Electric condensation aerosol device

Abstract

To provide a method for producing condensation aerosols for the treatment of disease and / or chronic, intermittent or acute conditions.SOLUTION: These condensation aerosols are produced from drugs including temperature sensitive drugs and small molecule drugs that are coated onto a foil substrate which is heated via electrical resistance heating at precisely controlled temperature profiles with controllable ramp-up and heating rates to vaporize the coated drug which subsequently condenses to form aerosol particles. These condensation aerosols have little or no degradation products. Kits comprising a drug and a device for producing a condensation aerosol are also provided. Also disclosed, are methods for using these aerosols and kits and methods of making the aerosols.SELECTED DRAWING: Figure 5

Description

[Technical field]

[0001] Copyright Statement A portion of the disclosure of this patent document contains material that is subject to copyright protection. The copyright owner has no objection to the facsimile reproduction by any person of the patent document or the patent disclosure as it appears in the Patent and Trademark Office patent file or records, but otherwise reserves all copyright rights.

[0002] The present disclosure relates generally to the field of drug aerosols, methods for delivering aerosols, and kits for delivering drug aerosols. More specifically, the present invention relates to an apparatus for generating condensation drug aerosols via electrical heating of a drug-coated foil substrate, where the drug itself is vaporized. The drug may be susceptible to degradation during the vaporization process, which may be temperature dependent. Through the electrical condensation drug aerosol apparatus described herein, drug purity, release amount, particle size, and aerosol stability are benefited. [Background technology]

[0003] There are currently many approved devices for inhalation delivery of drugs, including dry powder inhalers, nebulizers, and pressurized metered dose inhalers. Rapid vaporization of thin films of drug in an air stream in less than 500 ms at temperatures up to 600°C can produce high yield, high purity drug aerosols with minimal drug degradation. Condensed drug aerosols can be used for effective pulmonary delivery of drugs using inhalation medical devices. An apparatus and method are presented in which thin films of drug deposited on a metal substrate are vaporized by electrical resistive heating.

[0004] The development of inhalable drug formulations, especially those for systemic delivery by inhalation, is desirable because they allow for a minimally invasive, efficient and rapid route of administration. Typically, inhalation aerosols from dry powder inhalers, nebulizers and pressurized metered dose inhalers contain excipients and solvents to improve the stability and deliverability of their drugs in aerosol form. These typical inhalation devices do not adequately control the emitted dose, particle size and fine respirable fraction of the drug aerosols generated. As a result, the aerosols generated from these types of devices are inefficient for systemic drug delivery via the pulmonary route.

[0005] The present disclosure overcomes the aforementioned shortcomings and problems encountered with other inhalation technologies and provides a mechanism for controlling the decomposition, including thermal decomposition, of the drug during vaporization, making it possible to produce aerosols with high levels of purity of the drug compound, with inhalable aerosol particle sizes, consistent fine respirable fractions and emitted doses, ideally suited for systemic drug delivery by inhalation.

[0006] The use of batteries to power handheld devices has proven problematic. Traditional battery types intended for use in portable handheld devices include alkaline, nickel-cadmium (Ni-Cd), and nickel-metal hydride (NiMH). These battery chemistries are suitable for applications where the current draw requirements are low, such as when the amount of drug to be vaporized is small (less than 200 micrograms), thus requiring a relatively small foil substrate surface area to heat. However, when the drug loading on the foil substrate is large, such as in the range of 0.5 mg to 10 mg, significantly more power is required. For these larger drug loadings, traditional battery chemistries are unable to deliver the high current required to rapidly heat the foil substrate for efficient vaporization of the drug film. Additionally, some of these battery chemistries are susceptible to memory effects, losing capacity with repeated charge-discharge cycles.

[0007] One way to achieve the high discharge current required to rapidly heat the foil substrate is to use supercapacitors. However, supercapacitors capable of larger drug loadings are relatively large for a handheld drug delivery device, and approximately 4-6 supercapacitors, each roughly the size of a C or D size battery, would be required to provide the required power. In addition, a separate power source would be required to charge the supercapacitors, reducing the portability of the device.

[0008] It would be desirable and it is an object of the present invention to provide a handheld condensation aerosol drug delivery device in which a compact battery capable of high power output provides the power necessary to rapidly heat a foil substrate to vaporize the drug.

[0009] It is desirable to provide a device in which different metals are joined together to form an electrical circuit, one component of which is a foil substrate coated with a drug. Driving an electric current through the circuit provides a uniform electrical resistance, thus heating the foil substrate, causing the drug coated on the foil substrate to vaporize and subsequently condense to form aerosol particles that efficiently deliver the drug via inhalation. It is an object of the present invention to provide such a device. Summary of the Invention [Problem to be solved by the invention]

[0010] The present invention provides a drug delivery article comprising a conductive foil substrate, a drug composition comprising a drug coated on a defined portion of a surface of the substrate (wherein the coated drug film has a defined thickness that may be uniform or may be applied with an intentional thickness gradient), a current delivery device that drives a precise current profile through the substrate to affect electrical resistive heating at a rate that achieves a precise temperature profile sufficient to vaporize all or a portion of the coated drug composition within a time period of 3 seconds or less, and an air passageway that directs inhaled air over the surface of the substrate to entrain and condense the vaporized drug composition into condensed aerosol particles that exit the mouthpiece end of the air passageway into the mouth of the user, pass through the airways, and reach the deep lungs for systemic drug delivery. The aerosol drug composition comprises a therapeutically effective amount of the drug. The drug film is 0.01-50 μm thick. The drug film is 0.01-20 μm thick. The selected drug may be sensitive to temperatures associated with the vaporization process. The selected drug may be sensitive to decomposition associated with the vaporization process. Selected drugs may benefit from the use of the heating devices described herein, which allow for rapid heating and consistent, reproducible heating profiles, benefits which may include improved drug purity, reduced degradation, and increased deep lung (alveolar) deposition. [Means for solving the problem]

[0011] In one embodiment, the drug delivery device includes mapping of drug-coated regions on the substrate by using thermal images of the substrate surface captured during electrical resistance heating to identify substrate regions that produce optimal target surface temperatures for vaporization of the coated drug substance in the presence of various air flow rates. In one embodiment, numerical modeling tools such as computational fluid dynamics (CFD) analysis to model fluid flow and heat transfer are used to predict the surface temperature gradient of the substrate during electrical resistance heating in the presence of various ranges of air flow rates to map specific regions of the substrate for drug coating to identify optimal regions of the substrate for vaporization of the coated drug substance. In one embodiment, the drug delivery device includes drug coated in a specific region (FIG. 14) including the upstream end to the midpoint of the foil substrate. In one embodiment, the drug delivery device includes drug coated in a specific region (FIG. 13) including the midpoint to the downstream end of the foil substrate. The drug-coated region can be various shapes including, but not limited to, trapezoidal (FIG. 15), crescent, rectangular, or square shapes. The drug is coated in specific areas of the substrate where the substrate temperature is optimal for vaporization, avoiding areas of the substrate where the substrate temperature is too high which may result in the generation of impurities during vaporization, or where the substrate temperature is too low which may result in dissociation of the drug into undesirable components and / or reduced release. The shape of the drug coated region may follow the temperature map of the substrate during heating to allow coating of the drug, with reference to areas of the substrate where the temperature profile is optimal for drug substance vaporization during heating of the substrate.

[0012] In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used in conjunction with a drug, which may be a drug that is sensitive to vaporization temperatures and / or decomposition.

[0013] In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used with a drug that is sensitive to vaporization temperature and / or decomposition. In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used for drug delivery of a small molecule with a molecular weight of less than 600 g / mol. In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used for drug delivery of a small molecule with a molecular weight of less than 500 g / mol. In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used for drug delivery of a small molecule with a molecular weight of less than 400 g / mol. In one embodiment, the present disclosure teaches a method of treating a condition that is best treated with rapid delivery of a drug, where the device is used for drug delivery of a small molecule with a molecular weight of less than 300 g / mol.

[0014] In one embodiment, the disclosure teaches a method of treating a medical condition in a patient, said method comprising: (a) providing an apparatus for generating a condensation aerosol with a drug that is sensitive to vaporization temperature or a drug that is sensitive to decomposition, the apparatus including an electrical resistance heating element configured to vaporize a drug substance disposed thereon, the drug including a metal foil substrate where the drug is coated on the substrate in a manner that enhances heating efficiency of the drug and minimizes decomposition of the drug during vaporization, a controller that delivers electrical current to the foil substrate according to a precise and controlled current delivery profile, thereby resulting in a rapid but controlled temperature increase at the foil substrate and vaporizing the drug substance coated on the substrate, and a means for condensing the vaporized material to generate a condensation aerosol having a controlled particle size distribution; and (b) administering the drug to a subject via inhalation toward the alveolar region of the lungs. The methods may be used to treat conditions including Parkinson's disease (including off symptoms associated with Parkinson's disease), movement disorders (restless legs syndrome, dystonia, chorea, Huntington's disease, ataxia, tremor-essential tremor, tics, gait, stiff body syndrome, myoclonus and startle), cyclic vomiting syndrome, treatment-resistant depression, sleep disorders (e.g., nocturnal insomnia), breakthrough pain, pulmonary arterial hypertension, migraine, smoking cessation, pain management, nausea, seizures, dyspnea associated with congestive heart failure, Alzheimer's disease, erectile dysfunction, gout, hyperactivity disorder, weight management (e.g., obesity, overeating), addictive abuse (e.g., smoking, alcohol, narcotics), central nervous system disorders, urinary tract disorders, dizziness, diabetes, respiratory disorders, osteoporosis, measles, antibiotics, anxiety, painkillers, restlessness, and any condition in which rapid delivery of a drug to the circulatory system is beneficial.

[0015] In one embodiment, the present disclosure teaches a method of treating a condition in a subject in need thereof, the method comprising administering a drug by inhalation, the drug being a drug sensitive to vaporization temperature, administered in the form of a condensation aerosol. In one embodiment, at least 80% of the drug aerosol particles are less than 5 microns in size. In one embodiment, at least 90% of the drug aerosol particles are less than 5 microns in size. In one embodiment, at least 93% of the drug aerosol particles are less than 5 microns in size. In one embodiment, at least 95% of the drug aerosol particles are less than 5 microns in size. In one embodiment, at least 97% of the drug aerosol particles are less than 5 microns in size. In one embodiment, at least 99% of the drug aerosol particles are less than 5 microns in size. In one embodiment, the condensation aerosol particles are characterized by less than 15% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 10% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 9% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 8% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 7% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 6% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 5% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 4% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 3% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 2% drug degradation products. In one embodiment, the condensation aerosol particles are characterized by less than 1% drug degradation products.

[0016] In one embodiment, the present disclosure teaches a composition for drug delivery comprising a device having a precise amount of drug coated on a foil substrate, the device having a means for driving a precise current profile through the substrate to affect electrical resistive heating at a rate that achieves a precise enough temperature profile to vaporize all or a portion of the coated drug composition. The condensation aerosol is formed by a) vaporizing a drug composition under conditions effective to produce a heated vapor of said drug composition and condensing the heated vapor of the drug composition to form condensation aerosol particles, b) said condensation aerosol particles characterized by less than 10% drug degradation products, c) the MMAD of the aerosol is less than 5 μm, and d) the drug is susceptible to degradation. In one embodiment, the MMAD of the aerosol is less than 3.5 μm. In one embodiment, the vaporized portion of the coated drug is at least 99.5% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 99% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 95% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 90% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 85% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 80% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 75% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 70% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 65% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 60% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 55% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 50% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 45% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 40% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 35% of the drug.In one embodiment, the vaporized portion of the coated drug is at least 30% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 25% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 20% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 15% of the drug. In one embodiment, the vaporized portion of the coated drug is at least 10% of the drug.

[0017] Typically, the condensation aerosols of various embodiments are formed by preparing a film containing the drug composition of a desired thickness on a thermally conductive, impermeable substrate, heating the substrate to vaporize the film, and cooling the vapor, thereby producing aerosol particles containing the drug composition. Rapid heating in combination with a gas flow helps to reduce the amount of decomposition. Thus, typically, a heat source is used that heats the substrate to a temperature in excess of 200°C, preferably at least 250°C, more preferably at least 300°C or 350°C, and results in substantially complete vaporization of the drug composition from the substrate within 3 seconds, preferably within 1 second, more preferably within 0.5 seconds. The optimal temperature range for vaporizing the drug depends on the physical properties of the particular drug being vaporized. Typically, the air flow rate over the vaporizing compound is about 4-80 L / min.

[0018] The film thickness in any embodiment of the invention is a film thickness at which the aerosol formed by vaporizing the compound by heating the substrate and condensing the vaporized compound contains 10% or less by weight of drug degradation products. The use of a thin film allows for a more rapid rate of vaporization and therefore generally results in less thermal drug degradation. Typically, the film is 0.01-50 μm or 0.01-20 μm thick. In some variations, the film is 0.01-15 μm thick. In some variations, the film is 0.01-10 μm thick. In some variations, the film is 0.01-5 μm thick. In some variations, the film is 4-10 μm thick. In some variations, the film is 5-10 μm thick. In some variations, the film is 3-9 μm thick. The selected area of ​​the substrate surface extent and film thickness are such as to provide an effective human therapeutic dose of the drug aerosol. In some variations, the drug thickness is determined by thermal mapping.

[0019] During the condensation stage, the MMAD of the aerosol increases over time. Typically, in variations of the invention, the MMAD increases within the size range of 0.01-3 μm as the vapor cools and condenses due to contact with the carrier gas, and then increases further as the aerosol particles collide with each other and congeal into larger particles. Most typically, the MMAD goes from <0.5 μm to >1 μm in less than one second. Thus, typically, immediately after condensing into particles, the MMAD of the condensed aerosol doubles at least once per second, and often at least 2, 4, 8, or 20 times per second. In other variations, the MMAD increases within the size range of 0.1-3 μm. In some variations, the carrier gas is air. In some variations, other gases or combinations of various gases can be used.

[0020] Various modifications and additions can be made to the embodiments discussed without departing from the scope of the invention. For example, while the embodiments described above refer to particular features, the scope of the invention also includes embodiments having different combinations of features and embodiments that do not include all of the features described above.

[0021] Thus, one aspect of the present disclosure teaches a handheld aerosol drug delivery device that includes a conductive substrate, a drug layer coated on the outer surface of the substrate that can be vaporized when heated to a target temperature, an electrical circuit that controls and directs an electric current at a precise voltage with a precise delivery profile, a means for sensing the initiation of inhalation by a subject and utilizing a signal caused by the inhalation to initiate heating of the substrate, and a power source that includes a lithium polymer battery.

[0022] One aspect of the present disclosure provides a handheld drug supply unit, wherein the lithium polymer battery has a current output capability of greater than 40-50 amps.

[0023] One aspect of the present disclosure provides that the size of the handheld drug supply unit is less than 6 inches in height and width.

[0024] One embodiment of the present disclosure provides that three batteries connected in series are used in the device to generate at least 10V.

[0025] One aspect of the present disclosure provides that the battery is custom designed to fit within a handheld device given its size and shape constraints.

[0026] The device for forming a drug aerosol comprises an element configured to heat the composition to form a vapor, an element allowing the vapor to condense to form a condensed aerosol, and an element allowing a user to inhale the condensed aerosol. The element configured to heat the composition comprises a thermally conductive substrate, on which is formed a drug composition film that typically contains an effective amount of the drug when the drug is administered in aerosol form. A power source is available to drive electrical resistive heating of the substrate to result in a substrate temperature typically exceeding 300° C. and substantially vaporizing the drug composition film from the substrate in a time period of 2 seconds or less, more preferably 500 milliseconds or less. The power source is in the form of a lithium battery capable of delivering up to 400-700 W of power. The device may further comprise features such as breath actuation, lockout elements, dose counting / history recording, or anti-tamper methods.

[0027] In yet another aspect, the present disclosure teaches a kit for delivering a drug aerosol comprising a thin film of a drug composition and a device for providing the film as a condensation aerosol. Typically, the film has a thickness of 0.5-30 μm. The film can include a pharma-ceutically acceptable excipient and is typically heated at a rate to substantially vaporize the film in 500 milliseconds or less. In other embodiments, the drug film is heated at a rate to substantially vaporize the film in 1000 milliseconds or less.

[0028] Thus, one aspect of the present disclosure teaches the use of laser welding to attach two dissimilar metals, one copper and the other stainless steel coated with a drug to be vaporized, in order to create an electrical resistance circuit, where the vapor is condensed to form an aerosol having particles suitable for deep lung delivery, which are carried along by the airflow through the air passageway, the airflow being the result of inhalation by the subject.

[0029] One aspect of the present disclosure provides laser welding to bring a stainless steel foil substrate to copper, where heating of the substrate is uniform once the drug delivery device is activated.

[0030] One aspect of the present disclosure provides an electrical resistance circuit for a condensation aerosol device, in which laser welding is used to weld two dissimilar metals of the electrical resistance circuit.

[0031] One aspect of the present disclosure provides that the two different metals of the electrical resistive circuit are copper and stainless steel.

