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Details for Patent: 7,704,518

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Details for Patent: 7,704,518

Title:Foamable vehicle and pharmaceutical compositions thereof
Abstract: A hygroscopic pharmaceutical composition includes at least one hygroscopic substance at a concentration sufficient to provide an Aw value of at least 0.9 and an antiinfective agent. A foamble pharmaceutical carrier includes about 50% to about 98% of a polar solvent selected from the group consisting of a polyol and PEG; 0% to about 48% of a secondary polar solvent; about 0.2% to about 5% by weight of a surface-active agent; about 0.01% to about 5% by weight of at least one polymeric agent; and a liquefied or compressed gas propellant at a concentration of about 3% to about 25% by weight of the total composition.
Inventor(s): Tamarkin; Dov (Maccabim, IL), Friedman; Doron (Karmei Yosef, IL), Eini; Meir (Ness Ziona, IL), Besonov; Alex (Rehovot, IL)
Assignee: Foamix, Ltd. (Ness Ziona, IL)
Filing Date:May 09, 2006
Application Number:11/430,599
Claims:1. A hygroscopic pharmaceutical composition in a pressurized container comprising: a. at least one hygroscopic substance at a sufficient concentration to provide an Aw value of the hygroscopic pharmaceutical composition of less than 0.9, wherein the hygroscopic substance comprises a polyethylene glycol (PEG) or a polyol; b. an anti-infective agent; c. about 0.01% to about 5% by weight of at least one polymeric agent, wherein the polymeric agent is a gelling agent; d. about 0.2% to about 5% by weight of a surface-active agent; and e. a liquefied or compressed gas propellant; wherein the composition comprises not more than 10% or about 10% water by weight; and wherein the composition forms a breakable foam upon dispensing from the pressurized container.

2. The composition of claim 1, wherein the Aw value of the composition ranges from about 0.7 to about 0.9.

3. The foamable pharmaceutical carrier of claim 1, wherein the composition is substantially non-aqueous.

4. The foamable carrier of claim 1, wherein the composition is substantially free of short-chain alcohols.

5. A foamable pharmaceutical carrier in a pressurized container comprising: a. about 50% to about 98% of a polar solvent selected from the group consisting of (1) a polyol and (2) a polyethylene glycol (PEG); b. 0% to about 48% of a secondary polar solvent; c. about 0.2% to about 5% by weight of a surface-active agent; d. about 0.01% to about 5% by weight of at least one polymeric agent selected from a bioadhesive agent, a gelling agent, a film forming agent and a phase change agent; and e. a liquefied or compressed gas propellant at a concentration of about 3% to about 25% by weight of the total composition; wherein the carrier comprises not more than 10% or about 10% water by weight and wherein the carrier forms a breakable foam upon dispensing from the pressurized container.

6. The foamable carrier of claim 5, wherein the carrier is substantially non-aqueous.

7. The foamable carrier of claim 5, wherein the polyol comprises a diol, or a triol.

8. The foamable carrier of claim 7, wherein the diol is selected from the group consisting of propylene glycol, butanediol, butenediol, butynediol, pentanediol, hexanediol, octanediol, neopentyl glycol, 2-methyl-1,3-propanediol, diethylene glycol, triethylene glycol, tetraethylene glycol, dipropylene glycol and dibutylene glycol.

9. The foamable carrier of claim 7, wherein the triol is selected from the group consisting of glycerin, butane-1,2,3 -triol, butane-1,2,4-triol and hexane-1 ,2,6-triol.

10. The foamable carrier of claim 5, wherein the polyol comprises at least one diol and at least one triol, and wherein the ratio between the diol and triol is between 9:1 and 1:1.

11. The foamable carrier of claim 5, wherein the PEG is selected from the group consisting of PEG 200, PEG 300, PEG 400, PEG 600, PEG 1000, PEG 4000, PEG 6000 and PEG 8000.

12. The foamable carrier of claim 5, wherein the foamable carrier comprises one or more PEGs in a concentration to provide viscosity of less than 12,000 CPs.

