Epinephrine spray formulations
The present invention is directed to epinephrine spray formulations. The present invention is further directed to methods of treating anaphylaxis by administering epinephrine spray formulations to subjects in need of such treatments.
1. An epinephrine spray formulation comprising:
from about 0.1% w/w to about 15% w/w epinephrine or a salt thereof;
from about 1% w/w to about 99% w/w of a solvent selected from the group consisting of ethanol, glycerin, propylene glycol, polyethylene glycol 400 and a combination thereof;
from about 15% to about 65% w/w water; and
from about 0.1% w/w to about 60% w/w of at least one acid,
wherein the formulation has a pH from about 2 to about 5.5 and wherein w/w denotes weight by weight of the formulation.
2. The formulation of claim 1 wherein the epinephrine is a salt selected from the group consisting of citrate, hydrochloride, halide, sulfate, phosphate, acetate, maleate, succinate, ascorbate, carbonate, mesylate and lactate.
3. The formulation of claim 1 , wherein the solvent is a combination of ethanol and propylene glycol.
4. The formulation of claim 1 , wherein the solvent comprises from about 1% w/w to about 30% w/w glycerin or from about 1% w/w to about 30% w/w propylene glycol or combination of glycerin and propylene glycol from about 1% w/w to about 30% w/w.
5. The formulation of claim 1 , wherein the solvent comprises from about 2% w/w to about 60% w/w ethanol.
6. The formulation of claim 1 , wherein the at least one acid is diluted hydrochloric acid.
7. The formulation of claim 1 , further comprising a permeation enhancer comprising caprylic acid.
8. The formulation of claim 1 , wherein the formulation does not contain a permeation enhancer.
9. The formulation of claim 8 , wherein the caprylic acid is at a concentration from about 0.1% w/w to about 10% w/w.
10. The formulation of claim 8 , wherein the caprylic acid is at a concentration from about 0.1% w/w to about 5 w/w.
11. The formulation of claim 8 , wherein the permeation enhancer further comprises a second compound selected from the group consisting of menthol, limonene, carvone, methyl chitosan, polysorbates, sodium lauryl sulfate, glyceryl oleate, caproic acid, enanthic acid, pelargonic acid, capric acid, undecylenic acid, lauric acid, myristic acid, palmitic acid, oleic acid, stearic acid, linolenic acid, arachidonic acid, benzethonium chloride, benzethonium bromide, benzalkonium chloride (BKC), cetylpyridium chloride, edetate disodium dihydrate, sodium desoxycholate, sodium deoxyglycolate, sodium glycocholate, sodium caprate, sodium taurocholate, sodium hydroxybenzoyal amino caprylate, dodecyl dimethyl aminopropionate, L-lysine, glycerol oleate, glyceryl monostearate, citric acid, peppermint oil and a combination thereof.
12. The formulation of claim 11 , wherein the second compound is menthol.
13. The formulation of claim 12 , wherein the menthol is at a concentration from about 0.1% to about 5% w/w.
14. The formulation of claim 12 , wherein the menthol is at a concentration from about 0.1% to about 1% w/w.
15. The formulation of claim 1 , further comprising an isotonicity agent comprising sodium chloride.
16. The formulation of claim 1 , further comprising a stabilizer selected from the group consisting of butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), ascorbic acid, methionine, sodium ascorbate, sodium thiosulfate, sodium bisulfite, sodium metabisulfite, ascorbyl palmitate, thioglycerol, alpha tocopherol (vitamin E), cysteine hydrochloride, benzalkonium chloride, citric acid, ethylenediaminetetraacetic acid (EDTA), sodium citrate, propyl gallate, 8-hydroxyquinoline, boric acid, histidine and combinations thereof.
17. The formulation of claim 16 , wherein the stabilizer comprises EDTA at a concentration from about 0.005% w/w to about 0.5% w/w.
18. The formulation of claim 16 , wherein the stabilizer comprises sodium bisulfite orsodium metabisulfite or a combination thereof at a concentration from about 0.005% w/w to about 5 w/w.
19. The formulation of claim 1 , further comprising a preservative selected from the group consisting of butyl paraben, methyl paraben, ethyl paraben, propyl paraben, sodium benzoate, chlorobutanol, benzalkonium chloride (BKC), benzoic acid and combinations thereof.
20. The formulation of claim 19 , wherein the preservative comprises BKC at a concentration from about 0.005% w/w to about 0.5% w/w.
21. An epinephrine spray formulation consisting of:
from about 0.1% to about 15% w/w epinephrine, or a salt thereof;
from about 1% to about 65% w/w hydrochloric acid with a normality from about 0.1 to 12N;
from about 2% to about 60% w/w ethanol;
from about 2% to about 98% w/w water;
from about 1% to about 20% w/w propylene glycol;
from about 0.001% to about 0.5% w/w sodium bisulfite;
from about 0.001% to about 0.5% w/w sodium metabisulfite; wherein
from about 0.005% to about 1% w/w ethylenediaminetetraacetic acid,
wherein w/w denotes weight by weight of the formulation.
22. An epinephrine spray formulation comprising:
about 3.24% w/w epinephrine, or a salt thereof;
about 36.2% w/w hydrochloric acid with a normality of 0.5;
about 40% w/w ethanol;
about 14.84% w/w water;
about 5% w/w propylene glycol;
about 0.01% w/w benzalkonium chloride; and
from about 0.15% to about 0.3% w/w sodium bisulfite,
wherein the formulation has a pH at about 4.5 and wherein % w/w denotes weight by total weight of the formulation.
23. An epinephrine spray formulation comprising:
about 3.117% w/w epinephrine, or a salt thereof;
about 34.8% w/w hydrochloric acid with a normality of 0.5;
about 20% w/w ethanol;
about 36.87% w/w water;
about 5% w/w propylene glycol;
about 0.01% w/w benzalkonium chloride;
from about 0.15 w/w sodium bisulfite to about 0.3% w/w sodium bisulfite,
wherein the formulation has a pH at about 4.5 and wherein % w/w denotes weight by total weight of the formulation.
24. An epinephrine spray formulation comprising:
about 3.04% w/w epinephrine, or a salt thereof;
about 33.8% w/w hydrochloric acid with a normality of 0.5;
about 62.35% w/w water;
about 0.01% w/w benzalkonium chloride;
from about 0.15 w/w sodium bisulfite to about 0.3% w/w sodium bisulfite,
wherein the formulation has a pH at about 4.5 and wherein % w/w denotes weight by total weight of the formulation.
25. A method of treating anaphylaxis comprising administering the composition of claim 1 to a subject in need thereof.
26. The method of claim 25 , wherein administration occurs via a sublingual route.
27. The method of claim 25 , wherein administration occurs via an intranasal route.