CA1217144A - Nonirritating aqueous ophthalmic compositions comfort formulation for ocular therapeutic agents - Google Patents

Nonirritating aqueous ophthalmic compositions comfort formulation for ocular therapeutic agents

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Publication number
CA1217144A
CA1217144A CA000436208A CA436208A CA1217144A CA 1217144 A CA1217144 A CA 1217144A CA 000436208 A CA000436208 A CA 000436208A CA 436208 A CA436208 A CA 436208A CA 1217144 A CA1217144 A CA 1217144A
Authority
CA
Canada
Prior art keywords
composition
ophthalmic composition
recited
group
suprofen
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.)
Expired
Application number
CA000436208A
Other languages
French (fr)
Inventor
Robert E. Roehrs
Wesley W. Han
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Alcon Vision LLC
Original Assignee
Alcon Laboratories Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Alcon Laboratories Inc filed Critical Alcon Laboratories Inc
Application granted granted Critical
Publication of CA1217144A publication Critical patent/CA1217144A/en
Expired legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]

Abstract

NONIRRIGATING AQUEOUS OPHTHALMIC COMPOSITIONS COMFORT
FORMULATIONS FOR OCULAR THERAPEUTIC AGENTS

ABSTRACT OF THE DISCLOSURE
Xanthine derivatives are described which decrease the stinging associated with the application of ophthalmic acidic anti-inflammatory agents.

Description

.
~2~
t ( ~ONIRRITATI~G AQ~EOUS OP~T~ALMIC COMPOSITIONS
CgMFORT FORMULATION ~OR OCULAR T~ER~PEUTIC ~ENTS
This inv~ntion rela~e6 generally to aqueous ophthalmic composition~ for treatment of the eye, and more particularly, it relates to nonirritating aqueous ophthalmic compositions containing aryl- and he~eroarylcarboxyli~ acids, aryl- and heteroarylalkanoic acids and herapeutic agents which compositions contain an effective amount of a xanthine derivative whi~h elminates or rèduces di~comfort ~ith ~cid containing ophthalmic drugs.
Steroidal anti-inflammatory agents are useful therapeuti~ agents, but are known ~or their undesirable ~ide effects in~luding, but not limited to, salt retentionR edema, and potential danger ~o pregnant women. ~o avoid these undesirable side effects non-~teroidal, anti-inflammatory agents such as aryl-and heteroarylcarboxylic acid~ and aryl- and heteroarylalkanoic ~cids and pharmaceutically acceptable 20 ~alt~ of such acids may be u~ed. ~owever, it has no~
beer~ possible to ~c~rmulate these acidic ~nti-inflammatory a~ents ~n aqueous ophthalmic composi1:ion~ because ~he ac~ d~ dlsassociate in aqueous ~olution ~orming ~oap like compourlds which c:ause severe 25 ocular di~comfort includirlg stinging and excessive tear generation. In addition to the discomfort to th~
patient caused by the ~tinging sensa~ion~ the exce~s ~ears generated ~ay also dilute ~nd/or wash away the drug from the ocular ~urface~
Attempts to decrease ocular ~tinging o~
no~-steroidal acidic antl-inflammatory agent~ through ~onvent~onal formulation approaches have not proved ~uccessful~ ~queous 601utions of suprofen and ketoprofen9 two recognized non-steroidal acidic anti-lnflamma~ory agent~, when formulated wi~h di~feren~
ophthalmic preservatives such as ~enzalkonium ~hlor~de, e~, ~2~
(~

chlorobutanol, and thimerosal provide little or no reduction ~n the stinging or discomfort caused when thece drugs are instilled into the eye in aqueous solution. Likewise ~hanging buffering agents, such as ~odium phosphate, ~odium borate, and sodium ~itra~e, and their concentrations provides little or no reduction in stinging. Changing the cations in solution from s~dium to potassium gives rise to s~me improvement in reduction of the stinging effect, but not to a ~ati~actory 1~ level. Incorporating inert adjuvants such as polyvinyl ~lcohol, glycerin, glycine and ethyl alc~h~l provides little or no reduction of the stinqing or discomfort of the acidic an~i-lnflammatory agent~ V2rying the pH of the ocular ~olutions provides little or no reduction of discomfortO
A need exi~t~, therefore, for a non-steroidal, anti-inflammatory composition which has the advantages of not being a ~teroid, and which may be used in the topical tr2atment of diseases of the eye without producing stinging or ocular di~comfort. More particularly, a need exists for a ~ormulat$on of aryl-and heteroarylcarboxylie acids or aryl- and heteroarylalkanoic ~cids ~nd pharmaceutically acceptable ~alt~ thereof whi~h with topical ocular use will not 25 produ~e di~comfort.
It has been found that methyl ~nd ethyl derivative~ of xan~hine when ormulated ln an aqueous non-steroidal, anti-inflamma~ory composition containing arylD and heteroarylcarboxylic acids or aryl- and 30 heteroarylalkanoic acids or m~xtures therof, results ~n a composition that may be applied topically to the eye w~th little or no discomfort previously known with the use of such agent~
The xanthine derivat~ves which have been found 35 to be effec~ive in reducing ocular discomfort in accordance with the present inven~ion are those having the following ~tructure:

