CA2252814A1 - Methods of dry powder inhalation - Google Patents

Methods of dry powder inhalation Download PDF

Info

Publication number
CA2252814A1
CA2252814A1 CA002252814A CA2252814A CA2252814A1 CA 2252814 A1 CA2252814 A1 CA 2252814A1 CA 002252814 A CA002252814 A CA 002252814A CA 2252814 A CA2252814 A CA 2252814A CA 2252814 A1 CA2252814 A1 CA 2252814A1
Authority
CA
Canada
Prior art keywords
drug
microns
dry powder
inhaler
flow rate
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.)
Abandoned
Application number
CA002252814A
Other languages
French (fr)
Inventor
Robert Schultz
Clyde Witham
Malcolm Hill
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.)
Quadrant Technologies Ltd
Original Assignee
Individual
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
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=21777075&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=CA2252814(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Publication of CA2252814A1 publication Critical patent/CA2252814A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/0075Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy for inhalation via a dry powder inhaler [DPI], e.g. comprising micronized drug mixed with lactose carrier particles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00Inhalators
    • A61M15/0028Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
    • A61M15/0045Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using multiple prepacked dosages on a same carrier, e.g. blisters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00Inhalators
    • A61M15/0028Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
    • A61M15/0045Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using multiple prepacked dosages on a same carrier, e.g. blisters
    • A61M15/0046Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using multiple prepacked dosages on a same carrier, e.g. blisters characterized by the type of carrier
    • A61M15/0048Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using multiple prepacked dosages on a same carrier, e.g. blisters characterized by the type of carrier the dosages being arranged in a plane, e.g. on diskettes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/06Solids
    • A61M2202/064Powder

Abstract

A method for inhalation of a dry powder drug includes the steps of providing a dry powder drug composition having a drug particle size of from about 1-7 microns and a mass median aerodynamic diameter of the delivered aerosol of from about 3.5 to 5.5 microns. This composition is loaded into an inhaler which is generally flow rate independent, and with the inhaler having an inspiration flow resistance of about .12 to .21 (cmH2O)1/2 over the range of about 15-60 L/min. The patient inhales the drug composition from the inhaler with an inspiration flow rate of about 15-60 L/min, resulting in a delivery efficiency measured by respirable fraction greater than 20 %.

Description

CA 022~2814 1998-10-28 - W O97/40819 PCTrUS97/06621 DESCRIPTION

Methods of Dry Powder Inhalation State-of-the-Art Considerable information regarding the in-vitro and in viv-performance of metered dose inhalers and dry powder inhalers has been reported in literature. In general, metered dose inhalers are inhalation flow rate independent, but require significant coordination and even then will deliver only about 20% of the nominal does to the lungs. Radiolabelled deposition studies of metered dose inhalers typically demonstrate the usual 3 micron particles deposit mainly in the more central airways.
Recently, 3M Corporation, Minneapolis, MN, USA, has presented data that indicates that if the particle size could be reduced to a mass median aerodynamic diameter (MMAD) of 1.5 microns an increase in the total amount of particles and peripheral deposition could result. This result appears to confirm the more uniform belief that smaller particles are required to maximize peripheral deposition (i.e. particles in the 1-2 microns size range).
Now in the case of dry powder inhalers, most studies have shown the major issue surrounding dry powder delivery is related to the flow rate dependence. The performance of the dry powder inhalers now in use vary significantly with inhalation flow rates ranging from 15 to 120 liters/min inspiratory effort. In general, at least 60 liters/min inspiratory flow has been required to consistently deaggregate a dry powder sufficiently to result in particles which could be inhaled. For some CA 022~2814 1998-10-28 - WO97140819 PCT~S97/06621 products, inhalation flow rates significantly greater than 60 L/min are required before sufficient deaggregation can occur. Both the total amount of drug formulation delivered to the patient as well as the aerodynamic particle size are affected by increa~ing the inhalation flow rate. For example, at 30 L/min, aerodynamic sizes of the active particles may be as large as 8 to l0 microns but above 60 L/min the same metered dose inhaler formulation may be 2-4 microns. In addition, the dose-to-dose variation may be significantly greater as the flow rate is decreased.
Unfortunately, requiring the patient to breathe forcefully when using a metered dose inhaler is in direct opposition to maximizing deposition. Traditional thinking is that 30 L/min is a well controlled inhalation flow rate. And, currently no data has been presented which shows that using existing metered dose inhaler technology, significant uniform and peripheral particle deposition had occurred, at any flow rate.
Finally, it is now generally believed that for a protein to be efficiently delivered systemically through the lungs, a very small particle size is required to facilitate peripheral deposition, preferably in the alveoli. The size often considered necessary for this purpose is in the range of one micron.

