Agents and methods for enhancement of transdermal transport

• US 20060015058A1
• Filed: 02/25/2005
• Published: 01/19/2006
• Est. Priority Date: 01/08/1998
• Status: Abandoned Application

• Current Assignee: Hannah Farnham, Joseph Kost, Lauren Roode, Nicholas F. Warner, Samir S. Mitragotri, Scott C. Kellogg, Sean Moran, Shikha Barman
• Original Assignee: Hannah Farnham, Joseph Kost, Lauren Roode, Nicholas F. Warner, Samir S. Mitragotri, Scott C. Kellogg, Sean Moran, Shikha Barman
• Inventors: Barman, Shikha, Mitragotri, Samir S., Warner, Nicholas F., Kost, Joseph, Kellogg, Scott C., Moran, Sean, Roode, Lauren, Farnham, Hannah
• Application Number:
  US11/065,278
• Publication Number:
  US 20060015058A1
• Time in Patent Office: Days
• US Class Current: 604/22
• CPC Class Codes: A61B 17/20 for vaccinating or cleaning the skin previous to the vaccination diagnosis by vaccination other than by injuring the skin A61B10/0035 ; apparatus for injections A61M
• CPC Class Codes: A61B 5/14514 using means for aiding extraction of interstitial fluid, e.g. microneedles or suction
• CPC Class Codes: A61B 5/14532 for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/1486 using enzyme electrodes, e.g. with immobilised oxidase
• CPC Class Codes: A61B 5/411 Detecting or monitoring allergy or intolerance reactions to an allergenic agent or substance
• CPC Class Codes: A61B 5/415 the glands, e.g. tonsils, adenoids or thymus
• CPC Class Codes: A61B 5/418 lymph vessels, ducts or nodes
• CPC Class Codes: A61B 5/681 Wristwatch-type devices
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61K 47/10 Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
• CPC Class Codes: A61K 9/0009 involving or responsive to electricity, magnetism or acoustic waves; Galenical aspects of sonophoresis, iontophoresis, electroporation or electroosmosis microelectromechanical systems A61K9/0097
• CPC Class Codes: A61M 37/0092 using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis
• CPC Class Codes: A61N 1/30 Apparatus for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body, or cataphoresis

Abstract

The invention according to an exemplary embodiment relates to a method for transporting a substance across a biological membrane comprising the steps of applying a delipidation agent to a portion of the biological membrane, applying a hydration agent to the portion of the biological membrane, sonicating the portion of the biological membrane, and transporting the substance across the biological membrane. The step of applying the delipidation agent may be carried out prior to or simultaneously with the step of applying the hydration agent. The hydration agent may be applied before, during, or after the sonication step. The methods according to exemplary embodiments of the invention can provide improved transdermal transport in applications such as continuous analyte extraction and analysis and transdermal delivery of drugs and vaccines.

Claims

1. A method for transporting a substance across a biological membrane comprising:

applying a delipidation agent to a portion of the biological membrane;

applying a hydration agent to the portion of the biological membrane;

sonicating the portion of the biological membrane; and

transporting the substance across the biological membrane.

2. The method of claim 1, wherein the step of applying the delipidation agent is carried out prior to the step of applying the hydration agent.

3. The method of claim 2, wherein the delipidation agent is applied using a wipe and the hydration agent is applied using a wipe.

4. The method of claim 2, wherein the delipidation agent is applied using an alcohol wipe and the hydration agent is applied using either a glycerol wipe or a baby wipe.

5. The method of claim 2, wherein the delipidation agent is applied using an isopropyl or ethyl alcohol wipe and the hydration agent is applied using a 5% w/v glycerol wipe.

6. The method of claim 2, wherein the delipidation agent and the hydration agent are applied using a baby wipe or a glycerol wipe.

7. The method of claim 2, wherein the delipidation agent is applied using a wipe and the hydration agent is applied during the step of sonicating.

8. The method of claim 7, wherein the delipidation agent comprises alcohol and the hydration agent is applied using a cavitation fluid comprising glycerol and sodium lauryl sulfate.

9. The method of claim 1, wherein the step of applying the delipidation agent is carried out simultaneously with the step of applying the hydration agent.

10. The method of claim 9, wherein the delipidation agent and hydration agent are the same.

11. The method of claim 1, wherein the delipidation agent and the hydration agent are different agents that are applied in combination.

12. The method claim 11, wherein the delipidation agent comprises an alcohol and the hydrating agent includes an amphiphilic molecule.

13. The method of claim 1, wherein the step of applying the hydration agent is carried out simultaneously with the step of sonicating the portion of the biological membrane.

14. The method of claim 13, wherein the step of sonication comprises contacting a coupling solution to the biological membrane.

