Title of Invention

A TOPICAL COMPOSITION FOR PROMOTING KERATINIZATION

Abstract A topical composition for promoting keratinization comprising 5 to 50% by weight of a benzimidazole such as herein described and the carrier is dimethylsulfoxide.
Full Text METHOD FOR PROMOTING HAIR, NAIL, AND SKIN
KERATINIZATION
The present method relates to the field of dermatology and more
specifically relates to a method for promoting the kerainization of hair,
nails, and skin of an animal or human.
Background of the Invention
For centuries, humans have been preoccupied with the length,
thickness, color, and quantity of hair. Hair thinning, receding hairlines,,
and hair loss can detrimentally affect appearance and self-image and can ,
even result in significant emotional consequences.
Hair is a cylinder of keratinized cells protruding from a hair follicle
that anchors the hair in the skin. All hair follicles in mammals have the same
basic structure. Hair follicles in an adult human are generally arranged in
groups of three. No new follicles are created or destroyed after birth,
however, the type of hair produced by a given follicle can change. Most of
the hairs on the scalp are terminal hairs, which are the coarse, pigmented,
long hairs in which the bulb of the hair follicle is seated deep in the dermis.
The short, fine hairs found on the scalp and elsewhere on the body are
vellus hairs. Vellus hairs are non-pigmented and unmedullated, having the
hair bulb located superficially in the dermis.
In humans, each hair follicle goes through repeated cyclical periods
of growth including an active growth stage (anagen), which can persist for
approximately 2 to 6 years; a transition phase (catagen), which lasts for only
a week or two; and a resting period (telogen), which lasts 3 to 4 months.
The hair is shed at the end of the telogen phase, and a new hair is grown as
the cycle repeats. In the human scalp, which contains approximately
100,000 hair follicles, normally about 86% are in anagen, 1% are in catagen
and 13% are in telogen. Therefore, in a normal human adult, approximately
100 hairs are shed from the scalp per day.
Excessive hair loss, or alopecia, may be classified as being one of
two types, non-scarring alopecia and scarring alopecia, and can be caused
by a wide variety of factors. For example, non-scarring alopecia has. been
attributed to genetics and advanced age; administration of drugs such as
anti-cancer chemotherapeutic, drugs and contraceptives; topical use of
chemical treatments, such as hair dyes, permanent wave solutions, and
straighteners; diseases, such as leprosy or syphilis; illness; allergy; and hair
follicle infection. Scarring alopecia may be a consequence of burns
(accidental or post surgical from cryosurgery or laser surgery) or trauma,
which often causes follicle destruction. Therefore, humans and other
animals exhibiting scarring alopecia may lack hair follicles in the region
devoid of hair, whereas those with non-scarring alopecia possess hair
follicles with short, fine, translucent hairs.
The most common type of human hair loss is androgenic alopecia
(also known as androgenetic alopecia), which is a non-scarring hair loss of
telogen hairs caused by an excessive androgen effect in genetically
susceptible men and women. Androgens trigger the miniaturization or
atrophy of terminal follicles that normally produce thick scalp hair and
transforms them into vellus-like follicles, eventually yielding fine, downy
hair that is barely perceptible. Androgenic alopecia is expressed in males as
baldness of the vertex of the scalp and is commonly referred to as male
pattern baldness. In females, androgenic alopecia appears as diffuse hair
loss or thinning of the frontoparietal areas. As alopecia progresses with
age, hairs in these predisposed areas miniaturize and appear to change from
terminal hairs to resemble vellus hairs. In addition, as androgenic alopecia
continues, the number of hairs in the active growth anagen phase decreases
while there is an increase the number of hairs in the telogen phase.
Telogen effluvium is a type of non-scarring alopecia in which the
anagen hairs prematurely move into the telogen phase. One most easily
recognizable cause of telogen effluvium is the postpartum state in humans
and other mammals. In the postpartum period, an increased number of
hairs go into telogen due to the physical stress or hormonal changes
associated with delivery., Three to four months later, there is considerable,
but usually temporary hairloss. The hair usually returns to its normal state
in six to twelve months. Other causes of telogen effluvium in humans and
other mammals include physical stress and systemic illness, psychological
stress caused by major life events such as a family death or divorce, medical
nutritional deficiencies (kwashiorkor), or absolute calorie deprivation
(marasmus, crash diets), vitamin and trace element deficiencies (zinc,
biotin, essential fatty acids, and iron), and endocrine abnormalities
(hypothyroidism, hyperadrenalcorticalism, hyperprolactinemia and
adrenogenital syndrome).
Numerous remedies for hair loss have been attempted ranging from
wigs, toupees, and other hairpieces to the oral or topical administration of
hair growth solutions. No known cure has been discovered, even though
many attempts have been made. Hair transplantation is one method of
treatment that has shown some success. Single hairs or plugs of thick,
growing hair are transplanted from one region of the scalp to the site of hair
loss. This method is very expensive, time consuming and painful. Other
hair growth stimulation methods, including ultra-violet radiation, scalp
massage, revascularization surgery and acupuncture, have been tried with
minimal or a total lack of success. The pharmaceutical drug minoxidil (2%,
known commercially as Rogaine®, Upjohn Co., Kalamazoo, MI),
originally discovered as a vasodilator for the treatment of severe
hypertension, has been found to be somewhat useful as a hair growth
stimulant in humans with androgenic alopecia. However, the drug has
exhibited adverse effects. When taken orally, minoxidil has serious
cardiovascular side effects such as fluid retention, tachycardia, and
increased frequency of angina or new onset of angina, especially in persons
with poor coronary circulation. Fluid retention can lead to weight gain,
edema, heart failure and pleural or pericardial effusion. Although topical
administration of minoxidil has fewer side effects, at least four months of
continuous topical applications twice daily are required before partial
reversal of follicular miniaturization may be observed, resulting in larger,
more pigmented hairs and less hair shedding, giving the appearance of hair
growth.
Hair or fur loss is also prevalent in wild and domesticated animals,
especially mammals. Although animals are not psychologically impacted by
their loss of fur or coat, their owners often are. In addition, fur loss in
animals whose fur is sheared or otherwise used commercially may cause fur
producers to suffer economically. Animal fur or hair loss has been
attributed to many factors including disease, diet, metabolic disorders,
insect bites, follicle infection, allergies, and hot spots or other hair or fur
erosions caused by excessive biting, chewing and scratching. Currently,
the only way to combat hair loss in animals is to attempt to remove the
underlying disorder or restrain the animal to prevent access to the hair loss
site. Oftentimes the disorder is successfully treated, but the fur is not
completely restored.
Fingernails and toenails in humans and primates and their
corresponding claws, hooves, horns and antlers in animals are composed of
differently keratinizing cells. Human nails have lost most of their functional
significance but remain important for cosmetic reasons. Animals use their
claws, hooves, horns and antlers as weapons, tools and outward signs of
dominance. Nail disorders range from premature breakage or roughness of
the portion of the nail extending from the tip of the digit to total loss or
destruction of the nail plate. For example, nail breakage caused by the
splitting and resultant flaking of nails into layers horizontal to the
longitudinal nail plate surface, referred to as onychoschizia, is caused by
abnormal keratinization.
Nail disorders can also be caused by advanced age; infection from
bacteria, fungi, yeast or mites (scabies); trauma; congenital or hereditary
