EP2459172A1 - Combinaison du dapsone avec l'adapalene - Google Patents
Combinaison du dapsone avec l'adapaleneInfo
- Publication number
- EP2459172A1 EP2459172A1 EP10744770A EP10744770A EP2459172A1 EP 2459172 A1 EP2459172 A1 EP 2459172A1 EP 10744770 A EP10744770 A EP 10744770A EP 10744770 A EP10744770 A EP 10744770A EP 2459172 A1 EP2459172 A1 EP 2459172A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- composition
- adapalene
- dapsone
- treatment
- inflammatory
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 229960002916 adapalene Drugs 0.000 title claims abstract description 81
- LZCDAPDGXCYOEH-UHFFFAOYSA-N adapalene Chemical compound C1=C(C(O)=O)C=CC2=CC(C3=CC=C(C(=C3)C34CC5CC(CC(C5)C3)C4)OC)=CC=C21 LZCDAPDGXCYOEH-UHFFFAOYSA-N 0.000 title claims abstract description 81
- MQJKPEGWNLWLTK-UHFFFAOYSA-N Dapsone Chemical compound C1=CC(N)=CC=C1S(=O)(=O)C1=CC=C(N)C=C1 MQJKPEGWNLWLTK-UHFFFAOYSA-N 0.000 title claims abstract description 71
- 229960000860 dapsone Drugs 0.000 title claims abstract description 65
- 239000000203 mixture Substances 0.000 claims abstract description 167
- 206010000496 acne Diseases 0.000 claims abstract description 48
- 208000002874 Acne Vulgaris Diseases 0.000 claims abstract description 46
- 238000011282 treatment Methods 0.000 claims abstract description 39
- 230000002757 inflammatory effect Effects 0.000 claims description 59
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- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 claims description 24
- 239000000499 gel Substances 0.000 claims description 22
- 238000000034 method Methods 0.000 claims description 15
- XXJWXESWEXIICW-UHFFFAOYSA-N diethylene glycol monoethyl ether Chemical compound CCOCCOCCO XXJWXESWEXIICW-UHFFFAOYSA-N 0.000 claims description 11
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- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 claims description 8
- 239000006071 cream Substances 0.000 claims description 8
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 claims description 8
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- MEJYDZQQVZJMPP-ULAWRXDQSA-N (3s,3ar,6r,6ar)-3,6-dimethoxy-2,3,3a,5,6,6a-hexahydrofuro[3,2-b]furan Chemical compound CO[C@H]1CO[C@@H]2[C@H](OC)CO[C@@H]21 MEJYDZQQVZJMPP-ULAWRXDQSA-N 0.000 claims description 6
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- 239000000839 emulsion Substances 0.000 claims description 5
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 4
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- 239000007788 liquid Substances 0.000 claims description 4
- 239000006210 lotion Substances 0.000 claims description 4
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 claims description 4
- 208000017520 skin disease Diseases 0.000 claims description 4
- 206010012438 Dermatitis atopic Diseases 0.000 claims description 3
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- 206010020649 Hyperkeratosis Diseases 0.000 claims description 3
- 208000001126 Keratosis Diseases 0.000 claims description 3
- 241001448624 Miliaria Species 0.000 claims description 3
- 206010036229 Post inflammatory pigmentation change Diseases 0.000 claims description 3
- 208000004210 Pressure Ulcer Diseases 0.000 claims description 3
- 206010037083 Prurigo Diseases 0.000 claims description 3
- 208000003251 Pruritus Diseases 0.000 claims description 3
- 206010052428 Wound Diseases 0.000 claims description 3
- 208000027418 Wounds and injury Diseases 0.000 claims description 3
- 206010048222 Xerosis Diseases 0.000 claims description 3
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- 229940000033 dermatological agent Drugs 0.000 claims description 3
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- 229920002565 Polyethylene Glycol 400 Polymers 0.000 claims description 2
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Triethanolamine Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 claims description 2
- 239000002253 acid Substances 0.000 claims description 2
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- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 claims description 2
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 claims description 2
- 229960002216 methylparaben Drugs 0.000 claims description 2
- 239000006072 paste Substances 0.000 claims description 2
- WVDDGKGOMKODPV-ZQBYOMGUSA-N phenyl(114C)methanol Chemical compound O[14CH2]C1=CC=CC=C1 WVDDGKGOMKODPV-ZQBYOMGUSA-N 0.000 claims description 2
- 230000002441 reversible effect Effects 0.000 claims description 2
- 229960004418 trolamine Drugs 0.000 claims description 2
- 230000000699 topical effect Effects 0.000 abstract description 10
- 239000004480 active ingredient Substances 0.000 abstract description 4
