WO2022016038A1 - Formulation bases comprising hyaluronic acid and formulations of same - Google Patents
Formulation bases comprising hyaluronic acid and formulations of same Download PDFInfo
- Publication number
- WO2022016038A1 WO2022016038A1 PCT/US2021/041936 US2021041936W WO2022016038A1 WO 2022016038 A1 WO2022016038 A1 WO 2022016038A1 US 2021041936 W US2021041936 W US 2021041936W WO 2022016038 A1 WO2022016038 A1 WO 2022016038A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- formulation
- pharmaceutically acceptable
- acceptable salt
- hyaluronic acid
- fraction
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 520
- 238000009472 formulation Methods 0.000 title claims abstract description 477
- 229920002674 hyaluronan Polymers 0.000 title claims abstract description 190
- KIUKXJAPPMFGSW-DNGZLQJQSA-N (2S,3S,4S,5R,6R)-6-[(2S,3R,4R,5S,6R)-3-Acetamido-2-[(2S,3S,4R,5R,6R)-6-[(2R,3R,4R,5S,6R)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2-carboxylic acid Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 KIUKXJAPPMFGSW-DNGZLQJQSA-N 0.000 title claims abstract description 189
- 229960003160 hyaluronic acid Drugs 0.000 title claims abstract description 189
- 150000003839 salts Chemical class 0.000 claims abstract description 284
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 claims abstract description 102
- 235000010445 lecithin Nutrition 0.000 claims abstract description 102
- 239000000787 lecithin Substances 0.000 claims abstract description 102
- 229940067606 lecithin Drugs 0.000 claims abstract description 102
- 239000002502 liposome Substances 0.000 claims abstract description 100
- 239000013543 active substance Substances 0.000 claims abstract description 82
- 239000002417 nutraceutical Substances 0.000 claims description 115
- 235000021436 nutraceutical agent Nutrition 0.000 claims description 115
- 238000000034 method Methods 0.000 claims description 89
- MWUXSHHQAYIFBG-UHFFFAOYSA-N Nitric oxide Chemical compound O=[N] MWUXSHHQAYIFBG-UHFFFAOYSA-N 0.000 claims description 64
- RWSXRVCMGQZWBV-WDSKDSINSA-N glutathione Chemical compound OC(=O)[C@@H](N)CCC(=O)N[C@@H](CS)C(=O)NCC(O)=O RWSXRVCMGQZWBV-WDSKDSINSA-N 0.000 claims description 56
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 55
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 claims description 54
- ZKHQWZAMYRWXGA-UHFFFAOYSA-N Adenosine triphosphate Natural products C1=NC=2C(N)=NC=NC=2N1C1OC(COP(O)(=O)OP(O)(=O)OP(O)(O)=O)C(O)C1O ZKHQWZAMYRWXGA-UHFFFAOYSA-N 0.000 claims description 48
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims description 42
- 229960001456 adenosine triphosphate Drugs 0.000 claims description 42
- ACTIUHUUMQJHFO-UPTCCGCDSA-N coenzyme Q10 Chemical compound COC1=C(OC)C(=O)C(C\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CC\C=C(/C)CCC=C(C)C)=C(C)C1=O ACTIUHUUMQJHFO-UPTCCGCDSA-N 0.000 claims description 41
- AGBQKNBQESQNJD-UHFFFAOYSA-N lipoic acid Chemical compound OC(=O)CCCCC1CCSS1 AGBQKNBQESQNJD-UHFFFAOYSA-N 0.000 claims description 41
- FGIUAXJPYTZDNR-UHFFFAOYSA-N potassium nitrate Chemical compound [K+].[O-][N+]([O-])=O FGIUAXJPYTZDNR-UHFFFAOYSA-N 0.000 claims description 40
- 230000037078 sports performance Effects 0.000 claims description 39
- XLOMVQKBTHCTTD-UHFFFAOYSA-N Zinc monoxide Chemical compound [Zn]=O XLOMVQKBTHCTTD-UHFFFAOYSA-N 0.000 claims description 36
- QYSXJUFSXHHAJI-YRZJJWOYSA-N vitamin D3 Chemical compound C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C\C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-YRZJJWOYSA-N 0.000 claims description 36
- RHGKLRLOHDJJDR-BYPYZUCNSA-N L-citrulline Chemical group NC(=O)NCCC[C@H]([NH3+])C([O-])=O RHGKLRLOHDJJDR-BYPYZUCNSA-N 0.000 claims description 35
- RHGKLRLOHDJJDR-UHFFFAOYSA-N Ndelta-carbamoyl-DL-ornithine Natural products OC(=O)C(N)CCCNC(N)=O RHGKLRLOHDJJDR-UHFFFAOYSA-N 0.000 claims description 35
- 229960002173 citrulline Drugs 0.000 claims description 35
- 235000013477 citrulline Nutrition 0.000 claims description 35
- 210000000987 immune system Anatomy 0.000 claims description 35
- 229940021056 vitamin d3 Drugs 0.000 claims description 35
- QYSXJUFSXHHAJI-XFEUOLMDSA-N Vitamin D3 Natural products C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C/C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-XFEUOLMDSA-N 0.000 claims description 34
- 235000005282 vitamin D3 Nutrition 0.000 claims description 33
- 239000011647 vitamin D3 Substances 0.000 claims description 33
- PYMYPHUHKUWMLA-LMVFSUKVSA-N Ribose Natural products OC[C@@H](O)[C@@H](O)[C@@H](O)C=O PYMYPHUHKUWMLA-LMVFSUKVSA-N 0.000 claims description 32
- ACTIUHUUMQJHFO-UHFFFAOYSA-N Coenzym Q10 Natural products COC1=C(OC)C(=O)C(CC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)CCC=C(C)C)=C(C)C1=O ACTIUHUUMQJHFO-UHFFFAOYSA-N 0.000 claims description 31
- 235000017471 coenzyme Q10 Nutrition 0.000 claims description 31
- 229940110767 coenzyme Q10 Drugs 0.000 claims description 31
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 31
- 201000010099 disease Diseases 0.000 claims description 28
- 229960003180 glutathione Drugs 0.000 claims description 28
- 235000021537 Beetroot Nutrition 0.000 claims description 27
- 108010024636 Glutathione Proteins 0.000 claims description 27
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 claims description 27
- 229960001948 caffeine Drugs 0.000 claims description 27
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 claims description 27
- 208000035475 disorder Diseases 0.000 claims description 27
- 235000003969 glutathione Nutrition 0.000 claims description 27
- -1 poly(acrylic acid) Polymers 0.000 claims description 27
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 claims description 26
- 206010061218 Inflammation Diseases 0.000 claims description 25
- 230000004054 inflammatory process Effects 0.000 claims description 25
- 238000004519 manufacturing process Methods 0.000 claims description 25
- PWKSKIMOESPYIA-BYPYZUCNSA-N L-N-acetyl-Cysteine Chemical compound CC(=O)N[C@@H](CS)C(O)=O PWKSKIMOESPYIA-BYPYZUCNSA-N 0.000 claims description 24
- QWLHYYKDLOVBNV-UHFFFAOYSA-L magnesium orotate Chemical group [Mg+2].[O-]C(=O)C1=CC(=O)NC(=O)N1.[O-]C(=O)C1=CC(=O)NC(=O)N1 QWLHYYKDLOVBNV-UHFFFAOYSA-L 0.000 claims description 24
- 229960000407 magnesium orotate Drugs 0.000 claims description 24
- HMFHBZSHGGEWLO-SOOFDHNKSA-N D-ribofuranose Chemical compound OC[C@H]1OC(O)[C@H](O)[C@@H]1O HMFHBZSHGGEWLO-SOOFDHNKSA-N 0.000 claims description 22
- HMFHBZSHGGEWLO-UHFFFAOYSA-N alpha-D-Furanose-Ribose Natural products OCC1OC(O)C(O)C1O HMFHBZSHGGEWLO-UHFFFAOYSA-N 0.000 claims description 22
- 239000003349 gelling agent Substances 0.000 claims description 21
- 235000019136 lipoic acid Nutrition 0.000 claims description 21
- 229960002663 thioctic acid Drugs 0.000 claims description 21
- ZZZCUOFIHGPKAK-UHFFFAOYSA-N D-erythro-ascorbic acid Natural products OCC1OC(=O)C(O)=C1O ZZZCUOFIHGPKAK-UHFFFAOYSA-N 0.000 claims description 20
- 229930003268 Vitamin C Natural products 0.000 claims description 20
- 230000002401 inhibitory effect Effects 0.000 claims description 20
- 210000004400 mucous membrane Anatomy 0.000 claims description 20
- 239000004323 potassium nitrate Substances 0.000 claims description 20
- 235000010333 potassium nitrate Nutrition 0.000 claims description 20
- 239000011718 vitamin C Substances 0.000 claims description 20
- 235000019154 vitamin C Nutrition 0.000 claims description 20
- 230000008901 benefit Effects 0.000 claims description 18
- 239000011787 zinc oxide Substances 0.000 claims description 18
- 229910002651 NO3 Inorganic materials 0.000 claims description 16
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 claims description 16
- 239000000499 gel Substances 0.000 claims description 16
- 238000001879 gelation Methods 0.000 claims description 16
- 230000001939 inductive effect Effects 0.000 claims description 14
- 235000016804 zinc Nutrition 0.000 claims description 13
- 239000011701 zinc Substances 0.000 claims description 13
- 229910052725 zinc Inorganic materials 0.000 claims description 13
- GVJHHUAWPYXKBD-UHFFFAOYSA-N (±)-α-Tocopherol Chemical compound OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-UHFFFAOYSA-N 0.000 claims description 12
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 12
- 229920002125 Sokalan® Polymers 0.000 claims description 12
- MBMBGCFOFBJSGT-KUBAVDMBSA-N all-cis-docosa-4,7,10,13,16,19-hexaenoic acid Chemical compound CC\C=C/C\C=C/C\C=C/C\C=C/C\C=C/C\C=C/CCC(O)=O MBMBGCFOFBJSGT-KUBAVDMBSA-N 0.000 claims description 12
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 claims description 12
- PXQPEWDEAKTCGB-UHFFFAOYSA-N orotic acid Chemical compound OC(=O)C1=CC(=O)NC(=O)N1 PXQPEWDEAKTCGB-UHFFFAOYSA-N 0.000 claims description 12
- 239000000843 powder Substances 0.000 claims description 8
- NIXOWILDQLNWCW-UHFFFAOYSA-N Acrylic acid Chemical group OC(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 claims description 7
- 206010003399 Arthropod bite Diseases 0.000 claims description 7
- 229960001631 carbomer Drugs 0.000 claims description 7
- 239000011720 vitamin B Substances 0.000 claims description 7
- FYGDTMLNYKFZSV-URKRLVJHSA-N (2s,3r,4s,5s,6r)-2-[(2r,4r,5r,6s)-4,5-dihydroxy-2-(hydroxymethyl)-6-[(2r,4r,5r,6s)-4,5,6-trihydroxy-2-(hydroxymethyl)oxan-3-yl]oxyoxan-3-yl]oxy-6-(hydroxymethyl)oxane-3,4,5-triol Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@H]1OC1[C@@H](CO)O[C@@H](OC2[C@H](O[C@H](O)[C@H](O)[C@H]2O)CO)[C@H](O)[C@H]1O FYGDTMLNYKFZSV-URKRLVJHSA-N 0.000 claims description 6
- FPIPGXGPPPQFEQ-UHFFFAOYSA-N 13-cis retinol Natural products OCC=C(C)C=CC=C(C)C=CC1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-UHFFFAOYSA-N 0.000 claims description 6
- 240000002234 Allium sativum Species 0.000 claims description 6
- 241000208340 Araliaceae Species 0.000 claims description 6
- 241001061264 Astragalus Species 0.000 claims description 6
- 229920002498 Beta-glucan Polymers 0.000 claims description 6
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 claims description 6
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 claims description 6
- 235000003140 Panax quinquefolius Nutrition 0.000 claims description 6
- BUGBHKTXTAQXES-UHFFFAOYSA-N Selenium Chemical compound [Se] BUGBHKTXTAQXES-UHFFFAOYSA-N 0.000 claims description 6
- 206010042496 Sunburn Diseases 0.000 claims description 6
- FPIPGXGPPPQFEQ-BOOMUCAASA-N Vitamin A Natural products OC/C=C(/C)\C=C\C=C(\C)/C=C/C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-BOOMUCAASA-N 0.000 claims description 6
- 229930003427 Vitamin E Natural products 0.000 claims description 6
- FPIPGXGPPPQFEQ-OVSJKPMPSA-N all-trans-retinol Chemical compound OC\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-OVSJKPMPSA-N 0.000 claims description 6
- 235000006533 astragalus Nutrition 0.000 claims description 6
- 235000021277 colostrum Nutrition 0.000 claims description 6
- 210000003022 colostrum Anatomy 0.000 claims description 6
- 235000020669 docosahexaenoic acid Nutrition 0.000 claims description 6
- 229940090949 docosahexaenoic acid Drugs 0.000 claims description 6
- 239000000284 extract Substances 0.000 claims description 6
- 229960000304 folic acid Drugs 0.000 claims description 6
- 235000019152 folic acid Nutrition 0.000 claims description 6
- 239000011724 folic acid Substances 0.000 claims description 6
- WIGCFUFOHFEKBI-UHFFFAOYSA-N gamma-tocopherol Natural products CC(C)CCCC(C)CCCC(C)CCCC1CCC2C(C)C(O)C(C)C(C)C2O1 WIGCFUFOHFEKBI-UHFFFAOYSA-N 0.000 claims description 6
- 235000004611 garlic Nutrition 0.000 claims description 6
- 235000008434 ginseng Nutrition 0.000 claims description 6
- 229960003284 iron Drugs 0.000 claims description 6
- 229910052742 iron Inorganic materials 0.000 claims description 6
- 239000002674 ointment Substances 0.000 claims description 6
- 239000006041 probiotic Substances 0.000 claims description 6
- 230000000529 probiotic effect Effects 0.000 claims description 6
- 235000018291 probiotics Nutrition 0.000 claims description 6
- 229910052711 selenium Inorganic materials 0.000 claims description 6
- 239000011669 selenium Substances 0.000 claims description 6
- 229940091258 selenium supplement Drugs 0.000 claims description 6
- 210000004233 talus Anatomy 0.000 claims description 6
- 230000002992 thymic effect Effects 0.000 claims description 6
- 238000011200 topical administration Methods 0.000 claims description 6
- 235000019155 vitamin A Nutrition 0.000 claims description 6
- 239000011719 vitamin A Substances 0.000 claims description 6
- 235000019156 vitamin B Nutrition 0.000 claims description 6
- 239000011709 vitamin E Substances 0.000 claims description 6
- 235000019165 vitamin E Nutrition 0.000 claims description 6
- 229940046009 vitamin E Drugs 0.000 claims description 6
- 229940045997 vitamin a Drugs 0.000 claims description 6
- 201000004624 Dermatitis Diseases 0.000 claims description 5
- 239000006071 cream Substances 0.000 claims description 5
- 239000006196 drop Substances 0.000 claims description 5
- 239000000839 emulsion Substances 0.000 claims description 5
- 239000006260 foam Substances 0.000 claims description 5
- 239000006210 lotion Substances 0.000 claims description 5
- 239000006072 paste Substances 0.000 claims description 5
- 239000007921 spray Substances 0.000 claims description 5
- ZKHQWZAMYRWXGA-KQYNXXCUSA-J ATP(4-) Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](COP([O-])(=O)OP([O-])(=O)OP([O-])([O-])=O)[C@@H](O)[C@H]1O ZKHQWZAMYRWXGA-KQYNXXCUSA-J 0.000 claims 7
- 238000010521 absorption reaction Methods 0.000 abstract description 5
- 239000002585 base Substances 0.000 description 119
- ZKHQWZAMYRWXGA-KQYNXXCUSA-N Adenosine triphosphate Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](COP(O)(=O)OP(O)(=O)OP(O)(O)=O)[C@@H](O)[C@H]1O ZKHQWZAMYRWXGA-KQYNXXCUSA-N 0.000 description 40
- 238000002156 mixing Methods 0.000 description 31
- 239000011521 glass Substances 0.000 description 26
- 230000001965 increasing effect Effects 0.000 description 26
- 210000003205 muscle Anatomy 0.000 description 20
- 239000003814 drug Substances 0.000 description 18
- 239000005388 borosilicate glass Substances 0.000 description 16
- 230000000694 effects Effects 0.000 description 16
- 230000036542 oxidative stress Effects 0.000 description 13
- 230000009469 supplementation Effects 0.000 description 13
- 239000002537 cosmetic Substances 0.000 description 11
- 230000003247 decreasing effect Effects 0.000 description 11
- 239000002253 acid Substances 0.000 description 10
- 229940079593 drug Drugs 0.000 description 10
- 239000011777 magnesium Substances 0.000 description 10
- 239000000126 substance Substances 0.000 description 10
- 230000007423 decrease Effects 0.000 description 9
- 235000005911 diet Nutrition 0.000 description 9
- 239000012153 distilled water Substances 0.000 description 9
- 238000011282 treatment Methods 0.000 description 9
- 208000002193 Pain Diseases 0.000 description 8
- UCMIRNVEIXFBKS-UHFFFAOYSA-N beta-alanine Chemical compound NCCC(O)=O UCMIRNVEIXFBKS-UHFFFAOYSA-N 0.000 description 8
- 230000000378 dietary effect Effects 0.000 description 8
- 235000016709 nutrition Nutrition 0.000 description 8
- 229940049638 carbomer homopolymer type c Drugs 0.000 description 7
- 229940043234 carbomer-940 Drugs 0.000 description 7
- 239000003995 emulsifying agent Substances 0.000 description 7
- 235000015097 nutrients Nutrition 0.000 description 7
- 239000000546 pharmaceutical excipient Substances 0.000 description 7
- 238000001243 protein synthesis Methods 0.000 description 7
- 238000011084 recovery Methods 0.000 description 7
- 239000000243 solution Substances 0.000 description 7
- 229940005741 sunflower lecithin Drugs 0.000 description 7
- 230000008093 supporting effect Effects 0.000 description 7
- 230000014616 translation Effects 0.000 description 7
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 6
- QRYRORQUOLYVBU-VBKZILBWSA-N Carnosic acid Natural products CC([C@@H]1CC2)(C)CCC[C@]1(C(O)=O)C1=C2C=C(C(C)C)C(O)=C1O QRYRORQUOLYVBU-VBKZILBWSA-N 0.000 description 6
- 108010087806 Carnosine Proteins 0.000 description 6
- CQOVPNPJLQNMDC-UHFFFAOYSA-N N-beta-alanyl-L-histidine Natural products NCCC(=O)NC(C(O)=O)CC1=CN=CN1 CQOVPNPJLQNMDC-UHFFFAOYSA-N 0.000 description 6
- 229940044199 carnosine Drugs 0.000 description 6
- CQOVPNPJLQNMDC-ZETCQYMHSA-N carnosine Chemical compound [NH3+]CCC(=O)N[C@H](C([O-])=O)CC1=CNC=N1 CQOVPNPJLQNMDC-ZETCQYMHSA-N 0.000 description 6