defects; hyperplasias such as warts, lesions, cysts and tumors; constant
wetting of the hand or foot; psoriasis; disease states such as Darier"s
disease, Lichen planus, Alopecia areata, and twenty-nail dystrophy; contact
irritation or allergy to chemicals such as those contained in nail polish,
hardeners or adhesives; metabolic disorders, such as thyroid dysfunction;
circulatory disorders; arthritis; Periungual telangiectasia, commonly
observed in dermatomyositis patients and lupus erythematosus patients; and
pharmaceutical or illicit drug use.
Skin is the ultimate barrier against infection. Patients suffering from
burns or other trauma to the skin are at extreme risk for disease caused by
microorganisms. Skin grafting procedures have been used in some
circumstances, however, limited success has been achieved due to graft
rejection or insufficient skin growth to cover the injured area. A method for
promoting in vitro autologous, epidermal cell propagation or enhancing in
vivo skin growth or wound healing would be extremely useful for replacing
the skin barrier prior to the onset of life-threatening infection.
The disadvantages of the hair loss, nail claw, hoof, horn and antler
disorders, and skin replacement treatments currently available are that they
can be expensive, may cause adverse side-effects, and are not always
effective forall patienls. Therefore, there is an on-going need for
development of new methods for treating hair or fur loss, nail,claw, hoof,
horn or antler disorders, and skin replacement or wound healing in humans
and ammals.
Summary of the Invention
A method for promoting keratinization on the body of an animal or
human is described. In accordance with the method, a therapeutic amount
of a benzimidazole composition sufficient to cause keratinization of the hair,
nails or skin is administered. Administration may be either systemically or
directly to the site on the body at which keratinization is desired.
The method is useful for the treatment of a wide variety of hair or
fur loss disorders in humans and animals caused by a wide variety of
diseases and disorders, particularly androgenic alopecia and telogen
effluvium. In addition, the method is useful for normalizing keratinization
in humans and animals with abnormal keratinization processes that manifest
themselves visibly as fingernails, toenails, claws or hooves that are soft,
easily bent and broken, frayed, split, or deformed in shape. The method is
also useful for enhancing the strength and length of normal nails, for
enhancing wound healing or skin grafting by promoting the propagation of
epidermal cells, and to combat cutaneous fungal infections, particularly
fungal infections of the nails and skin.
A benzimidazole is a compound containing a bicyclic ring structure
in which benzene is fused to the 4- and 5- positions pf an imidazole and
includes benzimidazoles, benzimidazole carbamates and benzimidazole
prodrugs. Benzimidazole prodrugs include phenylguanidines such as, but
not limited to, fenbantel, netobimin and thiophanate. Preferred
benzimidazole carbamates for use in the present method include, but are not
limited to, thiabendazole, albendazole, flubendazole, mebendazole,
ciclobendazole, parbendazole, oxibendazole, fenbendazole, and metabolites,
such as fenbendazole sulfone, and derivatives thereof. The most preferred
benzimidazoles are fenbendazole, fenbendazole prodrugs, and the sulfoxide
metabolites of fenbendazole, such as oxfendazole (fenbendazole sulfoxide).
The benzimidazole compound is combined with an appropriate
carrier or solvent to provide a benzimidazole composition. A preferred
carrier is a pharmaceutically acceptable carrier. A most preferred carrier is a
hair or nail cleansing, treatment, or cosmetic product such as shampoo or
nail polish remover. The benzimidazole compound is prepared in granular,
crystalline, powder, or amorphous form. The amorphous, stabilized
benzimidazoles and their metabolites and derivatives are especially preferred
because they are more highly soluble, bioavailable, and efficacious than
crystalline benzimidazole. The benzimidazole composition is given
systemically, preferably by oral administration, or is given locally by
injection or topical application for parenteral absorption. The preferred
method of administration is topical.
It is therefore an object of the present invention to provide a safe,
inexpensive, and painless method for the treatment of hair loss,
It is a further object of the present invention to provide a method for
the prevention or minimization of hair loss.
It is a further object of the present invention to provide a method for
strengthening fingernails and toenails.
It is a further object of the present invention to provide a method for
strengthening animal claws, horns, hooves and antlers, especially the
hooves of horses, particularly race horses.
It is a further object of the present invention to provide a method for
promoting normal hair and nail growth.
It is a further object of the present invention to provide a method for
promoting skin growth and wound healing.
It is a further object of the present invention to provide a method for
treating fungal infections of the skin and nails.
It is a further object of the present invention to provide a topical
scalp treatment composition to minimize hair loss and a topical nail treatment
composition to promote nail integrity.
These and other objects of the present invention will become
apparent after reading the following detailed description of the disclosed
embodiments and the appended claims.
Brief Description of the Drawings
Figure 1 is a graph showing follicle length of dorsal skin biopsies of
hairless rats versus time in weeks after oral or topical administration of
fenbendazole. The "dot" symbol represents follicle length observed
microscopically in a dorsal skin biopsy of a hairless rat after oral
administration of fenbendazole. The "plus" symbol represents follicle
length observed microscopically in a dorsal skin biopsy of a hairless rat
after topical administration of fenbendazole. The "asterisk" symbol
represents follicle length observed microscopically in a dorsal skin biopsy
of a negative control hairless rat untreated with fenbendazole.
Figure 2 is a graph showing the number of vellus hairs present on
facial skin biopsies of hairless rats versus time in days after oral
administration of fenbendazole. The "dot" symbol and the "asterisk"
symbol represent the number of vellus hairs observed microscopically in
facial skin biopsies of two hairless rats after oral administration of
fenbendazole. The "plus" symbol represents the number of vellus hairs
observed microscopically in a facial skin biopsy of a negative control
hairless rat untreated with fenbendazole.
Figure 3 is a graph showing nail plate distal thickness versus time in
weeks of each finger of the left hand of human Female 1 receiving topical
applications of fenbendazole to the nail. The "dot" symbol is the thumb.
The "plus" symbol is the index finger. The "asterisk" symbol is the digitus
medius. The "square" symbol is the digitus anularis. The "x" symbol is the
digitus minimus.
Figure 4 is a graph showing nail plate distal thickness versus time in
weeks of each finger of the left hand of human Female 2 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 5 is a graph showing nail plate distal thickness versus time in
weeks of each finger of the right hand of human Female 1 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 6 is a graph showing nail plate distal thickness versus time in
weeks of each finger of the right hand of human Female 2 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 7 is a graph showing longitudinal nail growth versus time in
weeks of each finger of the left hand of human Female 1 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 8 is a graph showing longitudinal nail growth versus time in
weeks of each finger of the left hand of human Female 2 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 9 is a graph showing longitudinal nail growth versus time in
weeks of each finger of the right hand of human Female 1 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Figure 10 is a graph showing longitudinal nail growth versus time in
weeks of each finger of the right hand of human Female 2 receiving topical
applications of fenbendazole to the nail. The symbols are the same as in