- OGQICQVSFDPSEI-UHFFFAOYSA-N Zorac Chemical compound N1=CC(C(=O)OCC)=CC=C1C#CC1=CC=C(SCCC2(C)C)C2=C1 OGQICQVSFDPSEI-UHFFFAOYSA-N 0.000 abstract description 3
- 229960000565 tazarotene Drugs 0.000 abstract description 3
- 238000009472 formulation Methods 0.000 description 56
- 230000003902 lesion Effects 0.000 description 26
- WVDDGKGOMKODPV-UHFFFAOYSA-N Benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 description 18
- 239000000047 product Substances 0.000 description 16
- 230000009467 reduction Effects 0.000 description 13
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 9
- 241000186427 Cutibacterium acnes Species 0.000 description 7
- 229940009342 combination adapalene Drugs 0.000 description 7
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- 238000002360 preparation method Methods 0.000 description 7
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- 238000003756 stirring Methods 0.000 description 6
- 230000035515 penetration Effects 0.000 description 5
- 239000000546 pharmaceutical excipient Substances 0.000 description 5
- 239000004342 Benzoyl peroxide Substances 0.000 description 4
- OMPJBNCRMGITSC-UHFFFAOYSA-N Benzoylperoxide Chemical compound C=1C=CC=CC=1C(=O)OOC(=O)C1=CC=CC=C1 OMPJBNCRMGITSC-UHFFFAOYSA-N 0.000 description 4
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 235000019400 benzoyl peroxide Nutrition 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 4
- 239000006260 foam Substances 0.000 description 4
- 229940071826 hydroxyethyl cellulose Drugs 0.000 description 4
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 4
- 230000004054 inflammatory process Effects 0.000 description 4
- 230000010534 mechanism of action Effects 0.000 description 4
- BDJRBEYXGGNYIS-UHFFFAOYSA-N nonanedioic acid Chemical compound OC(=O)CCCCCCCC(O)=O BDJRBEYXGGNYIS-UHFFFAOYSA-N 0.000 description 4
- 229940068918 polyethylene glycol 400 Drugs 0.000 description 4
- 239000012049 topical pharmaceutical composition Substances 0.000 description 4
- 238000010521 absorption reaction Methods 0.000 description 3
- 239000013543 active substance Substances 0.000 description 3
- 230000003110 anti-inflammatory effect Effects 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
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- 150000002632 lipids Chemical class 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 210000002374 sebum Anatomy 0.000 description 3
- 229960001727 tretinoin Drugs 0.000 description 3
- 208000020154 Acnes Diseases 0.000 description 2
- ULGZDMOVFRHVEP-RWJQBGPGSA-N Erythromycin Chemical compound O([C@@H]1[C@@H](C)C(=O)O[C@@H]([C@@]([C@H](O)[C@@H](C)C(=O)[C@H](C)C[C@@](C)(O)[C@H](O[C@H]2[C@@H]([C@H](C[C@@H](C)O2)N(C)C)O)[C@H]1C)(C)O)CC)[C@H]1C[C@@](C)(OC)[C@@H](O)[C@H](C)O1 ULGZDMOVFRHVEP-RWJQBGPGSA-N 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 206010033733 Papule Diseases 0.000 description 2
- 206010037888 Rash pustular Diseases 0.000 description 2
- 206010039580 Scar Diseases 0.000 description 2
- SHGAZHPCJJPHSC-YCNIQYBTSA-N all-trans-retinoic acid Chemical compound OC(=O)\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-YCNIQYBTSA-N 0.000 description 2
- 239000003242 anti bacterial agent Substances 0.000 description 2
- 229940088710 antibiotic agent Drugs 0.000 description 2
- 229960004217 benzyl alcohol Drugs 0.000 description 2
- 229960002227 clindamycin Drugs 0.000 description 2
- KDLRVYVGXIQJDK-AWPVFWJPSA-N clindamycin Chemical compound CN1C[C@H](CCC)C[C@H]1C(=O)N[C@H]([C@H](C)Cl)[C@@H]1[C@H](O)[C@H](O)[C@@H](O)[C@@H](SC)O1 KDLRVYVGXIQJDK-AWPVFWJPSA-N 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
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- 210000000981 epithelium Anatomy 0.000 description 2
- 230000003054 hormonal effect Effects 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 239000003410 keratolytic agent Substances 0.000 description 2
- 210000000440 neutrophil Anatomy 0.000 description 2
- 239000002674 ointment Substances 0.000 description 2
- 208000029561 pustule Diseases 0.000 description 2
- 150000004492 retinoid derivatives Chemical class 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-N salicylic acid Chemical compound OC(=O)C1=CC=CC=C1O YGSDEFSMJLZEOE-UHFFFAOYSA-N 0.000 description 2
- 210000001732 sebaceous gland Anatomy 0.000 description 2
- 230000009885 systemic effect Effects 0.000 description 2
- 101100437784 Drosophila melanogaster bocks gene Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- 201000004681 Psoriasis Diseases 0.000 description 1
- 239000004098 Tetracycline Substances 0.000 description 1
- SHGAZHPCJJPHSC-NWVFGJFESA-N Tretinoin Chemical compound OC(=O)/C=C(\C)/C=C/C=C(C)C=CC1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-NWVFGJFESA-N 0.000 description 1