S
~here Rl9 R2 and R3 are either hydrogen, methyl or ethyl, and at least two of Rl, R~ and R3 are methyl 8r ~thyl. Theophylline~ which ha~ methyl ~ro~ps at the 1 and 3 positions~ ~affeine, ~hich ha~ methyl groups at the 1, 3, and 7 po~ition~, and theobro~lne~
which has methyl g oups ~t the 3 and 7 po~i~ions are examples of xanthine derlvative6 contemplated by the present invention.
~hese derivatives when added ~o a finished buffered ~Gtonic aqueou~ composition ~f aryl- and heteroarylcarboxylic acids ~nd/or aryl- and heteroarylalkanoic acids or pharmaceutically acceptable ~alts of ~u~h acid~ with the concentrat~on of the derivat~ve at an upper level of about the ~olu~ y of the xanthine deriYatiYe to ~ lower limit wh~ch i~
~unction of the do~age of an~ hsw much s~inging or di comfort the anti-inflammatory agent cau~e~, with the lower ~oncentra~ion limit of the xanthine deriva~iYe pref.~rably 0.05% by welght/volume of ~he aque~u~
csmposition, will provide a ocular anti-inflamma~ory agent wh~h can b.~ topi.~ally appl~d with littl~ or no alscomfort or ocular ~tin~ing to th0 patient.
Inyredient~ ~n.~luding but not limited to benzalkonlum : 30 chloride, thimero~aly NaCl and buffering agents may be optiona~ly added to the ¢omposition as is known in the artO It i~ readily apparent that the amount of xanthine derivative~ w~ll vary ~epending on the p~rticular a~
drug u~ed and the am.oun~ of drug in ~he composltion, i~here are a lar~ number of acldic anti-inflammatory agent~ which can be incorporated in compo~ition~ in accordance wtth the present invention.

~ ., ~2~
, ~

~xamples of aryl- or heteroarylcarboxylic acids incluae ~efenamic acid or 2-1(2~3-dimethylphenyl)amino~ben~oic acid, flufenamic acid or
2[[3-(trifluoromethyl)phenyl]amino]benæo~c acid, clonixin or 2-~3-chloro-o~toluidino1nicotinic acid and flufeni~al or 4' fluoro-4-~cetate-biphenyl-3 carboxylic acid.
Exa~ples aryl- ~r heteroarylalkanoic acids include 4-(t-butyl)bene~eneaceti~ acid, ibufenac or 4-(2-methylpropyl)benezenea~e~ic a~id, ibuprofen or ~-methyl~4 (2 methylpropyl)benezeneacet~c acid, al~l~fenac or 3-chloro-4-(2-propenyloxy)benez~neacet~c acid, fenoprofen or ~-methyl-3-phenoxybenzeneacetic acid, naproxen or 2-(6-methoxy-2-naphthyl)prop~oni~
~cid, indometha~in or lo(p-chloroben~oyll-s-methoxy 2-methylindole-3-acetic acid, tolmetin or 1-methyl-5-(4-methylbenzoyl)~ pyrrole~2-a~etic ~cidc flurbipro~en or 2-fluoro-~-methyl 11,1'-biphenyl]-4-aceti~ a~id9 ketoprofen or 2~(3 benzoylphenyl~propioni~acid, namoxyrate or 2-(p-b~phenylyl)butyrate dimethylamino2thanol salt and ~uprofen or para-2-thenoylhydratropic aci~.
The ~cidi~ anti-inflammatory ~gent may be ~ncorp~rated ln the ophthalmic compo~ltion in a~cor~an~e ~ith known pra~tices ln order to provi~e an eff~ct~ve rate of delivery of the ~herapeu~ic agen~ to the eye when ~ppl~ed topica-ly. For exampleD ~h~ ophthalmi~
~o~po~itlon may ~ontain be ween ~bout 0.5 percent and about 3.0 percent by we~ght/volume suprofen. The exa~t amount of ant~inflammatory agent will depend upon ~he particular antl ln~lammatory agent ~elected and the ~trength of the ophthalmi~ compo~ition. Further~
~dditional therapeu~lc agent~ including ~teroids ~uch as ~examethazone~ antiblotic~ ~uch as gentamiCiQ~
- antiinfec ive~ such ~s ~ulfonamides, ~nd antiall~r~ics ~2~

