Physiological Vehicle Compositions Containing Higher Alkyl Substituted Azacyclopentan-2-Ones

Many physiologically active agents are best applied topically to obtain desirable results. Topical application, as contrasted to systemic application, largely avoids side effects of the agents and permits high local concentrations of the agents.

The greatest problem in applying physiologically active agents topically is that the skin is such an effective barrier to penetration. The epidermis of the skin has an exterior layer of dead cells called the stratum corneum which is tightly compacted and oily and which provides an effective barrier against gaseous, solid or liquid chemical agents, whether used alone or in water or oil solutions. If a physiologically active agent penetrates the stratum corneum, it can readily pass through the basal layer of the epidermis and into the dermis.

Although the effectiveness of the stratum corneum as a barrier provides great protection, it also frustrates efforts to apply beneficial agents directly to local areas of the body. The inability of physiologically active agents to penetrate the stratum corneum prevents their effective use to treat such conditions as inflamation, acne, psoriasis, herpes simplex, eczema, infections due to fungus, virus or other microorganisms, or other disorders or conditions of the skin or mucous membranes, or of conditions beneath the exterior surface of the skin or mucous membranes. The stratum corneum also prevents the skin from absorbing and retaining cosmetic-type materials such as sunscreens, perfumes, mosquito repellants and the like.

Physiologically active agents may be applied to locally affected parts of the body through the vehicle system described herein. Vehicles such as USP cold cream, ethanol and various ointments, oils, solvents, and emulsions have been used heretofore to apply physiologically active ingredients locally. Most such vehicles are not effective to carry significant amounts of physiologically active agents through the skin. One such vehicle is dimethyl sulfoxide, which is described in U.S. Pat. No. 3,551,554. In this description, the term "animal" includes human beings as well as other forms of animal life, and especially domesticated animals and pets.

A number of 1-substituted-azacyclopentan-2-one compounds are known. The 1-lower alkyl substituted azacyclopentane-2-ones having 1-4 carbon atoms are known to moderately enhance percutaneous absorption of chemicals, e.g., drugs. It would be desirable to obtain the same or higher level of percutaneous absorption with substantially lower concentrations of the penetration-enhancing compound.

This invention is a method for carrying physiologically active agents through body membranes such as skin and for retaining these agents in body tissues. The invention also relates to compositions for use in the method. More specifically, the invention relates to a method for topically administering a physiologically active agent to a human or animal comprising administering topically to a human or animal an effective amount of a composition containing the agent and an effective, non-toxic amount of a compound having the structural formula ##STR1## wherein R' is H or a lower alkyl group having 1-4 carbon atoms and R is a straight or branch chain alkyl group having 7-12 carbon atoms. In the preferred embodiment, R' is H and R is a straight chain alkyl group having 8-10 carbon atoms.

It has been found that the physiologically active agents are carried through body membranes by the claimed vehicles and are retained in body tissue.

The claimed 1-higher alkyl-azacyclopentan-2-ones are made by methods as will be known to those of skill in the art, as further shown in the Examples below.

The compounds covered by the general formula above may be prepared, for example, by treating azacyclopentan-2-one with an alkyl halide or alkyl mesylate in the presence of a base e.g. sodium hydride. The reaction is carried out under anhydrous conditions in a hydrocarbon solvent, for example, dry toluene at reflux temperature for 20 to 72 hours in an inert atmosphere, for example, nitrogen. This method is outlined below: ##STR2##

In another method gamma-dialkylaminobutyric acid may be treated with phosphorus trihalide and the resulting acid halide (which need not be isolated) is heated, resulting in the formation of N-alkylazacyclopentan-2-one. Suitable acid halide forming agents include phosphorous trichloride, phosphorous tribromide, thionyl chloride, etc. The acid halide is formed at room temperature and then the reaction temperature is raised to 70.degree.-90.degree. C. One of the alkyl groups on the amino nitrogen of the parent acid is eliminated as alkyl halide. If the alkyl groups on the amino nitrogen are different, the smaller of the two alkyl groups is eliminated preferentially. This method is described below: ##STR3##

Alternatively, butyrolactone may be heated with an alkyl amine for 24 to 48 hours at 250.degree. C to obtain the corresponding N-alkyl-azacyclopentan-2-one as shown below: ##STR4##

The amount of 1-higher alkyl-azacyclopentan-2-one which may be used in the present invention is an effective, non-toxic amount for enhancing percutaneous absorption. Generally, this amount ranges between about 0.1 to about 5 and preferably 0.1 to 2 percent by weight of the composition.