[0032] One aspect of the present disclosure provides a handheld medical device suitable for generating a drug condensation aerosol by thermal vaporization of a drug, comprising one or more air inlets, one or more air outlets, one or more batteries for supplying electrical current, one or more connectors for electrically connecting the device to a disposable cartridge containing a drug composition coated on a foil substrate, and one or more current delivery devices for controlling the release of electrical current to the disposable cartridge, wherein said air inlets and air outlets define an air passageway, and at least one air outlet is configured as a housing for mounting said disposable cartridge, and said current delivery devices are configured to drive a precise current profile to the foil substrate of the disposable cartridge to affect electrical resistive heating at a rate that achieves a precise temperature profile with controllable ramp-up to a target temperature and heating rate, the temperature profile being suitable for vaporizing a therapeutically effective amount of the drug composition coated on the foil substrate of the cartridge within a time of 3 seconds or less, and subsequently condensing the resulting vapor inside the cartridge to form drug aerosol particles. The ramp-up target temperature is 150-550°C, 250-450°C, 200-500°C, 300-450°C, or 340-440°C. The ramp-up time is 50-200ms, 50-80ms, or 50-115ms. The foil substrate is heated at 3-10°C / ms or 4-10°C / ms. The heating rate is selected from one or more of plateau heating, tampered cooling, and progressive heating. The heating rate can be selected once the ramp-up temperature is achieved. The battery can provide a peak current greater than 30A and a voltage of 8-13V or 100A and a voltage of 9-12V. In one embodiment, the battery is a lithium polymer battery. The device can include a means for detecting inhalation by the user. In one embodiment, a flow switch, flow sensor, or temperature sensor is used to detect inhalation. In one embodiment, a flow switch, flow sensor or temperature sensor is used as a breath actuator.In one embodiment, the device comprises a device housing.In one embodiment, the inner wall of the device housing comprises an antistatic material. In one embodiment, the housing of the device comprises an antistatic material. The antistatic material can be coated on the housing of the air passage. The device can have a means for detecting or verifying correct installation of the disposable cartridge in the housing of the device. Verification of correct installation can be through electrical contact verification, a proximity sensor, a mechanical switch, or an optical switch. In one embodiment, the device has a determining element for controlling the orientation. One embodiment includes a symmetric cartridge for determining the orientation.

[0033] In one embodiment, the device includes a means for uniquely identifying the disposable cartridge. Identification of the disposable cartridge may include: RFID, barcode or QR code, read / write chip or combinations thereof. The device may include a means for controlling the temperature of the foil substrate of the disposable cartridge by sensing temperature through measurement of electrical resistance across the foil substrate, including making optical measurements, and feeding the foil substrate temperature information to a current delivery device to modify the current delivery to achieve the required temperature. Controlling the temperature of the foil substrate of the disposable cartridge may include direct contact measurement using a thermocouple.

[0034] Disposable cartridges can include identification information (ID). The device can store the cartridge ID to determine the status of the cartridge (used or unused) after the cartridge is inserted into the device. Other features include lockout timer: timer to limit dosing frequency; dose reminder: device to remind patient to take medication; dose log: captures date and time each time a dose is taken; device access security: biometric or otherwise restricts access to device operation; battery charge indicator; Bluetooth connectivity: device pairs with mobile device. Signaling when a dose is taken. A mobile device application can be set up to notify others (doctor, family, caregiver, etc.) that a dose has been taken.

[0035] The device may include a pneumatic seal interface between the air outlet of the device and the air inlet of the cartridge.

[0036] In one embodiment, the present disclosure teaches a disposable cartridge including a chamber, one or more air inlets connected to the chamber, one or more air outlets connected to the chamber (at least one air outlet adapted as a mouthpiece), an air passageway defined by the air inlet, the chamber and the air outlet, a foil base having an impermeable surface with or without holes, means for holding the foil substrate in the chamber, a drug composition coated on at least a portion of the foil substrate in the form of a film having a thickness of 0.01-50 μm, one or more connectors for electrically connecting the disposable cartridge to a handheld medical device, means for condensing the vaporized drug in the chamber to produce condensed aerosol particles carried on the airflow through the air passageway and flowing through the mouthpiece, wherein the at least one air inlet is adapted to be attached to the handheld medical device, the foil substrate is a conductive foil substrate, and means for receiving electricity from the handheld medical device to achieve a precise temperature profile with a controllable ramp-up to a target temperature and heating rate to vaporize a therapeutically effective amount of the drug composition and subsequently condense the resulting vapor inside the cartridge to form drug aerosol particles. The foil substrate may be disposed substantially parallel to the air passage. The foil substrate may be a metal foil substrate. The foil substrate may be a stainless steel foil substrate.

[0037] The drug-containing composition has a thickness of 0.01 to 20 microns. In one embodiment, the foil substrate and the connector are electrically connected via a connecting circuit to define an electrical resistive circuit, where the connecting circuit and the foil substrate are made of the same or different metals. In one embodiment, the foil substrate and the connecting circuit are made of different metals, one metal being copper and the other being stainless steel. In one embodiment, one metal is nickel and the other being stainless steel. Other combinations of metals include gold and stainless steel, brass and stainless steel, and aluminum and stainless steel.

[0038] In one embodiment, the foil substrate and the connecting circuit are laser welded and joined by crimping or clamping. In one embodiment, the connecting circuit is a printed circuit board or a flex circuit. In one embodiment, the foil substrate and the connecting circuit provide uniform heating of the foil substrate. In one embodiment, the drug composition coated on at least a portion of the foil substrate exhibits different film thicknesses in different regions of the coating. The drug composition coated on at least a portion of the foil substrate can be applied in different shapes, including trapezoidal or crescent shapes, and can be applied to different regions of the foil substrate, including having a geometric center of the applied shape closer to the upstream end of the foil substrate than the downstream end, or having a geometric center of the applied shape closer to the downstream end of the foil substrate than the upstream end.

[0039] In one embodiment, the present disclosure teaches a method for delivery of a drug using a handheld device. In one embodiment, the present disclosure teaches a method of treating a patient using a handheld device. In one embodiment, the present disclosure teaches a kit including a handheld delivery device including instructions for use.

[0040] In one embodiment, the disclosure teaches a drug for a particular condition. For example, if the drug is loxapine, the disease, condition, or episode is agitation, including rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder, or acute treatment of agitation associated with schizophrenia or bipolar I disorder in adults. Treating with a benzodiazepine, such as alprazolam or estazolam, where the disease, condition, or episode is treatment of seizures, including epileptic seizures. When the drug is fentanyl, the disease, condition or episode is breakthrough pain; when the drug is zaleplon or almorexant, the disease, condition or episode is a sleep disorder including waking during the night or not being able to sleep during the night; when the drug is apomorphine, pergolide, pramipexole or ropinirole, the disease, condition or episode is Parkinson's disease (including the off symptoms of Parkinson's disease) and restless legs syndrome; when the drug is granisetron, ondansetron or palonosetron, the disease, condition or episode is nausea, vomiting or cyclic vomiting syndrome; or when the drug is nicotine or nicotine metasalicylate, the disease, condition or episode is treatment of nicotine craving and / or effecting cessation of smoking.

[0041] In one embodiment, the drug is a free base. In one embodiment, the drug is a salt.

[0042] A further understanding of the nature and advantages of particular embodiments may be realized by reference to the remaining portions of the specification and drawings, where the same reference numerals are used to refer to similar components. In some cases, a sub-label is associated with a reference numeral to represent one of multiple similar components. When referring to a reference numeral without specifying an existing sub-label, it is intended to refer to all of such multiple similar components. [Brief description of the drawings]

[0043] [Figure 1]FIG. 1 shows a chart of initial ramp-up heating temperature versus time.

[0044] [Diagram 2] FIG. 2 shows a chart of plateau heating temperature versus time.

[0045] [Diagram 3] FIG. 3 shows a chart of tamper cooling temperature versus time.

[0046] [Figure 4] FIG. 4 shows a chart of continuous heating temperature versus time.

[0047] [Diagram 5] FIG. 5 shows a device concept for drug delivery.

[0048] [Figure 6] FIG. 6 shows layer 1 of Concept A—stiffener.

[0049] [Figure 7] FIG. 7 shows Concept A Layer 2 - flex circuit attached to stiffener and foil substrate laser welded to the flex circuit.

[0050] [Figure 8] FIG. 8 shows Concept B Layer 1 - foil substrate laser welded to printed circuit board and flex circuit.

[0051] [Figure 9] FIG. 9 shows linear slits in a foil substrate as a thermal conduction barrier.

[0052] [Figure 10] FIG. 10 shows chevron slits in a foil substrate as a thermally conductive barrier.

[0053] [Figure 11]FIG. 11 shows serpentine slits in a foil substrate as a thermally conductive barrier.

[0054] [Figure 12] FIG. 12 shows a pattern of holes in a foil substrate as a thermally conductive barrier.

[0055] [Figure 13] FIG. 13 shows a downstream biased drug coating on a foil substrate.

[0056] [Figure 14] FIG. 14 shows an upstream biased drug coating on a foil substrate.

[0057] [Figure 15a] FIG. 15a shows drug coated areas conforming to selective heat zones on a foil substrate.

[0058] [Figure 15b] FIG. 15b shows a view of the foil substrate after aerosolization.

[0059] [Figure 16] FIG. 16 shows a perforated bulkhead for dispersing the inlet air.

[0060] [Figure 17] FIG. 17 shows examples of obstacles that introduce turbulence and break up the airflow.

[0061] [Figure 18] FIG. 18 shows examples of drugs that can withstand a wide range of vaporization temperatures.

[0062] [Figure 19] FIG. 19 shows examples of drugs that are sensitive to vaporization temperature.

[0063] [Figure 20] FIG. 20 shows a thermal image of the foil substrate during electrical resistance heating without airflow.

[0064] [Figure 21] FIG. 21 shows a thermal image of the foil substrate during electrical resistance heating with air flow.

[0065] [Figure 22] FIG. 22 shows a commercially available lithium polymer battery suitable for use in a portable handheld condensation aerosol drug delivery device.

[0066] [Diagram 23] FIG. 23 shows the conceptual layout of a portable, handheld, battery-powered, electrically heated, condensation aerosol drug delivery device concept.

[0067] [Figure 24] Figures 24a-24c show different views of the handheld device concept.

[0068] [Diagram 25] FIG. 25 shows a stainless steel foil substrate soldered to the copper traces of a flex circuit.

[0069] [Figure 26] FIG. 26 shows a stainless steel foil substrate laser welded to the copper traces of a flex circuit.

[0070] [Figure 27] FIG. 27 shows a condensation aerosol device modified to incorporate a calcium fluoride window for infrared imaging.

[0071] [Figure 28] Figure 28 shows the thermal camera setup capturing thermal images from the modified condensation aerosol device.

[0072] [Figure 29] FIG. 29 shows a thermal image illustrating poor solder quality between copper and stainless steel foil substrates resulting in localized hot and cold zones.

[0073] [Diagram 30] FIG. 30 shows a thermal image demonstrating that laser welding of a stainless steel foil substrate to copper results in uniform heating of the substrate. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0074] While various aspects and features of certain embodiments are summarized above, the following detailed description illustrates a few embodiments in greater detail to enable those skilled in the art to practice such embodiments. The described examples are provided for illustrative purposes and are not intended to limit the scope of the invention.

[0075] In the following description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the described embodiments. However, it will be apparent to one skilled in the art that other embodiments of the present invention may be practiced without some of these specific details. Although several embodiments are described and claimed herein, and various features are attributed to different embodiments, it should be understood that features described with respect to one embodiment may also be incorporated in other embodiments. However, in a similar manner, other embodiments of the present invention may omit a single feature or features of a described or claimed embodiment, and such features should not be considered essential to all embodiments of the present invention.

[0076] Unless otherwise stated, all numbers used to express quantities, dimensions, and the like are to be understood in all instances as modified by the term "about." In this application, unless otherwise stated, the use of the singular includes the plural, and the use of the terms "and" and "or" means "and / or" unless otherwise indicated. In addition, the use of the term "including" and other forms such as "includes" and "included" are to be considered non-exclusive. In addition, terms such as "element" and "component" encompass both elements or components consisting of one unit and elements or components consisting of more than one unit, unless otherwise stated.

[0077] Embodiment 1. A handheld medical device (100) adapted to generate a drug condensation aerosol by thermal vaporization of a drug, comprising: a) one or more air inlets (107); b) one or more air outlets (103); c) one or more batteries (105) for supplying electrical current; d) one or more connectors for electrically connecting the device (100) to a disposable cartridge (200) containing a drug composition (210) coated on a foil substrate (209); and e) one or more current delivery devices (106) for controlling the release of electrical current into the disposable cartridge (200); Equipped with - said air inlet (107) and air outlet (103) define an air passage; at least one air outlet (103) configured as a housing for mounting said disposable cartridge (200); - the current delivery device (106) is configured to drive a precise current profile to a foil substrate (209) of a disposable cartridge (200) to affect electrical resistive heating at a rate that achieves a precise temperature profile with a controllable ramp-up to a target temperature and heating rate; the temperature profile is suitable to vaporize a therapeutically effective amount of the drug composition (210) coated on the foil substrate (209) of the cartridge (200) within a time period of 3 seconds or less, and subsequently condense the resulting vapor inside the cartridge to form drug aerosol particles. Medical equipment.

[0078] Embodiment 2. The apparatus according to embodiment 1, wherein the ramp-up target temperature is 150 to 550°C or 250 to 450°C.

[0079] Embodiment 3. The apparatus according to embodiment 2, wherein the ramp-up target temperature is 200 to 500°C.

[0080] Embodiment 4. The apparatus according to embodiment 3, wherein the ramp-up target temperature is 300 to 450°C or 250 to 450°C.

[0081] Embodiment 5. The device according to any one of embodiments 1 to 4, wherein the ramp-up time is 50 to 200 ms.

[0082] Embodiment 6. The apparatus according to any of the previous embodiments, wherein the ramp-up time is 50 to 115 ms or 50 to 80 ms.

[0083] Embodiment 7. An apparatus according to any of the embodiments 1 to 6, wherein the foil substrate (209) is heated at 3 to 10° C. / ms during the ramp-up time, or at 4 to 10° C. / ms during the ramp-up time.

[0084] Embodiment 8. An apparatus according to any one of the preceding embodiments, wherein the heating rate is selected from one or more of plateau heating, tampered cooling, and continuous heating.

[0085] Embodiment 9. The device according to any one of embodiments 1 to 8, wherein the battery (105) is capable of supplying a peak current of more than 30 A and a voltage of 8 to 13 V.

[0086] Embodiment 10. The device of embodiment 9, wherein the battery (105) is capable of providing a peak current of more than 100A and a voltage of 9-12V.

[0087] Embodiment 11. The device according to any one of embodiments 1 to 10, wherein the battery (105) is a lithium polymer battery.

[0088] Embodiment 12. A device described in any one of embodiments 1 to 11, further comprising a means for detecting inhalation by a user.

[0089] Embodiment 13. The device of embodiment 12, wherein the means for detecting inhalation by a user comprises a flow sensor.

[0090] Embodiment 14. The device of embodiment 12, wherein the means for detecting inhalation by a user comprises a flow switch.

[0091] Embodiment 15. The device of embodiment 12, wherein said means for detecting inhalation by a user comprises a temperature sensor.

[0092] Embodiment 16. A device according to any one of embodiments 1 to 15, further comprising a device housing (108).

[0093] Embodiment 17. The device of embodiment 16, wherein the inner wall of the device housing (108) comprises an antistatic material.

[0094] Embodiment 18. A device according to any of the preceding embodiments, further comprising means for confirming correct installation (103A) of the disposable cartridge (200) into the housing of the device (103).

[0095] Embodiment 19. A device as described in embodiment 18, wherein the means for verifying correct installation (103A) of the disposable cartridge (200) into the housing of the device (103) includes verifying electrical contact.

[0096] Embodiment 20. A device as described in embodiment 18, wherein the means for verifying correct installation (103A) of the disposable cartridge (200) in the housing of the device (103) comprises a proximity sensor.

[0097] Embodiment 21. A device as described in embodiment 18, wherein the means for verifying correct installation (103A) of the disposable cartridge (200) into the housing of the device (103) comprises a mechanical or optical switch.

[0098] Embodiment 22. A device described in any of embodiments 1 to 21, further comprising a means for uniquely identifying the disposable cartridge (200).

[0099] Embodiment 23. An apparatus as described in embodiment 22, wherein the means for uniquely identifying the disposable cartridge (200) is selected from an RFID tag, a barcode, a QR code, a read / write chip or a combination thereof.

[0100] Embodiment 24. An apparatus as described in any of embodiments 1 to 23, further comprising means for controlling the temperature of the foil substrate (209) of the disposable cartridge (200) by sensing the temperature of the foil substrate (209) and feeding foil substrate temperature information to the current delivery device (106) to modify the current delivery to achieve the required temperature.

[0101] Embodiment 25. An apparatus as described in embodiment 24, wherein the means for controlling the temperature of the foil substrate (209) of the disposable cartridge (200) includes measuring the electrical resistance across the foil substrate.

[0102] Embodiment 26. An apparatus as described in embodiment 24, wherein the means for controlling the temperature of the foil substrate (209) of the disposable cartridge (200) includes optical measurement.

[0103] Embodiment 27. An apparatus as described in embodiment 24, wherein the means for controlling the temperature of the foil substrate (209) of the disposable cartridge (200) includes direct contact measurement using a thermocouple.

[0104] Embodiment 28. A device according to any of embodiments 1 to 27, further comprising a pneumatic seal interface between the air outlet (103) of the device (100) and the air inlet (220) of the cartridge (200).

