Stable Liquid Levodopa Composition for Continuous Subcutaneous Delivery
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Solution Overview
Problem
Current treatments for Parkinson's disease, primarily using levodopa, suffer from motor fluctuations and dyskinesia due to pulsatile dopaminergic stimulation, and existing formulations lack a stable liquid formulation suitable for continuous subcutaneous or transdermal delivery.
Innovation Solution
A pharmaceutically acceptable composition comprising carbidopa, at least 4% by weight levodopa, arginine, and optionally meglumine, with a pH of about 9.1 to 9.8, which forms a stable liquid formulation for continuous subcutaneous administration.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Ease of operation
If levodopa is administered orally with standard formulations, then the treatment is simple and convenient, but the delivery is pulsatile leading to motor fluctuations and dyskinesia
Solution Approach 1:
The patent replaces the mechanical/oral administration system with a subcutaneous injection system using a stable liquid formulation. This substitution enables continuous delivery of levodopa and carbidopa, eliminating the pulsatile stimulation associated with oral dosing while maintaining treatment simplicity through a streamlined injection process.
Solution Approach 2:
The patent changes the physical and chemical parameters of the levodopa formulation by creating a stable liquid composition with specific pH (9.1-9.8) and containing arginine and meglumine. This parameter change enables continuous subcutaneous administration, transforming the delivery pattern from pulsatile to continuous while improving therapeutic reliability.
2Ease of operation
If sustained-release oral levodopa formulations are used, then the convenience is maintained, but the formulations are no more efficacious than standard tablets
Solution Approach 1:
The patent replaces the sustained-release oral formulation system with a subcutaneous injection system. This substitution achieves superior efficacy by enabling continuous delivery of levodopa and carbidopa, directly addressing the limitation of oral sustained-release formulations that fail to provide adequate efficacy in reducing motor fluctuations.
3Reliability
If intraduodenal or infusion methods are used for continuous levodopa administration, then motor complications are reduced, but the treatments are extremely invasive and inconvenient
Solution Approach 1:
The patent extracts the active ingredients (levodopa and carbidopa) into a stable liquid formulation suitable for subcutaneous administration. This extraction enables continuous delivery through a less invasive route compared to intraduodenal or infusion methods, reducing motor complications while improving ease of operation and patient convenience.
Solution Approach 2:
The patent changes the formulation parameters by creating a stable liquid composition with pH 9.1-9.8 containing arginine and meglumine, enabling subcutaneous administration. This parameter change reduces invasiveness compared to intraduodenal or infusion methods while maintaining continuous delivery reliability.
4Reliability
If large doses of levodopa are administered to overcome extracerebral metabolism, then the dopamine concentration in the brain is restored, but nausea and other side effects occur
Solution Approach 1:
The patent merges levodopa with carbidopa in a stable liquid formulation for continuous subcutaneous administration. This combination allows for lower levodopa doses to achieve the same therapeutic effect by preventing extracerebral metabolism, thereby restoring brain dopamine concentration while reducing nausea and other side effects.
Data Source
AI summary
Provided herein, in part, is a method of treating a neurological or movement disorder in a patient in need thereof, comprising subcutaneously administering to said patient a pharmaceutically acceptable composition comprising levodopa and optionally carbidopa and optionally entacapone or tolcapone, or pharmaceutically acceptable salts thereof, wherein said composition is administered substantially continuously, and compositions that can be used in the disclosed methods.


