U.S. patent application number 09/942805 was filed with the patent office on 2002-05-09 for combinations of formoterol and mometasone furoate for asthma.
Invention is credited to Clarke, Jeremy G., Danahay, Henry L., Hassan, Ian F..
Application Number | 20020055494 09/942805 |
Document ID | / |
Family ID | 10848904 |
Filed Date | 2002-05-09 |
United States Patent
Application |
20020055494 |
Kind Code |
A1 |
Hassan, Ian F. ; et
al. |
May 9, 2002 |
Combinations of formoterol and mometasone furoate for asthma
Abstract
A medicament containing, separately or together, (A) formoterol
or a pharmaceutically acceptable salt thereof or a solvate of
formoterol or a solvate of the salt and (B) mometasone furoate, for
simultaneous, sequential or separate administration in the
treatment of an inflammatory or obstructive airways disease.
Inventors: |
Hassan, Ian F.; (Morris
Plains, NJ) ; Clarke, Jeremy G.; (Bath, GB) ;
Danahay, Henry L.; (Horsham, GB) |
Correspondence
Address: |
THOMAS HOXIE
NOVARTIS CORPORATION
PATENT AND TRADEMARK DEPT
564 MORRIS AVENUE
SUMMIT
NJ
079011027
|
Family ID: |
10848904 |
Appl. No.: |
09/942805 |
Filed: |
August 30, 2001 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
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09942805 |
Aug 30, 2001 |
|
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PCT/EP00/01722 |
Mar 1, 2000 |
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Current U.S.
Class: |
514/171 ;
514/629 |
Current CPC
Class: |
A61P 29/00 20180101;
A61K 31/573 20130101; A61K 31/167 20130101; A61K 45/06 20130101;
A61K 9/008 20130101; A61P 11/08 20180101; A61P 11/00 20180101; A61P
11/06 20180101; A61K 9/0075 20130101; A61K 31/58 20130101; A61P
43/00 20180101; A61K 9/0078 20130101; A61K 31/58 20130101; A61K
31/135 20130101; A61K 31/167 20130101; A61K 2300/00 20130101; A61K
31/573 20130101; A61K 2300/00 20130101; A61K 31/58 20130101; A61K
2300/00 20130101 |
Class at
Publication: |
514/171 ;
514/629 |
International
Class: |
A61K 031/58; A61K
031/16 |
Foreign Application Data
Date |
Code |
Application Number |
Mar 3, 1999 |
GB |
9904919.9 |
Claims
What is claimed is:
1. A medicament containing, separately or together, (A) formoterol
or a pharmaceutically acceptable salt thereof or a solvate of
formoterol or a solvate of said salt and (B) mometasone furoate,
for simultaneous, sequential or separate administration in the
treatment of an inflammatory or obstructive airways disease.
2. A medicament according to claim 1 which is a pharmaceutical
composition comprising a mixture of effective amounts of (A) and
(B), optionally together with a pharmaceutically acceptable
carrier.
3. A medicament according to claim 1, in which (A) is formoterol
fumarate dihydrate.
4. A medicament according to claim 2, in which (A) is formoterol
fumarate dihydrate.
5. A medicament according to claim 1, which is an inhalable aerosol
comprising a mixture of (A) and (B) in solution or dispersion in a
propellant, or a combination of an aerosol containing (A) in
solution or dispersion in a propellant with an aerosol containing
(B) in solution or dispersion in a propellant.
6. A medicament according to claim 5, in which (A) or (B), or (A)
and (B), are in dispersion in the propellant, which is a
halogen-substituted hydrocarbon.
7. A medicament according to claim 6, in which (A) or (B), or each
of (A) and (B), has an average particle diameter of up to 10
.mu.m.
8. A medicament according to claim 1, which is an inhalable
nebulizable composition comprising a dispersion of (A) and (B) in
an aqueous, organic or aqueouslorganic medium or a combination of a
dispersion of (A) in said medium with a dispersion of (B) in said
medium.
9. A medicament according to claim 1, which is an inhalable dry
powder comprising finely divided (A) or (B), or finely divided (A)
and (B), optionally together with a pharmaceutically acceptable
carrier in finely divided form.
10. A medicament according to claim 9, in which the carrier is
present and is a saccharide.
11. A medicament according to claim 10, in which the carrier is
lactose.
12. A medicament according to claim 9, in which (A) or (B), or each
of (A) and (B), has an average particle diameter up to 10
.mu.m.
13. A medicament according to claim 1, in which the weight ratio of
(A) to (B) is from 2:1 to 1:2000.