Statement of the Invention Utilizing the dry powder inhalation system described in PCT/US93/09751, published 28 April 1994, and incorporated by reference (referred to here as the SPIROS

CA 022~2814 1998-10-28 - W O 97/40819 PCTrUS97/06621 system), the following in vitro and in vivo observations have been made:
1. The in vitro delivery of several drug/lactose blends has been shown to be flow rate independent over a range flow rates from 15 to 60 L/min. Both the size of the active particles and the amount of drug delivered were independent of flow rate.
2. Utilizing a radiolabelled technique, the flow rate independence of the delivery system was confirmed in vivo ~15 to 60 L/min). In addition, this study clearly indicated that even with a slow inhalation rate (less than 60 L/min), the drug was delivered uniformly throughout the lung, including the periphery. In fact, there is a tendency to have higher peripheral lung deposition at the low flow rate.
3. In the metered does inhaler studies, where the in vitro determined MMAD is between 2 to 3 microns, in vivo deposition is typically quoted as between 10 to 20%
of the nominal dose. Deposition of albuterol from the Spiros system was shown to be equal to or better than what is expected from metered dose inhalers, even though the aerodynamic particle size of the active particle was approximately 4.5 microns.
4. Recent pharmacokinetic (blood level) data from a comparison of beclomethasone delivered from a metered dose inhaler compared to Spiros, indicated that twice as much drug was delivered to the lung from the Spiros system. Again, the particle size of the active particle in the dry powder inhaler system was between 4 to 5 microns, while the metered dose inhaler formulation was between 3 to 4 microns.

CA 022~2814 1998-10-28 W O 97/40819 PCT~US97/06621 5. Using calcitonin as a model peptide for systemic delivery, the bioactivity following dosing with the Spiros system has been estimated to be greater than 20% compared to a subcutaneous injection. In contrast, an approved nasal product has only 3% bioavailability. Surprisingly, the particle size of the calcitonin from the calcitonin/lactose blend was 4-5 microns, yet excellent systemic availability was achieved (~20%).
Using the above observations, the following conclusions regarding dry powder delivery can now be made.
Until a dry powder inhaler was developed which adequately deaggregated the powder at low inspiratory flow rates, it was not possible to separate out the performance of the dry powder inhaler from the patient inhalation maneuver. Thus, the relationship between particle size and deposition was confused with the performance of the dry powder inhaler itself. With the development of the Spiros system, we have now demonstrated that under low flow rate conditions, particle sizes which would be considered on the upper end of achieving good lung deposition can actually provide deposition uniformly throughout the respiratory tract.
Importantly, the delivery of the dry powder from the Spiros system is no longer degraded by the patient's inhalation flow rate, as is the case with existing dry powder inhalers. Slow deep inspiration is key to the increased drug delivery and peripheral deposition. Thus, the delivery system must efficiently operate under these conditions. With the deagglomerating dry powder at low inhalation flow, surprising good results were obtained CA 022~2814 1998-10-28 over what could be expected for commercially available metered dose inhalers or dry powder inhalers.
The results which were obtained in vivo were possible because 1) Spiros is inhalation flow rate independent, and 2) Spiros efficiently deaggregates the powder. Therefore, patients were able to be trained and benefit from the slow deep inhalation maneuver. The slow deep inhalation permits more of the particles to navigate past the throat (and not be collected by impaction) and be available to deposit in the lung. Secondly, the slow deep inhalation maneuver fully dilates the lungs, driving the particles further into the lung, and inhibits premature impaction of the larger particles in the upper airways.
To facilitate the slow inhalation, some device resistance is required. If no resistance is encountered, then it is difficult for a patient to inhale slowly. This is what is often observed for metered dose inhalers and some dry powder inhalers such as Rotohaler and Spinhaler.
If flow resistance is too high, patient discomfort results when the inhaler is used at the optional flow rate. It can also result in higher air velocity in passageways.
This increase in velocity increases upper airway deposition by impaction. Less deposited drug is then available to the lower regions of the lung. The drug may be a systemic or topical drug for treating asthma. The drug may be a protein, a polypeptide or a hormone, for treating lung or other conditions.

