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3 x 3 x 3 WEEK TREATMENT REGIMEN FOR TREATING ACTINIC KERATOSIS WITH PHARMACEUTICAL COMPOSITIONS FORMULATED WITH 2.5% IMIQUIMOD

a technology of imiquimod and composition, applied in the field of pharmaceutical composition, can solve the problems of cellular damage even reaching the dermis, adult acne, and aging, and achieve the effect of simplified dosing regimen and lower dosage strength

Inactive Publication Date: 2011-10-20
MEDICIS PHARMA CORP
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

"The present invention provides new and improved methods for treating actinic keratosis using a topical form of imiquimod called 5% Aldara®. The invention offers several advantages over the current treatment regimen, including a larger treatment area, a shorter treatment period, a simplified dosing regimen, and a lower incidence of application site reactions. The invention also provides a more intuitive dosing regimen and a lower dosage strength of the imiquimod pharmaceutical formulation, which may reduce the risk of irritation and increase the number of lesions treated per treatment area. Overall, the invention offers a more effective and tolerable treatment for actinic keratosis."

Problems solved by technology

In addition, the cellular damage can even extend to the dermis, the layer of skin beneath the epidermis.
Additionally, the skin often becomes wrinkled, mottled, and discolored from chronic sun exposure.
However, even younger adults may develop actinic keratosis when living in geographic areas that are exposed to high-intensity sunlight year round, such as Florida and Southern California.
Actinic keratosis has become a significant health care issue in the United States of America.
Notwithstanding FDA approval, Aldara® 5% imiquimod cream treatment is not without limitation, including an unsimplified and lengthy dosing regimen.
Inconsistencies in both compliance and therapeutic results frequently occur with the treatment of actinic keratosis with FDA-approved Aldara® 5% imiquimod cream due to the lengthy treatment period, i.e., 16 weeks, the complicated dosing regimen, i.e., twice weekly, and the high incidence of application site reactions.

Method used

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  • 3 x 3 x 3 WEEK TREATMENT REGIMEN FOR TREATING ACTINIC KERATOSIS WITH PHARMACEUTICAL COMPOSITIONS FORMULATED WITH 2.5% IMIQUIMOD
  • 3 x 3 x 3 WEEK TREATMENT REGIMEN FOR TREATING ACTINIC KERATOSIS WITH PHARMACEUTICAL COMPOSITIONS FORMULATED WITH 2.5% IMIQUIMOD
  • 3 x 3 x 3 WEEK TREATMENT REGIMEN FOR TREATING ACTINIC KERATOSIS WITH PHARMACEUTICAL COMPOSITIONS FORMULATED WITH 2.5% IMIQUIMOD

Examples

Experimental program
Comparison scheme
Effect test

example 1

[0302]A cream according to the present invention is prepared from the following ingredients:

% by Oil PhaseWeightAmount1-isobutyl-1H-imidazo[4,5-c]-quinolin-4-amine1.0  40.0 gIsostearic acid10.0  400.0 gBenzyl alcohol2.0  80.0 gCetyl alcohol2.2  88.0 gStearyl alcohol3.1 124.0 gPolysorbate 60 2.55 102.0 gSorbitan monostearate 0.45  18.0 gAqueous Phase Glycerin2.0  80.0 gMethylparaben0.2   8.0 gPropylparaben 0.02   0.8 gPurified water76.483059.2 g

[0303]The materials listed above were combined according to the following procedure:

[0304]The glycerin, methylparaben, propylparaben and water were weighed into a 4 liter glass beaker then heated on a hot plate with stirring until the parabens isostearic acid and 1-isobutyl-1H-imidazo[4,5-c]-quinolin-4-amine were weighed into an 8 liter stainless steel beaker and heated on a hot plate until the amine was in solution (the temperature reached 69° C.). The benzyl alcohol, cetyl alcohol, stearyl alcohol, polysorbate 60 and sorbitan monostearate we...

examples 2-9

[0305]Using the general method of Example 1, the cream formulations shown in Tables 1 and 2 are prepared.

TABLE 1% by WeightExample Example Example Example Oil Phase23451-isobutyl-1H-1.01.01.01.0imidazo-[4,5-c]quinolin-4-amineIsostearic acid10.0 10.0 5.05.0Benzyl alcohol2.0Cetyl alcohol1.7Stearyl alcohol2.3Cetearyl alcohol6.06.06.0Polysorbate 60 2.55 2.55 2.55 2.55Sorbitan monostearate 0.45 0.45 0.45 0.45Brij ™ 30a10.0 Aqueous PhaseGlycerin2.02.02.02.0Methylparaben0.20.20.20.2Propylparaben 0.02 0.02 0.02 0.02Purified water77.7877.7882.7872.78aBrij ™ 30 (polyoxyethylene(4) lauryl ether) is available from ICI Americas, Inc.