13. The foamable carrier of claim 5, wherein the carrier composition comprises a mixture of at least one polyol and at least one PEG.

14. The foamable carrier of claim 5, wherein the secondary polar solvent is selected from the group consisting of dimethyl isosorbide, tetrahydrofurfuryl alcohol polyethyleneglycol, ether, DMSO, a pyrrolidone, N-Methyl-2-pyrrolidone, 1 -Methyl-2-pyrrolidinone, ethyl proxitol, dimethylacetamide, a PEG-type surfactant, an alpha hydroxy acid, lactic acid and glycolic acid.

15. The foamable carrier of claim 14, wherein the secondary polar solvent is dimethyl isosorbide.

16. The foamable carrier of claim 5, wherein the carrier composition comprises (1) at least one polar solvent selected from a diol, a triol and PEG, and (2) at least one secondary polar solvent.

17. The foamable carrier of claim 16, wherein the polyol comprises a mixture of at least two polyols.

18. The foamable carrier of claim 5, wherein the polar solvent comprises a mixture of at least one polyol and at least one PEG.

19. The foamable carrier of claim 18, wherein the ratio between the polyol and/or PEG and the secondary polar solvent is between 9:1 and 1:1.

20. The foamable carrier of claim 5, wherein the concentration of the polar solvent and the secondary polar solvent is sufficient to provide an Aw value of the hygroscopic pharmaceutical composition of less than 0.9.

21. The foamable carrier of claim 20, wherein the range of the Aw value of the composition is from about 0.7 to about 0.9.

22. The foamable carrier of claim 5, wherein the composition is substantially free of short-chain alcohols.

23. The foamable carrier of claim 5, wherein the polymeric agent is selected from the group consisting of locust bean gum, sodium alginate, sodium caseinate, egg albumin, gelatin agar, carrageenin gum, sodium alginate, xanthan gum, quince seed extract, tragacanth gum, guar gum, cationic guars, hydroxypropyl guar gum, starch, an amine-bearing polymer, chitosan, alginic acid, hyaluronic acid, a chemically modified starch, a carboxyvinyl polymer, polyvinylpyrrolidone, polyvinyl alcohol, a polyacrylic acid polymer, a polymethacrylic acid polymer, polyvinyl acetate, a polyvinyl chloride polymer, a polyvinylidene chloride polymer, methylcellulose, hydroxypropyl cellulose, hydroxypropyl methylcellulose, hydroxyethyl cellulose, hydroxy propylmethyl cellulose, methylhydroxyethylcellulose, methylhydroxypropylcellulose, hydroxyethylcarboxymethylcellulose, carboxymethyl cellulose, carboxymethylcellulose carboxymethylhydroxyethylcellulose, a cationic cellulose PEG 1000, PEG 4000, PEG 6000 and PEG 8000.

24. The foamable carrier of claim 5, wherein the polymeric agent is dispersible in the polyol or in the mixture of a polyol and an additional polar solvent.

25. The foamable carrier of claim 5, wherein the polymeric agent is selected from the group consisting of hydroxypropylcellulose and carbomer.

26. The foamable carrier of claim 5, wherein the polymeric agent is a carbomer.

27. The foamable carrier of claim 5, wherein the concentration of the polymeric agent is selected such that the viscosity of the composition is less than 12,000 CPs, or less than 10,000 CPs.

28. The foamable carrier of claim 5, wherein the surface active agent has an HLB value between about 7 and 12.

29. The foamable carrier of claim 5, wherein the surface active comprises at least two surface active agents and the weighted average of their HLB values is between about 7 and about 12.

30. The foamable carrier of claim 29, wherein the surface active agent is selected from the group consisting of PEG 100 stearate, Laureth 4 and cetomacrogol ether.

31. The foamable carrier of claim 5, wherein the composition comprises one or more surface active agents having an HLB value between about 9 and about 14.

32. The foamable carrier of claim 5, wherein the composition comprises one or more surface active agents having an HLB value between about 2 and about 9.