CA 022~2814 1998-10-28 - WO97/40819 PCT~S97/06621 Detailed Description 1. A dry powder inhalation system consisting of micronized drug in the 1 to 7 micron range, alone or in blends of lactose or some other suitable inert carrier (i.e., sugars, salts).
2. The inhalation system should be flow rate independent over the range of interest, i.e., 10 or 15 -60 L/min.
3. The mass median aerodynamic diameter (MMAD) of the delivered aerosol (Cascade impactor 26.3 L/min, UPS
throat) should be 3.5 - 7 and preferably 3 - 6 microns.
Additionally, the respirable fraction (fraction of particles penetrating the impactor inlet with a particle size less than 5.8 microns) should be greater than 20%.
The most preferred level would be greater than 30 to 40%.
This describes the efficiency of the device to deagglomerate the powder. A device such as the Beclomethasone Rotohaler which could be considered flow rate independent over this range delivers an aerosol of 10 microns and a respirable fraction of 2.6%.
The device resistance (slope of the flow vs. pressure drop curve (in units of (cm H20l/2)) should be .12 to .21 with a most preferred range of 0.12 to 0.18.

Claims (11)

Claims:
1. A method for inhalation of a dry powder drug, comprising the steps of:
a) providing a dry powder drug composition having a drug particle size of from about 1-7 microns and mass median aerodynamic diameter of the delivered aerosol of from about 3 to 6 microns;
b) loading the dry powder drug composition into an inhaler which is generally flow rate independent, and with the inhaler having an inspiration flow resistance of about .12 to .21 (cm H2O) 1/2) over the range of about 10-60 L/min;
c) inhaling the drug composition from the inhaler with an inspiration flow rate of about 15-60 L/min, resulting in a delivery efficiency measured by respirable fraction of at least 20%.
2. The method of claim 1 wherein the drug composition includes active particles and the aerodynamic particle size of the active particles is about 4.5 microns.
3. The method of claim 1 wherein the drug comprises a systemic or a topical drug for treating asthma.
4. The method of claim 1 wherein the drug comprises a protein, a polypeptide, or a hormone.
5. The method of claim 1 wherein the percent of particles greater than 5 microns is about 30-90.
6. The method of claim 1 wherein the inhaler has a flow resistance of from about .12 to .18 (cm H2O) 1/2.
7. The method of claim 1 wherein the drug composition includes an inert carrier.
8. The method of claim 1 wherein the drug comprises beclamethasone.
9. The method of claim 1 wherein the respirable fraction (fraction of particles penetrating the inpactor inlet with a particle size less than about 5.8 microns) is at least 20%.
10. The method of claim 1 wherein the flow resistance is about .12 to .21 (cmH2O) 1/2 over the range of 15-60 L/min.
11. The method of claim 1 wherein the mass median aerodynamic diameter of the delivered aerosol is from about 3.5 to 5.5 microns.
CA002252814A 1996-04-29 1997-04-21 Methods of dry powder inhalation Abandoned CA2252814A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US1642896P 1996-04-29 1996-04-29
US60/016,428 1996-04-29

Publications (1)

Publication Number Publication Date
CA2252814A1 true CA2252814A1 (en) 1997-11-06

Family

ID=21777075

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002252814A Abandoned CA2252814A1 (en) 1996-04-29 1997-04-21 Methods of dry powder inhalation

Country Status (16)