[0105] Embodiment 29. A disposable cartridge (200), comprising: a) a chamber; b) one or more air inlets (220) connected to the chamber; c) one or more air outlets (202) connected to the chamber; d) an air passageway (203) defined by an air inlet (220), a chamber, and an air outlet (202); e) a foil substrate (209) having an impermeable surface with or without holes; f) means for holding the foil substrate (204) in the chamber; g) a drug composition (210) coated on at least a portion of a foil substrate (209) in the form of a film having a thickness of 0.01 to 50 μm; h) one or more connectors (208) for electrically connecting the disposable cartridge (200) to the handheld medical device (100); and i) means for condensing the vaporized drug within the chamber to produce condensed aerosol particles that are carried along by the airflow through the air passageway (203) and flow through the mouthpiece (202); Equipped with - at least one air inlet (220) configured to be attached to the handheld medical device (100); at least one air outlet (202) configured as a mouthpiece; - the foil substrate (209) is a conductive foil substrate and has means for receiving electricity from the handheld medical device (100) to achieve a precise temperature profile with a controllable ramp-up to a target temperature and heating rate to vaporize a therapeutically effective amount of the drug composition and subsequently condense the resulting vapor inside the cartridge to form drug aerosol particles; Disposable cartridges.

[0106] Embodiment 30. A cartridge according to embodiment 29, wherein the foil substrate is arranged substantially parallel to the air passage (203).

[0107] Embodiment 31. A cartridge according to any one of embodiments 29 to 30, wherein the foil substrate (209) is a metal foil substrate.

[0108] Embodiment 32. A cartridge according to any one of embodiments 29 to 31, wherein the foil substrate (209) is a stainless steel foil substrate.

[0109] Embodiment 33. A cartridge according to any of embodiments 29 to 32, wherein the drug composition (210) has a thickness of 0.01 to 20 μm.

[0110] Embodiment 34. A cartridge described in any of embodiments 29 to 33, wherein the foil substrate (209) and the connector (208) are electrically connected through a connection circuit to define an electrical resistance circuit, and the connection circuit and the foil substrate are made of the same or different metals.

[0111] Embodiment 35. The cartridge of embodiment 34, wherein the foil substrate (209) and the connecting circuitry are made of different metals, one metal being copper and the other being stainless steel. In another embodiment, one metal is nickel and one is stainless steel. Other combinations of metals include gold and stainless steel, brass and stainless steel, and aluminum and stainless steel.

[0112] Embodiment 36. A cartridge according to embodiment 35, in which the foil substrate (209) and the connecting circuit are laser welded.

[0113] Embodiment 37. A cartridge according to embodiment 35, in which the foil substrate (209) and the connecting circuit are joined by crimping.

[0114] Embodiment 38. A cartridge according to embodiment 35, wherein the foil substrate (209) and the connecting circuit are coupled to each other by a clamp.

[0115] Embodiment 39. The cartridge according to any one of embodiments 34 to 38, wherein the connection circuit is a circuit board (211) or a flex circuit (204).

[0116] Embodiment 40. A cartridge according to any of embodiments 34 to 39, wherein the foil substrate (209) and the connecting circuitry provide uniform heating of the foil substrate (209).

[0117] Embodiment 41. A cartridge according to any of embodiments 29 to 40, wherein the drug composition (210) coated on at least a portion of the foil substrate (209) exhibits different film thicknesses in different areas of the coating.

[0118] Embodiment 42. A cartridge according to any of embodiments 29 to 41, in which the coated drug composition (210) is applied in a predetermined shape onto at least a portion of the foil substrate (209).

[0119] Embodiment 43. A cartridge according to embodiment 42, wherein the shape to be applied is a trapezoid.

[0120] Embodiment 44. A cartridge according to embodiment 42, wherein the applied shape is a crescent shape.

[0121] Embodiment 45. A cartridge according to any of embodiments 42 to 44, wherein the geometric center of the shape is closer to the upstream end than to the downstream end of the foil substrate (209).

[0122] Embodiment 46. A cartridge according to any one of embodiments 42 to 44, wherein the geometric center of the shape is closer to the downstream end of the foil substrate (209) than to the upstream end.

[0123] Embodiment 47. The drug is acetaminophen, amantadine, atenolol, bromazepam, brompheniramine maleate, caffeine, celecoxib, clofazimine, clonidine, codeine, cyproheptadine, dapsone, diclofenac ethyl ester, diflunisal, fenfluramine, flumazenil, flurbiprofen, galantamine, hydromorphone, indomethacin norcholine ester, ketorolac methyl ester, ketorolac norcholine ester, melatonin, memantine, methadone, morphine, nabumetone, naproxen. , orphenadrine, phenytoin, pindolol, procainamide, propafenone, quinidine, quinine, spironolactone, thalidomide, theophylline, tramadol hydrochloride, trazodone, triamterene, ketotifen, brompheniramine, butorphanol, diazepam, estazolam, ketamine, meperidine, oxycodone, chlorpheniramine, doxylamine, ethacrynic acid, flunitrazepam, haloperidol, lidocaine, loxapine succinate, olanzapine, tacrine, trifluoperazine, amoxapine, chlorzoxy Sazone, Ibuprofen, Loxapine, Maprotiline, Pergolide, Piribedil, Protriptyline HCl, Tocainide, Zonisamide, Azatadine, Chlorpheniramine Maleate, Cyproheptadine HCl, Flecainide, Isocarboxazid, Ketoprofen Ethyl Ester, Loratadine, Methoxsalen, Propranolol, Testosterone, Benztropine, Clozapine, Midazolam, Paroxetine, Sertraline, Valproic Acid, Zaleplon, Clomipramine, Loperamide, Mexiletine HCl, Venlafaxine, Amitriptyline, Beta Histine, naratriptan, pramipexole, sildenafil, terbutaline, vitamin E, flurazepam, metoprolol, naloxone, rizatriptan, selegiline, tadalafil, triazolam, trimipramine, bupropion HCl, doxepin, imipramine, lamotrigine, metaproterenol, metoclopramide, morphine, nortriptyline, perphenazine, quetiapine, ciclesonide, alprazolam, carbinoxamine maleate, cyclobenzaprine, disopyramide, ephedrine, granisetron, indomethacin,Indomethacin ethyl ester, indomethacin methyl ester, ketoprofen methyl ester, ketorolac ethyl ester, mirtazapine, nalbuphine, nicotine, ropinirole, ropinirole fumarate, acebutolol, hydroxychloroquine, meperidine, estradiol, fenoprofen, prochlorperazine, toremifene, hydroxyzine, atropine, buprenorphine, bumetanide, fentanyl, ibutilide, pyrilamine, zolmitriptan, zotepine, chlordiazepoxide, citalopram , ketoprofen, pergolide, ropinirole HCl, rotigotine, efavirenz, zopiclone, sumatriptan, bergapten, buspirone HCl, eletriptan, nortriptyline, colchicine, flunisolide, nefazodone, rofecoxib, tranylcypromine HCl, fluoxetine, promethazine, trimipramine maleate, meclizine, diltiazem, temazepam, tolterodine, valdecoxib, apomorphine diacetate, donepezil, sotalol, tramadol, cinnarizine, isotretinoic acid, Chitin, Zolpidem, Buspirone, Chlorpromazine, Albuterol, Verapamil, Naltrexone, Telmisartan, Hyoscyamine, Tranylcypromine, Esmolol, Pioglitazone, Treprostinil, Dipyridamole, Apomorphine HCl, Linezolid, Carbinoxamine, Butorphanol Tartrate, Clemastine, Fluconazole, Tolfenamic Acid, Lovastatin, Apomorphine HCl Diacetate, Promazine, Sibutramine, Astemizole, Diphenhydramine, Pyrilamine Maleate, Dipyridamole, Apomorphine HCl, Linezolid, Carbinoxamine, Butorphanol Tartrate, Clemastine, Fluconazole, Tolfenamic Acid, Lovastatin, Apomorphine HCl Diacet ..., Linezolid, Carbinoxamine, Butorphanol Tartrate, Clemastine, Fluconazole, Tolfenamic Acid, Lovastatin, Apomorphine HCl, Linezolid, Carbinoxamine, Butorphanol T The cartridge of any of embodiments 29-46, wherein the drug is selected from phenhydramine HCl, fluphenazine, citalopram, triamcinolone acetonide, fluticasone propionate, buprenorphine HCl, tamoxifen, aripiprazole, frovatriptan, nefazodone, protriptyline, oxybutynin, meclizine, benazepril, ethambutol, scopolamine, nicotine salts, treprostinil salts, ondansetron, palonosetron HCl, tizanidine, almorexant, or mixtures thereof. In one embodiment, the drug is a free base. In one embodiment, the drug is a salt.

[0124] Embodiment 48. A cartridge according to any of embodiments 29 to 47, wherein the drug is selected from loxapine, alprazolam, estazolam, fentanyl, tizanidine, zaleplon, almorexant, apomorphine, pergolide, pramipexole, ropinirole, nicotine, granisetron, ondansetron, palonosetron, any pharma- ceutically acceptable salt or mixture thereof.

[0125] Embodiment 49. A cartridge according to any one of embodiments 29 to 48, wherein the drug is nicotine or nicotine metasalicylate.

[0126] Embodiment 50. A cartridge according to any one of embodiments 29 to 48, wherein the drug is apomorphine or apomorphine hydrochloride.

[0127] Embodiment 51. A cartridge according to any one of embodiments 29 to 48, wherein the drug is palonosetron or palonosetron hydrochloride.

[0128] Embodiment 52. A cartridge described in any one of embodiments 29 to 51, wherein the chamber comprises an antistatic material on at least a portion of its inner wall.

[0129] Embodiment 53. A cartridge described in any of embodiments 29 to 52, wherein at least 50% by weight of the drug aerosol particles generated have a particle size defined as MMAD of less than 5 μm.

[0130] Embodiment 54. A cartridge described in any of embodiments 29 to 53, wherein at least 90% by weight of the drug aerosol particles generated have a particle size defined as MMAD of less than 5 μm.

[0131] Embodiment 55. A cartridge described in any of embodiments 29 to 54, wherein the drug aerosol particles contain less than 10% drug degradation products.

[0132] Embodiment 56. A cartridge described in any of embodiments 29 to 55, wherein the drug composition (210) coated on the foil substrate (209) comprises more than 90% drug.

[0133] Embodiment 57. A cartridge described in any of embodiments 29 to 56, further comprising a means for confirming its correct installation in the housing (103) of the handheld medical device (100).

[0134] Embodiment 58. A cartridge as described in embodiment 57, wherein said means for verifying correct installation includes verifying electrical contact.

[0135] Embodiment 59. A cartridge as described in embodiment 57, wherein the means for confirming its correct installation includes a proximity sensor.

[0136] Embodiment 60. A cartridge as described in embodiment 57, wherein said means for confirming its correct installation includes a mechanical or optical switch.

[0137] Embodiment 61. A cartridge described in any of embodiments 29 to 60, comprising a means for being uniquely recognized by the handheld medical device (100).

[0138] Embodiment 62. The cartridge of embodiment 61, wherein said means for uniquely identifying is selected from the list consisting of an RFID tag, a barcode, a QR code, a read / write chip, and combinations thereof.

[0139] Embodiment 63. A cartridge according to any one of embodiments 29 to 62, comprising a means for detecting inhalation by a user.

[0140] Embodiment 64. The cartridge of embodiment 63, wherein said means for detecting inhalation comprises a flow sensor.

[0141] Embodiment 65. The cartridge of embodiment 63, wherein said means for detecting inhalation includes a flow switch.

[0142] Embodiment 66. The cartridge of embodiment 63, wherein said means for detecting inhalation includes a temperature sensor.

[0143] Embodiment 67. A cartridge according to any of embodiments 30 to 66, further comprising a means for dispersing the air flow from the air inlet (220).

[0144] Embodiment 68. A cartridge according to embodiment 67, wherein said means for distributing the air flow is a perforated septum (206).

[0145] Embodiment 69. A cartridge according to any of embodiments 30 to 68, comprising a pneumatic seal interface between the air outlet of the device (205) and the air inlet of the cartridge (220).

[0146] Embodiment 70. A cartridge (200) according to any one of embodiments 29 to 69, wherein the handheld medical device (100) is a device according to any one of embodiments 1 to 28.

[0147] Embodiment 71. The device (100) according to any one of embodiments 1 to 28, wherein the cartridge (200) is the cartridge according to any one of embodiments 29 to 70.

[0148] Embodiment 72. (a) Providing a disposable cartridge (200) as defined in any of embodiments 29-70; (b) attaching said disposable cartridge (200) to a handheld medical device (100) as defined in any of embodiments 1 to 28 or 71; and (c) administering a drug to a subject via inhalation for pulmonary delivery A method of treating a condition or episode in a subject, comprising:

[0149] Embodiment 73.a) When the drug is loxapine, the condition or episode is Rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder; or b. Acute agitation associated with schizophrenia or bipolar I disorder in adults It is disturbing, including b) if the drug is alprazolam or estazolam, the condition or episode is epilepsy, including seizures; c) if the drug is fentanyl, the condition or episode is breakthrough pain; d) When the drug is zaleplon or almorexant, the condition or episode is Awakening during the night, or b. Insomnia at night Sleep disorders including e) when the drug is apomorphine, pergolide, pramipexole or ropinirole, the condition or episode is Parkinson's disease (including off episodes of Parkinson's disease); f) When the drug is granisetron, ondansetron or palonosetron, the condition or episode is A. Nausea, b. Vomiting or C. Cyclic vomiting syndrome; or g) When the drug is nicotine or nicotine methasalicylate, the condition or episode is nicotine craving and / or smoking cessation. The method of treatment described in embodiment 72.

[0150] Embodiment 74. A device (100) according to any of embodiments 1 to 28 or 71 for use in treatment.

[0151] Embodiment 75.a) When the drug is loxapine, the treatment comprises: Rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder; or b. Acute agitation associated with schizophrenia or bipolar I disorder in adults It is disturbing, including b) where the drug is alprazolam or estazolam, the treatment is for treatment of epilepsy, including seizures; c) when the medication is fentanyl, the treatment is for treatment of breakthrough pain; d) if the drug is zaleplon or almorexant, the treatment Awakening during the night, or b. Insomnia at night Treatment of sleep disorders, including e) where the drug is apomorphine, pergolide, pramipexole, or ropinirole, the treatment is treatment of Parkinson's disease (including the off-episodes of Parkinson's disease); f) When the drug is granisetron, ondansetron or palonosetron, the treatment is A. Nausea, b. Vomiting or c.Cyclic vomiting syndrome or g) Where the drug is nicotine or nicotine methasalicylate, the treatment is treatment of nicotine craving and / or smoking cessation performance. A device for use according to embodiment 74.

[0152] Embodiment 76. A cartridge (200) according to any of embodiments 29 to 70 for use in treatment.

[0153] Embodiment 77.a) When the drug is loxapine, the treatment comprises: Rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder; or b. Acute agitation associated with schizophrenia or bipolar I disorder in adults It is disturbing, including b) where the drug is alprazolam or estazolam, the treatment is for treatment of epilepsy, including seizures; c) when the medication is fentanyl, the treatment is for treatment of breakthrough pain; d) When the drug is zaleplon or almorexant, the treatment is Awakening during the night, or b. Insomnia at night Treatment of sleep disorders, including e) where the drug is apomorphine, pergolide, pramipexole, or ropinirole, the treatment is treatment of Parkinson's disease (including the off-episodes of Parkinson's disease); f) When the drug is granisetron, ondansetron or palonosetron, the treatment is A. Nausea, b. Vomiting or c. Treating cyclic vomiting syndrome; or g) Where the drug is nicotine or nicotine methasalicylate, the treatment is treatment of nicotine craving and / or smoking cessation performance. A cartridge for use according to embodiment 76.

[0154] Embodiment 78. A cartridge (200) according to any of embodiments 29 to 70, which is attached to a device (100) according to embodiments 1 to 28 or 71 for use in treatment.

[0155] Embodiment 79.a) When the drug is loxapine, the treatment comprises: Rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder; or b. Acute agitation associated with schizophrenia or bipolar I disorder in adults It is disturbing, including b) where the drug is alprazolam or estazolam, the treatment is for treatment of epilepsy, including seizures; c) when the medication is fentanyl, the treatment is for treatment of breakthrough pain; d) When the drug is zaleplon or almorexant, the treatment is Awakening during the night, or b. Insomnia at night Treatment of sleep disorders, including e) where the drug is apomorphine, pergolide, pramipexole, or ropinirole, the treatment is treatment of Parkinson's disease (including the off-episodes of Parkinson's disease); f) When the drug is granisetron, ondansetron or palonosetron, the treatment is A. Nausea, b. Vomiting or c. Treating cyclic vomiting syndrome; or g) Where the drug is nicotine or nicotine methasalicylate, the treatment is treatment of nicotine craving and / or smoking cessation performance. A cartridge to be attached to a device for use according to embodiment 78.

[0156] Embodiment 80.a) A handheld medical device (100) as defined in any of embodiments 1 to 28 or 71; b) one or more disposable cartridges (200) as defined in any of embodiments 29 to 70, and c) instructions for installing said disposable cartridge (200) in said handheld medical device (100) and for using the same; Kit including:

[0157] Embodiment 81. The kit according to embodiment 80, wherein the instructions include any of the uses according to any of embodiments 72 to 79.

[0158] Embodiment 82.a) one or more disposable cartridges (200) as defined in any of embodiments 29 to 70; and b) instructions for installing said disposable cartridge (200) in a handheld medical device (100) as defined in any of embodiments 1-28 or 71 and for using the same; Kit including:

[0159] Embodiment 83. The kit according to embodiment 82, wherein the instructions include any of the uses according to any of embodiments 72 to 79.

[0160] Embodiment 84.a) one handheld medical device (100) as defined in any of embodiments 1 to 28 or 71; and b) instructions for installing the disposable cartridge (200) as defined in any of embodiments 29 to 70 in said handheld medical device and for using the same; Kit including:

[0161] Embodiment 85. The kit according to embodiment 84, wherein the instructions include any of the uses according to any of embodiments 72 to 79.

