US2022071898A1PendingUtilityA1

Dipivefrin orally disintegrating tablet formulations

Assignee: INSIGNIS THERAPEUTICS INCPriority: Mar 1, 2019Filed: Nov 15, 2021Published: Mar 10, 2022
Est. expiryMar 1, 2039(~12.6 yrs left)· nominal 20-yr term from priority
Inventors:Mingbao Zhang
A61K 31/216A61K 9/0056A61K 9/2027A61K 9/006A61K 31/135A61K 9/2063A61K 9/2095A61K 31/222A61K 45/06A61K 31/137A61K 9/0019
62
PatentIndex Score
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Cited by
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References
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Claims

Abstract

This disclosure provides orally disintegrating dipivefrin tablet (ODT) formulations, including ODT formulations containing L-dipivefrin HCl. The ODT formulations of the disclosure include 10 to 70% binder (wt %), 5 to 50% matrix former (wt %), and 1 to 20% taste masking agent (wt %). The ODT formulations of the disclosure rapidly provide epinephrine to a patient when administered. The disclosure also provides a method of treating a patient who has a condition responsive to epinephrine such as a cardiac event, asthma, croup, cancer, a microbial infection, Addison's disease, or an allergic reaction, particularly anaphylaxis by administering an orally disintegrating dipivefrin tablet formulations to the patient.

Claims

exact text as granted — not AI-modified
1 - 27 . (canceled) 
     
     
         28 . A method of treating a subject, suffering from a condition responsive to epinephrine comprising administering an orally disintegrating tablet (ODT), comprising dipivefrin, or a pharmaceutically acceptable salt thereof, a binder, a matrix former, and a taste masking agent to the subject, wherein the subject is a dog or human. 
     
     
         29 . The method of  claim 28 , wherein the tablet produces no detectable epinephrine when dissolved in fresh human saliva at 37° C. for 3 minutes, as determined by HPLC. 
     
     
         30 . The method of  claim 29 , wherein the amount of epinephrine is determined by HPLC, using the following conditions: C18 column, 3 μm, 100 mm×4.6 mm, temperature 30° C., 254 nm detection, 1.0 mL/minute flow rate, 10 microliter injection volume, elution gradient: Solvent A is 0.1% Trifluoroacetic acid (TFA) in H 2 O, Solvent B is 0.1% TFA in acetonitrile, and the gradient from 0 to 12 minutes is: 
       
         
           
                 
                 
                 
               
                     
                 
                   Time (min) 
                   Solvent A (%) 
                   Solvent B (%) 
                 
                     
                 
                     
                 
                 
                 
                 
               
                   0 
                   90 
                   10 
                 
                   4 
                   50 
                   50 
                 
                   6 
                   35 
                   65 
                 
                   8 
                   90 
                   10 
                 
                   12 
                   90 
                   10 
                 
                     
                 
             
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
               
            
           
         
       
     
     
         31 . The method of  claim 28 , wherein the ODT comprises 0.01 mg to 20 mg dipivefrin hydrochloride. 
     
     
         32 . The method of  claim 28 , wherein the ODT comprises 0.5 mg, 1.0 mg, 2.5 mg, or 5 mg dipivefrin hydrochloride. 
     
     
         33 . The method of  claim 28 , wherein the condition responsive to epinephrine is a breathing difficulty. 
     
     
         34 . The method of  claim 28 , wherein the condition responsive to epinephrine is anaphylaxis, asthma, bronchitis, emphysema, croup, or a respiratory infection. 
     
     
         35 . The method of  claim 28 , wherein the condition responsive to epinephrine is anaphylaxis. 
     
     
         36 . The method of  claim 28  wherein the condition responsive to epinephrine is Addison's disease, adrenal hyperplasia, hypoglycemia, or chronic active hepatitis. 
     
     
         37 . The method of  claim 28 , wherein the condition responsive to epinephrine is a cancer. 
     
     
         38 . The method of  claim 28  wherein the condition responsive to epinephrine is an autoimmune disorder. 
     
     
         39 . The method of  claim 28  wherein the condition responsive to epinephrine is a microbial infection. 
     
     
         40 . The method of  claim 28  wherein the condition response to epinephrine is cardiac arrest or superficial bleeding. 
     