Figure 3.
Detailed Description of the Disclosed Embodiments
A method for promoting keratinization on the body of an animal or
human, particularly hair, nail, or skin keratinization, is provided. In
accordance with the method, a therapeutic amount of a benzimidazole
composition sufficient to cause keratinization is administered either
systemically or directly to the site on the body at which keratinization is
desired.
Keratin is a scleroprotein or albuminoid found predominantly in
epidermis cuticular structures such as hair, nails, and horns. The term
"keratinization" as used herein is defined as keratin formation or growth of
all keratinizing structures and includes, but is not limited to, skin re-
epithelialization, especially after first or second degree burns of the skin on
the body of humans and animals, hair growth and regrowth from existing
hair follicles, both in length and thickness, and the cornification or growth,
both longitudinally and in thickness, of fingernails, toenails, claws, horns,
hooves, and antlers. Keratinization, or the promotion of keratinization,
results in the production of thicker, stronger and longer keratin structures.
The method does not cause the production of new hair follicles, but causes
the growth of preexisting follicles wherein wherein miniaturized hairs become longer
The term "hair growth" as defined herein includes the promotion and
maintenance of normal active (anagen) hair growth following disruption of
the hair growth cycle in any stage such as occurs when various
chemotherapeutic drugs are administered or caused by telogen effluvium,
conversion of hairs from vellus hairs to terminal hairs, an increase in hair
shaft length, an increase in hair shaft diameter, an increase in hair shaft
medullation, an increase in hair pigmentation, an increase in hair follicle
length. The term "hair growth" further includes improved hair growth,
enhanced hair growth, and restoration to normal hair growth.
The term "animal" as used herein refers to both human, and non-
human species, particularly mammals, and includes, but is not limited to,
domestic, productive, and breeding animals such as dogs, cats, cattle and
other ruminants, horses, sheep, goats, pigs, camels, alpacas, llamas, water
buffalo, donkeys, rabbits, fallow deer, reindeer and similar mammals; pelt
animals such as mink, foxes, chinchilla and raccoons; avian species or
poultry such as chickens, geese, turkeys, pigeons, ducks, and ostriches;
and animals such as reptiles and amphibians.
The terms "keratinization composition" and "keratinization
promoting composition" as used herein include human and veterinary
pharmaceutical, treatment, cleansing, and cosmetic compositions for
administration to humans or animals.
Although not wishing to be bound by the following, a proposed
mechanism of action of benzimidazoles to promote keratinization involves a
blockage or interference with the effects of androgens, such as testosterone
and its metabolites, on the epidermal cells of the outer root sheath of hair
follicles, possibly by interactions such as inhibition of cytochrome P-450
isozymes such as P-450IA1 in human keratinizing structures, and P-
450IA1, P-450IIA1, and P-450IIB1 in rat keratinizing structures. It is
believed that the benzimidazole effectively opposes a genetic predisposition
for premature miniaturization of hair follicles occurring during alopecia,
particularly androgenic alopecia. Therefore, the method described herein
includes the administration of compounds having the functional
characteristics of benzimidazoles, namely cytochrome P-450 isozymes
inhibitors, to inhibit the adverse effects of androgens on hair growth, such
as alopecia, particularly androgenic alopecia.
The method is useful for the treatment of a wide variety of hair loss
disorders in animals such as alopecia, including human androgenic alopecia
of females and male pattern baldness; hair loss due to telogen effluvium,
hair loss due to anti-cancer chemotherapy, oral or subcutaneous
contraceptives and other drugs; hair loss due to topical chemical treatment,
such as hair dyes, permanent wave solutions, and straighteners; and hair
loss due to disease, such as leprosy or syphilis; illness; allergy; and hair
follicle infection. The method is used either prior to anticipated hair loss,
such as before or during the administration of anti-cancer chemotherapeutic
drugs or after an observation or diagnosis of hair loss has been established.
In addition, the method directly promotes faster, early onset of hair
regrowth in humans or other mammals suffering from disorders such as
telogen effluvium.
The method is also useful for hair or fur loss disorders in animals
caused by disease, diet, metabolic disorders, insect bites, infection of
follicles, allergies, and hot spots or other hair or fur erosions caused by
excessive biting, chewing and scratching. In addition, the method is useful
for improving or enhancing the growth or thickness of normal hair or fur.
Furthermore, the method is useful for enhancing, improving or
restoring the normal strength, thickness, and length of normal, abnormal, or
diseased nails, including fingernails and toenails in humans, and claws,
horns, hooves and antlers in animals. Nails, defined herein to include
fingernails, toenails, claws, horns, hooves and antlers, treated in
accordance with the present method are less susceptible to bending,
cracking, peeling and breaking. Therefore, the method is useful for the
treatment of onychoschizia, also known as lamellar dystrophy, which is the
horizontal separation of the corneocytes on the nail. The method is
particularly useful for treating the hooves of horses, especially race horses,
to enhance the strength and thickness of the hoof to prevent or inhibit
cracking, breakage, and fissuring, and in addition to prevent pain and
infection.
Nails treated in accordance with the present method are also less
likely to show pitting of their surfaces after treatment. Therefore, the
method is useful for the treatment of psoriasis of the nail bed, which causes
nail pitting and deformation. The administration of a benzimidazole for the
treatment of psoriasis of the nail bed may be in combination with other
psoriasis treatments, such as the administration of methotrexate. In cases of
severe psoriatic onychodystrophy, the remaining keratinous matter is first
removed, such as by applying 20% urea in a hydrolytic base. After the nail
bed is cleared, corticosteroids may be administered in combination with the
benzimidazole.
By promoting normal to increased keratinization, the method
described herein will allow a more economical product on of keratin
products such as wool, hides, pelts and horns.
The method is also useful to improve or enhance the rate or extent of
wound healing by promoting the propagation of epidermal cells either in
vivo or in vitro for subsequent transfer, or skin graft, to a patient suffering
from a disorder such as trauma, burns, especially accident-induced burns,
abraded skin, ulcers, congenital malformations, or surgery, in which large
areas of skin must be generated. In addition, the method is useful for
treating incised skin present from surgical procedures including incision by
scalpel blades; vaporization of skin by various types of laser emitted energy,
such as caused by laser surgery; necrotic skin secondary to cryosurgical
procedures or ionizing radiation induced burns caused by an external beam
such as cobalt radiation; or skin necrosis due implant radiation caused by
cesium pellet implants.
Techniques have been developed for skin replacement in which
autologous epidermal cells are propagated in vitro and applied to the skin of
the patient from whom the cells were harvested. Such techniques are
known to those skilled in the art. For example, epidermal cells can be
impregnated in a matrix, such as a collagen matrix, to produce skin of a
predetermined size or shape to be used for skin grafting.
The method described herein is additionally useful to combat
cutaneous fungal infections, particularly fungal infections of the nails and
skin such as dermatophytes and candidiasis by topical application of the
benzimidazole composition to the nail or skin surface. Fungal infections,
including fungal infections of the nails, are particularly prevalent in patients
suffering from AIDS. The method demonstrates antifungal effects not only
