Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Radical -xh acid – or anhydride – acid halide or salt thereof...
Patent
1992-01-21
1998-02-24
Ivy, C. Warren
Drug, bio-affecting and body treating compositions
Designated organic active ingredient containing
Radical -xh acid, or anhydride, acid halide or salt thereof...
514859, 514944, 424 7802, A61K 3120, A61K 3178
Patent
active
057212759
DESCRIPTION:
BRIEF SUMMARY
This application is the national share of PCT/US90/03219, filed Jun. 9, 1990, U.S. Ser. No. 07/362529, filed Jun. 7, 1989 abandoned and Ser. No. 07/429051, filed Oct. 30, 1989, abandoned.
FIELD OF THE INVENTION
The invention relates to stabilized, slow-release vehicles for normally irritating, non-water soluble active ingredients for topical application to the skin. More particularly, the invention is directed to aqueous emulsion formulations of retinoids for topical application to individuals who are sensitive to retinoids in other vehicles.
BACKGROUND OF THE INVENTION
Topical retinoids have been widely used for multiple cutaneous disorders, as reported in A. Haas et al. "Selected Therapeutic Applications of Topical Tretinoin," JAAD, 15:870 (1986) (See Table I below). In many instances, the application of tretinoin has alleviated or induced remission in many such conditions, although these disorders reflect a variety of pathogenic mechanisms.
TABLE I ______________________________________
Selected Therapeutic Application
of Topical Tretinoin
______________________________________
Disorders with altered keratinization
Acneiform follicular, or nevoid
Nevus comdeonicus
Senile comedones
Steroid folliculitis
Pseudofolliculitis
Fox-Fordyce disease
Hair casts
Monilethrix
Alopecia
Thrichiostasis spinulosa
Linear verrucous nevus
Ichthyosiform
Epidermolytic hyperkeratosis
(congenital ichthyosiform
erythroderma)
Ichthyosis vulgaris
Lamellar ichthyosis
X-linked ichthyosis
Psoriasiform, hyperkeratotic, or
dyskeratotic
Acanthosis and pseudoachanthosis
nigricans
Callosites
Keratosis follicularis (Darier's)
Keratosis palmaris et plantaris
Kyrle's disease
Psoriasis
Reactive perforating collagenosis
Infectious/inflammatory disorders
Molluscum contagiosum
Flat warts
Plantar warts
Tinea versicolor
Leg ulcers
Keloids and hypertrophic scars
Mucocutaneous disorders
Geographic tongue
Lichen planus
Leukoplakia
Xerophthalmia (dry eye)
Hairy leukoplakia
Pigmentation disorders
Ephelides
Melasma
Postinflammatory hyperpigmentation
Malignant and premalignant disorders
Actinic keratoses, photoaging
Keratoacanthomas
Melanomas
Certival dysplasis
Basal cell epithelioma
______________________________________
It has been demonstrated that prolonged topical application of Vitamin A acid (tretinoin or all-trans retinoic acid) is effective in the treatment of acne (See U.S. Pat. No. 3,729,568 and Kligman, A. M., "Topical Vitamin A Acid in Acne Vulgaris," Arch. Derm., 99: 469-476 (1969)). Kligman utilizes a composition in which Vitamin A acid is dispersed in a water miscible (substantially oil- and fat-free) liquid carrier having high solvating action. The topical application of this Vitamin A acid composition causes irritation of the skin in the treated areas. A presently available gel form with alcohol base or cream formulation also causes irritation. (See U.S. Pat. Nos. 3,906,108 and 4,247,547.)
A cream formulation of tretinoin is presently approved and is commercially available from Ortho Pharmaceutical Company under the trademark RETIN-A. It contains a therapeutically effective amount of tretinoin, a hydrophobic material selected from the liquid and solid fatty acids, fatty alcohols, fatty acid esters, pharmaceutical grades of waxes and hydrocarbons, the latter ranging from liquids through semisolids, such as petrolatum, to solids, and the like, a non-ionic emulsifier, xanthan gum, a preservative, an antioxidant and water. This formulation is more generally acceptable in a low dose 0.025% formulation, but it is still unacceptable to certain individuals with sensitive skin for continued daily applications.
Furthermore, the above tretinoin cream is relatively dense and pasty, and the pharmaceutical base is not elegant. The necessity to stabilize the cream with xanthan gum and to apply daily or twice daily a fatty substrate to the skin leaves a greasy film with a pasty residue.
Therefore, the problem has been to find vehicl
REFERENCES:
patent: 3729568 (1973-04-01), Kligman
patent: 3906108 (1975-09-01), Feltig
patent: 4021573 (1977-05-01), Lee
patent: 4214000 (1980-07-01), Papa
patent: 4247547 (1981-01-01), Marks
patent: 4950475 (1990-08-01), Vishnupad et al.
The Merck Index, 1976, Ninth Edition, p. 7961 Published by Merck & Co, Ind. Rahway, N.J., U.S.A..
Huang Evelyn
Ivy C. Warren
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