- 230000037386 abnormal desquamation Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000003255 anti-acne Effects 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000000845 anti-microbial effect Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000003115 biocidal effect Effects 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
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- 230000002995 comedolytic effect Effects 0.000 description 1
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- 229940075557 diethylene glycol monoethyl ether Drugs 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 230000002500 effect on skin Effects 0.000 description 1
- 239000003974 emollient agent Substances 0.000 description 1
- 229960003276 erythromycin Drugs 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 239000010408 film Substances 0.000 description 1
- 235000021588 free fatty acids Nutrition 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
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- 230000000977 initiatory effect Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 230000003780 keratinization Effects 0.000 description 1
- 230000001530 keratinolytic effect Effects 0.000 description 1
- 230000002147 killing effect Effects 0.000 description 1
- 229960000448 lactic acid Drugs 0.000 description 1
- 150000002617 leukotrienes Chemical class 0.000 description 1
- 230000002132 lysosomal effect Effects 0.000 description 1
- 239000002207 metabolite Substances 0.000 description 1
- 239000011325 microbead Substances 0.000 description 1
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- 230000003020 moisturizing effect Effects 0.000 description 1
- 230000011242 neutrophil chemotaxis Effects 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229940094443 oxytocics prostaglandins Drugs 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N papa-hydroxy-benzoic acid Natural products OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
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- 229940127557 pharmaceutical product Drugs 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229940055019 propionibacterium acne Drugs 0.000 description 1
- 229960004063 propylene glycol Drugs 0.000 description 1
- 150000003180 prostaglandins Chemical class 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 150000003254 radicals Chemical class 0.000 description 1
- 230000007115 recruitment Effects 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 229930002330 retinoic acid Natural products 0.000 description 1
- 102000027483 retinoid hormone receptors Human genes 0.000 description 1
- 108091008679 retinoid hormone receptors Proteins 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
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- 229940100611 topical cream Drugs 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/13—Amines
- A61K31/135—Amines having aromatic rings, e.g. ketamine, nortriptyline
- A61K31/136—Amines having aromatic rings, e.g. ketamine, nortriptyline having the amino group directly attached to the aromatic ring, e.g. benzeneamine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/192—Carboxylic acids, e.g. valproic acid having aromatic groups, e.g. sulindac, 2-aryl-propionic acids, ethacrynic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/33—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing oxygen
- A61K8/36—Carboxylic acids; Salts or anhydrides thereof
- A61K8/368—Carboxylic acids; Salts or anhydrides thereof with carboxyl groups directly bound to carbon atoms of aromatic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/46—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur
- A61K8/466—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing sulfur containing sulfonic acid derivatives; Salts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K8/00—Cosmetics or similar toiletry preparations
- A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
- A61K8/30—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds
- A61K8/49—Cosmetics or similar toiletry preparations characterised by the composition containing organic compounds containing heterocyclic compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/04—Antipruritics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/10—Anti-acne agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61Q—SPECIFIC USE OF COSMETICS OR SIMILAR TOILETRY PREPARATIONS
- A61Q19/00—Preparations for care of the skin
Definitions
- the present invention is directed to compositions and methods for the treatment of acne vulgaris and other dermato logical conditions.