because benzimidazole compounds possess chemical fungicidal properties,
but also because benzimidazoles promote keratinization, which allows
outgrowth of the infected keratinized structure away from the body, thereby
preventing or decreasing contact of the fungal elements with the newly
developing keratinized structures on which the fungus depends for survival.
Therefore, the promotion of keratinization contributes greatly to the
fungistatic effect.
Benzimidazole Compounds
The term "benzimidazole" as used herein is a chemical compound
containing a bicyclic ring structure in which benzene is fused to the 4- and
5- positions of an imidazole and includes benzimidazoles, benzimidazole
carbamates, benzimidazole prodrugs, benzimidazole derivatives, and
benzimidazole metabolites. Phenylguanidines are specifically included as
suitable benzimidazole prodrugs. Amorphous, crystalline and granular
benzimidazole compositions are included in the present definition of the
term "benzimidazole". Benzimidazoles having minimal toxic side effects are
preferred. Carbamates and, in particular, benzimidazole carbamates are
used and can be used in large dosages because they have exhibited a low
incidence of side effects.
The preferred benzimidazole compounds are benzimidazole
anthelmintics. Anthelmintics are compounds useful for treating
helminthiasis in humans and animals. The term "benzimidazole
anthelmintic" is defined herein as any benzimidazole-containing agent
known to act as a broad spectrum anthelmintic against endoparasites or
nematodes such as ascarids, hookworms, whipworms, roundworms and
kidneyworms. An analysis of the structure-activity relationships of
numerous benzimidazole compounds is provided in the scientific article of
Loewe and Urbanietz, Fenbendazole. I. Structure-Activity Relationships,
Pestic. Sci. 8:544-549 (1977), which is incorporated by reference herein.
The anthelmintic mechanism of action of benzimidazoles compounds
appears to involve inhibition of the polymerization of tubulin into
microtubules within various helminth species. It is understood that one
skilled in the art would be able to screen benzimidazoles for anthelmintic
activity, and thereby screen for keratinization promoting activity, using
standard assays and techniques.
The preferred benzimidazole compound for use in the present
method includes, but is not limited, to, albendazple (SmithKline Beecham
Pharmaceuticals, Philadelphia, PA), cambendazole (Merck/Univet,
Rahway, NJ), ciclobendazole (Janssen/Cilag, Titusville, NJ), fenbendazole
(Hoechst-Roussel Agri-Vet, Sommerville, NJ), flubendazole (Janssen,
Titusville, NJ), luxabendazole (Hoechst-Roussel Agri-Vet, Sommerville,
NJ), mebendazole (Janssen, Titusville, NJ), oxfendazole (Coopers/Syntex,
Palo Alto, CA), triclabendazole (Ciba-Geigy, Summit, NJ), oxibendazole
(SmithKline Beecham/Univet, Philadelphia, PA), parbendazole (SmithKline
Beecham/Ciba-Geigy, Philadelphia, PA/Summit, NJ), ricobendazole
(Robert Young & Co., Wethersfield, CT), thiabendazole (Merck, Rahway,
NJ), and metabolites, derivatives, and prodrugs thereof, including the
prodrugs febantel (Coopers/Bayer, Shawnee Mission, KS), netobimin
(Schering Corporation, Kenilworth, NJ), and thiophanate (Micro-
Biologicals/RMB Animal Health). These benzimidazoles are or have been
commercially available from the companies listed above in parentheses. The
most preferred benzimidazoles are fenbendazole and prodrugs thereof; the
sulfoxide metabolites of fenbendazole, such as oxfendazole; and the (4"
hydroxyphenyl) thio metabolites of fenbendazole.
Fenbendazole has been described in European Patent Application
Publication No. 090,368 to Ganley et al. for administration to animals to
treat helminthiasis. Ganley et al. state that fenbendazole is non-teratogenic
and non-carcinogenic and therefore safely used in animals at any stage of
pregnancy. In addition, Ganley et al. claim that the drug has no adverse
effect on fertility, and can be used at the time of conception in the female
and the breeding male mammal and has no toxic or teratogenic effects on
embryos or developing fetuses. Ganley et al. further describe fenbendazole
as having a very high safety margin and is non-toxic to the humans who are
administering the drug to animals. According to Ganley et al, oxfendazole
and albendazole have substantially the same spectrum of activity as
fenbendazole, but a lower therapeutic index. In addition, in avian species,
fenbendazole fails to depress egg production or hatchability indices.
A list of the foregoing benzimidazoles, including the
phenylguanidine, prodrugs, and one or more chemical names commonly
associated therewith, if available, are provided below:
albendazole: methyl 5-(propylthio)-1H-benzimidazol-2-yl carbamate,
5-n-propylthio-2-carbomethoxy-aminobenzimidazole, or methyl 5(6)-n-
propylthio-2-benzimidazole carbamate
cambendazole: isopropyl 2-(4-thiazolyl)-1H-benzimidazol-5-yl
carbamate
ciclobendazole (or cyclobendazole): methyl 5-cyclopropylcarbonyl-
1H-benzimidazol-2-yl carbamate or 5-cyclopropylcarbonyl-2-
carbomethoxyaminobenzimidazole
fenbendazole: methyl 5-(phenylthio)-2-benzimidazole-carbamate or
methyl [5-(phenylthio)-1H-benzimidazol-2-yl]carbamate, methyl 5(6)-
phenylthio-1H-2-carbomethoxyaminobenzimidazole, or 5(6)-phenylthio-2-
benzimidazole carbamate
flubendazole: methyl 5-(4-fluorobenzoyl)-1H-benzimidazol-2-yl
carbamate or 5-(4-fluorobenzoyl)-2-carbomethoxyamino-benzimidazole
mebendazole: methyl N-(5-benzoyl-2-benzimidazolyl)carbamate or
methyl 5-benzoyl-1H-benzimidazol-2-yl carbamate or 5-benzoyl-2-
carbomethoxy aminobenzimidazole
oxfendazole: methyl 5(6)-(phenylsulfinyl)-1H-benzimidazol-2-yl
carbamate or 5-phenylsulfinyl-lH-2-carbomethoxyaminobenzimidazole
oxibendazole: methyl 5-(1-propoxy)-1H-benzimidazol-2-yl carbamate
or 5-propoxy-2-carbomethoxy aminobenzimidazole
parbendazole: methyl 5-(1-butyl)-1H-benzimidazole-2-yl carbamate or
5-(1-butyl)-2-carbomethoxy aminobenzimidazole
thiabendazole: methyl 2-(4-thiazolyl)-1H-benzimidazole or 4-(2-
benzimidazolyl)thiazole or 2-(4-thiazolyl)-1H-benzimidazole
triclabendazole: 6-chloro-5-(2,3-dichlorophenoxy)-2-
methylthiobenzimidazole or 5-chloro-6-(2,3-dichlorophenoxy)-2-
methylthio-1H-benzimidazole
febantel: [2-[(methoxyacetyl)amino]-4-(phenyl-thio)]phenyl
carbonimidoyl]biscarbamic acid dimethyl ester or dimethyl [[2-(2-
methoxyacetamido)-4-(phenylthio)phenyl]-imidocarbonyl]dicarbamate
netobimin: 2-[[[(methoxycarbonyl)amino][[2-nitro-5-
(propylthio)phenyl]amino]methylene]amino]ethanesulfonic acid or 2-
[[[(methoxycarbonyl)amino][[2-nitro-5-(propylthio)
phenyl]imino]methyl]amino]ethnesulfonic acid or methyl [N"-[2-nitro-5-
(propylthio)phenyl]-N-(2-sulfoethyl)amidino] carbamate or N-
methoxycarbonyl-N"-[2-nitro-5-(propylthio)phenyl]-N"-2-(ethylsulfonic
acid)guanidine
thiophanate: [l,2-phenylenebis(iminocarbonothioyl) biscarbamic acid
diethyl ester or 4,4"-o-phenylenebis[3-thioallophanic acid]diethyl ester or
l,2-bis(3-ethoxycarbonyl-2-thioureido)benzene
Benzimidazoles useful in the method and composition described
herein include compounds having one or more of the formulas set forth
below as Formula 1, Formula 2 or Formula 3 and pharmaceutically
acceptable salts thereof. Preferred benzimidazoles for use in the
compositions and methods described herein have one or more of the
formulas set forth as Formula 2. Most preferred benzimidazoles for use in
the compositions and methods described herein have one or more of the
formulas set forth as Formula 3. As described in more detail below, the
compounds are most preferably provided in an amorphous (non-crystalline)
form to enhance solubility.
Formula 1:
wherein Z is -H or halo; R1 is a five-membered heteroaromatic ring
containing 1, 2, or 3 heteroatoms selected from O, N, and S, or R1 is
-SCH3, -NHCOOR3, -NHCSOR3, or -NHCOSR3 where R3 is alkyl",
cycloalkyl, alkenyl, alkynyl, phenyl, or naphthyl; and R2 is -H,R, or -XR,
where X is O, S, SO3, O3S, -C(O), or -NHCOO-; and R is alkyl,
cycloalkyl, aryl or aryl-alkyl, optionally substituted with halo, alkyl,
hydroxy, or alkoxy.
Formula 2:
wherein R4 is lower alkyl; and R5 is -S(O)mR6, -OR6, or
-Y1(CH2)nY2R7 where Y1 and Y2 are each independently O, S, or S(O),
R7 is lower alkyl, phenyl, or naphthyl, and n is 1, 2, 3, or 4; R6 is lower
alkyl, cycloalkyl, alkenyl of 3 to 7 carbon atoms, alkynyl of 3 to 7 carbon
atoms, phenyl, benzyl, phenylethyl, or naphthyl; and m is 0 or 1.
Formula 3:

