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VOLUME 3 NUMBER 2 Exclusively for the delivery of pharmaceuticals through the skin<br />

MARCH 2011<br />

<strong>•</strong> <strong>Patchless</strong> <strong>Transdermal</strong> <strong>Drug</strong> <strong>Delivery</strong><br />

<strong>•</strong> <strong>Transdermal</strong> Formulation of Peptide and<br />

Protein <strong>Drug</strong>s


www.transdermalmag.com March 2011 Volume 3 Number 2<br />

FoRMulATioN TEchNiquES<br />

DEPARTMENTS<br />

On the cover: Dermal electroporation using a<br />

minimally invasive device (MID-II) results in robust<br />

green fluorescent protein (GFP) and red fluorescent<br />

protein (RFP) expression following intradermal delivery<br />

of GFP and RFP reporter plasmids. This device offers a<br />

safe, tolerable, and efficient method to administer<br />

DNA vaccinations in a prophylactic setting and<br />

potentially represents an important new option for<br />

improved DNA-vaccine delivery in vivo. Courtesy of<br />

Inovio Pharmaceuticals, San Diego, California, USA.<br />

www.inovio.com<br />

<strong>Patchless</strong> <strong>Transdermal</strong> <strong>Drug</strong> <strong>Delivery</strong> (TDD) 5<br />

Bozena B Michniak-Kohn, Rutgers-The State University of New Jersey<br />

Kishore R Shah, Polytherapeutics, Inc<br />

On the <strong>Transdermal</strong> Formulation of Peptide and Protein <strong>Drug</strong>s 12<br />

Xiaorong Shen and David Jones<br />

Primera Analytical Solutions<br />

Industry news 2 Calendar 16<br />

Research news 3 People news C3<br />

Issue focus 5 Supplier news C3<br />

<strong>Transdermal</strong> (ISSN 1948-5824 online ISSN 1948-3600 print) is published six times a year in January, March, May, July,<br />

September, and November by CSC Publishing, Inc., 1155 Northland Drive, Saint Paul, MN 55120.


EdiTORiAl<br />

Peggy Wright<br />

Editor<br />

pwright@cscpub.com<br />

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<strong>Transdermal</strong> <strong>•</strong> MARCH 2011<br />