- Acne is the most common skin disease that affects a large number of adolescents and young adults after they reach puberty. Though not a life threatening disease, it has serious psychological impact on the patient. Chronic inflammatory acne can also result in permanent scarring of the face.
- acne is a multifactorial condition
- the marketed products work on one or more of the underlying factors contributing to acne for its treatment.
- OTC over-the-counter
- products include antibiotics (topical and systemic), benzoyl peroxide, retinoids (topical and systemic), dapsone, and a number of other compounds.
- the anti-acne molecule dapsone is marketed as a commercial product Aczone®.
- Aczone® is a 5% dapsone gel with a gritty texture due to insoluble particles of dapsone drugs.
- the insolubility of dapsone limits the bioavilability of dapsone upon application and its absorption through the skin and is therefore administered twice daily.
- dapsone exhibits an anti-inflammatory activity which provides a unique mechanism of action for this molecule in treatment of inflammatory acne lesions.
- a complex combination of inflammatory pathways produce the clinical inflammation observed in acne. It is known that neutrophils significantly contribute to inflammatory acne. Dapsone is known to suppress neutrophil recruitment & local production of toxic products there by inhibiting neutrophil chemotaxis and reducing generation of oxygen free radicals. It further inhibits release of lysosomal enzymes and reduces release and bocks inflammatory effects of prostaglandins & leukotrienes. These effects results in reduction of inflammatory acne lesions. In addition to its anti-inflammatory activity, dapsone is also effective against P. acnes. MIC90 against P. acnes is 8 ⁇ g/ml. Adapalene is a third generation retinoid, which are compounds related to Vitamin
- Adapalene is known to moderate inflammatory processes but its mechanism of action is also not entirely understood. Adapalene products are sold with the concentrations of 0.1% and 0.3% w/v concentrations for gels and 0.1% w/v concentration for cream. Adapalene acts on retinoid receptors and appears to be a modifier of cellular differentiation, keratinization and inflammatory processes which are involved in the pathology of acne vulgaris. Absorption of adapalene from either 0.1% or 0.3% gel or cream is low. In one pharmacokinetic study, 16 patients suffering from acne vulgaris received 0.3% adapalene gel applied to the face, chest and back which is approximately a dosage of 2 mg/cm2.
- a combination acne product would provide the benefit of enhanced efficacy compared to the products containing single active agent by taking advantage of the synergistic mechanism of action of the active agents for treatment of acne.
- the present invention is directed to acne products with at least two active compounds and in particular are directed to dapsone and adapalene combination formulations for the use in the treatment of dermatological conditions such as acne vulgaris, rosacea, atopic dermatitis, treatment of chronic wounds, bed sores, keratosis piralis, psoriasis, cosmetic improvement of surgical and acne scars, sebaceous cysts, inflammatory dermatoses, post inflammatory hyperpigmentation, eczema, xerosis, pruritis, lichen planus, nodular prurigo, eczema, and miliaria and other dermatological conditions.