TABLE 2% by WeightExample 6Example 7Example 8Example 9Oil Phase1-isobutyl-1H-imidazo-1.01.01.01.0[4,5-c]quinolin-4-amineIsostearic acid10.025.010.06.0Benzyl alcohol2.02.0Cetyl alcohol2.21.7Stearyl alcohol3.12.3Cetearyl alcohol6.06.0Polysorbate 602.553.42.552.55Sorbitan monostearate0.450.60.450.45Brij ™ 30a10.0Aqueous PhaseGlycerin2.02.02.02.0Methylparaben0.20.20.20.2...

example 10

[0306]A cream according to the present invention is prepared from the following ingredients in the following Table 3:

TABLE 3% by WeightAmountOil Phase1-isobutyl-1H-imidazo[4,5-1.03.00 gc]quinolin-4-amineIsostearic acid5.015.0 gWhite petrolatum15.045.0 gLight mineral oil12.838.4 gAluminum stearate8.024.0 gCetyl alcohol4.012.0 gWitconol ™ 14a3.09.00 gAcetylated lanolin1.0 3.0 gPropylparaben0.0630.19 gAqueous PhaseVeegum ™ Kb1.0 3.0 gMethylparaben0.120.36 gPurified water49.017147.05 g aWitconol ™ 14 (polyglyceryl4 oleate) is available from Witco Chemical Corp. Organics DivisionbVeegum ™ K (colloidal magnesium aluminum silicate) is available from R. T. Vanderbilt Company Inc.

[0307]The materials listed above were combined according to the following procedure:

[0308]The 1-isobutyl-1H-imidazo[4,5-c]quinolin-4-amine and the isostearic acid were weighed into a glass jar and heated with occasional stirring until the amine was dissolved (the temperature reached 68° C.). To this solution was add...

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Abstract

Pharmaceutical formulations and methods for the topical or transdermal delivery of 1-isobutyl-1H-imidazo[4,5-c]-quinolin-4-amine or 1-(2-methylpropyl)-1H-imidazo[4,5-c]quinolin-4-amine, i.e., imiquimod, to treat actinic keratosis with short durations of therapy, than currently prescribed for the commercially available Aldara® 5% imiquimod cream, as now approved by the U.S. Food & Drug Administration (“FDA”), are disclosed and described. More specifically, lower dosage strength imiquimod formulations to deliver an efficacious dose of imiquimod for treating actinic keratosis with an acceptable safety profile and dosing regimens that are short and more convenient for patient use than the dosing regimen currently approved by the U.S. Food & Drug Administration (“FDA”) for Aldara° 5% imiquimod cream to treat actinic keratosis are also disclosed and described.

Description

[0001]This application is a continuation of copending U.S. application Ser. No. 12 / 636,613, filed Dec. 11, 2009, which application claims the benefit of U.S. Provisional Application Ser. No. 61 / 205,145 filed Jan. 15, 2009, U.S. Provisional Application Ser. No. 61 / 144,731 filed Jan. 14, 2009, U.S. Provisional Application Ser. No. 61 / 139,536 filed Dec. 19, 2008, the teaching of all of which are incorporated herein by reference.FIELD OF THE INVENTION[0002]The present invention relates to pharmaceutical formulations and methods for the topical or transdermal delivery of 1-isobutyl-1H-imidazo[4,5-c]-quinolin-4-amine, also known as (aka) 1-(2-methylpropyl)-1H-imidazo[4,5-c]quinolin-4-amine, aka imiquimod, to treat actinic keratosis with shorter durations of therapy, than currently prescribed for the commercially available Aldara® 5% imiquimod cream, as now approved by the U.S. Food & Drug Administration (“FDA”). More specifically, the present invention is directed to lower dosage strength...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/4745A61P17/12
CPCA61K9/0014A61K9/7061A61K47/14A61K47/12A61K31/4745A61K31/47A61K31/437A61P17/00A61P17/02A61P17/12A61P35/00A61K9/06A61K47/10
Inventor NORDSIEK, MICHAEL T.LEVY, SHARON F.LEE, JAMES H.KULP, JAMES H.BALAJI, KODUMUDI S.MENG, TZE-CHIANGWU, JASON J.BAHM, VALYN S.BABILON, ROBERT
Owner MEDICIS PHARMA CORP
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