OPHTHALMIC COMPOSITIONS CONTAINING CYCLODEXTRINS AND QUATERNARY AMMONIUM COMPOUNDS

Abstract: The present invention describes a pharmaceutical composition, in particular a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol and a pharmaceutically active compound.

Description: OPHTHALMIC COMPOSITIONS CONTAINING CYCLODEXTRINS AND QUATERNARY AMMONIUM COMPOUNDS The present invention describes a pharmaceutical composition, in particular a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol and a pharmaceutically active compound. Numerous ophthalmic compositions have been described in prior art. The majority of the prior art ophthalmic compositions are dealing with those properties which characterize the human tears and which are e.g. the osmolality, the viscosity or the pH. Other publications related to such compositions are directed towards the preservation of ophthalmic compo¬ sitions. The addressed topics can be approached with different solutions. A few of these proposed solutions are shortly reviewed infra. EP 349 487 describes an antimicrobial ophthalmic solution comprising a quaternary ammonium salt, namely Bradosol ® , as the microbicide and methods of using the same. Ophthalmic solutions containing hydroxyethyl cellulose are described in GB 2 169 508, which solutions may serve as artificial tears. EP 76 136 describes an aqueous disinfecting solution for contact lenses, which solutions TM contain certain polymeric quaternary ammonium compounds, such as e.g. Onamer DE 2 839 752 (Toko) discloses an ophthalmological gel, which is a homogenous mixture of an aqueous solution of a carboxy vinyl polymer with a polymer content of 0.05 to 5 % by weight, a water-soluble basic compound, a therapeutically effective amount of a common ophthalmological drug, having a pH in the range of 5 to 8 and a viscosity of 1000 to 100O00 mPas at 20°C, characterized in that it comprises 0.001 to 0.5 % weight NaCl. GB 2 196 265 (Resdevco) discloses eye drops consisting of an essentially isotonic solution of a physiologically acceptable organic humectant in combination with required adjuvants or auxiliaries, containing less than 1.5 millimol/liter inorganic salt. EP 37 043 (Wellcome) describes an isotonic liquid pharmaceutical formulation comprising trimethoprim and polymyxin, a vehicle therefor, a mercury containing preservative and an isotonic agent, characterized in that the isotonic agent comprises a non-ionic polyhydroxy compound. Cyclodextrins have been proposed in several applications which are dealing with ophthalmic compositions. WO 94/15582 (Javitt et al.) describes e.g. an ophthalmic composition comprising an effective amount of a carbonic anhydrase inhibitor and an amount of an amorphous β-cyclodextrin effective in increasing the bioavailability of the carbonic anhydrase inhibitor when coadministered topically. β- and γ-cyclodextrins, in particular partially etherified derivatives thereof, have been proposed in EP 149 197 and EP 197 571 (both to Janssen) for pharmaceutical preparations comprising inclusion complexes of medicinal substances which are sparingly soluble in water or instable in water. It is also known to preserve eye medicaments by means of quaternary ammonium salts (see, for example, EP-A-306,984). Only a very few quaternary ammonium salts have found practical application for the preservation of eye medicaments - evidently because of the multifarious requirements which must be fulfilled - these are, in particular, the three substances mentioned explicitly in EP-A-306,984, cetyltrimethylammonium bromide, cetylpyridinium chloride and benzalkonium chloride (cf. also EP-A-242,328). A preferred preservative for eye medicaments at the present time is typically benzalkonium chloride (see, for example, EP-A-306,984, page 2, Iines 31-33), which has the following structure: N-benzyl-N-(C 8 -Cι 8 alkyl)-N,N-dimethylammonium chloride. In another publication ophthalmic solutions are reviewed, which solutions comprise cyclodextrins and preservatives such as benzalkonium chloride (see Karl-Heinz Frόmming and Josef Szejtli in Cyclodextrins in Pharmacy, 1994 Kluwer Academic Publishers, page 181 , Iines 10 - 21). The