Monolithic intravaginal rings comprising progesterone and methods of making and uses thereof
US-2016279147-A1 · Sep 29, 2016 · US
US10548904B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10548904-B2 |
| Application number | US-201314045311-A |
| Country | US |
| Kind code | B2 |
| Filing date | Oct 3, 2013 |
| Priority date | Feb 4, 2008 |
| Publication date | Feb 4, 2020 |
| Grant date | Feb 4, 2020 |
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The present invention relates to monolithic intravaginal rings comprising progesterone, methods of making, and uses thereof. The intravaginal rings comprise progesterone, a polysiloxane elastomer, and a pharmaceutically acceptable hydrocarbon or glycerol esters of a fatty acid.
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What is claimed is: 1. A method for supplementation or replacement of corpus luteal function, the method comprising administering progesterone to a subject by a monolithic intravaginal ring comprising a polysiloxane elastomer and a pharmaceutically acceptable hydrocarbon or glycerol ester of a fatty acid, or a polysiloxane elastomer and a pharmaceutically acceptable oil, in amounts that are effective to maintain a serum progesterone level of about 6 ng/mL to about 10 ng/mL over a 7-day period of use after administration to the subject; wherein the polysiloxane elastomer is present in an amount of about 55% to about 90% by total weight of the ring; wherein the pharmaceutically acceptable hydrocarbon or glycerol ester of a fatty acid or the pharmaceutically acceptable oil is present in an amount of about 1% to about 10% by total weight of the ring; wherein the progesterone is present in an amount of about 15% to about 30% by total weight of the ring. 2. The method of claim 1 , wherein the polysiloxane elastomer is dimethylpolysiloxane elastomer. 3. The method of claim 1 , wherein the polysiloxane elastomer is a dimethylpolysiloxane elastomer, and wherein the ratio by weight of progesterone to elastomer is about 1:1 to about 1:10, the progesterone is homogeneously dispersed in the elastomer, and the ratio of progesterone to hydrocarbon or glycerol esters of a fatty acid is about 1:0.1 to about 1:100. 4. The method of claim 2 , wherein the intravaginal ring comprises: (a) about 15% to about 25% by weight of the progesterone; (b) about 70% to about 80% by weight of the dimethylpolysiloxane elastomer; and (c) about 1% to about 10% by weight of the pharmaceutically acceptable hydrocarbon or glycerol esters of a fatty acid or the pharmaceutically acceptable oil, wherein the progesterone is homogeneously dispersed in the elastomer. 5. The method of claim 1 , wherein the intravaginal ring releases progesterone at a steady rate over a 7-day period of use. 6. The method of claim 1 , wherein the intravaginal ring releases about 11 mg to about 15 mg progesterone per day at a steady state rate over a 7-day period of use. 7. The method of claim 1 , wherein the pharmaceutically acceptable oil is mineral oil. 8. The method of claim 1 , wherein the intravaginal ring comprises the progesterone, the dimethylpolysiloxane elastomer, and the pharmaceutically acceptable oil, in a ratio by weight of about 4:15:1, respectively, wherein the progesterone is homogeneously dispersed in the elastomer. 9. A method for treating a luteal phase defect or supporting embryo implantation and early pregnancy in a patient in need thereof, the method comprising administering progesterone to a vaginal and/or urogenital tract of a subject, in amounts that are effective to maintain a serum progesterone level of about 6 ng/mL to about 10 ng/mL over a 7-day period of use, wherein said progesterone is administered by a monolithic intravaginal ring comprising a polysiloxane elastomer and a pharmaceutically acceptable hydrocarbon or glycerol ester of a fatty acid or a polysiloxane elastomer and a pharmaceutically acceptable oil, wherein: the polysiloxane elastomer is present in an amount of about 55% to about 90% by total weight of the ring; the pharmaceutically acceptable hydrocarbon or glycerol ester of a fatty acid or the pharmaceutically acceptable oil is present in an amount of about 1% to about 10% by total weight of the ring; and the progesterone is present in an amount of about 15% to about 30% by total weight of the ring. 10. The method according to claim 1 , said method further comprising replacing the monolithic intravaginal ring about 7 days after administration to the subject. 11. The method according to claim 1 , wherein the subject is a woman with progesterone deficiency. 12. The method of claim 2 , wherein the intravaginal ring consists of: (a) about 15% to about 25% by weight of the progesterone; (b) about 70% to about 80% by weight of the dimethylpolysiloxane elastomer; and (c) about 1% to about 10% by weight of the pharmaceutically acceptable hydrocarbon or glycerol esters of a fatty acid or the pharmaceutically acceptable oil, wherein the progesterone is homogeneously dispersed in the elastomer.
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