Country Link
US (1) US6116237A (en)
EP (1) EP0896525B1 (en)
JP (2) JP2000510109A (en)
AT (1) ATE247948T1 (en)
AU (1) AU724503B2 (en)
BR (1) BR9709748A (en)
CA (1) CA2252814A1 (en)
CZ (1) CZ343798A3 (en)
DE (1) DE69724420T2 (en)
DK (1) DK0896525T3 (en)
ES (1) ES2205210T3 (en)
HU (1) HUP9901575A3 (en)
IL (1) IL126701A (en)
NO (1) NO984999L (en)
NZ (1) NZ332669A (en)
WO (1) WO1997040819A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9138550B2 (en) 2009-02-23 2015-09-22 Japan Tobacco Inc. Non-heating tobacco flavor suction device

Families Citing this family (101)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6060069A (en) * 1991-05-20 2000-05-09 Dura Pharmaceuticals, Inc. Pulmonary delivery of pharmaceuticals
AU662919B2 (en) * 1991-07-02 1995-09-21 Inhale, Inc. Method and device for delivering aerosolized medicaments
US6681767B1 (en) * 1991-07-02 2004-01-27 Nektar Therapeutics Method and device for delivering aerosolized medicaments
JP3706136B2 (en) 1994-09-21 2005-10-12 ネクター セラピューティクス Apparatus and method for dispersing dry powder drug
JP2000510109A (en) * 1996-04-29 2000-08-08 デュラ・ファーマシューティカルズ・インコーポレイテッド Inhalation method of dry powder
US6565885B1 (en) * 1997-09-29 2003-05-20 Inhale Therapeutic Systems, Inc. Methods of spray drying pharmaceutical compositions
US20060165606A1 (en) 1997-09-29 2006-07-27 Nektar Therapeutics Pulmonary delivery particles comprising water insoluble or crystalline active agents
RO121834B1 (en) 1998-03-16 2008-06-30 Inhale Therapeutic Systems, Inc. Device for the delivery of an active agent
US6257233B1 (en) * 1998-06-04 2001-07-10 Inhale Therapeutic Systems Dry powder dispersing apparatus and methods for their use
US7056504B1 (en) 1998-08-27 2006-06-06 Massachusetts Institute Of Technology Rationally designed heparinases derived from heparinase I and II
UA73924C2 (en) 1998-10-09 2005-10-17 Nektar Therapeutics Device for delivering active agent formulation to lungs of human patient
JP2000217917A (en) * 1999-01-27 2000-08-08 Unisia Jecs Corp Inhaler type medicine administration tool
EP1190364A2 (en) 1999-04-23 2002-03-27 Massachusetts Institute Of Technology System and method for polymer notation
US9006175B2 (en) 1999-06-29 2015-04-14 Mannkind Corporation Potentiation of glucose elimination
US6606992B1 (en) 1999-06-30 2003-08-19 Nektar Therapeutics Systems and methods for aerosolizing pharmaceutical formulations
US7305986B1 (en) 1999-07-23 2007-12-11 Mannkind Corporation Unit dose capsules for use in a dry powder inhaler
US7464706B2 (en) 1999-07-23 2008-12-16 Mannkind Corporation Unit dose cartridge and dry powder inhaler
WO2001066772A2 (en) * 2000-03-08 2001-09-13 Massachusetts Institute Of Technology Heparinase iii and uses thereof
US8404217B2 (en) 2000-05-10 2013-03-26 Novartis Ag Formulation for pulmonary administration of antifungal agents, and associated methods of manufacture and use
ES2525087T5 (en) 2000-05-10 2018-06-28 Novartis Ag Phospholipid-based powders for drug administration
US7871598B1 (en) 2000-05-10 2011-01-18 Novartis Ag Stable metal ion-lipid powdered pharmaceutical compositions for drug delivery and methods of use
WO2002013897A2 (en) 2000-08-14 2002-02-21 Advanced Inhalation Research, Inc. Inhalation device and method
ATE426805T1 (en) 2000-09-12 2009-04-15 Massachusetts Inst Technology METHODS AND PRODUCTS ASSOCIATED WITH LOW MOLECULAR HEPARIN
EP1328260A2 (en) 2000-10-18 2003-07-23 Massachusetts Institute Of Technology Methods and products related to pulmonary delivery of polysaccharides
EP1370318B1 (en) 2001-03-15 2005-07-20 The Government of the United States of America, as represented by the Secretary, Department of Health & Human Services Systems and methods for aerosol delivery of agents
US6766799B2 (en) * 2001-04-16 2004-07-27 Advanced Inhalation Research, Inc. Inhalation device
EP1392262A1 (en) * 2001-05-24 2004-03-03 Alexza Molecular Delivery Corporation Delivery of drug esters through an inhalation route