authors point out that the cyclodextrins may have a positive impact e.g. on the drug solubility or on the improvement of drug bioavailability. In contrast to this the same authors teach, that the cyclodextrins may also have a negative impact on such ophthalmic compositions, namely a decrease of the bioavailability of a drug, if the stability constant of the drug/cyclodextrin complex is very large, and in particular a loss of the preservative efficacy for certain preservatives such as e.g. benzalkonium chloride. Therefore the problem to be solved consists of providing a preserved aqueous ophthalmic solution with good ocular tolerability, further comprising a pharmaceutically active compound having a high bioavailability when administered topically to the eye. In other words the problem to be solved consists of (1) maintaining the positive effects of both a cyclodextrin and of an ophthalmically acceptable quaternary ammonium salt within an ophthalmic composition designated for topical administration, and of (2) eliminating the negative impact of a cyclodextrin in particular with respect to a quaternary ammonium salt preservative. Surprisingly it has been found, that a carefully balanced composition fulfills in fact all the criteria mentioned above for ophthalmic preparations. Accordingly a first aspect of the present invention is a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol and a pharmaceutically active compound. In more detail, it has been found, that an alkylene glycol in accordance with the present invention exhibits a particular function which is different from ist known tonicity enhancing property. While an alkylene glycol may still act as tonicity and/or solubility enhancing agent, it has been found, that an alkylene glycol may enhance (or at least maintain) both the efficacy of a quatemary ammonium salt in its function as a preservative as well as the bioavailability enhancing efficacy of a cyclodextrin on a pharmaceutically active compound. In other words, all the effects known from a cyclodextrin itself on a pharmaceutically active compound or from a quatemary ammonium salt itself are typically enhanced in a synergistic fashion. An ophthalmic composition manufactured in accordance with the present invention will usually contain much lower concentrations of a preservative or of an ophthalmic drug as compared to a prior art composition. Accordingly such an ophthalmic composition will typically exhibit an excellent ophthalmic tolerability. In addition to this, an ophthalmic composition in accordance to the present invention will typically impart improved stability to a pharmaceutically active drug used. Another aspect is a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol, a pharmaceutically active compound and a carrier. The present invention also relates to a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol, a pharmaceutically active compound, a carrier and one or more of an excipient selected from the group consisting of buffers, solubilizers, complexing agents, stabilizers, preservatives different from quaternary ammonium salts, tonicity enhancing agents and fillers. Another aspect is a preserved ophthalmic composition, comprising a cyclodextrin, a quatemary ammonium salt, an alkylene glycol, a pharmaceutically active compound, a carrier and a solubilizer. Still another aspect is a preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol, a pharmaceutically active compound, a carrier, a solubilizer and a complexing agent. According to the invention an ophthalmic composition is advantageously applied topically to the eye, especially in the form of a solution, a suspension, an ointment, a gel or a solid insert. Such compositions comprise a pharmaceutically active ingredient, for example, in a range of from approximately 0.000001 to approximately 10.0% by weight, preferably from approximately 0.001 to approximately 1.0% by weight, or more preferably in the range of from approximately 0.01 to approximately 0.5% by weight and most preferably in the range of from 0.025 to 0.1% by weight. The dose of the active ingredient may depend on various factors, such as mode of administration, requirement, age