14. A medicament according to claim 13, in which said ratio is from
1:10 to 1:25.
15. A medicament according to claim 2, in which the weight ratio of
(A) to (B) is from 1:10 to 1:25.
16. A medicament according to claim 2, which is a dry powder in a
capsule, the capsule containing from 3 to 36 .mu.g of (A) as
formoterol fumarate dihydrate, from 25 .mu.g to 800 .mu.g of (B)
and a pharmaceutically acceptable carrier in an amount to bring the
total weight of dry powder per capsule to between 5 mg and 50
mg.
17. A medicament according to claim 2, which is a dry powder
comprising, by weight, from 3 to 36 parts of (A) as formoterol
fumarate dihydrate, from 25 to 800 parts of (B) and 2164 to 24972
parts of a pharmaceutically acceptable carrier.
18. A method of treating an inflammatory or obstructive airways
disease which comprises administering to a subject in need of such
treatment effective amounts of (A) as defined in claim 1 and (B) as
defined in claim 1.
19. A method of treating an inflammatory or obstructive airways
disease which comprises administering to a subject in need of such
treatment an effective amount of a medicament according to claim
2.
20. A pharmaceutical kit comprising (A) as defined in claim 1 and
(B) as defined in claim 1 in separate unit dosage forms, said forms
being suitable for administration of (A) and (B) in effective
amounts, together with one or more inhalation devices for
administration of (A) and (B).
Description
[0001] This invention relates to combinations of a beta-2 agonist
and a steroid and their use for the treatment of inflammatory or
obstructive airways diseases.
[0002]
Formoterol,N-[2-hydroxy-5-(1-hydroxy-2-((2-(4-methoxyphenyl)-1-meth-
ylethyl)amino)-ethyl)phenyl]formamide, particularly in the form of
its fumarate salt, is a bronchodilator used in the treatment of
inflammatory or obstructive airways diseases. Mometasone furoate,
(11.beta., 16.alpha.)-9,21-dichloro-17-[(2-furanylcarbonyl)oxy]-l
1-hydroxy-16-methylpregna-1,4-diene-3,20-dione, alternatively
designated
9.alpha.,21-dichloro-16.alpha.-methyl-1,4-pregnadiene-11.beta.,17.alpha.--
diol-3,20-dione 17-(2'-furoate), is a topical anti-inflammatory
corticosteroid which is described in U.S. Pat. No. 4,472,393.
[0003] It has now surprisingly been found that a significant
unexpected therapeutic benefit, particularly a synergistic
therapeutic benefit, in the treatment of inflammatory or
obstructive airways diseases can be obtained by combination therapy
using formoterol, in free form or in the form of a salt or solvate
thereof, and mometasone furoate. For instance, it is possible using
this combination therapy to reduce the dosages of mometasone
furoate or formoterol required for a given therapeutic effect
considerably compared with those required using treatment with
mometasone furoate or formoterol alone, thereby minimising possibly
undesirable side effects. In particular, it has been found that
these combinations, particularly as compositions containing
formoterol and mometasone furoate, induce an anti-inflammatory
activity which is significantly greater than that induced by
formoterol or mometasone furoate alone and that the amount of
mometasone furoate needed for a given anti-inflammatory effect may
be significantly reduced when used in admixture with formoterol,
thereby reducing the risk of undesirable side effects from the
repeated exposure to the steroid involved in the treatment of
inflammatory or obstructive airways diseases.
[0004] Furthermore, using the combination therapy of the invention,
particularly using compositions containing formoterol and
mometasone furoate, medicaments which have a rapid onset of action
and a long duration of action may be prepared. Moreover, using such
combination therapy, medicaments which result in a significant
improvement in lung function may be prepared. In another aspect,
using the combination therapy of the invention, medicaments which
provide improved control of obstructive or inflammatory airways
diseases, or a reduction in exacerbations of such diseases, may be
prepared. In a further aspect, using compositions of the invention,
medicaments which can be used on demand in rescue treatment of
obstructive or inflammatory airways diseases, or which reduce or
eliminate the need for treatment with short-acting rescue
medicaments such as salbutamol or terbutaline, may be prepared;
thus medicaments based on compositions of the invention facilitate
the treatment of an obstructive or inflammatory airways disease
with a single medicament.
[0005] In one aspect, the present invention provides a medicament
containing, separately or together, (A) formoterol or a
pharmaceutically acceptable salt thereof or a solvate of formoterol
or a solvate of said salt and (B) mometasone furoate, for
simultaneous, sequential or separate administration in the
treatment of an inflammatory or obstructive airways disease.