Editorial<br />

Advisory Board<br />

Ajay K. Banga,<br />

Mercer University<br />

James Birchall,<br />

Cardiff University<br />

Joke Bouwstra,<br />

Leiden University<br />

Somesh Choudhury,<br />

Noven Pharmaceuticals, Inc.<br />

Lawrence A. Hill,<br />

Watson Pharmaceuticals<br />

Bozena Michniak-Kohn,<br />

Rutgers University and New<br />

Jersey Center for Biomaterials<br />

Reinhard Neubert,<br />

Martin-Luther-University (MLU)<br />

Halle-Wittenberg<br />

Danyi Quan,<br />

Xel Pharmaceuticals<br />

Michael S. Roberts,<br />

University of Queensland and<br />

University of South Australia<br />

Audra Stinchcomb,<br />

University of Kentucky<br />

Phillip Wertz,<br />

University of Iowa<br />

Thean Yeoh,<br />

Pfizer Inc.<br />

Technical<br />

Advisory Board<br />

Kishore R. Shah,<br />

Polytherapeutics, Inc.<br />

©2011 by CSC Publishing, Inc. All rights reserved.<br />

Published six times per year. No part of<br />

this publication may be reproduced or transmitted<br />

in any form or by any means without<br />

written permission from the publisher.<br />

<strong>Transdermal</strong> assumes no responsibility for statements<br />

or opinions of editorial contributors or<br />

advertisers.<br />

Go to www.transdermalmag.com to apply for<br />

your free subscription.<br />

1


2<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

Industry news<br />

Eisai finalizes<br />

Japanese license<br />

agreement<br />

Tokyo, Japan — Eisai finalized an<br />

exclusive license agreement with<br />

Teikoku Seiyaku, which will re -<br />

search, develop, and market a<br />

new transdermal formulation of<br />

Aricept for treatment of Alz -<br />

heimer’s disease in Japan. Eisai<br />

will supply the active pharmaceutical<br />

ingredients for clinical and<br />

nonclinical use.<br />

Prosolus<br />

Pharmaceuticals plans<br />

to relocate<br />

Philadelphia, Pennsylvania,<br />

USA — According to the South<br />

Florida Business Journal, Prosolus<br />

Pharmaceuticals plans to relocate<br />

to Doral, Florida in Miami-Dade<br />

County. The company, only a year<br />

old, has licensed a transdermal<br />

system and wants to develop a<br />

5,000-square-foot manufacturing<br />

and product-development center<br />

there.<br />

Commercial launch of<br />

Prelude is on track<br />

Franklin, Massachusetts, USA —<br />

Echo Therapeutics’ partner, Ferndale<br />

Pharma Group, received<br />

comments from the US FDA on<br />

the 510(k) submission of the Prelude<br />

SkinPrep System that both<br />

companies deemed minor and<br />

consistent with expectations. Echo<br />

anticipates that the planned date<br />

for commercial launch of the product<br />

will remain on track, pending<br />

FDA clearance.<br />

Alcohol Monitoring<br />

Systems files patent suit<br />

Littleton, Colorado, USA — Alco-<br />

hol Monitoring Systems (AMS)<br />

has filed a lawsuit claiming that<br />

BI, Incorporated has infringed<br />

multiple patents with their TAD<br />

(<strong>Transdermal</strong> Alcohol Detection)<br />

system. AMS manufactures a<br />

trans dermal alcohol monitoring<br />

system, SCRAMx (Secure Continuous<br />

Remote Alcohol Monitor),<br />

which samples a subject’s perspiration<br />

for the purposes of monitoring<br />

alcohol consumption.<br />

Rutgers University<br />

launches center for<br />

dermal research<br />

Piscataway, New Jersey, USA —<br />

On March 3, 2011, the Center for<br />

Dermal Research at Rutgers University<br />

held its inaugural meeting.<br />

Dr Bozena Michniak-Kohn, PhD,<br />

leads the center. The university<br />

created the center to provide professional<br />

networking opportunities<br />

for its paid industrial members<br />

as well as opportunities for<br />

research collaborations with the<br />

Laboratory for <strong>Drug</strong> <strong>Delivery</strong>,<br />

which Michniak-Kohn heads.<br />

Skinvisible signs<br />

feasibility agreement<br />

Las Vegas, Nevada, USA — Skinvisible<br />

Pharmaceuticals signed an<br />

agreement with Novartis Pharma<br />

AG to assess the technical feasibility<br />

of a topical formulation of an<br />

undisclosed com pound using its<br />

Invisicare polymer delivery system.<br />

The agreement includes an<br />

option for the two companies to<br />

enter into a future, exclusive licen -<br />

sing agreement that would in -<br />

clude a licensing fee and royalties<br />

based on sales.<br />

Transdel<br />

Pharmaceuticals<br />

explores strategic<br />

alternatives<br />

La Jolla, California, USA —<br />

Transdel Pharmaceuticals is ex -<br />

ploring strategic alternatives<br />

with two investment banks,<br />

Amer ican Med Tech Advisors<br />

and ESC Advisors, a division of<br />

KEMA Partners. These alternatives<br />

could include, but are not<br />

limited to, partnering or other<br />

collaborative agreements, a<br />

merger, equity or debt financing,<br />

or sale of the company.<br />

Actavis voluntarily<br />

recalls transdermal<br />

Fentanyl<br />

Hafnarfirdi, Iceland — Actavis<br />

issued a voluntary recall of 18 lots<br />

of its 25 mcg Fentanyl patch after<br />

finding one defective lot that<br />

caused the medicine to release<br />

too quickly into the bloodstream.<br />

Apogee Technology<br />

resumes OTC trading<br />

Norwood, Massachusetts, USA<br />

— Apogee Technology resumed<br />

trading on the Over-the-Counter<br />

(OTC) board under the symbol<br />

ATCS.OB.<br />

NICE guidance<br />

recommends Exelon<br />

patch<br />

Basel, Switzerland — The Na -<br />

tional Institute for Health and<br />

Clinical Excellence (NICE) guidance<br />

TA1111 recommended<br />

Novar tis Pharmaceuticals UK’s<br />

Exelon transdermal patch as a<br />

cost-effective option for treatment<br />

of mild-to-moderate Alz -<br />

heimer’s disease.<br />

TransPharma changes<br />

name of transdermal<br />

system<br />

Lod, Israel — TransPharma Medical<br />

changed the name of its drug


delivery system from ViaDerm to<br />

ViaDor. The change occurred in<br />

part to break the association of<br />

TransPharma’s drug delivery system<br />

with other products carrying<br />

the name ViaDerm.<br />

BA Research acquires<br />

Hill Top Research<br />

Miamiville, Ohio, USA — BA<br />

Research, part of the Cliantha<br />

Group, acquired Hill Top Re -<br />

search. All current clinical sites in<br />

North America and India will continue<br />

in full operation going forward.<br />

Hill Top will continue as Hill<br />

Top Re search in North America.<br />

Echo Therapeutics<br />

receives $5.5M<br />

Franklin, Massachusetts, USA<br />

— Echo received $5.5 million in<br />

new financing in a deal that its<br />

majority shareholder, Platinum<br />

Montaur Life Sciences LLC, led.<br />

The company will use the funds<br />

to develop new products, move<br />

clinical studies forward, and draw<br />

upon for working capital and<br />

general corporate purposes. The<br />

agreement includes private stock<br />

placements, netting the company<br />

approximately $2.5 million, and a<br />

binding commitment for another<br />

$3 million.<br />

Research news<br />

FDA approves<br />

Fentanyl patch<br />

St. Louis, Missouri, USA — The<br />

US FDA approved Covidien’s<br />

ANDA for its Fentanyl <strong>Transdermal</strong><br />

System (FTS) patch. Its patch<br />

is a generic alternative to Johnson<br />

& Johnson’s branded Duragesic<br />

patch. FTS is an opioid analgesic<br />

indicated in opioid-tolerant pa -<br />

tients for management of persistent,<br />

moderate-to-severe chronic<br />

<strong>Transdermal</strong><br />

Contract Manufacturing<br />

cGMP<br />

FDA - <strong>Drug</strong>, Device,<br />

Food, Cosmetics<br />

EU Compliant<br />

Japanese Certified<br />

ISO 9001:2008<br />

ISO 13485:2003<br />

DEA Registered<br />

Schedule III – V<br />

Manufacturer of<br />

Controlled Substances<br />

SoluStrip soluble film converting<br />

for buccal transdermal delivery<br />

TransDermal <strong>•</strong> MARCH 2011<br />

Active and Passive transdermal<br />

converting<br />

�Finished patch or component<br />

�Reservoir and matrix<br />

Experience with ATDD technologies<br />

�Iontophoresis<br />

�Microneedles<br />

�Heat-activated<br />

�Dermabrasion<br />

Snapplicator unit dose<br />

packaging for transdermal<br />

gels & ointments<br />

Visit us at INTERPHEX Booth 1271<br />

Tapemark<br />

1-800-535-1998<br />

www.tapemark.com<br />

Write an article for<br />

<strong>Transdermal</strong><br />

Technical professionals write our<br />

articles for technical professionals.<br />

See technical article guidelines at<br />

www.transdermalmag.com for<br />

information on the types of articles<br />

we are looking for.<br />

Contact:<br />

Peggy Wright, Editor<br />

Tel. +1 651 698-2760<br />

E-mail: pwright@cscpub.com<br />

3


4<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

pain. Covidien expects to launch<br />

the patch in the USA in 25mcg/<br />

hr, 50mcg/hr, 75mcg/hr, and<br />

100mcg/hr strengths.<br />

PLEASE–FSH patch provides<br />

first successful<br />

IVF pregnancy<br />

Ruggell, Liechtenstein — A<br />

woman conceived successfully<br />

after being implanted with a fertilized<br />

oocyte (egg cell) and re -<br />

ceiving treatment with Pantec<br />

Biosolutions’ FSH (follicle stimulating<br />

hormone) patch subsequent<br />

to skin microporation with<br />

the company’s proprietary<br />

P.L.E.A.S.E. (Painless Laser Epidermal<br />

System) device. The pregnancy<br />

is the first to occur using<br />

the technology.<br />

Inovio and University<br />

of Southampton begin<br />

vaccine study<br />

Blue Bell, Pennsylvania, USA<br />

and Southampton, UK — Inovio<br />

Pharmaceuticals obtained regulatory<br />

approval for a Phase 2 clinical<br />

trial that the University of<br />

Southampton will run. The study<br />

will use Inovio’s automated,<br />

ELGEN 1000 vaccine-delivery<br />

device and will evaluate a DNA<br />

vaccine that the university developed<br />

to treat chronic myeloid<br />

leukemia and acute myeloid<br />

leukemia. Leukaemia and Lymphoma<br />

Research (LLR) and the<br />

Efficacy and Mechanisms Evaluation<br />

(EME) program, which the<br />

UK Medical Research Council<br />

funds and the UK National Institute<br />

for Health Research manages,<br />

will provide financial support.<br />

Alvogen launches<br />

transdermal delivery<br />

system<br />

Parsippany, New Jersey, USA —<br />

Alvogen introduced an AB-1rated<br />

nitroglycerin transdermal<br />

delivery system. The hypoallergenic,<br />

transparent patches are<br />

available in 30-count cartons and<br />

four dosage strengths, including<br />

0.1, 0.2, 0.4, 0.6 mg/hr.<br />

BioSante receives<br />

orphan-drug status for<br />

vaccine<br />

Lincolnshire, Illinois, USA —<br />

The US FDA granted orphandrug<br />

status for BioSante Pharmaceuticals’<br />

potential skin-cancer<br />

vaccine. The company also has<br />

received orphan-drug status for<br />

other vaccines for pancreatic cancer,<br />

acute myeloid leukemia, and<br />

chronic myeloid leukemia.<br />

Purdue Pharma<br />

releases Butrans<br />

transdermal system<br />

Stamford, Connecticut, USA —<br />

Purdue Pharma’s Butrans (bupre -<br />

nor phine) <strong>Transdermal</strong> System<br />

CIII is now available by prescription.<br />

The drug is indicated for the<br />

management of moderate-tosevere<br />

chronic pain in patients<br />

requiring an around-the-clock<br />

opioid analgesic for an extended<br />

period of time. Butrans is the first<br />

opioid analgesic that continuously<br />

releases buprenorphine for<br />

seven days.<br />

Alliqua completes<br />

study for pain patch<br />

New York, New York, USA —<br />

Alliqua, formerly HepaLife Technologies,<br />

successfully completed<br />

an initial study for its transdermal<br />

pain patch. In the comparative<br />

dissolution study, its profile<br />

was favorable when compared to<br />

the current leading product for<br />

treating postherpetic neuralgia<br />

(PHN) pain. Alliqua now will<br />

start the next developmental<br />

stage, including in-vitro testing.<br />

Foamix starts Phase 2<br />

clinical trial<br />

Rehovot, Israel — Foamix en -<br />

rolled the first patient in a Phase<br />

2 trial of its Topical Minocycline<br />

Foam. The study aims to demonstrate<br />

efficacy and safety in<br />

patients suffering from Rosacea.<br />

Skin-penetration studies demonstrated<br />

a high occurrence of the<br />

drug in the viable layers of the<br />

skin and also revealed that the<br />

drug is not delivered transdermally,<br />

indicating that its topical<br />

application will not involve any<br />

systemic adverse effects.<br />

FDA accepts Zelrix<br />

NDA for filing<br />

Conshohocken, Pennsylvania,<br />

USA — NuPathe received notice<br />

that the US FDA accepted the<br />

company‘s Zelrix NDA, submitted<br />

on October 29, 2010, for filing.<br />

The company expects the FDA to<br />

complete its review of the NDA<br />

by August 29, 2011. Zelrix is the<br />

first-ever submission to the FDA<br />

of a transdermal patch for the<br />

treatment of migraine.<br />

FDA approves Fortesta<br />

gel<br />

Newark, Delaware, USA — The<br />

US FDA approved Endo Pharmaceuticals’<br />

Fortesta gel for treatment<br />

of low testosterone, also<br />

known as hypogonadism. The<br />

gel comes in a metered-dose<br />

pump that delivers the correct<br />

dose per complete depression.<br />

Endo ex pects to introduce the gel<br />

in the USA in early 2011.


TransDermal <strong>•</strong> MARCH 2011<br />

<strong>Patchless</strong> <strong>Transdermal</strong> <strong>Drug</strong> <strong>Delivery</strong> (TDD)<br />

Bozena B Michniak-Kohn, Rutgers-The State University of New Jersey<br />

Kishore R Shah, Polytherapeutics, Inc<br />

We can trace the advent of transdermal<br />

drug delivery to the FDA’s approval and<br />

commercialization of scopolamine (1979)<br />

and nitroglycerin (1981) patches. Since then, companies<br />

have marketed many transdermal products<br />

worldwide, and transdermals have become a multibillion-dollar<br />

industry. Some of the advantages of<br />

transdermal drug delivery include:<br />

1. A reproducible and prolonged drug-delivery rate<br />

2. Elimination of hepatic first-pass metabolism<br />

3. Minimization of undesirable side effects<br />

4. Increased convenience for and compliance by<br />

patients<br />

5. Rapid termination of drug therapy when desired<br />

Despite these advantages, the barrier function of the<br />

skin, and its irritation and sensitization by many<br />

drugs and certain patch components, provide the<br />

principal impediments to a wider use of transdermal<br />

drug delivery. To some extent, patchless TDD in<br />

the form of topically applied gels, creams, lotions, or<br />

solutions can overcome the limitations of the skin<br />

barrier by application of the drug formulation to a<br />

much larger area of skin than is possible with plastic<br />

patches.<br />

Formulators can use patchless TDD to elicit a therapeutic<br />

effect within tissues near the site of product<br />

application and/or to distribute the drug throughout<br />

the body using the circulatory system. <strong>Patchless</strong><br />

delivery may be suitable for treatment of various<br />

indications, such as pain, hormone replacement therapy,<br />

contraception, overactive bladder, CNS disorders,<br />

male or female sexual dysfunction, and smoking<br />

cessation.<br />

Key advantages of patchless transdermal products<br />

include:<br />

<strong>•</strong> The potential for expanding the scope of trans-<br />

dermal delivery to drugs requiring significantly<br />

higher dosages than possible with patches<br />

<strong>•</strong> Flexibility of dosing<br />

<strong>•</strong> Reduction in skin irritation due to lack of<br />

occlusion<br />

<strong>•</strong> Lack of irritation from patch components such as<br />

adhesives<br />

<strong>•</strong> Ease of manufacture<br />

<strong>•</strong> Cost effectiveness<br />

<strong>•</strong> Cosmetic elegance<br />

The deficiencies of the patchless TDD in contrast to<br />

patches may include:<br />

<strong>•</strong> Some variability in precision of dosing<br />

<strong>•</strong> Lack of suitability for drugs having a high skinpermeation<br />