33. The foamable carrier of claim 5, wherein the surface active agent comprises a non-ionic surface active agent.

34. The foamable carrier of claim 5, wherein the surface active agent is selected from the group consisting of a polysorbate, polyoxyethylene (20) sorbitan monostearate, polyoxyethylene (20) sorbitan monooleate, a polyoxyethylene fatty acid ester, a polyoxyethylene alkyl ether, a polyoxyethylene alkyl ether, polyoxyethylene cetyl ether, polyoxyethylene palmityl ether, polyethylene oxide hexadecyl ether, a polyethylene glycol cetyl ether, a sucrose ester, a partial ester of sorbitol, sorbitan monolaurate, sorbitan monolaurate a monoglyceride, a diglyceride, isoceteth-20 and a sucrose ester.

35. The foamable carrier of claim 34, wherein the surface active agent further comprises an ionic surfactant, selected from the group consisting of a cationic surfactant, a zwitterionic surfactant, an amphoteric surfactant and an ampholytic surfactant.

36. The foamable carrier of claim 35, wherein the surface active agent comprises a mixture of at least one non-ionic surfactant and at least one ionic surfactant, wherein the ratio of at least one non-ionic surfactant and at least one ionic surfactant ranges from about 100:1 to about 1:1.

37. The foamable carrier of claim 5, further comprising a hydrophobic solvent.

38. The foamable carrier of claim 37, wherein the hydrophobic solvent is selected from the group consisting of mineral oil, isopropyl palmitate, isopropyl isostearate, diisopropyl adipate, diisopropyl dimerate, maleated soybean oil, octyl palmitate, cetyl lactate, cetyl ricinoleate, tocopheryl acetate, acetylated lanolin alcohol, cetyl acetate, phenyl trimethicone, glyceryl oleate, tocopheryl linoleate, wheat germ glycerides, arachidyl propionate, myristyl lactate, decyl oleate, ricinoleate, isopropyl lanolate, pentaerythrityl tetrastearate, neopentylglycol dicaprylate/dicaprate, isononyl isononanoate, isotridecyl isononanoate, myristyl myristate, triisocetyl citrate, octyl dodecanol, unsaturated or polyunsaturated oils, such as olive oil, corn oil, soybean oil, canola oil, cottonseed oil, coconut oil, sesame oil, sunflower oil, borage seed oil, syzigium aromaticum oil, hempseed oil, herring oil, cod-liver oil, salmon oil, flaxseed oil, wheat germ oil, evening primrose oils; essential oils; and silicone oils, such as dimethicone, cyclomethicone, polyalkyl siloxane, polyaryl siloxane, polyalkylaryl siloxane, a polyether siloxane copolymer and a poly(dimethylsiloxane)-(diphenyl-siloxane) copolymer.

39. The foamable carrier of claim 5, further comprising a foam adjuvant selected from the group consisting of a fatty alcohol, a fatty acid and a hydroxyl fatty acid.

40. The foamable carrier of claim 5, further comprising an additional component selected from the group consisting of an anti perspirant, an anti-static agent, a buffering agent, a bulking agent, a chelating agent, a colorant, a conditioner, a deodorant, a diluent, a dye, an emollient, fragrance, a humectant, an occlusive agent, a penetration enhancer, a perfuming agent, a permeation enhancer, a pH-adjusting agent, a preservative, a skin penetration enhancer, a sunscreen, a sun blocking agent, a sunless tanning agent, and a vitamin.

41. A foamable therapeutic composition in a pressurized container comprising: a. a therapeutically effective concentration of an active agent; b. about 50% to about 98% of a polar solvent selected from the group consisting of(1) a polyol; and (2) a polyethylene glycol; c. 0% to about 48% of a secondary polar solvent; d. about 0.2% to about 5% by weight of a surface-active agent; e. about 0.01% to about 5% by weight of at least one polymeric agent selected from a bioadhesive agent, a gelling agent, a film forming agent and a phase change agent; and f. a liquefied or compressed gas propellant at a concentration of about 3% to about 25% by weight of the total composition. wherein the composition comprises not more than 10% or about 10% water by weight and wherein, the composition forms a breakable foam upon dispensing from the pressurized container.