- 235000013305 food Nutrition 0.000 description 6
- 230000035764 nutrition Effects 0.000 description 6
- 230000029812 viral genome replication Effects 0.000 description 6
- 229920002385 Sodium hyaluronate Polymers 0.000 description 5
- 239000004480 active ingredient Substances 0.000 description 5
- PYMYPHUHKUWMLA-UHFFFAOYSA-N arabinose Natural products OCC(O)C(O)C(O)C=O PYMYPHUHKUWMLA-UHFFFAOYSA-N 0.000 description 5
- SRBFZHDQGSBBOR-UHFFFAOYSA-N beta-D-Pyranose-Lyxose Natural products OC1COC(O)C(O)C1O SRBFZHDQGSBBOR-UHFFFAOYSA-N 0.000 description 5
- 229940085237 carbomer-980 Drugs 0.000 description 5
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 5
- 239000003795 chemical substances by application Substances 0.000 description 5
- 230000003111 delayed effect Effects 0.000 description 5
- 210000000936 intestine Anatomy 0.000 description 5
- 239000002243 precursor Substances 0.000 description 5
- 229940010747 sodium hyaluronate Drugs 0.000 description 5
- YWIVKILSMZOHHF-QJZPQSOGSA-N sodium;(2s,3s,4s,5r,6r)-6-[(2s,3r,4r,5s,6r)-3-acetamido-2-[(2s,3s,4r,5r,6r)-6-[(2r,3r,4r,5s,6r)-3-acetamido-2,5-dihydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-2-carboxy-4,5-dihydroxyoxan-3-yl]oxy-5-hydroxy-6-(hydroxymethyl)oxan-4-yl]oxy-3,4,5-trihydroxyoxane-2- Chemical compound [Na+].CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 YWIVKILSMZOHHF-QJZPQSOGSA-N 0.000 description 5
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 5
- 230000029663 wound healing Effects 0.000 description 5
- 208000025721 COVID-19 Diseases 0.000 description 4
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 4
- 102000008934 Muscle Proteins Human genes 0.000 description 4
- 108010074084 Muscle Proteins Proteins 0.000 description 4
- 208000000112 Myalgia Diseases 0.000 description 4
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 4
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 4
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 4
- 206010072170 Skin wound Diseases 0.000 description 4
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 4
- 208000036142 Viral infection Diseases 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 4
- 230000003110 anti-inflammatory effect Effects 0.000 description 4
- 230000003078 antioxidant effect Effects 0.000 description 4
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 4
- 229940000635 beta-alanine Drugs 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 230000036772 blood pressure Effects 0.000 description 4
- 238000009835 boiling Methods 0.000 description 4
- 150000007522 mineralic acids Chemical class 0.000 description 4
- 208000015001 muscle soreness Diseases 0.000 description 4
- 208000004296 neuralgia Diseases 0.000 description 4
- 208000021722 neuropathic pain Diseases 0.000 description 4
- 150000007524 organic acids Chemical class 0.000 description 4
- 235000005985 organic acids Nutrition 0.000 description 4
- 229910052760 oxygen Inorganic materials 0.000 description 4
- 239000001301 oxygen Substances 0.000 description 4
- 239000008194 pharmaceutical composition Substances 0.000 description 4
- 229920000642 polymer Polymers 0.000 description 4
- 238000002360 preparation method Methods 0.000 description 4
- 239000003755 preservative agent Substances 0.000 description 4
- 230000004044 response Effects 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- 230000017423 tissue regeneration Effects 0.000 description 4
- 229920002554 vinyl polymer Polymers 0.000 description 4
- 230000009385 viral infection Effects 0.000 description 4
- 206010001497 Agitation Diseases 0.000 description 3
- WVDDGKGOMKODPV-UHFFFAOYSA-N Benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 description 3
- 208000001528 Coronaviridae Infections Diseases 0.000 description 3
- 206010013786 Dry skin Diseases 0.000 description 3
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 3
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 3
- 206010065390 Inflammatory pain Diseases 0.000 description 3
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 3
- 208000025370 Middle East respiratory syndrome Diseases 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
- 241000700159 Rattus Species 0.000 description 3
- 201000003176 Severe Acute Respiratory Syndrome Diseases 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 230000009471 action Effects 0.000 description 3
- 239000000654 additive Substances 0.000 description 3
- 230000000996 additive effect Effects 0.000 description 3
- 235000010443 alginic acid Nutrition 0.000 description 3
- 229920000615 alginic acid Polymers 0.000 description 3
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 3
- 239000003963 antioxidant agent Substances 0.000 description 3
- 235000006708 antioxidants Nutrition 0.000 description 3
- 230000004071 biological effect Effects 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 201000011510 cancer Diseases 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 230000018109 developmental process Effects 0.000 description 3
- 230000037336 dry skin Effects 0.000 description 3
- 230000002708 enhancing effect Effects 0.000 description 3
- 230000002270 ergogenic effect Effects 0.000 description 3
- 150000002170 ethers Chemical class 0.000 description 3
- 230000037406 food intake Effects 0.000 description 3
- 238000001802 infusion Methods 0.000 description 3
- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- SUMDYPCJJOFFON-UHFFFAOYSA-N isethionic acid Chemical compound OCCS(O)(=O)=O SUMDYPCJJOFFON-UHFFFAOYSA-N 0.000 description 3
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 3
- 231100000252 nontoxic Toxicity 0.000 description 3
- 230000003000 nontoxic effect Effects 0.000 description 3
- WXZMFSXDPGVJKK-UHFFFAOYSA-N pentaerythritol Chemical compound OCC(CO)(CO)CO WXZMFSXDPGVJKK-UHFFFAOYSA-N 0.000 description 3
- 235000011007 phosphoric acid Nutrition 0.000 description 3
- 230000037081 physical activity Effects 0.000 description 3
- 229920001495 poly(sodium acrylate) polymer Polymers 0.000 description 3
- 239000013558 reference substance Substances 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- NNMHYFLPFNGQFZ-UHFFFAOYSA-M sodium polyacrylate Chemical compound [Na+].[O-]C(=O)C=C NNMHYFLPFNGQFZ-UHFFFAOYSA-M 0.000 description 3
- 230000007103 stamina Effects 0.000 description 3
- KDYFGRWQOYBRFD-UHFFFAOYSA-N succinic acid Chemical compound OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 3
- 230000035488 systolic blood pressure Effects 0.000 description 3
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 3
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 2
- RZVAJINKPMORJF-UHFFFAOYSA-N Acetaminophen Chemical compound CC(=O)NC1=CC=C(O)C=C1 RZVAJINKPMORJF-UHFFFAOYSA-N 0.000 description 2
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 2
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 2
- 239000004475 Arginine Substances 0.000 description 2
- 241000283690 Bos taurus Species 0.000 description 2
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 2
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 2
- 208000003556 Dry Eye Syndromes Diseases 0.000 description 2
- 241000283073 Equus caballus Species 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- NTYJJOPFIAHURM-UHFFFAOYSA-N Histamine Chemical compound NCCC1=CN=CN1 NTYJJOPFIAHURM-UHFFFAOYSA-N 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 2
- ODKSFYDXXFIFQN-BYPYZUCNSA-N L-arginine Chemical compound OC(=O)[C@@H](N)CCCN=C(N)N ODKSFYDXXFIFQN-BYPYZUCNSA-N 0.000 description 2
- 229930064664 L-arginine Natural products 0.000 description 2
- 235000014852 L-arginine Nutrition 0.000 description 2
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 2
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 2
- BAVYZALUXZFZLV-UHFFFAOYSA-N Methylamine Chemical compound NC BAVYZALUXZFZLV-UHFFFAOYSA-N 0.000 description 2
- 102000008299 Nitric Oxide Synthase Human genes 0.000 description 2
- 108010021487 Nitric Oxide Synthase Proteins 0.000 description 2
- 235000019502 Orange oil Nutrition 0.000 description 2
- 229910019142 PO4 Inorganic materials 0.000 description 2
- 229920001219 Polysorbate 40 Polymers 0.000 description 2
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 2
- 206010057190 Respiratory tract infections Diseases 0.000 description 2
- 229910000831 Steel Inorganic materials 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 2
- 244000269722 Thea sinensis Species 0.000 description 2
- 241000700605 Viruses Species 0.000 description 2
- 150000007513 acids Chemical class 0.000 description 2
- 210000005006 adaptive immune system Anatomy 0.000 description 2
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 2
- 230000000202 analgesic effect Effects 0.000 description 2
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 2
- 235000009697 arginine Nutrition 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- 230000001851 biosynthetic effect Effects 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 239000011575 calcium Substances 0.000 description 2
- 229910052791 calcium Inorganic materials 0.000 description 2
- 230000001413 cellular effect Effects 0.000 description 2
- CVSVTCORWBXHQV-UHFFFAOYSA-N creatine Chemical compound NC(=[NH2+])N(C)CC([O-])=O CVSVTCORWBXHQV-UHFFFAOYSA-N 0.000 description 2
- MOTZDAYCYVMXPC-UHFFFAOYSA-N dodecyl hydrogen sulfate Chemical compound CCCCCCCCCCCCOS(O)(=O)=O MOTZDAYCYVMXPC-UHFFFAOYSA-N 0.000 description 2
- 229940043264 dodecyl sulfate Drugs 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- 235000003869 genetically modified organism Nutrition 0.000 description 2
- 235000011187 glycerol Nutrition 0.000 description 2
- 235000009569 green tea Nutrition 0.000 description 2
- 239000000017 hydrogel Substances 0.000 description 2
- 210000002865 immune cell Anatomy 0.000 description 2
- 230000036737 immune function Effects 0.000 description 2
- 230000036039 immunity Effects 0.000 description 2
- 230000002757 inflammatory effect Effects 0.000 description 2
- 230000028709 inflammatory response Effects 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 150000007529 inorganic bases Chemical class 0.000 description 2
- 238000001361 intraarterial administration Methods 0.000 description 2
- 229910052744 lithium Inorganic materials 0.000 description 2
- 229910052749 magnesium Inorganic materials 0.000 description 2
- 229940091250 magnesium supplement Drugs 0.000 description 2
- 238000012423 maintenance Methods 0.000 description 2
- 239000011976 maleic acid Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 238000002844 melting Methods 0.000 description 2
- 230000008018 melting Effects 0.000 description 2
- 230000009456 molecular mechanism Effects 0.000 description 2
- 239000010502 orange oil Substances 0.000 description 2
- 150000007530 organic bases Chemical class 0.000 description 2
- 230000001590 oxidative effect Effects 0.000 description 2
- 244000052769 pathogen Species 0.000 description 2
- VLTRZXGMWDSKGL-UHFFFAOYSA-N perchloric acid Chemical compound OCl(=O)(=O)=O VLTRZXGMWDSKGL-UHFFFAOYSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 2
- 239000010452 phosphate Substances 0.000 description 2
- 229920001983 poloxamer Polymers 0.000 description 2
- 239000000249 polyoxyethylene sorbitan monopalmitate Substances 0.000 description 2
- 235000010483 polyoxyethylene sorbitan monopalmitate Nutrition 0.000 description 2
- 229940101027 polysorbate 40 Drugs 0.000 description 2
- 235000007686 potassium Nutrition 0.000 description 2
- 229910052700 potassium Inorganic materials 0.000 description 2
- 239000011591 potassium Substances 0.000 description 2
- 230000002335 preservative effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000001737 promoting effect Effects 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 239000005297 pyrex Substances 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 239000003642 reactive oxygen metabolite Substances 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 238000012552 review Methods 0.000 description 2
- 239000011734 sodium Substances 0.000 description 2
- 229910052708 sodium Inorganic materials 0.000 description 2
- 239000002904 solvent Substances 0.000 description 2
- 230000009192 sprinting Effects 0.000 description 2
- 239000010959 steel Substances 0.000 description 2
- 230000035882 stress Effects 0.000 description 2
- 239000001384 succinic acid Substances 0.000 description 2
- 239000000829 suppository Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 238000011269 treatment regimen Methods 0.000 description 2
- GETQZCLCWQTVFV-UHFFFAOYSA-N trimethylamine Chemical compound CN(C)C GETQZCLCWQTVFV-UHFFFAOYSA-N 0.000 description 2
- 238000010792 warming Methods 0.000 description 2
- LSPHULWDVZXLIL-UHFFFAOYSA-N (+/-)-Camphoric acid Chemical compound CC1(C)C(C(O)=O)CCC1(C)C(O)=O LSPHULWDVZXLIL-UHFFFAOYSA-N 0.000 description 1
- HFVMEOPYDLEHBR-UHFFFAOYSA-N (2-fluorophenyl)-phenylmethanol Chemical compound C=1C=CC=C(F)C=1C(O)C1=CC=CC=C1 HFVMEOPYDLEHBR-UHFFFAOYSA-N 0.000 description 1
- DROVUXYZTXCEBX-WCCKRBBISA-N (2s)-2-amino-5-(carbamoylamino)pentanoic acid;2-hydroxybutanedioic acid Chemical compound OC(=O)C(O)CC(O)=O.OC(=O)[C@@H](N)CCCNC(N)=O DROVUXYZTXCEBX-WCCKRBBISA-N 0.000 description 1
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 description 1
- BSKHPKMHTQYZBB-UHFFFAOYSA-N 2-methylpyridine Chemical compound CC1=CC=CC=N1 BSKHPKMHTQYZBB-UHFFFAOYSA-N 0.000 description 1
- 229940080296 2-naphthalenesulfonate Drugs 0.000 description 1
- ZRPLANDPDWYOMZ-UHFFFAOYSA-N 3-cyclopentylpropionic acid Chemical compound OC(=O)CCC1CCCC1 ZRPLANDPDWYOMZ-UHFFFAOYSA-N 0.000 description 1
- XMIIGOLPHOKFCH-UHFFFAOYSA-M 3-phenylpropionate Chemical compound [O-]C(=O)CCC1=CC=CC=C1 XMIIGOLPHOKFCH-UHFFFAOYSA-M 0.000 description 1
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 description 1
- 230000002407 ATP formation Effects 0.000 description 1
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- 208000006820 Arthralgia Diseases 0.000 description 1
- 241000416162 Astragalus gummifer Species 0.000 description 1
- 235000021533 Beta vulgaris Nutrition 0.000 description 1
- 241000335053 Beta vulgaris Species 0.000 description 1
- BTBUEUYNUDRHOZ-UHFFFAOYSA-N Borate Chemical compound [O-]B([O-])[O-] BTBUEUYNUDRHOZ-UHFFFAOYSA-N 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-M Butyrate Chemical compound CCCC([O-])=O FERIUCNNQQJTOY-UHFFFAOYSA-M 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-N Butyric acid Natural products CCCC(O)=O FERIUCNNQQJTOY-UHFFFAOYSA-N 0.000 description 1
- 239000002126 C01EB10 - Adenosine Substances 0.000 description 1
- 206010006895 Cachexia Diseases 0.000 description 1
- 241000282465 Canis Species 0.000 description 1
- 241000283707 Capra Species 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 241000700199 Cavia porcellus Species 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- 206010052337 Diastolic dysfunction Diseases 0.000 description 1
- 206010013774 Dry eye Diseases 0.000 description 1
- 239000004097 EU approved flavor enhancer Substances 0.000 description 1
- 102000002322 Egg Proteins Human genes 0.000 description 1
- 108010000912 Egg Proteins Proteins 0.000 description 1
- 208000037487 Endotoxemia Diseases 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 206010073306 Exposure to radiation Diseases 0.000 description 1
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 1
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 1
- 241000282324 Felis Species 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- BDAGIHXWWSANSR-UHFFFAOYSA-M Formate Chemical compound [O-]C=O BDAGIHXWWSANSR-UHFFFAOYSA-M 0.000 description 1
- 206010060891 General symptom Diseases 0.000 description 1
- 244000068988 Glycine max Species 0.000 description 1
- 235000010469 Glycine max Nutrition 0.000 description 1
- 229920002683 Glycosaminoglycan Polymers 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- 244000020551 Helianthus annuus Species 0.000 description 1
- 235000003222 Helianthus annuus Nutrition 0.000 description 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- 206010020565 Hyperaemia Diseases 0.000 description 1
- 208000004454 Hyperalgesia Diseases 0.000 description 1
- 208000035154 Hyperesthesia Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 208000009319 Keratoconjunctivitis Sicca Diseases 0.000 description 1
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 1
