Indian Patents. 259921:"METHOD FOR PREPARATION OF IMPROVED MEDICAMENT FOR ENTERAL ADMINISTRATION AND PHARMACEUTICAL COMPOSITION".

Title of Invention	"METHOD FOR PREPARATION OF IMPROVED MEDICAMENT FOR ENTERAL ADMINISTRATION AND PHARMACEUTICAL COMPOSITION".
Abstract	There is provided a carrier for use in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents.

Full Text	WO 2006/012692 PCT/AU2005/001159 1 CARRIER FOR ENTERAL ADMINISTRATION Field of the Invention This invention relates to a carrier for use in the enteral administration of biologically active compounds. Background of the Invention In this specification, where a document, act or item of knowledge is referred to or discussed, this reference or discussion is not to be taken as an admission that the document, act or item of knowledge was at the priority date: part of common general knowledge; or known to be relevant to an attempt to solve any problem with which this specification is concerned. The major objective in drug delivery is to obtain an appropriate biological effect at a desired site of action. The choice of formulation can be critical to the efficacy of a drug since the bioactivity of a drug will be sub-optimal if it does not possess the correct physiochemical properties to allow release from the formulation at the target site of action. Drugs are presented in different forms which are usually classified as enteral or parenteral. Enteral refers to forms of administration which involve entering the body through the gastrointestinal (GI) tract. Parenteral refers to all forms of administration which do not involve the GI tract. This classification highlights the fact that the GI tract introduces specific pharmacokinetic issues which do not arise with parenteral routes, in particular, first pass metabolism through the liver. Generally the form of administration differs markedly as illustrated in the following table. SUBSTITUTE SHEET (RULE 26) RO/AU WO 2006/012692 PCT/AU2005/001159 2 Enteral Administration Parenteral Administration Pills, tablets and capsules Intranasal administration Enteric-coated preparations Subcutaneous administration Sustained-release preparations Intramuscular injections Oral liquid preparations Intravenous injections Bucchal / Sublingual administration Topical preparations Rectal administration Transdermal administration Enteral delivery involves administering the drug via the GI tract where the drug is absorbed and distributed via the bloodstream to the target site of action. Drugs delivered orally are absorbed through the intestine, drugs delivered bucchally are absorbed through the mouth and drugs delivered rectally are absorbed through the rectum. Oral delivery is dependent on the normal digestive processes of the GI tract. Once the oral drag formulation has been swallowed it travels through the esophagus to the stomach. The stomach has three tasks to do: (1) storage which requires the upper part of the stomach to relax and accept large volumes of swallowed material; (2) combine the swallowed material with digestive juice which requires the lower part of the stomach to mix these materials by its muscle action; and (3) empty its contents slowly into the small intestine. Several factors affect emptying of the stomach, including the nature of the food (mainly its fat and protein content) and the degree of muscle action of the emptying stomach and the small intestine. As the food is digested in the small intestine and dissolved into the juices from the pancreas, liver, and intestine, the contents of the intestine are mixed and pushed forward to allow further digestion. Finally, all of the digested nutrients are absorbed through the intestinal walls. The undigested materials are propelled into the colon and expelled. The normal digestive processes which control the rate of drug delivery to / removal from the target site are (1) when the stomach WO 2006/012692 PCT/AU2005/001159 3 empties the drug into the small intestine and (2) the time spent in the intestinal tract before absorption. Unfortunately, these processes cannot be controlled. However, by instructing a patient to take a drug before, after or with food it is possible to optimise the effect of these processes. The chemical environment of the GI tract is also important to oral drug delivery. The drug must be in a form which is stable at the different pH of the various parts of the GI tract. If the drug forms a non-absorbable complex or is degraded chemically or enzymatically then this will decrease absorption. The drug must also be in solution in the GI fluids to be absorbed. Sedimentation of the drug involves the drug forming solid particles and thus leaving the solution. Adsorption onto luminal solid particles involves solids adsorbing the drug, that is removing the drug from solution. Both sedimentation and adsorption decrease absorption of the drug. In many cases, degradation and complexation can be circumvented, or at least minimized, by chemical or formulation approaches so that they do not present a limitation to drug uptake. Further, if a drug is absorbed through the intestinal or stomach wall, it then must pass through the liver. The liver is designed to eliminate foreign compounds from the body. As a result, a significant proportion of the drug (for example, 40-50%) may be metabolised and excreted before its reaches the bloodstream. It is possible to reduce the effect of the liver on enteral administration by having the drug absorbed through the lining of the mouth (bucchal / sublingual) or the lining of the rectum (suppositories), however these routes are not always appropriate. The role of the drug formulation in the delivery of drug to the target site of action should not be ignored. With any drug it is possible to alter its bioavailability considerably by formulation modification. Since a drug must be in solution to be absorbed from the GI tract, you may expect the bioavailability of a drug to decrease in the order: solution > suspension > capsule > tablet > coated tablet. This order may not always be followed but it is a useful guide. -4- Attempts to improve the bioavailability of entemlly administered biologically active compounds inolve eitherthe formation of prodrugs, for example rnoiphine sulphate or the use of excipients which improve absorption. There is still a need for enteral formulations which further improve the bioavailability of biologically active compounds. Summary of the Invention It has been found that a carrier composition comprising phosphates of electron transfer agents increases the efficacy of biologically active compounds administered enterally. According to a first aspect of the invention, mere is provided a carrier when used In enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents. The present invention also provides for the use of an effective amount of one or more phosphate derivatives of one or more electron transfer agents, such as phosphate derivatives of tocopherol or tocotrienol, together with other excipients, in the manufacture of a carrier for enterally administered biologically active compounds. The present invention also provides a pharmaceutical composition when used for enteral administration comprising one or more biologically active compounds and a carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents,, such as phosphate derivatives of tocopherol or tocotriengl, According to a second aspect of the invention, there is provided a method for improving the efficacy and transport of enterally administered biologically active compounds, said method comprising the step of combining the biologically active compound with a carrier -5- comprising an effective amount of one or more phosphate derivatives of one or more electron transfer ageats. Preferably, the phosphate derivative of an electron transfer agent is selected from the group consisting of phosphate derivatives of tocopheroi, phosphate derivatives of tocotrienol, and mixtures thereof. According to a third aspect of the invention, there is provided a method for improving the efficacy and transport of enteraliy administered biologically active compounds, said method comprising the step of combining the biologically active compound with a carrier comprising an effective amount of one or more complexes of phosphate derivatives of an electron transfer agent. According to a fourth aspect of the