wherein R8 is an alkyl of 1 to 4 carbon atoms, R9 and R10 are,
independently, hydrogen, hydroxyl, alkoxy having 1 to 4 carbon atoms,
halogen, trifluoromethyl, alkyl having 1 to 4 carbons atoms and carbalkoxy
having 1-5 carbon atoms in the alkoxy group, R11 is hydrogen or chlorine,
fluorine, bromine, or iodine and X is oxygen, sulfur, sulfoxide or sulfonate
ester.
Combinations of compounds of Formulas 1,2 and 3 are also useful.
A preferred combination contains amorphous compounds of Formula 1 or a
combination of an amorphous compound of Formula 1 and an amorphous
compound of Formula 2, especially where R4 is methyl. In a preferred
class of compounds of Formula 2, R5 is SR6 or S(O)R6, and most
preferably R6 is phenyl or n-propyl. Especially preferred combinations
contain the compound fenbendazole, most preferably in combination with
oxfendazole or triclabendazole.
The term "alkyl" as used herein is a saturated hydrocarbon radical
containing 1 to 20 carbon atoms. The term "lower alkyl" as used herein is
an alkyl radical of 1 to 6 carbon atoms. The term "cycloalkyl" as used
herein is a cyclic saturated hydrocarbon radical containing 3 to 8 carbon
atoms. The term "alkenyl" as used herein is a hydrocarbon radical of 3 to 7
carbon atoms, containing a double bond. The term "alkynyl" as used herein
is a hydrocarbon radical of 3 to 7 carbon atoms, containing a triple bond.
The term "alkoxy" as used herein is a radical of the form RO-, where R is
lower alkyl or cycloalkyl as described above. The term "aryl" as used
herein is an aromatic hydrocarbon radical containing 6 carbon atoms, also
known as a phenyl ring. The term "aryl-alkyl" as used herein is an aryl
group to which a lower alkyl group, as described above, is attached. The
term "halo" as used herein is a halogen radical such as fluoro, chloro,
bromo, or iodo.
Benzimidazoles to be used in the present method for promoting
keratinization may be obtained commercially or synthesized by conventional
methods known in the art, such as by methods set forth in U.S. Patent Nos.
3,928,375 and 3,954,791, which are incorporated by reference herein and
in the article by Townsend and Wise entitled "The Synthesis and Chemistry
of Certain Anthelmintic Benzimidazoles", Parasitology Today 6:107-112
(1990), which is incorporated by reference herein.
Methods of Administration and Formulations
The benzimidazole compound, in granular, crystalline, powder, or
amorphous form, is provided in combination with a suitable solvent or
carrier as a benzimidazole composition for administration to a human or
animal. The benzimidazole composition is given systemically by oral
administration or is given locally by injection or topical application for
parenteral absorption. Topical application includes transdermal or
percutaneous delivery such as by application of a percutaneous occlusive
patch. The preferred method of administration is topical.
Topical administration should be directed to the site where
keratinization is most likely to occur. The site of keratinization in the skin is
the epidermis. The site of keratinization in hair or fur is the follicle.
Therefore, for topical treatment of alopecia, the benzimidazole composition
should be applied to the bald regions of the scalp or skin. Topical treatment
of nail disorders should be applied at the cuticle base of the nail to maximize
drug concentration in the vicinity of the keratogenous zone, which lies
beneath the lunula, or "white moon" shape at the base of the nail. The
locations of these portions of the nail are well known to those skilled in the
art and are described in dermatology texts such as on pages 557-559 of the
dermatology text HANDBOOK OF NON-INVASIVE METHODS AND THE
SKIN, J. Serup and G.B.E. Jemac, eds., CRC Press, Boca Raton, FL,
1995.
For topical administration, the benzimidazole, benzimidazole
prodrug, benzimidazole metabolite or benzimidazole derivative is dissolved,
suspended or mixed as a paste, cream or gel in an appropriate solvent,
homogenate, or carrier, such as a pharmaceutically acceptable or
cosmetically acceptable carrier, to form a benzimidazole composition. It is
known by those skilled in the art that conventional benzimidazole
preparations are rarely soluble in many pharmaceutically acceptable carriers
and are nearly insoluble in aqueous solutions. Therefore, the formulation
may be prepared in an oil or oil-in-water emulsion. Suitable oils include,
but are not limited to, arachis oil, peanut oil, olive oil, sesame oil, castor oil,
corn oil; synthetic triglycerides; and soluble polymers. The carrier or
diluent may also include a delayed release material, such as glyceryl
monostearate or glyceryl disterearate alone or in combination with a wax.
The composition may additionally contain conventional agents such as
preservatives (including antioxidizing agents such as tocopherol),
thickening agents, wetting and dispersing agents, buffers, humectants, such
as lactic acid and glycolic acid copolymers, emulsifying agents, fillers,
emollients and surface active agents (such as sorbitane fatty acid esters).
Alternatively, the benzimidazole of a topical formulation is dissolved
or suspended in an aqueous suspension containing benzyl alcohol,
polyoxyethylene sorbitan mono-oleate, ethoxylated sorbitane fatty acid
esters, aprotic polar solvents, and, optionally, thickeners such as propylene
glycol, polyethylene glycol, monohydric alcohol, n-methyl pyrrolidone,
carboxymethyl cellulose, such as Methocel® A-15 Premium Carboxymethyl
Cellulose (Dow Chemical Co., Midland, MI) or other appropriate polymers.
In addition, solvents such as dimethylsulfoxide (DMSO), DMSO glycol,
decylmethylsulfoxide (decyl-MSO), dimethylacetamide (DMA),
dimethylformamide (DMF), saturated fatty acids such as lauric acid and
alcohols, and weak surfactants containing a moderately sized polar group
such as l-dodecyl-azacyclohepten-2-one (Azone®, E.L. Nelson), alcohols
and ketones, particularly acetone, are useful for dissolving or partially
dissolving the compound to enhance skin penetration of the benzimidazole.
The penetration enhancement of benzimidazoles by saturated fatty acids may
be maximized when propylene glycol is used as the vehicle.
An additional topical benzimidazole formulation for enhanced skin
penetration employs the combined administration of cyclodextrins, such as
carboxymethylethyl-b-cyclodextrin and a lipophilic penetration enhancer
such as HPE-101 (l-[2-decylthio)-ethyl]aza-cyclopentane-2-one) or 1-
dodecyl-azacyclohepten-2-one (Azone®) in a topical vehicle.
For simplicity and ease of use for topical administration to the body,
the benzimidazole composition contains the benzimidazole compound in
combination with a cosmetic, treatment, or cleansing hair or nail preparation
such as a hair shampoo, hair rinse, hair conditioner, hair spray, hair
mousse, hair gel, nail lotion, nail ointment, nail paste, nail polish or nail
polish remover.
Concentrated preparations containing a benzimidazole in a
concentration of 0.5 to 90 percent by weight, preferably 5 to 50 percent by
weight, may be prepared and diluted before administration. The preferred
concentration to be administered topically is preferably from 5 to 50 mg
benzimidazole per kilogram body weight. Particularly preferred
concentration employed are from 10 to 30 mg benzimidazole per kilogram
body weight. A most preferred administration concentration is 25 mg
benzimidazole per kilogram body weight.
Poorly water-soluble drugs such as benzimidazoles exhibit increased
bioavailability when dispersed in a non-aqueous mixture of a surfactant and
a co-solvent in the presence of heat as described in U.S. Patent No.
5,169,846 to Michael J. Crooks, which is incorporated by reference herein.
Formulations produced by the method of Crooks are described as being
free-flowing and completely miscible with water and may be well suited to
topical administration.
Amorphous benzimidazoles are preferred over crystalline or granular
forms, particularly for topical administration, due to their enhanced
solubility in a variety of solvents. In addition, the amorphous
benzimidazoles have a higher bioavailability and efficacy than crystalline
benzimidazoles. Amorphous benzimidazole derivatives are prepared as
described in European Patent Application Publication No. 224,249 to
Richard Allen Runkel, which is incorporated by reference herein.
Basically, the amorphous compounds are produced by precipitating a
benzimidazole derivative from an acidic or basic solution by rapidly adding
an amount of base or acid sufficient to adjust the solution to the pH of
lowest benzimidazole solubility or by rapidly precipitating a benzimidazole
derivative from an acid or basic solution by adding a basic or acid solution