and/or individual condition. There are used for a corresponding ophthalmic composition other customary pharma¬ ceutically acceptable excipients and additives known to the person skilled in the art, for example those of the type mentioned below, especially carriers, stabilizers, solubilizers, tonicity enhancing agents, buffer substances, preservatives different from quaternary ammonium salts, thickeners, complexing agents and other excipients. Examples of such additives and excipients can be found in U.S. Patents Nos. 5134124 and 4906613. Such compositions are prepared in a manner known p_er se, for example by mixing an active ingredient with the corresponding excipients and/or additives to form corresponding ophthalmic compositions. Carriers used in accordance to the present invention are typically suitable for topical or general administration, and are for example water, mixtures of water and water-miscible solvents, such as C to C 7 -alkanols, vegetable oils or mineral oils comprising from 0.5 to 5% by weight hydroxyethylcellulose, ethyl oleate, carboxymethyl-cellulose, polyvinyl¬ pyrrolidone and other non-toxic water-soluble polymers for ophthalmic uses, such as, for example, cellulose derivatives, such as methylcellulose, alkali metal salts of carboxy¬ methylcellulose, hydroxymethylcellulose, hydroxyethylcellulose, methylhydroxypropyl- cellulose and hydroxypropylcellulose, acrylates or methacrylates, such as salts of polyacrylic acid or ethyl acrylate, polyacrylamides, natural products, such as gelatin, alginates, pectins, tragacanth, karaya gum, xanthan gum, carrageenin, agar and acacia, starch derivatives, such as starch acetate and hydroxypropyl starch, and also other synthetic products, such as polyvinyl alcohol, polyvinylpyrrolidone, polyvinyl methyl ether, polyethylene oxide, preferably cross-linked polyacrylic acid, such as neutral Carbopol, or mixtures of those polymers. Preferred carriers are water, cellulose derivatives, such as methylcellulose, alkali metal salts of carboxymethylcellulose, hydroxymethylcellulose, hydroxyethylcellulose, methylhydroxypropylcellulose and hydroxypropylcellulose, neutral Carbopol, or mixtures thereof. The concentration of the carrier is, for example, from 1 to 100000 times the concentration of the active ingredient. The solubilizers used for an ophthalmic composition of the present invention are, for example, tyloxapol, fatty acid glycerol polyethylene glycol esters, fatty acid polyethylene glycol esters, polyethylene glycols, glycerol ethers or mixtures of those compounds. A specific example of an especially preferred solubilizer is a reaction product of castor oil and ethylene oxide, for example the commercial products Cremophor EL*or Cremophor RH 40 ® . Reaction products of castor oil and ethylene oxide have proved to be particularly good solubilizers that are tolerated extremely well by the eye. Another preferred solubilizer is tyloxapol. The concentration used depends especially on the concentration of the active ingredient. The amount added is typically sufficient to solubilize the active ingredient. For example, the concentration of the solubilizer is from 0.1 to 5000 times the concentration of the active ingredient. Buffers, tonicity enhancing agents and preservatives different from quatemary ammonium salts may be used in an ophthalmic composition of the present invention as well. Examples of buffer substances are acetate, ascorbate, borate, hydrogen carbonate /carbonate, citrate, gluconate, lactate, phosphate, propionate and TRIS (tromethamine) buffers. Tromethamine and borate buffer are preferred buffers. The amount of buffer substance added is, for example, that necessary to ensure and maintain a physiologically tolerable pH range. The pH range is typically in the range of from 5 to 9, preferably from 6 to 8.5 and more preferably from 6.5 to 8.2. Tonicity enhancing agents are, for example, ionic compounds, such as alkali metal or alkaline earth metal halides, such as, for example, CaCI 2 , KBr, KCI, LiCl, Nal, NaBr or NaCl, or boric acid. Non-ionic tonicity enhancing agents are, for example, urea, glycerol, sorbitol, mannitol, propylene glycol, or