rate, such as fentanyl and clonidine<br />

<strong>•</strong> A narrow therapeutic window<br />

<strong>•</strong> Lack of retention of the drug and enhancer at the<br />

site of application<br />

Formulation Considerations<br />

Dosage forms for patchless TDD can be clear solutions,<br />

gels, or emulsions. The formulator selects the<br />

form with an emphasis on its spreadability on skin,<br />

drying time, cosmetic feel, and acceptability to users.<br />

A mixture of water and alcohol is often a good<br />

medium for the preparation of a solution or gel. A<br />

lower alkyl alcohol, such as ethanol or isopropanol,<br />

helps to solubilize the drug. Polymeric thickeners<br />

can adjust the viscosity of the solution for optimum<br />

handling and spreadability. An emulsion (oil-inwater<br />

or water-in-oil) is a useful medium for drugs<br />

that are hydrophobic and poorly soluble in hydroalcoholic<br />

medium. In an emulsion, the drug is solubilized<br />

in the oil phase. Key ingredients for the preparation<br />

of such emulsions include oils, waxes,<br />

emulsifiers, and emollients.<br />

5


6<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

Excipients for TDD formulations should be nontoxic,<br />

nonirritating, and nonsensitizing to skin, even upon<br />

repeated application to the same site. The transdermal<br />

composition may use different excipients<br />

depending on the dosage form. Excipients may<br />

include solvents for the drug, thickeners, preservatives,<br />

anti-oxidants, chelating agents, fragrances, etc.<br />

A key ingredient for a patchless TDD formulation is<br />

the skin-permeation enhancer, which facilitates<br />

delivery of a therapeutically required dosage of the<br />

drug. Some of the common enhancers include oleic<br />

acid, dimethyl isosorbide, lauryl lactate, dimethyl<br />

sulfoxide, decyl methyl sulfoxide, ethoxydiglycol,<br />

N-methyl 2-pyrrolidone, and isopropyl myristate. A<br />

review by Danyi Quan, et al provides a detailed discussion<br />

of enhancers for TDD [1, 2]. Many enhancers<br />

cause skin irritation when used at higher concentrations.<br />

Therefore, a balance between drug-permeation<br />

enhancement and skin safety is important in optimizing<br />

the formulation.<br />

One of the key issues with patchless TDDs is retention<br />

of the drug and enhancer at the site of application.<br />

Lack of retention for the desired duration of<br />

time is a common problem. Nature designed the<br />

skin to shed materials adhering to it. Loss of an<br />

applied dose also can occur by transfer to other<br />

objects, such as articles of clothing, or other people.<br />

The loss results in an inadequate therapeutic effect<br />

and a shorter duration of pharmacological activity<br />

for the drug. In addition, transfer of a drug, such as<br />

testosterone, to others by touch is a particularly sensitive<br />

issue pertaining to safety of the product.<br />

An appropriate film-forming polymeric delivery system,<br />

which can serve as a matrix for the drug and<br />

enhancers, can address some of these issues; however,<br />

the use of a polymer delivery system for TDD has its<br />

own challenges. Skin is a living substrate; that is, it<br />

breathes, perspires, stretches, and contracts. The<br />

formed film must accommodate the various functions<br />

of the skin during different activities and environmental<br />

conditions, such as temperature and humidity.<br />

It must be bioadherent and possess viscoelastic properties,<br />

breathability, and moisture-vapor permeability<br />

similar to skin. In the absence of such characteristics,<br />

the film tends to feel uncomfortable or tight and peels<br />

and flakes during use. The net result is inadequate<br />

wear time and loss of efficacy.<br />

Another consideration is possible crystallization of<br />

the drug on the skin when the applied formulation<br />

dries. Other critical issues that formulators need to<br />

address in patchless TDD development include the<br />

hydrolytic and oxidative stability of the drug in<br />

aqueous or hydroalcoholic medium, pH effects, and<br />

cosmetic acceptability.<br />

Commercial Approaches to <strong>Patchless</strong><br />

TDD Products<br />

Acrux, Vivus, Ther-Rx<br />

Acrux (www.acrux.com.au) initially acquired its<br />

technology — discovered by B Finnin, B Reid, and<br />

T Morgan — from Monash University in Australia.<br />

Sunscreens have used its ACROSS ® enhancer octisalate<br />

for a long time at higher doses. It is a known,<br />

safe, nonirritating formulation and allows the passage<br />

of drugs across the barrier layer of the skin.<br />

Acrux has placed the ACROSS enhancer in a<br />

Metered Dose <strong>Transdermal</strong> System ® (MDTS), allowing<br />

application of a pre-set dose of a drug. The system<br />

also creates a patchless reservoir in the skin that<br />

can deliver drugs for various indications for human<br />

and veterinary use. Vivus (www.vivus.com) is the<br />

licensee in the USA for Acrux’s testosterone spray<br />

for women, trademarked as Luramist ® . Another<br />

ACROSS product, Evamist ® , is a 1.7% estradiol topical<br />

spray for systemic transdermal delivery of the<br />

hormone (Ther-Rx, www.ther-rx.com).<br />

Biosante, Antares Pharma, Azur Pharma<br />

Biosante Pharmaceuticals (www.biosantepharma<br />

.com) is a company specializing in products for<br />

female sexual-health and oncology. The lead is<br />

LibiGel ® , a transdermal testosterone gel for treatment<br />

of female sexual dysfunction. Antares Pharma<br />

(www.antarespharma.com), Biosante’s partner, is<br />

developing it. It is in Phase 3 clinical development<br />

under an FDA Special Protocol Assessment. Biosante<br />

intends to submit the LibiGel NDA in 2011 for potential<br />

approval by the FDA in 2012.<br />

Azur Pharma (www.azurpharma.com) in Ireland is<br />

a private pharmaceutical company focused on the<br />

Central Nervous System (CNS) and the health of<br />

women. Azur is marketing Elestrin ® , which they<br />

acquired from Biosante, in the USA. It is an estradiol<br />

gel for the treatment of menopausal vasomotor<br />

symptoms.


Novavax, Abbot, Auxilium<br />

Researchers initially developed micellar nanoparticle<br />

technology in the mid-1990s. Novavax (www.nova<br />

vax.com ) further developed, patented, and marketed<br />

the first product using this approach, Estrasorb ® , a<br />

transdermal lotion launched in 2003 [3]. This technique<br />

uses a multiphasic nanoemulsion consisting of<br />

one or two active ingredients, a solvent (often<br />

ethanol), a stabilizer (often a nonionic surfactant), oil,<br />

and an aqueous medium. These emulsions can incorporate<br />

both water-soluble and poorly water-soluble<br />

drugs and can accommodate both crystalline and<br />

amorphous drugs. Formulators have achieved drug<br />

loading of up to 20% (w/w). These lotions behave like<br />

patchless patches and are highly stable formulations;<br />

for example, Estrasorb has a shelf life of three years<br />

at room temperature.<br />

Androsorb ® is a topical testosterone formulation<br />

based on micellar nanoparticle technology<br />

(Novavax, Inc.).<br />

Other topical testosterone products include Androgel<br />

® (Abbott, www.abbott.com), which is a regular<br />

or metered-dose formulation [4], and Testim ® , a<br />

hydroalcoholic gel (Auxilium Pharmaceuticals,<br />

www.auxilium.com). These products do not use<br />

micellar nanoparticle technology.<br />

Antares Pharma<br />

In early 2010, Antares Pharma and the Population<br />

Council announced very promising outcomes from<br />

a dose-finding, Phase 2 clinical trial for a contraceptive<br />

gel that contains the new, synthetic progestin<br />

nestorone and estradiol formulated in Antares<br />

Pharma’s Advanced <strong>Transdermal</strong> <strong>Delivery</strong> (ATD)<br />