- ROHFNLRQFUQHCH-YFKPBYRVSA-N L-leucine Chemical compound CC(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-YFKPBYRVSA-N 0.000 description 1
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 1
- 240000007472 Leucaena leucocephala Species 0.000 description 1
- ROHFNLRQFUQHCH-UHFFFAOYSA-N Leucine Natural products CC(C)CC(N)C(O)=O ROHFNLRQFUQHCH-UHFFFAOYSA-N 0.000 description 1
- OFOBLEOULBTSOW-UHFFFAOYSA-L Malonate Chemical compound [O-]C(=O)CC([O-])=O OFOBLEOULBTSOW-UHFFFAOYSA-L 0.000 description 1
- 241000124008 Mammalia Species 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 241000699666 Mus <mouse, genus> Species 0.000 description 1
- 206010028289 Muscle atrophy Diseases 0.000 description 1
- 206010049565 Muscle fatigue Diseases 0.000 description 1
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 1
- IOVCWXUNBOPUCH-UHFFFAOYSA-M Nitrite anion Chemical compound [O-]N=O IOVCWXUNBOPUCH-UHFFFAOYSA-M 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 241000009328 Perro Species 0.000 description 1
- 239000004264 Petrolatum Substances 0.000 description 1
- 239000004372 Polyvinyl alcohol Substances 0.000 description 1
- XBDQKXXYIPTUBI-UHFFFAOYSA-M Propionate Chemical compound CCC([O-])=O XBDQKXXYIPTUBI-UHFFFAOYSA-M 0.000 description 1
- 201000004681 Psoriasis Diseases 0.000 description 1
- 208000013616 Respiratory Distress Syndrome Diseases 0.000 description 1
- 208000025747 Rheumatic disease Diseases 0.000 description 1
- 241000283984 Rodentia Species 0.000 description 1
- 241000315672 SARS coronavirus Species 0.000 description 1
- 206010070834 Sensitisation Diseases 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 102000013530 TOR Serine-Threonine Kinases Human genes 0.000 description 1
- 108010065917 TOR Serine-Threonine Kinases Proteins 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-M Thiocyanate anion Chemical compound [S-]C#N ZMZDMBWJUHKJPS-UHFFFAOYSA-M 0.000 description 1
- 229920001615 Tragacanth Polymers 0.000 description 1
- 102000003425 Tyrosinase Human genes 0.000 description 1
- 108060008724 Tyrosinase Proteins 0.000 description 1
- 229930003316 Vitamin D Natural products 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 229940124532 absorption promoter Drugs 0.000 description 1
- OIPILFWXSMYKGL-UHFFFAOYSA-N acetylcholine Chemical compound CC(=O)OCC[N+](C)(C)C OIPILFWXSMYKGL-UHFFFAOYSA-N 0.000 description 1
- 229960004373 acetylcholine Drugs 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- OIRDTQYFTABQOQ-KQYNXXCUSA-N adenosine Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O OIRDTQYFTABQOQ-KQYNXXCUSA-N 0.000 description 1
- 150000003838 adenosines Chemical class 0.000 description 1
- WNLRTRBMVRJNCN-UHFFFAOYSA-L adipate(2-) Chemical compound [O-]C(=O)CCCCC([O-])=O WNLRTRBMVRJNCN-UHFFFAOYSA-L 0.000 description 1
- 201000000028 adult respiratory distress syndrome Diseases 0.000 description 1
- 230000032683 aging Effects 0.000 description 1
- 238000013019 agitation Methods 0.000 description 1
- 229940072056 alginate Drugs 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- 125000002723 alicyclic group Chemical group 0.000 description 1
- 125000001931 aliphatic group Chemical group 0.000 description 1
- 239000003513 alkali Substances 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- 150000008055 alkyl aryl sulfonates Chemical class 0.000 description 1
- 125000000217 alkyl group Chemical group 0.000 description 1
- 150000008052 alkyl sulfonates Chemical class 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- AWUCVROLDVIAJX-UHFFFAOYSA-N alpha-glycerophosphate Natural products OCC(O)COP(O)(O)=O AWUCVROLDVIAJX-UHFFFAOYSA-N 0.000 description 1
- SNAAJJQQZSMGQD-UHFFFAOYSA-N aluminum magnesium Chemical compound [Mg].[Al] SNAAJJQQZSMGQD-UHFFFAOYSA-N 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 229940024606 amino acid Drugs 0.000 description 1
- 235000001014 amino acid Nutrition 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 125000003277 amino group Chemical group 0.000 description 1
- 229910021529 ammonia Inorganic materials 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000003502 anti-nociceptive effect Effects 0.000 description 1
- 230000000840 anti-viral effect Effects 0.000 description 1
- 239000002246 antineoplastic agent Substances 0.000 description 1
- 229940041181 antineoplastic drug Drugs 0.000 description 1
- 230000006851 antioxidant defense Effects 0.000 description 1
- 125000003118 aryl group Chemical group 0.000 description 1
- 229940072107 ascorbate Drugs 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 229940009098 aspartate Drugs 0.000 description 1
- 239000000305 astragalus gummifer gum Substances 0.000 description 1
- 230000037147 athletic performance Effects 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- RQPZNWPYLFFXCP-UHFFFAOYSA-L barium dihydroxide Chemical class [OH-].[OH-].[Ba+2] RQPZNWPYLFFXCP-UHFFFAOYSA-L 0.000 description 1
- 235000013871 bee wax Nutrition 0.000 description 1
- 239000012166 beeswax Substances 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000000440 bentonite Substances 0.000 description 1
- 229910000278 bentonite Inorganic materials 0.000 description 1
- 235000012216 bentonite Nutrition 0.000 description 1
- SVPXDRXYRYOSEX-UHFFFAOYSA-N bentoquatam Chemical compound O.O=[Si]=O.O=[Al]O[Al]=O SVPXDRXYRYOSEX-UHFFFAOYSA-N 0.000 description 1
- 229940077388 benzenesulfonate Drugs 0.000 description 1
- SRSXLGNVWSONIS-UHFFFAOYSA-M benzenesulfonate Chemical compound [O-]S(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-M 0.000 description 1
- 229940050390 benzoate Drugs 0.000 description 1
- 235000019445 benzyl alcohol Nutrition 0.000 description 1
- XMIIGOLPHOKFCH-UHFFFAOYSA-N beta-phenylpropanoic acid Natural products OC(=O)CCC1=CC=CC=C1 XMIIGOLPHOKFCH-UHFFFAOYSA-N 0.000 description 1
- 230000000975 bioactive effect Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- FATUQANACHZLRT-KMRXSBRUSA-L calcium glucoheptonate Chemical compound [Ca+2].OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)C([O-])=O.OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)C([O-])=O FATUQANACHZLRT-KMRXSBRUSA-L 0.000 description 1
- MIOPJNTWMNEORI-UHFFFAOYSA-N camphorsulfonic acid Chemical compound C1CC2(CS(O)(=O)=O)C(=O)CC1C2(C)C MIOPJNTWMNEORI-UHFFFAOYSA-N 0.000 description 1
- 239000000828 canola oil Substances 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000003915 cell function Effects 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 229940110456 cocoa butter Drugs 0.000 description 1
- 235000019868 cocoa butter Nutrition 0.000 description 1
- 230000003931 cognitive performance Effects 0.000 description 1
- 239000000084 colloidal system Substances 0.000 description 1
- 230000036461 convulsion Effects 0.000 description 1
- 229960003624 creatine Drugs 0.000 description 1
- 239000006046 creatine Substances 0.000 description 1
- 230000001351 cycling effect Effects 0.000 description 1
- 239000008367 deionised water Substances 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 235000015872 dietary supplement Nutrition 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- POULHZVOKOAJMA-UHFFFAOYSA-M dodecanoate Chemical compound CCCCCCCCCCCC([O-])=O POULHZVOKOAJMA-UHFFFAOYSA-M 0.000 description 1
- 239000000890 drug combination Substances 0.000 description 1
- 235000013345 egg yolk Nutrition 0.000 description 1
- 210000002969 egg yolk Anatomy 0.000 description 1
- 238000005538 encapsulation Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 235000020776 essential amino acid Nutrition 0.000 description 1
- 239000003797 essential amino acid Substances 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 210000002744 extracellular matrix Anatomy 0.000 description 1
- 235000019264 food flavour enhancer Nutrition 0.000 description 1
- 210000000245 forearm Anatomy 0.000 description 1
- 239000012458 free base Substances 0.000 description 1
- 235000011389 fruit/vegetable juice Nutrition 0.000 description 1
- 239000000446 fuel Substances 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- 230000012010 growth Effects 0.000 description 1
- 150000004820 halides Chemical class 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 230000003862 health status Effects 0.000 description 1
- MNWFXJYAOYHMED-UHFFFAOYSA-N heptanoic acid Chemical compound CCCCCCC(O)=O MNWFXJYAOYHMED-UHFFFAOYSA-N 0.000 description 1
- IPCSVZSSVZVIGE-UHFFFAOYSA-M hexadecanoate Chemical compound CCCCCCCCCCCCCCCC([O-])=O IPCSVZSSVZVIGE-UHFFFAOYSA-M 0.000 description 1
- FUZZWVXGSFPDMH-UHFFFAOYSA-N hexanoic acid Chemical compound CCCCCC(O)=O FUZZWVXGSFPDMH-UHFFFAOYSA-N 0.000 description 1
- 229960001340 histamine Drugs 0.000 description 1
- 230000013632 homeostatic process Effects 0.000 description 1
- 229940099552 hyaluronan Drugs 0.000 description 1
- KIUKXJAPPMFGSW-MNSSHETKSA-N hyaluronan Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](CO)[C@@H](O)C1O[C@H]1[C@H](O)[C@@H](O)[C@H](O[C@H]2[C@@H](C(O[C@H]3[C@@H]([C@@H](O)[C@H](O)[C@H](O3)C(O)=O)O)[C@H](O)[C@@H](CO)O2)NC(C)=O)[C@@H](C(O)=O)O1 KIUKXJAPPMFGSW-MNSSHETKSA-N 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-N hydrogen thiocyanate Natural products SC#N ZMZDMBWJUHKJPS-UHFFFAOYSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M hydrogensulfate Chemical compound OS([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 150000002433 hydrophilic molecules Chemical class 0.000 description 1
- 229920001477 hydrophilic polymer Polymers 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-M hydroxide Chemical compound [OH-] XLYOFNOQVPJJNP-UHFFFAOYSA-M 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- UWYVPFMHMJIBHE-OWOJBTEDSA-N hydroxymaleic acid group Chemical group O/C(/C(=O)O)=C/C(=O)O UWYVPFMHMJIBHE-OWOJBTEDSA-N 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 239000012729 immediate-release (IR) formulation Substances 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000000415 inactivating effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 210000005007 innate immune system Anatomy 0.000 description 1
- 238000007917 intracranial administration Methods 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 238000007919 intrasynovial administration Methods 0.000 description 1
- 238000007913 intrathecal administration Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000005342 ion exchange Methods 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 229940001447 lactate Drugs 0.000 description 1
- 229940099584 lactobionate Drugs 0.000 description 1
- JYTUSYBCFIZPBE-AMTLMPIISA-N lactobionic acid Chemical compound OC(=O)[C@H](O)[C@@H](O)[C@@H]([C@H](O)CO)O[C@@H]1O[C@H](CO)[C@H](O)[C@H](O)[C@H]1O JYTUSYBCFIZPBE-AMTLMPIISA-N 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 229940070765 laurate Drugs 0.000 description 1
- 210000000265 leukocyte Anatomy 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 229940098779 methanesulfonic acid Drugs 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
- 230000004089 microcirculation Effects 0.000 description 1
- 235000013336 milk Nutrition 0.000 description 1
- 239000008267 milk Substances 0.000 description 1
- 210000004080 milk Anatomy 0.000 description 1
- 230000002438 mitochondrial effect Effects 0.000 description 1
- 230000004898 mitochondrial function Effects 0.000 description 1
- 108700019599 monomethylolglycine Proteins 0.000 description 1
- 210000000663 muscle cell Anatomy 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 201000000585 muscular atrophy Diseases 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 239000002114 nanocomposite Substances 0.000 description 1
- 239000002086 nanomaterial Substances 0.000 description 1
- 239000002105 nanoparticle Substances 0.000 description 1
- KVBGVZZKJNLNJU-UHFFFAOYSA-M naphthalene-2-sulfonate Chemical compound C1=CC=CC2=CC(S(=O)(=O)[O-])=CC=C21 KVBGVZZKJNLNJU-UHFFFAOYSA-M 0.000 description 1
- 230000002981 neuropathic effect Effects 0.000 description 1
- 235000001968 nicotinic acid Nutrition 0.000 description 1
- 239000011664 nicotinic acid Substances 0.000 description 1
- 210000000929 nociceptor Anatomy 0.000 description 1
- 108091008700 nociceptors Proteins 0.000 description 1
- 231100000344 non-irritating Toxicity 0.000 description 1
- 230000007959 normoxia Effects 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- 229940049964 oleate Drugs 0.000 description 1
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 description 1
- 239000003960 organic solvent Substances 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 235000006408 oxalic acid Nutrition 0.000 description 1
- 230000004792 oxidative damage Effects 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- JRKICGRDRMAZLK-UHFFFAOYSA-L peroxydisulfate Chemical compound [O-]S(=O)(=O)OOS([O-])(=O)=O JRKICGRDRMAZLK-UHFFFAOYSA-L 0.000 description 1
- 229940066842 petrolatum Drugs 0.000 description 1
- 235000019271 petrolatum Nutrition 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- WLJVXDMOQOGPHL-UHFFFAOYSA-N phenylacetic acid Chemical compound OC(=O)CC1=CC=CC=C1 WLJVXDMOQOGPHL-UHFFFAOYSA-N 0.000 description 1
- 229920001339 phlorotannin Polymers 0.000 description 1
- 229930182676 phlorotannins Natural products 0.000 description 1
- 150000003016 phosphoric acids Chemical class 0.000 description 1
- 229950010765 pivalate Drugs 0.000 description 1
- IUGYQRQAERSCNH-UHFFFAOYSA-N pivalic acid Chemical compound CC(C)(C)C(O)=O IUGYQRQAERSCNH-UHFFFAOYSA-N 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 150000004804 polysaccharides Chemical class 0.000 description 1
- 229920000136 polysorbate Polymers 0.000 description 1
- 229940068965 polysorbates Drugs 0.000 description 1
- 229920002451 polyvinyl alcohol Polymers 0.000 description 1
- CHKVPAROMQMJNQ-UHFFFAOYSA-M potassium bisulfate Chemical compound [K+].OS([O-])(=O)=O CHKVPAROMQMJNQ-UHFFFAOYSA-M 0.000 description 1
- 229910000343 potassium bisulfate Inorganic materials 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 125000001453 quaternary ammonium group Chemical group 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 230000010076 replication Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 210000003019 respiratory muscle Anatomy 0.000 description 1
- 238000009118 salvage therapy Methods 0.000 description 1
- 208000001076 sarcopenia Diseases 0.000 description 1
- 230000008313 sensitization Effects 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
- AWUCVROLDVIAJX-GSVOUGTGSA-N sn-glycerol 3-phosphate Chemical compound OC[C@@H](O)COP(O)(O)=O AWUCVROLDVIAJX-GSVOUGTGSA-N 0.000 description 1
- 235000010413 sodium alginate Nutrition 0.000 description 1
- 239000000661 sodium alginate Substances 0.000 description 1
- 229940005550 sodium alginate Drugs 0.000 description 1
- 229940101011 sodium hydroxymethylglycinate Drugs 0.000 description 1
- CITBNDNUEPMTFC-UHFFFAOYSA-M sodium;2-(hydroxymethylamino)acetate Chemical compound [Na+].OCNCC([O-])=O CITBNDNUEPMTFC-UHFFFAOYSA-M 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000003381 solubilizing effect Effects 0.000 description 1
- 239000003549 soybean oil Substances 0.000 description 1
- 235000014268 sports nutrition Nutrition 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 150000003460 sulfonic acids Chemical class 0.000 description 1
- 239000002600 sunflower oil Substances 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 230000009897 systematic effect Effects 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 238000012549 training Methods 0.000 description 1
- 150000003628 tricarboxylic acids Chemical class 0.000 description 1
- ZDPHROOEEOARMN-UHFFFAOYSA-N undecanoic acid Chemical compound CCCCCCCCCCC(O)=O ZDPHROOEEOARMN-UHFFFAOYSA-N 0.000 description 1
- NQPDZGIKBAWPEJ-UHFFFAOYSA-N valeric acid Chemical class CCCCC(O)=O NQPDZGIKBAWPEJ-UHFFFAOYSA-N 0.000 description 1
- 229940124549 vasodilator Drugs 0.000 description 1
- 239000003071 vasodilator agent Substances 0.000 description 1
- 239000013598 vector Substances 0.000 description 1
- 235000015112 vegetable and seed oil Nutrition 0.000 description 1
- 235000013311 vegetables Nutrition 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 235000019166 vitamin D Nutrition 0.000 description 1
- 239000011710 vitamin D Substances 0.000 description 1
- 150000003710 vitamin D derivatives Chemical class 0.000 description 1
- 229940046008 vitamin d Drugs 0.000 description 1
