Oral Extended-Release Ketamine Tablet for Reduced Dissociation
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Solution Overview
Problem
Existing treatments for treatment-resistant depression and anxiety disorders, such as injected ketamine, are associated with dissociative symptoms and require frequent administration, which can be inconvenient and time-consuming.
Innovation Solution
Development of an oral, extended-release ketamine tablet using a hydrophilic polymeric matrix, primarily polyethylene oxide, to provide a controlled release profile minimizing dissociative side effects while ensuring rapid treatment response.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Speed
If intravenous ketamine is administered, then rapid antidepressant effect is achieved, but dissociative side effects and increased heart rate/blood pressure occur
Solution Approach 1:
The patent segments the rapid release of ketamine into controlled portions over time using a hydrophilic polymeric matrix. The matrix structure divides the drug release process into multiple phases, allowing therapeutic effects to occur while avoiding peak concentrations that cause dissociative side effects.
Solution Approach 2:
The patent implements periodic action through extended-release formulation that delivers ketamine at controlled intervals over 10-12 hours. This periodic release pattern maintains therapeutic blood levels while avoiding the continuous high concentration that produces adverse effects.
2Ease of operation
If oral ketamine formulation is developed, then patient comfort and ease of administration are improved, but drug absorption and efficacy may be reduced
Solution Approach 1:
The patent uses composite materials by combining ketamine with a hydrophilic polymeric matrix system. This composite formulation ensures reliable oral absorption while maintaining the drug's therapeutic properties, bridging the gap between ease of administration and absorption reliability.
Solution Approach 2:
The patent applies parameter changes by modifying the physical and chemical properties of ketamine through the polymeric matrix system. This changes the release kinetics and absorption characteristics, ensuring reliable oral bioavailability while maintaining therapeutic efficacy.
3Strength
If high concentration of PEO is used in tablet formulation, then tablet hardness and crush resistance are improved, but drug release rate may be reduced
Solution Approach 1:
The patent applies dynamics by creating a time-dependent release system where the PEO matrix progressively hydrates and swells over time. This dynamic process allows the tablet to maintain high hardness initially while gradually increasing drug release rate as the matrix hydrates, achieving both strength and controlled release.
Solution Approach 2:
The patent utilizes phase transitions of the hydrophilic PEO matrix as it transitions from dry solid to hydrated gel state. This phase transition enables the tablet to maintain structural integrity while progressively releasing the drug, balancing hardness and release rate.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The tablet achieves a rapid treatment response with minimal dissociative side effects and allows for convenient once or twice-daily administration, effectively alleviating symptoms of treatment-resistant depression and anxiety disorders over several days.
Implementation Method 1
a therapeutically effective amount of an active agent selected from the group consisting of ketamine, norketamine, pharmaceutically acceptable salts thereof, and combinations thereof; ii) at least one high molecular weight polyethylene oxide (PEO) that is cured
Implementation Method 2
provides a prolonged release profile to minimize dissociative side effects while maintaining rapid treatment response
Implementation Method 3
a coating on said core, wherein said tablet is crush resistant and has a breaking strength of at least about 200 N
Data Source
AI summary
The disclosure provides a dosing regimen utilizing an oral extended release formulation for the treatment of treatment-resistant depression and treatment-resistant anxiety.