invention, there is provided a carrier when used in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more complexes of phosphate derivatives of an electron transfer agent, In one preferred form of the invention, the carrier and biologically active compound are in a form which is protected by an enteric coating. The enteric coating must be insoluble in the stomach (low pn) and survive the enzymes in the saliva, but degrade in the absorption site which is just after the stomach at a pH greater than 6. Typically, the coating is a water soluble polymer such as cellulose ether, polyvinylpyrrolidone or polyethylene glycol. The advantage of the enteric coating is that it increases the likelihood that the carrier and the biologically active compound will be in proximity to each other at the absorption site and thus maximises the effects of the carrier upon the efficacy and transport of the biologically active compound For example, a tablet or capsule may have an enteric coating or a functional food may contain microencapsulated particles which have an enteric coating. -6- The term "carrier" is used in this specification to include all forms of enteral administration. It includes but is not limited to pills, tablets, capsules, liquid formulations, functional foods, dietary supplements, lozenges, suppositories. The term "effective amount" is used herein to refer to an amount of the one or more phosphate derivatives; of an electron transfer agent that assists the biologically active compound to be absorbed in an amount that is measurably effective in the reduction of one or more symptoms presented by a patient. The effective amount may range up to 99.99% w/w of the total weight of the carrier. A person skilled in the art will understand that the actual amount will vary depending upon trie biologically active compound. The effective amount will be sufficient to deliver an amount of biologically active compound within the therapeutic range of that biologically active compound. The effective amount used will also depend on Whether the phosphate derivative of an electron transfer agent is being used to assist with formulatioii properties, for example, solubilisation or surface activity. Where the phosphate derivative of an electron transfer agent is acting as a solubiliser, the effective amount will depind on the concentration of the drug in the formulation and may range from 40 to 90% w/w, preferably 45 to 75% w/w, more preferably 50 to 60% w/w. Where the phosphate derivative of an electron transfer agent is not required for solubilisation properties, the effective amount may be in the range of 0.01 to 20% w/w, preferably \ to 15% w/w and more preferably 5 to 10% w/w. Preferably (when solubilisation properties are not required), the effective amount of the one or more phosphate derivatives of an electron transfer agent is in the mnge of from 0.1 to 10 % w/w of the total weight of the carrier. More preferably, in the range of 5 to 10% w/w and most preferably 7.5% w/w. The term "electron transfer agents" is used herein to refer to the class of chemicals which may be phosphorylated and which (in the non-phosphorylated form) can accept an electron -7-to generate a relatively stable molecular radical or accept two electrons to allow the compound to participate in a reversible redox system. Examples of classes of electron transfer agent compounds that may be phosphorylated include hydroxy chromans including alpha, beta, gamma and delta tocols in enantlomeric and raecemic forms; quinols being the reduced forms of vitamin Kl and ubiquinone; hydroxy carotenoids including retinol; calciferol; and ascorbic acid. Preferably, the electron transfer agent is selected from the group consisting of tocopherol and other tocols, retinol, vitamin Kl, and mixtures thereof. More preferably, the electron transfer agent is selected from the group consisting of the tocols, and mixtures thereof. The tocols include all isomers of derivatives of 6:hydaxy 2:methy] chratnan (sec structure below) where Ri, R2 and R3 may be hydrogen or methyl groups, that is, the a-5:7:8 tri-methyl; p~5;8 di-methyl; y-7:8 di-methyl; and 6 8 methyl derivatives. In the tocopherols, R4 is substituted by 4:8:12 tri-methyl tridecane and the 2, 4, and 8 positions (see *) may be sterioisomers with R or S activity or racemic. In the tocotrienols, R4 is substituted by 4:8:12 tri-methyl trideca-3:7:l 1 triene and the 2 position may be sterioactive as R or S sterioisomers or racemic. Most preferably, the electron transfer agent is ?-tocopherol or tocotrienol. The term "phospfiate derivatives" is used herein to refer to the acid forms of phosphorylated electron transfer agents, salts of the phosphates including metal salts such as sodium, magnesium, potassium and calcium and any other derivative where the phosphate proton is -8- replaced by other substituents such as ethyl or methyl groups or phosphatidyl groups. The term includes mixtures of phosphate derivatives, especially those which result from phosphorylation reactions, as well as each of the phosphate derivatives alone. For example, the term includes a mixture of mono-tocopheryl phosphate (TP) and di-tocopheryl phosphate (T2P) as well as each of TP and T2P alone. Suitable mixtures are described in International Patent Application No. WO 02/40033. Preferably, the one or more phosphate derivatives of one or more electron transfer agents is selected from the group consisting of mono-tocopheryl phosphate, di-tocopheryl phosphate, mono-tocotricnyl phosphate, di-tocotrienyl phosphate, and mixtures thereof. Most preferably, the one or more phosphate derivatives of one or more electron transfer agents is a mixture of one or more of raono-tocopheryl phosphate, di-tocopheryl phosphate, mono-tocotrienyl phosphate and di-tocotrienyl phosphate. Tn some situation's, it may be necessary to use a phosphate derivative such as a phosphatide where additional propeities such as increased water solubility are preferred. Phosphatidy! derivatives are amino alkyJ derivatives of organic phosphates. These derivatives may be prepared from amines having a structure of R\|R.2N(CH2)nOH wherein n is an integer between 1 and 6 and Rt and R2 may be either H or short alkyl chains with 3 or less carbons. Ri and R2 may b4 the same or different. The phosphatidyl derivatives are prepared by displacing the hydroxyl proton of the electron transfer agent with a phosphate entity that is then reacted withan amine, such as ethanolamiue or N;N3 dimethylethanolamine, to generate the phosphatidyl derivative of the electron transfer agent. One method of preparation of the phosphatidyl derivatives uses a basic solvent such as pyridine or triethylamine with phosphorous oxyehloride to prepare the intermediate which is then reacted with the hydroxy group of the amine to produce the corresponding phosphatidyl derivative, such as P cholyl P tocopheryl dihydrogen phosphate. -8A- In some siluatibns, complexes of phosphate derivatives of the electron transfer agents may also be utilized where additional properties such as improved stability or deliverability may be useful. The term "complexes of phosphate derivatives" refers to the reaction product of one or more phosphate derivatives of electron transfer agents with one or more cornplexing agents selected from the group consisting of amphoteric surfactants, cationic surfactants, amino acids having nitrogen functional groups and proteins rich in these amino acids as disclosed in international Patent Application No. WO 02/40034, incorporated herein by reference. WO 2006/012692 PCT/AU2005/001159 9 The preferred complexing agents are selected from the group consisting of arginine, lysine and tertiary substituted amines, such as those according to the following formula: NR1R2R3 wherein R1 is chosen from the group comprising straight or branched chain mixed alkyl radicals from C6 to C22 and carbonyl derivatives thereof; R2 and R3 are chosen independently from the group comprising H, CH2COOX, CH2CHOHCH2SO3X, CH2CHOHCH2OPO3X, CH2CH2COOX, CH2COOX, CH2CH2CHOHCH2SO3X or CH2CH2CHOHCH2OPO3X and X is H, Na, K or alkanolamine provided R2 and R3 are not both H; and wherein when R1 is RCO then R2 may be CH3 and R3 may be (CH2CH2)N(C2H4OH)-H2CHOPO3 or R2 and R3 together may be N(CH2)2N(C2H4OH)CH2COO-. Preferred complexing agents include arginine, lysine or lauryliminodipropionic acid where