[0162] Figure 1 shows a temperature versus time chart for the initial ramp-up heating. The foil substrate is rapidly heated to the target temperature and allowed to cool.

[0163] Figure 2 shows a temperature versus time chart for plateau heating. The foil substrate is rapidly heated to the target temperature by an initial ramp-up heating, and then the temperature is maintained at approximately ±1°C of the target temperature for 1 second.

[0164] Figure 3 shows a temperature versus time chart for tamper cooling. The foil substrate is rapidly heated to the target temperature by an initial ramp-up heating, and then the temperature is ramped down at about 40°C per second in this particular example.

[0165] Figure 4 shows a chart of temperature versus time for continuous heating. The foil substrate is rapidly heated to the target temperature in an initial ramp-up heating, and then the temperature is further increased at about 100°C per second in this particular example.

[0166] FIG. 5 shows a device concept for aerosol drug delivery.

[0167] 1) When the disposable cartridge (200) is inserted, the handheld medical device (100) is powered on.

[0168] i) The left LED (101) illuminates green when a new disposable cartridge is detected.

[0169] ii) The left LED (101) illuminates red if the inserted disposable cartridge is detected as being used or has been used previously.

[0170] iii) RFID or other technology may be present to uniquely identify each cartridge.

[0171] 2) The second LED (102) lights up red when the battery is low.

[0172] 3) A keying feature 103A on the cartridge slot 103 ensures proper orientation and / or installation of the cartridge 200. Alternatively, cartridges 200 with symmetrical designs may also be used. The cartridge slot 103 may include a spring-activated cover to minimize ingress of dirt and debris.

[0173] 4) An optional LCD (104) can display additional information.

[0174] 5) A connector jack for battery charging and an air intake vent located on the back of the handheld medical device (100)

[0175] 6) Parts list for disposable cartridges (200)

[0176] i) Upper housing

[0177] ii) Lower housing

[0178] iii) PCB or flex circuit with stiffeners to support the foil substrate with connectors

[0179] iv) Drug-coated foil substrate

[0180] v) RFID tags

[0181] vi) Connector and airflow interface on the back of the disposable cartridge (201)

[0182] vii) an air outlet adapted as a mouthpiece (202)

[0183] Optionally, after a cartridge is inserted, the device will store the cartridge ID so that it can subsequently determine if the cartridge is new or previously used. Other ID data can be used to display lot numbers, expiration dates, medications, and dosage levels. Other features that may be included in the device include:

[0184] -Lockout timer: A timer that limits the frequency of administration.

[0185] - Medication reminder: a device to remind patients to take their medication

[0186] -Dosage Log: Captures the time and date each time a medication is taken

[0187] -Device Access Security: Biometric or other methods of restricting access to device operations.

[0188] -Battery charge indicator

[0189] -Bluetooth connectivity: Device pairs with mobile device. Sends signal when medication is taken. Mobile device application can be set up to notify others (doctor, family member, caregiver, etc.) that medication has been taken.

[0190] Figure 6 shows Layer 1 of disposable cartridge Concepts A and B. The figure shows the inlet (220) at the back of the device sandwiched by a pneumatic seal (205), the air flow (203) through a perforated septum (206) as an example of a means for distributing the air flow from the air inlet, and the stiffener (204) as an example of a means for holding the foil substrate. The air passages or air flow (203) are indicated by arrows.

[0191] Figure 7 shows Layer 2 of Concept A Layer 2 of the disposable cartridge. This figure shows the foil substrate (209) on the flex circuit (207), as well as the drug (210) coated on the foil substrate (209). An electrical connector (208) is used to connect the disposable cartridge to a handheld medical device to energize the foil substrate (209). An example foil substrate is stainless steel with a thickness of ~0.00075 inches (~0.019 mm).

[0192] Figure 8 shows Layer 2 of Concept B of the disposable cartridge. This figure shows the foil substrate (209) on a printed circuit board (PCB) (211), as well as the drug (210) coated on the foil substrate (209). An electrical connector (208) is used to connect the disposable cartridge to a handheld medical device in order to energize the foil substrate.

[0193] FIG. 9 shows linear slits (212) in the foil substrate (209) passing through areas coated with drug (210) as a heat conductive barrier.

[0194] FIG. 10 shows angled slits (213) in the foil substrate (209) passing through areas coated with drug (210) as a heat conductive barrier.

[0195] FIG. 11 shows a serpentine slit (214) in the foil substrate (209) passing through an area coated with drug (210) as a heat conductive barrier.

[0196] 12 shows a pattern of holes (215) in a foil substrate (209) through the area where the drug (210) is applied as a thermally conductive barrier. The holes can be circular, obround, oval, or any other shape, and can be formed in a random or non-random pattern on the foil substrate (209).

[0197] 13 illustrates a downstream (216) biased drug coating on the foil substrate (209). In other words, the geometric center of the drug coating region is closer to the downstream end of the foil substrate (209) than to the upstream end of the foil substrate (209).

[0198] 14 illustrates an upstream (217) biased drug coating on the foil substrate (209). In other words, the geometric center of the drug coating region is closer to the upstream end of the foil substrate (209) than to the downstream end of the foil substrate (209).

[0199] Figure 15a shows a drug coated area conforming to selective heat zones on a foil substrate (209). In this case, a trapezoidal drug coated area (218) is shown.

[0200] Figure 15b shows a photograph of the foil substrate after aerosolization showing the hot (dark) zone (219). The wider portion of the trapezoid is at the upstream end of the foil substrate (209) following the air passage (203), and the narrower portion is at the downstream end of the foil substrate (209) following the air passage (203).

[0201] Figure 16 shows a concept disposable cartridge with an air inlet (220) on the side of the device and a perforated septum (206) to distribute the inlet air. The arrows indicate the direction of air flow (203).

[0202] FIG. 17 shows examples of obstructions and restrictions in the air flow path to introduce turbulence to achieve more uniform convective heat loss to the foil substrate.

[0203] The obstacles can be posts, bumps, etc. protruding from the inner surface of the air passage. Typically, the obstacle features will be located upstream of the foil substrate to minimize deposition of aerosol particles on the obstacle features. 302 represents laminar flow. Some examples of turbulence that may be introduced are form drag (301) and turbulence (303).

[0204] FIG. 18 shows examples of drugs that can withstand a wide range of vaporization temperatures.

[0205] FIG. 19 is an example of a drug that is sensitive to vaporization temperature.

[0206] FIG. 20 shows a thermal image of the foil substrate during electrical resistance heating without airflow.

[0207] FIG. 21 shows a thermal image of the foil substrate during electrical resistance heating with air flow.

[0208] Figure 22 shows a commercially available lithium polymer battery suitable for use in a portable handheld condensation aerosol drug delivery device. This particular battery has the following characteristics: [Table 1] 1) Actual capacity: 0.5C, 4.2~2.7V at 25℃

[0209] Figure 23 shows the conceptual layout of a portable handheld battery powered electrically heated condensation aerosol drug delivery device with a disposable cartridge, a housing (103) for a battery (105), a printed circuit board (106) that controls the release of electricity into the disposable cartridge (200), and a grilled air inlet (107). Below is a rear view of the device. As an example, the housing (103) for the disposable cartridge is ~42mm wide x ~50mm deep x ~15mm high.

[0210] Figures 24a, 24b and 24c show different views of the handheld medical device concept.

[0211] Figures 23-24c show different views of the disposable cartridge (200) (an example disposable cartridge is ~38mm wide x ~50mm deep x ~12mm high (excluding mouthpiece)), battery (105) (an example battery is ~25mm total stack height), printed circuit board assembly (106) (an example printed circuit board assembly is ~42mm x ~60mm (not including connector extensions)), air inlet grill (107), and device housing (108) (an example device housing is ~135mm long x ~90mm wide x ~30mm high)).

[0212] Figure 25 shows a stainless steel foil substrate soldered to the copper traces of a flex circuit. Deformation of the foil substrate is clearly visible.

[0213] Figure 26 shows a stainless steel foil substrate laser welded to the copper traces of a flex circuit. It can be clearly seen that the laser welding does not deform the foil substrate.

[0214] FIG. 27 shows a development prototype of a disposable cartridge modified to incorporate a calcium fluoride window and external connector for infrared imaging into a handheld medical device.

[0215] FIG. 28 shows the thermal camera setup capturing thermal images from the modified disposable cartridge.

[0216] FIG. 29 shows a thermal image illustrating poor solder quality between copper and stainless steel foil substrates resulting in localized hot and cold zones.

[0217] FIG. 30 shows a thermal image demonstrating that laser welding of a stainless steel foil substrate to copper results in uniform heating of the substrate.

[0218] definition As defined herein, the following terms shall have the following meanings when referred to herein.

[0219] The "aerodynamic diameter" of a given particle refers to the diameter of a spherical droplet of 1 g / mL (the density of water) that has the same settling velocity as the given particle.

[0220] "Aerosol" refers to a collection of solid or liquid particles suspended in a gas.

[0221] "Aerosol mass concentration" refers to the mass of particulate matter per unit volume of aerosol.

[0222] Antistatic materials include, but are not limited to, antistatic air passage materials and coatings for the air passage. These antistatic materials include metallized air passages (manufactured by coating the inner walls of the air passage with conductive metals such as stainless steel / copper / copper / stainless steel and / or by applying metal tape (such as copper) to the inner and outer walls of the air passage), the use of antistatic sprays (such as Staticide brand) in the default air passages, and / or the use of antistatic plastics (such as Permastat or Permastat plus brand) as air passage materials. Materials with antistatic properties are included in this disclosure. Further information on the use of antistatic materials is described in WO16145075.

[0223] "Condensation aerosol" refers to an aerosol formed by vaporization of a composition and subsequent cooling of the vapor, where the vapor condenses to form particles.

[0224] A "condition" includes an acute condition, an intermittent condition and / or a chronic condition.

[0225] "Decomposition index" refers to 1 minus the fractional purity of the generated aerosol.

[0226] By "drug" is meant any substance used in the prevention, diagnosis, mitigation, treatment or cure of a medical condition. The drug is preferably in a form suitable for thermal vapor delivery, such as an ester, free acid, free base, or salt form. The drug is preferably other than a recreational drug. More specifically, the drug is preferably other than a recreational drug used for non-medicinal recreational purposes, such as habitual use only to alter mood, emotion, state of consciousness, or habitual use to unnecessarily affect bodily functions for recreational purposes. The terms "drug", "compound", and "medication" are used interchangeably herein. Drug also includes the term "prodrug", where upon thermal activation, the prodrug becomes the active drug.

[0227] "Drug composition" refers to a composition that contains only a pure drug, a combination of two or more drugs, or a combination of one or more drugs with additional components. The additional components can include, for example, pharma- ceutically acceptable excipients, carriers, additives, and surfactants.

[0228] "Drug decomposition product" or "thermal decomposition product" are used interchangeably and mean any by-product that results from heating a drug and that does not contribute to producing a therapeutic effect.

[0229] "Drug supply article" or "drug supply unit" are used interchangeably and refer to a substrate having at least a portion of its surface coated with one or more drug compositions. The drug supply articles of the present invention may also include additional elements, such as, but not limited to, a heating element.

[0230] "Fraction drug degradation product" refers to the amount of drug degradation product present in an aerosol particle divided by the amount of drug and drug degradation product present in the aerosol, i.e., (sum of all amounts of drug degradation products present in the aerosol) / ((amount of drug present in the aerosol)+(sum of all amounts of drug degradation products present in the aerosol)). As used herein, the term "percent degradation product" refers to the fraction drug degradation product multiplied by 100%, while the "purity" of an aerosol refers to 100% minus the percentage of drug degradation product.

[0231] "Geometric center" refers to the arithmetic mean location of all points of the shape of the drug composition (210) coated on the foil substrate (209).

[0232] The term "thermally stable drug" refers to a drug that has a thermal stability rate, TSR, of 9 or more when a film of some thickness between 0.01 μm and 20 μm is vaporized.

[0233] The "mass median aerodynamic diameter" or "MMAD" of an aerosol refers to the aerodynamic diameter where half of the particle mass of the aerosol is contributed by particles having an aerodynamic diameter larger than the MMAD and half is contributed by particles having an aerodynamic diameter smaller than the MMAD.

[0234] "Number concentration" refers to the number of particles per unit volume of aerosol.

[0235] A "prodrug" is a compound that can be chemically converted in vitro into a physiologically active compound, i.e., a precursor to the desired physiologically active compound. Typically, prodrugs do not have biological activity, but the term is not so limited and includes compounds that may have biological activity. A "thermolabile" or "thermally labile" prodrug is a prodrug that can be converted into a physiologically active compound by heating, i.e., by subjecting the prodrug to an elevated temperature.

[0236] As used herein, "purity" refers to the fraction of drug composition in the aerosol / (fraction of drug composition in the aerosol plus drug degradation products) with respect to the purity of the aerosol. Thus, purity is relative with respect to the purity of the starting material. For example, if the starting drug or drug composition used to coat the substrate contained detectable impurities, the reported purity of the aerosol does not include the impurities present in the starting material and also found in the aerosol. For example, in a particular case, if the starting material contains 1% impurity and the aerosol is known to contain the same 1% impurity, the aerosol purity may be reported as >99% pure, regardless, reflecting the fact that no detectable 1% purity was produced during the vaporization-condensation aerosol generation process.

[0237] "Sensitive drugs" refers to drugs that are sensitive to vaporization temperature and / or to decomposition. These drugs are characterized by a higher rate of change of aerosol purity as a function of substrate temperature compared to less sensitive drugs. Less sensitive drugs can maintain a stable level of aerosol purity over a wide vaporization temperature range, while more sensitive drugs require a narrower vaporization temperature range to maintain the desired target purity.

[0238] "Settling velocity" refers to the terminal velocity of an aerosol particle settling gravitationally in air.

[0239] "Shapes" for the drug coating can include rectangular, trapezoidal, triangular, parabolic, etc. The shape is determined by identifying the area of ​​the foil substrate with the optimal surface temperature for drug vaporization, including the drug to which it is sensitive. Additionally, the drug coating can have a variety of film thicknesses. The film thickness can be uniform. The film thickness can have different thicknesses in different areas. The different thicknesses can be step functions or gradient differences from one thickness to another. The thickness can range from 0.01 to 50 μm.

[0240] "Support" refers to a material to which a composition is deposited, typically as a coating or thin film. The terms "support" and "substrate" are used interchangeably herein.

[0241] "Subject" refers to a mammal, a human in a potential patient capacity, or the subject of a clinical trial to which the device is intended to deliver an aerosol to treat a particular disease.

[0242] By "substantially free of," it is meant that the described material, compound, aerosol, etc. is at least 95% free of other components that are substantially free of.

[0243] "Treatment" refers to the treatment of chronic and acute conditions and to preventative or prophylactic treatment.

[0244] A "typical patient tidal volume" refers to 1 L for adult patients and 15 mL / kg for pediatric patients.

[0245] The term "therapeutically effective amount" refers to an amount necessary to obtain a therapeutic effect, which may be any therapeutic effect ranging from prevention, symptom amelioration, symptom treatment, to disease termination or cure.

[0246] "Thermal stability ratio" or "TSR" means %purity / (100%-%purity) when %purity is less than 99.9%, and 1000 when %purity is ≥ 99.9%. For example, a respiratory drug that vaporizes at 90% purity would have a TSR of 9. Generally, drugs that are temperature sensitive will have a TSR of 9 or greater. Less sensitive drugs would be in the 99% range of purity, so their TSR would be 99 or greater.

[0247] "Thermal Stability Ratio 4 μm" or "4TSR" means the TSR of a drug as determined by heating a drug-containing film about 4 μm thick under conditions sufficient to vaporize at least 50% of the drug in the film, collecting the resulting aerosol, measuring the purity of the aerosol, and calculating the TSR using the purity. Such vaporization typically involves heating a drug film about 4 microns thick at about 350° C. to 200° C. for about 1 second to vaporize at least 50% of the drug in the film.

[0248] "Thermal Stability Ratio 1.5 μm" or "1.5 TSR" means the TSR of a drug as determined by heating a drug-containing film having a thickness of about 1.5 μm under conditions sufficient to vaporize at least 50% of the drug in the film, collecting the resulting aerosol, measuring the purity of the aerosol, and calculating the TSR using the purity. Such vaporization typically involves heating a drug film having a thickness of about 1.5 microns at about 350° C. to 200° C. for about 1 second to vaporize at least 50% of the drug in the film.

[0249] "Thermal Stability Ratio 0.5 μm" or "0.5 TSR" means the TSR of a drug as determined by heating a drug-containing film about 0.5 μm thick under conditions sufficient to vaporize at least 50% of the drug in the film, collecting the resulting aerosol, measuring the purity of the aerosol, and calculating the TSR using the purity. Such vaporization typically involves heating a drug film about 0.5 microns thick at about 350° C. to 200° C. for about 1 second to vaporize at least 50% of the drug in the film.

[0250] "Vapor" refers to a gas and "vapor phase" refers to the gas phase. The term "thermal vapor" refers to a vapor phase, an aerosol, or an aerosol-vapor phase mixture, preferably formed by heating.

[0251] "Ramp up" refers to the stage where the foil substrate is rapidly heated to the target temperature. In this context, "rapid heating" means heating at a rate of 3-10 °C / ms.