containing a stabilizing amount of a stabilizer polymer. Stable amorphous
compositions contain an amorphous benzimidazole compound in
combination with a stabilizing amount of a stabilizing polymer such as
cellulose derivatives, polyvinyl pyrrolidone and derivatives, xanthan gums,
pectins, alginates, tragacanth and derivatives, gum arabic and derivatives,
carrageenans, agar and derivatives, polysaccharides from microbial sources,
arabinogalactans, galactomannans, and dextrans. The most preferred
stabilizing polymer is a cellulose derivative such as methylcellulose,
Methocel® A-15, Methocel® A4C, or carboxymethylcellulose. The
stabilized amorphous benzimidazole compositions are appropriate for
administration topically or by parenteral injection In addition, the stabilized
amorphous benzimidazole is useful in oral formulations such as
suspensions, tablets, or top dressing crumbles specifically for mixing into
animal feed or water as described in more detail below.
For oral administration, the benzimidazole compound may be
combined with an orally ingestible carrier formed into tablets, capsules,
powders, granules, pastes, homogenates, solutions, suspensions,
emulsions, boli, medicated feed or added to drinking water. For delivery to
animals, the benzimidazole composition is more easily administered when
combined with feed or drinking water.
Oral solutions are prepared by dissolving, suspending or
homogenizing the benzimidazole, benzimidazole prodrug, benzimidazole
r
metabolite or benzimidazole derivative in a suitable solvent and, if
appropriate, adding additives such as solubilizers, bases, buffer salts,
antioxidants and preservatives. The solutions may be filtered and packed
under sterile conditions. Solvents that promote dissolution of the active
compound in the main solvent or substances that prevent precipitation of the
benzimidazole may be used as solubilizers. Examples of such solubilizers
include polyvinyl pyrrolidone, polyoxyethylated castor oil,and
polyoxyethyethylated ester. When the benzimidazole is provided in an
amorphous (non-crystalline) form, the preferred stabilizer is a stabilizer
polymer as described in European Patent Application Publication No.
224,249 to Runkel. Exemplary preservatives include benzyl alcohol,
trichlorobutanol, parahydroxybenzoic acid esters and n-butanol.
The benzimidazole may additionally be combined with conventional
excipients and adjuvants such as starch, cellulose, talc, magnesium stearate,
sugar, gelatin, calcium carbonate, silicic acid, carboxymethyl cellulose and
the like. The compound may also be encapsulated within microparticles or
incorporated into a monolithic matrix, for subsequent or sustained release.
Microparticles may be made using synthetic polymers, natural polymers,
proteins and polysaccharides, including phase separation, solvent
evaporation, emulsification, and spray drying. Generally polymers form
the supporting structure of these microspheres, and the compound is
incorporated into the polymer structure. Exemplary polymers used for the
formation of microspheres include homopolymers and copolymers of lactic
acid and glycolic acid (PLGA). It will be understood by those skilled in the
art that microparticles, depending on their composition and size, may be
administered orally, by injection, or topically.
An oral formulation is typically prepared by adding the additives to
water and stirring until dissolved, then adding the benzimidazole and
stirring until the mixture is homogenous. The mixture is passed through a
homogenizer, if necessary, to obtain relatively uniform particle size
distribution of approximately one micron. Homogenization is achieved by
means known to those skilled in the art, such as with a rotor stator or high
pressure homogenizer. When using a single head high pressure
homogenizer, the mixture is passed through until the pressure can be
maintained within the range of approximately 9,000 to 15,000 psig,
preferably in a range of from about 12,000 to about 14,000 psig, most
preferably within a range of about 13,000 psig. When using a triple head
high pressure homogenizer, the mixture is passed through at a pressure of
from about 2,000 to about 10,000 psig, preferably from about 4,000 to
8,000 psig.
The concentration of benzimidazole for oral administration is
preferably between 0.5 and 50 mg per kilogram of body weight for a
prolonged period of time. Generally, the compound is administered initially
at a high concentration and the patient is then placed on a maintenance
dosage indefinitely. An alternative preferred concentration for oral
administration is between approximately 2 and 20 percent by weight for use
on animals and between approximately 20 and 80 percent by weight for
humans.
In avian species, such as chickens, pigeons, ducks and geese a 1%
to 10% benzimidazole suspension in drinking water may be given for a
seven day period of time every two to three weeks. A concentrated (about
10% to about 30%) benzimidazole formulation may be diluted with water to
yield a benzimidazole concentration from approximately 4,000 ppm to
10,000 ppm, preferably from about 6,000 ppm to 10,000 ppm, most
preferably about 8,000 ppm. This diluted formulation may be used as a
stock solution that is further diluted, for example, one ounce of the stock
formulation is diluted in approximately a 1:128 ratio to obtain medicated
drinking water having a benzimidazole concentration of from about 45 to 80
ppm, preferably 65 ppm. Alternatively, the concentrated benzimidazole
formulation is diluted directly to a concentration of from approximately 45
to approximately 80 ppm, preferably approximately 65 ppm and used for
avian drinking water directly. The concentration of benzimidazole is
calculated to provide the targeted amount of benzimidazole per body weight
of the avian or poultry being treated, preferably in the range of
approximately 1 mg to 5 mg of benzimidazole per kilogram of body weight
per day in the volume of drinking water normally consumed by the animal
being treated in a 6 to 12 hour treatment period, preferably an 8 hour
treatment period.
It will be understood by those skilled in the art that the particular
dose or formulation for either topical or oral administration will be
determined in part by consideration of the animal or human undergoing
treatment, the particular biological effects manifested by the benzimidazole
and other components utilized in the formulation, and the extended period of
time over which the effective treatment is desired.
The compositions and methods described above will be further
understood with reference to the following non-limiting examples.
Example 1: Oral and Topical Administration of Fenbendazole
to Hairless Rats to Promote Hair and Claw Growth
An experiment was performed to compare the effects of oral and
topical administration of fenbendazole to hairless rats on hair and claw
growth.
Experimental Procedure:
Circular dorsal skin biopsies (4 mm) were taken from adult CD®
Albino Hairless rats (CR1:CD® (SD)-hrBR, Charles River Laboratories,
Wilmington, MA) with a skin punch prior to either oral or topical
administration of fenbendazole and at 7 day intervals thereafter for 35 days.
Dorsal skin biopsies samples were also removed from a negative control rat
who had received no fenbendazole either orally or topically. The biopsies
were taken after administration of isoflurane anesthesia and analyzed
microscopically by a dermatologic pathologist.
Topical Administration
Finely ground fenbendazole powder (22%, Hoechst-Roussel Agri-
Vet, Sommerville, NJ) was suspended to make a supersaturated solution in
100% acetone. The dorsal body of an adult hairless rat was treated topically
by applying the fenbendazole suspension with a cotton swab each day for
30 days. The head and tail were not treated. The rat was not bathed, but
was gently wiped with a damp cloth prior to each subsequent treatment to
rid the test surface of granular debris.
Oral Administration
The fenbendazole powder was diluted (one teaspoonful in 30 ml
water) to provide an 18 mg/ml aqueous solution and was placed in a water
bottle. The rat consumed the entire contents of the water bottle in a 24 hour
period, at which time a 30 ml aliquot of the fenbendazole solution was
resupplied for a 30 day dosing period.
Results
The rat receiving fenbendazole orally exhibited hair growth on the
face, lateral thorax and lateral abdomen by day 7. Hair growth on the face
of this rat was patchy, straight and white. Hair growth on the lateral thorax
and lateral abdomen of this rat was white, fine and crimped. The hair
growth on the lateral auxiliary area was straight and white.
White hair was definitely visible on the rats treated orally and
topically on the facial, ventral neck, foreleg circumferentially, hind leg