complexation occurs between the alkaline nitrogen centre and the phosphoric acid ester to form a stable complex. The term "biologically active compound" is used herein to refer to compounds having a biological effect in humans or animals for medical or veterinary application. Biologically active compounds include Pharmaceuticals, nutritional supplements, drugs, vitamins, phytochemicals, cosmeceuticals, nutraceuticals, nutrients and other health supplements that are useful for the treatment of human beings or other animals for prophylaxis or therapy. Examples of biologically active compounds include but are not limited to narcotic analgesics such as morphine and levorphanol, non narcotic analgesics such as codeine and acetaminophen, corticosteroids such as cortisone, anaesthetics such as propofol, antiemetics such as scopolamine, sympathomimetic drugs such as adrenaline and dopamine, antiepileptic drugs such as fosphehytoin; anti-inflammatory drugs such as ibuprofen, thyroid hormones and antithyroid drugs including thyroxine, phytochemicals including a-bisabolol, eugenol, silybin, -10- soy isoflavonel iridoid gylcosides including aucubin and catalpol, sesquiterpene laotones including pseudogualanolide from Arnica chamissonis, terpenes including rosaiarinic acid and rosmanol, phenolic glycosides including the salicylates salicin, saligenin and salicyclic acid, triterpenes taxasterol or cc-lactucerol, and isolactucerol, j>hydroxyphenylacetic acid derivative taraxscoside, hydroquinone derivatives including arbutin, phenylalkanones including gingerols and shagaols, hypercin, statins, and acylphloroglucides including xanthohumol, lapulcme, humulone and 2-rnethylbut-3-en-2-ol. Examples of nutrients and nutraceuticals include vitamins, important precursor molecules for generation of hormones, minerals, proteihs, amino acids, plant extracts such as grape seed extract, ephedrine, DHEA, isoflavcpes, phytosterols and similar bioagents. The biologically active compound may also be a peptide, polypeptide or protein. The biologically active compound can be in any suitable form including phosphate derivatives, A person skilled in the art would know which other excipients could be included in the carrier. The choice of other excipients would depend on the characteristics of the biologically active compound. Examples of other excipients include solvents, surfactants, emollients, preservatives and the like. The choice of other excipients will also depend on the form of admnistration used. Brief Description of the Drawings Figure I: Effect of morphine sulphate 5 mg/kg, morphine with tocopheryl phosphate carrier according to the invention 5 mg/kg and control on paw withdrawal latency in ruts, tested over 3 hours (pooled data). Figure 2: CoQ10 and CoQ9, standard curves WO 2006/012692 PCT/AU2005/001159 11 Examples The invention is further explained and illustrated by the following non-limiting examples. Example 1 In this experiment, the efficacy of a morphine composition according to the invention was compared with the efficacy of morphine sulphate, the currently used enteral formulation of morphine. The effect was measured by comparison of times taken for a rat to withdraw its paw in response to heat when medicated and unmedicated with morphine. Materials Animals: Nine conscious Sprague-Dawley rats .weighing between 350-450 grams each Treatment groups: 1. Control: water, 2. morphine sulphate, 3. Morphine with TPm: morphine HC1 (14%) in a carrier containing water (59%) and a tocopheryl phosphate mixture (27%) {TPm). The TPm contained mono-tocopheryl phosphate and di-tocopheryl phosphate. Formulations 2 and 3 were diluted with water and the final morphine concentration was made up to 5 mg/ml. For example, 0.357 grams of formulation 3 was mixed with 0.643 grams of water to obtain a final morphine concentration of 5%. This liquid formulation was then delivered to the animals by oral gavage (tube into stomach). Method The experiment used nine rats that were divided into three groups. After the first treatment, the rats were rested and each group was given a different treatment. The process was repeated once more until each rat had been given each of the three treatments. Water, morphine sulphate and morphine with TPm were given by oral gavage at a concentration of 5mg/kg of body weight. Analgesic testing was performed at 1, 2, 4 and 6 WO 2006/012692 PCT/AU2005/001159 12 hours and at each time point withdrawal latency was measured three times on each rat (with at least five minutes rest if using the same paw). A plantar analgesiometer designed for rapid and efficient screening of analgesia levels in small laboratory animals was used. The device applied a heat source (-45 °C from an infrared light) to the animal's hindpaw and the time taken to withdraw the paw from the heat source was measured (paw withdrawal latency). The heat source (plate) provided a constant surface temperature. It had a built-in digital thermometer with an accuracy of 0.1 °C and a timer with an accuracy of 0.1 second. The animal was placed on a hot plate, confined by a clear acrylic cage which surrounds the plate and paw withdrawal response was monitored. An increased time period before paw withdrawal response indicating analgesia. Each animal was tested 3 times at each time point, (ie a single rat had the heat applied to its back foot three times at each time point). The results are illustrated in Figure 1. Both the morphine sulphate and morphine in the tocopheryl phosphate carrier caused an increase in latency indicating analgesia. The morphine in the tocopheryl phosphate carrier caused a greater latency which was maintained for a longer period of time than the morphine sulphate. That is, the morphine formulated in a carrier according to the invention provided a sustained analgesic effect for up to 2 hours following oral administration whereas the morphine sulphate only provided an analgesic effect for the first hour The standard error bars on the graph points do not overlap except at the one hour time point where the aqueous morphine sulphate and the morphine TPm formulation were similarly active. For the later time points, the morphine TPm formulation gave sustained analgesia. 1 Statistical Analysis: Comparison between morphine sulphate and Morphine TPm formulations. • at 60mins t=2.598 (p WO 2006/012692 PCT/AU2005/001159 13 • at 120mins t=4.815 (p • at 240mins t=4.351 (p • at 360 mins t=3.094 (p=0.005) Conclusion The use of the TPm carrier provided a sustained analgesia over a longer period of time using the same amount of morphine as the morphine sulphate formulation. Whilst the results were not significant at the one hour time point, the TPm formulation was statistically significant at all later time points. Example 2 This example investigates the bioavailability in guinea pigs of CoQIO administered in the following formulations: A. CoQsol B. CoQsol plus TPM in MCT C. MCT oil (control) Materials and Methods Formulations Tocopheryl phosphate mixture (TPM) containing monotocopheryl phosphate (TP) and ditocopheryl phosphate (T2P) in a ratio of 2:1 w/w was prepared by Phosphagenics Ltd. CoQsol was purchased from Doctor's Trust Vitamins, U.S.A Medium chain triglyceride (MCT) was manufactured by Abitec Corp, U.S.A. The formulations consisted of the following: A, CoQsol: Each softgel capsule contains 60 mg of CoQ, with the oily contents of the pills measuring 0.44 ml in volume. Therefore, the concentration of CoQ is 60 mg/0.44 ml = 136 mg CoQ/ml of capsule contents. Each millilitre of the CoQsol formulation also contains 136 IU d- WO 2006/012692 PCT/AU2005/001159 14 cc-tocopherol and 3705 IU vitamin A. Excipients are rice bran oil, gelatin, glycerin, water, beeswax, annato extract and titanium dioxide. B. CoQsol+TPM: the formulation was prepared with the concentration of CoQ such that 30 mg/kg was administered in the same volume relative to body weight of the treatment group; i.e., in volumes of approximately 0.21 ml per kg b.wt. Each ml of formulation contained CoQ and TPM, each at 140 mg/ml, with MCT as the diluent. C, MCT: (vehicle): the control group received MCT at 0.21 ml/kg b.wt. Animals Adult female guinea pigs were purchased from Animal Services, Monash University and acclimatised to the Departmental Animal House for a minimum of 5 days before the treatments commenced. Animals were randomly assigned to