The process of this invention may find use with many physiologically active agents which are soluble in the vehicles disclosed.

Fungistatic and fungicidal agents such as, for example, thiabendazole, chloroxine, amphotericin, candicidin, fungimycin, nystatin, chlordantoin, clotrimazole, ethonam nitrate, miconazole nitrate, pyrrolnitrin, salicylic acid, fezatione, ticlatone, tolnaftate, triacetin and zinc and sodium pyrithione may be dissolved in the vehicles described herein and topically applied to affected areas of the skin. For example, fungistatic or fungicidal agents so applied are carried through the stratum corneum, and thereby successfully treat fungus-caused skin problems. These agents, thus applied, not only penetrate more quickly than when applied in the vehicles of the prior art, but additionally enter the animal tissue in higher concentrations and are retained for substantially longer time periods whereby a far more successful treatment is effected.

For example, the method of this invention may also be employed in the treatment of fungus infections on the skin caused by candida and dermatophytes which cause athletes foot or ringworm, by dissolving thiabendazole or similar antifungal agents in one of the vehicles and applying it to the affected area.

The invention is also useful in treating skin problems, such as for example, herpes simplex, which may be treated by a solution of iododeoxyuridine dissolved in one of the vehicles, or such problems as warts which may be treated with agents such as podophylline dissolved in one of the vehicles. Skin problems such as psoriasis may be treated by topical application of a solution of a conventional topical steroid in one of the vehicles or by treatment with theophylline or antagonists of .beta.-adrenergic blockers such as isoproterenol in one of the vehicles. Scalp conditions such as alopecia areata may be treated more effectively by applying steroids such as triamcinolone acetonide dissolved in one of the vehicles of this invention directly to the scalp.

The present invention is also useful for treating mild eczema, for example, by applying a solution of fluocinolone acetonide or its derivatives; hydrocortisone, triamcinolone acetonide, indomethacin, or phenylbutazone dissolved in one of the vehicles to the affected area.

Examples of other physiologically active steroids which may be used with the vehicles include corticosteroids such as, for example, cortisone, cortodoxone, flucetonide, fludrocortisone, difluorsone diacetate, flurandrenolone acetonide, medrysone, amcinafel, amcinafide, betamethasone and its esters, chloroprednisone, clocortelone, descinolone, desonide, dexamethasone, dichlorisone, difluprednate, flucloronide, flumethasone, flunisolide, fluocinonide, flucortolone, fluoromethalone, fluperolone fluprednisolone, meprednisone, methylmeprednisolone, paramethasone, prednisolone and prednisone.

This invention is also useful in antibacterial chemotherapy, e.g., in the treatment of skin conditions involving pathogenic bacteria. Typical antibacterial agents which may be used in this invention include sulfonomides, penicillins, cephalosporins, penicillinase, erythromycins, lincomycins, vancomycins, tetracyclines, chloramphenicols, streptomycins, etc. Typical examples of the foregoing include erythromycin, erythromycin ethyl carbonate, erythromycin estolate, erythromycin glucepate, erythromycin ethylsuccinate, erythromycin lactobionate, lincomycin, clindamycin, tetracycline, chlortetracycline, demeclocycline, doxycycline, methacycline, oxytetracycline, minocycline, etc.

This invention is also useful in protecting ultra-sensitive skin or even normally sensitive skin from damage or discomfort due to sunburn. Thus, dermatitis actinica may be avoided by application of a sunscreen, such as para-aminobenzoic acid or its well-known derivatives dissolved in one of the vehicles, to skin surfaces that are to be exposed to the sun; and the protective para-aminobenzoic acid or its derivatives will be carried into the stratum corneum more successfully and will therefore be retained even when exposed to water or washing for a substantially longer period of time than when applied to the skin in conventional vehicles. This invention is particularly useful for ordinary suntan lotions used in activities involving swimming because the ultraviolet screening ingredients in the carriers of the prior art are washed off the skin when it is immersed in water.

This invention may also find use in treating scar tissue by applying agents which soften collagen, such as aminoproprionitrile or penicillamine dissolved in one of the vehicles of this invention topically to the scar tissue.