[0006] In another aspect, the present invention provides a method
of treating an inflammatory or obstructive airways disease which
comprises administering to a subject in need of such treatment
effective amounts of (A) as hereinbefore defined and (B) as
hereinbefore defined.
[0007] In a further aspect, the present invention provides a
phamaceutical composition comprising a mixture of effective amounts
of (A) as hereinbefore defined and (B) as hereinbefore defined,
optionally together with a pharmaceutically acceptable carrier.
[0008] The present invention also provides (A) and (B) as
hereinbefore defined for use in combination therapy by
simultaneous, sequential or separate administration in the
treatment of an inflammatory or obstructive airways disease.
[0009] The invention further provides the use of (A) as
hereinbefore defined or (B) as hereinbefore defined in the
preparation of a medicament for combination therapy by
simultaneous, sequential or separate administration of (A) and (B)
in the treatment of an inflammatory or obstructive airways
disease.
[0010] In a yet further aspect, the present invention provides a
pharmaceutical composition for use in the treatment of an
inflammatory or obstructive airways disease comprising (A) and (B)
as hereinbefore defined.
[0011] The present invention still further provides the use of (A)
and (B) as hereinbefore defined for the preparation of a medicament
for combination therapy by simultaneous, sequential or separate
administration in the treatment of an inflammatory or obstructive
airways disease.
[0012] Pharmaceutically acceptable salts of formoterol include, for
example, salts of inorganic acids such as hydrochloric,
hydrobromic, sulfuric and phosphoric acids, and organic acids such
as fumaric, maleic, acetic, lactic, citric, tartaric, ascorbic,
succinic, glutaric, gluconic, tricarballylic, oleic, benzoic,
p-methoxybenzoic, salicylic, o- and p-hydroxybenzoic,
p-chlorobenzoic, methanesulfonic, p-toluenesulfonic and
3-hydroxy-2-naphthalene carboxylic acids.
[0013] Component (A) may be in any isomeric form or mixture of
isomeric forms, for example a pure enantiomer, a mixture of
enantiomers, a racemate or a mixture thereof. It may be in the form
of a solvate, for example a hydrate, thereof, for example as
described in U.S. Pat. No. 3,994,974 or U.S. Pat. No. 5,684,199,
and may be present in a particular crystalline form, for example as
described in WO95/05805. Preferably, component (A) is formoterol
fumarate, especially in the form of the dihydrate.
[0014] Administration of the medicament or pharmaceutical
composition as hereinbefore described, i.e. with (A) and (B) in
admixture or separate, is preferably by inhalation, i.e. (A) and
(B) or the mixture thereof are in inhalable form. The inhalable
form of the medicament i.e. of (A) and/or (B) may be, for example,
an atomizable composition such as an aerosol comprising the active
ingredient, i.e. (A) and (B) separately or in admixture, in
solution or dispersion in a propellant, or a nebulizable
composition comprising a dispersion of the active ingredient in an
aqueous, organic or aqueouslorganic medium. For example, the
inhalable form of the medicament may be an aerosol comprising a
mixture of (A) and (B) in solution or dispersion in a propellant,
or a combination of an aerosol containing (A) in solution or
dispersion in a propellant with an aerosol containing (B) in
solution or dispersion in a propellant. In another example, the
inhalable form is a nebulizable composition comprising a dispersion
of (A) and (B) in an aqueous, organic or aqueous/organic medium, or
a combination of a dispersion of (A) in such a medium with a
dispersion of (B) in such a medium.
[0015] An aerosol composition suitable for use as the inhalable
form of the medicament may comprise the active ingredient in
solution or dispersion in a propellant, which may be chosen from
any of the propellants known in the art. Suitable such propellants
include hydrocarbons such as n-propane, n-butane or isobutane or
mixtures of two or more such hydrocarbons, and halogen-substituted
hydrocarbons, for example fluorine-substituted methanes, ethanes,
propanes, butanes, cyclopropanes or cyclobutanes, particularly
1,1,1,2-tetrafluoroethane (HFA134a) and
1,1,1,2,3,3,3-heptafluoropropane (HFA227), or mixtures of two or
more such halogen-substituted hydrocarbons. Where the active
ingredient is present in suspension in the propellant, i.e. where
it is present in particulate form dispersed in the propellant, the
aerosol composition may also contain a lubricant and a surfactant,
which may be chosen from those lubricants and surfactants known in
the art. Other suitable aerosol compositions include
surfactant-free or substantially surfactant-free aerosol
compositions. The aerosol composition may contain up to about 5% by
weight, for example 0.002 to 5%, 0.01 to 3%, 0.015 to 2%, 0.1 to
2%, 0.5 to 2% or 0.5 to 1%, by weight of the active ingredient,
based on the weight of the propellant. Where present, the lubricant
and surfactant may be in an amount up to 5% and 0.5% respectively
by weight of the aerosol composition. The aerosol composition may
also contain a co-solvent such as ethanol in an amount up to 30% by
weight of the composition, particularly for administration from a
pressurised metered dose inhalation device.