dextrose. For example, sufficient tonicity enhancing agent is added to impart to the ready-for-use ophthalmic composition an osmolality of approximately from 50 to 1000 mOsmol, preferred from 100 to 400 mOsmol, more preferred from 200 to 400 mOsmol and even more preferred from 250 to 350 mOsmol. Examples of preservatives different from quaternary ammonium salts are alkyl-mercury salts of thiosalicylic acid, such as, for example, thiomersal, phenylmercuric nitrate, phenylmercuric acetate or phenylmercuric borate, parabens, such as, for example, methylparaben or propylparaben, alcohols, such as, for example, chlorobutanol, benzyl alcohol or phenyl ethanol, guanidine derivatives, such as, for example, chlorohexidine or polyhexamethylene biguanide, or sorbic acid. Preferred preservatives are alkyl-mercury salts and parabens. Where appropriate, a sufficient amount of preservative is added to the ophthalmic composition to ensure protection against secondary contaminations during use caused by bacteria and fungi. The ophthalmic compositions may comprise further non-toxic excipients, such as, for example, emulsifiers, wetting agents or fillers, such as, for example, the polyethylene glycols designated 200, 300, 400 and 600, or Carbowax designated 1000, 1500, 4000, 6000 and 10000. Other excipients that may be used if desired are listed below but they are not intended to limit in any way the scope of the possible excipients. They are especially complexing agents, such as disodium-EDTA or EDTA, antioxidants, such as ascorbic acid, acetylcysteine, cysteine, sodium hydrogen sulfite, butyl-hydroxyanisole, butyl- hydroxytoluene or alpha-tocopherol acetate; stabilizers, such thiourea, thiosorbitol, sodium dioctyl sulfosuccinate or monothioglycerol; or other excipients, such as, for example, lauric acid sorbitol ester, triethanol amine oleate or palmitic acid ester. Preferred exipients are complexing agents, such as disodium-EDTA. The amount and type of excipient added is in accordance with the particular requirements and is generally in the range of from approximately 0.0001 to approximately 90% by weight. The pharmaceutically active compounds useful in accordance with the present invention may be selected from a wide variety of especially ophthalmically acceptable agents, including beneficial pharmaceutical agents, diagnostic agents, vitamins, nutrients, lubricants, and the like. The pharmaceutically active compounds may include, without limitation thereto, 3H-thymidine, acetylcholine chloride, acyclovir, adrenaline, amethocaine, aminocaproic acid, antazoline phosphate, arachidonic acid, atropine, benoxinate hydrochloride, betaxolol hydrochloride, bupivacaine, carbachol, carteolol, chloramphenicol, chlortetracycline hydrochloride, chymatrypsin, clonidine, cocaine, corynanthine, cromolyn sodium, cyclopentolate, demecarium bromide, dexamethasone, dibutoline, dichlorphenamide, diclofenac, dipivefrin hydrochloride, echodtiophate iodide, ephedrine, epinephrine bitartrate, erythromycin, ethambutol, etidocaine, eucatropine, fiuoromethalone, fluorometholone, gentamycin sulfate, gramicidine, H-thymidine, homatropine hydrobromide, hyaluronic acid, hydrocortisone, idoxuridine, indomethacin, inositol triphosphate, inositol phosphates, isoflurophate, isosorbide, lachesine, levobunolol, levocabastine, lidocaine, lignocaine, medrysone, mepivacaine, methacholine, methazolamide, naphazoline hydrochloride, natamycin, neomycin sulfate, neostigmine, noradrenaline, ofloxacin, oxybuprocaine, oxymetazolin, oxyphenonium, pheniramine maleate, phenylephrine hydrochloride, phosphatidylinositol phosphates, physostigmine, pilocarpine hydrochloride, polymyxin B sulfates, prednisolone sodium phosphate, proparacaine hydrochloride, proxymethacaine, pyrilamine maleate, scopolamine hydrobromide, sorbinil, sulfacetamide, sulfisoxazole disolamine, tamoxifen, tetracaine hydrochloride, tetracycline, tetrahydrozoline hydrochloride, timolol maleate and hemihydrate, trifluridine, tropicamide, vidarabine, and salts and other ophthalmically acceptable salts, and mixtures thereof. Preferred pharmaceutically active compounds are selected from the group of betaxolol