[0252] "Heating rate" refers to the stage after the ramp-up. During the heating rate, the target temperature obtained after the ramp-up is controlled and typically has a duration of 1-3 seconds. The heating rate can be one or more of plateau heating, tampered cooling or continuous heating. After the heating rate stage, the foil substrate is cooled in an uncontrolled manner. The heating rate stage allows to control the amount of drug released and / or the purity and / or particle size of the drug aerosol particles.

[0253] "Plateau heating" refers to the heating rate of the foil substrate after the target temperature is reached, where the temperature of the foil substrate is maintained within ±5° C. for up to 3 seconds, preferably up to 1 second.

[0254] "Tampered cooling" refers to the heating rate of the foil substrate after the target temperature is reached, where the temperature of the foil substrate is reduced in a controlled manner at a rate of 0.2-0.01 °C / ms for up to 3 seconds, preferably up to 1 second.

[0255] "Continuous heating" refers to the heating rate of the foil substrate after the target temperature is reached, where the temperature of the foil substrate is increased in a controlled manner at a rate of 0.01-0.2 °C / ms for up to 3 seconds, preferably up to 1 second.

[0256] Measurement of the foil substrate temperature can be performed using a thermal camera on a foil substrate that is not coated with drug, as described in Example 1. Other methods for measuring the foil substrate temperature can be used, including, but not limited to, direct contact with a thermocouple, optical measurement of temperature, or measurement of electrical resistance across the foil substrate.

[0257] These and other aspects of the present invention are described further in the following detailed description of preferred embodiments of the invention.

[0258] Drugs Drugs that may be used with the disclosed device include: acetaminophen, amantadine, atenolol, bromazepam, brompheniramine maleate, caffeine, celecoxib, clofazimine, clonidine, codeine, cyproheptadine, dapsone, diclofenac ethyl ester, diflunisal, fenfluramine, flumazenil, flurbiprofen, galantamine, hydromorphone, indomethacin norcholine ester, ketorolac methyl ester, ketorolac norcholine ester, melatonin, memantine, methadone, morphine, nabumetone, naproxen, orthoquinone, and the like. Phenadrine, phenytoin, pindolol, procainamide, propafenone, quinidine, quinine, spironolactone, thalidomide, theophylline, tramadol hydrochloride, trazodone, triamterene, ketotifen, brompheniramine, butorphanol, diazepam, estazolam, ketamine, meperidine, oxycodone, chlorpheniramine, doxylamine, ethacrylic acid, flunitrazepam, haloperidol, lidocaine, loxapine succinate, olanzapine, tacrine, trifluoperazine, amoxapine, clozapine, Ruzoxazone, Ibuprofen, Loxapine, Maprotiline, Pergolide, Piribedil, Protriptyline HCl, Tocainide, Zonisamide, Azatadine, Chlorpheniramine Maleate, Cyproheptadine HCl, Flecainide, Isocarboxazid, Ketoprofen Ethyl Ester, Loratadine, Methoxysalen, Propranolol, Testosterone, Benztropine, Clozapine, Midazolam, Paroxetine, Sertraline, Valproic Acid, Zaleplon, Clomipramine, Loperamide, Mexiletine HCl, Venlafaxine ...ine, Ketoprofen Ethyl Ester, Loratadine, Methoxysalen, Propranolol, Testosterone, Benztropine, Clozapine, Midazolam, Paroxetine, Sertraline, Valproic Acid Mitriptyline, Betahistine, Naratriptan, Pramipexole, Sildenafil, Terbutaline, Vitamin E, Flurazepam, Metoprolol, Naloxone, Rizatriptan, Selegiline, Tadalafil, Triazolam, Trimipramine, Bupropion HCl, Doxepin, Imipramine, Lamotrigine, Metaproterenol, Metoclopramide, Morphine, Nortriptyline, Perphenazine, Quetiapine, Ciclesonide, Alprazolam, Carbinoxamine Maleate, Cyclobenzaprine, Disopyramide, Ephedrine,Granisetron, indomethacin, indomethacin ethyl ester, indomethacin methyl ester, ketoprofen methyl ester, ketorolac ethyl ester, mirtazapine, nalbuphine, nicotine, ropinirole, ropinirole fumarate. The foregoing list of drugs exhibited greater than 99% purity when aerosolized using the invention described herein.

[0259] Other drugs that are more sensitive to vaporization temperatures that can be accommodated in the disclosed device include: acebutolol, hydroxychloroquine, meperidine, estradiol, fenoprofen, prochlorperazine, toremifene, hydroxyzine, atropine, buprenorphine, bumetanide, fentanyl, ibutilide, pyrilamine, zolmitriptan, zotepine, chlordiazepoxide, citalopram, ketoprofen, pergolide, ropinirole hydrochloride, rotigotine, efavirenz, zopiclone, sumatriptan, Bergapten, buspirone hydrochloride, eletriptan, nortriptyline, colchicine, flunisolide, nefazodone, rofecoxib, tranylcypromine hydrochloride, fluoxetine, promethazine, trimipramine maleate, meclizine, diltiazem, temazepam, tolterodine, valdecoxib, apomorphine diacetate, donepezil, sotalol, tramadol, cinnarizine, isotretinoin, zolpidem, b Spiron, chlorpromazine, albuterol, verapamil, naltrexone, telmisartan, hyoscyamine, tranylcypromine, esmolol, pioglitazone, treprostinil, dipyridamole, apomorphine hydrochloride, linezolid, carbinoxamine, butorphanol tartrate, clemastine, fluconazole, tolfenamic acid, lovastatin, apomorphine HCl diacetate, promazine, sibutramine, apomorphine The list is in order of aerosol purity when aerosolized using the invention described herein, with the most pure first and the remaining in descending order: stemizole, diphenhydramine, pyrilamine maleate, diphenhydramine hydrochloride, fluphenazine, citalopram, triamcinolone acetonide, fluticasone propionate, buprenorphine hydrochloride, tamoxifen, aripiprazole, frovatriptan, nefazodone, protriptyline, oxybutynin, meclizine, benazepril, ethambutol, scopolamine, nicotine salts, and treprostinil salts.

[0260] In other embodiments, the prodrug can be deposited on a substrate, e.g., coated as a thin film, without forming a covalent bond between the substrate (or a polymer or other chemical moiety attached to the substrate). Upon heating, the prodrug decomposes to produce the drug and any by-products. In preferred embodiments, the by-products are not toxic. For use in the present invention, the prodrug is typically a solid at standard temperature and pressure. The prodrug is typically a derivative of a phenolic drug compound. In preferred embodiments, the prodrug is selected from the group consisting of t-butoxycarbonyl derivatives of phenolic drug compounds, carboxylic acid derivatives of phenolic drug compounds, and t-butoxycarbonyl-glycinyl-glycinate derivatives of phenolic drug compounds. Phenolic drug compounds useful in the present invention include, but are not limited to, Δ 9 -Tetrahydrocannabinol (Δ 9 -THC), propofol, estradiol, apomorphine, dopamine, epinephrine, and related compounds.

[0261] Aerosol Composition The compositions described herein typically include a drug or drug compound. The compositions may also include other compounds. For example, the compositions may include a mixture of drug compounds, a mixture of drug compounds and pharma- ceutically acceptable excipients, or a mixture of drug compounds and other compounds that have useful or desirable properties. The compositions may also include pure drug compounds. In a preferred embodiment, the compositions consist essentially of pure drug and do not contain propellants or solvents.

[0262] Additionally, pharma- ceutically acceptable carriers, surfactants, enhancers, and inorganic compounds may be included in the composition. Examples of such materials are known in the art.

[0263] In some variations, the aerosol is substantially free of organic solvents and propellants. In addition, water from the atmosphere may be incorporated into the aerosol during aerosol formation, particularly during air passing over the membrane and during the cooling process, but water is typically not added as a solvent. In other variations, the aerosol is completely devoid of organic solvents and propellants. In yet another embodiment, the aerosol is completely devoid of organic solvents, propellants, and any excipients. These aerosols contain only pure drug, less than 10% of drug degradation products, and a carrier gas, which is typically air.

[0264] Typically, the drug has a degradation index of less than 0.15. Preferably, the drug has a degradation index of less than 0.10. More preferably, the drug has a degradation index of less than 0.05. Most preferably, the drug has a degradation index of less than 0.025.

[0265] In some variations, the condensation aerosol comprises at least 5% by weight of condensation drug aerosol particles. In other variations, the aerosol comprises at least 10%, 20%, 30%, 40%, 50%, 60%, or 75% by weight of condensation drug aerosol particles. In yet other variations, the aerosol comprises at least 95%, 99%, or 99.5% by weight of condensation drug aerosol particles.

[0266] In some variations, the condensation aerosol particles contain less than 10% by weight of pyrolysis products, hi other variations, the condensation drug aerosol particles contain less than 5%, 1%, 0.5%, 0.1%, or 0.03% by weight of pyrolysis products.

[0267] In certain embodiments of the present disclosure, the drug aerosol has a purity of 90%-99.8%, or 93%-99.7%, or 95%-99.5%, or 96.5%-99.2%.

[0268] Typically, the aerosol is 10 6 In another variation, the aerosol has a number concentration of more than 10 particles / mL. 7In yet another variation, the aerosol has a number concentration of more than 10 particles / mL. 8 >10 particles / mL 9 >10 particles / mL 10 >10 particles / mL or 10 11 has a number concentration of more than particles / mL.

[0269] The gas of the aerosol is typically air. However, other gases can be used, particularly inert gases such as argon, nitrogen, helium, etc. The gas can also include vapors of the composition that have not yet condensed to form particles. Typically, the gas does not include a propellant or vaporized organic solvent. In some variations, the condensation aerosol includes at least 5% by weight of condensation drug aerosol particles. In other variations, the aerosol includes at least 10%, 20%, 30%, 40%, 50%, 60%, or 75% by weight of condensation drug aerosol particles. In still other variations, the aerosol includes at least 95%, 99%, or 99.5% by weight of condensation aerosol particles.

[0270] In some variations, the condensation drug aerosol has an MMAD in the range of about 0.01-3 μm. In some variations, the condensation drug aerosol has an MMAD in the range of about 0.1-3 μm. In some variations, the aerosol has an MMAD less than 5 μm. In some variations, the geometric standard deviation around the MMAD of the condensation drug aerosol particles is less than 3.0. In other variations, the geometric standard deviation around the MMAD of the condensation drug aerosol particles is less than 2.5, or less than 2.0.

[0271] In certain embodiments of the invention, the medicinal aerosol comprises one or more drugs having a 4TSR of at least 5 or 10, a 1.5TSR of at least 7 or 14, or a 0.5TSR of at least 9 or 18. In other embodiments of the invention, the medicinal aerosol comprises one or more drugs having a 4TSR of 5-100 or 10-50, a 1.5TSR of 7-200 or 14-100, or a 0.5TSR of 9-900 or 18-300.

[0272] Condensation aerosol formation Any suitable method can be used to form the condensation aerosol described herein.One such method is to heat the composition to form a vapor, and then cool the vapor so that it forms an aerosol (i.e., a condensation aerosol).The method has been previously described in U.S. Patent No. 7,090,830.This reference is incorporated herein by reference in its entirety.

[0273] The present disclosure teaches a device for generating a condensation aerosol containing a drug comprising an electrically resistive heating element (substrate) comprising a metal foil substrate configured to vaporize a substance disposed thereon, a current delivery device that drives a precise current profile through the substrate to affect electrical resistive heating at a rate that achieves a precise temperature profile on the substrate sufficient to vaporize all or a portion of a coated drug composition in a time period of 3 seconds or less, and an air passageway that directs inhaled air over the surface of the substrate to entrain and condense the vaporized drug composition into condensed aerosol particles containing the substance that exit the mouthpiece end of the air passageway into the mouth of the user, pass through the airways, and reach the deep lung for systemic drug delivery. The electrically resistive foil substrate is configured to heat to a precise temperature with a precise profile that allows optimal vaporization of the drug to maximize drug delivery with respect to release amount, purity, and particle size to enable deep lung deposition.

[0274] Typically, the composition is coated onto a substrate, and then the substrate is heated to vaporize the composition. The substrate may be of any shape and may be of a variety of different sizes. Often, the substrate has a large surface area to volume ratio (e.g., greater than 100 per meter) and a large surface area to mass ratio (e.g., 1 cm per gram). 2 It is preferred that the substrate has a surface area of ​​greater than 100 nm. The substrate may have two or more surfaces.

[0275] Also, a substrate of one shape can be transformed into another shape with different properties. For example, a flat sheet of 0.25 mm thickness has a surface-to-volume ratio of about 8,000 per meter. Rolling this sheet into a hollow cylinder of 1 cm diameter creates a support that retains the high surface-to-volume ratio of the original sheet, but with a lower surface-to-volume ratio (about 400 per meter).

[0276] Many different materials can be used to construct the substrate. Typically, the substrate is thermally conductive and includes metals such as aluminum, iron, copper, stainless steel, alloys, ceramics, and filled polymers. In one variation, the substrate is stainless steel. Combinations of materials and coated variants of materials can also be used.

[0277] If it is desired to use aluminum as the substrate, aluminum foil is a suitable material. An example of an alumina and silicon based material is BCR171 (Aldrich, St. Louis, Missouri, with a defined surface area of ​​2 m 2 / g and silicon wafers used in the semiconductor industry.

[0278] Typically, it is desirable for the substrate to have relatively little or substantially no surface irregularities. Although a variety of supports can be used, supports having an impermeable surface or an impermeable surface coating are typically desirable. Illustrative examples of such supports include metal foils, smooth metal surfaces, non-porous ceramics, and the like. Alternatively, or additionally, for preferred substrates having an impermeable surface, the substrate surface extent is about 20 mm. 2 Alternatively or additionally, for preferred substrates having an impermeable surface, the extent of the substrate surface is 1 mm 2 , preferably 10 mm 2 , more preferably 50 mm 2 , and even more preferably 100 mm 2In contrast, non-preferred substrates are typically characterized by a substrate density of less than 0.5 g / cc, such as yarn, felt, foam, or a substrate density of less than 1 mm, such as small alumina particles or other inorganic particles. 2 / particles because it is difficult to produce therapeutic amounts of drug aerosols with less than 10% drug degradation via evaporation on these types of surfaces.

[0279] In one variation, the present disclosure teaches a stainless steel foil substrate. A hollow stainless steel tube may be used as the drug film substrate. In another variation, aluminum foil is used as the substrate for the test drug.

[0280] In devices designed to rapidly heat a foil substrate via electrical resistance heating to vaporize a drug film coated on the substrate for the purpose of generating a condensation aerosol, the foil substrate must have consistent and uniform electrical contact with the electrical circuit. Inconsistent electrical contact can result in localized hot and cool spots on the foil substrate, which can adversely affect the efficiency of drug vaporization, resulting in smaller and inconsistent release doses, and can cause drug degradation, resulting in higher levels of impurities. Also, after the foil substrate is attached to the electrical circuit, the foil substrate should maintain a consistent configuration, such as maintaining flatness between electrical contacts or maintaining a controlled arc between electrical contacts, to allow for consistent coating of the drug film onto the foil substrate and to maintain a consistent distance between the foil substrate and the interior surface of the air passage in the device. The uneven surface of the foil substrate can cause drug to pool at low points on the foil substrate during spray coating, resulting in locally dense areas of coating, and drug to flow away from high points on the foil substrate, resulting in less dense areas of coating.

[0281] Stainless steel foil substrates suitable for use in electrical resistance heating based condensation aerosol devices must be extremely thin, approximately 0.002 inches (0.05 mm) or less, given the design of portable battery-powered condensation aerosol devices (thicker foil substrates may be used in the design of mains-powered, less portable, bench-top condensation aerosol systems where power budgets are not a significant design consideration). The thermal capacity of the stainless steel foil substrate increases in direct proportion to the thickness of the stainless steel foil. This in turn affects the power required to rapidly heat the foil substrate. Furthermore, the electrical resistance is also directly proportional to the thickness of the foil substrate. The electrical resistance decreases as the thickness of the foil substrate increases. The decrease in electrical resistance further drives the increase in the power required to rapidly heat the foil substrate. In the design of portable handheld battery-powered aerosol generators for drug delivery, the power required must be minimized to ensure a reasonable device size. It is therefore important to minimize the thickness of the stainless steel foil substrate to allow for rapid heating, such as heating the substrate from 20 C to 400 C in 300 ms or less. Rapid heating is necessary to efficiently vaporize the drug film early in the inhalation cycle to ensure sufficient inhalation chaser volume to transport the aerosol particles deep into the lung.

[0282] Copper is the standard material used for electrical traces in printed circuit boards (PCBs), and stainless steel is the preferred material to use as the substrate on which to coat the drug film. The stainless steel must be attached to the copper to create the electrical resistance circuit. As mentioned above, foil substrates suitable for use in portable battery-powered condensation aerosol generators must be thin.

[0283] Soldering is a standard means of creating electrical connections in electrical circuits. Although soldering works well for some metals, such as copper, soldering does not work well between copper and bare stainless steel. A method that allows soldering between copper and stainless steel is to gold plate the areas of the stainless steel where the solder joints will be made. To prevent the gold plating from covering the areas of the stainless steel that will serve as the substrate for the drug film, certain areas of the stainless steel must be covered with a mask prior to the gold plating step. As mentioned above, foil substrates suitable for use in portable battery-powered condensation aerosol generators must be thin. Applying a mask to thin stainless steel foil prior to gold plating, and subsequently removing the mask from the foil without tearing and / or wrinkling the foil, is a difficult process, and there are few foil convertors that have the capability to perform this operation on thin (0.002 inch (0.05 mm) or less) stainless steel foils. The need to mask and gold plate the foil substrate is undesirable as it adds time and cost to the assembly process and reduces overall yield efficiency.