US20070122353A1 (en) 2001-05-24 2007-05-31 Hale Ron L Drug condensation aerosols and kits
US20030051728A1 (en) 2001-06-05 2003-03-20 Lloyd Peter M. Method and device for delivering a physiologically active compound
WO2003024514A1 (en) 2001-09-19 2003-03-27 Advent Pharmaceuticals Pty Ltd An inhaler
ES2364636T3 (en) 2001-12-19 2011-09-08 Novartis Ag PULMONARY ADMINISTRATION OF AMINOGLUCOSIDS.
GB0201677D0 (en) 2002-01-25 2002-03-13 Glaxo Group Ltd Medicament dispenser
GB0217199D0 (en) * 2002-07-25 2002-09-04 Glaxo Group Ltd Medicament dispenser
US6705316B2 (en) 2002-03-11 2004-03-16 Battelle Pulmonary Therapeutics, Inc. Pulmonary dosing system and method
EP1894591B1 (en) 2002-03-20 2013-06-26 MannKind Corporation Cartridge for an inhalation apparatus
JP4897198B2 (en) * 2002-03-20 2012-03-14 アルカームズ,インコーポレイテッド Perforation means for use with inhalation devices
US7185651B2 (en) * 2002-06-18 2007-03-06 Nektar Therapeutics Flow regulator for aerosol drug delivery and methods
US20050268908A1 (en) * 2002-07-25 2005-12-08 Bonney Stanley G Medicament dispenser
US20050251289A1 (en) * 2002-07-25 2005-11-10 Bonney Stanley G Medicament dispenser
GB0217196D0 (en) * 2002-07-25 2002-09-04 Glaxo Group Ltd Medicament dispenser
GB0217198D0 (en) * 2002-07-25 2002-09-04 Glaxo Group Ltd Medicament dispenser
US7913688B2 (en) * 2002-11-27 2011-03-29 Alexza Pharmaceuticals, Inc. Inhalation device for producing a drug aerosol
GB0308771D0 (en) * 2003-04-16 2003-05-21 Univ Loughborough Pulmonary drug delivery
CN100381083C (en) 2003-04-29 2008-04-16 韩力 Electronic nonflammable spraying cigarette
JP2007516404A (en) 2003-05-21 2007-06-21 アレックザ ファーマシューティカルズ, インコーポレイテッド Optically or electrically ignited built-in heating unit and drug supply unit using the same
GB0313604D0 (en) * 2003-06-12 2003-07-16 Britannia Pharmaceuticals Ltd Delivery device for powdered medicament
GB0317374D0 (en) * 2003-07-24 2003-08-27 Glaxo Group Ltd Medicament dispenser
PT1699434E (en) * 2003-09-02 2011-05-03 Norton Healthcare Ltd Process for preparing a medicament
GB0327723D0 (en) * 2003-09-15 2003-12-31 Vectura Ltd Pharmaceutical compositions
JP2007526253A (en) 2004-02-19 2007-09-13 コーリー ファーマシューティカル グループ,インコーポレイテッド Immunostimulatory viral RNA oligonucleotide
EP1737517B1 (en) * 2004-04-02 2010-10-06 THE GOVERNMENT OF THE UNITED STATES OF AMERICA, as represented by the Secretary, Department of Health and Human Services Aerosol delivery systems
JP2007533387A (en) 2004-04-21 2007-11-22 イノベータ バイオメド リミテッド Inhaler
GB0409197D0 (en) 2004-04-24 2004-05-26 Innovata Biomed Ltd Device
GB0418278D0 (en) * 2004-08-16 2004-09-15 Glaxo Group Ltd Medicament dispenser
CN101010305B (en) 2004-08-20 2010-08-11 曼金德公司 Catalysis of diketopiperazine synthesis
PL2322180T3 (en) 2004-08-23 2015-10-30 Mannkind Corp Diketopiperazine salts for drug delivery
ES2382550T3 (en) * 2004-09-16 2012-06-11 Giampiero Cossi Single dose disposable powder inhaler
US8337815B2 (en) * 2004-12-23 2012-12-25 Discovery Laboratories, Inc. Pulmonary surfactant formulations
GB0515584D0 (en) * 2005-07-28 2005-09-07 Glaxo Group Ltd Medicament dispenser
CN104324362B (en) 2005-09-14 2018-04-24 曼金德公司 Method for preparation of drug based on improving affinity of the active agent to crystalline microparticle surfaces
DK1991678T4 (en) 2006-02-15 2020-10-19 Rechtsanwalt Thomas Beck COMPOSITIONS AND PROCEDURES FOR OLIGONUCLEOTIDE FORMULATIONS
CN104383546B (en) 2006-02-22 2021-03-02 曼金德公司 Method for improving the pharmaceutical properties of microparticles comprising diketopiperazines and an active agent
GB0622827D0 (en) * 2006-11-15 2006-12-27 Glaxo Group Ltd Sheet driver for use in a drug dispenser
WO2008112661A2 (en) 2007-03-09 2008-09-18 Alexza Pharmaceuticals, Inc. Heating unit for use in a drug delivery device
WO2008156586A2 (en) * 2007-06-12 2008-12-24 Alkermes, Inc. Inhalation device for powdered substances
CN101795721B (en) * 2007-06-15 2013-12-25 贝林格尔.英格海姆国际有限公司 Inhaler