15. The method of claim 14, wherein the coupling solution includes a component selected from the group consisting of water, saline, ethanol, isopropanol, sodium lauryl sulfate, Triton X-100, DMSO, linoleic acid, azone, polyethylene glycol, histamine, EDTA, sodium hydroxide, sodium octyl sulfate, N-tauroylsarcosine, octyltrimethyl ammoniumbromide, dodecyltrimethyl ammonium bromide, tetradecyltrimethyl ammoniumbromide, hexadecyltrimethyl ammoniumbromide, dodecylpyridinium chloride hydrate, SPAN 20, BRIJ 30, glycolic acid ethoxylate 4-ter-butyl phenyl ether, IGEPAL CO-210, and combinations thereof.

16. The method of claim 1, wherein the delipidation agent comprises alcohol and the hydration agent comprises glycerol.

17. The method of claim 16, wherein the alcohol comprises isopropyl alcohol.

18. The method of claim 1, wherein the delipidation agent is selected from the group consisting of tweens, polyethylene glycols, alcohols, micelle-forming amphiphilic polymers, pluronics, fatty acids, bile salts, cholesterols, cleansers, detergents, surfactants, and combinations thereof.

19. The method of claim 1, wherein the hydration agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

20. The method of claim 18, wherein the hydration agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

21. The method of claim 1, further comprising a step of applying a permeability enhancer to the portion of the biological membrane.

22. The method of claim 21, wherein the permeability enhancer is selected from the group consisting of aloe, histamine, soy lecithin, vitamin E acetate, and combinations thereof.

23. A method of transporting a substance across a biological membrane comprising:

providing a biological membrane exposed to a first pressure;

sonicating a portion of the biological membrane;

changing the pressure over the portion of the biological membrane to a second pressure after sonicating the portion of the biological membrane; and

transporting the substance across the biological membrane.

24. The method of claim 23, wherein the second pressure is less than the first pressure.

25. The method of claim 24, wherein the second pressure is about 4 psig lower than the first pressure.

26. The method of claim 25, wherein the first pressure is ambient pressure.

27. The method of claim 25, wherein the second pressure is maintained for about 10 minutes.

28. A method of preparing a biological membrane for transdermal transport of an agent comprising treating the biological membrane with a hydrating agent before, after, or both before and after sonicating the biological membrane.

29. The method of claim 28, wherein the hydrating agent comprises an electrolyte, isotonic agent, or an osmotic agent.

30. The method of claim 28, wherein the hydrating agent comprises sodium chloride, potassium chloride, phosphate buffered saline, lactic acid, Triton X-100, Tween, sodium lauryl sulfate, potassium phosphate, or glycerol.

31. A method of preparing a biological membrane for sonication comprising treating the biological membrane with a solution comprising alcohol, Lippo Gel, bile salt, or glycerol prior to sonication.

32. A method for sampling and analysis of an analyte from a body fluid in a patient comprising:

increasing a permeability level of an area of a biological membrane of the patient;

applying a transport force to the area to extract the analyte from the body fluid in the patient through the area and into a medium;

continuously reacting the analyte in the medium to produce an electrical signal at an electrode adjacent to the medium, the electrical signal representing a rate of reaction of the analyte; and

calculating an analyte concentration in the body fluid in the patient based on the electrical signal.

33. A system for sampling and analysis of an analyte from a body fluid in a patient comprising:

an ultrasonic applicator that applies ultrasound to an area of a biological membrane of the patient;

a medium comprising a substance that reacts with the analyte;

an electrode positioned adjacent to the medium, the electrode being adapted to receive an electrical signal produced by the reaction of the analyte with the substance in the medium, the electrical signal representing a rate of reaction of the analyte with the substance; and

a processor electrically connected to the electrode;

wherein the processor is programmed to continuously calculate a concentration of the analyte in the body fluid of the patient based on the electrical signal.

34. A transdermal analyte monitoring system comprising:

a sensor body;

a medium supported by the sensor body and adapted to interface with a biological membrane, wherein the medium is adapted to prevent accumulation of analytes and analyte indicators during operation; and

an electrode adapted to detect the presence of an analyte within the medium.

35. A method for transdermal analyte monitoring comprising the steps of:

providing a sensor body, a medium and an electrode;

positioning the medium adjacent to the surface of a biological membrane; and

monitoring a flux of the analyte through the biological membrane using the electrode.

36. The method of claim 35, further comprising calculating the concentration of analyte within the body fluid opposite the biological membrane from the sensor body.

37. The method of claim 36, wherein the calculation provides a real-time measurement of analyte concentration within the body fluid.

38. The method of claim 35, wherein the rate of analyte consumed within the medium is about equal to a rate of analyte diffusing through the biological membrane into the medium.