- a dermatological composition comprising dapsone, adapalene, and water.
- composition comprises 5% w/w dapsone and 0.1% or 0.3% w/w adapalene and is used for the treatment of acne vulgaris.
- compositions of paragraph 1 wherein the composition is a gel.
- compositions of paragraphs 1 and 4 wherein the composition is 0.5% w/w dapsone, 0.1% w/w adapalene, 1.5% w/w benzyl alcohol, transcutol, 5 - 25% w/w PEG 400, 0.01% w/w EDTA, and 0.03% w/w citric acid. .
- compositions of paragraphs 1 - 5 further comprising carbopol 980 at 0.5 - 2% w/w.
- compositions of paragraphs 1 - 7 further comprising methyl paraben.
- compositions of paragraphs 1 - 8 further comprising lactic acid.
- compositions of paragraphs 1 - 9 further comprising glycerin.
- composition of paragraph 5 further comprising dimethyl isosorbide in 5 - 15% w/w.
- compositions of paragraphs 1 - 15 wherein the composition is in the form of one selected from the group consisting of a gel, emulsion, cream, liquid, paste, lotion, nanoemulsion, microemulsion, reverse emulsion and liposomal cream.
- compositions of paragraphs 1- 16 wherein the composition may be used for treatment of one selected from the group consisting of acne vulgaris, rosacea, atopic dermatitis, treatment of chronic wounds, bed sores, keratosis piralis, sebaceous cysts, inflammatory dermatoses, post inflammatory hyperpigmentation, eczema, xerosis, pruritis, lichen planus, nodular prurigo, dermatitis, eczema, and miliaria and other dermatological conditions.
- Fig. 1 is directed to dapsone and adapalene formulations for the treatment of
- Fig. 2 is directed to variations of formulations for the treatment of dermatological conditions of Formula 1 of Figure 1;
- Fig. 3 A is directed to variations of formulations for the treatment of dermatological conditions of Formula 2 of Figure 1;
- Fig. 3B is directed to variations of formulations for the treatment of dermatological conditions of Formula 2 of Figure 1;
- Fig. 3C is directed to variations of formulations for the treatment of dermatological conditions of Formula 2.1 of Figure 1;
- Fig. 3D is directed to variations of formulations for the treatment of dermatological conditions of Formula 2.1 of Figure 1;
- Fig. 4A is directed to variations of formulations for the treatment of dermatological conditions of Formula 4 of Figure 1;
- Fig. 4B is directed to variations of formulations for the treatment of dermatological conditions of Formula 4 of Figure 1;
- Fig. 4C is directed to variations of formulations for the treatment of dermatological conditions of Formula 4 of Figure 1;
- Fig. 4D is directed to variations of formulations for the treatment of dermatological conditions of Formula 4 of Figure 1;
- Fig. 5 is directed to dapsone and adapalene formulations for the treatment of
- the present invention is directed to topical compositions for treatment of dermatological conditions which contain at least two active ingredients, one of these being dapsone and the other(s) selected from the list below for an effective treatment of acne and other dermatological conditions such as rosacea.
- Suitable compounds that can be combined with dapsone (2 - 10% w/w) include:
- Benzoyl peroxide 2.5 - 10% w/w
- other antimicrobial actives that are effective against P. acnes.
- Agents that inhibit comedogenesis by reducing pilosebaceous canal obstruction or have kerato lytic properties such as:
- Salicylic acid 0.5 - 3% w/w
- Azelaic acid (up to 20% w/w);
- tretinoin or trans retinoic acid (0.02 - 0.1 % w/w); ii. Tazarotene (0.05 - 0.1 % w/w);
- Adapalene (0.1 - 0.3% w/w);
- One aspect of the present invention is a combination adapalene/dapsone topical formulation combining the two actives into one formulation.
- the novelty of this invention is in part attributable to the use of additional excipients (solubilizers) in combination with diethylene glycol monoethyl ether ("DGME”) in order to solubilize dapsone. Addition of cosolvents has enabled the complete dissolution of dapsone in the formulation and an increase in the solubility of adapalene (adapalene is not completely solubilized in these formulations).