WO2011163272A1 (en) 2010-06-21 2011-12-29 Mannkind Corporation Dry powder drug delivery system and methods
EP2082762A1 (en) 2008-01-24 2009-07-29 Boehringer Ingelheim International Gmbh Inhaler
RU2491103C2 (en) * 2008-03-27 2013-08-27 Маннкайнд Корпорейшн Dry powder inhalation system
US8485180B2 (en) 2008-06-13 2013-07-16 Mannkind Corporation Dry powder drug delivery system
DK2293833T3 (en) 2008-06-13 2016-05-23 Mannkind Corp DRY POWDER INHALER AND MEDICINAL ADMINISTRATION SYSTEM
KR101628410B1 (en) 2008-06-20 2016-06-08 맨카인드 코포레이션 An interactive apparatus and method for real-time profiling of inhalation efforts
TWI494123B (en) 2008-08-11 2015-08-01 Mannkind Corp Use of ultrarapid acting insulin
JP5470393B2 (en) 2008-09-26 2014-04-16 オリエル・セラピューティクス,インコーポレイテッド Dry powder inhaler
EP2346557B9 (en) 2008-09-26 2016-09-28 Oriel Therapeutics, Inc. Inhalers with airway disks having discrete airway channels and related disks and methods
WO2010039202A2 (en) * 2008-10-01 2010-04-08 Oriel Therapeutics, Inc. Dry powder inhalers with rotating piercing mechanisms and related devices and methods
US8314106B2 (en) 2008-12-29 2012-11-20 Mannkind Corporation Substituted diketopiperazine analogs for use as drug delivery agents
DK2405963T3 (en) 2009-03-11 2013-12-16 Mannkind Corp DEVICE, SYSTEM AND PROCEDURE FOR MEASURING RESISTANCE IN AN INHALATOR
BRPI1013154B1 (en) 2009-06-12 2020-04-07 Mannkind Corp MICROPARTICLES OF DICETOPIPERAZINE WITH SPECIFIC SURFACE AREAS DEFINED, DRY POWDER UNDERSTANDING THE REFERRED MICROPARTICLES, METHOD FOR FORMATION OF THE REFERENCESMICROPARTICLES AND THE FORMATION OF MICROPARTYSTEMS
WO2011039646A2 (en) 2009-09-30 2011-04-07 Inserm (Institut National De La Sante Et De La Recherche Medicale) Papilloma virus -like particles for targeted gene delivery
EP2496295A1 (en) 2009-11-03 2012-09-12 MannKind Corporation An apparatus and method for simulating inhalation efforts
SG194034A1 (en) 2011-04-01 2013-11-29 Mannkind Corp Blister package for pharmaceutical cartridges
WO2012174472A1 (en) 2011-06-17 2012-12-20 Mannkind Corporation High capacity diketopiperazine microparticles
AU2012328885B2 (en) 2011-10-24 2017-08-31 Mannkind Corporation Methods and compositions for treating pain
CN108057154B (en) 2012-07-12 2021-04-16 曼金德公司 Dry powder drug delivery system and method
KR101466616B1 (en) * 2012-10-11 2014-11-28 한미약품 주식회사 Dry Powder Inhaler Device
WO2014066856A1 (en) 2012-10-26 2014-05-01 Mannkind Corporation Inhalable influenza vaccine compositions and methods
US8545878B1 (en) 2012-11-09 2013-10-01 Civitas Therapeutics, Inc. Capsules containing high doses of levodopa for pulmonary use
BR112015010601B1 (en) * 2012-11-09 2022-07-19 Civitas Therapeutics, Inc. PHARMACEUTICAL COMPOSITION AND USE OF THE COMPOSITION
US10034988B2 (en) * 2012-11-28 2018-07-31 Fontem Holdings I B.V. Methods and devices for compound delivery
ES2928365T3 (en) 2013-03-15 2022-11-17 Mannkind Corp Microcrystalline diketopiperazine compositions, methods of preparation and use thereof
EP3021834A1 (en) 2013-07-18 2016-05-25 MannKind Corporation Heat-stable dry powder pharmaceutical compositions and methods
CN105517607A (en) 2013-08-05 2016-04-20 曼金德公司 Insufflation apparatus and methods
US10194693B2 (en) 2013-09-20 2019-02-05 Fontem Holdings 1 B.V. Aerosol generating device
US10307464B2 (en) 2014-03-28 2019-06-04 Mannkind Corporation Use of ultrarapid acting insulin
WO2016040575A1 (en) 2014-09-10 2016-03-17 Fontem Holdings 1 B.V. Methods and devices for modulating air flow in delivery devices
US10561806B2 (en) 2014-10-02 2020-02-18 Mannkind Corporation Mouthpiece cover for an inhaler
ES2841933T3 (en) 2014-10-31 2021-07-12 Univ Monash Powder formulation
EP3247235B1 (en) 2015-01-22 2020-09-02 Fontem Holdings 1 B.V. Electronic vaporization devices
IT201600093878A1 (en) 2016-09-19 2018-03-19 Hollycon Italy Pte Ltd S R L SINGLE-DOSE INHALER TO LOSE FOR POWDER MEDICINES
WO2018071425A1 (en) 2016-10-11 2018-04-19 Microdose Therapeutx, Inc. Inhaler and methods of use thereof