treatment groups (n=10), tagged with unique identifying marks on their backs (clipped hair and colour codes), and housed as a group in an environmentally-enriched pen of approximately 1 x 4 m in size. The average body weight of the CoQsol-treated group was 0.795 kg at day 0. The average body weight of the CoQsol+TPM group was 0.746 kg at day 0. The average body weight of the control group was 0.796kg at day 0. Food and water: Rabbit and guinea pig standard laboratory pellets (Barastoc, Australia). Water was provided freely Route and method of dosing: animals were dosed by oral gavage using a plastic cannula attached to a delivery syringe in volumes of approximately 0.21 ml per kg body weight. Methods Dose of CoQsol: 30 mg / kg body weight / day Dose of TPM: 30 mg / kg body weight / day Dosing regimen: once daily Dosing period: 26 days WO 2006/012692 PCT/AU2005/001159 15 Body weight was measured weekly. At the completion of the treatment period, the guinea pigs were killed by asphyxiation using CO2 gas. The blood was removed by heart puncture into heparinised collection tubes, and centriftiged for separation of plasma and stored at -80°C until extraction of CoQ. Extractions of CoQ and analyses by HPLC were performed essentially according to the method of Aberg et ai, (1992) "Distribution and redox state of ubiquinones in rat and human tissues" Arch. Biochem. Biophys. 295:230-34. Increased levels of CoQIO and CoQ9 are indicative of increased bioavailability and uptake. Both CoQ9 and CoQIO were measured because guinea pigs can synthesize both forms of CoQ (9 and 10). It is therefore important to assess the levels of both forms following administration since administration of CoQIO can increase both levels in vivo. Results: C0Q10 and C0Q9 concentration in plasma C0Q9 Peak CoQ10 CoQ9Conc CoQ10Conc CoQ9Conc CoQ10Conc PLASMA area Peak area (ng/ml) (ng/ml) (ng/vial) (ng/vial) Control PlasmaCl 0.191146 3.89095" 22 292 11 146' PlasmaC2 1.26553 2.62247 176 197 88 98 PlasmaC3 0.69327 1.15616 94 87 47 43 PlasmaC4 0.874554 2.29567 120 172 60 86 PlasmaC5 0.558185 2.45003 74 184 37 92 PlasmaC6 0.90064 5.16449 123 388 62 194 PlasmaC7 1.0674 3.34757 147 251 74 126 PlasmaC8 0.190272 3.20794 22 241 11 120 PlasmaC9 3.18797 239 120 PlasmaCIO 1.14622 86 43 Mean 49 107 WO 2006/012692 PCT/AU2005/001159 16 CoQ9 Peak CoQ10 CoQ9Conc CoQ10Conc CoQ9Conc CoQmConc PLASMA area Peak area (ng/ml) (ng/ml) (ng/vial) (ng/vial) : CoQSol PlasmaSl 0.902389" 5.18353 124 389 62" 195 PlasmaS2 0.19846 2.45755 23 184 12 92 PlasmaS3 0.32906 2.60398 42 195 21 98 PlasmaS4 0.45307 3.0014 59 225 30 113 PlasmaS5 0.53315 2.3862 71 179 35 90 PlasmaS6 0.93297 2.04795 128 154 64 77 PlasmaS7 0.54571 2.1518 ' 73 161 36 81 PlasmaS8 1.41097 2.16559 196 162 98 81 PlasmaS9 0.690034 6.3554 93 477 47 239 PlasmaSlO 0.28032 3.61253 35 271 17 136 Mean 42 120 CoQsol+TPM PlasmaTl 0.84019 2.75545 115 207 '57 103' PlasmaT2 4.47825 336 168 PlasmaT3 0.17022 4.3493 19 327 10 163 PlasmaT4 0.503096 4.92475 67 370 33 185 PlasmaT5 0.372346 3.01239 48 226 24 113 PlasmaTfi 0.267389 6.29373 33 473 16 236 PlasmaT7 - 5.53598 416 208 PlasmaT8 0.26282 5.51973 32 415 16 207 PlasmaT9 0.336923 4.1363 43 311 21 155 PlasmaTIO 0.105107 3.49962 10 263 5 131 Mean 23 167 The above results do not include any statistical information because as is known in the area of micronutrient studies, there is always a significant inter-animal variation due to the fact that each animal has different needs for CoQ10 and it will only be absorbed when needed. The WO 2006/012692 PCT/AU2005/001159 17 large inter-animal variation leads to large standard deviation figures, which do not accurately reflect the significance of the results. Figure 2 shows the standard curves obtained in the analysis of CoQ10 and CoQ9 in the plasma before running the samples on the HPLC (the closer r2 is to 1 the more accurate the results). Discussion The results in Figure 2 and the above tables show that the CoQ levels in plasma are higher in CoQsol+TPM treated animals than in the animals treated with CoQsol alone or the control. This illustrates that the tocopheryl phosphate mixture increases the bioavailability of CoQIO. The word 'comprising' and forms of the word 'comprising' as used in this description and in the claims does not limit the invention claimed to exclude any variants or additions. Modifications and improvements to the invention will be readily apparent to those skilled in the art. Such modifications and improvements are intended to be within the scope of this invention. -18- THE CLAIMS DEFINING THE INVENTION ARE AS FOLLOWS; 1. A metood for improving the efficacy and transport of enterally administered biologially active compounds, said method comprising the step of combining the biologically active compound with a carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents. 2. The me hod according to claim 1 wherein the electron transfer agent is selected from the group consisting of hydroxy chromans including alpha, beta, gamma and delta tocols in enantiomeric and raecemic forms; quinols being the reduced forms of vitamin Kl and ubiquinone; hydroxy carotenoids including retinol; calciferol; and ascorbic acid. 3. The method according to claim 2 wherein the electron transfer agent is selected from the group consisting of tocopherol and other tocols, retinol, vitamin Kl, and mixtures thereof. 4. The method according to claim 3 wherein the electron transfer agent is selected from the group consisting of tocols, and inixture$ thereof. 5. The method according to claim. 4 wherein the phosphate derivative of an electron Transfer agent is selected from the group consisting of phosphate derivatives of tocopherol, phosphate derivatives of tocotrienol, and mixtures thereof. 6. The method according to claim 5 wherein the phosphate derivative of an electron transfer agent is selected from the group consisting of mono-tocopheryl -19- phosphate, di-tocopheryl phosphate, mono-tocolrieayl phosphate, di-tocotrieny.1 phosphate, and mixtures thereof. 7. The method according to claim 6, wherein the mixture of phosphate derivatives of election transfer agents is a mixture of mono-tocopfteryl phosphate and di- tocophdryl phosphate. 8. The method according to claim 1 wherein the phosphate derivative is selected from the group consisting of phosphates, phosphatides, complexes of phosphates, and mixtures thereof. 9. The memod according to claim 1 further comprising the step of protecting the combined carrier and biologically active compound with an enteric coating. 10. The method according to claim 1, wherein the combined carrier and biologically active compound is in the form of a pill, tablet, capsule, liquid formulation, functionpl food, dietary supplement, lozenge or suppository. 11. The method according to claim ls wherein the biologically active compound is selected from the group consisting of a pharmaceutical, nutritional supplement, drug, vitamin, phytochemical, cosmeceuiical, nutraceutical, nutrient, and health supplement 12. The method according to claim 1 wherein the biologically active compound is morphine. 13. The method according to claim 1 wherein the biologically active compound is co-enzyme Q10. 12. -20- 14. A carrier when used in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more phosphate derivat ves of one or more electron transfer agents. 15. Use of kn effective amount of one or more phosphate derivatives of one or more electron transfer agents, together with other excipients, in the manufacture of a carrier for ettterally administered biologically active compounds. 16. A pharr laceutical composition when used for enteral administration comprising one or riiore biologically active compounds and a carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents- 17. A methdd for improving the efficacy and transport of enterally administered biologically active compounds, said method comprising the step of combining the biok gically active compound with a carrier comprising an effective amount of one of more complexes of phosphate derivatives of an electron transfer agent. 18. A carrier when used in enteral administration of biologically active compounds, said carr er comprising an effective amount of one or more complexes of phosphate derivatives of an electron transfer agent. There is provided a carrier for use in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents.