42. The foamable therapeutic composition of claim 41, wherein the carrier is substantially non-aqueous.

43. The foamable therapeutic composition of claim 41, wherein the Aw value of the composition ranges from about 0.7 to about 0.9.

44. The foamable therapeutic composition of claim 41, wherein the active agent is selected from the group consisting of active herbal extracts, acaricides, age spot and keratose removing agents, allergen, analgesics, local anesthetics, antiacne agents, antiallergic agents, antiaging agents, antibacterials, antibiotics, antiburn agents, anticancer agents, antidandruff agents, antidepressants, antidermatitis agents, antiedemics, antihistamines, antihelminths, antihyperkeratolyte agents, antiinflammatory agents, antiirritants, antilipemics, antimicrobials, antimycotics, antiproliferative agents, antioxidants, anti-wrinkle agents, antipruritics, antipsoriatic agents, antirosacea agents antiseborrheic agents, antiseptic, antiswelling agents, antiviral agents, anti-yeast agents, astringents, topical cardiovascular agents, chemotherapeutic agents, corticosteroids, dicarboxylic acids, disinfectants, fungicides, hair growth regulators, hormones, hydroxy acids, immunosuppressants, immunoregulating agents, insecticides, insect repellents, keratolytic agents, lactams, metals, metal oxides, mitocides, neuropeptides, non-steroidal anti-inflammatory agents, oxidizing agents, pediculicides, photodynamic therapy agents, retinoids, sanatives, scabicides, self tanning agents, skin whitening agents, asoconstrictors, vasodilators, vitamins, vitamin D, wound healing agents and wart removers.

45. The foamable therapeutic composition of claim 41, wherein the active agent is selected from the group consisting of alclometasone dipropionate, amcinafel, amcinafide, amcinonide, beclomethasone, beclomethasone dipropionate, betamethsone, betamethasone benzoate, betamethasone dexamethasone-phosphate, dipropionate, betamethasone valerate, budesonide, chloroprednisone, chlorprednisone acetate, clescinolone, clobetasol, clobetasol propionate, clobetasol valerate, clobetasone, clobetasone butyrate, clocortelone, cortisone, cortodoxone, craposone butyrate, desonide, desoxymethasone, dexamethasone, desoxycorticosterone acetate, dichlorisone, diflorasone diacetate, diflucortolone valerate, diflurosone diacetate, diflurprednate, fluadrenolone, flucetonide, flucloronide, fluclorolone acetonide, flucortine butylesters, fludroxycortide, fludrocortisone, flumethasone, flumethasone pivalate, flumethasone pivalate, flunisolide, fluocinolone, fluocinolone acetonide, fluocinonide, fluocortin butyl, fluocortolone, fluorometholone, fluosinolone acetonide, fluperolone, fluprednidene acetate, fluprednisolone hydrocortamate, fluradrenolone, fluradrenolone acetonide, flurandrenolone, fluticasone, halcinonide, halobetasol, hydrocortisone, hydrocortisone acetate, hydrocortisone butyrate, hydrocortisone cyclopentylpropionate, hydrocortisone valerate, hydroxyltriamcinolone, medrysone, meprednisone, alpha-methyl dexamethasone, methylprednisolone, methylprednisolone acetate, mometasone furoate, paramethasone, prednisolone, prednisone, pregnenolone, progesterone, spironolactone, triamcinolone, triamcinolone acetonide esters and salts thereof.

46. The foamable therapeutic composition of claim 43, wherein the active agent is an anti-infective agent.

47. The foamable therapeutic composition of claim 46, wherein the anti-infective agent is selected from the group consisting of an antibiotic agent, an antibacterial agent, an antifungal agent, an agent that controls yeast, an antiviral agent and an antiparasitic agent.