[0284] An alternative to soldering a stainless steel foil substrate to copper to form an electrical resistive circuit is to use laser welding. There are many different reasons why laser welding is superior to soldering.

[0285] Soldering, or more properly brazing, is a capillary fill system in which solder is heated with a gas oxygen torch, an open flame, or a hot-tip soldering iron. When the solder reaches its melting point, it flows across the metals, bridging the metals together. Solder is an alloy designed to melt at a lower temperature than the metals being soldered, and is therefore a different alloy than the metals. The heat used in this process is very high, and therefore often results in visible seams, discoloration, or fire stains in the soldered areas.

[0286] Laser welding is a non-contact process where light energy is used to weld metal to itself, which fuses the metals together at a molecular level, resulting in a final product that is all one alloy. Most laser processes weld autogenously, meaning they do not use filler metals, have a minimal heat affected zone (HAZ), and use only enough heat to melt and fuse the materials. This results in a high quality weld joint with minimal thermal distortion. However, welding without filler metals requires contact of the mating surfaces. Because the laser is a highly concentrated heat source, the joint typically melts, fuses, and cools extremely quickly. Therefore, the material must be able to withstand the rapid cooling without causing weld defects such as cracks. If a laser welder requires the addition of metal or "filler wire," the filler material is typically identical to one of the metals being welded.

[0287] The heat required for welding is supplied by a tightly focused light beam just 2000ths of an inch in diameter. Welding fires a series of short pulses that melt the metal to produce a high quality weld. Because the laser beam is tightly focused, heat input is minimized and the part can be addressed almost immediately. Lasers are finely focused beams, resulting in a minimal HAZ or "bombardment zone." Metal adjacent to the impact zone is not melted during the welding process. This precision heat source allows users to weld metals close to heat-sensitive components, resulting in a seamless, undetectable work area without discoloration.

[0288] Lasers have been used successfully to weld dissimilar materials such as carbon steel, high strength steel, stainless steel, titanium, aluminum, and precious metals, as well as welding stainless steel and copper.

[0289] The main types of lasers used for welding and cutting are: Gas Lasers: Uses a mixture of gases such as helium and nitrogen. There are also CO2 or carbon dioxide lasers. These lasers use a low current, high voltage power supply to excite the gas mixture with the lasing medium. They operate in pulsed or continuous mode. Carbon dioxide lasers use a mixture of high purity carbon dioxide with helium and nitrogen as the lasing medium. CO2 lasers are also used for dual beam laser welding where the beam is split into two equal output beams. Solid-state lasers: (Nd:YAG types and ruby ​​lasers) operate at wavelengths of 1 micrometer. They can be pulsed or operated continuously. Pulsed operation is similar to spot welding but produced a fully penetrated joint. Pulse energy is 1-100 Joules. Pulse duration is 1-10 ms. Diode laser

[0290] In a preferred embodiment, a Nd:YAG laser is used under computer numerical control (CNC) to provide repeatable and accurate welds. Tooling is used to hold the foil substrate in the same orientation for each assembly.

[0291] Figure 25 shows an example of a soldered foil substrate, and Figure 26 shows a laser welded to an electric flex circuit. As can be seen, the soldered foil substrate does not lie flat due to distortion resulting from exposure to excessive heat during the soldering process. In comparison, the foil substrate laser welded to a flex circuit showed a very clean bond between the copper and stainless steel with minimal thermal distortion.

[0292] For the composition, typically, the drug is coated on the foil substrate in the form of a film. The film can be coated on the film substrate using any suitable method. The suitable method for coating often depends on the physical properties of the compound and the desired film thickness. One exemplary method for coating the composition on the foil substrate is by preparing a solution of the compound (alone or in combination with other desired compounds) in a suitable solvent, applying the solution to the outer surface of the foil substrate, and then removing the solvent (e.g., by evaporation), thereby leaving a film on the foil substrate.

[0293] Common solvents include methanol, dichloromethane, methyl ethyl ketone, diethyl ether, acetone, ethanol, isopropyl alcohol, 3:1 chloroform:methanol mixture, 1:1 dichloromethane:methyl ethyl ketone mixture, dimethylformamide, and deionized water. In some cases (e.g., when triamterene is used), it may be desirable to use a solvent such as formic acid. Sonication may also be used to dissolve the compound, if necessary.

[0294] The composition can also be coated onto a foil substrate by dipping the substrate into a composition solution or by spraying, brushing, or otherwise applying the solution to the foil substrate. Alternatively, a melt of the drug can be prepared and applied to the foil substrate. For drugs that are liquid at room temperature, a viscosity enhancer can be mixed with the drug to allow for the application of a solid drug film.

[0295] The film can be of various thicknesses depending on the compound and the maximum amount of thermal decomposition desired. In one method, the heating of the composition involves heating a thin film of the composition having a thickness of about 0.1 μm to 30 μm to form a vapor. In yet another variation, the composition has a film thickness of about 0.5 μm to 21 μm. Most typically, the vaporized film thickness is 0.5 μm to 25 μm.

[0296] Typically, the power source provides heat or power to the substrate at a rate that achieves a substrate temperature of at least 200°C, preferably at least 250°C, more preferably at least 300°C or 350°C, or 500°C, and results in substantially complete vaporization of the drug composition from the substrate within 2 seconds, preferably within 1 second, more preferably within 0.5 seconds. A suitable power source for a portable handheld drug delivery device is, for example, a lithium polymer battery capable of providing the high current discharge rates necessary for electrical resistive heating to achieve rapid heating, preferably within 50-500 ms, more preferably in the range of 50-200 ms, to a substrate temperature of at least 200°C, 250°C, 300°C, or 350°C, or 500°C.

[0297] To rapidly heat the foil substrate via electrical resistive heating to vaporize the drug film coated on the substrate for the purpose of generating a condensation aerosol, the device must be capable of delivering high power (400-700 W) to the foil substrate for a short period of time (up to 300 ms). For a ~10 V system, which can be achieved by connecting three 3.7 V batteries in series, the output current will be 40-70 A. Generating this high level of power is a challenge with conventional battery chemistries when the functionality is intended to be incorporated into a handheld portable condensation aerosol drug delivery device.

[0298] Compact commercially available lithium polymer batteries have suitable power and current output for use in the construction of handheld condensation aerosol drug delivery devices to drive electrical resistive heating of relatively large surface area foil substrates. These batteries have current output capabilities in the range of 40 to 70 A required to rapidly heat drug-coated metal foil substrates, such as stainless steel, to 20°C to 300°C to 500°C in 300 ms or less to efficiently vaporize the coated drug. The vaporized drug product then condenses to form aerosol particles of optimal size for deep lung delivery. Lithium polymer batteries are available in a variety of sizes or can be custom designed to allow for flexible packaging in portable handheld devices.

[0299] The current discharge capability of a battery is specified by its C-rate. C-rate is a measure of how quickly a battery can be discharged relative to the battery's maximum capacity. It is defined as the discharge current divided by the theoretical current draw that would result in the battery delivering its nominal rated capacity in one hour.

[0300] When heating a thin film of a composition, it is desirable for the vaporized compound to migrate quickly from the heated surface or surrounding heated gas to a cooler environment to avoid decomposition. This can be accomplished not only by rapid heating of the substrate, but also by the use of a flow of gas across the surface of the substrate. The vaporized compound from the surface can migrate through Brownian motion or diffusion, but the time duration of this migration can be influenced by the velocity gradient of the gas over the surface and the extent of the elevated temperature region at the surface established by the physical shape of the surface. Typical gas flow rates used to minimize such decomposition and produce the desired particle size range from 1 to 10 L / min.

[0301] The aerosol particles for administration are typically 10 per second. 8 A rate of inhalable particles of more than 10 per second can be formed using any of the methods described. In some variations, the aerosol particles for administration are greater than 10 per second. 9 Pieces or 10 10 The aerosol is formed at a rate of more than 10 ...

[0302] In some variations, the drug condensate aerosol is formed from a composition that forms at least 5% by weight of drug condensate aerosol particles. In other variations, the aerosol is formed from a composition that forms at least 10%, 20%, 30%, 40%, 50%, 60%, or 75% of drug condensate aerosol particles. In yet other variations, the aerosol is formed from a composition that forms at least 95%, 99%, or 99.5% by weight of drug condensate aerosol particles.

[0303] In some variations, the drug condensation aerosol particles, when formed, contain less than 10% by weight of pyrolysis products. In other variations, the drug condensation aerosol particles, when formed, contain less than 5%, 1%, 0.5%, 0.1%, or 0.03% by weight of pyrolysis products.

[0304] In some variations, the drug condensation aerosol is generated in the gas stream at a velocity such that the resulting aerosol has an MMAD in the range of about 0.1 to 3 μm. In some variations, the geometric standard deviation around the MMAD of the drug condensation aerosol particles is less than 3 μm. In some variations, the geometric standard deviation around the MMAD of the drug condensation aerosol particles is less than 5 μm. In other variations, the geometric standard deviation around the MMAD of the drug condensation aerosol particles is less than 2.5 μm, or less than 2 μm.

[0305] The present disclosure teaches an apparatus for generating a condensation aerosol containing a drug that is sensitive to vaporization temperature, comprising an electrical resistance heating element including a metal foil substrate configured to vaporize a substance disposed thereon, a current delivery device that drives a precise current profile through the substrate to affect electrical resistance heating at a rate that achieves a precise temperature profile on the substrate sufficient to vaporize all or a portion of a coated drug composition within a time period of 3 seconds or less, and an air passageway that directs inhaled air over the surface of the substrate to entrain and condense the vaporized drug composition into condensed aerosol particles containing the substance that exit the mouthpiece end of the air passageway into the mouth of the user, pass through the airways, and reach the deep lungs for systemic drug delivery. For example, apomorphine hydrochloride hemihydrate is sensitive to vaporization temperature and therefore requires a precise level of temperature control to generate the condensation aerosol.

[0306] delivery device The delivery devices described herein for administering condensation drug aerosols typically comprise an element for heating the composition to form a vapor, and an element for cooling the vapor, thereby allowing the formation of a condensation aerosol. These aerosols are generally delivered via inhalation to the lungs of a patient for local or systemic treatment. Alternatively, however, the condensation aerosols of the present invention can be generated in an air stream to apply the drug-aerosol particles to a target site. For example, an air stream carrying the drug-aerosol particles can be applied to treat acute or chronic skin conditions, can be applied at an incision site during surgery, or can be applied to an open wound. The delivery device can be combined with a composition comprising a drug in a unit dosage form for use as a kit.

[0307] The devices described herein may additionally include various components to facilitate aerosol delivery. For example, the devices may include any components known in the art to control the timing of drug aerosolization relative to inhalation (e.g., breath actuation). Similarly, the devices may include components to provide feedback to the patient on the rate and / or amount of inhalation, or to prevent overuse (i.e., a "lockout" feature). The devices may further include features such as dose counting / history recording or tapering methods. Additionally, the devices may further include components to prevent use by unauthorized individuals, and to record dosing histories. These components may be used alone or in combination with other components.

[0308] The component that allows cooling can be of any configuration, for example an inert passageway connecting the heating means to the inhalation means. Similarly, the component that allows inhalation by the user can be of any configuration, for example an outlet portal that forms a connection between the cooling element and the user's respiratory system.

[0309] Typically, the drug delivery article is heated to a temperature sufficient to vaporize all or a portion of the membrane such that the composition forms a vapor that becomes carried along in the air stream during inhalation. As discussed above, heating of the drug delivery article can be accomplished using, for example, an electrically resistive, drug-coated foil substrate connected in an electrical circuit to a power source, such as a battery pack disposed within the housing. Heating can be activated, for example, with a button on the housing or via breath actuation, as known in the art.

[0310] Another device that can be used to form and deliver the aerosols described herein is as follows. The device includes an element for heating the composition to produce a vapor, an element for cooling the vapor to form a condensation aerosol, and an element that allows a user to inhale the aerosol. The device also includes mating upper and lower outer housing members.

[0311] The downstream end of each housing member is gently tapered for insertion into the mouth of a user. The upstream ends of the upper and lower housing members are slotted (one or both are slotted) to allow for the intake of air when the user inhales. When the upper and lower housing members are mated together, they define a chamber within which a drug delivery unit is located.

[0312] In one variation of the device used, the device includes a drug composition delivery article consisting of a substrate, a film of a selected drug composition on a surface of the substrate, and a power source for heating the substrate to a temperature greater than 200° C., or in other embodiments, greater than 250° C., 300° C. or 350° C., 300° C. or 350° C., or 500° C., and supplying an electric current through the foil substrate at a rate effective to effect substantially complete vaporization of the drug composition in less than 2 seconds, or more preferably in less than 1 second.

[0313] Other drug delivery articles that may be used in combination with the devices described herein.Various methods of coating are known in the art and / or have been described above.

[0314] An exemplary heating element is shown as an electrically resistive foil substrate that generates heat when an electric current flows through it. An acceptable energy source can provide power to the drug delivery article to heat the drug-coated foil substrate at a rate that rapidly achieves a temperature sufficient to completely vaporize the composition from the support surface. For example, heat sources that achieve temperatures of 200°C to 500°C or higher in 2 seconds are typical, with 1 second or less being preferred. It should be understood that the temperature selected will depend on the vaporization characteristics of the composition, but is typically heated to a temperature of at least about 200°C, preferably at least about 250°C, and more preferably at least about 300°C or 350°C. Heating the substrate produces a drug composition vapor that, in the presence of a flowing gas, produces aerosol particles of a desired size range. The gas flow is generally present before, simultaneously with, or after heating the substrate. In one embodiment, the substrate is heated for less than about 1 second, more preferably less than about 500 milliseconds, and even more preferably less than about 200 milliseconds. The drug-aerosol particles are inhaled by the subject for delivery to the lungs.

[0315] The device may also include a gas flow control valve disposed upstream of the solid support and limiting the gas flow rate through the condensation region. The gas flow valve may, for example, include an inlet port communicating with the chamber and a deformable flap adapted to increasingly divert or restrict air flow away from the port with increasing pressure drop across the valve. Similarly, the gas flow valve may include an actuation switch. In this variation, the movement of the valve may be responsive to an air pressure differential across the valve, which may, for example, function to close the switch. The gas flow valve may also include an orifice designed to limit the air flow rate into the chamber.

[0316] The device may also include a bypass valve in communication with the downstream chamber of the unit to offset the reduction in air flow created by the gas flow control valve when a user draws air into the chamber. In this manner, the bypass valve may work in conjunction with the gas control valve to control the flow through the condensation region of the chamber and the total amount of air drawn through the device. Thus, the total volumetric air flow through the device in this variation would be the sum of the volumetric air flow through the gas control valve and the volumetric air flow through the bypass valve.

[0317] The gas control valve may function, for example, to limit the air drawn into the device to a preselected level, such as 15 L / min. In this manner, a preselected airflow may be generated to generate particles of a desired size. For example, when this selected airflow level is reached, the additional air drawn into the device will create a pressure drop across the bypass valve, which in turn accommodates airflow through the bypass valve to the downstream end of the device adjacent the user's mouth. Thus, the user senses that a deep breath is being taken in as the two valves distribute the total airflow between the desired airflow and the bypass airflow.

[0318] These valves are used to control the velocity of the gas through the condensation region of the chamber, and therefore the particle size of the aerosol particles produced. Typically, the faster the air flow, the smaller the particles. Thus, to obtain smaller or larger particles, the gas velocity through the condensation region of the chamber can be varied by adjusting the gas flow control valve to increase or decrease the volumetric air flow rate. For example, to produce condensation particles in the size range of about 1-3.5 μm MMAD, a chamber having substantially smooth walls will have a selected gas flow rate in the range of 1-10 L / min.

[0319] Additionally, as one skilled in the art would appreciate, particle size can be altered by modifying the cross-section of the chamber condensation region to increase or decrease the linear velocity of the gas for a given volumetric flow rate, and / or by the presence or absence of structures that induce turbulence within the chamber. Thus, for example, to generate condensation particles in the 10-100 nm MMAD size range, the chamber can be provided with gas flow barriers to create turbulent air flow within the condensation chamber. Typically, these barriers are located within a few thousandths of an inch of the substrate surface. Particle size is discussed in more detail below.

[0320] Drug composition film thickness Typically, the drug composition film coated on the substrate has a thickness of about 0.05-30 μm, typically 0.1-30 μm. More typically, the thickness is about 0.2-30 μm, even more typically, the thickness is about 0.5-30 μm, and most typically, the thickness is between about 0.5-25 μm. Typically, the desired film thickness for any given drug composition is determined by an iterative process in which the desired yield and purity of the condensation aerosol composition is selected or known.

[0321] For example, if the particle purity is lower than desired or the percent yield is lower than desired, the drug film thickness is adjusted to a thickness different from the initial film thickness. The purity and yield at the adjusted film thickness are then determined, and this procedure is repeated until the desired purity and yield are achieved. After the appropriate film thickness is selected, the area of ​​the substrate required to provide a therapeutically effective dose is determined.

[0322] In general, the film thickness for a given drug composition is such that the drug-aerosol particles formed by vaporizing the drug composition by heating the substrate and entraining the vapor in a gas stream have (i) no more than 10% by weight of drug-degradation products, more preferably no more than 5% by weight, and most preferably no more than 2.5% by weight of the total amount of drug composition contained in the film, and (ii) at least 50%. The region of the substrate on which the drug composition film is formed is selected to achieve an effective human therapeutic dose of the drug aerosol, as further described below.