[0016] In another embodiment of the invention, the inhalable form
is a dry powder, i.e. (A) and/or (B) are present in a dry powder
comprising finely divided (A) and/or (B) optionally together with a
finely divided pharmaceutically acceptable carrier, which is
preferably present and may be one or more materials known as
pharmaceutically acceptable carriers, preferably chosen from
materials known as carriers in dry powder inhalation compositions,
for example saccharides, including monosaccharides, disaccharides,
polysaccharides and sugar alcohols such as arabinose, glucose,
fructose, ribose, mannose, sucrose, trehalose, lactose, maltose,
starches, dextran or mannitol. An especially preferred carrier is
lactose. The dry powder may be in capsules of gelatin or plastic,
or in blisters, for use in a dry powder inhalation device,
preferably in dosage units of (A) and/or (B) together with the
carrier in amounts to bring the total weight of powder per capsule
to from 5 mg to 50 mg. Alternatively, the dry powder may be
contained as a reservoir in a multi-dose dry powder inhalation
device.
[0017] In the finely divided particulate form of the medicament,
and in the aerosol composition where the active ingredient is
present in particulate form, the active ingredient may have an
average particle diameter of up to about 10 .mu.am, for example 0.1
to 5 .mu.m, preferably 1 to 5 .mu.m. The solid carrier, where
present, generally has a maximum particle diameter up to 300 .mu.m,
preferably up to 212 .mu.m, and conveniently has a mean particle
diameter of 40 to 100 .mu.m, e.g. 50 to 75 .mu.m. The particle size
of the active ingredient, and that of a solid carrier where present
in dry powder compositions, can be reduced to the desired level by
conventional methods, for example by grinding in an air-jet mill,
ball mill or vibrator mill, microprecipitation, spray-drying,
lyophilisation or recrystallisation from supercritical media.
[0018] The inhalable medicament may be administered using an
inhalation device suitable for the inhalable form, such devices
being well known in the art. Accordingly, the invention also
provides a pharmaceutical product comprising a medicament or
pharmaceutical composition as hereinbefore described in inhalable
form as hereinbefore described in association with one or more
inhalation devices. In a further aspect, the invention provides an
inhalation device, or a pack of two or more inhalation devices,
containing a medicament or pharmaceutical composition as
hereinbefore described in inhalable form as hereinbefore
described.
[0019] Where the inhalable form of the active ingredient is an
aerosol composition, the inhalation device may be an aerosol vial
provided with a valve adapted to deliver a metered dose, such as 10
to 100 .mu.l, e.g. 25 to 50 .mu.l, of the composition, i.e. a
device known as a metered dose inhaler. Suitable such aerosol vials
and procedures for containing within them aerosol compositions
under pressure are well known to those skilled in the art of
inhalation therapy. For example, an aerosol composition may be
administered from a coated can, for example as described in
EP-A-0642992. Where the inhalable form of the active ingredient is
a nebulizable aqueous, organic or aqueouslorganic dispersion, the
inhalation device may be a known nebulizer, for example a
conventional pneumatic nebulizer such as an airjet nebulizer, or an
ultrasonic nebulizer, which may contain, for example, from 1 to 50
ml, commonly 1 to 10 ml, of the dispersion; or a hand-held
nebulizer, for example an electronically controlled device such as
an AERx (ex Aradigm, US) or a mechanical device such as a RESPIMAT
(Boehringer Ingelheim) nebulizer which allows much smaller
nebulized volumes, e.g. 10 to 100 .mu.l, than conventional
nebulizers. Where the inhalable form of the active ingredient is
the finely divided particulate form, the inhalation device may be,
for example, a dry powder inhalation device adapted to deliver dry
powder from a capsule or blister containing a dry powder comprising
a dosage unit of (A) and/or (B) or a multidose dry powder
inhalation (MDPI) device adapted to deliver, for example, 3-25 mg
of dry powder comprising a dosage unit of (A) and/or (B) per
actuation. Suitable such dry powder inhalation devices are well
known. For example, a suitable device for delivery of dry powder in
encapsulated form is that described in U.S. 3,991,761, while a
suitable MDPI device is that described in WO97/20589.