Full Text

WO 2006/012692 PCT/AU2005/001159
1
CARRIER FOR ENTERAL ADMINISTRATION
Field of the Invention
This invention relates to a carrier for use in the enteral administration of biologically active
compounds.
Background of the Invention
In this specification, where a document, act or item of knowledge is referred to or discussed,
this reference or discussion is not to be taken as an admission that the document, act or item of
knowledge was at the priority date: part of common general knowledge; or known to be
relevant to an attempt to solve any problem with which this specification is concerned.
The major objective in drug delivery is to obtain an appropriate biological effect at a desired site of action. The choice of formulation can be critical to the efficacy of a drug since the bioactivity of a drug will be sub-optimal if it does not possess the correct physiochemical properties to allow release from the formulation at the target site of action.
Drugs are presented in different forms which are usually classified as enteral or parenteral. Enteral refers to forms of administration which involve entering the body through the gastrointestinal (GI) tract. Parenteral refers to all forms of administration which do not involve the GI tract. This classification highlights the fact that the GI tract introduces specific pharmacokinetic issues which do not arise with parenteral routes, in particular, first pass metabolism through the liver. Generally the form of administration differs markedly as illustrated in the following table.
SUBSTITUTE SHEET (RULE 26) RO/AU

WO 2006/012692 PCT/AU2005/001159
2
Enteral Administration Parenteral Administration
Pills, tablets and capsules Intranasal administration
Enteric-coated preparations Subcutaneous administration
Sustained-release preparations Intramuscular injections
Oral liquid preparations Intravenous injections
Bucchal / Sublingual administration Topical preparations
Rectal administration Transdermal administration
Enteral delivery involves administering the drug via the GI tract where the drug is absorbed and distributed via the bloodstream to the target site of action. Drugs delivered orally are absorbed through the intestine, drugs delivered bucchally are absorbed through the mouth and drugs delivered rectally are absorbed through the rectum.
Oral delivery is dependent on the normal digestive processes of the GI tract. Once the oral drag formulation has been swallowed it travels through the esophagus to the stomach. The stomach has three tasks to do: (1) storage which requires the upper part of the stomach to relax and accept large volumes of swallowed material; (2) combine the swallowed material with digestive juice which requires the lower part of the stomach to mix these materials by its muscle action; and (3) empty its contents slowly into the small intestine. Several factors affect emptying of the stomach, including the nature of the food (mainly its fat and protein content) and the degree of muscle action of the emptying stomach and the small intestine. As the food is digested in the small intestine and dissolved into the juices from the pancreas, liver, and intestine, the contents of the intestine are mixed and pushed forward to allow further digestion. Finally, all of the digested nutrients are absorbed through the intestinal walls. The undigested materials are propelled into the colon and expelled. The normal digestive processes which control the rate of drug delivery to / removal from the target site are (1) when the stomach

WO 2006/012692 PCT/AU2005/001159
3 empties the drug into the small intestine and (2) the time spent in the intestinal tract before
absorption. Unfortunately, these processes cannot be controlled. However, by instructing a patient to take a drug before, after or with food it is possible to optimise the effect of these processes.
The chemical environment of the GI tract is also important to oral drug delivery. The drug must be in a form which is stable at the different pH of the various parts of the GI tract. If the drug forms a non-absorbable complex or is degraded chemically or enzymatically then this will decrease absorption. The drug must also be in solution in the GI fluids to be absorbed. Sedimentation of the drug involves the drug forming solid particles and thus leaving the solution. Adsorption onto luminal solid particles involves solids adsorbing the drug, that is removing the drug from solution. Both sedimentation and adsorption decrease absorption of the drug. In many cases, degradation and complexation can be circumvented, or at least minimized, by chemical or formulation approaches so that they do not present a limitation to drug uptake.
Further, if a drug is absorbed through the intestinal or stomach wall, it then must pass through the liver. The liver is designed to eliminate foreign compounds from the body. As a result, a significant proportion of the drug (for example, 40-50%) may be metabolised and excreted before its reaches the bloodstream. It is possible to reduce the effect of the liver on enteral administration by having the drug absorbed through the lining of the mouth (bucchal / sublingual) or the lining of the rectum (suppositories), however these routes are not always appropriate.
The role of the drug formulation in the delivery of drug to the target site of action should not be ignored. With any drug it is possible to alter its bioavailability considerably by formulation modification. Since a drug must be in solution to be absorbed from the GI tract, you may expect the bioavailability of a drug to decrease in the order: solution > suspension > capsule > tablet > coated tablet. This order may not always be followed but it is a useful guide.

-4-
Attempts to improve the bioavailability of entemlly administered biologically active
compounds inolve eitherthe formation of prodrugs, for example rnoiphine sulphate or
the use of excipients which improve absorption. There is still a need for enteral formulations which further improve the bioavailability of biologically active compounds.
Summary of the Invention

It has been found that a carrier composition comprising phosphates of electron transfer
agents increases the efficacy of biologically active compounds administered enterally.
According to a first aspect of the invention, mere is provided a carrier when used In
enteral administration of biologically active compounds, said carrier comprising an
effective amount of one or more phosphate derivatives of one or more electron transfer agents.
The present invention also provides for the use of an effective amount of one or more
phosphate derivatives of one or more electron transfer agents, such as phosphate derivatives
of tocopherol or tocotrienol, together with other excipients, in the manufacture of a carrier
for enterally administered biologically active compounds.

The present invention also provides a pharmaceutical composition when used for enteral administration comprising one or more biologically active compounds and a carrier
comprising an effective amount of one or more phosphate derivatives of one or more
electron transfer agents,, such as phosphate derivatives of tocopherol or tocotriengl,
According to a second aspect of the invention, there is provided a method for improving the
efficacy and transport of enterally administered biologically active compounds, said method comprising the step of combining the biologically active compound with a carrier

-5-
comprising an effective amount of one or more phosphate derivatives of one or more electron transfer ageats.
Preferably, the phosphate derivative of an electron transfer agent is selected from the group consisting of phosphate derivatives of tocopheroi, phosphate derivatives of tocotrienol, and mixtures thereof.
According to a third aspect of the invention, there is provided a method for improving the efficacy and transport of enteraliy administered biologically active compounds, said method comprising the step of combining the biologically active compound with a carrier comprising an effective amount of one or more complexes of phosphate derivatives of an electron transfer agent.
According to a fourth aspect of the invention, there is provided a carrier when used in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more complexes of phosphate derivatives of an electron transfer agent,
In one preferred form of the invention, the carrier and biologically active compound are in a form which is protected by an enteric coating. The enteric coating must be insoluble in the stomach (low pn) and survive the enzymes in the saliva, but degrade in the absorption site which is just after the stomach at a pH greater than 6. Typically, the coating is a water soluble polymer such as cellulose ether, polyvinylpyrrolidone or polyethylene glycol. The advantage of the enteric coating is that it increases the likelihood that the carrier and the biologically active compound will be in proximity to each other at the absorption site and thus maximises the effects of the carrier upon the efficacy and transport of the biologically active compound For example, a tablet or capsule may have an enteric coating or a functional food may contain microencapsulated particles which have an enteric coating.