- the increased concentration of dissolved dapsone and adapalene versus the marketed product comparators administered concurrently will increase the rate of skin penetration of both drugs into and through the skin
- Topical dosage forms of the present invention include, but are not limited to solutions, gels, creams, ointments, foams, emulsions, films, and facial/skin peels.
- the present invention is directed to topical dapsone and adapalene formulations which are formulated to optimize the dermal delivery profile of adapalene and dapsone to effectively treat acne and other dermatological conditions and improve the efficiency of
- compositions of the present invention of 5% w/w dapsone and 0.1% w/w and 0.3% w/w adapalene formulations include but are not limited to: Table 2A: Adapalene / Dapsone Topical Formulations
- formulations of the present invention can be made as follows based on the excipients:
- adapalene/dapsone gels were prepared as follows:
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved; c. Add adapalene to mixture in step b; d. While continuing to mix, slowly add hydroxyethyl cellulose to mixture in step c avoid clumping. Mix vigorously at room temperature until a uniform lump-free dispersion is achieved; and,
- adapalene/dapsone gels were prepared as follows:
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved.
- c Add adapalene to mixture in step b;
- step c While continuing to mix, slowly add hydroxyethyl cellulose to mixture in step c avoid clumping. Mix vigorously at room temperature until a uniform lump-free dispersion is achieved; and,
- adapalene/dapsone gels were prepared as follows:
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved; c. Add adapalene to mixture in step b;
- adapalene/dapsone gels were prepared as follows: a. Weigh the Transcutol into a kettle. Add the dapsone, propylene glycol, polyethylene glycol 400, benzyl alcohol. Stir with propeller mixer at room temperature. Mix until dissolved;
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved; c. Add adapalene to mixture in step b;
- adapalene/dapsone gels were prepared as follows:
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved; c. Add adapalene to mixture in step b;
- adapalene/dapsone gels were prepared as follows:
- step b Add water, EDTA, and citric acid to mixture in step a. Mix until dissolved; c. Add adapalene to mixture in step b;
- step c While continuing to mix, slowly add hydroxy ethyl cellulose to mixture in step c avoid clumping. Mix vigorously at room temperature until a uniform lump-free dispersion is achieved; and, e. While mixing add sufficient sodium hydroxide to achieve a pH of 5.3 to 5.7. Mix until uniform.
- the most effective dapsone and adapalene composition is selected based on clinical studies. For example, a clinical study is conducted by forming two treatment groups, one with daily application of a selected dapsone and adapalene formulation, and twice daily topical application of the same selected dapsone and adapalene formulation to the acne area of the skin for a period of 12 weeks. Two control groups are formed with application once and twice daily of a vehicle consisting of the same excipients but no active ingredients. The patient's inflammatory and non-inflammatory acne lesion counts should be recorded at baseline before initiation of treatment and then at select intervals throughout the study. The reduction in total, non-inflammatory or inflammatory lesions counts provides determination of the efficacy of the formulations.
- the established Global Acne Assessment Score should be used to assess efficacy of the product.
- the tolerability of the product can be determined by assessment of skin dryness, irritation, sensitivity and redness as a result of treatment. A product is considered to have better tolerability if there is less effect on these parameters.
- a suitable application method is topical cream, gel, lotion, ointment, foam, liquid or a semi solid preparation.
- a topical preparation may contain additional ingredients to provide aesthetic and moisturizing and anti-inflammatory benefits to the skin.
- a gel or liquid preparation can be alcohol or aqueous based or a combination of two;
- a nanoemulsion or microemulsion preparation can be used for enhanced delivery of actives
- a liposomal cream or lotion preparation can be used for enhanced delivery of actives
- a foam preparation can be a quick breaking foam with additional emollient components.
- Topical preparations that result in slow release or controlled release of the active agent can also be used to provide an optimal efficacy and tolerability balance.
- Active ingredients encapsulated in micro beads or adsorbed on microsponge can be used for control release and in addition solve any incompatibility issues between the formulation ingredients.