Agents normally applied as eye drops, ear drops, or nose drops are more effective when dissolved in the vehicles of this invention.

Agents used in diagnosis may be used more effectively when applied dissolved in one of the vehicles of this invention. Patch tests to diagnose allergies may be effected promptly without scratching the skin or covering the area subjected to an allergen when the allergens are applied in one of the vehicles of this invention.

This invention is also useful for topical application of cosmetic or esthetic agents. For example, compounds such as melaninstimulating hormone (MHS) or dihydroxy acetone and the like are more effectively applied to skin to simulate a suntan when they are dissolved in one of the vehicles of this invention. The agent is carried into the skin more quickly and in greater quantity when applied in accordance with this invention. Hair dyes also penetrate more completely and effectively when dissolved in one of the vehicles of this invention.

The effectiveness of such topically applied materials as insect repellants or fragrances, such as perfumes and colognes, can be prolonged when such agents are applied dissolved in one of the vehicles of this invention.

It is to be emphasized that the foregoing are simply examples of physiologically active agents including therapeutic and cosmetic agents having known effects for known conditions, which may be used more effectively for their known properties in accordance with this invention.

In addition, the vehicles of the present invention may also be used to produce therapeutic effects which were not previously known. That is, by use of the vehicles described herein, therapeutic effects heretofore not known can be achieved.

As an example of the foregoing, griseofulvin is known as the treatment of choice for fungus infections of the skin and nails. Heretofore, the manner of delivery of griseofulvin has been oral. However, it has long been known that oral treatment is not preferred because of side effects resulting from saturation of the entire body with griseofulvin and the fact that only the outer layers of affected skin need to be treated. Therefore, because fungal infections are generally infections of the skin and nails, it would be advantageous to utilize griseofulvin topically. However, despite a long-felt need for a topical griseofulvin, griseofulvin has been used orally to treat topical fungus conditions because there was not heretofore known any formulation which could be delivered topically which would cause sufficient retention of griseofulvin in the skin to be useful therapeutically.

However, it has now been discovered that griseofulvin, in a range of therapeutic concentrations between about 0.1% and about 10% may be used effectively topically if combined with one of the vehicles described herein.

As a further example, acne is the name commonly applied to any inflammatory disease of the sebaceous glands; also acne vulgaris. The microorganism typically responsible for the acne infection is Corynebacterium acnes. Various therapeutic methods for treating acne have been attempted including topical antibacterials, e.g. hexachlorophene, and systemic antibiotics such as tetracycline. While the systemic antibiotic treatment are known to be partially effective, the topical treatments are generally not effective.

It has long been known that systemic treatment of acne is not preferred because of side effects resulting from saturation of the entire body with antibiotics and the fact that only the affected skin need by treated. However, despite a long-felt need for a topical treatment for acne, antibiotics generally have been used only systemically to treat acne because there was not heretofore known an antibacterial formulation which could be used topically which would be effective therapeutically in the treatment of acne. However, it has now been discovered that antibiotics, especially those of the lincomycin and erythryomycin families of antibiotics, may be used in the treatment of acne topically if combined with one of the vehicles described herein.

The antibiotics composition so applied is carried into and through the epidermis and deeper layers of the skin as well as into follicles and comedones (sebum-plugged follicles which contain C. acnes) in therapeutically effective amounts and thereby successfully may be used to temporarily eliminate the signs and symptoms of acne.

The term "physiologically active agent" is used herein to refer to a broad class of useful chemical and therapeutic agents including physiologically active steroids, antibiotics, antifungal agents, antibacterial agents, antineoplastic agents, allergens, antihistaminic agents, anti-inflammatory agents, ultraviolet screening agents, diagnostic agents, perfumes, insect repellants, hair dyes, etc.

Dosage forms for topical application may include solution nasal sprays, lotions, ointments, creams, gels suppositories, sprays, aerosols and the like. Typical inert carrier which make up the foregoing dosage forms include water, acetone, isopropyl alcohol, freons, ethyl alcohol, polyvinyl pyrrolidone, propylene glycol, fragrances, gel-producing materials, mineral oil, stearyl alcohol, stearic acid, spermaceti, sorbitan monooleate, "Polysorbates," "Tweens," sorbital, methylcellulose, etc.

