Lower dosage strength imiquimod formulations and short dosing regimens for treating genital and perianal warts
Pharmaceutical formulations and methods for the topical or transdermal delivery of 1isobutyl-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 genital/perianal warts with shorter durations of therapy than currently prescribed for the commercially available for 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 genital/perianal warts with an acceptable safety profile and dosing regimens that are shorter 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 genital/perianal warts are also disclosed and described.
1. A method for treating genital or perianal warts in a subject 12 years old or older, the method comprising: applying an imiquimod pharmaceutical cream formulated with 3.75% by weight imiquimod to the warts, once per day, each day, for up to 8 consecutive weeks or until clearance is observed, whichever occurs earlier, to treat the warts.
2. The method of claim 1 , wherein the imiquimod pharmaceutical cream further comprises a pharmaceutically acceptable vehicle.
3. The method of claim 2 , wherein the pharmaceutically acceptable vehicle comprises a member selected from the group consisting of a fatty acid, an emollient, an emulsifier, a thickener, a preservative, a humectant, water, or a combination thereof.
4. The method of claim 3 , wherein the fatty acid is selected from the group consisting of isostearic acid, linoleic acid, oleic acid, super purified oleic acid, and a combination thereof.
5. The method of claim 3 , wherein the fatty acid is isostearic acid.
6. The method of claim 3 , wherein the fatty acid is present in an amount of between about 5% to about 25% by weight.
7. The method of claim 3 , wherein the emollient is selected from the group consisting of cetyl alcohol, stearyl alcohol, petrolatum, and a combination thereof.
8. The method of claim 3 , wherein the emollient is present in an amount of between about 5% to about 10% by weight.
9. The method of claim 3 , wherein the emulsifier is selected from the group consisting of polysorbate 60, sorbitan monostearate, and a combination thereof.
10. The method of claim 3 , wherein the emulsifier is present in an amount of between about 2% to about 6% by weight.
11. The method of claim 3 , wherein the preservative is selected from the group consisting of methylparaben, propylparaben, benzyl alcohol, and a combination thereof.
12. The method of claim 3 , wherein the humectant is glycerin.
13. The method of claim 3 , wherein the water is present in an amount of between about 45% to about 85% by weight.
14. The method of claim 2 , wherein the pharmaceutically acceptable vehicle consists of isostearic acid, cetyl alcohol, stearyl alcohol, white petrolatum, polysorbate 60, sorbitan monostearate, glycerin, xanthan gum, water, benzyl alcohol, methylparaben, and propylparaben.
15. The method of claim 1 , wherein for every 250 mg of the imiquimod pharmaceutical cream, the cream contains 9.375 mg of imiquimod.
16. The method of claim 1 , wherein the imiquimod pharmaceutical cream is selected from the group of 3.75% imiquimod pharmaceutical creams listed in Example 29.