such as antihistamines may be added to and supplement the ophth~lmic composition as is known.
The compositions may contain preservatives such as thimerosal, chlorobutanol, benzalkonium chloride, or S chlorhexidine, buffering ~gents such as pho~phates, borates, carbonates and citrates, and thickening agents ~uch as high molecular weight carboxy vinyl polymers such as Carbopol which is a trademark of the B.F. Goodrich Chemical Company, hydroxymethylcellulose and polyvinyl alcohol, all in accordance with the prior srt.
~ he ~ompositions are prepared by dissolving he various lngredient~ in the required amount of water wlth stirring to insure that all the ingredients are dissolved. The aqueous composikions af the invention may be solutions, suspensions~ or gels, After preparation of the ~olution, ~uspension, or gel the compositions are then packaged in dispensers suitabl~
for delivery of the ophthalmic composition.
~0 The following examples of ophthalmic compositions typify the manner in which the invention may be practiced~ The examples ~hould be construed as illu~trative, and not as a limitat~on upon the overall ~cope of the lnventlon. The percentages are expres~ed on a welght/volume basis~
EXAMPLE I
S~ rofen 0.5% Solution With Benzalkonium Chloride Suprofen 0. 5~ ~ 5% exc85s of the drug Caffeine laQ~
Pluronic F127* 0.5%
Benzalkonium Chloride 0~01% 1- lD% excess Disodium Edetate 0~1%
Dried Sodium Phosphate 0O1%
Sodium Biphosphate 0.03 Sodium Chlorlde 0.6%

,~ ~

-7~4 . ~

pH adjustment with NaO~ or FICl q.s. pE 7.4 Purified ~ater q, ~O 100%

* a hlgh molecular ~e~ght non-ionic suE~a::~ant sc>ld under lthe registered trademark of ~he Wyandotte Chemicals Corp.

EXAMPLE I I

Indomethacin 0. 5% plus a 5%
excess ~ che 0 . 596 drug Caf feine 1 J t)%
2~ Thimerosal 0.005P6 plus a 0~ ~XC:~5~; oi~
. he l'hermerosal Diso~ium ~d~ te 0 .1%
Sodium CEllorl~e 0~7~6 Tyloxapol 0,.1%
I:)ri~d ~odium Pho3phalte 0.1%
Sodium Blpho~pha'ce 0O03%
p~I adjustment wi~h N~O~I or EICl ~o p~ 7.~ ~.s. p~
Purified ~ater ~ 100%

EXAMPLl~ I I I

Melofenamlc Ac~ 0.1~ plus a 59 exces~ O~e tl~e 0 q 1% drug , . . .

2~L7~

Ca~felne 1.0%
Thimerosal 0. 005% plus 3 10% e~cess of the ûO 005%
Thimerosal Disodium Edeta~e. 0.1%
Dried Sodium Phosphate 0.1%
Sodium ~iphosphate 0.. 03 ~odium Chlorlde 0. 7 o p~ ad justment wi~h ~Cl or ~aOEI
to ~ pH of 7.,4 ~.s. p~ 7~,4 Purified Water q, ~;. lQQ~

EXAMPLE IV

~etopror'en Solution R etoprofen 0 . ~ 5 ~6 Theophyll~ne 0. 5%
2~ Thimero~al 0401~i Sodium Biphosph~t~ 0., 03~ -Dried Sodium Phosphal:e 0.1~
~odium Chlorld~ 0i65%
Diethanolamine 0.25%
DlSodium Ede ate 0.01 p~ ad~u~tment w$th NaOEI or ~ICl 'co a pR of 7. ~ ~ ~ p~ 7 4 Purifi~d Water qO ~ 1 100~

EXAMPLE V

FlurbiProf en Flurbiprofen 0.5 Caffeine 1%
Thimerosal, 0. 005%
Di~odium Edetate, 0.1%
Dr~ ed Sodium Phosphate, O . lP6 Sodium Chlorid~, 0. 7~6 pl~ ~djustment wich E~t~l or NaOH
~o pE~ 7"~ qOs,, 7.~
Pur~fied Wa'cerD ~.s~ 100%