gel system [5, 6]. They conducted the open-label,<br />

crossover study on 18 women at three sites, evaluating<br />

the effect of the gel on ovulation suppression in<br />

normal women of fertile age. The ATD gel is a clear<br />

formulation that dries quickly on the skin and leaves<br />

no residue. The technology uses a combination of<br />

permeation enhancers to achieve sustained transdermal<br />

drug delivery.<br />

Antares Pharma also developed a transdermal, oxybutynin<br />

gel formulation, its Anturol ® gel, delivered<br />

using a metered dose pump [5]. The drug has<br />

antimuscarinic and antispasmodic effects on smooth<br />

muscle and treats incontinence in overactive bladders.<br />

Two dose strengths are under investigation, 56<br />

TransDermal <strong>•</strong> MARCH 2011<br />

and 84 mg, and the pump allows dose titration.<br />

Studies have indicated that approximately 16% of<br />

adults are affected by an overactive bladder, and it<br />

is particularly a problem in women and the elderly.<br />

Kennelly, who tested the ATD, reported that transdermal<br />

delivery of oxybutynin (gel) significantly<br />

improved cognitive tolerability when compared to<br />

an orally administered drug [7].<br />

BioChemics, Vaso Active Pharmaceuticals<br />

BioChemics’ technologies (www.biochemics.com)<br />

include VALE ® (Vaso-Active Lipid Encapsulated)<br />

and PENtoCORE ® (intradermal delivery), which<br />

Vaso Active Pharmaceuticals (www.vasoactive.us)<br />

commercialized [8, 9]. Patients use VALE as a patchless<br />

cream or gel with dose control for targeted and<br />

systemic delivery of small molecules. When applied<br />

to the surface of skin, the formulation vanishes in<br />

about one minute. An example is Osteon ® , which<br />

delivers menthol (analgesic) for the temporary relief<br />

of minor aches and pains of muscles and joints associated<br />

with arthritis, sprains, strains, and simple<br />

back pain [10]. The inactive ingredients of the gel are<br />

deionized water, isopropanol, olive oil, propylene<br />

glycol, eucalyptus oil, sodium alginate, cetyl alcohol,<br />

glyceryl stearate, kelp extract, marshmallow extract,<br />

allantoin, and xanthan gum. AR Extreme ® Pain<br />

Relieving Lotion provides temporary relief from<br />

pain from minor sports injuries, and TERMIN8 ®<br />

treats athlete’s foot and provides relief for burning,<br />

cracked, and itchy feet. Both of these formulations<br />

use the PENtoCORE technology.<br />

Mika Pharma<br />

Established in 1994 for development of products for<br />

the dermal and buccal markets, in 1995 MIKA<br />

Pharma (www.mika-pharma.de) was the first company<br />

worldwide to introduce a stable, topical liposomal<br />

product (liposomal MIKA heparin spray).<br />

Brunner et al reported on a MIKA spray gel formulation<br />

with diclofenac, comparing it to oral Voltaren<br />

in 12 healthy males [11]. The spray gel consisted of<br />

water, isopropyl alcohol, and propylene glycol as<br />

basic solvents and soy bean lecithin, ethanol, disodium<br />

phosphate dodecahydrate, sodium dihydrogen<br />

phosphate dehydrate, peppermint oil, and<br />

ascorbyl palmitate as excipients. Patients sprayed it<br />

on the skin, and the alcoholic components slowly<br />

evaporated, leaving behind a low viscous gel that<br />

stuck to the skin. Using microdialysis to evaluate<br />

7


8<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

pharmacokinetic parameters, the authors concluded<br />

that the MIKA formulation exhibited low systemic<br />

availability and produced effective diclofenac concentrations<br />

equivalent to or better than the oral<br />

dosage form. Other researchers conducted studies<br />

using the MIKA topical liposomal technology: a) a<br />

heparin spray used to treat superficial venous<br />

thrombosis [12, 13] and b) topical delivery of plasmid<br />

DNA to skin [14].<br />

NexACT, MacroChem<br />

NexMed, a specialty CRO with a pipeline of products<br />

based on the NexACT ® technology, recently<br />

changed its name (September 2010) to Apricus Biosciences<br />

(www.apricusbio.com) and moved from<br />

New Jersey to California in the USA [15, 16]. Its technology<br />

is based on permeation enhancers that affect<br />

the fluidization of lipids in cellular membranes. An<br />

example of one of the compounds is dodecyl 2-(N,<br />

N-dimethylamino)-propionate. Formulators can use<br />

this technology topically, but as a recent preclinical<br />

study showed, also can deliver insulin and other<br />

drugs with larger molecular weights, such as Taxol,<br />

subcutaneously in a depot-like fashion (slow re -<br />

lease). <strong>Delivery</strong> occurs over 24 hours from a singledose<br />

formulation. Recent investigations by Michniak-Kohn’s<br />

lab at Rutgers University have shown<br />

the potential use of this technology in transbuccal<br />

delivery [17].<br />

MacroChem, which Access Pharmaceuticals<br />

acquired (www.accesspharma.com), developed<br />

SEPA (Soft Enhancer of Percutaneous Absorption)<br />

based on dioxolane chemistry, which they have<br />

shown improves drug permeation through the skin.<br />

Diani et al published an example of the enhancement<br />

of activity, showing that 2-n-nonyl-1, 3-dioxolane<br />

augments hair-growth effects of topically<br />

applied minoxidil in the balding stump-tail-macaque<br />

model [18].<br />

Watson Pharmaceuticals<br />

Watson Pharmaceuticals (www.watson.com) markets<br />

Gelnique ® (oxybutynin chloride) gel 10%, which<br />

is indicated for overactive bladder. It is formulated in<br />

an alcohol-based gel containing alcohol, glycerin,<br />

hydroxypropylcellulose, sodium hydroxide and<br />

purified water. The patient receives the formulation<br />

in a sachet that must be used immediately upon<br />

opening due to evaporation of the alcohol.<br />

BHR Pharma<br />

BHR Pharma (www.bhr-pharma.com) has developed<br />

a transdermal estradiol gel for the palliative treatment<br />

of vasomotor side effects in men undergoing androgen-deprivation<br />

therapy (ADT) for pros tate cancer<br />

and advanced androgen-sensitive carcinoma of the<br />

prostate. Located in Herndon, Virginia, USA, BHR<br />

Pharma is a wholly owned subsidiary of Besins<br />

Healthcare (www.besins-healthcare.com), a Belgian<br />

company, and an affiliate of Ascend Therapeutics<br />

(www.ascendtherapeutics.com), Besins’ pharmaceutical<br />

sales and marketing entity in the USA.<br />

BHR’s technology involves the Enhanced Hydroalcoholic<br />

Gel ® (EHG) that Besins pioneered and commercialized<br />

in 1975. Other products include Estrogel<br />

® (www.estrogel.com), which is a clear and<br />

colorless topical gel containing estradiol 0.06% for<br />

treatment of menopausal symptoms and which is<br />

available in a dosing pump or tube, and Progestogel<br />

® , a 1% progesterone hydroalcoholic gel used to<br />

treat breast pain and tenderness.<br />

Transdel Pharma<br />

Ketotransdel ® is a novel cream containing 10% ketoprofen,<br />

recommended for acute soft tissue injuries<br />

(sprains and strains). A 2010 Phase 3 study in 364<br />

patients suggested that Ketotransdel is effective over<br />

placebo and did not produce any severe side effects.<br />

Researchers detected only minimal levels of ketoprofen<br />

in the blood of the volunteers, supporting the<br />

fact that low concentrations were absorbed systemically<br />

[19]. Transdel (ww.transdelpharma.com)<br />

focuses primarily on topical drug delivery, and the<br />

Transdel technology facilitates the dissolution of the<br />

API and enhances the passage of the drug across the<br />

barrier of the skin.<br />

Novartis, Endo Pharmaceuticals<br />

Voltaren ® is a diclofenac sodium gel that contains<br />

10mg/g of drug with the following excipients:<br />

ammonia, carbomer homopolymer Type C, isopropyl<br />

alcohol, mineral oil, polyoxyl 20 cetostearyl<br />

ether, propylene glycol, and water [20]. Endo Pharmaceuticals<br />

(www.endo.com) markets Novartis<br />

Consumer Health’s product for relief of pain caused<br />

by osteoarthritis of joints, such as knees and hands<br />

(www.novartis.com). Patients apply the gel using a<br />

dosing card that is supplied with the medication to<br />

ensure the correct dose of diclofenac.