hydrochloride, chloramphenicol, diclofenac, dipivefrin hydrochloride, ephedrine, epinephrine bitartrate, erythromycin, gentamycin sulfate, indomethacin, levobunolol, levocabastine, ofloxacin, pilocarpine hydrochloride, polymyxin B sulfates, prednisolone sodium phosphate, tetracycline and other ophthalmically acceptable salts thereof. More preferred pharmaceutically active compounds are selected from the group of, betaxolol hydrochloride, chloramphenicol, diclofenac, dipivefrin hydrochloride, levobunolol, levocabastine, pilocarpine hydrochloride and other ophthalmically acceptable salts thereof. A cyclodextrin as is referred to within the present invention is either an α-, β- or γ- cyclodextrin itself, a derivative thereof, e.g. a partially etherified derivative as e.g. a hydroxyalkyl ether or a mixture thereof. A random cyclodextrin does not automatically form an inclusion complex with any random pharmaceutical compound. Therefore the present invention relates preferably to such a cyclodextrin that meets the cavity needs of a pharmaceutical compound used. This may typically be accomplished by using either an a-, β- or γ-cyclodextrin itself or an appropriately substituted, cc-, β- or γ- cyclodextrin or a mixture of the aforementioned cyclodextrins. Appropriately substituted α-, β- or γ-cyclodextrins are e.g. alkylated, hydroxyalkylated, carboxyalkylated or alkyloxycarbonyl-alkylated derivatives. Other typical examples are carbohydrate derivatives of cyclodextrins such as mono- or diglycosyl-α-, β- or γ- cyclodextrin, mono- or dimaltosyl-α-, β- or γ- cyclodextrin or panosyl-cyclodextrin. Another parameter which describes the substitution pattern of a cyclodextrin is the degree of substitution (d.s.). The d.s. is another parameter in the determination of the cavity size of a cyclodextrin. A cyclodextrin is composed of several glucose units which have three free hydroxy groups per glucose. Accordingly the d.s. may vary from 0.125 up to 3. In the latter case all free (γ-cyclodextrin has 24) hydroxy groups may be substituted, while in the former case only 1 may be substituted. A minimal d.s. is preferred when γ-cyclodextrin is used as a solubilizer of a pharmaceutically active drug (see EP 197 571). A higher d.s. is e.g. preferred in technical applications and e.g. enzymes. In the latter instance, the higher d.s. causes that also those hydroxy groups are functionalized which are located in the cavity of the γ-cyclodextrin. Consequently the diameter of the cavity is decreased. By selecting the appropriate d.s. and the appropriate substituents the size of the cavity can be adapted in order to obtain the optimum space required for a certain molecule to appropriately fit into the cavity of the cyclodextrin. Preferably the d.s. may vary from 0.125 to 1 .5 and more preferably from 0.125 to 0.5. Preferred cyclodextrins are α-, β- and γ-cyclodextrin, derivatives and mixtures thereof. Other preferred cyclodextrins are mono-, diglycosyl-β- cyclodextrin, mono- and dimaltosyl-β- cyclodextrin. Strongly preferred cyclodextrins are hydroxypropyl-β-cyclodextrin, hydroxypropyl-γ- cyclodextrin, dimethyl-β- cyclodextrin and dimethyl-γ-cyclodextrin. The amount of a cyclodextrin used in accordance with the present invention may range from 0.01 - 20 % by weight, preferably from 0.1 - 15 % by weight and more preferably from 1 - 10 % by weight. The very small number of quatemary ammonium salts useful in eye medicaments for preservation is in contrast with the large number of known quatemary ammonium salts ("quats") which are employed for preservation in other fields. This is clearly restricted by the ocular tolerability of an addressed preservative. Accordingly in the present invention quatemary ammonium salts with excellent ocular tolerability are highly preferred. The quatemary ammonium salts useful in accordance with the present invention may be selected from a wide variety of especially ophthalmically acceptable salts and are in particular selected from sepazonium chloride, cetyltrimethylammonium bromide (cetrimide), cetylpyridinium chloride, benzoxonium chloride, benzethonium chloride, domiphen bromide (Bradoso ) and benzalkonium chloride