- 229920001285 xanthan gum Polymers 0.000 description 1
- 239000000230 xanthan gum Substances 0.000 description 1
- 235000010493 xanthan gum Nutrition 0.000 description 1
- 229940082509 xanthan gum Drugs 0.000 description 1
- 229960001296 zinc oxide Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/11—Aldehydes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/12—Ketones
- A61K31/122—Ketones having the oxygen directly attached to a ring, e.g. quinones, vitamin K1, anthralin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
- A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/20—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids
- A61K31/202—Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids having three or more double bonds, e.g. linolenic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/35—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
- A61K31/352—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline
- A61K31/353—3,4-Dihydrobenzopyrans, e.g. chroman, catechin
- A61K31/355—Tocopherols, e.g. vitamin E
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/365—Lactones
- A61K31/375—Ascorbic acid, i.e. vitamin C; Salts thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/59—Compounds containing 9, 10- seco- cyclopenta[a]hydrophenanthrene ring systems
- A61K31/593—9,10-Secocholestane derivatives, e.g. cholecalciferol, i.e. vitamin D3
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7135—Compounds containing heavy metals
- A61K31/714—Cobalamins, e.g. cyanocobalamin, i.e. vitamin B12
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
- A61K31/726—Glycosaminoglycans, i.e. mucopolysaccharides
- A61K31/728—Hyaluronic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/04—Sulfur, selenium or tellurium; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
- A61K33/26—Iron; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
- A61K33/30—Zinc; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/66—Microorganisms or materials therefrom
- A61K35/74—Bacteria
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/25—Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
- A61K36/258—Panax (ginseng)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/28—Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/48—Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
- A61K36/481—Astragalus (milkvetch)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/88—Liliopsida (monocotyledons)
- A61K36/896—Liliaceae (Lily family), e.g. daylily, plantain lily, Hyacinth or narcissus
- A61K36/8962—Allium, e.g. garden onion, leek, garlic or chives
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
- A61K38/06—Tripeptides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/32—Macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. carbomers, poly(meth)acrylates, or polyvinyl pyrrolidone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/02—Nutrients, e.g. vitamins, minerals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/10—Dispersions; Emulsions
- A61K9/127—Synthetic bilayered vehicles, e.g. liposomes or liposomes with cholesterol as the only non-phosphatidyl surfactant
Definitions
- a formulation base comprising a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d 75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons.
- a formulation comprising a formulation base described herein and one or more active substances.
- a formulation comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; lecithin liposomes; and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof has a molecular weight of greater than about 500 kilodaltons.
- the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof has a molecular weight of less than about 250 kilodaltons.
- the lecithin liposomes have a d 75 of from about 25 nm to about 250 nm.
- a formulation comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; lecithin liposomes; and the following nutraceuticals: ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10.
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof has a molecular weight of greater than about 500 kilodaltons.
- the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof has a molecular weight of less than about 250 kilodaltons.
- the lecithin liposomes have a d 75 of from about 25 nm to about 250 nm.
- Also provided herein is a method of making a formulation base described herein, comprising forming a mixture of lecithin liposomes and hyaluronic acid (e.g ., first and second fractions of hyaluronic acid), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- hyaluronic acid e.g ., first and second fractions of hyaluronic acid
- Also provided herein is a method of making a formulation described herein, comprising forming a mixture of lecithin liposomes, one or more active substances (e.g., nutraceuticals), and hyaluronic acid (e.g, first and second fractions of hyaluronic acid), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- active substances e.g., nutraceuticals
- hyaluronic acid e.g, first and second fractions of hyaluronic acid
- Also provided herein is a method of administering a formulation base or formulation described herein to a subject, comprising applying the formulation base or formulation described herein to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject.
- Also provided herein is a method of administering one or more active substances (e.g, nutraceuticals) to a subject, comprising applying a formulation comprising the one or more active substances to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject, wherein the formulation is a formulation described herein.
- a formulation base or formulation described herein comprising administering an effective amount of the formulation base or formulation to the subject.
- a formulation base or formulation for use in treating a subject in need of the formulation base or formulation wherein the formulation base or formulation is a formulation base or formulation described herein.
- a formulation base or formulation described herein for the manufacture of a medicament for the treatment of a subject in need of the formulation base or formulation.
- Also provided herein is method of treating a subject in need of one or more active substances (e.g ., nutraceuticals), comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject.
- Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation described herein to the subject. Also provided herein is a formulation base or formulation described herein for use in treating a subject having a disease, disorder or condition that would benefit from administration of the formulation base or formulation.
- a formulation base or formulation described herein for the manufacture of a medicament for the treatment of a subject having a disease, disorder or condition that would benefit from administration of the formulation base or formulation.
- a method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject.
- a formulation for use in treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances wherein the formulation is a formulation described herein comprising the one or more active substances.
- Also provided herein is a formulation comprising one or more active substances for the manufacture of a medicament for the treatment of a subject having a disease, disorder or condition that would benefit from administration of the one or more active substances, wherein the formulation is a formulation described herein comprising the one or more active substances.
- Also provided herein is a method of inhibiting and/or treating inflammation in a subject (e.g ., a subject in need thereof), comprising administering a formulation base or formulation described herein (e.g., an effective amount of a formulation base or formulation described herein) to the subject.
- a formulation base or formulation described herein for use in inhibiting and/or treating inflammation in a subject.
- a formulation base or formulation described herein for the manufacture of a medicament for the inhibition and/or treatment of inflammation in a subject.
- the formulation bases and formulations described herein are expected to be efficient and non-invasive delivery systems for nutrients and other active substances that provide for absorption of nutrients and other active substances into the body.
- the formulation bases and formulations described herein are expected to have anti inflammatory properties that render them useful for inhibiting inflammation in a variety of settings, such as in treatment of a bug bite or sunburn.
- Formulations to support the immune system are expected to enhance immune function by inhibiting inflammatory response and viral replication by providing for absorption of neutraceuticals that support the immune system into the body.
- Formulations to support sports performance are expected to support sports performance by providing the body with vital nutrients through the skin to improve strength, endurance and recovery without adding substantial calories to the body.
- nutraceutical includes one nutraceutical and a plurality of nutraceuticals.
- the plurality can be a plurality of the same nutraceuticals or a plurality of different nutraceuticals.
- “pharmaceutically acceptable,” when used in reference to an ingredient in a formulation base or formulation described herein, means non-toxic when administered in amounts consistent with the intended use of the formulation base or formulation including the ingredient.
- “pharmaceutically acceptable salt” refers to those salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit/risk ratio.
- Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge et al ., describe pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 1977, 66, 1-19, the relevant teachings of which are incorporated herein by reference in their entirety.
- Pharmaceutically acceptable salts of the compounds described herein include salts derived from suitable inorganic and organic acids, and inorganic and organic bases that are compatible with the treatment of subjects.
- Examples of pharmaceutically acceptable, nontoxic acid addition salts are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid, or with organic acids such as acetic acid, oxalic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion-exchange.
- inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid
- organic acids such as acetic acid, oxalic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion-exchange.
- acid addition salts include adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecyl sulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy- ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, peroxine sodium
- inorganic acids which form suitable salts include, but are not limited to, hydrochloric, hydrobromic, sulfuric and phosphoric acid and acid metal salts such as sodium monohydrogen orthophosphate and potassium hydrogen sulfate.
- organic acids which form suitable salts include the mono-, di- and tricarboxylic acids.
- Illustrative of such acids are, for example, acetic, glycolic, lactic, pyruvic, malonic, succinic, glutaric, fumaric, malic, tartaric, citric, ascorbic, maleic, hydroxymaleic, benzoic, hydroxybenzoic, phenylacetic, cinnamic, salicylic, 2-phenoxybenzoic, p-toluenesulfonic acid and other sulfonic acids, such as methanesulfonic acid and 2-hydroxyethanesulfonic acid.
- Either the mono- or di-acid salts can be formed, and such salts can exist in either a hydrated, solvated or substantially anhydrous form.
- the acid addition salts of these compounds are more soluble in water and various hydrophilic organic solvents, and generally demonstrate higher melting points in comparison to their free base forms.
- acid addition salts are most suitably formed from pharmaceutically acceptable acids, and include, for example, those formed with inorganic acids, e.g., hydrochloric, sulfuric or phosphoric acids and organic acids, e.g, succinic, maleic, acetic or fumaric acid.
- inorganic acids e.g., hydrochloric, sulfuric or phosphoric acids
- organic acids e.g, succinic, maleic, acetic or fumaric acid.
- Illustrative inorganic bases which form suitable salts include, but are not limited to, lithium, sodium, potassium, calcium, magnesium or barium hydroxides.
- Illustrative organic bases which form suitable salts include aliphatic, alicyclic or aromatic organic amines, such as methylamine, trimethyl amine and picoline, or ammonia. The selection criteria for the appropriate salt are known to one skilled in the art.
- Salts derived from appropriate bases include alkali metal, alkaline earth metal, ammonium and N + ((C I -C 4 ) alkyl) 4 salts.
- Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like.
- Further pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxyl, sulfate, phosphate, nitrate, lower alkyl sulfonate and aryl sulfonate.
- support the immune system and “supporting the immune system” refers to assisting, regulating, enhancing and/or boosting the immune system, and includes increasing the ability of the immune system to resist or fight off disease, such as viral infection, e.g. , as by reducing inflammation and/or increasing the number of immune cells, such as white blood cells, and/or antibodies in the blood; and/or reducing infection, e.g. , as by inhibiting viral replication.
- viral infection e.g.
- immune cells such as white blood cells, and/or antibodies in the blood
- reducing infection e.g. , as by inhibiting viral replication.
- support sports performance and “supporting sports performance” refer to assisting, enhancing and/or boosting performance before, during and/or after sports and/or physical exercise, e.g. , as by inhibiting delayed onset muscle soreness, inhibiting inflammation, increasing blood oxygenation, decreasing oxidative stress, restoring and/or increasing ATP level, restoring and/or increasing nitric oxide level (e.g, in the intestine), restoring and/or increasing camosine level (e.g, in muscle), decreasing blood pressure (e.g, systolic blood pressure, as after aerobic activity), increasing strength, stamina and/or endurance, assisting recovery and/or delaying fatigue.
- support sports performance and “supporting sports performance” refer to assisting, enhancing and/or boosting performance before, during and/or after sports and/or physical exercise, e.g. , as by inhibiting delayed onset muscle soreness, inhibiting inflammation, increasing blood oxygenation, decreasing oxidative stress, restoring and/or increasing ATP level, restoring and/or increasing
- Supporting sports performance includes, for example, restoring and/or increasing ATP level, restoring and/or increasing nitric oxide level (e.g ., in the intestine), restoring and/or increasing camosine level (e.g ., in muscle), decreasing blood pressure (e.g., systolic blood pressure, as after aerobic activity), increasing muscle strength (e.g, total weight lifted), improving fast-twitch muscle performance, increasing short burst and/or repeated short burst performance (e.g, sprinting), increasing maximal power and contractile speed of trained athletes performing multi -joint concentric actions, increasing time to exhaustion, decreasing perceived strain and/or decreasing recovery time.
- restoring and/or increasing ATP level restoring and/or increasing nitric oxide level (e.g ., in the intestine)
- camosine level e.g ., in muscle
- decreasing blood pressure e.g., systolic blood pressure, as after aerobic activity
- increasing muscle strength e.g, total
- Booster refers to an agent (e.g, a neutraceutical) that, upon administration to a subject (e.g, in an effective amount), augments or increases, directly or indirectly, the level of a reference substance in the subject.
- a “nitric oxide booster” is an agent that, upon administration to a subject (e.g, in an effective amount), augments or increases, directly or indirectly, the level of nitric oxide in the subject.
- a level can be increased directly as, for example, when the agent administered to the subject is the reference substance itself.
- administration of ATP, an ATP booster, to a subject directly increases the level of ATP in the subject.
- a level can be increased indirectly as, for example, when the agent administered to the subject is a biosynthetic precursor to the reference substance or a cofactor in the biosynthesis of the reference subject.