[0020] The medicament of the invention is preferably a
pharmaceutical composition comprising a mixture of (A) as
hereinbefore defined and (B) as hereinbefore defined, preferably
together with a pharmaceutically acceptable carrier as hereinbefore
described.
[0021] The weight ratio of formoterol, or salt or solvate thereof,
to mometasone furoate may be, in general, from 2:1 to 1:2000, for
example from 1:1 to 1:1000, from 1:2 to 1:100, or from 1:5 to 1:50.
More usually, this ratio is from 1:10 to 1:25, for example from
1:15 to 1:25. The two drugs may be administered separately in the
same ratio. Specific examples of this ratio, to the nearest whole
number, include 1:10, 1:11, 1:12, 1:13, 1:14, 1:15, 1:16, 1:17,
1:18, 1:19, 1:20, 1:21, 1:22, 1:23, 1:24 and 1:25. The above weight
ratios apply particularly where (A) is formoterol fumarate
dihydrate. Thus, since the molecular weights of formoterol fumarate
dihydrate and mometasone furoate are 840.9 and 521.4 respectively,
the corresponding molar ratios of (A) to (B) may be, in general,
from 1.24:1 to 1:3227, for example from 0.62:1 to 1:1613, from
1:3.2 to 1:161, or from 1:8.1 to 1:80.7; more usually from 1:16.1
to 1:40.3, for example from 1:24.2 to 1:40.3; specific examples of
the molar ratio being 1:16.1, 1:17.8, 1:19.4, 1:21, 1:22.6, 1:24.2,
1:25.8, 1:27.4, 1:29, 1:30.7, 1:32.3, 1:33.9, 1:35.5, 1:37.1,
1:38.7 and 1:40.3.
[0022] A suitable daily dose of formoterol, or salt or solvate
thereof, particularly as formoterol fumarate dihydrate, for
inhalation may be from 1 to 72 .mu.g, for example from 1 to 60
.mu.g, generally from 3 to 50 .mu.g, preferably from 6 to 48 .mu.g,
for instance from 6 to 24 .mu.g. A suitable daily dose of
mometasone furoate for inhalation may be from 50 to 2000 .mu.g, for
example from 100 to 2000.mu.g, from 100 to 1600 .mu.g, from 100 to
1000.mu.g, or from 100 to 800.mu.g, preferably from 200 to 500
.mu.g, for instance from 200 to 400.mu.g. The precise dose used
will of course depend on the condition to be treated, the patient
and the efficiency of the inhalation device.
[0023] A suitable unit dose of formoterol component (A),
particularly as formoterol fumarate dihydrate, may be from 1 to 72
.mu.g, for example from 1 to 60 .mu.g. generally from 3 to 48
.mu.g, preferably from 6 to 36 .mu.g. especially from 12 to 24 pg.
A suitable unit dose of mometasone furoate (B) may be from 25 .mu.g
to 2000 .mu.g. for example from 50 .mu.g to 1000 .mu.g, preferably
from 500.mu.g to 800 .mu.g, more preferably from 100 .mu.g to 500
.mu.g, especially from 100 to 400 .mu.g. e.g. from 200 to 400 .mu.g
These unit doses may suitably be administered once or twice daily
in accordance with the suitable daily dose mentioned hereinbefore.
For on demand usage, a dosage unit containing 6.mu.g or 12 .mu.g of
(A) and 50 .mu.g or 100 .mu.g of mometasone furoate (B) is
preferred.
[0024] In one preferred embodiment of the invention, the medicament
of the invention is a pharmaceutical composition which is a dry
powder in a capsule containing a unit dose of (A) and (B), for
example for inhalation from a single capsule inhaler, the capsule
suitably containing, where (A) is formoterol fumarate dihydrate,
from 3 .mu.g to 36 .mu.g of (A), preferably from 6 .mu.g to 24
.mu.g of (A), especially from 12 .mu.g to 24 .mu.g of (A), and from
25 .mu.g to 800 .mu.g, e.g. 25.mu.g to 500 .mu.g or 25 .mu.g to 400
.mu.g, of (B), preferably from 50 .mu.g to 400 .mu.g of (B),
especially from 100 to 400 .mu.g of (B), together with a
pharmaceutically acceptable carrier as hereinbefore described in an
amount to bring the total weight of dry powder per capsule to
between 5 mg and 50 mg, for example 5 mg, 10 mg, 15 mg, 20 mg, 25
mg, 30 mg, 35 mg, 40 mg, 45 mg or 50 mg, preferably 20 to 25 mg,
especially 25 mg.