- the application is preferably once a day or more frequent depending on the desired effect.
- a 17 year old Caucasian male patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.1% w/w adapalene formulation according to formulation #1 in Fig. 5.
- the 17 year old male patient applies the 0.1% w/w adapalene composition of Formula 1 once daily for 12 weeks. After 12 weeks, the 17 year old male patient experiences a 32% reduction in inflammatory and non-inflammatory lesions.
- Example #2 Application of 0.3 % w/w adapalene of Formula 1 in Fig. 5
- a 16 year old Caucasian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.3% w/w adapalene formulation according to formulation #1 in Fig. 5.
- the 16 year old female patient applies the 0.3% w/w adapalene composition of Formula 1 once daily for 12 weeks. After 12 weeks, the 16 year old female patient experiences a 41% reduction in inflammatory and non-inflammatory lesions.
- a 23 year old African- American female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.1% w/w adapalene formulation according to formulation #2 in Fig. 5.
- the 23 year old female patient applies the 0.1% w/w adapalene composition of Formula 2 once daily for 12 weeks. After 12 weeks, the 23 year old female patient experiences a 24 % reduction in inflammatory and non-inflammatory lesions.
- a 19 year old Caucasian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.3% w/w adapalene formulation according to formulation #2 in Fig. 5.
- the 19 year old female patient applies the 0.3% w/w adapalene composition of Formula 2 once daily for 12 weeks. After 12 weeks, the patient experiences a 248 % reduction in inflammatory and noninflammatory lesions.
- a n 23 year old Asian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.3% w/w adapalene formulation according to formulation #3 in Fig. 5.
- the 23 year old patient applies the 0.3% w/w adapalene composition once daily for 12 weeks. After 12 weeks, the patient experiences a 25 % reduction in inflammatory and non-inflammatory lesions.
- An 18 year old African- American male patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.1% w/w adapalene formulation according to formulation #3 in Fig. 5.
- the 18 year old male patient applies the 0.1% w/w adapalene composition once daily for 12 weeks. After 12 weeks, the 18 year old male patient experiences a 29 % reduction in inflammatory and non-inflammatory lesions.
- a 17 year old Caucasian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.3% w/w adapalene formulation according to formulation #4 in Fig. 5.
- the 17 year old male patient applies the 0.3% w/w adapalene composition twice daily for 12 weeks. After 12 weeks, the 17 year old male patient experiences a 41 % reduction in inflammatory and non- inflammatory lesions.
- Example #9 Application of 0.1% w/w adapalene of Formula 5 in Fig. 5
- a 16 year old Caucasian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.1% w/w adapalene formulation according to formulation #5 in Fig. 5.
- the 16 year old female patient applies the 0.1% w/w adapalene composition once daily for 12 weeks. After 12 weeks, the patient experiences a 27 % reduction in inflammatory and non-inflammatory lesions.
- Example #10 Example #9 - Application of 0.3% w/w adapalene of Formula 5 in Fig. 5
- a 19 year old Caucasian female patient suffers acne vulgaris with a combination of inflammatory and non-inflammatory lesions and applies a 0.3% w/w adapalene formulation according to formulation #5 in Fig. 5.
- the 19 year old female patient applies the 0.3% w/w adapalene composition twice daily for 12 weeks. After 12 weeks, the patient experiences a 38 % reduction in inflammatory and non-inflammatory lesions.
- Example #11 Application of 0.1% w/w adapalene of Formula 1 in Fig. 5
- a 37 year old Caucasian male patient suffers from rosacea and applies a 0.1% w/w adapalene formulation according to formulation #1 in Fig. 5.
- the 37 year old male patient applies the 0.1% w/w adapalene composition of Formula 1 once daily for 12 weeks. After 12 weeks, the 37 year old male patient experiences a reduction in the symptoms of rosacea.