[0323] To determine the thickness of the drug film, one method that can be used is to determine the area of ​​the substrate and calculate the drug film thickness using the following relationship: Film thickness (cm) = drug mass (g) / [drug density (g / cm 3 ) x board area (cm 2 )]

[0324] The mass of drug can be determined by weighing the substrate before and after the formation of the drug film, or by extracting the drug and analytically measuring its amount.Drug density can be experimentally measured by various techniques known to those skilled in the art or found in the literature or references such as the CRC Handbook of Chemistry and Physics.When the actual drug concentration is unknown, it is acceptable to assume unit density.

[0325] A substrate with 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 collected and analyzed for the presence of drug degradation products to determine the purity of the aerosol particles in the thermal vapor. There is a clear relationship between film thickness and aerosol particle purity, with purity increasing as film thickness decreases.

[0326] In addition to selecting a drug film thickness that results in aerosol particles containing 10% or less drug degradation products (i.e., aerosol particle purity of 90% or greater), the film thickness is selected such that at least about 50% of the total amount of drug composition contained in the film is vaporized when the substrate is heated to a temperature sufficient to vaporize the film.

[0327] To obtain a purer aerosol, a smaller amount of drug can be coated, resulting in a thinner heated film, or alternatively, the same amount of drug can be used over a larger surface area. In general, a linear decrease in film thickness is associated with a linear decrease in impurities, except when the drug film thickness is extremely thin, as described above.

[0328] Thus, for drug compositions in which the aerosol exhibits increasing levels of drug degradation products with increasing film thickness, particularly at thicknesses greater than 0.05-30 μm, the film thickness on the substrate will typically be 0.05-30 μm, e.g., a maximum or near maximum within this range that allows for the formation of a particulate aerosol with less than 5% drug degradation.

[0329] Another approach contemplates producing drug-aerosol particles having a desired level of drug composition purity by forming a thermal vapor under a controlled atmosphere of an inert gas such as argon, nitrogen, or helium.

[0330] Once the desired purity and yield is achieved, or can be estimated from a graph of aerosol purity versus film thickness, and the corresponding film thickness is determined, the area of ​​substrate required to provide a therapeutically effective dose is determined.

[0331] Board Area As discussed above, the surface area of ​​the substrate surface is selected to be sufficient to provide a therapeutically effective dose. The amount of drug that provides a therapeutic dose is known in the art and is discussed further below. The required dose and selected film thickness described above define the minimum required substrate area according to the following relationship: Thickness (cm) × drug density (g / cm 3 ) x board area (cm 2 ) = dose (g) or Board area (cm 2 = Dose (g) / [Thickness (cm) × Drug Density (g / cm 3 )]

[0332] The drug mass can be determined by weighing the substrate before and after the formation of a drug film, or by extracting the drug and measuring its amount analytically. Drug density can be determined experimentally by a variety of well-known techniques, or may be found in the literature or in references such as the CRC. If the actual drug density is unknown, it is acceptable to assume a unit density.

[0333] To create a drug delivery article consisting of a drug film on a thermally conductive substrate capable of delivering an effective human therapeutic dose, the minimum substrate surface area is determined using the relationship above which determines the substrate area for a selected film thickness that will result in a therapeutic dose of the drug aerosol.

[0334] In some variations, the selected substrate surface area is between about 0.05 and 500 cm 2 In others, the surface area is about 0.05 to 300 cm 2 In one embodiment, the substrate surface area is 0.05 to 0.5 cm 2 In one embodiment, the substrate surface area is between 0.1 cm and 0.2 cm 2 The actual dose of drug delivered from the drug delivery article, i.e., the percentage yield or release percentage, depends, among other factors, on the percentage of the drug film that vaporizes upon heating the substrate. Thus, for aerosol particles with a drug film and 100% drug purity that results upon heating a 100% drug film, the above relationship between dose, thickness, and area directly correlates to the amount delivered to the user. As the percentage yield and / or particle purity decreases, adjustments to the substrate area can be made as necessary to provide the desired dosage. Also, as one skilled in the art will recognize, a larger substrate area than the minimum calculated area for a particular film thickness can be used to deliver a therapeutically effective dose of drug. Furthermore, as one skilled in the art will recognize, if the selected surface area exceeds the minimum required to deliver a therapeutic dose from the selected film thickness, the film need not coat the entire surface area.

[0335] Dosage of drug-containing aerosol A dose of a drug delivered in an aerosol refers to a unit dose generated by heating the drug under defined conditions, cooling the vapor, and delivering the resulting aerosol. A "unit dose" is the total amount of drug in a given amount of inhaled aerosol. A unit dose can be determined by collecting the aerosol, analyzing the compositions described herein, and comparing the analysis of the aerosol with the analysis of a series of reference standards containing known amounts of the drug. The amount of drug or drugs required in the starting composition to be delivered as an aerosol depends on the amount of drug or drugs that enters the thermal vapor phase upon heating (i.e., the dose generated by the starting drug or drugs), the bioavailability of the aerosol drug or drugs, the amount inhaled by the patient, and the potency of the aerosol drug or drugs depending on the plasma drug concentration.

[0336] Methods such as animal studies and dose-finding (Phase I / II) clinical trials can be used to determine the appropriate dose of drug-containing aerosol to treat a particular condition. These studies can also be used to evaluate the potential for pulmonary toxicity of the aerosol. One animal study measures the plasma concentration of the drug after the animal is exposed to the aerosol. Mammals such as dogs and primates are typically used in such studies because their respiratory systems are similar to those of humans and typically allow for accurate extrapolation of test results to humans. In general, the initial dose level for human testing is less than or equal to the dose in the mammalian model that produced plasma drug levels associated with therapeutic efficacy in humans. Dose escalation in humans is then performed until an optimal therapeutic response is obtained or dose-limiting toxicity is encountered. The actual effective amount of drug for a particular patient may vary depending on the particular drug or combinations used, the particular composition formulated, the mode of administration, and the age, weight, and condition of the patient and the severity of the episode being treated.

[0337] Particle size Efficient aerosol delivery to the lung requires that the particles have certain penetration and settling or diffusion properties. Deep lung deposition occurs by gravitational settling, which requires that the particles have an effective settling size, defined as the mass median aerodynamic diameter (MMAD), typically between 1 and 3.5 μm. For smaller particles, deep lung deposition occurs by a diffusion process, which requires that the particles have a particle size in the range of 10-100 nm, typically between 20-100 nm. Inhalation drug delivery devices for deep lung delivery should generate aerosols with particles in one of these two size ranges, preferably with an MMAD of about 0.1-3 μm. In other variations, the aerosol MMAD is less than 5 μm. Typically, gas or air is passed over a solid support at a constant flow rate to generate particles with the desired MMAD.

[0338] During condensation, the MMAD of the aerosol increases over time. Typically, in variations of the invention, the MMAD increases within the size range of 0.01-3 μm as the vapor cools and condenses by contact with the carrier gas, and then increases further as the aerosol particles collide with each other and congeal into larger particles. Most typically, the MMAD goes from <0.5 microns to >1 micron in less than one second. Thus, typically, immediately after condensation into particles, the condensed aerosol MMAD doubles at least once per second, and often at least 2, 4, 8, or 20 times per second. In other variations, the MMAD increases within the size range of 0.1-3 μm.

[0339] Typically, the higher the flow rate, the smaller the particles formed. Thus, the flow rate through the condensation region of the delivery device can be varied to obtain smaller or larger particles. The desired particle size is determined when the number concentration of the mixture is about 10 9This is achieved by mixing the compound in its vapor state with a large volume of carrier gas in a ratio such that the desired particle size is achieved when the number concentration reaches 10 particles / mL. Particle growth at this number concentration is slow enough that the particle size is considered "stable" in the context of a single deep inhalation. This can be done, for example, by increasing or decreasing the volumetric air flow rate by adjusting the gas flow control valve. Specifically, by selecting a gas flow rate over the vaporized drug in the range of 1-10 L / min, preferably 2-8 L / min, condensation particles in the size range of 0.1-3 μm MMAD can be generated.

[0340] Additionally, as one skilled in the art would appreciate, particle size can also be altered by modifying the cross section of the chamber condensation region to increase or decrease the linear gas velocity for a given volumetric flow rate. Furthermore, particle size can also be altered by the presence or absence of structures that introduce turbulence into the chamber. Thus, for example, to generate condensation particles in the 10-100 nm MMAD size range, the chamber can be equipped with gas flow barriers to create air turbulence within the condensation chamber. Typically, these barriers are located within a few thousandths of an inch of the substrate surface.

[0341] Analysis of drug-containing aerosols The purity of drug-containing aerosol can be determined using many different methods. It should be noted that when the term "purity" is used, it refers to the percentage of aerosol minus the percentage of by-products generated in its formation. For example, by-products are those unwanted products generated during vaporization. For example, by-products include pyrolysis products and any unwanted metabolites of active compound or compounds. Examples of suitable methods for determining aerosol purity are described in Sekine et al., Journal of Forensic Science 32:1271-1280 (1987) and Martin et al., Journal of Analytic Toxicology 13:158-162 (1989).

[0342] One suitable method is to use a trap. In this method, the aerosol is collected in a trap to determine the percentage or proportion of by-products. Any suitable trap can be used. Suitable traps include filters, glass wool, impingers, solvent traps, cold traps, and the like. In many cases, filters are most desirable. Typically, the trap is then extracted with a solvent, such as acetonitrile, and the extract is subjected to analysis by any of a variety of analytical methods known in the art, such as gas chromatography, liquid chromatography, and particularly useful high performance liquid chromatography.

[0343] Typically, gas or liquid chromatography methods include a detector system, such as a mass spectrometry detector or an ultraviolet absorption detector. Ideally, the detector system allows the determination of the amount of the components of the pharmaceutical composition and the amount of the by-products by weight. This is achieved in practice by measuring the signal obtained by analyzing one or more known masses (standards) of the components of the pharmaceutical composition or by-products, and comparing the signal obtained by analyzing the aerosol with the signal obtained by analyzing the standards. This is an approach well known in the art.

[0344] In many cases, the structure of the by-product may not be known or its standard may not be available. In such cases, the weight fraction of the by-product can be calculated by assuming that it has the same response factor (e.g., for ultraviolet absorption detection, the same extinction coefficient) to the drug component or components in the drug composition. When performing such an analysis, by-products that are present in less than a very small fraction of the drug compound, e.g., less than 0.1% or 0.03% of the drug compound, are typically excluded. Since it is often necessary to assume the same response factor between the drug and the by-product when calculating the weight percentage of the by-product, it is often more desirable to use an analytical approach where there is a high probability that such an assumption is valid. In this regard, high performance liquid chromatography with detection by ultraviolet absorption at 225 nm is typically desirable. UV absorption at 250 nm can be used for detection of compounds when they absorb more strongly at 250 nm, or for other reasons that one skilled in the art would consider detection at 250 nm to be the most appropriate means of estimating purity by weight using HPLC analysis. In certain cases where analysis of the drug by UV is not feasible, other analytical tools such as GC / MS or LC / MS can be used to determine purity.

[0345] Varying the gas from which vaporization of the composition occurs can also affect purity.

[0346] Other analytical methods The particle size distribution of the drug-containing aerosol can be measured using any suitable method in the art, such as cascade impaction. A Next Generation Cascade Impactor (MSP Corporation, Shoreview, MN) connected to a vaporizer by an induction port (USP induction port, MSP Corporation, Shoreview, MN) is one system used for cascade impaction studies.

[0347] The mass density of an inhalable aerosol can be determined, for example, by delivering a drug-containing aerosol into a closed chamber via an inhalation device and measuring the mass collected in the chamber. Typically, the aerosol is drawn into the chamber by having a pressure gradient between the device and the chamber, where the chamber is at a lower pressure than the device. The volume of the chamber should be approximately the inhalation volume of an inhaling patient, typically about 2-4 liters.

[0348] Inhalable aerosol drug mass density can be determined, for example, by delivering a drug-containing aerosol into a closed chamber via an inhalation device and measuring the amount of active drug compound collected in the chamber. Typically, the aerosol is drawn into the chamber by having a pressure gradient between the device and the chamber, where the chamber is at a lower pressure than the device. The volume of the chamber should be approximately the inhalation volume of an inhaling patient, typically about 2-4 liters. The amount of active drug compound collected in the chamber is determined by extracting the chamber, performing a chromatographic analysis of the extract, and comparing the results of the chromatographic analysis to those of a standard containing a known amount of drug.

[0349] Inhalable aerosol particle concentration can be determined, for example, by delivering the aerosol phase drug via an inhalation device to a closed chamber and measuring the number of particles of a given size collected in the chamber. The number of particles of a given size can be measured directly based on the light scattering properties of the particles. Alternatively, the number of particles of a given size can be determined by measuring the mass of particles in a given size range and calculating the number of particles based on their mass as follows: Total number of particles = sum of the number of particles in each size range (size range 1 to size range N). Number of particles in a given size range = mass of size range / mass of a typical particle in the size range. Mass of a typical particle in a given size range = π*D 3*φ / 6, where D is the typical particle diameter in μm for a size range (the average boundary MMAD that typically defines the size range), φ represents particle density (g / mL), and mass is in picograms (g -12 ) units.

[0350] The rate of inhalable aerosol particle formation can be determined, for example, by delivering aerosol phase drug via an inhalation device to a closed chamber. Delivery occurs over a set period of time (e.g., 3 seconds) and the number of particles of a given size collected in the chamber is determined as outlined above. The rate of particle formation is equal to the number of 10 nm to 5 micron particles collected divided by the length of collection time.

[0351] The rate of aerosol formation can be determined, for example, by delivering an aerosol-phase drug via an inhalation device into a closed chamber. The delivery is performed for a set time (e.g., 3 seconds), and the mass of collected particulate matter is determined by weighing the enclosed chamber before and after delivery of the particulate matter. The rate of aerosol formation is equal to the increase in mass in the chamber divided by the length of collection time. Alternatively, if the change in mass of the delivery device or its components can only occur through the release of aerosol-phase particulate matter, the mass of the particulate matter can be compared to the mass lost from the device or components during delivery of the aerosol. In this case, the rate of aerosol formation is equal to the decrease in mass of the device or components during the delivery event divided by the length of the delivery event.

[0352] The rate of drug aerosol formation can be determined, for example, by delivering the drug-containing aerosol through an inhalation device into a confined chamber for a set time (e.g., 3 seconds). If the aerosol is pure drug, the amount of drug collected in the chamber is measured as described above. The rate of aerosol formation is equal to the amount of drug collected in the chamber divided by the length of collection time. If the drug-containing aerosol contains a pharma- ceutically acceptable excipient, the rate of drug aerosol formation is obtained by multiplying the rate of aerosol formation by the percentage fraction of drug in the aerosol.

[0353] Vaporization temperature control The generation of suitable condensation aerosols with temperature-sensitive drugs involves identifying the temperatures associated with the various transition points and either avoiding them (e.g., in the case of apomorphine hydrochloride hemihydrate, where HCl can dissociate at 250°C-280°C) or directing the temperature to a precisely controlled temperature profile that minimizes the generation of impurities. If the drug is exposed to temperatures significantly above this range, the purity of the aerosol decreases. To prevent excessive heating of the foil substrate, the ramp-up rate of the foil substrate temperature is characterized to determine when to stop the supply of high current flow to the membrane substrate to prevent the foil substrate temperature from exceeding the target temperature for vaporization. See FIG. 1.

[0354] To maximize the amount of drug vaporized, the radiative and convective heat losses from the foil substrate that occur as the inhaled air passes over it must be offset by supplying additional energy. Once the target temperature is reached, a pulsed current is applied to the foil substrate at a specific frequency to maintain a stable temperature (Figure 2). Without pulsing, the temperature of the foil substrate would drop rapidly, resulting in a reduced release rate. An alternative to pulsing is to supply a constant current that is small enough not to cause additional heating, and large enough to prevent cooling.

[0355] Depending on the drug response to substrate temperature, the above plateau heating can be controlled at a constant rate (no plateau heating or temperature / time change) or with tampered cooling or a negative ramp rate (Figure 3), or continuous heating or a positive ramp rate (Figure 4) (change in temperature / time) to optimize the vaporization process.

[0356] The present disclosure optionally includes the use of a bypass airflow design, such as that described in U.S. Patent No. 7,913,688, to control the flow rate of air passing over the foil substrate to reduce the rate of convective heat loss and allow for more consistent vaporization of the drug. The foil substrate can be 0.0005-0.002 inches thick. In some variations, the foil substrate can be 0.0005-0.0015 inches thick. In some variations, the foil substrate can be 0.0005-0.0010 inches thick.

[0357] Ramp-up speed temperature In the case of apomorphine hydrochloride hemihydrate, it is important that the foil substrate quickly reaches the vaporization temperature to minimize exposure of the drug to certain low temperatures. In the temperature range of approximately 250 °C to 280 °C, hydrochloride (HCl) may dissociate from apomorphine. It is important to minimize the time that apomorphine hydrochloride hemihydrate is exposed to this temperature window (250 °C to 280 °C) to prevent dissociation of HCl from apomorphine.

[0358] The vaporization temperature is reached in less than 300 ms (Figure 1). This is achieved by using supercapacitors that can store energy and then release it (high current) rapidly.

[0359] Supercapacitors can be charged (pre-energized) with energy from a standard power source or a battery.

[0360] Alternatively, a battery with a sufficiently high C-rate can be used to provide a rapid release of electrical energy to heat the foil substrate in 300 ms or less. C-rate is a measure of how quickly a battery is discharged relative to the battery's maximum capacity. It is defined as the discharge current divided by the theoretical current draw that would result in the battery delivering its nominal rated capacity in one hour.