-6-
The term "carrier" is used in this specification to include all forms of enteral administration. It includes but is not limited to pills, tablets, capsules, liquid formulations, functional foods, dietary supplements, lozenges, suppositories.
The term "effective amount" is used herein to refer to an amount of the one or more phosphate derivatives; of an electron transfer agent that assists the biologically active compound to be absorbed in an amount that is measurably effective in the reduction of one or more symptoms presented by a patient. The effective amount may range up to 99.99%
w/w of the total weight of the carrier. A person skilled in the art will understand that the

actual amount will vary depending upon trie biologically active compound. The effective amount will be sufficient to deliver an amount of biologically active compound within the
therapeutic range of that biologically active compound. The effective amount used will

also depend on Whether the phosphate derivative of an electron transfer agent is being used
to assist with formulatioii properties, for example, solubilisation or surface activity. Where

the phosphate derivative of an electron transfer agent is acting as a solubiliser, the effective
amount will depind on the concentration of the drug in the formulation and may range from 40 to 90% w/w, preferably 45 to 75% w/w, more preferably 50 to 60% w/w. Where the
phosphate derivative of an electron transfer agent is not required for solubilisation
properties, the effective amount may be in the range of 0.01 to 20% w/w, preferably \ to
15% w/w and more preferably 5 to 10% w/w.
Preferably (when solubilisation properties are not required), the effective amount of the one
or more phosphate derivatives of an electron transfer agent is in the mnge of from 0.1 to 10 % w/w of the total weight of the carrier. More preferably, in the range of 5 to 10% w/w and

most preferably 7.5% w/w.
The term "electron transfer agents" is used herein to refer to the class of chemicals which may be phosphorylated and which (in the non-phosphorylated form) can accept an electron

-7-to generate a relatively stable molecular radical or accept two electrons to allow the
compound to participate in a reversible redox system. Examples of classes of electron transfer agent compounds that may be phosphorylated include hydroxy chromans including alpha, beta, gamma and delta tocols in enantlomeric and raecemic forms; quinols being the reduced forms of vitamin Kl and ubiquinone; hydroxy carotenoids including retinol; calciferol; and ascorbic acid. Preferably, the electron transfer agent is selected from the group consisting of tocopherol and other tocols, retinol, vitamin Kl, and mixtures thereof.
More preferably, the electron transfer agent is selected from the group consisting of the tocols, and mixtures thereof. The tocols include all isomers of derivatives of 6:hydaxy 2:methy] chratnan (sec structure below) where Ri, R2 and R3 may be hydrogen or methyl groups, that is, the a-5:7:8 tri-methyl; p~5;8 di-methyl; y-7:8 di-methyl; and 6 8 methyl derivatives. In the tocopherols, R4 is substituted by 4:8:12 tri-methyl tridecane and the 2, 4, and 8 positions (see *) may be sterioisomers with R or S activity or racemic. In the tocotrienols, R4 is substituted by 4:8:12 tri-methyl trideca-3:7:l 1 triene and the 2 position may be sterioactive as R or S sterioisomers or racemic. Most preferably, the electron transfer agent is ?-tocopherol or tocotrienol.

The term "phospfiate derivatives" is used herein to refer to the acid forms of phosphorylated electron transfer agents, salts of the phosphates including metal salts such as sodium, magnesium, potassium and calcium and any other derivative where the phosphate proton is

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replaced by other substituents such as ethyl or methyl groups or phosphatidyl groups. The term includes mixtures of phosphate derivatives, especially those which result from phosphorylation reactions, as well as each of the phosphate derivatives alone. For example, the term includes a mixture of mono-tocopheryl phosphate (TP) and di-tocopheryl phosphate (T2P) as well as each of TP and T2P alone. Suitable mixtures are described in International Patent Application No. WO 02/40033.
Preferably, the one or more phosphate derivatives of one or more electron transfer agents is
selected from the group consisting of mono-tocopheryl phosphate, di-tocopheryl phosphate,
mono-tocotricnyl phosphate, di-tocotrienyl phosphate, and mixtures thereof. Most
preferably, the one or more phosphate derivatives of one or more electron transfer agents is a mixture of one or more of raono-tocopheryl phosphate, di-tocopheryl phosphate, mono-tocotrienyl phosphate and di-tocotrienyl phosphate.
Tn some situation's, it may be necessary to use a phosphate derivative such as a phosphatide where additional propeities such as increased water solubility are preferred. Phosphatidy! derivatives are amino alkyJ derivatives of organic phosphates. These derivatives may be prepared from amines having a structure of R|R.2N(CH2)nOH wherein n is an integer

between 1 and 6 and Rt and R2 may be either H or short alkyl chains with 3 or less carbons. Ri and R2 may b4 the same or different. The phosphatidyl derivatives are prepared by displacing the hydroxyl proton of the electron transfer agent with a phosphate entity that is then reacted withan amine, such as ethanolamiue or N;N3 dimethylethanolamine, to generate the phosphatidyl derivative of the electron transfer agent. One method of preparation of the phosphatidyl derivatives uses a basic solvent such as pyridine or triethylamine with phosphorous oxyehloride to prepare the intermediate which is then reacted with the hydroxy group of the amine to produce the corresponding phosphatidyl derivative, such as P cholyl P tocopheryl dihydrogen phosphate.

-8A-
In some siluatibns, complexes of phosphate derivatives of the electron transfer agents may also be utilized where additional properties such as improved stability or deliverability may be useful. The term "complexes of phosphate derivatives" refers to the reaction product of one or more phosphate derivatives of electron transfer agents with one or more cornplexing agents selected from the group consisting of amphoteric surfactants, cationic surfactants, amino acids having nitrogen functional groups and proteins rich in these amino acids as disclosed in international Patent Application No. WO 02/40034, incorporated herein by reference.

WO 2006/012692 PCT/AU2005/001159
9
The preferred complexing agents are selected from the group consisting of arginine, lysine and tertiary substituted amines, such as those according to the following formula:
NR1R2R3
wherein R1 is chosen from the group comprising straight or branched chain mixed alkyl radicals from C6 to C22 and carbonyl derivatives thereof;
R2 and R3 are chosen independently from the group comprising H, CH2COOX, CH2CHOHCH2SO3X, CH2CHOHCH2OPO3X, CH2CH2COOX, CH2COOX, CH2CH2CHOHCH2SO3X or CH2CH2CHOHCH2OPO3X and X is H, Na, K or alkanolamine provided R2 and R3 are not both H; and
wherein when R1 is RCO then R2 may be CH3 and R3 may be (CH2CH2)N(C2H4OH)-H2CHOPO3 or R2 and R3 together may be N(CH2)2N(C2H4OH)CH2COO-.
Preferred complexing agents include arginine, lysine or lauryliminodipropionic acid where complexation occurs between the alkaline nitrogen centre and the phosphoric acid ester to form a stable complex.
The term "biologically active compound" is used herein to refer to compounds having a biological effect in humans or animals for medical or veterinary application. Biologically active compounds include Pharmaceuticals, nutritional supplements, drugs, vitamins, phytochemicals, cosmeceuticals, nutraceuticals, nutrients and other health supplements that are useful for the treatment of human beings or other animals for prophylaxis or therapy. Examples of biologically active compounds include but are not limited to narcotic analgesics such as morphine and levorphanol, non narcotic analgesics such as codeine and acetaminophen, corticosteroids such as cortisone, anaesthetics such as propofol, antiemetics such as scopolamine, sympathomimetic drugs such as adrenaline and dopamine, antiepileptic drugs such as fosphehytoin; anti-inflammatory drugs such as ibuprofen, thyroid hormones and antithyroid drugs including thyroxine, phytochemicals including a-bisabolol, eugenol, silybin,

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soy isoflavonel iridoid gylcosides including aucubin and catalpol, sesquiterpene laotones

including pseudogualanolide from Arnica chamissonis, terpenes including rosaiarinic acid
and rosmanol, phenolic glycosides including the salicylates salicin, saligenin and salicyclic acid, triterpenes taxasterol or cc-lactucerol, and isolactucerol, j>hydroxyphenylacetic acid derivative taraxscoside, hydroquinone derivatives including arbutin, phenylalkanones including gingerols and shagaols, hypercin, statins, and acylphloroglucides including xanthohumol, lapulcme, humulone and 2-rnethylbut-3-en-2-ol. Examples of nutrients and nutraceuticals include vitamins, important precursor molecules for generation of hormones, minerals, proteihs, amino acids, plant extracts such as grape seed extract, ephedrine,
DHEA, isoflavcpes, phytosterols and similar bioagents. The biologically active compound

may also be a peptide, polypeptide or protein. The biologically active compound can be in
any suitable form including phosphate derivatives,
A person skilled in the art would know which other excipients could be included in the
carrier. The choice of other excipients would depend on the characteristics of the biologically active compound. Examples of other excipients include solvents, surfactants, emollients, preservatives and the like. The choice of other excipients will also depend on the form of admnistration used.