A preferred preservative useful in accordance with the present invention is benzalkonium chloride which has the following structure: N-benzyl-N-(C 8 -C 18 alkyl)-N,N-dimethylammonium chloride. The amount of a quaternary ammonium salt used in accordance with the present invention may range from 0.00001 % by weight to 0.5 % by weight, preferably from 0.0001 % by weight to 0.1 % by weight and more preferably from 0.001 % weight to 0.05 % by weight. Alkylene glycol useful in accordance with the present invention may be selected from a wide variety of alkylene glycols wherein alkylene has up to and including 18 C-atoms and is linear, cyclic or branched. Examples of linear alkylene are methylene, 1 ,2-ethylene, 1 ,3-propylene, 1 ,4-butylene, 1,5- pentylene, 1 ,6-hexylene, 1 ,7-heptylene or 1 ,11-undecylene. Examples of cyclic alkylene groups are 1 ,2-cis or trans cyclopropylene, 1 ,2- or 1 ,3- cis or trans cyclobutylene, the regio- and stereo-isomers of cyclopentylene, cyclohexylene or cycloheptylene. Branched alkylene groups are for example 2-methyl-1 ,3-propylene, 2,2-dimethyl-1 ,4- butylene, 3-ethyl-2,4-butylene, 2, 3, 4-trimethyl-1 ,5-pentylene, 3-isopropy-1 ,6-hexylene or 3- methyl-1 ,7-heptylene. A preferred alkylene glycol in accordance with the present invention is selected from an alkylene glycol with up to and including 7 C-atoms and is either linear, branched or cyclic. A more preferred alkylene glycol is selected from linear, branched and cyclic alkylene glycol having 3 to 7 C-atoms. Highly preferred alkylene glycols are for example 1 ,2- or 1 ,3-propylene glycol, 1 ,2-, 1 ,3-, 2,3- or 1 ,4-butylene glycol or all isomers of pentylene, hexylene and heptylene glycol. Most preferred is propylene glycol. The amount of an alkylene glycol used in accordance with the present invention may range from 0.01 - 20 % by weight, preferably from 0.1 - 15 % by weight and more preferably from 1 - 10 % by weight. Alkyl means throughout this invention an alkyl group having up to and including 18, more preferably 12 and even more preferably 7 C-atoms, and is either a linear or a branched alkyl group. Examples for alkyl are methyl, ethyl, propyl, butyl, iso-propyl, t-butyl, neo-pentyl, octyl or dodecyl. The term weight % used herein refers to the weight % of the total weight of an addressed composition or object. The expression propylene glycol as used herein refers to 1 ,2-propylene glycol, unless specified differently. Typical experimental procedures which illustrate the present invention, but are not intended to limit it in any way, are described below. Example 1, eye drop formulations diclofenac potassium 1.00 mg 0.5 mg - - diclofenac sodium - - 1.00 mg 0.5 mg tyloxapol USP 1.00 mg LOO mg 1.00 mg 1.00 mg tromethamine 1.00 mg 1.00 mg 1.00 mg 1.00 mg propylene glycol 19.0 mg 19.0 mg 19.0 mg 19.0 mg hydroxypropyl-γ-cyclodextrin 20.0 mg 20.0 mg 20.0 mg 20.0 mg disodium edetate 1.00 mg 1.00 mg 1.00 mg 1.00 mg benzalkonium chloride 0.05 mg 0.05 mg 0.05 mg 0.05 mg hydrochloric acid 1 N qs qs qs qs water for injections ad 1.00 ml 1.00 ml 1.00 ml 1.00 ml PH 7.96 7.98 7.96 7.98 osmolality (mOsmol) 305 303 305 303 Example 2, eye gel formulations diclofenac potassium 1.00 mg - diclofenac sodium - 1.00 mg tyloxapol USP 1.00 mg 1.00 mg tromethamine 6.50 mg 6.50 mg propylene glycol 19.0 mg 19.0 mg hyd roxy p ropy I -γ-cyclodextrin 20.0 mg 20.0 mg disodium edetate 1.00 mg LOO mg benzalkonium chloride 0.05 mg 0.05 mg carbopol 980 3.50 mg 3.50 mg water for injections ad 1.00 ml 1.00 ml pH 8.00 8.00 osmolality (mOsmol) 308 308 viscosity (mPa s) 380 380 Example 3, eye drop formulations diclofenac potassium 1.00 mg 0.5 mg - - diclofenac sodium - - 1.00 mg 0.5 mg tromethamine 1.00 mg LOO mg 1.00 mg 1.00 mg propylene glycol 20.5 mg 20.5 mg 20.5 mg 20.5 mg hydroxypropyl-γ-cyclodextrin 20.0 mg 20.0 mg 20.0 mg 20.0 mg disodium edetate 1.00 mg 1.00 mg 1.00 mg 1.00 mg benzalkonium chloride 0.06 mg 0.06 mg 0.06 mg 0.06 mg hydrochloric acid 1 N qs qs qs qs water for injections ad 1.00 ml 1.00 ml 1.00 ml 1.00 ml PH 7.90 7.90 7.90 7.90 osmolality (mOsmol) 296 296 296 296 Example 4; comparison of eye drop compositions with respect to their preservative