     
         41 . A method of reducing the severity of an allergic reaction or anaphylaxis or inhibiting the onset of an allergic reaction or anaphylaxis in a subject, wherein the subject is a dog or human, and the method comprises administering an orally disintegrating tablet (ODT), comprising dipivefrin, or a pharmaceutically acceptable salt thereof, a binder, a matrix former, and a taste masking agent to the subject following exposure of the subject to an allergen. 
     
     
         42 . The method of  claim 41 , additionally comprising administering an antihistamine to the subject. 
     
     
         43 . The method of  claim 42 , wherein the antihistamine is diphenhydramine. 
     
     
         44 . A method of treating a subject, suffering from a condition responsive to epinephrine comprising administering an orally disintegrating tablet (ODT) to the subject, wherein the ODT comprises dipivefrin, or a pharmaceutically acceptable salt thereof, a binder, a matrix former, and a taste masking agent and the ODT produces not more than 13 percent epinephrine when dissolved in fresh human saliva at 37° C. for 11 minutes, as determined by HPLC. 
     
     
         45 . The method of  claim 44 , wherein the percent epinephrine produced by the ODT is determined by HPLC, using the following conditions: C18 column, 3 μm, 100 mm×4.6 mm, temperature 30° C., 254 nm detection, 1.0 mL/minute flow rate, 10 microliter injection volume, elution gradient: Solvent A is 0.1% Trifluoroacetic acid (TFA) in H 2 O, Solvent B is 0.1% TFA in acetonitrile, and the gradient from 0 to 12 minutes is: 
       
         
           
                 
                 
                 
               
                     
                 
                   Time (min) 
                   Solvent A (%) 
                   Solvent B (%) 
                 
                     
                 
                     
                 
                 
                 
                 
               
                   0 
                   90 
                   10 
                 
                   4 
                   50 
                   50 
                 
                   6 
                   35 
                   65 
                 
                   8 
                   90 
                   10 
                 
                   12 
                   90 
                   10 
                 
                     
                 
             
                
                
                
               
               
                
               
            
             
                
                
                
                
                
                
               
            
           
         
       
     
     
         46 . The method of  claim 45 , wherein the ODT comprises 0.01 mg to 20 mg dipivefrin hydrochloride. 
     
     
         47 . The method of  claim 45 , wherein the ODT comprises 0.5 mg, 1.0 mg, 2.5 mg, or 5 mg dipivefrin hydrochloride, wherein the total weight of the tablet is less than 50 mg. 
     
     
         48 . The method of  claim 45 , wherein the condition responsive to epinephrine is a breathing difficulty. 
     
     
         49 . The method of  claim 45 , wherein the condition responsive to epinephrine is anaphylaxis, asthma, bronchitis, emphysema, croup, or a respiratory infection. 
     
     
         50 . The method of  claim 45 , wherein the condition responsive to epinephrine is anaphylaxis. 
     
     
         51 . The method of  claim 45 , wherein the condition responsive to epinephrine is cardiac arrest or superficial bleeding. 
     
     
         52 . A method of treating a subject, suffering from a condition responsive to epinephrine comprising administering a dipivefrin hydrochloride orally disintegrating tablet (ODT) to the subject, wherein the ODT comprises not more than 63.5 mg dipivefrin hydrochloride, a binder, a matrix former, and a taste masking agent, and the ODT provides an epinephrine T max  of less than 45 minutes and a plasma epinephrine C max  of 0.1 to 50 ng/mL, when administered to a dog or human. 
     
     
         53 . The method of  claim 52 , wherein the condition responsive to epinephrine is anaphylaxis, asthma, bronchitis, emphysema, croup, or a respiratory infection. 
     
     
         54 . The method of  claim 52 , wherein the condition responsive to epinephrine is anaphylaxis. 
     
     
         55 . The method of  claim 52 , wherein the condition responsive to epinephrine is cardiac arrest or superficial bleeding. 
     
     
         56 . The method of  claim 28 , wherein the dipivefrin is L-dipivefrin hydrochloride. 
     
     
         57 . The method of  claim 53 , wherein the dipivefrin is L-dipivefrin hydrochloride.

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