The amount of the composition, and thus of the physiologically active agent therein, to be administered will obviously be an effective amount for the desired result expected therefrom. This, of course, will be ascertained by the ordinary skill of the practitioner. Due to enhanced activity which is achieved, the dosage of agent may often be decreased from that generally applicable. In accordance with the usual prudent formulating practices, a dosage near the lower end of the useful range of the particular agent may be employed initially and the dosage increased as indicated from the observed response, as in the routine procedure of the physician.

The examples which follow illustrate the compositions of the present invention. Temperatures are given in degrees Centigrade.

Preparation of 1-n-Octylazacyclopentan-2-one having the following structure: ##STR5## A suspension of 5.44 g of 57% sodium hydride/mineral oil (actually 3.10 g NaH, 0.13 mole) in 200 ml of petroleum ether was allowed to settle and the residue washed with 2 .times. 200 ml of petroleum ether. After the excess petroleum ether was removed, 150 ml of dry toluene was added and the mixture stirred as 10 g (0.1174 mole) of azacyclopentan-2-one in 25 ml of dry toluene was added dropwise over one hour. After the addition was complete, the mixture was refluxed for one hour then 25.1 g (0.13 mole) of 1-bromooctane in 25 ml of dry toluene was added dropwise over one hour to the refluxing mixture. After the addition was complete, the mixtures was refluxed for 3 days. The reaction mixture was filtered twice (the latter time through celite), and the solvent evaporated to yield a yellow oil. Vacuum distillation yeilded a fraction b.p. 128.degree.-132.degree. at 0.3 mm, weighing 13.6 g (59%).

Preparation of 1-n-Nonylazacyclopentan-2-one having the following structure: ##STR6## A suspension of 5.44 g of 57% sodium hydride/mineral oil (actually 3.0 g NaH, 0.13 mole) in 200 ml of petroleum ether was allowed to settle and the residue washed with 2 .times. 200 ml of petroleum ether. After the excess petroleum ether was removed, 150 ml of dry toluene was added and the mixture stirred under nitrogen as 10 g (0.1174 mole) of azacyclopentan-2-one in 25 ml of dry toluene was added dropwise over one hour. After the addition was complete, the mixture was refluxed for one hour, then 27 g (0.13 mole) of 1-bromononane in 25 ml of dry toluene was added dropwise over one hour. After the addition was complete, the mixture was refluxed for 3 days, filtered twice (the latter through celite), then was concentrated to yield a yellow oil. Distillation of this oil under vacuum yielded a fraction b.p. 139.degree.-143.degree. at 0.5 mm, weighing 13.4 g (56%).

The following solution formulation is prepared:

This formulation is effective in the treatment of fungus infections.

An aerosol form of the formulation of Example 3 is prepared by preparing the following mixture:

The following cream formulation is prepared:

This formulation is effective in the treatment of acne.

The following solution formulations are prepared:

These solutions are effective for the treatment of acne in humans.

The following solution formulation is prepared:

This solution is effective for the treatment of otitis in domestic animals.

The following sunscreen emulsion is prepared:

The following antineoplastic solution is prepared:

The following insect repellant atomizing spray is prepared:

The following lotion formulation may be prepared containing about 0.001 to 1 percent, with preferably 0.1 percent fluocinolone acetonide:

The steroid is dissolved in the vehicle and added to a stirred, cooling melt of the other ingredients. The preparation is particularly useful for the treatment of inflammed dermatoses by topical application to the affected skin area. The amount and frequency of application is in accordance with standard practice for topical application of this steroid. Penetration of the steroid into the inflammed tissue is enhanced and a therapeutic level is achieved more rapidly and sustained for longer duration than when the steroid is applied in conventional formulations.

The percutaneous penetration of the claimed vehicles were compared to prior art vehicles by means of a diffusion cell using excised hairless mouse skin as the membrane. Skin specimens were obtained from male mice 8-9 weeks old. Each test solution contained 0.5% .sup.3 H-3',5'-cyclic-adenosine monophosphate. The compounds tested are shown in Table 1; the results of the tests are shown in Table 2.

The foregoing tests show that the higher alkyl substituted azacyclopentan-2-ones having 8 and 9 carbon atoms respectively, in the alkyl substituent, i.e., 1-octyl and 1-nonyl, are far more potent (.apprxeq.50 times) in their ability to enhance percutaneous penetration than are the 1-lower alkyl-azacyclopentan-2-ones having 1-6 carbons in the alkyl substituent.