[0025] In another preferred embodiment of the invention, the
medicament of the invention is a pharmaceutical composition which
is a dry powder for administration from a reservoir of a multi-dose
dry powder inhaler adapted to deliver 3mg to 25mg of powder
containing a unit dose of (A) and (B) per actuation, for example,
where (A) is formoterol fiunarate dihydrate, a powder comprising,
by weight, 3 to 36 parts, preferably 6 to 24 parts, especially 12
to 24 parts of (A); 25 to 800 parts, e.g. 25 to 500 parts,
preferably 50 to 400 parts, especially 100 to 400 parts of (B); and
2164 to 24972 parts, preferably 4164 to 14972 parts, especially
4164 to 9972 parts of a pharmaceutically acceptable carrier as
hereinbefore described.
[0026] In accordance with the above, the invention also provides a
pharmaceutical kit comprising (A) and (B) as hereinbefore defined
in separate unit dosage forms, said forms being suitable for
administration of (A) and (B) in effective amounts. Such a kit
suitably further comprises one or more inhalation devices for
administration of (A) and (B). For example, the kit may comprise
one or more dry powder inhalation devices adapted to deliver dry
powder from a capsule, together with capsules containing a dry
powder comprising a dosage unit of (A) and capsules containing a
dry powder comprising a dosage unit of (B). In another example, the
kit may comprise a multidose dry powder inhalation device
containing in the reservoir thereof a dry powder comprising (A) and
a multidose dry powder inhalaiton device containing in the
reservoir thereof a dry powder comprising (B). In a further
example, the kit may comprise a metered dose inhaler containing an
aerosol comprising comprising (A) in a propellant and a metered
dose inhaler containing an aerosol comprising (B) in a
propellant.
[0027] Treatment of inflammatory or obstructive airways diseases in
accordance with the invention may be symptomatic or prophylactic
treatment. Inflammatory or obstructive airways diseases to which
the present invention is applicable include asthma of whatever type
or genesis including both intrinsic (non-allergic) asthma and
extrinsic (allergic) asthma. Treatment of asthma is also to be
understood as embracing treatment of subjects, e.g. of less than 4
or 5 years of age, exhibiting wheezing symptoms and diagnosed or
diagnosable as "wheezy infants", an established patient category of
major medical concern and now often identified as incipient or
early-phase asthmatics. (For convenience this particular asthmatic
condition is referred to as "wheezy-infant syndrome".)
[0028] Prophylactic efficacy in the treatment of asthma will be
evidenced by reduced frequency or severity of symptomatic attack,
e.g. of acute asthmatic or bronchoconstrictor attack, improvement
in lung function or improved airways hyperreactivity. It may
further be evidenced by reduced requirement for other, symptomatic
therapy, i.e. therapy for or intended to restrict or abort
symptomatic attack when it occurs, for example anti-inflammatory
(e.g. corticosteroid) or bronchodilatory. Prophylactic benefit in
asthma may in particular be apparent in subjects prone to "morning
dipping". "Morning dipping" is a recognised asthmatic syndrome,
common to a substantial percentage of asthmatics and characterised
by asthma attack, e.g. between the hours of about 4 to 6 am, i.e.
at a time normally substantially distant form any previously
administered symptomatic asthma therapy.
[0029] Other inflammatory or obstructive airways diseases and
conditions to which the present invention is applicable include
acute lung injury (ALI), adult respiratory distress syndrome
(ARDS), chronic obstructive pulmonary, airways or lung disease
(COPD, COAD or COID), including chronic bronchitis and emphysema,
bronchiectasis and exacerbation of airways hyperreactivity
consequent to other drug therapy, in particular other inhaled drug
therapy. Further inflammatory or obstructive airways diseases to
which the present invention is applicable include pneumoconiosis
(an inflammatory, commonly occupational, disease of the lungs,
frequently accompanied by airways obstruction, whether chronic or
acute, and occasioned by repeated inhalation of dusts) of whatever
type or genesis, including, for example, aluminosis, anthracosis,
asbestosis, chalicosis, ptilosis, siderosis, silicosis, tabacosis
and byssinosis.
[0030] The invention is illustrated by the following Examples, in
which parts are by weight unless stated otherwise.