48. The foamable therapeutic composition of claim 47, wherein the antifungal agent is selected from the group consisting of a polyene, natamycin, nystatin; an allylamine, naftifine, terbinafine; an imidazole, bifonazole, clotrimazole, econazole, fenticonazole, ketocanazole, miconazole, oxiconazole; a diazole, a triazole, fluconazole, itraconazole, terconazole, tolnaftate, ciclopirox, undecylenic acid, sulbentine, griseofulvin, Amphotericin B, flucytosine (5FC), a morpholine compound, amorolfine, and salts thereof, and any combination thereof at a therapeutically effective concentration.

49. The foamable therapeutic composition of claim 47, wherein the antifungal agent is terbinafine.

50. The foamable therapeutic composition of claim 47, wherein the antibacterial agent is selected from the group consisting of a beta-lactam antibiotic, an aminoglycoside, an ansa-type antibiotic, an anthraquinone, an azole, metronidazole, an antibiotic glycopeptide, a macrolide, erythromycin, clindamycin, an antibiotic nucleoside, an antibiotic peptide, polymyxin B, an antibiotic polyene, an antibiotic polyether, an antibiotic quinolone, an antibiotic steroid, fucidic acid, mupirocin, chloramphenicol, a sulfonamide, tetracycline, an antibiotic metal, silver, copper, zinc, mercury, tin, lead, bismuth, cadmium, chromium, an oxidizing agent, iodine, iodate, a periodate, a hypochlorite, a permanganate, a substance that release free radicals and/or active oxygen, a cationic antimicrobial agent, a quatemary ammonium compound, a biguanide, chlorohexidine, a triguanide, a bisbiguanide, a polymeric biguanide, a naturally occurring antibiotic compound and salts, ions and complexes thereof.

51. The foamable therapeutic composition of claim 42, wherein the active agent is unstable in the presence of water.

52. The foamable therapeutic composition of claim 41, wherein the active agent is a combination of at least two active agents.

53. The foamable therapeutic composition of claim 42, wherein the active agent is a combination of at least two active agents.

54. The foamable therapeutic composition of claim 41, comprising (1) a corticosteroid; and (2) and active agent selected from the group consisting of an antifungal agent, an antimicrobial agent, an antiviral agent, an anti-acne agent, a vitamin D3, calcipotriol, and antipsoriasis agent, and a keratolytic agent.

55. The foamable therapeutic composition of claim 41, comprising (1) a keratolytic agent; and (2) and active agent selected from the group consisting of a corticosteroid, an antifungal agent, an antimicrobial agent, an antiviral agent, an anti-acne agent, a vitamin D3, calcipotriol, and antipsoriasis agent, an immunomodulator, and immunosuppressant.

56. A method of treating a disorder of mammalian subject, comprising: administering a foamable therapeutic composition to a target site, the composition comprising: a. a therapeutically effective concentration of an active agent; b. about 50% to about 98% of a polar solvent selected from the group consisting of(1) a polyol; and (2) a polyethylene glycol; c. 0% to about 48% of a secondary polar solvent; d. about 0.2% to about 5% by weight of a surface-active agent; e. about 0.01% to about 5% by weight of at least one polymeric agent selected from a bioadhesive agent, a gelling agent, a film forming agent and a phase change agent; and f. a liquefied or compressed gas propellant at a concentration of about 3% to about 25% by weight of the total composition; wherein the composition comprises not more than 10% or about 10% water by weight; and wherein the composition forms a breakable foam upon dispensing from a pressurized container.

57. The method of claim 56, wherein the target site is selected from the group consisting of the skin, a body cavity, a mucosal surface, the nose, the mouth, the eye, the ear canal, the respiratory system, the vagina and the rectum.