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Abstract
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Application Number | Priority Date | Filing Date | Title |
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US22990309P | 2009-07-30 | 2009-07-30 | |
PCT/US2010/043671 WO2011014627A1 (fr) | 2009-07-30 | 2010-07-29 | Combinaison du dapsone avec l'adapalene |
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EP10744770A Withdrawn EP2459172A1 (fr) | 2009-07-30 | 2010-07-29 | Combinaison du dapsone avec l'adapalene |
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EP (1) | EP2459172A1 (fr) |
JP (1) | JP2013500984A (fr) |
AU (1) | AU2010278915A1 (fr) |
CA (1) | CA2769640A1 (fr) |
RU (1) | RU2012104572A (fr) |
WO (1) | WO2011014627A1 (fr) |
Families Citing this family (11)
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US20110117182A1 (en) * | 2009-07-30 | 2011-05-19 | Allergan, Inc. | Combination of dapsone with other anti-acne agents |
WO2011135090A1 (fr) * | 2010-04-29 | 2011-11-03 | Galderma Research & Development | Méthode de traitement des cicatrices par l'adapalène à 0,3% |
CN103491945A (zh) * | 2011-03-03 | 2014-01-01 | 阿勒根公司 | 基于硅酮的非水性眼科制剂 |
WO2013003236A1 (fr) | 2011-06-30 | 2013-01-03 | Allergan, Inc. | Compositions topiques de rétinoïde et méthodes de traitement d'états cutanés |
AU2013348247A1 (en) | 2012-11-20 | 2015-05-21 | Allergan, Inc. | Topical dapsone and dapsone/adapalene compositions and methods for use thereof |
WO2016136925A1 (fr) * | 2015-02-27 | 2016-09-01 | マルホ株式会社 | Composition pour la peau |
JP6508681B2 (ja) * | 2016-01-18 | 2019-05-08 | 基嗣 田島 | ケミカルピーリング剤 |
KR102662461B1 (ko) * | 2017-07-21 | 2024-04-30 | 알미랄 엘엘씨 | 비염증성 병변의 치료 |
JPWO2019240290A1 (ja) * | 2018-06-16 | 2021-06-24 | ロート製薬株式会社 | 外用組成物 |
JP7299766B2 (ja) * | 2018-06-16 | 2023-06-28 | ロート製薬株式会社 | 外用組成物 |
JP2022131565A (ja) * | 2021-02-26 | 2022-09-07 | ロート製薬株式会社 | 水性医薬組成物 |
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US20030157036A1 (en) * | 2002-02-20 | 2003-08-21 | Osborne David W. | Topical dapsone for the treatment of acne |
KR20070091613A (ko) * | 2004-11-08 | 2007-09-11 | 그렌마크 파머수티칼스 엘티디. | 항여드름 화합물 및 항생제 화합물을 함유하는 국소적 제약조성물 |
MXPA06008988A (es) * | 2006-08-08 | 2008-02-07 | Fernando Ahumada Ayala | Preparaciones topicas antiacne que contienen retinoide (tazaroteno o adapaleno), antibiotico (fosfato de clindamicina) y/o queratolitico (peroxido de bonzoilo en microesponjas). |
US20100029781A1 (en) * | 2008-06-04 | 2010-02-04 | Morris Jerome A | Methods for preparation of anti-acne formulation and compositions prepared thereby |
-
2010
- 2010-07-29 EP EP10744770A patent/EP2459172A1/fr not_active Withdrawn
- 2010-07-29 RU RU2012104572/15A patent/RU2012104572A/ru unknown
- 2010-07-29 JP JP2012523029A patent/JP2013500984A/ja active Pending
- 2010-07-29 WO PCT/US2010/043671 patent/WO2011014627A1/fr active Application Filing
- 2010-07-29 AU AU2010278915A patent/AU2010278915A1/en not_active Abandoned
- 2010-07-29 CA CA2769640A patent/CA2769640A1/fr not_active Abandoned
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WO2011014627A1 (fr) | 2011-02-03 |
CA2769640A1 (fr) | 2011-02-03 |
AU2010278915A1 (en) | 2012-03-01 |
JP2013500984A (ja) | 2013-01-10 |
RU2012104572A (ru) | 2013-09-10 |
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