circumferentially, tail region and paws by day 30 of treatment. The dorsum
(where the skin biopsies were taken) exhibited only a small amount of hair
growth. The muzzles of the treated rats contained long, crimped vibrissae.
In addition, the claws on the treated animals showed a significant increase in
length. Some hair growth was observed on the control rat in the same
general areas as observed in the treated rats. However, the hair growth on
the control rat was minimal and significantly less than that observed on the
treated rats.
Upon microscopic examination, no measurable differences were
observed between treated and control animal dorsal skin biopsy samples
except for follicle length. A graph of follicle length in the treated and
untreated animals over the thirty day treatment period is set forth in Figure
1. Follicle length as measured microscopically is the longest distance from
the granular layer of the epidermis to the base of the deepest follicle,
measured vertically in millimeters. As shown in Figure 1, both oral and
topical fenbendazole administration resulted in an increase in follicle length
that peaked at day 14, subsided and then increased gradually again from day
35 onwards. Follicle length of the biopsy removed from the rat who had
received fenbendazole orally was higher than the control for all samples
except the 28 day sample, which was the same for both the oral treatment
and untreated rat. The follicle length of the biopsy taken from the rat who
had received fenbendazole topically was always less than that of the orally
treated rat, but was higher than the control on day 14 and days 42-63.
Example 2: Oral Administration of Fenbendazole to Hairless
Rats to Promote Hair and Claw Growth
An experiment was performed to determined the effects on hair
growth of an oral fenbendazole suspension administered to hairless rats.
Experimental Procedure:
Cylindrical dorsal skin punch biopsy specimens (4 mm diameter)
were taken from the dorsal facial area and the right lateral thigh area of adult
CD® Albino Hairless rats (CR1:CD® (SD)-hrBR, Charles River
Laboratories, Wilmington, MA) at day 0 (prior to oral fenbendazole
suspension administration), day 17 and day 29 (after oral fenbendazole
suspension or control suspension administration). The skin punch biopsies
were taken as described above in Example 1.
Thirty milliliters of a fenbendazole solution was prepared by mixing
1 teaspoonful of fenbendazole powder (22%, Hoechst-Roussel Agri-Vet,
Sommerville, NJ) in 30 ml of water to give a final concentration of 18
mg/ml. The fenbendazole solution was placed in separate water bottles for
each of two rats receiving treatment. The rats consumed the entire contents
of the water bottles in a 24 hour period, at which time a 30 ml aliquot of the
fenbendazole solution was resupplied for a 30 day dosing period. A
negative control rat received an equivalent quantity of water.
Results
The rats receiving fenbendazole orally daily for 30 days exhibited
hair growth on the face, lateral thorax, lateral abdomen, and lateral thighs by
day 7. The hair growth appeared white, patchy and straight on all areas
listed. The muzzles exhibited long crimped to curling vibrissae by day 17.
The claws on all four paws of the rats receiving fenbendazole showed
significant growth in length, along with increased periungual fold
keratinization around each claw.
Hair growth and claw length and attendant keratinization was
minimal to absent on the negative control rat.
Upon microscopic examination, no meaningful differences were
observed between treated and control animal dorsal skin biopsy samples or
follicle length. However, measurable differences were observed between
treated and control animal facial biopsy samples for the number of vellus
hair shafts. A graph showing the number of vellus hair shafts from samples
taken from the facial areas in the treated and untreated animals over the 30
day treatment period is set forth in Figure 2.
Example 3: Topical Administration of Fenbendazole to
Fingernails to Increase Nail Plate Thickness and Length
An experiment was performed to determined the effects of topical
fenbendazole administration on fingernail plate thickness and length.
Experimental Procedure:
Three teaspoonsful of finely ground fenbendazole powder (22%,
Hoechst-Roussel Agri-Vet, Sommerville, NJ) was combined with 15 ml of
90% dimethylsulfoxide (DMSO) and mixed well. The solution was applied
topically with a dropper and massaged gently into the uncut cuticular and
proximal nail fold surfaces of dry, clean, fingernails of each finger of two
human adult females.
Prior to treatment, the fingernails of the subjects exhibited a slow
growth rate and short length, primarily due to chronic breakage horizontally
at the quick or distal portion of the nail. Nail breakage was associated with
soft, easily bent nails or horizontal splitting or flaking as the nails grew
away from the nail bed. All nails were cut back to the nail bed to allow for
confluent nail growth and equality of growth among fingernails during the
course of treatment. The first measurement was taken on day 0. The
fenbendazole solution was applied from day 1 to day 14. Subsequent
measurements were taken on days 7, 14, 21, 28, and 35.
All fingernails demonstrated relief from onychoschizia during and
after treatment. Nail thickness was maintained and progressively increased
during the 35 trial period. All nails failed to show signs of fragility, such as
bending when digital pressure was applied to the fingernail, and failed to
exhibit pitting, nail layer separation, or horizontal flaking as the nails grew
longitudinally away from the nail bed edge.
Nail plate thickness of all 10 fingernails was measured at 7 day
intervals with a stainless steel caliper at the central aspect of the free edge of
the nail plate as the nail plate emerged over the nail bed. The caliper was
positioned to grip the free edge of the fingernail using standardized
pressure. Measurements were made in fractions of a millimeter. At the time
of measurement, all nails were clean and dry without the presence of other
nail treatment, polish, or cleanser. The caliper was positioned so that
artifacts could not be produced by angling the caliper.
Longitudinal growth of each nail plate was measured with a straight
ruler in sub-millimeter increments, viewed by use of a magnifying loupe of
10X magnification.
The results for each fingernail of each experimental subject, human
female 1 and human female 2, are shown in Tables 1-4 below and presented
in graphical form in Figures 3-10. All measurements are in millimeters.
The results for each subject are separated by a slash mark in the tables with
Female 1 to the left of the slash mark.
TABLE 1
NAIL PLATE DISTAL THICKNESS - LEFT HAND
Modifications and variations of the present compositions and
methods for promoting keratinization will be obvious to those skilled in the
art from the foregoing detailed description. Such modifications and
variations are intended to come within the scope of the appended claims.
We Claim:
A topical composition for promoting keratinization comprising 5 to
50% by weight of a benzimidazole such as herein described and
the carrier is dimethylsulfoxide.
The topical composition as claimed in claim 1 wherein the
concentration of benzimidazole or the derivative thereof is
preferably 10 to 30% by weight.
The topical composition as claimed in claim 1, wherein the
concentration of the benzimidazole or the derivative thereof is
most preferably 25% by weight.
The topical composition as claimed in claim 1, wherein the
benzimidazole or the derivative thereof is selected from the group
consisting of albendazole, cambendazole, ciclobendazole,
fenbendazole, flubendazole, luxabendazole, mebendazole,
oxfendazole, triclabendazole, oxibendazole, parbendazole,
ricobendazole, and thiabendazole.
The topical composition as claimed in claim 1 wherein the
benzimidazole derivative is fenbendazole.
A process for making a topical composition for the promotion of
keratinization comprising a step of
dissolving, suspending, or mixing 5 to 50% by weight of a
benzimidazole such as herein described in a carrier to produce a
paste, cream or gel,
wherein the carrier is dimethylsulfoxide.
The process as claimed in claim 6, wherein the benzimidazole or
the derivative thereof is selected from the group consisting of
albendazole, cambendazole, ciclobendazole, fenbendazole,
flubendazole, luxabendazole, mebendazole, oxfendazole,
triclabendazole, oxibendazole, parbendazole, ricobendazole, and
thiabendazole.
A topical composition for promoting keratinization comprising 5 to 50% by
weight of a benzimidazole such as herein described and the carrier is
dimethylsulfoxide.

