Devices for the administration of pharmaceutical suspensions
The invention features a pharmaceutical suspension containing drug particles, a drug delivery device anchored in the mouth for continuously administering the pharmaceutical suspension, and methods of their use.
1. A drug delivery device configured to be removably inserted into a patient's mouth and for continuous or semi-continuous intraoral administration of a drug, said drug delivery device comprising:
(i) a pharmaceutical composition comprising a paste or suspension having a dynamic viscosity greater than 10,000 cP and less than 50,000,000 cP at 37° C. and comprising said drug, wherein said pharmaceutical composition comprises solid drug particles or excipient particles, and wherein a D 50 of said solid drug or excipient particles is 25±24 μm; and
(ii) a mechanical pump comprising a flow restrictor, configured and arranged to administer said pharmaceutical composition through said flow restrictor at a delivery rate between 0.001 mL/hour and 1.25 mL/hour.
2. The drug delivery device of claim 1 , wherein said mechanical pump is a propellant-driven pump comprising (i) a first chamber comprising the pharmaceutical composition; (ii) a second chamber comprising the propellant; and (iii) a flexible and/or deformable diaphragm separating said first chamber from said second chamber; wherein the flexible and/or deformable diaphragm transmits pressure from the second chamber comprising the propellant to the first chamber comprising the pharmaceutical composition, and wherein 60% of the pharmaceutical composition is dispensed while the delivery rate varies by less than ±20% over a period of at least 4 hours.
3. The drug delivery device of claim 2 , wherein the first chamber comprises between 0.1 mL and 2 mL of the pharmaceutical composition.
4. The drug delivery device of claim 1 , wherein the flow restrictor comprises a nozzle, channel, tube, orifice, or glass capillary.
5. The drug delivery device of claim 4 , wherein the flow restrictor has an internal diameter between 0.05 mm and 1 mm and a length between 0.5 cm and 10 cm.
6. The drug delivery device of claim 1 , wherein said pharmaceutical composition comprises a suspension comprising (i) from 35% to 70% (w/w) drug particles, (ii) from 19% to 30% (w/w) of one or more water-immiscible compounds, (iii) from 2% to 16% (w/w) water, and (iv) from 1% to 8% (w/w) surfactant, wherein the pharmaceutical composition is physically stable.
7. The drug delivery device of claim 1 , wherein the pharmaceutical composition comprises a suspension comprising (i) an excess of one or more water-immiscible compounds over water, and (ii) from 35% to 75% (w/w) drug particles.
8. The drug delivery device of claim 1 , wherein the suspension is an extrudable, non-pourable emulsion.
9. The drug delivery device of claim 1 , wherein said drug comprises:
a) levodopa or a levodopa prodrug, carbidopa or a carbidopa prodrug, benserazide, a pharmaceutically acceptable salt thereof, or any mixture thereof; or
b) baclofen or a pharmaceutically acceptable salt thereof.
10. The drug delivery device of claim 1 , wherein the device is configured to administer said pharmaceutical composition via the flow restrictor at an average hourly rate of volume of from 0.015 mL/hour to 1.25 mL/hour over a period of from 4 hours to 168 hours at 37° C. and a constant pressure of 1.013 bar, wherein the average hourly rate varies by less than ±20% per hour over a period of 4 or more hours.
11. The drug delivery device of claim 1 , wherein the drug delivery device further comprises a fastener to removably secure the drug delivery device to a surface of the patient's mouth.
12. The drug delivery device of claim 2 , wherein the propellant is a liquid propellant having a boiling point of less than 37° C. at sea level atmospheric pressure.
13. A drug delivery device configured to be removably inserted into a patient's mouth and for continuous or semi-continuous intraoral administration of a pharmaceutical composition into a mouth of a patient, wherein said pharmaceutical composition comprises a suspension comprising solid drug particles in a carrier fluid, wherein the solid drug particles have a concentration of greater than 3 M, and wherein said carrier fluid comprises an oil, wherein said drug delivery device comprises a mechanical pump comprising a flow restrictor having an internal diameter of at least 5 times a D 90 of the solid drug particles, configured and arranged to administer said pharmaceutical composition through said flow restrictor at a rate between 0.001 mL/hour and 1.25 mL/hour, and wherein the drug concentration in the suspension delivered by the drug delivery device varies by less than 10% from an average drug concentration during each one hour interval over a period of 4 hours.