Brief Description of the Drawings
Figure I: Effect of morphine sulphate 5 mg/kg, morphine with tocopheryl phosphate carrier according to the invention 5 mg/kg and control on paw withdrawal latency in ruts, tested over 3 hours (pooled data). Figure 2: CoQ10 and CoQ9, standard curves

WO 2006/012692 PCT/AU2005/001159
11 Examples
The invention is further explained and illustrated by the following non-limiting examples.
Example 1
In this experiment, the efficacy of a morphine composition according to the invention was
compared with the efficacy of morphine sulphate, the currently used enteral formulation of
morphine. The effect was measured by comparison of times taken for a rat to withdraw its
paw in response to heat when medicated and unmedicated with morphine.
Materials
Animals: Nine conscious Sprague-Dawley rats .weighing between 350-450 grams each
Treatment groups:
1. Control: water,
2. morphine sulphate,
3. Morphine with TPm: morphine HC1 (14%) in a carrier containing water (59%) and a
tocopheryl phosphate mixture (27%) {TPm). The TPm contained mono-tocopheryl
phosphate and di-tocopheryl phosphate.
Formulations 2 and 3 were diluted with water and the final morphine concentration was made up to 5 mg/ml. For example, 0.357 grams of formulation 3 was mixed with 0.643 grams of water to obtain a final morphine concentration of 5%. This liquid formulation was then delivered to the animals by oral gavage (tube into stomach). Method
The experiment used nine rats that were divided into three groups. After the first treatment, the rats were rested and each group was given a different treatment. The process was repeated once more until each rat had been given each of the three treatments.
Water, morphine sulphate and morphine with TPm were given by oral gavage at a concentration of 5mg/kg of body weight. Analgesic testing was performed at 1, 2, 4 and 6

WO 2006/012692 PCT/AU2005/001159
12 hours and at each time point withdrawal latency was measured three times on each rat (with at
least five minutes rest if using the same paw).
A plantar analgesiometer designed for rapid and efficient screening of analgesia levels in small laboratory animals was used. The device applied a heat source (-45 °C from an infrared light) to the animal's hindpaw and the time taken to withdraw the paw from the heat source was measured (paw withdrawal latency). The heat source (plate) provided a constant surface temperature. It had a built-in digital thermometer with an accuracy of 0.1 °C and a timer with an accuracy of 0.1 second. The animal was placed on a hot plate, confined by a clear acrylic cage which surrounds the plate and paw withdrawal response was monitored. An increased time period before paw withdrawal response indicating analgesia. Each animal was tested 3 times at each time point, (ie a single rat had the heat applied to its back foot three times at each time point).
The results are illustrated in Figure 1. Both the morphine sulphate and morphine in the tocopheryl phosphate carrier caused an increase in latency indicating analgesia. The morphine in the tocopheryl phosphate carrier caused a greater latency which was maintained for a longer period of time than the morphine sulphate. That is, the morphine formulated in a carrier according to the invention provided a sustained analgesic effect for up to 2 hours following oral administration whereas the morphine sulphate only provided an analgesic effect for the first hour The standard error bars on the graph points do not overlap except at the one hour time point where the aqueous morphine sulphate and the morphine TPm formulation were similarly active. For the later time points, the morphine TPm formulation gave sustained analgesia.
1 Statistical Analysis: Comparison between morphine sulphate and Morphine TPm
formulations.
• at 60mins t=2.598 (p
WO 2006/012692 PCT/AU2005/001159
13
• at 120mins t=4.815 (p • at 240mins t=4.351 (p • at 360 mins t=3.094 (p=0.005)
Conclusion
The use of the TPm carrier provided a sustained analgesia over a longer period of time using
the same amount of morphine as the morphine sulphate formulation. Whilst the results were
not significant at the one hour time point, the TPm formulation was statistically significant at
all later time points.
Example 2
This example investigates the bioavailability in guinea pigs of CoQIO administered in the
following formulations:
A. CoQsol
B. CoQsol plus TPM in MCT
C. MCT oil (control)
Materials and Methods
Formulations
Tocopheryl phosphate mixture (TPM) containing monotocopheryl phosphate (TP) and ditocopheryl phosphate (T2P) in a ratio of 2:1 w/w was prepared by Phosphagenics Ltd.
CoQsol was purchased from Doctor's Trust Vitamins, U.S.A
Medium chain triglyceride (MCT) was manufactured by Abitec Corp, U.S.A.
The formulations consisted of the following:
A, CoQsol: Each softgel capsule contains 60 mg of CoQ, with the oily contents of the pills measuring 0.44 ml in volume. Therefore, the concentration of CoQ is 60 mg/0.44 ml = 136 mg CoQ/ml of capsule contents. Each millilitre of the CoQsol formulation also contains 136 IU d-

WO 2006/012692 PCT/AU2005/001159
14 cc-tocopherol and 3705 IU vitamin A. Excipients are rice bran oil, gelatin, glycerin, water,
beeswax, annato extract and titanium dioxide.
B. CoQsol+TPM: the formulation was prepared with the concentration of CoQ such that 30
mg/kg was administered in the same volume relative to body weight of the treatment group;
i.e., in volumes of approximately 0.21 ml per kg b.wt. Each ml of formulation contained CoQ
and TPM, each at 140 mg/ml, with MCT as the diluent.
C, MCT: (vehicle): the control group received MCT at 0.21 ml/kg b.wt.
Animals
Adult female guinea pigs were purchased from Animal Services, Monash University and acclimatised to the Departmental Animal House for a minimum of 5 days before the treatments commenced. Animals were randomly assigned to treatment groups (n=10), tagged with unique identifying marks on their backs (clipped hair and colour codes), and housed as a group in an environmentally-enriched pen of approximately 1 x 4 m in size. The average body weight of the CoQsol-treated group was 0.795 kg at day 0. The average body weight of the CoQsol+TPM group was 0.746 kg at day 0. The average body weight of the control group was 0.796kg at day 0.
Food and water: Rabbit and guinea pig standard laboratory pellets (Barastoc, Australia). Water was provided freely
Route and method of dosing: animals were dosed by oral gavage using a plastic cannula attached to a delivery syringe in volumes of approximately 0.21 ml per kg body weight.
Methods
Dose of CoQsol: 30 mg / kg body weight / day
Dose of TPM: 30 mg / kg body weight / day
Dosing regimen: once daily
Dosing period: 26 days