Nuvo Research, Covidien, King<br />

Pharmaceuticals<br />

Pennsaid ® contains diclofenac sodium 1.5 % w/w as<br />

a topical solution with glycerin, propylene glycol,<br />

ethanol, purified water, and a skin-penetration<br />

enhancer, dimethyl sulfoxide [21, 22]. Nuvo Research<br />

(www.nuvoresearch.com), formerly Dimethaid, manufactures<br />

the product, and Covidien (www.covidien.com)<br />

markets it in the USA under license from<br />

Nuvo. In November 2009, the FDA approved Pennsaid<br />

in the USA (originally launched in Canada),<br />

where it is one of three products for osteoarthritis. The<br />

other two are Voltaren ® gel (discussed previously) and<br />

the Flector ® patch, which contains 1.3% diclofenac<br />

sodium and is a product of King Pharmaceuticals<br />

(www.kingpharm.com).<br />

Esba Laboratories<br />

Lidocaine hydrochloride topical gels are available<br />

from various manufacturers. An example is Topicaine<br />

® from Esba Laboratories (www.esbalabs.com)<br />

[23]. This formulation contains 40 mg of lidocaine in<br />

a gel composed of water, ethanol (35% w/w), glycerin,<br />

jojoba oil, aloe vera oil, glyceryl monolaurate,<br />

benzyl alcohol, carbomer 940, and EDTA-ethylenediaminetetraacetic<br />

acid. Patients apply it topically<br />

for relief of pain, and it provides analgesia in the skin<br />

by reversibly blocking the flux of sodium ions<br />

through the neuronal membranes.<br />

AlphaRx<br />

A Canadian company, AlphaRx (www.alpharx.com),<br />

launched its Colloidal Lipid Dispersion (CLD) technology,<br />

which provides percutaneous enhancement<br />

of topically applied drugs. In addition, formulators<br />

can combine this product with polymers and adhesives<br />

for patch development and transdermal drug<br />

delivery [24]. The Flexogan BCD ® (Bioadhesive Colloidal<br />

Dispersion) series of products marketed in<br />

Canada uses this technology for arthritis and muscle<br />

and joint pain. The formulation consists of highly dispersed<br />

oil droplets encapsulating natural menthol<br />

and camphor. The droplet size is less than one micron,<br />

and the formulation is nongreasy and allows a much<br />

higher availability of the active ingredient.<br />

Embil Pharmaceuticals<br />

Embil Pharmaceuticals in Turkey (www.embil.com)<br />

has patented a novel formulation, the Sulidin ® nime-<br />

TransDermal <strong>•</strong> MARCH 2011<br />

sulide LPS Gel [25]. The drug is indicated for osteo -<br />

arthritis, rheumatoid arthritis, periarthritis, and posttraumatic<br />

or acute musculoskeletal disorders. The<br />

LPS (Lamellar Penetration System) is based on the<br />

idea of using components of the skin structure as the<br />

delivery system. The lamellar hydrophobic structure<br />

both protects and facilitates the delivery of the API<br />

into the skin.<br />

Polytherapeutics<br />

PharmaDur ® (www.pharmadur.com) is a graft<br />

copolymer delivery system designed to address<br />

issues with polymeric delivery systems discussed<br />

above under “Formulation Considerations.” It has<br />

been commercially available over the last few years<br />

under that trade name. Kishore Shah first reported<br />

on PharmaDur and related graft copolymers for<br />

mucosal and skin applications [26]. PharmaDur<br />

polymer combines hydrophilic and hydrophobic<br />

structural moieties (Figure 1).<br />

The copolymer exhibits a combination of bioadhesive<br />

and controlled-release properties because of its<br />

unique structural characteristics [27]. When a patient<br />

applies a dermatological vehicle, such as a cream,<br />

lotion, or gel formulated with the PharmaDur polymer,<br />

the vehicle forms an imperceptible and invisible<br />

hydrogel film, a virtual patch. The PharmaDur polymer<br />

film is nontacky and nongreasy, has a very<br />

smooth feel, does not exhibit flaking or skin stretchiness,<br />

and is breathable. It is characterized by excellent<br />

bioadhesion to skin and exhibits controlled<br />

release of both hydrophobic and hydrophilic molecules.<br />

Because PharmaDur polymer is very hydro -<br />

Figure 1<br />

PharmaDur Graft Copolymer<br />

R – alkyl radical<br />

n, m, x, y, & z – positive integers having unspecified different<br />

large values<br />

9


10<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

philic, it also helps to moisturize the skin, an added<br />

benefit.<br />

PharmaDur film on the skin serves as a matrix for<br />

the drug and other nonvolatile excipients for the<br />

product formulation. The skin retains the polymer<br />

film and the drug contained therein for 24+ hours,<br />

and the film provides continuous release of the drug<br />

by a process of diffusion for transdermal delivery to<br />

the body (Figure 2). The formed polymer film is not<br />

removed by perspiration or articles of clothing or<br />

transferred by touch. Thus, it functions as a virtual<br />

patch without the limitations of plastic patches.<br />

Formation of an invisible hydrogel patch for time<br />

release of medications is an attractive concept for the<br />

Figure 2<br />

Schematic Diagram of PharmaDur Virtual<br />

Patch on Skin<br />

Figure 3<br />

Comparison of Flux of Caffeine with Oleic Acid<br />

Formulations (controls) and with Added 2%<br />

PharmaDur Polymer<br />

consumer. A cosmetically elegant and invisible virtual<br />

patch is a unique concept for transdermal delivery<br />

of drugs, such as nonsteroidal, anti-inflammatory<br />

drugs (NSAIDs) for systemic activity. The<br />

virtual patch provides the following key advantages:<br />

<strong>•</strong> Delivers drugs requiring a high dosage or those<br />

with low skin permeability effectively since<br />

patients can apply the product over a large area of<br />

skin (~ 300 to 500 cm2).<br />

<strong>•</strong> Provides all-day, sustained therapeutic efficacy<br />

with a once-a-day application due to its long-lasting<br />

retention on skin, which also improves convenience<br />

for and compliance by consumers.<br />

<strong>•</strong> Reduces undesirable side effects due to avoidance<br />

of peaks and valleys in systemic drug concentrations<br />

as are typically found with oral drug<br />

administration.<br />

<strong>•</strong> Delivers many drugs that are not suitable for<br />

transdermal administration using conventional<br />

plastic patches and semisolid dosage forms.<br />

Furthermore, our studies have shown that the Pharma<br />

Dur polymer acts synergistically with skin-penetration<br />

enhancers in maximizing the rate of transdermal<br />

drug delivery. For example, Michniak et al<br />

(28) previously reported the effect of PharmaDur<br />

polymer on transdermal permeation of caffeine in<br />

the presence of the enhancer oleic acid. The re -<br />

searchers studied the skin-permeation rate of caffeine<br />

with and without the PharmaDur polymer,<br />

using human cadaver skin and Franz diffusion cells.<br />

The presence of the PharmaDur polymer almost<br />

doubled the skin-permeation rate of caffeine compared<br />

to that of the control formulation consisting of<br />

caffeine and oleic acid (Figure 3).<br />

The researchers postulate that the PharmaDur polymer<br />

film provides controlled release of both caffeine<br />

and the enhancer, thereby maximizing the enhancement<br />

in the caffeine permeation rate.<br />

Conclusion<br />

<strong>Patchless</strong> TDD is emerging as a convenient and<br />

patient-friendly means for extending the scope of<br />

transdermal delivery of drugs. Several new products<br />

and technologies using this approach for eliciting<br />

both local and systemic therapeutic effects have<br />

emerged in the last decade.


References<br />

1. Quan D, Hui X, and Maibach, H. Chemical enhancement<br />

of transdermal drug delivery systems-Part I. <strong>Transdermal</strong>. March<br />

2010, 2(2):5-10.<br />

2. Quan D, Hui X, and Maibach H. Chemical enhancement<br />

of transdermal drug delivery systems-Part II. <strong>Transdermal</strong>. March<br />

2010, (2(3):15-20.<br />

3. Lee, RW, Shenoy DB, Sheel R. Micellar nanoparticles:<br />

Applications for topical and passive transdermal drug delivery.<br />

Chapter 2 in Handbook of Non-invasive <strong>Drug</strong> <strong>Delivery</strong>. Toronto,<br />

Canada: Elsevier, 2010, pp 37- 58.<br />

4. Androgel information at<br />

www.drugs.com/androgel.html, accessed 1/19/2011.<br />

5. Information on Anturol gel at<br />

antarespharma.com/pipeline/anturol-gel, accessed 1/19/2011.<br />

6. Contraceptive gel study, www.popcouncil.org/mediacenter/newsreleases/2010_antarespharma/,<br />

accessed 12/03/2010.<br />

7. Kennelly, MJ. A comparative review of oxybutynin chloride<br />

formulations: Pharmacokinetics and therapeutic efficacy in<br />

overactive bladder. Reviews in Urology. 2010 Winter, 12(1):12-19.<br />

8. Biochemics’ company information,<br />

www.biochemics.com, accessed 1/19/2011.<br />

9. Vasoactive product information, www. vasoactive.us,<br />

accessed 1/19/2011.<br />

10. Osteon lotion information, www.osteonlotion.com,<br />

accessed 1/19/2011.<br />

11. Brunner M, Dehghanyar P, Seigfried B, Martin W, Menke<br />

G, Muller M. Favourable dermal penetration of diclofenac after<br />

administration to the skin using a novel spray formulation. British J<br />

Clin Pharmacol. 2005 Nov, 60(5):573-577.<br />

12. Gorski G, Szopinski P, Michalak J et al. Liposomal<br />

heparin spray: A new formula in adjunctive treatment of superficial<br />

venous thrombosis. Angiology. 2005 Jan-Feb, 56, 9-17.<br />

13. Katzenschlager R, Ugurluoglu A, Minar E, Hirschi M.<br />

Liposomal heparin-spraygel in comparison with subcutaneous low<br />

molecular weight heparin in patients with superficial venous<br />

thrombosis: A randomized, controlled, open multicenter study. J<br />

Kardiol. 2003, 10(9): 375-378.<br />

14. Meykadeh N, Mirmohammadsadegh A, Wang Z, Basner-<br />

Tschakarjan E, Hengge UR. Topical application of plasmid DNA to<br />

mouse and human skin. J Mol Med, 2005 Nov, 83(11): 897-903.<br />

15. NexACT technology, www.newsmedical.net/news/20100318/NexACT-technology-demonstratesability-to-deliver-Taxol-subcutaneously,<br />