Documents:

00481-cal-1997-abstract.pdf

00481-cal-1997-claims.pdf

00481-cal-1997-correspondence.pdf

00481-cal-1997-description (complete).pdf

00481-cal-1997-drawings.pdf

00481-cal-1997-form 1.pdf

00481-cal-1997-form 18.pdf

00481-cal-1997-form 2.pdf

00481-cal-1997-form 3.pdf

00481-cal-1997-form 5.pdf

00481-cal-1997-letter patent.pdf

00481-cal-1997-priority document.pdf

00481-cal-1997-reply f.e.r.pdf

481-CAL-1997-FORM-27-1.pdf

481-CAL-1997-FORM-27.pdf


Patent Number 211280
Indian Patent Application Number 481/CAL/1997
PG Journal Number 43/2007
Publication Date 26-Oct-2007
Grant Date 24-Oct-2007
Date of Filing 18-Mar-1997
Name of Patentee MARY P.SCHICK
Applicant Address 2027 OLD FORGE WAY, MARIETTA, GEORGIA 30068
Inventors:
# Inventor's Name Inventor's Address
1 MARY P.SCHICK 2027 OLD FORGE WAY, MARIETTA, GEORGIA 30068
PCT International Classification Number A 61 K 7/04, 7/06
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 08/621,473 1996-03-25 U.S.A.