Family Cites Families (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB248400A (en) * 1925-02-28 1926-11-18 Societe Francaise Des Films Herault
US3831606A (en) * 1971-02-19 1974-08-27 Alza Corp Auto inhaler
IT1220979B (en) * 1981-06-04 1990-06-21 Lofarma Farma Lab CAPSULES CONTAINING AN ALLERGEN AND PROCEDURE FOR THEIR PREPARATION
GB8432063D0 (en) * 1984-12-19 1985-01-30 Riker Laboratories Inc Physically modified steroids
EP0470154B1 (en) * 1989-04-28 1996-06-05 Riker Laboratories, Inc. Dry powder inhalation device
US5176132A (en) * 1989-05-31 1993-01-05 Fisons Plc Medicament inhalation device and formulation
US5492112A (en) * 1991-05-20 1996-02-20 Dura Pharmaceuticals, Inc. Dry powder inhaler
US5327883A (en) * 1991-05-20 1994-07-12 Dura Pharmaceuticals, Inc. Apparatus for aerosolizing powdered medicine and process and using
US5469843A (en) * 1991-11-12 1995-11-28 Minnesota Mining And Manufacturing Company Inhalation device
CZ282964B6 (en) * 1992-10-19 1997-11-12 Dura Pharmaceuticals, Inc. Apparatus for making aerosol from a pulverized medicament
SE9203743D0 (en) * 1992-12-11 1992-12-11 Astra Ab EFFICIENT USE
US5354934A (en) * 1993-02-04 1994-10-11 Amgen Inc. Pulmonary administration of erythropoietin
US5792057A (en) * 1993-05-21 1998-08-11 Aradigm Corporation Ventilation imaging using a fine particle aerosol generator
US5388574A (en) * 1993-07-29 1995-02-14 Ingebrethsen; Bradley J. Aerosol delivery article
JPH0753358A (en) * 1993-08-17 1995-02-28 Teijin Ltd Inhalant
US5524613A (en) * 1993-08-25 1996-06-11 Habley Medical Technology Corporation Controlled multi-pharmaceutical inhaler
US5522385A (en) * 1994-09-27 1996-06-04 Aradigm Corporation Dynamic particle size control for aerosolized drug delivery
US5503869A (en) * 1994-10-21 1996-04-02 Glaxo Wellcome Inc. Process for forming medicament carrier for dry powder inhalator
US5645051A (en) * 1995-04-21 1997-07-08 Dura Pharmaceuticals, Inc. Unit dose dry powder inhaler
US5622166A (en) * 1995-04-24 1997-04-22 Dura Pharmaceuticals, Inc. Dry powder inhaler delivery system
JP2000510109A (en) * 1996-04-29 2000-08-08 デュラ・ファーマシューティカルズ・インコーポレイテッド Inhalation method of dry powder