- administration of ribose, an ATP booster to a subject indirectly increases the level of ATP in the subject because ribose is a biosynthetic precursor to ATP.
- administration of citrulline, a nitric oxide booster to a subject indirectly increases the level of nitric oxide in the subject because citrulline is a cofactor in nitric oxide production in the intestine.
- treat refers to taking steps to deliver (e.g, as by administering) a substance (e.g, a formulation described herein) to a subject, such as a human, having a disease, disorder or condition of interest, and includes: (i) inhibiting the disease, disorder or condition, e.g., arresting its development; (ii) relieving the disease, disorder or condition, e.g., causing regression of the disease, disorder or condition; and (iii) relieving the symptoms resulting from the disease, disorder or condition.
- a substance e.g, a formulation described herein
- subject refers to a mammal (e.g, human, non-human primate, cow, sheep, goat, horse, dog, cat, rabbit, guinea pig, rat, mouse or other bovine, ovine, equine, canine, feline, or rodent organism).
- the subject is a human, such as a pediatric human (e.g ., a human aged 21 years-old or less, a human aged 18 years-old or less, a human aged 16 years-old or less, a human aged 12 years-old or less, a human aged 6 years-old or less).
- the subject such as a pediatric human, is also or alternatively greater than 6 months-old, greater than 2 years-old or greater than five years-old.
- subject in need thereof refers to a subject who has, or is at risk for developing, a particular disease, disorder or condition.
- a skilled medical professional e.g., physician
- an “effective amount” is an amount of a substance (e.g, a formulation described herein) that, when administered to a subject in need thereof, is sufficient to treat the subject under the conditions of administration, such as an amount sufficient to inhibit (e.g, reduce, decrease, prevent) a disease, disorder or condition in a subject (e.g, patient) and/or an amount sufficient to relieve one or more symptoms resulting from a disease, disorder or condition in a subject.
- the effectiveness of a substance can be determined by any suitable method known to those of skill in the art.
- a formulation base comprising a nanogel comprising hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel (e.g, lecithin liposomes having a d 75 of from about 25 nm to about 250 nm).
- a formulation base comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a first molecular weight, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a second molecular weight different from the first molecular weight; and lecithin liposomes (e.g, lecithin liposomes having a d 75 of from about 25 nm to about 250 nm).
- the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof form a nanogel within which are the lecithin liposomes (and one or active substances, if present).
- a formulation base comprising a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a first molecular weight, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a second molecular weight different from the first molecular weight; and lecithin liposomes within the nanogel (e.g ., lecithin liposomes having a d 75 of from about 25 nm to about 250 nm).
- Hyaluronic acid is a naturally-occurring glycosaminoglycan and a major component of the extracellular matrix. See , for example, Arpicco, S., etal., “Hyaluronic Acid Conjugates as Vectors for the Active Targeting of Drugs, Genes and Nanocomposites in Cancer Treatment,” Molecules 2014, 19, 3193-3230, the content of which is incorporated herein by reference in its entirety. HA has been shown to play a role in inflammation, and to exert anti-inflammatory and anti -oxidative effects.
- HA high molecular weight HA, in particular, such as HA having a molecular weight of greater than about 500 kDa
- Caires, R., et al. “Hyaluronon modulates TRPVl channel opening, reducing peripheral nociceptor activity and pain,” Nature Communications doi: 10.1038/ncomms9095 (27 Aug 2015); Ferrari, L.F., et al.
- HA e.g, high molecular weight HA
- pain such as inflammatory pain or neuropathic pain
- HA may inhibit pain, such as inflammatory pain or neuropathic pain
- HA e.g., high molecular weight HA
- HA may be useful in inhibiting inflammation and suppressing immune cell function.
- HA has also been implicated in wound healing, tissue regeneration, ophthalmic conditions, such as keratoconjunctivitis sicca and dry eye disease, and cancer, suggesting that HA could be useful in promoting wound healing (e.g., in skin wounds, such as excisional skin wounds) and/or treating ophthalmic conditions or cancer.
- wound healing e.g., in skin wounds, such as excisional skin wounds
- cancer e.g., in skin wounds, such as excisional skin wounds
- nanogel refers to a collection of nanoparticles composed of a hydrogel, a three-dimensional network of hydrophilic polymers having at least 10% water by weight or volume.
- the nanogel (e.g, including both aqueous and hyaluronic acid components) is from about 75% to about 99.9%, from about 90% to about 99.9%, from about 95% to about 99.9%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, about 99.1%, about 99.2%, about 99.3%, about 99.4%, about 99.5%, about 99.6%, about 99.7%, about 99.8% or about 99.9% by weight of the formulation base.
- the hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 1.5%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation base.
- the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation base.
- the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 3%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 3%, about 4% or about 5% by weight of the formulation base.
- the lecithin liposomes are from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9% or about 1% by weight of the formulation base.
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof has a molecular weight (e.g ., mean molecular weight) of greater than about 500 kilodaltons, e.g., greater than about 750 kilodaltons or greater than about 800 kilodaltons.
- a molecular weight e.g ., mean molecular weight
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt of the foregoing has a molecular weight (e.g, mean molecular weight) of less than 5,000 kilodaltons, e.g, less than about 2,500 kilodaltons, less than about 2,000 kilodaltons, less than about 1,500 kilodaltons, less than about 1,000 kilodaltons.
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt of the foregoing has a molecular weight (e.g, mean molecular weight) of from about 800 kilodaltons to about 1,500 kilodaltons.
- the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof has a molecular weight (e.g, mean molecular weight) of less than about 100 kilodaltons, e.g, less than about 50, about 25 or about 10 kilodaltons. In some embodiments, the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight (e.g, mean molecular weight) of from about 150 to about 250 kilodaltons.
- the second fraction of hyaluronic acid is ultra-short chain hyaluronic acid.
- ultra-short chain hyaluronic acid refers to hyaluronic acid having a molecular weight of less than about 10 kilodaltons.
- ultra- short chain hyaluronic acid has a molecular weight of less than about 7.5 kilodaltons.
- ultra-short chain hyaluronic acid has a molecular weight of from about 2.5 to about 10 or from about 5 to about 7 kilodaltons.
- the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof has a molecular weight of greater than about 500 kilodaltons (e.g, greater than about 750 kilodaltons; from about 800 kilodaltons to about 1,500 kilodaltons), and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons ( e.g ., less than about 10 kilodaltons).
- the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid (e.g., ultra- short chain hyaluronic acid), or a pharmaceutically acceptable salt thereof is from about 1:15 to about 10:1, e.g, from about 1:15 to about 1:1, from about 1:15 to about 1:10, from about 1:1 to about 10:1, from about 2.5:1 to about 7.5:1, or about 1:15, 1:12, 1:10, 3:1, 4:1, 5:1, 6:1 or 7 : 1.
- nanogels comprising hyaluronic acid, or a pharmaceutically acceptable salt thereof, are known in the art. See, for example, Son, S. U., el al, Nanomaterials 2017, 7, 427; and Trombino, S., etal, Pharmaceutics 2019, 11, 407, the entire contents of which are incorporated herein by reference in their entireties.
- Liposomes are lipid-based delivery systems that can be used to encapsulate both hydrophobic and hydrophilic molecules. Liposomes can be used to protect encapsulated active substance(s) (e.g, nutraceutical(s)) during delivery to the bloodstream of a subject, where the liposomes are broken down, releasing the encapsulated substance(s).
- active substance(s) e.g, nutraceutical(s)
- Lecithin includes raw lecithin and lecithin fractions, such as those obtained by purification of raw lecithin, from a variety of sources. Suitable sources of lecithin include various seed oils, such as sunflower, soybean and canola oils, and egg yolk and milk. In some embodiments, the lecithin is raw lecithin. In some embodiments, the lecithin is sunflower lecithin.
- the lecithin liposomes have a d 75 of from about 25 nm to about 250 nm, e.g., from about 30 nm to about 150 nm or from about 35 nm to about 125 nm.
- encapsulating substances e.g, vitamin D3, glutathione, zinc oxide, N-acetyl-L-cysteine; citrulline, or a pharmaceutically acceptable salt thereof
- lecithin liposomes e.g, vitamin D3, glutathione, zinc oxide, N-acetyl-L-cysteine; citrulline, or a pharmaceutically acceptable salt thereof
- the formulation base further comprises a gelling agent.
- gelling agents include polyvinyl carboxy polymers (e.g. , poly(acrylic acid), or a salt thereof, such as sodium polyacrylate; a carbomer, such as carbomer 940), acacia, alginic acid, bentonite, carboxymethyl cellulose, ethylcellulose, gelatin, hydroxyethyl cellulose, hydroxypropyl cellulose, magnesium aluminum silicate (VEEGUM®), methylcellulose, poloxamers (PLURONICS®), polyvinyl alcohol, alginates (e.g, sodium alginate), tragacanth, and xanthan gum.
- polyvinyl carboxy polymers e.g. , poly(acrylic acid), or a salt thereof, such as sodium polyacrylate
- a carbomer such as carbomer 940
- acacia alginic acid
- bentonite carboxymethyl cellulose, ethylcellulose, gelatin,
- the gelling agent is poly(acrylic) acid, or a salt (e.g, pharmaceutically acceptable salt) thereof, such as sodium polyacrylate.
- the gelling agent is a carbomer (e.g, carbomer 940, carbomer 980).
- Carbomer 940 is a polyvinyl carboxy polymer crosslinked with ethers of pentaerythritol.
- Carbomer 980 is a polyvinyl carboxy polymer crosslinked with ethers of pentaerythritol.
- Carbomer 980 is soluble in water, has a pH value of from 2.7 to 3.3 (0.5% solution at 25 °C) and a viscosity of from 54,000 to 60,000 cps (0.5% solution) and from 18,000 to 25,000 cps (0.2% solution).
- the gelling agent is a polyvinyl carboxy polymer (e.g, crosslinked with ethers of pentaerythritol; carbomer 940; carbomer 980).
- the gelling agent is less than about 25%, less than about 10%, less than about 5%, less than about 2%, less than about 1%, less than about 0.5%, less than about 0.1%, less than about 0.05% or less than about 0.01% (e.g, about 0.006%) by weight of the formulation base and/or the formulation.
- the formulation bases described herein are particularly suitable for topical administration.
- the formulation bases described herein can, however, also be administered orally, parenterally (including subcutaneously, intramuscularly, intravenously, intradermally, by inhalation, topically, rectally, nasally and vaginally) or buccally, or via an implanted reservoir.
- parenteral includes subcutaneous, intracutaneous, intravenous, intramuscular, intraocular, intravitreal, intra-articular, intra-arterial, intra- synovial, intrasternal, intrathecal, intralesional, intrahepatic, intraperitoneal intralesional and intracranial injection or infusion techniques.
- topical administration refers to administration of a substance (e.g, a formulation base or formulation, such as a formulation base or formulation described herein) to a particular place or particular places on or in the body of a subject without regard to the location of the effect of the substance, if any.
- a formulation or formulation base described herein may be local or, preferably, systemic.
- topical routes of administration include transdermal, transmucosal (e.g ., oral, nasal, vaginal, urethral), sublingual, buccal, nasal and ocular routes of administration.
- formulation bases and formulations described herein can, in some embodiments, be administered to the skin, a mucous membrane (e.g., oral, nasal, vaginal, urethral mucous membrane), under the tongue, the cheek, the nose and/or the eye of a subject.
- a mucous membrane e.g., oral, nasal, vaginal, urethral mucous membrane
- the formulation base or formulation described herein is administered to skin of a subject.
- the formulation bases and formulations described herein can take the form of an emulsion, or a gel (e.g, hydrogel, nanogel), cream, foam, lotion, ointment, paste, spray or drop, and are suitable for use in a variety of applications, including nutraceutical, pharmaceutical, cosmeceutical and cosmetic.
- the formulation base or formulation can be in the form of a suppository.
- a suppository is typically formulated with a suitable non-irritating excipient that is solid at room temperature but liquid at rectal temperature and, therefore, will melt in the rectum.
- excipients include cocoa butter, beeswax and polyethylene glycols.
- formulation bases and formulations can be provided as micronized suspensions in isotonic, pH-adjusted sterile saline, or, preferably, as solutions in isotonic, pH- adjusted sterile saline, either with or without a preservative such as benzylalkonium chloride.
- the formulation bases and formulations can be formulated as ointments, for example, with petrolatum.
- formulation bases and formulations can be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other conventional solubilizing or dispersing agents.
- formulation bases and formulations described herein can provide for immediate release or sustained/delayed release of one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance) contained therein.
- active substances e.g, nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance
- a formulation comprising a formulation base described herein and one or more active substances.
- the formulation is a nutraceutical formulation, e.g, comprises one or more nutraceuticals.
- the formulation is a cosmetic formulation, e.g, comprises one or more cosmetics.
- the formulation is a cosmeceutical formulation, e.g. , comprises one or more cosmeceuticals.
- the formulation is a pharmaceutical formulation, e.g. , comprises one or more pharmaceuticals.
- active substance refers to a substance that, upon administration to a subject, has a biological activity or produces a biological (e.g, pharmacological) effect.
- active substances include neutraceuticals, cosmeceuticals and pharmaceuticals.
- the one or more active substances comprise a neutraceutical.
- neutraceuticals examples include adenosine triphosphate, glutathione, N- acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin (e.g, vitamin B i2 ), vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc, selenium, iron, folic acid or alpha-lipoic acid.
- a B vitamin e.g, vitamin B i2
- vitamin D3 e.g, vitamin C
- vitamin E e.g, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc, selenium, iron, folic acid or alpha
- the one or more active substances comprise a cosmeceutical.
- cosmeceuticals include marine algal compounds (e.g, phlorotannins, sulfated polysaccharides, tyrosinase inhibitors).
- the one or more active substances comprises a pharmaceutical.
- pharmaceuticals include glutathione and zinc.
- one or more of the one or more active substances is encapsulated within the lecithin liposomes. Encapsulation, particularly of unstable, active substances, can increase the amount of an active substance that is ultimately delivered to a subject compared to unencapsulated delivery.
- formulations to support the immune system are also provided herein.
- some embodiments provide a formulation comprising a formulation base described herein and one or more nutraceuticals that support the immune system.
- the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ- 10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc ( e.g ., zinc oxide), selenium, iron, folic acid and alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- glutathione N-acetyl-L-cysteine
- coenzyme Q10 CoQ- 10
- vitamin A a B vitamin, vitamin D3, vitamin C, vitamin E
- a probiotic echnicacea
- garlic astragalus
- a beta-glucan docosahexaenoic acid
- the one or more nutraceuticals that support the immune system are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc (e.g., zinc oxide), selenium, iron, folic acid or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- coenzyme Q10 CoQ-10
- vitamin A a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract
- zinc e.g., zinc oxide
- the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc (e.g, zinc oxide) and alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- the one or more nutraceuticals that support the immune system are selected from glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc (e.g, zinc oxide) or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of (e.g, are) alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
- Some embodiments provide a formulation comprising a formulation base described herein and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L- cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
- the formulation base comprises a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; and lecithin liposomes having a d 75 of from about 25 nm to about 250 nm.
- the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof form a nanogel within which are the lecithin liposomes and the nutraceuticals.
- the formulation comprises about 2.2% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.2% by weight of the lecithin liposomes; about 0.2% by weight alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; about 1.1% by weight glutathione, or a pharmaceutically acceptable salt thereof; about 0.2% by weight N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; about 0.4% by weight coenzyme Q10; about 0.4% by weight vitamin D3, or a pharmaceutically acceptable salt thereof; about 0.4% by weight vitamin C, or a pharmaceutically acceptable salt thereof; and about 0.4% by weight zinc oxide
- the formulation further comprises water (e.g ., in some embodiments, about 91% by weight water).
- at least one of the nutraceuticals e.g., in some embodiments, glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; vitamin D3, or a pharmaceutically acceptable salt thereof; and zinc oxide
- the nutraceuticals e.g., in some embodiments, glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; vitamin D3, or a pharmaceutically acceptable salt thereof; and zinc oxide
- formulations to support sports performance are also provided herein.
- some embodiments provide a formulation comprising a formulation base described herein and one or more nutraceuticals that support sports performance.