EXAMPLE 1
Aerosol Composition for Metered Dose Inhaler
[0031]
1 Ingredient % by weight Formoterol fumarate dihydrate 0.012
Mometasone furoate 0.250 Ethanol (absolute) 2.500 HFA 227 60.768
HFA134a 36.470
EXAMPLE 2
Dry Powder
[0032]
2 Ingredient % by weight Formoterol fumarate dihydrate 0.048
Mometasone furoate 1.000 Lactose monohydrate 98.952
EXAMPLE 3
[0033] A dry powder suitable for delivery from the reservoir of the
multi-dose inhaler described in WO97/20589 is prepared by mixing 12
parts of formoterol fumarate dihydrate which has been ground to a
mean particle diameter of 1-5 .mu.m in an air-jet mill, 250 parts
of mometasone furoate which has been similarly ground to a mean
particle diameter of 1-5 .mu.m and 4738 parts of lactose
monohydrate having a particle diameter below 212 .mu.m.
EXAMPLES 4-92
[0034] Example 3 is repeated, but using the amounts of the
ingredients shown in the table below in place of the amounts used
in that Example:
3 Formoterol Fumarate Mometasone Lactose Monohydrate Example
Dihydrate (Parts) Furoate (Parts) (Parts) 4 12 50 4938 5 12 100
4888 6 12 150 4838 7 12 200 4788 8 6 50 4944 9 6 100 4894 10 6 150
4844 11 6 200 4794 12 6 250 4744 13 18 50 4932 14 18 100 4882 15 18
150 4832 16 18 200 4782 17 18 250 4732 18 24 50 4926 19 24 100 4876
20 24 150 4826 21 24 200 4776 22 24 250 4726 23 30 50 4920 24 30
100 4870 25 30 150 4820 26 30 200 4770 27 30 250 4720 28 36 50 4914
29 36 100 4864 30 36 150 4814 31 36 200 4764 32 36 250 4714 33 6 50
9944 34 6 100 9894 35 6 150 9844 36 6 200 9794 37 6 250 9744 38 12
50 9938 39 12 100 9888 40 12 150 9838 41 12 200 9788 42 12 250 9738
43 18 50 9932 44 18 100 9882 45 18 150 9832 46 18 200 9782 47 18
250 9732 48 24 50 9926 49 24 100 9876 50 24 150 9826 51 24 200 9776
52 24 250 9726 53 30 50 9920 54 30 100 9870 55 30 150 9820 56 30
200 9770 57 30 250 9720 58 36 50 9914 59 36 100 9864 60 36 150 9814
61 36 200 9764 62 36 250 9714 63 6 50 14944 64 6 100 14894 65 6 150
14844 66 6 200 14794 67 6 250 14744 68 12 50 14938 69 12 100 14888
70 12 150 14838 71 12 200 14788 72 12 250 14738 73 18 50 14932 74
18 100 14882 75 18 150 14832 76 18 200 14782 77 18 250 14732 78 24
50 14926 79 24 100 14876 80 24 150 14826 81 24 200 14776 82 24 250
14726 83 30 50 14920 84 30 100 14870 85 30 150 14820 86 30 200
14770 87 30 250 14720 88 36 50 14914 89 36 100 14864 90 36 150
14814 91 36 200 14764 92 36 250 14714
EXAMPLE 93
[0035] Gelatin capsules suitable for use in a capsules inhaler such
as that described in U.S. Pat. No. 3,991,761 are prepared, each
capsule containing a dry powder obtained by mixing 12.mu.g of
formoterol fumarate dihydrate which has been ground to a mean
particle diameter of 1 to 5.mu.m in an air jet mill, 250 .mu.g of
mometasone furoate which has been similarly ground to a mean
particle diameter of 1 to 5 .mu.m and 24738 .mu.g of lactose
monohydrate having a particle diameter below 212 .mu.m.