efficacy according to the recommendations of the European Pharmacopoeia (Ph. Eur.). propylene glycol 20.0 mg 20.0 mg 20.0 mg tromethamine 0.5 mg 0.5 mg 0.5 mg 0.5 mg NaH 2 PO 4 2 H 2 O 0.6 mg Na 2 HPO 4 12 H 2 O 6.0 mg hydroxypropyl-β-cyclodextrin 20.0 mg 20.0 mg 20.0 mg 20.0 mg disodium edetate 1.00 mg 1.00 mg LOO mg 1.00 mg 1.00 mg benzalkonium chloride 0.1 mg 0.1 mg 0.1 mg 0.1 mg sodium chloride 8.5 mg 8.7 mg hydrochloric acid 10% 0.6 mg 0.2 mg 0.3 mg 0.1 mg water for injections ad 1.00 ml 1.00 ml 1.00 ml 1.00 ml 1.00 ml PH 7.49 7.32 7.38 7.36 7.30 osmolality (mOsmol) 308 306 302 305 348 preservative efficacy Ph. Eur. B r.n.m. r.n.m. A B A: Meets the criteria A recommended in the European Pharmacopoeia B: Meets the criteria B recommended in the European Pharmacopoeia r.n.m.: Recommendations of the European Pharmacopoeia not met. The European Pharmacopoeia (Ph. Eur.) describes an efficacy test for antimicrobial preservation. Accordingly a preserved solution is inoculated with micro-organisms, characterized in that 10 5 to 10 6 micro-organisms are contained in one milliliter of the challenged preparation. The inoculum used does not exceed 1% of the total volume of said preparation. Five micro-organisms are used for the challenge, each separately namely, pseudomonas aeruginosa, staphylococcus aureus, Candida albicans and aspergillus niger. The challenged solutions are kept at room temperature and protected from light. At regular time intervals samples are removed and the number of viable micro-organisms is determined either by plate count or by membrane filtration. For ophthalmic preparations the European Pharmacopoeia recommends criteria "A", which require e.g. that the bacterial micro-organisms are reduced by a factor of 1000, 24 hours after the challenge. Criteria "B" are still acceptable according to the recommendations of the European Pharmacopoeia, and require e.g. that the bacterial micro-organisms are reduced by a factor of 10, 24 hours after the challenge (for details refer to the European Pharmacopoeia, 1994). Accordingly, whenever the preservative efficacy recommendations of the European Pharmacopoeia are referred to herein, this relates to the 1994 version. Example 5, eye drop formulations containing a pharmaceutically active compound. Preservative efficacy is determined as in example 4. diclofenac potassium 1.00 mg LOO mg 1.00 mg 1.00 mg 1.00 mg propylene glycol 20.0 mg 20.0 mg 20.0 mg 20.0 mg 20.0 mg tromethamine 0.5 mg 0.5 mg 0.5 mg 0.5 mg 0.5 mg hydroxypropyl-β-cyclodextrin 20.0 mg hydroxypropyl-γ-cyclodextrin 20.0 mg α-cyclodextrin 20.0 mg β-cyclodextrin 15.0 mg γ-cyclodextrin 20.0 mg disodium edetate 1.00 mg 1.00 mg 1.00 mg 1.00 mg 1.00 mg benzalkonium chloride 0.1 mg 0.1 mg 0.1 mg 0.1 mg 0.1 mg hydrochloric acid 10 % 0.4 mg 0.5 mg 0.4 mg 0.3 mg water for injections ad 1.00 ml 1.00 ml 1.00 ml .1.00 ml 1.00 ml PH 7.40 7.41 7.44 7.41 7.34 osmolality (mOsmol) 307 315 307 302 330 preservative efficacy Ph. Eur B A B B A Example 6, eye drop formulation diclofenac sodium 1.00 mg propylene glycol 20.0 mg tromethamine 0.5 mg hydroxypropyl-β-cyclodextrin 20.0 mg disodium edetate 1.00 mg benzalkonium chloride 0.1 mg hydrochloric acid 10 % 0.3 mg water for injections ad 1.00 ml pH 7.45 osmolality (mOsmol) 312 preservative efficacy Ph. Eur B Example 7; eye drop formulations, not meeting the criteria as recommended in the European Pharmacopoeia. Preservative efficacy is determined as in example 4. diclofenac potassium 1.00 mg 1.00 mg 1.00 mg 1.00 mg 1.00 mg Cremophor EL 20.0 mg 20.0 mg 20.0 mg 20.0 mg 20.0 mg tromethamine 0.5 mg 0.5 mg 0.5 mg 0.5 mg 0.5 mg hydroxypropyl-β-cyclodextrin 20.0 mg hydroxypropyl-γ-cyclodextrin 20.0 mg α-cyclodextrin 20.0 mg β-cyclodextrin 15.0 mg γ-cyclodextrin 20.0 mg disodium edetate LOO mg 1.00 mg 1.00 mg 1.00 mg 1.00 mg benzalkonium chloride 0.1 mg 0.1 mg 0.1 mg 0.1 mg 0.1 mg sodium chloride 8.00 mg 8.00 mg 8.00 mg 8.00 mg 8.00 mg hydrochloric acid 10 % 0.4 mg 0.4 mg 0.3 mg 0.2 mg water for injections ad 1.00 ml 1.00 ml 1.00 ml 1.00 ml 1.00 ml pH 7.44 7.44 7.49 7.47 7.44 osmolality (mOsmol) 308 309 301 311 296 preservative efficacy Ph. Eur r.n.m. r.n.m. r.n.m. r.n.m. r.n.m.