WO 2006/012692 PCT/AU2005/001159
15 Body weight was measured weekly.
At the completion of the treatment period, the guinea pigs were killed by asphyxiation using CO2 gas. The blood was removed by heart puncture into heparinised collection tubes, and centriftiged for separation of plasma and stored at -80°C until extraction of CoQ.
Extractions of CoQ and analyses by HPLC were performed essentially according to the method of Aberg et ai, (1992) "Distribution and redox state of ubiquinones in rat and human tissues" Arch. Biochem. Biophys. 295:230-34.
Increased levels of CoQIO and CoQ9 are indicative of increased bioavailability and uptake. Both CoQ9 and CoQIO were measured because guinea pigs can synthesize both forms of CoQ (9 and 10). It is therefore important to assess the levels of both forms following administration since administration of CoQIO can increase both levels in vivo.
Results:
C0Q10 and C0Q9 concentration in plasma
C0Q9
Peak CoQ10 CoQ9Conc CoQ10Conc CoQ9Conc CoQ10Conc
PLASMA area Peak area (ng/ml) (ng/ml) (ng/vial) (ng/vial)
Control
PlasmaCl 0.191146 3.89095" 22 292 11 146'
PlasmaC2 1.26553 2.62247 176 197 88 98
PlasmaC3 0.69327 1.15616 94 87 47 43
PlasmaC4 0.874554 2.29567 120 172 60 86
PlasmaC5 0.558185 2.45003 74 184 37 92
PlasmaC6 0.90064 5.16449 123 388 62 194
PlasmaC7 1.0674 3.34757 147 251 74 126
PlasmaC8 0.190272 3.20794 22 241 11 120
PlasmaC9 3.18797 239 120
PlasmaCIO 1.14622 86 43
Mean 49 107

WO 2006/012692 PCT/AU2005/001159
16
CoQ9
Peak CoQ10 CoQ9Conc CoQ10Conc CoQ9Conc CoQmConc
PLASMA area Peak area (ng/ml) (ng/ml) (ng/vial) (ng/vial)
: CoQSol
PlasmaSl 0.902389" 5.18353 124 389 62" 195
PlasmaS2 0.19846 2.45755 23 184 12 92
PlasmaS3 0.32906 2.60398 42 195 21 98
PlasmaS4 0.45307 3.0014 59 225 30 113
PlasmaS5 0.53315 2.3862 71 179 35 90
PlasmaS6 0.93297 2.04795 128 154 64 77
PlasmaS7 0.54571 2.1518 ' 73 161 36 81
PlasmaS8 1.41097 2.16559 196 162 98 81
PlasmaS9 0.690034 6.3554 93 477 47 239
PlasmaSlO 0.28032 3.61253 35 271 17 136
Mean 42 120
CoQsol+TPM
PlasmaTl 0.84019 2.75545 115 207 '57 103'
PlasmaT2 4.47825 336 168
PlasmaT3 0.17022 4.3493 19 327 10 163
PlasmaT4 0.503096 4.92475 67 370 33 185
PlasmaT5 0.372346 3.01239 48 226 24 113
PlasmaTfi 0.267389 6.29373 33 473 16 236
PlasmaT7 - 5.53598 416 208
PlasmaT8 0.26282 5.51973 32 415 16 207
PlasmaT9 0.336923 4.1363 43 311 21 155
PlasmaTIO 0.105107 3.49962 10 263 5 131
Mean 23 167
The above results do not include any statistical information because as is known in the area of
micronutrient studies, there is always a significant inter-animal variation due to the fact that
each animal has different needs for CoQ10 and it will only be absorbed when needed. The

WO 2006/012692 PCT/AU2005/001159
17 large inter-animal variation leads to large standard deviation figures, which do not accurately
reflect the significance of the results.
Figure 2 shows the standard curves obtained in the analysis of CoQ10 and CoQ9 in the plasma
before running the samples on the HPLC (the closer r2 is to 1 the more accurate the results).
Discussion
The results in Figure 2 and the above tables show that the CoQ levels in plasma are higher in
CoQsol+TPM treated animals than in the animals treated with CoQsol alone or the control.
This illustrates that the tocopheryl phosphate mixture increases the bioavailability of CoQIO.
The word 'comprising' and forms of the word 'comprising' as used in this description and in
the claims does not limit the invention claimed to exclude any variants or additions.
Modifications and improvements to the invention will be readily apparent to those skilled in the art. Such modifications and improvements are intended to be within the scope of this invention.

-18-
THE CLAIMS DEFINING THE INVENTION ARE AS FOLLOWS;
1. A metood for improving the efficacy and transport of enterally administered
biologially active compounds, said method comprising the step of combining
the biologically active compound with a carrier comprising an effective amount
of one or more phosphate derivatives of one or more electron transfer agents.
2. The me hod according to claim 1 wherein the electron transfer agent is selected
from the group consisting of hydroxy chromans including alpha, beta, gamma
and delta tocols in enantiomeric and raecemic forms; quinols being the reduced
forms of vitamin Kl and ubiquinone; hydroxy carotenoids including retinol;
calciferol; and ascorbic acid.
3. The method according to claim 2 wherein the electron transfer agent is selected
from the group consisting of tocopherol and other tocols, retinol, vitamin Kl,
and mixtures thereof.
4. The method according to claim 3 wherein the electron transfer agent is selected
from the group consisting of tocols, and inixture$ thereof.
5. The method according to claim. 4 wherein the phosphate derivative of an
electron Transfer agent is selected from the group consisting of phosphate
derivatives of tocopherol, phosphate derivatives of tocotrienol, and mixtures
thereof.

6. The method according to claim 5 wherein the phosphate derivative of an
electron transfer agent is selected from the group consisting of mono-tocopheryl

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phosphate, di-tocopheryl phosphate, mono-tocolrieayl phosphate, di-tocotrieny.1 phosphate, and mixtures thereof.
7. The method according to claim 6, wherein the mixture of phosphate derivatives
of election transfer agents is a mixture of mono-tocopfteryl phosphate and di-
tocophdryl phosphate.
8. The method according to claim 1 wherein the phosphate derivative is selected
from the group consisting of phosphates, phosphatides, complexes of
phosphates, and mixtures thereof.
9. The memod according to claim 1 further comprising the step of protecting the
combined carrier and biologically active compound with an enteric coating.
10. The method according to claim 1, wherein the combined carrier and biologically
active compound is in the form of a pill, tablet, capsule, liquid formulation,

functionpl food, dietary supplement, lozenge or suppository.
11. The method according to claim ls wherein the biologically active compound is
selected from the group consisting of a pharmaceutical, nutritional supplement,
drug, vitamin, phytochemical, cosmeceuiical, nutraceutical, nutrient, and health
supplement
12. The method according to claim 1 wherein the biologically active compound is
morphine.
13. The method according to claim 1 wherein the biologically active compound is
co-enzyme Q10.
12.
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14. A carrier when used in enteral administration of biologically active compounds,
said carrier comprising an effective amount of one or more phosphate
derivat ves of one or more electron transfer agents.
15. Use of kn effective amount of one or more phosphate derivatives of one or more
electron transfer agents, together with other excipients, in the manufacture of a
carrier for ettterally administered biologically active compounds.
16. A pharr laceutical composition when used for enteral administration comprising
one or riiore biologically active compounds and a carrier comprising an effective
amount of one or more phosphate derivatives of one or more electron transfer
agents-
17. A methdd for improving the efficacy and transport of enterally administered
biologically active compounds, said method comprising the step of combining
the biok gically active compound with a carrier comprising an effective amount
of one of more complexes of phosphate derivatives of an electron transfer agent.
18. A carrier when used in enteral administration of biologically active compounds,
said carr er comprising an effective amount of one or more complexes of
phosphate derivatives of an electron transfer agent.

There is provided a carrier for use in enteral administration of biologically active compounds, said carrier comprising an effective amount of one or more phosphate derivatives of one or more electron transfer agents.

"METHOD FOR PREPARATION OF IMPROVED MEDICAMENT FOR ENTERAL ADMINISTRATION AND PHARMACEUTICAL COMPOSITION".

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