EXAMPLES 94-152
[0036] EXAMPLE 93 is repeated, but using the amounts of the
ingredients shown in the table below in place of the amounts used
in that Example:
4 Formoterol Fumarate Mometasone Lactose Monohydrate Example
Dihydrate (Parts) Furoate (Parts) (Parts) 94 12 50 24938 95 12 100
24888 96 12 150 24838 97 12 200 24788 98 6 50 24944 99 6 100 24894
100 6 150 24844 101 6 200 24794 102 6 250 24744 103 18 50 24932 104
18 100 24882 105 18 150 24832 106 18 200 24782 107 18 250 24732 108
24 50 24926 109 24 100 24876 110 24 150 24826 111 24 200 24776 112
24 250 24726 113 30 50 24920 114 30 100 24870 115 30 150 24820 116
30 200 24770 117 30 250 24720 118 36 50 24914 119 36 100 24864 120
36 150 24814 121 36 200 24764 122 36 250 24714 123 6 50 19944 124 6
100 19894 125 6 150 19844 126 6 200 19794 127 6 250 19744 128 12 50
19938 129 12 100 19888 130 12 150 19838 131 12 200 19788 132 12 250
19738 133 18 50 19932 134 18 100 19882 135 18 150 19832 136 18 200
19782 137 18 250 19732 138 24 50 19926 139 24 100 19876 140 24 150
19826 141 24 200 19776 142 24 250 19726 143 30 50 19920 144 30 100
19870 145 30 150 19820 146 30 200 19770 147 30 250 19720 148 36 50
19914 149 36 100 19864 150 36 150 19814 151 36 200 19764 152 36 250
19714
EXAMPLES 153-176
[0037] Example 3 is repeated, but using the amounts of the
ingredients shown in the table below in place of the amounts used
in that Example:
5 Formoterol Fumarate Mometasone Lactose Monohydrate Example
Dihydrate (Parts) Furoate (Parts) (Parts) 153 6 25 2969 154 6 50
2944 155 6 100 2894 156 6 150 2844 157 6 200 2794 158 6 250 2744
159 12 25 2963 160 12 50 2938 161 12 100 2888 162 12 150 2838 163
12 200 2788 164 12 250 2738 165 12 300 2638 166 12 350 2588 167 12
400 2538 168 24 25 2951 169 24 50 2926 170 24 100 2876 171 24 150
2826 172 24 200 2776 173 24 250 2726 174 24 300 2676 175 24 350
2626 176 24 400 2576
EXAMPLE 177-281
[0038] Example 93 is repeated, but using the amounts of the
ingredients shown in the table below in place of the amounts used
in that Example:
6 Formoterol Fumarate Mometasone Lactose Monohydrate Example
Dihydrate (Parts) Furoate (Parts) (Parts) 177 6 25 14969 178 6 50
14944 179 6 100 14894 180 6 150 14844 181 6 200 14794 182 6 250
14744 183 6 300 14694 184 6 350 14644 185 6 400 14594 186 12 25
14963 187 12 50 14938 188 12 100 14888 189 12 150 14838 190 12 200
14788 191 12 250 14738 192 12 300 14688 193 12 350 14638 194 12 400
14588 195 12 500 14488 196 24 25 14951 197 24 50 14926 198 24 100
14876 199 24 150 14826 200 24 200 13876 201 24 250 13826 202 24 300
13776 203 6 25 9969 204 6 50 9944 205 6 100 9894 206 6 150 9844 207
6 200 9794 208 6 250 9744 209 6 300 9694 210 12 25 9963 211 12 50
9938 212 12 100 9888 213 12 150 9838 214 12 200 9788 215 12 250
9738 216 12 300 9688 217 12 400 9588 218 12 500 9488 219 24 25 9951
220 24 50 9926 221 24 100 9876 222 24 150 9826 223 24 200 9776 224
24 250 9726 225 24 300 9676 226 24 400 9576 227 24 500 9476 228 6
25 4969 229 6 50 4944 230 6 100 4894 231 6 150 4844 232 6 200 4794
233 6 250 4744 234 6 300 4694 235 6 400 4594 236 6 500 4494 237 12
25 4963 238 12 50 4938 239 12 100 4888 240 12 200 4788 241 12 300
4688 242 12 400 4588 243 12 500 4488 244 12 25 24963 245 12 300
24688 246 12 400 24588 247 12 500 24488 248 12 25 19963 249 12 300
19688 250 12 400 19588 251 12 500 19488 252 6 600 4394 253 6 800
4194 254 12 600 4388 255 12 800 4188 256 24 600 4376 257 24 800
4176 258 6 600 9394 259 6 800 9194 260 12 600 9388 261 12 800 9188
262 24 600 9376 263 24 800 9176 264 6 600 14394 265 6 800 14194 266
12 600 14388 267 12 800 14188 268 24 600 14376 269 24 800 14176 270
6 600 19394 271 6 800 19194 272 12 600 19388 273 12 800 19188 274
24 600 19376 275 24 800 19176 276 6 600 24394 277 6 800 24194 278
12 600 24388 279 12 800 24188 280 24 600 24376 281 24 800 24176
* * * * *