Claims: Claims 1. A preserved ophthalmic composition, comprising a cyclodextrin, a quaternary ammonium salt, an alkylene glycol and a pharmaceutically active compound. 2. A preserved ophthalmic composition according to claim 1 , further comprising a carrier. 3. A preserved ophthalmic composition according to claim 1 , further comprising one or more of an excipient selected from the group consisting of buffers, solubilizers, complexing agents, stabilizers, preservatives different from quatemary ammonium salts, tonicity enhancing agents and fillers. 4. A preserved ophthalmic composition according to claim 1 , further comprising a carrier and a solubilizer. 5. A preserved ophthalmic composition according to claim 1 , further comprising a carrier, a solubilizer and a complexing agent. 6. A preserved ophthalmic composition according to claims 1 to 5, wherein the composition meets the preservative efficacy recommendations of the European Pharmacopoeia. 7. A preserved ophthalmic composition according to claims 1 to 5, wherein the quaternary ammonium salt is selected from sepazonium chloride, cetyltrimethylammonium bromide (cetrimide), cetylpyridinium chloride, benzoxonium chloride, benzethonium chloride, domiphen bromide (Bradosol ® ) and benzalkonium chloride. 8. A preserved ophthalmic composition according to claims 1 to 5, wherein the cyclodextrin is selected from α-, β- and γ-cyclodextrin, derivatives and mixtures thereof. 9. A composition according to claim 8, wherein the cyclodextrin is selected from mono-, diglycosyl-β- cyclodextrin, mono-, dimaltosyl-β-cyclodextrin, hydroxypropyl-β-cyclodextrin, hydroxypropyl-γ-cyclodextrin, dimethyl-β- cyclodextrin and dimethyl-γ-cyclodextrin. 10. A preserved ophthalmic composition according to claims 1 to 5, wherein the alkylene glykol is selected from linear, branched and cyclic alkylene glycol having up to 7 C-atoms. 11. A composition according to claim 10, wherein the alkylene glykol is selected from linear, branched and cyclic alkylene glycol having 3 to 7 C-atoms. 12. A preserved ophthalmic composition according to claim 2, wherein the carrier is selected from water, cellulose derivatives, such as methylcellulose, alkali metal salts of carboxymethylcellulose, hydroxymethylcellulose, hydroxyethylcellulose, methylhydroxypropylcellulose and hydroxypropylcellulose, neutral Carbopol and mixtures thereof. 13. A preserved ophthalmic composition according to claims 3 or 4, wherein the solubilizer is selected from tyloxapol, fatty acid glycerol polyethylene glycol esters, fatty acid polyethylene glycol esters, polyethylene glycols, glycerol ethers and mixtures of those compounds. 14. A preserved ophthalmic composition according to claims 3 or 5, wherein the complexing agent is EDTA or disodium EDTA. 15. A preserved ophthalmic composition according to claim 1 , wherein the pharmaceutically active compound is selected from the group of betaxolol hydrochloride, chloramphenicol, diclofenac, dipivefrin hydrochloride, levobunolol, levocabastine, pilocarpine hydrochloride and salts or other ophthalmically acceptable salts thereof.

Inventors: FETZ ANDREA, KIS GYOERGY LAJOS, SCHOCH CHRISTIAN, FETZ, ANDREA, KIS, GYOERGY, LAJOS, SCHOCH, CHRISTIAN
Applicants: CIBA GEIGY AG, FETZ ANDREA, KIS GYOERGY LAJOS, SCHOCH CHRISTIAN, FETZ, ANDREA, KIS, GYOERGY, LAJOS, NOVARTIS AG, SCHOCH, CHRISTIAN
Application year: 1996
Main classification: A61K9
IPC codes: A61K9, A61K31, A61K47, A61P27