accessed 12/03/2010.<br />

16. NexMed’s company information,<br />

www.nexmed.com/nexact.html, accessed 12/03/2010.<br />

17. Hu L, Damaj BB, Martin R, Michniak-Kohn BB. Enhanced<br />

in vitro transbuccal delivery of ondansetron HCl. Int J Pharm. Epub,<br />

2010 November 5, doi:10.1016/j.ijpharm.2010.10.052.<br />

18. Diani AR, Shull KL, Zaya MJ, Brunden MN. The penetration<br />

enhancer SEPA augments stimulation of scalp hair growth by<br />

topical minoxidil in the balding stumptail macaque. Skin<br />

Pharmacol. 1995, 8(5):221-228.<br />

19. Ekman EF, Strepnik N, Lawson, Schupp JP. Efficacy and<br />

safety of ketoprofen 10% cream in the treatment of pain associated<br />

with acute soft tissue injuries (Phase 3 Study TDLP-110-001). 13th<br />

TransDermal <strong>•</strong> MARCH 2011<br />

World Congress on Pain, Montreal, Canada, Aug. 29-Sept. 2, 2010,<br />

Poster # PH 420.<br />

20. Voltaren gel information, www.drugs.com/pro/voltarengel.html,<br />

accessed 12/03/2010.<br />

21. Pennsaid information, www.progressive-medical.com,<br />

accessed 12/04/2010.<br />

22. Pennsaid information,<br />

www.medisave.ca/<strong>Drug</strong>MoreInfo2391.aspx, accessed 12/04/2010.<br />

23. Esba Laboratories’ information,<br />

www.esbalabs.com/medical_information.htm, accessed<br />

12/04/2010.<br />

24. Colloidal lipid dispersion system, www.alpharx.com,<br />

accessed 12/03/2010.<br />

25. Information on Sulidin nimesulide LPS non-steroidal topical<br />

anti-inflammatory gel at http://pharmalicensing.com/public/<br />

outlicensing/view/1160/+, accessed 01/19/2011.<br />

26. Shah K. Mucoadhesive compositions for administration<br />

of biologically active agents to animal tissue. U.S. Patent 5,942,243<br />

(24 August 1999).<br />

27. Shah K, PharmaDur Bioadhesive <strong>Delivery</strong> System. In<br />

Skin <strong>Delivery</strong> Systems; <strong>Transdermal</strong>s, Dermatologicals, and<br />

Cosmetic Actives. John J Wille, (ed). Ames, Iowa: Blackwell<br />

Publishing, 2006, pp 211-222.<br />

28. Michniak B, Thakur R, and Shah K. Evaluation of novel<br />

polymer for transdermal permeation of caffeine in presence of different<br />

concentrations of chemical enhancer. Poster # 323,<br />

Proceedings of Controlled Release Society 32nd Annual Meeting,<br />

Miami Beach, Florida, June 2005.<br />

Dr Bozena Michniak-Kohn is a professor in pharmaceutics at the Ernest<br />

Mario School of Pharmacy, Rutgers-The State University of New Jersey in<br />

Piscataway, New Jersey, USA and is the director of the Center for Dermal<br />

Research and Laboratory for <strong>Drug</strong> <strong>Delivery</strong> of the New Jersey Center for<br />

Biomaterials (NJCBM). Her research focuses on topical, buccal, and transdermal<br />

drug delivery. Michniak-Kohn has directed over 26 PhD students,<br />

6 Master’s students, and 200+ undergraduates, and the work resulted in<br />

over 350 abstracts, two books, and more than 100 papers and book chapters.<br />

She is a Fellow of AAPS and is a reviewer for over a dozen pharmaceutical<br />

and drug delivery journals.<br />

Dr Kishore R Shah is president of Polytherapeutics, a research and development<br />