58. The method of claim 56, wherein thedisorder is selected from the group consisting of dermatological pain, dermatological inflammation, acne, acne vulgaris, inflammatory acne, non-inflammatory acne, acne fulminans, nodular papulopustular acne, acne conglobata, dermatitis, bacterial skin infections, fungal skin infections, viral skin infections, parasitic skin infections, skin neoplasia, skin neoplasms, pruritis, cellulitis, acute lymphangitis, lymphadenitis, erysipelas, cutaneous abscesses, necrotizing subcutaneous infections, scalded skin syndrome, folliculitis, furuncles, hidradenitis suppurativa, carbuncles, paronychial infections, rashes, erythrasma, impetigo, ecthyma, yeast skin infections, warts, molluscum contagiosum, trauma or injury to the skin, post-operative or post-surgical skin conditions, scabies, pediculosis, creeping eruption, eczemas, psoriasis, pityriasis rosea, lichen planus, pityriasis rubra pilaris, edematous, erythema multiforme, erythema nodosum, grannuloma annulare, epidermal necrolysis, sunburn, photosensitivity, pemphigus, bullous pemphigoid, dermatitis herpetiformis, keratosis pilaris, callouses, corns, ichthyosis, skin ulcers, ischemic necrosis, miliaria, hyperhidrosis, moles, Kaposi's sarcoma, melanoma, malignant melanoma, basal cell carcinoma, squamous cell carcinoma, poison ivy, poison oak, contact dermatitis, atopic dermatitis, rosacea, purpura, moniliasis, candidiasis, baldness, alopecia, Behcet's syndrome, cholesteatoma, Dercum disease, ectodermal dysplasia, gustatory sweating, nail patella syndrome, lupus, hives, hair loss, Hailey-Hailey disease, chemical or thermal skin burns, scleroderma, aging skin, wrinkles, sun spots, necrotizing fasciitis, necrotizing myositis, gangrene, scarring, and vitiligo, chlamydia infection, gonorrhea infection, hepatitis B, herpes, HIV/AIDS, human papillomavirus (HPV), genital warts, bacterial vaginosis, candidiasis, chancroid, granuloma Inguinale, lymphogranloma venereum, mucopurulent cervicitis (MPC), molluscum contagiosum, nongonococcal urethritis (NGU), trichomoniasis, vulvar disorders, vulvodynia, vulvar pain, yeast infection, vulvar dystrophy, vulvar intraepithelial neoplasia (VIN), contact dermatitis, pelvic inflammation, endometritis, salpingitis, oophoritis, genital cancer, cancer of the cervix, cancer of the vulva, cancer of the vagina, vaginal dryness, dyspareunia, anal and rectal disease, anal abscess/fistula, anal cancer, anal fissure, anal warts, Crohn's disease, hemorrhoids, anal itch, pruritus ani, fecal incontinence, constipation, polyps of the colon and rectum; and wherein the active agent is suitable for treating said disorder.

59. The method of claim 56, wherein the active agent is selected from the group consisting of alclometasone dipropionate, amcinafel, amcinafide, amcinonide, beclomethasone, beclomethasone dipropionate, betamethsone, betamethasone benzoate, betamethasone dexamethasone-phosphate, dipropionate, betamethasone valerate, budesonide, chloroprednisone, chlorprednisone acetate, clescinolone, clobetasol, clobetasol propionate, clobetasol valerate, clobetasone, clobetasone butyrate, clocortelone, cortisone, cortodoxone, craposone butyrate, desonide, desoxymethasone, dexamethasone, desoxycorticosterone acetate, dichlorisone, diflorasone diacetate, diflucortolone valerate, diflurosone diacetate, diflurprednate, fluadrenolone, flucetonide, flucloronide, fluclorolone acetonide, flucortine butylesters, fludroxycortide, fludrocortisone, flumethasone, flumethasone pivalate, flumethasone pivalate, flunisolide, fluocinolone, fluocinolone acetonide, fluocinonide, fluocortin butyl, fluocortolone, fluorometholone, fluosinolone acetonide, fluperolone, fluprednidene acetate, fluprednisolone hydrocortamate, fluradrenolone, fluradrenolone acetonide, flurandrenolone, fluticasone, halcinonide, halobetasol, hydrocortisone, hydrocortisone acetate, hydrocortisone butyrate, hydrocortisone cyclopentylpropionate, hydrocortisone valerate, hydroxyltriamcinolone, medrysone, meprednisone, alpha-methyl dexamethasone, methyiprednisolone, methyiprednisolone acetate, mometasone fiaroate, paramethasone, prednisolone, prednisone, pregnenolone, progesterone, spironolactone, triameinolone, triameinolone acetonide and derivatives, esters and salts thereof.