39. A transdermal analyte monitoring system comprising:

a medium adapted to interface with a biological membrane and to receive an analyte from the biological membrane; and

an electrode assembly comprising a plurality of electrodes;

wherein the medium is adapted to react continuously with the analyte; and

wherein an electrical signal is detected by the electrode assembly, and the electrical signal correlates to an analyte value.

40. The transdermal analyte monitoring system of claim 39, wherein the analyte value is the flux of the analyte through the biological membrane.

41. The transdermal analyte monitoring system of claim 40, wherein the analyte value is the concentration of the analyte in a body fluid of a subject.

42. The transdermal analyte monitoring system of claim 39, further comprising a sensor body that supports the electrode assembly and the medium.

43. The transdermal analyte monitoring system of claim 39, wherein the analyte comprises glucose.

44. The transdermal analyte monitoring system of claim 39, wherein the medium comprises a hydrogel and glucose oxidase.

45. The transdermal analyte monitoring system of claim 39, wherein the medium comprises a hydrogel.

46. The transdermal analyte monitoring system of claim 39, wherein the biological membrane comprises skin.

47. The transdermal analyte monitoring system of claim 39, wherein the electrode assembly comprises a working electrode, a counter electrode, and a reference electrode.

48. A transdermal analyte monitoring system comprising:

a medium adapted to interface with a biological membrane and to receive an analyte from the biological membrane; and

a sensor comprising an electrode assembly, the electrode assembly comprising a plurality of electrodes;

wherein the medium is adapted to react continuously with the analyte, an electrical signal is detected by the electrode assembly, and the electrical signal correlates to an analyte value.

49. The transdermal analyte monitoring system of claim 48, wherein the analyte comprises glucose.

50. The transdermal analyte monitoring system of claim 48, wherein the medium comprises a hydrogel and glucose oxidase.

51. A method for monitoring an analyte comprising:

positioning a medium with respect to a biological membrane such that the medium can receive an analyte from the biological membrane;

coupling an electrode assembly to the medium, the electrode assembly comprising a plurality of electrodes; and

continuously reacting the analyte with the medium;

wherein an electrical signal is detected by the electrode assembly, and the electrical signal correlates to an analyte value.

52. The method of claim 51, further comprising pretreating the biological membrane to increase a permeability of the biological membrane.

53. The method of claim 51, wherein the pretreating step comprises applying low frequency ultrasound to the biological membrane.

54. A cartridge for use with a sonication device comprising:

a cartridge body adapted for insertion into the sonicating device; and

a chamber within the cartridge body, wherein the chamber contains cavitation fluid comprising a hydrating agent.

55. The cartridge of claim 54, wherein the cavitation fluid further comprises a lipid solubilizing agent.

56. The cartridge of claim 55, wherein the cavitation fluid comprises glycerin and an alcohol.

57. The cartridge of claim 54, wherein the hydrating agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

58. The cartridge of claim 55, wherein the hydrating agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

59. The cartridge of claim 55, wherein the lipid solubilizing agent is selected from the group consisting of tweens, polyethylene glycols, alcohols, micelle-forming amphiphilic polymers, pluronics, fatty acids, bile salts, cholesterols, cleansers, detergents, surfactants, and combinations thereof.

60. The cartridge of claim 58, wherein the lipid solubilizing agent is selected from the group consisting of tweens, polyethylene glycols, alcohols, micelle-forming amphiphilic polymers, pluronics, fatty acids, bile salts, cholesterols, cleansers, detergents, surfactants, and combinations thereof.

61. A kit for use with a sonication device comprising:

an ultrasonic coupling medium cartridge adapted to interface with the sonication device; and

a skin preparation pad, wherein the skin preparation pad comprises a hydrating agent.

62. The kit of claim 61, further comprising:

a disinfectant cartridge adapted to interface with the sonication device;

one or more target rings; and

an injection site marker.

63. The cartridge of claim 61, wherein the cavitation fluid further comprises a lipid solubilizing agent.

64. The cartridge of claim 63, wherein the cavitation fluid comprises glycerin and an alcohol.

65. The cartridge of claim 61, wherein the hydrating agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

66. The cartridge of claim 63, wherein the hydrating agent is selected from the group consisting of tweens, polyethylene glycols, amphiphilic molecules, electrolytes, hyaluronic acids, glycerols, buffers, salines, osmotic agents, and combinations thereof.

67. The cartridge of claim 63, wherein the lipid solubilizing agent is selected from the group consisting of tweens, polyethylene glycols, alcohols, micelle-forming amphiphilic polymers, pluronics, fatty acids, bile salts, cholesterols, cleansers, detergents, surfactants, and combinations thereof.

68. The cartridge of claim 66, wherein the lipid solubilizing agent is selected from the group consisting of tweens, polyethylene glycols, alcohols, micelle-forming amphiphilic polymers, pluronics, fatty acids, bile salts, cholesterols, cleansers, detergents, surfactants, and combinations thereof.