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9138550B2 (en) 2009-02-23 2015-09-22 Japan Tobacco Inc. Non-heating tobacco flavor suction device

Also Published As

Publication number Publication date
AU2737197A (en) 1997-11-19
IL126701A0 (en) 1999-08-17
ATE247948T1 (en) 2003-09-15
JP2009148586A (en) 2009-07-09
HUP9901575A2 (en) 1999-08-30
DK0896525T3 (en) 2003-12-01
AU724503B2 (en) 2000-09-21
NO984999D0 (en) 1998-10-27
NO984999L (en) 1998-10-27
BR9709748A (en) 2000-01-11
DE69724420T2 (en) 2004-06-09
WO1997040819A1 (en) 1997-11-06
CZ343798A3 (en) 1999-02-17
EP0896525B1 (en) 2003-08-27
JP2000510109A (en) 2000-08-08
ES2205210T3 (en) 2004-05-01
US6116237A (en) 2000-09-12
HUP9901575A3 (en) 1999-11-29
IL126701A (en) 2001-08-08
EP0896525A4 (en) 2001-01-10
DE69724420D1 (en) 2003-10-02
EP0896525A1 (en) 1999-02-17
NZ332669A (en) 1999-02-25

Similar Documents

Publication Publication Date Title
EP0896525B1 (en) Methods of dry powder inhalation
US5934273A (en) System for dispensing pharmaceutically active compounds
US6250300B1 (en) System for dispensing pharmaceutically active compounds
EP1143931B1 (en) Pulmonary drug delivery
US6881398B2 (en) Therapeutic dry powder preparation
US6526969B2 (en) Method and device for releasing powder
EP0257956B2 (en) Use of polypeptide growth factors and cytokines for the manufacture of a device and of a dispersion
EP1137452B1 (en) Spacer device for inhaler
AU2001275368A1 (en) Highly efficient delivery of a large therapeutic mass aerosol
RU2002134467A (en) METHOD FOR HIGH-EFFICIENT DELIVERY OF AEROSOL WITH LARGE THERAPEUTIC MASS
JP2003503116A (en) Inhaler
JP2003516201A (en) Active wall
WO2002089884A1 (en) Aerosol medication delivery system with breath activated means
MXPA98008976A (en) Methods for inhalation of dusts se
EP1110547A2 (en) Helium and neon as means delivering drug in inhaler
O'Callaghan Targeting drug delivery to the lungs by inhalation
Hardy Drug delivery to the respiratory tract
Ashurst et al. Passive dry powder inhalation technology

Legal Events

Date Code Title Description
EEER Examination request
FZDE Discontinued

Effective date: 20150210