- the one or more neutraceuticals that support sports performance comprise a nitric oxide and/or arginine (e.g, nitric oxide) booster.
- nitric oxide boosters include citrulline, beetroot, potassium nitrate and coenzyme Q-10 (CoQ-10).
- the one or more neutraceuticals that support sports performance comprise an ATP booster.
- ATP boosters include ATP and ribose, or a pharmaceutically acceptable salt of either of the foregoing.
- the one or more nutraceuticals that support sports performance comprise a carnosine booster.
- camosine boosters include magnesium orotate.
- Non-limiting examples of nutraceuticals that support sports performance include ATP, ribose, citrulline, orotate (e.g, magnesium orotate), beetroot, nitrate (e.g, potassium nitrate), caffeine and CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
- the one or more neutraceuticals that support sports performance comprise, consist essentially of or consist of ATP, ribose, citrulline, orotate (e.g, magnesium orotate), beetroot, nitrate (e.g, potassium nitrate), caffeine and CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
- the one or more nutraceuticals that support sports performance comprise, consist essentially of or consist of ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and CoQ-10, or a pharmaceutically acceptable salt thereof.
- the one or more nutraceuticals that support sports performance are selected from ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; or CoQ-10, or a pharmaceutically acceptable salt thereof.
- Some embodiments provide a formulation comprising a formulation base described herein and the following nutraceuticals: ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10.
- the formulation base comprises a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; and lecithin liposomes having a d 75 of from about 25 nm to about 250 nm.
- the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof form a nanogel within which are the lecithin liposomes and the nutraceuticals.
- the formulation comprises about 0.1% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 1.2% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the lecithin liposomes; about 1.8% by weight ATP, or a pharmaceutically acceptable salt thereof; about 0.2% by weight ribose, or a pharmaceutically acceptable salt thereof; about 0.1% by weight citrulline, or a pharmaceutically acceptable salt thereof; about 0.4% by weight magnesium orotate; about 0.4% by weight beet root powder; about 0.2% by weight potassium nitrate; about 10% by weight caffeine, or a pharmaceutically acceptable salt thereof; and about 0.2% by weight coenzyme Q10.
- the formulation further comprises water (e.g ., in some embodiments, about 84% by weight water).
- at least one of the nutraceuticals e.g., in some embodiments, magnesium orotate
- the nutraceuticals is encapsulated within the lecithin liposomes.
- the formulation base typically, from about 1% to about 99%, from about 50% to about 99%, from about 75% to about 99%, from about 90% to about 99%, about 90%, about 91% about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98% or about 99% of the formulation by weight is the formulation base.
- the nanogel (e.g, including both aqueous and hyaluronic acid components) is from about 65% to about 99%, from about 75% to about 99%, from about 75% to about 95%, from about 90% to about 90%, from about 90% to about 99%, about 80%, about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98% or about 99% by weight of the formulation.
- the hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 2.6%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation.
- the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 2.2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation.
- the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 3%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 3%, about 4% or about 5% by weight of the formulation.
- the lecithin liposomes are from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9% or about 1% by weight of the formulation.
- the one or more active substances e.g ., nutraceuticals, such as nutraceuticals that support the immune system, nutraceuticals that support sports performance
- the one or more active substances taken individually or collectively, are from about 0.1% to about 30%, from about 0.1% to about 20%, from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 30%, from about 1% to about 20%, from about 1% to about 10%, from about 1% to about 5%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% of the formulation by weight.
- the formulations described herein can further include an excipient (e.g., a pharmaceutically acceptable excipient), e.g, to increase the stability of the formulation, or other physical characteristic of the formulation.
- excipient e.g., a pharmaceutically acceptable excipient
- such carriers are non-bioactive, meaning they have insubstantial or no biological activity and/or produce insubstantial or no biological effect, e.g, in the amount administered.
- excipients examples include preservatives, such as sodium hydroxymethylglycinate (SuttocideTM A), flavor enhancers, such as orange oil, diluents, solvents, glycerin, gelatin, albumin, lactose, starch, stabilizers, melting agents, emulsifying agents, such as polysorbates (e.g, polysorbate 40), suspending agents, salts and buffers.
- preservatives such as sodium hydroxymethylglycinate (SuttocideTM A)
- flavor enhancers such as orange oil, diluents, solvents, glycerin, gelatin, albumin, lactose, starch, stabilizers, melting agents, emulsifying agents, such as polysorbates (e.g, polysorbate 40), suspending agents, salts and buffers.
- An excipient can be organic or inorganic.
- excipient(s) taken individually or collectively, are from about 0.1% to about 30%, from about 0.1% to about 20%, from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 30%, from about 1% to about 20%, from about 1% to about 10%, from about 1% to about 5%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% of the formulation by weight.
- Suitable routes of administration and forms of the formulations described herein include those routes of administration and forms described herein with respect to formulation bases.
- formulation bases described herein can be incorporated into formulations comprising a formulation base described herein and one or more active substances.
- the formulation base and/or formulation Upon administration to a subject, the formulation base and/or formulation is expected to be an efficient and non-invasive delivery system for the one or more active substances of the formulation, providing for absorption of the one or more active substances into the body of the subject.
- HA itself has been shown to play a role in inflammation and pain and, therefore, is expected to impart utility to the formulation base, even in the absence of other active substances.
- a method of administering a formulation base or formulation described herein to a subject comprising applying the formulation base or formulation to a subject.
- the formulation base or formulation is applied topically.
- the formulation base or formulation is applied to skin, a mucous membrane (e.g ., oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under a tongue of a subject (e.g., skin, a mucous membrane, a cheek or an eye or under a tongue of the subject).
- the formulation base or formulation is applied to skin of a subject.
- Also provided herein is a method of treating a subject in need of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation to the subject. Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation to the subject. Examples of subjects in need of the formulation bases and/or formulations described herein, and examples of diseases, disorders or conditions that would benefit from administration of a formulation base or formulation described herein are as set forth herein.
- Inflammation of the skin is expected to particularly benefit from the anti-inflammatory, analgesic and anti -nociceptive properties of HA.
- a method of inhibiting inflammation in a subject comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein).
- Also provided herein is a method of treating inflammation in a subject (e.g, a subject in need thereof, such as a pediatric subject), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein).
- a formulation base or formulation described herein e.g, an effective amount of a formulation base or formulation described herein.
- the inflammation is inflammation of the skin, such as that resulting from a bug bite or bum (e.g, sunburn).
- Also provided herein is a method of treating a bug bite or burn (e.g ., sunburn), comprising administering to a subject (e.g., a subject in need thereof, such as a pediatric subject; a subject having a bug bite or burn, such as a pediatric subject having a bug bite or burn), a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein).
- a subject e.g., a subject in need thereof, such as a pediatric subject; a subject having a bug bite or burn, such as a pediatric subject having a bug bite or burn
- a formulation base or formulation described herein e.g, an effective amount of a formulation base or formulation described herein.
- Burns can result from exposure to radiation, such as ultraviolet (e.g, UVA, UVB and/or UVC) radiation.
- Sunburns typically result from over-exposure to sunlight, although they can also be the result of over-exposure to other sources of ultraviolet radiation, such as tanning beds and ultraviolet therapies.
- a method of inhibiting pain e.g, inflammatory pain, neuropathic pain
- a formulation base or formulation described herein e.g, an effective amount of a formulation base or formulation described herein
- a method of treating pain e.g, inflammatory pain, neuropathic pain
- a formulation base or formulation described herein e.g, an effective amount of a formulation base or formulation described herein.
- HA is also expected to be useful in wound healing, for example, post-surgery.
- a method of promoting wound healing and/or tissue regeneration in a subject comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein).
- the method promotes wound healing and/or tissue regeneration of a skin wound, such as an excisional skin wound, in a subject.
- a formulation base described herein is administered to the subject (e.g, pediatric subject). In some embodiments, a formulation described herein is administered to the subject.
- a method of administering one or more active substances comprising applying a formulation described herein to the subject.
- the formulation is applied topically.
- the formulation is applied skin, a mucous membrane (e.g, oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under a tongue of a subject (e.g ., skin, a mucous membrane, a cheek or an eye or under a tongue of the subject).
- the formulation is applied to skin of a subject.
- Also provided herein is a method of treating a subject in need of one or more active substances (e.g., nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance), comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject.
- a method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject.
- Examples of subjects in need of the one or more active substances described herein, and examples of diseases, disorder or conditions that would benefit from administration of one or more active substances described herein are as set forth herein.
- glutathione has been implicated in regulation of innate and adaptive immune system function, particularly in the context of viruses, protection of cells from oxidative damage, reduction of inflammation and maintenance of redox homeostasis. See, for example, Minich, D.M. and Brown, B.I. Nutrients 2019, 11, 2073; Lee, C. Oxidative Medicine and Cellular Longevity 2018, Article ID 6208067; Forman, H.J., et al, Molecular Aspects of Medicine 30(2009), 1-12; Ghezzi, P., International Journal of General Medicine 2011 :4, 105-113; Horowitz, R.I., et al, Respiratory Medicine Case Reports 30(2020), 101063; and Polonikov, A.
- Glutathione also plays a role in regulating nitric oxide synthase, which synthesizes nitric oxide, a reactive oxygen species that may help to reduce respiratory tract infection, such as COVID-19, by inactivating viruses and inhibiting viral replication. See, for example, Kobayashi, J.
- N-acetylcysteine has been shown to increase GSH, improve T cell response, inhibit viral replication, attenuate influenza and influenza-like episodes, improve cell- mediated immunity and modulate inflammation. See, for example, Poe, F.L. and Corn, J. Medical Hypotheses 143 (2020) 109862; Geiler, J., et al, Biochemical Pharmacology 79 (2010) 413-420; De Flora, S., et al, Eur. Resp. J., 1997, 10, 1535-1541, the entire contents of which are incorporated herein by reference in their entireties.
- Alpha-lipoic acid is known to have antioxidant and anti-inflammatory properties. See, for example, Tibullo, D., et al, Inflamm. Res. (2017) 66:947-959; Zhang, G., et al, Molecular Medicine Reports 12:180-186 (2015); and Shen, H.-H., et al, Mediators of Inflammation 2019, Article ID 8187529, the entire contents of which are incorporated herein by reference in their entireties.
- Zinc has been shown to regulate antiviral and antibacterial immunity and inflammatory response, and inhibit viral replication, and is known to be important for the growth, development and maintenance of immune function. See, for example, Skalny, A.V., et al, International Journal of Molecular Medicine 46:17-26, 2020; Zhang, J., et al, Brain, Behavior, and Immunity 87(2020), 59-73; te Velthuis, A.J.W., et al, PLoS Pathogens 2010,
- Coenzyme Q-10 has been found to reduce oxidative stress. See, for example, Tsai, K.-L., etal, Journal of Nutritional Biochemistry 23(2012), 458-468; Sangsefidi, Z.S., et al, Food Sci. Nutr. 2020; 8; 1766-1776; and Knott, A., et al, Biofactors, 2015, 383-390, the entire contents of which are incorporated herein by reference in their entireties.
- Vitamin D supplementation has been found to reduce the risk of having acute respiratory infections. See, for example, Martineau, A.R., et al, Health Technology Assessment 23(2), 2019; and Martineau, A.R., Annals of Internal Medicine , doi:10.7326/ACPJC-2017-166-10-051, the entire contents of which are incorporated herein by reference in their entireties.
- a method of supporting the immune system of a subject comprising administering to the subject a formulation described herein (e.g., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
- a formulation described herein e.g., an effective amount of a formulation described herein
- Also provided herein is a method of inhibiting viral replication in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
- a formulation described herein e.g, an effective amount of a formulation described herein
- Also provided herein is a method of inhibiting inflammation in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system, and/or a formulation comprising one or more nutraceuticals that support sports performance.
- a formulation described herein e.g, an effective amount of a formulation described herein
- Also provided herein is a method of treating a viral infection in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
- a formulation described herein e.g, an effective amount of a formulation described herein
- ATP acts as a vasodilator, among other things, increasing blood flow throughout the body when administered by intra-arterial infusion and intravenously.
- the effects of ATP at appropriate dosages are comparable to that of histamine or acetylcholine, without the uncomfortable local or general symptoms. See, for example, Duff, F., el al., “A Quantitative Study of the Response to Adenosine Triphosphate of the Blood Vessels of the Human Hand and Forearm,” J.
- ATP has been shown to increase repeated sprint ability and muscle excitability, showing an increase in short burst performance and repeated short burst performance. See, for example, Purpura, M., etal., “Oral Adenosine-5 '-triphosphate (ATP) Administration Increases Postexercise ATP Levels, Muscle Excitability, and Athletic Performance Following a Repeated Sprint Bout,” Journal Of The American College of Nutrition, 2017, Vol.
- Adenosine compounds such as ATP
- ATP also appear to exert an analgesic effect, particularly in the post-surgery context and the context of chronic neuropathic pain. See , for example, Hayashida, M., el al., “Clinical application of adenosine and ATP for pain control,” J. Anesth. (2005) 19:225-235, the content of which is incorporated herein by reference in its entirety.
- ATP increases vascularity, performance and endurance.
- Ribose is a precursor to ATP and supports ATP production.
- ribose has been shown to increase performance in exercise and benefits perceived exertion, particularly in lower-fitness adults undergoing high-intensity exercise. See, for example, Seifert, J., et al, “The influence of D-ribose ingestion and fitness level on performance and recovery,” Journal of the International Society of Sports Nutrition (2017) 14:47, the content of which is incorporated herein by reference in its entirety. See also Mahoney, D.E., et al, “Understanding D-Ribose and Mitochondrial Function f Adv. Biosci. Clin. Med.
- Citrulline has been shown to increase muscle protein synthesis by reallocating mitochondrial fuel to the protein synthesis machinery. See, for example, Goron, A., et al, “Citrulline stimulates muscle protein synthesis, by reallocating ATP consumption to muscle protein synthesis”, Journal of Cachexia, Sarcopenia and Muscle, 2019: 10: 919-928, the content of which is incorporated herein by reference in its entirety. Citrulline has also been shown to increase resistance exercise performance (RPE) in both male and female subjects, suggesting citrulline increases muscle performance and endurance.
- RPE resistance exercise performance
- Citrulline malate supplementation improves upper- and lower-body submaximal weightlifting exercise performance in resistance-trained females”, Eur J Nutr., 2017 Mar; 56(2): 775-784. doi: 10.1007/s00394-015-l 124-6, the content of which is incorporated herein by reference in its entirety.
- Citrulline has also shown an ability to regulate protein synthesis and fight oxidative stress. See , for example, Cynober, L., etal ., “The 2009 ESPEN Sir David Cuthbertson.
- Citrulline A new major signaling molecule or just another player in the pharmaconutrition game?, Clinical Nutrition , 29 (2010) 545-551, the content of which is incorporated herein by reference in its entirety. Citrulline has also been shown to protect from muscle wasting by increasing protein synthesis.
- citrulline By restoring nitric oxide production in the intestine, citrulline has been shown to decrease oxidative stress and magnify the effects of nitric oxide. See, for example, Wijnands, K.A.P., et al, “Citrulline a More Suitable Substrate than Arginine to Restore NO Production and the Microcirculation during Endotoxemia”, PLoS ONE, May 2012 7(5): e37439, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that citrulline can be used to relieve oxidative stress and, thus, fatigue caused by exercise-induced respiratory muscle fatigue, and increase muscle performance and endurance.
- beta-alanine supplementation has been shown to decrease fatigue in high intensity/high volume workouts. See, for example, Hoffman, J., “Short-duration beta- alanine supplementation increases training volume and reduces subjective feelings of fatigue in college football players,” Nutr. Res. 2008;28(1):31-35, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that magnesium orotate decreases fatigue and increases endurance.
- Beetroot provides precursors to L-arginine, from which nitric oxide (NO) is synthesized.
- NO derived from beetroot has been shown to increase muscle performance in intense endurance exercise.
- NO has also shown beneficial effects in “improving fatigue resistance, augmenting fiber contractility, and ultimately enhancing whole body exercise tolerance or performance.” See , for example, Jones, A., etal ., “Fiber Type-Specific Effects of Dietary Nitrate,” Exerc. Sport Sci. Rev., Vol. 44, No. 2, pp. 53Y60, 2016, the content of which is incorporated herein by reference in its entirety.