60. The method of claim 56, wherein the composition is substantially non-aqueous.

61. The method of claim 56, wherein the Aw value of the composition is from about 0.7 to about 0.9.

62. The method of claim 61, wherein the active agent is an anti-infective agent.

63. The method of claim 62, wherein the anti-infective agent is selected from the group consisting of an antibiotic agent, an antibacterial agent, an antifUngal agent, an agent that controls yeast, an antiviral agent and an antiparasitic agent.

64. The method of claim 62, wherein the antifungal agent is selected from the group consisting of a polyene, natamycin, nystatin; an allylamine, naflifine, terbinafine; an imidazole, bifonazole, clotrimazole, econazole, fenticonazole, ketocanazole, miconazole, oxiconazole; a diazole, a triazoles, fluconazole, itraconazole, terconazole, tolnafiate, ciclopirox, undecylenic acid, sulbentine, griseofulvin, Amphotericin B, flucytosine (5FC), a morpholine compound, amorolfine, and the related morpholines and salts thereof, and any combination thereof at a therapeutically effective concentration.

65. The method of claim 62, wherein the antifungal agent is terbinafine.

66. The method of claim 62, wherein the antibacterial agent is selected from the group consisting of a beta-lactam antibiotic, an aminoglycoside, an ansa-type antibiotic, an anthraquinone, an azole, metronidazole, an antibiotic glycopeptide, a macrolide, erythromycin, clindamycin, an antibiotic nucleoside, an antibiotic peptide, polymyxin B, an antibiotic polyene, an antibiotic polyether, an antibiotic quinolone, an antibiotic steroid, fucidic acid, mupirocin, chioramphenicol, a sulfonamide, tetracycline, an antibiotic metal, silver, copper, zinc, mercury, tin, lead, bismuth, cadmium, chromium, an oxidizing agent, iodine, iodate, a periodate, a hypochlorite, a permanganate, a substance that release free radicals and/or active oxygen, a cationic antimicrobial agent, a quatemary ammonium compound, a biguanide, chlorohexidine, a triguanide, a bisbiguanide, a polymeric biguanide, a naturally occurring antibiotic compound and analogs, derivatives, salts, ions and complexes thereof.

67. The method of claim 60, wherein the active agent is unstable in the presence of water.

68. The method of claim 59, wherein the active agent comprises a combination of at least two active agents.

69. The method of claim 60, wherein the active agent comprises a combination of at least two active agents.

70. The method of claim 68, wherein the active agent comprises a combination of (1) a corticosteroid; and (2) and active agent selected from the group consisting of an anti-infective agent, an antifungal agent, an antimicrobial agent, an antiviral agent, an anti-acne agent, a retinoid, a vitamin D3, calcipotriol, and antipsoriasis agent, a keratolytic agent, an anti-proliferative agent, an anti-cancer agent, a non-steroidal anti-inflammatory agent, an immunomodulator, an immunosuppressant and an anti-rosacea agent.

71. The method of claim 68, wherein the active agent comprises a combination of (1) a keratolytic agent; and (2) and active agent selected from the group consisting of a corticosteroid, an anti-infective agent, an antifungal agent, an antimicrobial agent, an antiviral agent, an anti-acne agent, a retinoid, a vitamin D3, calcipotriol, and antipsoriasis agent, an anti-proliferative agent, an anti-cancer agent, a non-steroidal anti-inflammatory agent, an immunomodulator, an immunosuppressant and an anti-rosacea agent.

72. The composition of claim 1, wherein the Aw value of the composition less than 0.7 or about 0.7.

73. The composition of claim 5, wherein the Aw value of the composition less than 0.7 or about 0.7.

74. The composition of claim 41, wherein the Aw value of the composition less than 0.7 or about 0.7.

75. The foamable carrier of claim 1, wherein the polyol comprises a diol, or a triol.
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