[0361] To reduce the energy required to heat the foil substrate and to help achieve a rapid increase in temperature, thin stainless steel foil substrates are used to minimize thermal mass. Foil substrate thicknesses used in condensation aerosol systems to heat the foil substrate using an exothermic chemical reaction are typically in the range of about 102-127 μm (0.004 in.-0.005 in.) thick. In electrical resistance heating systems, thinner foil substrates on the order of 13-38 μm (0.0005 in.-0.002 in.) thick are more suitable to reduce the power requirements of the controller during the ramp-up temperature stage.

[0362] Foil Board Design In one embodiment of the present invention, the conductive foil substrate is a rectangle of approximately 40 mm by 30 mm, with two opposing edges of the foil substrate electrically connected to a flex circuit or printed circuit board along the entire length of each edge (FIGS. 6-8). The foil substrate is placed in an air passage supported by the top and bottom halves of the device housing. The electrically connected edges run parallel to the primary direction of airflow in the air passage. The other two edges of the foil substrate run perpendicular to the primary direction of airflow in the air passage and are unsupported.

[0363] Convective heat loss from the foil substrate during inhalation as a result of exposure to airflow in the air passage creates undesirable temperature gradients across the surface of the foil substrate, resulting in localized hot and cold spots on the surface of the foil substrate During vaporization of the drug, hot spots on the foil substrate adversely affect purity and cold spots adversely affect dose efficiency.

[0364] Various methods can be used to reduce the temperature gradient on the foil substrate for optimal vaporization of the drug. Alternatively, the system can be designed to work around the temperature gradient on the foil substrate surface by avoiding coating the drug on hot and cold areas of the substrate.

[0365] In one embodiment of the present invention, turbulence is induced in the air flowing over the foil substrate by directing the air flow through a perforated partition positioned upstream of the foil substrate so that the air flow is evenly distributed over the foil substrate resulting in more uniform convective heat loss over the foil substrate surface (FIG. 16).

[0366] In another embodiment of the invention, turbulence is induced in the air flowing over the foil substrate by including surface protrusions of various shapes on the inner surface of the air passages upstream and near the foil substrate so that the air flow is evenly distributed over the foil substrate providing more uniform convective heat loss over the foil substrate surface (FIG. 17).

[0367] In another embodiment of the invention, channels (206) are used in the air passages to direct a corresponding amount of airflow to specific areas of the foil substrate so that the airflow is evenly distributed over the foil substrate resulting in more uniform convective heat loss over the foil substrate surface (FIG. 16).

[0368] In another embodiment of the invention, a thermally conductive barrier in the form of a series of cutout features, such as circular, rounded rectangular, or other shaped holes arranged in a random or non-random pattern in a foil substrate to prevent or reduce the spread of localized cold or hot spots caused by conductive heat transfer (FIG. 12).

[0369] In another embodiment of the invention, a thermally conductive barrier in the form of a series of cut-out features, such as slits, disposed in the foil substrate to prevent or reduce the spread of localized cold or hot spots caused by conductive heat transfer. The slits can be linear, serpentine, angled, etc., with different widths at different orientations relative to the airflow (Figures 9-11).

[0370] In another embodiment of the invention, the foil substrate is coated only in certain areas of the foil substrate characterized as areas that can consistently achieve the desired target temperature for the drug coating base value. For example, the coating area can be defined to at least partially coat the front half of the foil substrate (where the geometric center of the coated area is closer to the downstream end of the foil substrate (209) than the upstream end) (FIG. 13), or to at least partially coat the back half of the foil substrate (where the geometric center of the coated area is closer to the upstream end of the foil substrate (209) than the downstream end) (FIG. 14). The coating area can be square, rectangular, trapezoidal, crescent, or other shape such that the area coated with the drug is limited to the area with the optimal surface temperature for drug vaporization (FIGS. 15a and 15b). EXAMPLES

[0371] The following examples are provided for illustrative purposes only and are not intended to limit the scope of the present invention.

[0372] Example 1: Thermal mapping of a foil substrate to determine optimal coating area When sufficient current is passed through the foil substrate, the inherent electrical resistance of the foil causes the temperature of the foil substrate surface to increase. In the absence of airflow through the device, the temperature across the foil substrate surface will be relatively uniform, as can be seen in FIG.

[0373] To function as an aerosol drug delivery device, air inhaled by a patient through the device flows over the heated foil substrate, carrying with it the formed vapor and condensed aerosol particles, moving the aerosol through an air passage to the mouthpiece of the device, and then directing it into the patient for delivery of the drug to the deep lung. The air flowing over the foil substrate generally follows a parabolic flow velocity profile, with the highest flow velocity toward the center of the air passage and the lowest flow velocity toward the end of the air passage. Thus, the convective heat transfer rate from the foil substrate to the air is higher toward the center of the foil substrate, where the air flow rate is higher. Also, because the thin portion of the foil substrate is oriented parallel to the direction of the air flow, the upstream end of the foil substrate is cooled by the unheated room temperature air. As the air flows over the foil substrate, the temperature of the air increases due to the convective heat transfer from the foil substrate. As a result, the convective heat transfer rate, which is directly proportional to the difference between the temperature of the air and the foil substrate surface, decreases as the air moves from the upstream end to the downstream end of the foil substrate. The combination of a parabolic flow velocity profile and a high heat transfer coefficient occurring at the upstream edge of the foil substrate creates a temperature gradient across the foil substrate.

[0374] To empirically capture this heat transfer phenomenon, the temperature of the foil substrate during heating in the presence of air flow through the apparatus was monitored using a thermal camera. To allow the temperature of the foil substrate surface to be measured with the thermal camera, the apparatus housing was modified to incorporate a calcium fluoride window that has very low absorption at visible and infrared wavelengths, and is therefore effectively transparent for infrared thermal measurements. The window was positioned on the apparatus housing to allow viewing of the foil substrate. The images in Figure 21 show the thermal mapping of the foil substrate in the presence of air flow.

[0375] In FIG. 21, the air flows from right to left. As can be seen, the greatest cooling occurs toward the center of the upstream end of the foil substrate, as expected. This information can be used to determine the optimal drug coating area of ​​the foil substrate. For drugs that are more sensitive to vaporization temperature, thermal mapping can be used to identify hot or cold areas of the foil substrate. The drug coating pattern can be designed to avoid these hot and cold areas, so that only the areas that exhibit the most uniform temperature are selected for drug coating. Example 2: Drugs One drug that is sensitive to the temperature profile associated with the vaporization process to create a condensation aerosol is apomorphine hydrochloride hemihydrate, where HCl can dissociate at temperatures starting at 250°C, and vaporization occurs at temperatures above about 260°C. The present invention allows for the generation of condensation aerosols having apomorphine hydrochloride hemihydrate purity of 90% or greater by providing a precisely controlled temperature profile to vaporize the drug from the foil substrate. Apomorphine is sensitive to vaporization temperature, and shows a marked decrease in purity as the substrate temperature increases from 260°C to 400°C. Thus, apomorphine is considered to be a vaporization temperature sensitive drug. Figure 19 shows examples of drugs that are sensitive to vaporization temperature, where the vaporization temperature affects the purity of the aerosol. Meanwhile, the purity of aerosols generated with loxapine, fentanyl, zaleplon, and alprazolam remains high over a wide range of vaporization temperatures. Figure 18 shows typical yields and purity of condensation aerosols generated with drugs that are not sensitive to vaporization temperature. For loxapine, the purity is greater than 99% over a vaporization temperature range of about 330°C to 470°C. Also, the release amount is fairly stable over a range of about 330°C to 470°C. Similarly, for zaleplon, the release amount is stable and the purity is greater than 99% over a similar temperature range. For fentanyl, the aerosol purity is consistent at ~99% and the release amount is greater than 90% over a temperature range of about 300°C to 500°C. Similarly, over a wide range of substrate temperatures (350°C to 450°C), the purity of alprazolam aerosol remains high at ~99% and the release amount is also relatively stable at about 90%. The release amount of apomorphine can be 20%. Alternatively, it can be about 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%. The degradation products of apomorphine are in the range of 10% or less.

[0376] Example 3: Battery Kokam batteries, such as battery model number SLPB8043128H (Figure 22), are compact in size (43 mm x 128 mm x 7.6 mm) suitable for handheld devices, lightweight (84 g), have a moderate capacity (3.2 Ah), have a nominal voltage of 3.7 V, and a continuous C rating of 20. This particular battery has a continuous discharge current capability of 64 A and a peak discharge current capability of 128 A. Three of these cells connected in series are sufficient to provide the energy required to generate a condensation aerosol. A more compact device layout would be possible with the use of custom-sized lithium polymer batteries.

[0377] Example 4: Laser welding To characterize the electrical resistance heating of the stainless steel foil substrate, a condensation aerosol drug delivery device was assembled by modifying a plastic housing. A rectangular section on the side of the housing was cut out and replaced with a calcium fluoride window to allow the use of an infrared thermal camera to capture thermal images of the foil substrate during heating. See Figure 27.

[0378] The thermal camera was set to take a thermal image every 10 ms (100 images per second), see Figure 28.

[0379] Figure 29 shows thermal images of various foil board configurations soldered to the copper traces of a flex circuit ~200ms after electrical resistive heating was initiated in the presence of 30 LPM airflow flowing above and below the foil board. In the images, the airflow is from right to left. Lighter colored areas indicate localized hot zones, while darker areas indicate cooler zones. These images show how poor quality soldering achieved between the copper and stainless leads to inconsistent electrical connectivity and, consequently, non-uniform heating of the foil board.

[0380] Figure 30 shows thermal images of a foil substrate laser welded to copper traces on a flex circuit at multiple time points after electrical resistance heating was initiated in the presence of 30 LPM airflow flowing above and below the foil substrate. In these images, the airflow is from right to left. As can be seen, when a stainless steel foil substrate is laser welded to a flex circuit, the temperature is uniform across the surface of the substrate until convection cooling from the air flowing over the substrate cools the upstream end.

[0381] The description of the various embodiments has been presented for purposes of illustration and description, but is not intended to be exhaustive or to limit the invention to the disclosed forms. The scope of the invention is limited only by the scope of the following claims. Many modifications and variations will be apparent to those skilled in the art. The embodiments shown and illustrated in the figures have been selected and described to explain the principles, practical applications of the invention and to enable others skilled in the art to understand the invention in various embodiments with various modifications as suited to the particular use contemplated. All references cited herein are incorporated by reference in their entirety.

[0382] The reference numbers in the figures have the following meanings:

[0383] 100: Handheld medical devices

[0384] 101: Left LED

[0385] 102: Right or second LED

[0386] 103: Cartridge slot

[0387] 103A: Keying function

[0388] 104: LCD display (optional)

[0389] 105:Battery

[0390] 106: Printed circuit board (PCB)

[0391] 107: Grilled air inlet

[0392] 108: Equipment case

[0393] 200: Single-dose disposable cartridges

[0394] 201: Connector and Airflow Interface

[0395] 202: Air outlet, in this case adapted as a mouthpiece

[0396] 203: Air flow direction defining an air passage within the cartridge

[0397] 204: Stiffener as an example of support for the flex circuit of the dosing cartridge

[0398] 205: Pneumatic seal gasket for air inlet

[0399] 206: Perforated bulkhead

[0400] 207: Flex circuit that passes current through foil substrate

[0401] 208: Electrical connector for energizing the foil substrate

[0402] 209: Foil substrate

[0403] 210: Area coated with drug composition on foil substrate (may be on one or both sides)

[0404] 211: Traces in the PCB that carry current to the foil substrate

[0405] 212: Linear slit

[0406] 213: Mountain slit

[0407] 214: Serpentine slit

[0408] 215: Hole

[0409] 216: A coating area of ​​drug composition biased toward the downstream end of the foil substrate.

[0410] 217: A coating area of ​​a drug composition biased toward the upstream end of the foil substrate.

[0411] 218: Trapezoidal drug composition coating area

[0412] 219: Image of foil substrate after aerosolization showing hot (dark) zones

[0413] 220: Air inlet

[0414] 301: Shape drag

[0415] 302: Laminar flow

[0416] 303: Turbulence

Claims

1. 1. An apparatus for generating a drug condensation aerosol by thermal vaporization of a drug, comprising: A disposable cartridge (200); and A handheld medical device (100); said handheld medical device (100) comprising: a) one or more air inlets (107); b) one or more air outlets (103); c) one or more batteries (105) for supplying electrical current; d) one or more connectors for electrically connecting the handheld medical device (100) to the disposable cartridge (200) containing a drug composition (210) coated on a foil substrate (209); and e) one or more current delivery devices (106) for controlling the release of electrical current into said disposable cartridge (200); Equipped with the air inlet (107) and the air outlet (103) define an air passage; At least one of the air outlets (103) is configured as a housing for receiving the disposable cartridge (200); the current delivery device (106) is configured to drive a precise current profile to the foil substrate (209) of the disposable cartridge (200) to affect electrical resistive heating at a rate that achieves a precise temperature profile with a controllable ramp-up to a target temperature and heating rate; the precise current profile results from characterizing a temperature ramp-up rate to prevent the foil substrate temperature from exceeding a target temperature for vaporization and to maintain said target temperature; the temperature profile is suitable for vaporizing a therapeutically effective amount of the drug composition (210) coated on the foil substrate (209) of the cartridge (200) within a time period of 3 seconds or less, and subsequently condensing the resulting vapor inside the cartridge to form drug aerosol particles; the one or more connectors and the foil substrate (209) are electrically connected through a printed circuit board (211) or a flex circuit (207); and the foil substrate (209) is rectangular with two opposing edges, electrically connected to the printed circuit board (211) or the flex circuit (207) along the entire length of each edge, and the electrically connected edges run parallel to the primary direction of air flow within the air passage; Device.

2. The apparatus of claim 1 , wherein the foil substrate (209) and the printed circuit board (211) or flex circuit (207) are made of different metals.

3. The apparatus of claim 2 , wherein the foil substrate (209) and the printed circuit board (211) or flex circuit (207) are laser welded.

4. The apparatus of any one of claims 1 to 3, wherein the ramp-up target temperature is 150 to 550°C, 200 to 500°C, or 250 to 450°C.

5. The apparatus of any one of claims 1 to 4, wherein the ramp-up time is from 50 to 200 ms, or from 50 to 115 ms.

6. The apparatus of any one of claims 1 to 5, wherein the foil substrate (209) is heated at 3-10°C / ms during the ramp-up time.

7. The apparatus of any one of claims 1 to 6, wherein the heating rate is selected from one or more of: plateau heating, tampered cooling, and continuous heating.

8. The apparatus of any one of claims 1 to 7, wherein the battery (105) is capable of providing a peak current of more than 30A and a voltage of 8-13V, or is capable of providing a peak current of more than 100A and a voltage of 9-12V.

9. The apparatus of any one of claims 1 to 8, wherein the battery (105) is a lithium polymer battery.

10. 10. The device of claim 1, further comprising means for detecting inhalation by a user, said means for detecting inhalation by a user comprising a flow sensor, a flow switch, or a temperature sensor.

11. The apparatus of any one of claims 1 to 10, further comprising an apparatus housing (108).

12. The apparatus of claim 11 , wherein an interior wall of the apparatus housing (108) comprises an antistatic material.

13. 13. The device of claim 1, further comprising means for verifying correct installation (103A) of the disposable cartridge (200) in the housing of the device (103), said means comprising electrical contact verification, a proximity sensor, a mechanical switch or an optical switch.

14. The device according to any one of claims 1 to 13, further comprising a means for uniquely identifying the disposable cartridge (200), said means being selected from an RFID tag, a barcode, a two-dimensional matrix code, a read / write chip or a combination thereof.

15. 15. The apparatus of any one of claims 1 to 14, further comprising means for controlling the temperature of the foil substrate (209) of the disposable cartridge (200) by sensing the temperature of the foil substrate (209) and feeding foil substrate temperature information to the current delivery device (106) to modify current delivery to achieve a required temperature, said means including measuring electrical resistance across the foil substrate, optical measurements, direct contact measurements using thermocouples.

16. The apparatus of any one of claims 1 to 15, further comprising a pneumatic seal interface between the air outlet (103) of the handheld medical device (100) and the air inlet (220) of the cartridge (200).

17. A device according to any one of claims 1 to 16, wherein the drug is alprazolam.

18. 18. A device according to any one of claims 1 to 17 for pulmonary delivery by inhalation of a drug to a subject for treating a particular condition responsive to said drug, comprising: a) if the drug is loxapine, the treatment Rapid control of mild to moderate agitation in adults with schizophrenia or bipolar disorder, or b. Acute agitation associated with schizophrenia or bipolar I disorder in adults It is disturbing, including b) when the drug is alprazolam or estazolam, the treatment is treatment of seizures, the seizures including epilepsy; c) when the drug is fentanyl, the treatment is treatment of breakthrough pain; d) when the drug is zaleplon or almorexant, the treatment comprises Awakening during the night, or b. Insomnia at night Treatment of sleep disorders, including e) when the drug is apomorphine, pergolide, pramipexole, or ropinirole, the treatment is treatment of Parkinson's disease (including the off episodes of Parkinson's disease); f) when the drug is granisetron, ondansetron or palonosetron, the treatment comprises Nausea, b. Vomiting or c. cyclic vomiting syndrome or g) when the drug is nicotine or nicotine methasalicylate, the treatment is treatment of nicotine craving and / or smoking cessation; Device.

19. The device of any one of claims 1 to 18, wherein the size of the handheld medical device is less than 6 inches in height and width.

Images