatment for arthritis than multiple steroid injections.

Problems solved by technology

Unfortunately, injections also have some systemic side effects or are not effective for extended periods of time.
Long-term risks of corticosteroid injections depend on the dose and frequency of the injections.
With higher doses and frequent administration, potential side effects include thinning of the skin, easy bruising, weight gain, puffiness of the face, acne (steroid acne), elevation of blood pressure, cataract formation, thinning of the bones (osteoporosis), and a rare but serious type of damage to the bones of the large joints (avascular necrosis).
The HPA axis may be suppressed by the administration of corticosteroids, leading to a variety of unwanted side effects.

Method used

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  • Injectable sustained release composition and method of using the same for treating inflammation in joints and pain associated therewith
  • Injectable sustained release composition and method of using the same for treating inflammation in joints and pain associated therewith
  • Injectable sustained release composition and method of using the same for treating inflammation in joints and pain associated therewith

Examples

Experimental program
Comparison scheme
Effect test

example 1

General Procedure for Preparing Crystalline Drug Core

[0196]To fluticasone propionate (FP) powder (1 g), methanol (100 mL) is added and the suspension heated with stirring until a clear solution is obtained.

[0197]The flask is left at room temperature over-night resulting in the formation of needle-shaped crystals. The crystals are collected using a Buchner funnel and thoroughly oven-dried at 40-50° C. for 2 h. The dry FP particles are added to an 80-170 μm mesh sieve along with a monolayer of glass beads. A 30-60 μm mesh sieve is added below the sieve containing the FP particles and beads, followed by shaking for 3-4 min. The 80-170 μm mesh sieve is replaced with a clean 80-170 μm mesh sieve, a 2000 μm mesh sieve added to the top (optional), and the sieve stack attached to a Buchner funnel. The content of the 80-170 μm mesh sieve containing the FP particles and beads is gently poured into the 2000 μm mesh sieve to collect the glass beads and washed with deionized water (DI-H2O) under...

example 2

Size Distribution of Crystalline Drug Core

[0198]1 gram of fluticasone propionate (FP) powder (CAS 80474-14-2) was dissolved in 100 mL of ACS-grade methanol over a hot plate. The final solution was clear. This solution was cooled and allowed to rest for 24 h at room temperature. The resulting crystals were filtered, sieved and collected below 180 pm screens (−180 μm), cleaned with 0.1% TWEEN-80 aqueous solution, and washed twice with distilled water and dried at 40° C. for 3 h. 940 mg of fluticasone propionate crystals (94% yield) were obtained using this procedure. FIGS. 4A and 4B show the mean particle sizes obtained and size distributions.

[0199]FIG. 4A is a graph representing the particle size distribution of fluticasone propionate monodisperse distribution with mean particle size of ca. 110 μM, and the standard deviation is ca. 41 μM. Particles of these sizes can be injected easily through 23 g needle (internal diameter 320 μM)

[0200]As a comparison, FIG. 4B is a graph representin...

example 4

NMR Analysis for Determining Drug Content in Microparticles

[0209]NMR analysis was used to determine the amounts of the drug core and the polymeric shell in microparticles by calibrating with samples of known quantity of the pure drug.

[0210]The NMR system includes a Bruker Spectrospin 300 MHz magnet, Bruker B-ACS 120 autosampler, Bruker Avance II 300 console, and a Bruker BBO 300 MHz S1 5 mm with Z gradient probe. A calibration curve was prepared using five samples of known fluticasone propionate, and PVA concentrations made in NMR grade d6-DMSO. Proton (1H) NMR was run on two samples: the first containing only pure fluticasone propionate and the second containing PVA-coated fluticasone. Each sample was loaded manually and spun at 20 Hz inside the magnet. The probe was tuned and matched for proton (1H) NMR. The magnet was shimmed manually with the first sample in the magnet. Each sample was integrated for 1.5 hours with 1024 scans. Fluticasone peaks were integrated from 5.5 to 6.35 p...

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Abstract

Described herein are injectable corticosteroid-loaded microparticles, pharmaceutical composition thereof and methods for reducing inflammation or pain in a body compartment such as a joint, an epidural space, a vitreous body of an eye, a surgically created space, or a space adjacent to an implant.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application is a continuation application of U.S. patent Ser. No. 14 / 222,082, filed Mar. 21, 2014 (now allowed), which application claims the benefit under 35 U.S.C. § 119(e) of U.S. Provisional Patent Application No. 61 / 804,185, filed Mar. 21, 2013. These applications are incorporated herein by reference in their entireties.BACKGROUNDTechnical Field[0002]This disclosure relates to an injectable sustained release composition and a method of delivery of the same to reduce inflammation and to treat pain in joints, including pain caused by inflammatory diseases such as osteoarthritis or rheumatoid arthritis.Description of the Related Art[0003]Arthritis i.e., inflammation in the joints, consists of more than 100 different conditions which range from relatively mild forms of tendinitis and bursitis to crippling systemic forms, such as rheumatoid arthritis. It includes pain syndromes such as fibromyalgia and arthritis-related disorders, su...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K9/50A61K31/58A61K9/00A61K31/56
CPCA61K31/58A61K9/5026A61K9/0024A61K31/56A61P17/02A61P19/02A61P25/00A61P25/04A61P27/02A61P29/00A61P7/10
Inventor HELLIWELL, JAMES A.MALONE, AMANDA M.SMITHBAUM, MARC M.
Owner EUPRAXIA PHARMA USA