- NO supplementation has been shown to improve exercise capacity, decrease oxidative stress and improve recovery time from intense workouts.
- NO has also been shown to improve cognitive performance. See, for example, Thompson, C., et al, “Dietary nitrate supplementation improves sprint and high-intensity intermittent running performance,” Nitric Oxide, 61 (2016) 55-61, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that beetroot increases endurance and muscle strength performance, and improves recovery time and fast twitch muscle performance.
- Potassium nitrate like beetroot, provides precursors to L-arginine. Potassium nitrate has been shown to increase force production in fast-twitch muscle, and reduce perceived exertion for a task, thereby improving perceived strength and endurance for the task. See , for example, Hernandez, A., etal ., “Dietary nitrate increases tetanic [Ca 2+ ]i and contractile force in mouse fast-twitch muscle,” J. Physiol ., 2012 Aug 1; 590 (Pt 15): 3575- 3583, the content of which is incorporated herein by reference in its entirety.
- Nitrate supplementation has also been shown to decrease systolic blood pressure and improve antioxidant response after aerobic exercise. See , for example, Menezes, E., etal ., “Potential Benefits of Nitrate Supplementation on Antioxidant Defense System and Blood Pressure Responses after Exercise Performance,” Oxidative Medicine and Cellular Longevity, Volume 2019, Article ID 7218936, 10 pages, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that by decreasing blood pressure, potassium nitrate can decrease exercise-induced stress on the body. [00105] Caffeine is an ergogenic aid that improves peak aerobic capacity and peak pulmonary ventilation. Furthermore, caffeine has been shown to increase muscle oxygen saturation, and improve performance in short duration, high intensity, repeated sprinting.
- caffeine will improve sports performance, muscle performance, endurance and fatigue, and decrease oxidative stress.
- Sources of caffeine include green tea.
- caffeine is from green tea.
- CoQ-10 improves the production of nitric oxide synthase, while decreasing oxidative stress. Furthermore, CoQ-10 has been shown to increase antioxidant capacity and suppress downstream inflammatory mediators. See, for example, Tsai, K.-L., etal, Journal of Nutritional Biochemistry 23(2012), 458-468; Sangsefidi, Z.S., et al., Food Sci. Nutr. 2020; 8; 1766-1776; and Knott, A., et al, Biofactors , 2015, 383-390, the contents of which are incorporated herein by reference in their entireties.
- CoQ-10 will increase endurance and delay fatigue by virtue of decreased oxidative stress. Without wishing to be bound by any particular theory, it is believed that CoQ-10 will magnify the effects of other nitric oxide boosters, such as citrulline, beetroot and potassium nitrate, as well as assist in reducing reactive oxygen species and decrease oxidative stress.
- nitric oxide boosters such as citrulline, beetroot and potassium nitrate
- a method of supporting the sports performance of a subject comprising administering to the subject a formulation described herein (e.g., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- a formulation described herein e.g., an effective amount of a formulation described herein
- Also provided herein is a method of inhibiting delayed onset muscle soreness in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- a formulation described herein e.g, an effective amount of a formulation described herein
- a formulation comprising one or more nutraceuticals that support sports performance.
- Also provided herein is a method of increasing blood oxygen level in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- a method of decreasing oxidative stress in a subject comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- Also provided herein is a method of increasing strength, stamina and/or endurance in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- a formulation described herein e.g, an effective amount of a formulation described herein
- a formulation comprising one or more nutraceuticals that support sports performance.
- a method of increasing nitric oxide level in a subject comprising administering to the subject a formulation described herein (e.g ., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
- a method of reducing fatigue e.g., exercised-induced fatigue
- a formulation described herein e.g., an effective amount of a formulation described herein
- a formulation comprising one or more nutraceuticals that support sports performance comprising one or more nutraceuticals that support sports performance.
- the formulation is administered to the subject prior to physical activity (e.g, exercise, a workout).
- the formulation can be administered to the subject during physical activity (e.g, exercise, a workout).
- the formulation can be administered to the subject after physical activity (e.g, exercise, a workout).
- administering a formulation base or formulation described herein comprises applying the formulation to the skin, a mucous membrane (e.g, oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under the tongue of a subject (e.g, to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject).
- a mucous membrane e.g, oral, nasal, vaginal, urethral mucous membrane
- a cheek e.g, a nose and/or an eye
- Other suitable routes of administration include those routes of administration described herein with respect to formulation bases.
- a formulation base or formulation can be administered (e.g, applied) to a subject, in accordance with any of the aforementioned methods and embodiments thereof, once or repeatedly, for example, as directed by a healthcare professional.
- administration can be 1, 2, 3, 4, 5, 6, etc. times per day.
- Specific dosage and treatment regimens for any particular subject will depend upon a variety of factors, such as the disease, disorder or condition, the activity of the specific substance employed (e.g, in the disease, disorder or condition being treated), the age, body weight, general health status, sex and/or diet of the subject, time of administration, rate of excretion, drug combination, the severity and course of the disease, disorder, condition or symptom, the subject’s disposition to the disease, disorder, condition or symptom, and the judgment of the treating physician. Selection of specific dosage and treatment regimens is within the skill of a person of ordinary skill in the art in view of the present disclosure and the references cited herein.
- a method of making a formulation base described herein comprises forming a mixture of lecithin liposomes (e.g. , according to any of the embodiments or combinations of embodiments described herein) and hyaluronic acid (e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- lecithin liposomes e.g. , according to any of the embodiments or combinations of embodiments described herein
- hyaluronic acid e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein
- the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture.
- a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein
- a first fraction of hyaluronic acid e.g, according to any of the embodiments or combinations of embodiments described herein
- a pharmaceutically acceptable salt thereof e.g., according to any of the embodiments or combinations of embodiments described herein
- gelation of a mixture of lecithin liposomes and hyaluronic acid, or a pharmaceutically acceptable salt thereof results in formation of a hyaluronic acid- based nanogel having within it (e.g, dispersed or uniformly dispersed within it) the lecithin liposomes.
- a method of making a formulation described herein comprises forming a mixture of lecithin liposomes (e.g, according to any of the embodiments or combinations of embodiments described herein), one or more active substances (e.g, any of the active substances described herein) and hyaluronic acid (e.g, first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- active substances e.g, any of the active substances described herein
- hyaluronic acid e.g, first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein
- the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein), one or more active substances (e.g, any of the active substances described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture.
- a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein
- one or more active substances e.g, any of the active substances described herein
- a first fraction of hyaluronic acid e.g, according to any of the embodiments or combinations of embodiment
- gelation of such mixtures results in formation of a hyaluronic acid-based nanogel having within it (e.g ., dispersed or uniformly dispersed within it) the lecithin liposomes and the one or more active substances (e.g., the one or more nutraceuticals, such as one or more nutraceuticals that support the immune system).
- the one or more active substances e.g., the one or more nutraceuticals, such as one or more nutraceuticals that support the immune system.
- a method of making a formulation described herein comprises forming a mixture of lecithin liposomes (e.g, according to any of the embodiments or combinations of embodiments described herein), one or more nutraceuticals (e.g, according to any of the embodiments or combinations of embodiments described herein) and hyaluronic acid (e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- nutraceuticals e.g, according to any of the embodiments or combinations of embodiments described herein
- hyaluronic acid e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein
- the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein), one or more nutraceuticals (e.g, according to any of the embodiments or combinations of embodiments described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture.
- a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein
- nutraceuticals e.g, according to any of the embodiments or combinations of embodiments described herein
- a first fraction of hyaluronic acid
- the methods of making further comprise forming the lecithin liposomes.
- the lecithin liposomes By forming the lecithin liposomes in the presence of one or more active substances (e.g, nutraceuticals, such as vitamin C, N-acetyl-L-cysteine, glutathione, zinc, citrulline, or a pharmaceutically acceptable salt of the foregoing), lecithin liposomes encapsulating one or more active substances can be produced.
- active substances e.g, nutraceuticals, such as vitamin C, N-acetyl-L-cysteine, glutathione, zinc, citrulline, or a pharmaceutically acceptable salt of the foregoing
- forming the lecithin liposomes includes combining one or more active substances and lecithin under conditions suitable to form lecithin liposomes encapsulating the one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system, nutraceuticals that support sports performance).
- active substances e.g, nutraceuticals, such as nutraceuticals that support the immune system, nutraceuticals that support sports performance.
- inducing gelation comprises adding a gelling agent (e.g, according to any of the embodiments or combinations of embodiments described herein) to the mixture or second mixture.
- a gelling agent e.g, according to any of the embodiments or combinations of embodiments described herein
- the gelling agent is poly(acrylic) acid, or a salt ( e.g ., pharmaceutically acceptable salt) thereof, such as sodium polyacrylate.
- the gelling agent is a carbomer (e.g., carbomer 940, carbomer 980).
- a formulation base comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d 75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons.
- composition base of embodiment Al for topical administration.
- composition base of embodiment Al or A2 for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
- A4 The formulation base of any one of embodiments Al-3, in the form of an emulsion.
- A5. The formulation base of any one of embodiments A 1-4, in the form of a gel, cream, foam, lotion, ointment, paste, spray or drop.
- the formulation base of any one of embodiments Al-5, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 750 kilodaltons.
- the formulation base of embodiment A6, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of from about 800 kilodaltons to about 1,500 kilodaltons.
- the formulation base of any one of embodiments A 1-7, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 10 kilodaltons.
- A11 The formulation base of any one of embodiments Al-10, wherein the lecithin liposomes having a d 75 of from about 30 nm to about 150 nm.
- A12 The formulation base of any one of embodiments Al-11, further comprising a gelling agent.
- A15 A method of making the formulation base of any one of embodiments 1-14, comprising forming a mixture of the lecithin liposomes and the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- a formulation comprising the formulation base of any one of embodiments Al-14 and one or more active substances.
- A17 The formulation of embodiment A16, wherein the one or more active substances are selected from a neutraceutical, a cosmeceutical or a pharmaceutical.
- A19 The formulation of any one of embodiments A16-18, wherein the one or more active substances comprise a neutraceutical.
- A20 The formulation of any one of embodiments A16-19, wherein the formulation is a cosmetic formulation.
- A22 The formulation of any one of embodiments A16-21, wherein the formulation is a pharmaceutical formulation.
- A23 The formulation of any one of embodiments A16-22, wherein the one or more active substances comprises a pharmaceutical.
- a method of administering one or more active substances to a subject comprising applying a formulation of any one of embodiments A16-23 to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
- a method of treating a subject in need of one or more active substances comprising administering an effective amount of a formulation of any one of embodiments A16- 23 comprising the one or more active substances to the subject.
- a method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances comprising administering an effective amount of a formulation of any one of embodiments A16- 23 comprising the one or more active substances to the subject.
- administering an effective amount of the formulation comprises applying an effective amount of the formulation to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
- a formulation comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes within the nanogel, lecithin liposomes having a d 75 of from about 25 nm to about 250 nm; and one or more nutraceuticals that support the immune system.
- nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc, selenium, iron, folic acid or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- the one or more nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic
- nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
- a formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d 75 of from about 25 nm to about 250 nm; and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutical
- embodiment B6 The formulation of embodiment B5 comprising: about 2.2% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.2% by weight of the lecithin liposomes; about 0.2% by weight alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; about 1.1% by weight glutathione, or a pharmaceutically acceptable salt thereof; about 0.2% by weight N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; about 0.4% by weight coenzyme Q10; about 0.4% by weight vitamin D3, or a pharmaceutically acceptable salt thereof; about 0.4% by weight vitamin C, or a pharmaceutically acceptable salt thereof; and about 0.4% by weight zinc oxide.
- a method of making the formulation of any one of embodiments Bl-27 comprising forming a mixture of the lecithin liposomes, the nutraceuticals and the hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- a method of supporting the immune system of a subject comprising administering to the subject a formulation of any one of embodiments Bl-27.
- B30 The method of embodiment B29, wherein the immune system is the native immune system.
- B31 The method of embodiment B29, wherein the immune system is the adaptive immune system.
- a method of inhibiting viral replication in a subject comprising administering to the subject a formulation of any one of embodiments Bl-27.
- a method of inhibiting inflammation in a subject comprising administering to the subject a formulation of any one of embodiments Bl-27.
- a method of treating a viral infection in a subject comprising administering to the subject an effective amount of a formulation of any one of embodiments Bl-27.
- administering the formulation comprises applying a formulation described herein to the skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
- a formulation comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes within the nanogel, lecithin liposomes having a d 75 of from about 25 nm to about 250 nm; and one or more nutraceuticals that support sports performance.
- nitric oxide booster is citrulline, or a pharmaceutically acceptable salt thereof, beetroot, potassium nitrate or coenzyme Q- 10 (CoQ-10).
- nutraceuticals comprise an adenosine triphosphate (ATP) booster.
- ATP adenosine triphosphate
- C5. The formulation of embodiment C4, wherein the ATP booster is ATP, or a pharmaceutically acceptable salt thereof, or ribose, or a pharmaceutically acceptable salt thereof.
- nutraceuticals are selected from ATP, ribose, citrulline, orotate, beetroot, nitrate, caffeine or CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
- a formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d 75 of from about 25 nm to about 250 nm; and the following nutraceuticals:
- ATP or a pharmaceutically acceptable salt thereof
- ribose or a pharmaceutically acceptable salt thereof
- citrulline or a pharmaceutically acceptable salt thereof
- magnesium orotate magnesium orotate
- beetroot potassium nitrate
- caffeine or a pharmaceutically acceptable salt thereof
- coenzyme Q10 coenzyme Q10
- embodiment CIO comprising: about 0.1% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 1.2% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the lecithin liposomes; about 1.8% by weight ATP, or a pharmaceutically acceptable salt thereof; about 0.2% by weight ribose, or a pharmaceutically acceptable salt thereof; about 0.1% by weight citrulline, or a pharmaceutically acceptable salt thereof; about 0.4% by weight magnesium orotate; about 0.4% by weight beet root powder; about 0.2% by weight potassium nitrate; about 10% by weight caffeine, or a pharmaceutically acceptable salt thereof; and about 0.2% by weight coenzyme Q10.
- embodiment C13 The formulation of embodiment C12, comprising about 84% by weight water.
- Cl 8 The formulation of any one of embodiments Cl-17, for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
- a method of making the formulation of any one of embodiments Cl-32 comprising forming a mixture of the lecithin liposomes, the nutraceuticals and the hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
- a method of supporting the sports performance of a subject comprising administering to the subject a formulation of any one of embodiments Cl-32.
- C35 A method of inhibiting delayed onset muscle soreness in a subject, comprising administering to the subject a formulation of any one of embodiments Cl-32.
- C36 A method of inhibiting inflammation in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
- a method of increasing blood oxygen level in a subject comprising administering to the subject a formulation of any one of embodiments Cl -32.
- a method of decreasing oxidative stress in a subject comprising administering to the subject a formulation of any one of embodiments Cl -32.
- a method of increasing strength, stamina or endurance in a subject comprising administering to the subject a formulation of any one of embodiments Cl -32.
- a method of increasing nitric oxide level in a subject comprising administering to the subject a formulation of any one of embodiments Cl -32.
- a method of reducing exercise-induced fatigue in a subject comprising administering to the subject a formulation of any one of embodiments Cl -32.
- administering the formulation comprises applying the formulation to the skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
- step (3) Weighed 27 grams vitamin d3 and placed it into a 200-millilitre borosilicate glass flask. When the water in step (3) was near boiling, poured it over the vitamin D3 and swirled until the vitamin D3 dissolved. (This happens very quickly when using very hot water.)
- Example 2 Manufacture of Formulation Comprising Formulation Base
- Deionized or distilled water having a pH of 7 and a temperature of 68 °C is mixed on medium speed (moderate agitation) while 1/3 of the long chain hyaluronic acid is slowly feathered in.
- the resulting mixture was blended for 6 minutes.
- One or more active substances are added individually, and the resulting mixture is blended for 2 minutes after the addition of each, individual substance.
- Lecithin liposomes encapsulating vitamin D3 from Example 1 are added, and the resulting mixture is blended for 2 minutes.
- the remaining 2/3 of the long chain HA and all of the ultra-short chain HA are added, and the resulting mixture is blended for 4 minutes.