It ~hould be understood that while certain preferred embodiment~ of the present invention have been lllustrated and described, various ~nod~fications thereof 20 w~ 11 become apparent to ~hose skilled in ~he art I
Accordingly, the 8cope of the pre~ent invention should bedefined by the appended ~la~ms and equivalen~e~ thereof.
Various features of the irlvention are ~et for h in l:he following ~:laims~

Claims (9)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OF PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. An ophthalmic composition for topical application to the eye comprising:
a therapeutically effected amount of suprofen, for topical treatment of inflammation of the eye, and pharmaceutically acceptable salts thereof;
a xanthine derivative being present in an amount between the amount of derivative soluble in the water of said ophthalmic composition and 0.05 percent by weight/
volume of said ophthalmic composition which is effective to reduce the discomfort associated with suprofen upon topical application of said ophthalmic composition, said xanthine derivative having the general formula:
where each of R1, R2 and R3 is selected from the group consisting of hydrogen, methyl, ethyl, and at least two of R1, R2 and R3 are selected from the group consisting of methyl and ethyl, and mixtures thereof; and a pharmaceutical carrier to provide said ophthalmic composition.
2. An ophthalmic composition as recited in claim 1, wherein said xanthine derivative is selected from the group consisting of theophylline, caffeine, theobromine and mixtures thereof.
3. An ophthalmic composition as recited in claim 2, wherein said xanthine derivative is caffeine.
4. An ophthalmic composition as recited in claim 3, wherein said suprofen comprises between about 0.5 to about 3.0 percent by weight/volume of said ophthalmic composition.
5. An ophthalmic composition as recited in claim 4, further comprising an ophthalmic preservative and a buffer to provide an isotonic ophthalmic composition.
6. A composition for reducing the stinging and discomfort associated with the topical application to the eye of an aqueous solution of a therapeutically effective amount of an anti-inflammatory agent for topical treatment of inflammation of the eye, said composition comprising:
an anti-inflammatory agent selected from the group consisting of mefenamic acid, flufenamic acid, clonixin, flufenisal, 4-(t-butyl) benzeneacetic acid, ibufenac, ibuprofen, alclofenac, fenoprofen, naproxen, indomethacin, tolmetin, flurbiprofen, ketoprofen, namoxyrate, suprofen, pharmaceutically acceptable salts of the foregoing acids and mixtures thereof;
a xanthine derivative in an amount between the amount of derivative soluble in the water of said composition and 0.05 percent by weight/volume of said composition which is effective to reduce the discomfort associated with said anti-inflammatory agent upon said topical application, said xanthine derivative having the general formula:
where each of R1, R2 and R3 is selected from the group consisting of hydrogen, methyl and ethyl, and at least two of R1, R2 and R3 are selected from the group consisting of methyl and ethyl, and mixtures thereof; and a pharmaceutical carrier for forming a non-irritating ophthalmic composition.
7. A composition as recited in claim 6, wherein said xanthine derivative is selected from the group consisting of theophylline, caffeine, theobromine and mixtures thereof.
8. A composition as recited in claim 7, wherein said anti-inflammatory agent is suprofen and said xanthine derivative is caffeine.
9. A composition as recited in claim 8, wherein said suprofen comprises between about 0.5 to about 3.0 percent by weight/volume of said ophthalmic composition.
CA000436208A 1982-09-07 1983-09-07 Nonirritating aqueous ophthalmic compositions comfort formulation for ocular therapeutic agents Expired CA1217144A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US06/415,758 US4559343A (en) 1982-09-07 1982-09-07 Nonirritating aqueous ophthalmic compositions comfort formulation for ocular therapeutic agents
US415,758 1982-09-07

Publications (1)

Publication Number Publication Date
CA1217144A true CA1217144A (en) 1987-01-27

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Country Status (6)

Country Link
US (1) US4559343A (en)
EP (1) EP0105635B1 (en)
JP (1) JPS5973520A (en)
AT (1) ATE51522T1 (en)
CA (1) CA1217144A (en)
DE (1) DE3381396D1 (en)

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Also Published As

Publication number Publication date
ATE51522T1 (en) 1990-04-15
US4559343A (en) 1985-12-17
DE3381396D1 (en) 1990-05-10
EP0105635A3 (en) 1986-06-11
EP0105635B1 (en) 1990-04-04
JPS5973520A (en) 1984-04-25
EP0105635A2 (en) 1984-04-18
JPH0551568B2 (en) 1993-08-03

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