company focused on topical mucosal and transdermal drug delivery.<br />

He received his doctoral degree in organic chemistry from the<br />

University of Maryland in College Park, Maryland, USA. He has over 25<br />

years of research experience in the medical device and pharmaceutical<br />

industry, including at Bristol-Myers Squibb and Johnson & Johnson. His<br />

technical expertise includes development of polymeric biomaterials, their<br />

applications, and controlled drug delivery technologies. Shah possesses<br />

experience in taking products from concept to commercialization. He is an<br />

author or co-author of more than 45 patents and technical publications,<br />

several of which are in the field of transdermal drug delivery.<br />

Contact Dr Shah at Polytherapeutics, Inc, 568 Cabot Hill Road,<br />

Bridgewater, New Jersey 08807, USA; Tel: +1 908 393 9938; E-mail:<br />

krshah@polytherapeutics.com.<br />

www.transdermalmag.com<br />

11


12<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

On the <strong>Transdermal</strong> Formulation of Peptide<br />

and Protein <strong>Drug</strong>s<br />

Xiaorong Shen and David Jones, Primera Analytical Solutions<br />

This short review covers some of the recent<br />

approaches to transdermal formulations for<br />

delivering proteins and peptides. These methods<br />

may overcome some of the difficulties<br />

associated with the delivery of those molecules.<br />

Protein and peptide drugs offer powerful therapeutic<br />

benefits to patients. While companies<br />

have marketed them since the introduction<br />

of insulin in the early twentieth century, the methods<br />

for dosing patients usually have been limited<br />

to administration by injection. This method not only<br />

is inconvenient for patients but also causes other<br />

difficulties, such as allergic reactions at the injection<br />

site. For drugs with relatively short half lives, injection<br />

methods — without the use of IV solutions —<br />

do not afford maintenance of appropriate levels of<br />

the drug without repeated dosing. The most convenient<br />

type of dosing, oral, is generally not available<br />

for peptide and protein drugs because proteolytic<br />

enzymes in the alimentary canal hydrolyze the<br />

peptides.<br />

Peptides are widely used in skin-care products,<br />

mostly in connection with the cosmetics industry,<br />

although medical providers routinely apply antibiotic<br />

peptides, such as polymyxin B, topically for<br />

wound care and other dermatological infections.<br />

While such topical use is important, the ability to<br />

transport peptides and proteins into physiological<br />

matrices in other organs is of vital importance.<br />

Proteins incorporate four levels of structure:<br />

<strong>•</strong> A primary structure that derives from the aminoacid<br />

sequence<br />

<strong>•</strong> A secondary structure that arrangements in<br />

helices and sheets define<br />

<strong>•</strong> A tertiary structure that refers to the way that the<br />

secondary structures fit together as a whole<br />

<strong>•</strong> A quaternary structure that is a representation of<br />

protein-to-protein interactions; for instance, whether<br />

the proteins are monomers, dimers, or oligomers of<br />

single or multiple protein units.<br />

Effects of Structure<br />

All of these structures affect not only the transport of<br />

these molecules but also their activity. To a lesser<br />

extent, the problems with hydrolysis, absorption,<br />

and stability also apply to peptides that, while<br />

smaller, exhibit at least a primary and a secondary<br />

structure. Both proteins and peptides also often<br />

depend on intramolecular bonds that can rearrange<br />

under some circumstances. Most often disulfide<br />

linkages connect these bonds, but some peptides<br />

are cyclic in nature. Again polymixin B is an example.<br />

Any chemical exposure can affect molecular<br />

rearrangement, racemization, and rearrangement of<br />

disulfide bonds, further complicating attempts to<br />

formulate and deliver them.<br />

Nevertheless many approaches to transdermal<br />

formulation are now under active investigation,<br />

and some have reached the stage of clinical<br />

development.<br />

Approaches to <strong>Transdermal</strong><br />

Formulation<br />

The dermis is the vascularized portion of the skin<br />

where hair follicles originate, where lymph vessels<br />

and sweat glands are found, and where drugs can


find their way into circulation in other tissues. To<br />

reach the dermis, molecules — in this case large,<br />

sensitive molecules — must penetrate the epidermis,<br />

which generally is about a tenth of a millimeter<br />

in thickness but nonetheless seals off the dermis [1].<br />

Formulators have attempted to transport peptides<br />

across membranes other than those represented by<br />

the skin, such as recent efforts to formulate insulin<br />

as an inhalable product. These efforts have proved<br />

promising and have resulted in the investment of<br />

much effort and money.<br />

Iontophoresis<br />

One transdermal approach that holds significant<br />

promise for accomplishing the task is iontophoresis,<br />

in which a small electrical potential is applied<br />

across skin layers. Proteins and peptides often<br />

exhibit well-defined polarities, deriving from the<br />

location of acidic residues, such as glutamic acid<br />

and aspartic acid, and of basic residues, such as histidine,<br />

lysine, or arginine. Depending on the pH,<br />

these residues can be charged and will migrate<br />

across many matrices. Many laboratory procedures,<br />

such as SDS PAGE, use electrical potentials to separate<br />

and transport peptides and proteins, and iontophoresis<br />

is not all that different except that the<br />

matrix is the skin.<br />

A typical system might consist of two electrodes,<br />

placed in nearby areas of the skin, with a small<br />

potential applied to each. The charged ions are<br />

drawn into the skin<br />

The use of a silver electrode and a silver chloride<br />

electrode is one method that has generated much<br />

interest for the delivery of peptides and proteins<br />

transdermally. A peptide that has a suitable charge,<br />

such as one having a number of arginines, moves in<br />

the direction of the current flow and into the dermis.<br />

After absorption into the tissues, the current maintains<br />

the flow of other ions, such as peptide counterions<br />

or physiological ions such as chloride.<br />

Leutinizing Hormone Releasing Hormone (LHRH)<br />

is a peptide that has been administered successfully<br />

in various settings in this way. This peptide contains<br />

three basic residues — histidine, arginine, and<br />

lysine — and thus is charged [2]. Often researchers<br />

must control the rate of migration carefully; for<br />

TransDermal <strong>•</strong> MARCH 2011<br />

example, by varying the voltage or the wave form<br />

of the voltage. They can adjust the currents to render<br />

the pro cess essentially painless. Other peptides<br />

delivered transdermally using iontophoresis in -<br />

clude salmon calcintonin [3] and human parathyroid<br />

hormone [4].<br />

Iontophoresis is just one approach and is clearly<br />

only workable with peptides and proteins that are<br />

highly charged and contain either basic or acidic<br />

residues.<br />

Chaperon Molecules<br />

Another approach involves the use of chaperon<br />

molecules to transport proteins across skin layers.<br />

Peptides do affect skin pores, and under the right<br />

conditions, can themselves be used as chaperones<br />

that help transport other peptides across the stratum<br />

corneum. For instance, researchers originally investigated<br />

the peptide Magainin, which is isolated from<br />

frog skin, in clinical trials as a potential anti-infective.<br />

Although regulators ultimately did not<br />

approve the drug for this application, Magainin is<br />

considered a safe compound and is known to<br />

increase pore size and porosity in skin. It works by<br />

disrupting the bilayer structure of the stratum<br />

corneum lipids, increasing porosity [5].<br />

Researchers are investigating insulin delivery in this<br />

way, and many ways to optimize chaperone-type<br />

delivery exist. Samir Mitragotri and his coworkers<br />

in the Chemical Engineering Department at the University<br />

of California Santa Barbara used a combinatorial,<br />

high-throughput-screening process to explore<br />

the transdermal applications of delivering peptides.<br />

Again, the peptide was LHRH [6]. The screening<br />

involved the use of 34 penetration-enhancing<br />

agents, with variable concentrations, allowing for<br />

the screening of thousands of formulations.<br />

Mitragotri was able to show a 100-fold increase in<br />

LHRH delivered to hairless rats and an 80-fold<br />

increase in delivery of macrosugar inulin through<br />

use of the best chaperone formulations that they<br />

developed.<br />

Another approach to maximizing the effectiveness<br />

of small peptides as transdermal chaperone molecules<br />

involves the discovery, via phage display, of<br />

peptides that can penetrate the skin. Wen and his<br />

13


14<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

coworkers applied a phage library to rat skin and<br />

then collected phages that were isolated from the<br />

animal’s blood stream [7]. They were able to isolate a<br />

peptide with the sequence CSSSPSKHC. The re -<br />

searchers synthesized a cyclized analogue of this<br />

peptide and ultimately were able to show improved<br />

insulin delivery.<br />

Conclusion<br />

The methods described in this article have shown that<br />

it is possible to deliver peptides in vivo via transdermal<br />

routes. This article, however, is not a comprehensive<br />

discussion of such formulations. Many other<br />

transdermal approaches are known, including techniques<br />

such as painless microneedles [8].<br />

References<br />

1. Michniak, et al. European Journal of Pharmaceutics and<br />

Biopharmaceutics. 2005, 60:179–191.<br />

2. Raiman J, Koljonen M, Huikko K, Kostiainen R, Hirvonen<br />

J. <strong>Delivery</strong> and stability of LHRH and Nafarelin in human skin: The<br />

effect of constant/pulsed iontophoresis. Eur. J. Pharm. Sci. 2004,<br />

21:371–377.<br />

3. Chang SL, Hofmann GA, Zhang L, Deftos LJ, Banga AK.<br />

Stability of a transdermal salmon calcitonin formulation. <strong>Drug</strong><br />

Deliv. 2003, 10:41–45.<br />

4. Medi BM and Singh J. Electronically facilitated transdermal<br />

delivery of human parathyroid hormone (1-34). Int. J. Pharm.<br />

2003, 263:25–33.<br />

5. Prausnitz, MR and Langer R. Nature Biotechnology. 2008,<br />

26(11):1261-1268.<br />

6. Karande P, Jain A, Mitragotri S. Nature Biotechnology<br />

2004, 22(2):192-197.<br />

7. Chen Y, Shen Y, Guo X, Zhang C, Yang W, Ma M, Liu S,<br />

Zhang M, Wen L. <strong>Transdermal</strong> protein delivery by a co-administered<br />

peptide identified via phage display. Nature Biotechnology.<br />

2006, 24(4):455-460.<br />

8. Daniel P. Wermeling et al. Proc Natl Acad Sci. USA 102,<br />

4688–4693 (2005).<br />

Xiaorong Shen received her bachelor’s and master’s degrees in biology at<br />

Nanjing University in China and a PhD in genetics at Purdue<br />

University in the USA. Before receiving her PhD, she worked for more<br />

than eight years at the Chinese Jiangsu Institute on preformulations,<br />

formulations, manufacturing processes, analytical methods, and development.<br />

In 2007, she joined Primera Analytical Solutions where she<br />

now heads its formulations group. She works primarily on advanced<br />

material formulations, including bioresorbable polymers, large-molecule<br />

formulations, and stability and compatibility issues with novel, cuttingedge<br />

formulations.<br />

David Jones joined Primera Analytical Solutions in 2007 and currently<br />

is vice president of sales and marketing. With 25 years in the pharmaceutical<br />