14. The drug delivery device of claim 13 , wherein said suspension further comprises a surfactant.
15. The drug delivery device of claim 14 , wherein said pharmaceutical composition comprises a suspension comprising (i) from 35% to 70% (w/w) drug particles, (ii) from 19% to 30% (w/w) of one or more water-immiscible compounds, (iii) from 2% to 16% (w/w) water, and (iv) from 1% to 8% (w/w) surfactant, wherein the pharmaceutical composition is physically stable.
16. The drug delivery device of claim 13 , wherein the pharmaceutical composition comprises a suspension comprising (i) an excess of one or more water-immiscible compounds over water, and (ii) from 35% to 75% (w/w) drug particles.
17. The drug delivery device of claim 13 , wherein the pharmaceutical composition is a drug-containing paste or drug-containing suspension having a dynamic viscosity of greater than 10,000 cP and less than 50,000,000 cP at 37° C.
18. The drug delivery device of claim 13 , wherein the suspension is an extrudable, non-pourable emulsion.
19. The drug delivery device of claim 13 , wherein said drug comprises:
a) levodopa or a levodopa prodrug, carbidopa or a carbidopa prodrug, benserazide, a pharmaceutically acceptable salt thereof, or any mixture thereof; or
b) baclofen or a pharmaceutically acceptable salt thereof.
20. The drug delivery device of claim 13 , wherein the flow restrictor has an internal diameter between 0.05 mm and 1 mm and a length between 0.5 cm and 10 cm.
21. The drug delivery device of claim 13 , wherein the device is configured to administer said pharmaceutical composition via the flow restrictor at an average hourly rate of volume of from 0.015 mL/hour to 1.25 mL/hour over a period of from 4 hours to 168 hours at 37° C. and a constant pressure of 1.013 bar, wherein the average hourly rate varies by less than ±20% per hour over a period of 4 or more hours.
22. A method of administering a pharmaceutical composition comprising one or more drugs into a mouth of a patient via continuous or frequent intermittent administration for a period of at least 4 hours, said method comprising:
(i) inserting a drug delivery device comprising said pharmaceutical composition into the mouth of the patient;
(ii) administering said pharmaceutical composition into the mouth of said patient via continuous or frequent intermittent administration at a delivery rate between 0.001 mL/hour and 1.25 mL/hour for a period of at least 4 hours; and
(iii) removing said drug delivery device from the mouth of said patient, wherein said pharmaceutical composition comprises suspended drug particles, and wherein said suspended drug particles have a D 50 of 25±24 μm.
23. The method of claim 22 , wherein said drug delivery device comprises a mechanical pump comprising a flow restrictor, configured and arranged to administer said pharmaceutical composition through said flow restrictor.
24. The method of claim 23 , wherein the pharmaceutical composition is a drug-containing paste or drug-containing suspension having a dynamic viscosity of greater than 50,000 cP at 37° C.
25. The method of claim 24 , wherein said drug comprises:
a) levodopa or a levodopa prodrug, carbidopa or a carbidopa prodrug, benserazide, a pharmaceutically acceptable salt thereof, or any mixture thereof; or
b) baclofen or a pharmaceutically acceptable salt thereof.
26. The method of claim 24 , wherein said mechanical pump is a propellant-driven pump comprising (i) a first chamber comprising the pharmaceutical composition; (ii) a second chamber comprising the propellant; and (iii) a flexible and/or deformable diaphragm separating said first chamber from said second chamber; wherein the flexible and/or deformable diaphragm transmits pressure from the second chamber comprising the propellant to the first chamber comprising the pharmaceutical composition, and wherein 60% of the pharmaceutical composition is dispensed while the delivery rate varies by less than ±20% over a period of at least 4 hours.
27. The method of claim 24 , wherein the flow restrictor has an internal diameter between 0.05 mm and 1 mm and a length between 0.5 cm and 10 cm.
28. The method of claim 24 , wherein the device is configured to administer said pharmaceutical composition via the flow restrictor at an average hourly rate of volume of from 0.015 mL/hour to 1.25 mL/hour over a period of from 4 hours to 168 hours at 37° C. and a constant pressure of about 1.013 bar, wherein the average hourly rate varies by less than ±20% per hour over a period of 4 or more hours.
29. The method of claim 24 , wherein the drug delivery device further comprises a fastener to removably secure the drug delivery device to a surface of the patient's mouth.
30. The method of claim 24 , wherein said pharmaceutical composition comprises a suspension comprising (i) from 35% to 70% (w/w) drug particles, (ii) from 19% to 30% (w/w) of one or more water-immiscible compounds, (iii) from 2% to 16% (w/w) water, and (iv) from 1% to 8% (w/w) surfactant, wherein the pharmaceutical composition is physically stable.