Drospirenone Particle Size and Dosing for Contraceptive Reliability
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Solution Overview
Problem
Current progestogen-only contraceptives (POCs) have low reliability, alter bleeding patterns, and are not well-tolerated due to high plasma concentration peaks of drospirenone, leading to side effects and poor compliance.
Innovation Solution
Development of pharmaceutical compositions and kits with novel dosing regimens for drospirenone that allow for skipped doses and a pharmacokinetic profile with reduced Cmax and delayed Tmax, ensuring effective contraception with reduced side effects and improved tolerance.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If conventional progestogen-only contraceptives are used, then contraception is provided, but reliability is low and bleeding patterns are altered
Solution Approach 1:
The patent changes the particle size parameter of drospirenone from conventional micronized form to a specific size range (d10≥5μm, d50≥15μm, d90≤50μm) to modify dissolution rate and achieve smoother plasma concentration profile, thereby improving reliability while reducing harmful bleeding patterns
Solution Approach 2:
The patent introduces a dosing regimen with periodic skipped doses (taking the pill every other day or skipping up to 2 doses per cycle) to create intentional fluctuations in plasma concentration that maintain contraceptive efficacy while reducing side effects and improving bleeding patterns
2Reliability
If high plasma concentration peaks of drospirenone are achieved, then contraceptive efficacy is ensured, but side effects increase and tolerance decreases
Solution Approach 1:
The patent modifies the particle size parameter of drospirenone to control dissolution rate, achieving a pharmacokinetic profile with reduced Cmax (peak concentration) while maintaining adequate AUC (area under curve), thereby ensuring contraceptive efficacy with reduced side effects
Solution Approach 2:
The patent applies a coating or formulation approach that cushions the release of drospirenone, preventing sudden high plasma concentration peaks and reducing associated side effects while maintaining overall exposure and contraceptive efficacy
3Ease of manufacture
If drospirenone is micronized to promote rapid dissolution, then oral bioavailability is improved, but plasma concentration peak becomes too high
Solution Approach 1:
The patent optimizes the particle size parameter within a specific range (not too fine, not too coarse) to achieve a balance between dissolution rate (affecting bioavailability) and peak plasma concentration, avoiding both poor absorption and excessive peaks
Data Source
AI summary
Described herein are synthetic progestogens, such as 6β,7β:15β,16β-Dimethylene-3-oxo-17α-pregn-4-ene-21,17-carbolactone, as well as pharmaceutical compositions comprising the same. Also described are methods of use.