industry, he previously was director of pharmaceutical sales for<br />

Isochem and vice president of development at Hopewell Laboratories. In<br />

the past, he worked on the development of a novel class of peptide<br />

reagents, urethane protected N-carboxyanhydrides (UNCAs), for<br />

Professor Murray Goodman’s laboratories and managed a laboratory at<br />

Multiple Peptide Systems that produced the first commercial peptide<br />

libraries. He received his bachelor’s and master’s degrees in chemistry at<br />

the State University of New York at Stony Brook<br />

Contact David Jones at Primera Analytical Solutions, 259 Wall Street,<br />

Princeton NJ 08534; Tel: +1 908 295 9011; E-mail: david.jones<br />

@primera-corp.com. www.primera-corp.com<br />

www.transdermalmag.com


ISSUE<br />

FOCUS<br />

pharmadur ®<br />

Polytherapeutics has developed<br />

patented transdermal technology<br />

based on its proprietary PharmaDur<br />

polymer. <strong>Drug</strong> formulation<br />

in the PharmaDur vehicle, as<br />

a gel or emulsion, forms an invisible<br />

and imperceptible hydrogel<br />

film that provides sustained drug<br />

delivery through the skin for 24<br />

hours.<br />

The company’s lead product is<br />

Pharmagesic <strong>Transdermal</strong> System,<br />

comprising the NSAID diclo -<br />

fenac in PharmaDur gel. Studies<br />

have demonstrated the product to<br />

be capable of producing effective<br />

diclofenac concentrations in the<br />

blood for eliciting systemic pharmacological<br />

activity with once-aday<br />

dosing. The key benefits of<br />

Pharmagesic include sustained<br />

therapeutic activity, minimization<br />

of GI-tract irritation, and potentially<br />

lower systemic-toxicity risks<br />

ContraCt researCh<br />

and development<br />

Located in Princeton, New Jersey,<br />

Primera Analytical Solutions is a<br />

contract research organization<br />

(CRO) founded in 2002. As a CRO,<br />

Primera supports the research and<br />

development of new drug substances.<br />

Primera is FDA-registered<br />

and audited, with no 483s issued.<br />

The company provides a full range<br />

of GLP bioanalytical LC/MS/MS<br />

and immunochemistry services as<br />

well as cGMP analytical services<br />

for drug development — discov-<br />

Formulation<br />

Techniques<br />

by avoiding high, peak diclofe -<br />

nac blood concentrations and<br />

hepatic first-pass metabolism.<br />

Phar magesic and PharmaDur are<br />

available as licensing or partnering<br />

opportunities for use with<br />

other drugs.<br />

ery and preclinical and clinical<br />

programs — and pharmaceutical<br />

product and process development<br />

for small and large molecules. Its<br />

core cap abilities include method<br />

development, validation, sample<br />

analysis, formulation, stability and<br />

release testing, and pharmaceutical<br />

testing services.<br />

Primera Analytical Solutions<br />

Corp<br />

Princeton, New Jersey, USA<br />

Tel: +1 609 921 7715<br />

TransDermal <strong>•</strong> marCh 2011<br />

Polytherapeutics, Inc.<br />

Bridgewater, New Jersey, USA<br />

Tel: +1 908 393 9938<br />

E-mail:<br />

info@polytherapeutics.com<br />

www.polytherapeutics.com<br />

Fax: +1 609 921 7716<br />

E-mail:<br />

David.Jones@primera-corp.com<br />

www.primera-corp. com<br />

15


16<br />

MARCH 2011 <strong>•</strong> TransDermal<br />

Calendar<br />

March 2011<br />

12th Skin Forum Annual Meeting.<br />

March 28th and 29th at Campus<br />

Westend, Goethe Universität<br />

in Frankfurt, Germany. Organized<br />

by the International Association<br />

for Pharmaceutical Technology<br />

in partnership with Skin<br />

Forum. www.apv-mainz.de/<br />

index.php?id=277<br />

April 2011<br />

<strong>Drug</strong> <strong>Delivery</strong> and Formulation<br />

America 2011. April 27th and<br />

28th at the Hyatt Regency La<br />

Jolla in San Diego, California,<br />

USA. Organized by World Trade<br />

Group (WTG). www.ddfsum<br />

mit.com<br />

July 2011<br />

The 38th Annual Meeting and<br />

Exposition of the Controlled Re -<br />

lease Society. July 30 to August 3<br />

at the Gaylord National Resort<br />

and Convention Center, National<br />

Harbor, Maryland, USA; Tel: +1<br />

651 454 7250 (Minnesota, USA).<br />

www.controlledrelease.org/<br />

main/meetings/default.cfm<br />

August 2011<br />

Barrier Function of Mammalian<br />

Skin. August 7 to 12 at the Waterville<br />

Valley Resort, Waterville<br />

Valley, New Hampshire, USA; Email:<br />

gmenon@ispcorp.com<br />

(New Jersey, USA) or juergen.l<br />

ademann@charite.de (Germany).<br />

www.grc.org/programs.aspx?<br />

year =2011&program=barrier<br />

For less than 2 minutes of your<br />

time, you can receive 6 free issues<br />

of TRANSDERMAL in 2011<br />

anywhere in the world.<br />

www.transdermalmag.com<br />

October 2011<br />

AAPS Annual Meeting and<br />

Convention. October 23 to 27 at<br />

the Washington Convention Center,<br />

Washington, DC, USA; Tel: +1<br />

703 243 2800 (Virginia, USA).<br />

www.aapspharmaceutica.com/<br />

meetings/annualmeet/am11/<br />

exhibit.asp<br />

November 2011<br />

The 1st Annual Symposium of<br />

<strong>Drug</strong> <strong>Delivery</strong> Systems. November<br />

3 to 5 in Shenzhen, China.<br />

Organized by Dalian BIT Life Sciences,<br />

Inc, 26 Gaoneng Street,<br />

R401, Dalian Hightech Zone<br />

Dalian, LN 116025, China; Tel:<br />

+0086 411 84799609 821; e-mail:<br />

grace@bitlifesciences.com.<br />

www.bitlifesciences.com/sdds20<br />

11/default.asp<br />

Do you qualify? It’s easy!<br />

Just visit our web site at www.transdermalmag.com<br />

Fill out the form completely.<br />

Make sure all information is correct.<br />

Click on the submit button, and you’re done!<br />

www.transdermalmag.com


January 2012<br />

<strong>Drug</strong> <strong>Delivery</strong> Partnerships<br />

2012. January 25 to 27 at Caesers<br />

Palace in Las Vegas, Nevada,<br />

USA. Tel: 1 888 670 8200 (toll free);<br />

+1 941 951 7885 (International); Email:<br />

register@iirusa.com. www<br />

.iirusa.com/ddp/welcome.xml<br />

People news<br />

Corium International<br />

adds two board<br />

members<br />

Menlo Park, California, USA —<br />

Corium International appointed<br />

Dr Bhaskar Chaudhuri and<br />

David L Greenwood to the board<br />

of direc tors. Chaudhuri most<br />

recently served as president of<br />

Valeant Phar maceuticals International<br />

and previously was president<br />

and CEO of Dow Pharmaceutical<br />

Services. Greenwood is<br />

executive vice president and CEO<br />

of Geron Corporation.<br />

Aveva hires alliance<br />

management director<br />

and marketing<br />

manager<br />

Miramar, Florida, USA — Aveva<br />

<strong>Drug</strong> <strong>Delivery</strong> Systems hired Paul<br />

Davis as director, alliance management,<br />

and Jared Hahn as marketing<br />

manager, both reporting<br />

directly to Robert J Bloder, vice<br />

president. With over eight years of<br />

experience at Beckman Coulter,<br />

Davis spent the last four years in<br />

business development and<br />

alliance management. Jared Hahn<br />

most recently worked for over<br />

eight years at Technology Catalysts<br />

Inter national (TCI), managing the<br />

company’s pharmaceutical and<br />

drug-delivery services, including<br />

the marketing of TCI’s services to<br />

pharmaceutical companies.<br />

Avantor names new<br />

CEO<br />

Phillipsburg, New Jersey, USA<br />

— Avantor Performance Materials<br />

named Jean-Marc Gilson as<br />

chief executive officer. Gilson was<br />

previously executive vice president<br />

and general manager of<br />

Dow Corning’s specialty chemicals<br />

business.<br />

Alliqua appoints five<br />

directors to board<br />

New York, New York, USA —<br />

Alliqua, previously Hepalife<br />

Technologies, appointed five<br />

mem bers to its board of directors.<br />

Joseph M Leone is an expert in<br />

commercial lending to small and<br />

midsized businesses. Michael<br />

Goldberg, MD, currently is a<br />

managing partner at the investment<br />

firm Montaur Capital Partners.<br />

Nochum Stein currently<br />

serves as Chairman and CEO of<br />

American European Group<br />

(AEG), a New-York-based in surance<br />

holding company focusing<br />

on supporting small to mid-sized<br />

businesses. Kenneth Pearsen,<br />

MD currently is the CEO of Western<br />

New York Radiology Associates.<br />

Jeffrey Sklar is the managing<br />

partner of Sklar, Heyman,<br />

and Company, a re gional accounting<br />

firm.<br />

Alliqua retains<br />

strategic consultant<br />

New York, New York, USA —<br />

Alli qua, previously Hepalife<br />

Tech nologies, appointed Dr<br />

Ronald S Harland as a strategic<br />

consultant. Harland has worked<br />

in the field of product development<br />

and studied advanced drug<br />

delivery systems and applications<br />

for over 20 years. Previously,<br />

Harland was founder and<br />

CEO at PharmSolv.<br />

Supplier news<br />

Adhesives Research<br />

receives ISO 13485<br />

certification<br />

Glen Rock, Pennsylvania, USA<br />

— Adhesives Research received<br />

ISO 13485 certification for its North<br />

American manufactur ing facility<br />

in Glen Rock. This certification<br />

supplements the company’s existing<br />

ISO 9001 standards.<br />

NuSil introduces<br />

thermally conductive<br />

silicones<br />

Carpinteria, California, USA —<br />

NuSil Technology introduced two<br />

thermally conductive, health care<br />

silicone elastomers that can be<br />

used as a cure-in-place adhesive<br />

or potting compound between<br />

electrical components and heat<br />

sinks to keep medical devices<br />

operating at optimal levels. With<br />

a two-part configuration, MED-<br />

2980, a 1.6 W/(mK) silicone, is<br />

good for larger devices. With low<br />

volatility and low ionic con tent,<br />

MED-2955 serves more sensitive<br />

electronic devices or processes.<br />

IDEX acquires Microfluidics<br />

International<br />

Lake Forest, Illinois and Newton,<br />

Massachusetts, USA —<br />

IDEX will acquire Microfluidics<br />

International for $1.35 per share,<br />

net to the seller in cash and subject<br />

to adjustment as defined in<br />

the merger agreement. The companies<br />

expect the transaction to<br />

close in the first quarter of 2011.<br />

Advertiser index<br />

Aveva <strong>Drug</strong> <strong>Delivery</strong><br />

Systems <strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong><strong>•</strong> Cover 4<br />

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T R A N S D E R M A L T R A N S C E N D E N C E<br />

A h i g h e r l e v e l o f p e r f o r m a n c e D e l i v e r s n e w p o s s i b i l i t i e s<br />

That’s the promise of Aveva <strong>Drug</strong> <strong>Delivery</strong> Systems,<br />

combining innovation and unparalleled industry<br />

experience to advance drug delivery and pioneer<br />

new frontiers in transdermal drug delivery for new<br />

chemical entities and life cycle management<br />

opportunities to enhance existing products.<br />

As one of the world’s largest manufacturers<br />

of transdermal patches offering a full range<br />

of research, development and manufacturing<br />

capabilities, Aveva transcends traditional limitations<br />

of patch technology and business partnerships to<br />

achieve new levels of product and corporate<br />

performance.<br />

© Copyright 2005. Aveva <strong>Drug</strong> <strong>Delivery</strong> Systems. All rights reserved.<br />

> Customizing solutions to the unique characteristics<br />

of each drug<br />

> Masterfully balancing the patch properties of<br />

adhesion reliability and gentleness that lead to<br />

an enhanced patient experience.<br />

> Managing a higher drug concentration in a<br />

smaller patch<br />

A flexible, customer-oriented business philosophy<br />

that adds value to projects and exceeds customer<br />

expectations.<br />

To license a product or to see how we can add value<br />

to your project, call Robert J. Bloder, Vice President<br />

Business Development, at 954.624.1374 or visit<br />

www.AvevaDDS.com

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