- Carbomer 940 is added, and the resulting mixture is blended for 2 minutes.
- the formulation gels rapidly, and is, therefore, packaged immediately.
- the formulation can be applied to clean, dry skin topically to effect transdermal administration. Application may be repeated, as desired or recommended by a healthcare professional.
- hyaluronic acid sodium hyaluronate 0.80-1.50 million daltons
- hyaluronic acid sodium hyaluronate ⁇ 10,000 daltons
- the immune gel can be applied to clean, dry skin topically to effect transdermal administration. Application may be repeated, as desired or as recommended by a healthcare professional.
- GMO non-genetically modified organism
- Two to three pumps of the performance gel can be applied to clean, dry skin five minutes before workout.
- the performance gel can be rubbed on skin until dry, typically for 30 seconds.
- Application can be repeated to desired dosage or as directed by a healthcare professional.
- the liposomes encapsulating magnesium orotate were incorporated into the performance gel formulation described in Example 5 by adding liposomes encapsulating magnesium orotate in step 6 of Example 5, and omitting step 15 of Example 5.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Epidemiology (AREA)
- Natural Medicines & Medicinal Plants (AREA)
- Engineering & Computer Science (AREA)
- Inorganic Chemistry (AREA)
- Microbiology (AREA)
- Mycology (AREA)
- Biotechnology (AREA)
- Botany (AREA)
- Medical Informatics (AREA)
- Alternative & Traditional Medicine (AREA)
- Molecular Biology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Dermatology (AREA)
- Hematology (AREA)
- Diabetes (AREA)
- Nutrition Science (AREA)
- Obesity (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Gastroenterology & Hepatology (AREA)
- Immunology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Provided herein are formulation bases comprising a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons. The formulation bases described herein provide for absorption of active substances contained therein into the body, e.g., transdermally, and, therefore, can be used as delivery systems to administer one or more active substances to a subject.
Description
Formulation Bases Comprising Hyaluronic Acid and Formulations Of Same
RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional Application No. 63/053,312, filed on July 17, 2020, U.S. Provisional Application No. 63/053,338, filed on July 17, 2020, and U.S. Provisional Application No. 63/145,569, filed on February 4, 2021. The entire teachings of the above applications are incorporated herein by reference.
BACKGROUND
[0002] Many active ingredients can only be delivered effectively by injection or other invasive techniques, making them costly and often impractical
[0003] Accordingly, there is a need for delivery systems for active ingredients and other active substances that do not rely on injection or other invasive techniques, but provide for absorption of active ingredients and other active substances into the body.
SUMMARY
[0004] Provided herein is a formulation base comprising a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons.
[0005] Also provided herein is a formulation comprising a formulation base described herein and one or more active substances.
[0006] Also provided herein is a formulation comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; lecithin liposomes; and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt
thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide. The hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons. The hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons. The lecithin liposomes have a d75 of from about 25 nm to about 250 nm.
[0007] Also provided herein is a formulation comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; lecithin liposomes; and the following nutraceuticals: ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10. The hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons. The hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons. The lecithin liposomes have a d75 of from about 25 nm to about 250 nm.
[0008] Also provided herein is a method of making a formulation base described herein, comprising forming a mixture of lecithin liposomes and hyaluronic acid ( e.g ., first and second fractions of hyaluronic acid), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
[0009] Also provided herein is a method of making a formulation described herein, comprising forming a mixture of lecithin liposomes, one or more active substances (e.g., nutraceuticals), and hyaluronic acid (e.g, first and second fractions of hyaluronic acid), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
[0010] Also provided herein is a method of administering a formulation base or formulation described herein to a subject, comprising applying the formulation base or formulation described herein to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject.
[0011] Also provided herein is a method of administering one or more active substances (e.g, nutraceuticals) to a subject, comprising applying a formulation comprising the one or more active substances to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject, wherein the formulation is a formulation described herein.
[0012] Also provided herein is method of treating a subject in need of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation to the subject. Also provided herein is a formulation base or formulation for use in treating a subject in need of the formulation base or formulation, wherein the formulation base or formulation is a formulation base or formulation described herein. Also provided herein is a formulation base or formulation described herein for the manufacture of a medicament for the treatment of a subject in need of the formulation base or formulation.
[0013] Also provided herein is method of treating a subject in need of one or more active substances ( e.g ., nutraceuticals), comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject. Also provided herein is a formulation for use in treating a subject in need of one or more active substances (e.g., nutraceuticals), wherein the formulation is a formulation described herein comprising the one or more active substances. Also provided herein is a formulation comprising one or more active substances (e.g, nutraceuticals) for the manufacture of a medicament for the treatment of a subject in need of the one or more active substances, wherein the formulation is a formulation described herein comprising the one or more active substances.
[0014] Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation described herein to the subject. Also provided herein is a formulation base or formulation described herein for use in treating a subject having a disease, disorder or condition that would benefit from administration of the formulation base or formulation.
Also provided herein is a formulation base or formulation described herein for the manufacture of a medicament for the treatment of a subject having a disease, disorder or condition that would benefit from administration of the formulation base or formulation. [0015] Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances, comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject. Also provided herein is a formulation for use in treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances, wherein the formulation is a formulation
described herein comprising the one or more active substances. Also provided herein is a formulation comprising one or more active substances for the manufacture of a medicament for the treatment of a subject having a disease, disorder or condition that would benefit from administration of the one or more active substances, wherein the formulation is a formulation described herein comprising the one or more active substances.
[0016] Also provided herein is a method of inhibiting and/or treating inflammation in a subject ( e.g ., a subject in need thereof), comprising administering a formulation base or formulation described herein (e.g., an effective amount of a formulation base or formulation described herein) to the subject. Also provided herein is a formulation base or formulation described herein for use in inhibiting and/or treating inflammation in a subject. Also provided herein is a formulation base or formulation described herein for the manufacture of a medicament for the inhibition and/or treatment of inflammation in a subject.
[0017] The formulation bases and formulations described herein are expected to be efficient and non-invasive delivery systems for nutrients and other active substances that provide for absorption of nutrients and other active substances into the body. For example, the formulation bases and formulations described herein are expected to have anti inflammatory properties that render them useful for inhibiting inflammation in a variety of settings, such as in treatment of a bug bite or sunburn. Formulations to support the immune system are expected to enhance immune function by inhibiting inflammatory response and viral replication by providing for absorption of neutraceuticals that support the immune system into the body. Formulations to support sports performance are expected to support sports performance by providing the body with vital nutrients through the skin to improve strength, endurance and recovery without adding substantial calories to the body.
DETAILED DESCRIPTION
[0018] A description of example embodiments follows.
Definitions
[0019] As used herein, “a,” “an” and “the” include plural referents, unless the context dictates otherwise. Thus, for example, “a nutraceutical” includes one nutraceutical and a plurality of nutraceuticals. Further, the plurality can be a plurality of the same nutraceuticals or a plurality of different nutraceuticals.
[0020] As used herein, “pharmaceutically acceptable,” when used in reference to an ingredient in a formulation base or formulation described herein, means non-toxic when
administered in amounts consistent with the intended use of the formulation base or formulation including the ingredient.
[0021] As used herein, “pharmaceutically acceptable salt” refers to those salts which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of humans and lower animals without undue toxicity, irritation, allergic response and the like, and are commensurate with a reasonable benefit/risk ratio. Pharmaceutically acceptable salts are well known in the art. For example, S. M. Berge et al ., describe pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 1977, 66, 1-19, the relevant teachings of which are incorporated herein by reference in their entirety. Pharmaceutically acceptable salts of the compounds described herein include salts derived from suitable inorganic and organic acids, and inorganic and organic bases that are compatible with the treatment of subjects.
[0022] Examples of pharmaceutically acceptable, nontoxic acid addition salts are salts of an amino group formed with inorganic acids such as hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid and perchloric acid, or with organic acids such as acetic acid, oxalic acid, maleic acid, tartaric acid, citric acid, succinic acid or malonic acid or by using other methods used in the art such as ion-exchange. Other pharmaceutically acceptable acid addition salts include adipate, alginate, ascorbate, aspartate, benzenesulfonate, benzoate, bisulfate, borate, butyrate, camphorate, camphorsulfonate, citrate, cyclopentanepropionate, digluconate, dodecyl sulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy- ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, malate, maleate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, oxalate, palmitate, pamoate, pectinate, persulfate, 3-phenylpropionate, phosphate, pivalate, propionate, stearate, succinate, sulfate, tartrate, thiocyanate, p-toluenesulfonate, undecanoate, valerate salts, and the like.
[0023] Examples of inorganic acids which form suitable salts include, but are not limited to, hydrochloric, hydrobromic, sulfuric and phosphoric acid and acid metal salts such as sodium monohydrogen orthophosphate and potassium hydrogen sulfate. Illustrative organic acids which form suitable salts include the mono-, di- and tricarboxylic acids. Illustrative of such acids are, for example, acetic, glycolic, lactic, pyruvic, malonic, succinic, glutaric, fumaric, malic, tartaric, citric, ascorbic, maleic, hydroxymaleic, benzoic, hydroxybenzoic, phenylacetic, cinnamic, salicylic, 2-phenoxybenzoic, p-toluenesulfonic acid and other
sulfonic acids, such as methanesulfonic acid and 2-hydroxyethanesulfonic acid. Either the mono- or di-acid salts can be formed, and such salts can exist in either a hydrated, solvated or substantially anhydrous form. In general, the acid addition salts of these compounds are more soluble in water and various hydrophilic organic solvents, and generally demonstrate higher melting points in comparison to their free base forms.
[0024] In some embodiments, acid addition salts are most suitably formed from pharmaceutically acceptable acids, and include, for example, those formed with inorganic acids, e.g., hydrochloric, sulfuric or phosphoric acids and organic acids, e.g, succinic, maleic, acetic or fumaric acid.
[0025] Illustrative inorganic bases which form suitable salts include, but are not limited to, lithium, sodium, potassium, calcium, magnesium or barium hydroxides. Illustrative organic bases which form suitable salts include aliphatic, alicyclic or aromatic organic amines, such as methylamine, trimethyl amine and picoline, or ammonia. The selection criteria for the appropriate salt are known to one skilled in the art.
[0026] Salts derived from appropriate bases include alkali metal, alkaline earth metal, ammonium and N+((CI-C4) alkyl)4 salts. Representative alkali or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. Further pharmaceutically acceptable salts include, when appropriate, nontoxic ammonium, quaternary ammonium, and amine cations formed using counterions such as halide, hydroxide, carboxyl, sulfate, phosphate, nitrate, lower alkyl sulfonate and aryl sulfonate. [0027] As used herein, “support the immune system” and “supporting the immune system” refers to assisting, regulating, enhancing and/or boosting the immune system, and includes increasing the ability of the immune system to resist or fight off disease, such as viral infection, e.g. , as by reducing inflammation and/or increasing the number of immune cells, such as white blood cells, and/or antibodies in the blood; and/or reducing infection, e.g. , as by inhibiting viral replication.
[0028] As used herein, “support sports performance” and “supporting sports performance” refer to assisting, enhancing and/or boosting performance before, during and/or after sports and/or physical exercise, e.g. , as by inhibiting delayed onset muscle soreness, inhibiting inflammation, increasing blood oxygenation, decreasing oxidative stress, restoring and/or increasing ATP level, restoring and/or increasing nitric oxide level (e.g, in the intestine), restoring and/or increasing camosine level (e.g, in muscle), decreasing blood pressure (e.g, systolic blood pressure, as after aerobic activity), increasing strength, stamina
and/or endurance, assisting recovery and/or delaying fatigue. Whether sports performance is supported by a formulation described herein can be determined by a person of ordinary skill in the art in view of this disclosure and the documents cited herein. Supporting sports performance includes, for example, restoring and/or increasing ATP level, restoring and/or increasing nitric oxide level ( e.g ., in the intestine), restoring and/or increasing camosine level ( e.g ., in muscle), decreasing blood pressure (e.g., systolic blood pressure, as after aerobic activity), increasing muscle strength (e.g, total weight lifted), improving fast-twitch muscle performance, increasing short burst and/or repeated short burst performance (e.g, sprinting), increasing maximal power and contractile speed of trained athletes performing multi -joint concentric actions, increasing time to exhaustion, decreasing perceived strain and/or decreasing recovery time.
[0029] “Booster,” as used herein, refers to an agent (e.g, a neutraceutical) that, upon administration to a subject (e.g, in an effective amount), augments or increases, directly or indirectly, the level of a reference substance in the subject. Thus, a “nitric oxide booster” is an agent that, upon administration to a subject (e.g, in an effective amount), augments or increases, directly or indirectly, the level of nitric oxide in the subject. A level can be increased directly as, for example, when the agent administered to the subject is the reference substance itself. For example, administration of ATP, an ATP booster, to a subject directly increases the level of ATP in the subject. A level can be increased indirectly as, for example, when the agent administered to the subject is a biosynthetic precursor to the reference substance or a cofactor in the biosynthesis of the reference subject. For example, administration of ribose, an ATP booster, to a subject indirectly increases the level of ATP in the subject because ribose is a biosynthetic precursor to ATP. For example, administration of citrulline, a nitric oxide booster, to a subject indirectly increases the level of nitric oxide in the subject because citrulline is a cofactor in nitric oxide production in the intestine.
[0030] As used herein, “treat,” “treating,” and “treatment,” and the like, refer to taking steps to deliver (e.g, as by administering) a substance (e.g, a formulation described herein) to a subject, such as a human, having a disease, disorder or condition of interest, and includes: (i) inhibiting the disease, disorder or condition, e.g., arresting its development; (ii) relieving the disease, disorder or condition, e.g., causing regression of the disease, disorder or condition; and (iii) relieving the symptoms resulting from the disease, disorder or condition. [0031] As used herein, “subject” refers to a mammal (e.g, human, non-human primate, cow, sheep, goat, horse, dog, cat, rabbit, guinea pig, rat, mouse or other bovine, ovine,
equine, canine, feline, or rodent organism). In a particular embodiment, the subject is a human, such as a pediatric human ( e.g ., a human aged 21 years-old or less, a human aged 18 years-old or less, a human aged 16 years-old or less, a human aged 12 years-old or less, a human aged 6 years-old or less). In some embodiments, the subject, such as a pediatric human, is also or alternatively greater than 6 months-old, greater than 2 years-old or greater than five years-old.
[0032] As used herein, “subject in need thereof’ refers to a subject who has, or is at risk for developing, a particular disease, disorder or condition. A skilled medical professional (e.g., physician) can readily determine whether a subject has, or is at risk for developing, a particular disease, disorder or condition.
[0033] As used herein, an “effective amount” is an amount of a substance (e.g, a formulation described herein) that, when administered to a subject in need thereof, is sufficient to treat the subject under the conditions of administration, such as an amount sufficient to inhibit (e.g, reduce, decrease, prevent) a disease, disorder or condition in a subject (e.g, patient) and/or an amount sufficient to relieve one or more symptoms resulting from a disease, disorder or condition in a subject. The effectiveness of a substance can be determined by any suitable method known to those of skill in the art.
Formulation Bases
[0034] Provided herein is a formulation base comprising a nanogel comprising hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel (e.g, lecithin liposomes having a d75 of from about 25 nm to about 250 nm).
[0035] Also provided herein is a formulation base comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a first molecular weight, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a second molecular weight different from the first molecular weight; and lecithin liposomes (e.g, lecithin liposomes having a d75 of from about 25 nm to about 250 nm). In some embodiments, the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes (and one or active substances, if present).
[0036] Also provided herein is a formulation base comprising a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a first molecular weight, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, having a second molecular weight different from the first molecular weight; and
lecithin liposomes within the nanogel ( e.g ., lecithin liposomes having a d75 of from about 25 nm to about 250 nm).
[0037] Hyaluronic acid (HA) is a naturally-occurring glycosaminoglycan and a major component of the extracellular matrix. See , for example, Arpicco, S., etal., “Hyaluronic Acid Conjugates as Vectors for the Active Targeting of Drugs, Genes and Nanocomposites in Cancer Treatment,” Molecules 2014, 19, 3193-3230, the content of which is incorporated herein by reference in its entirety. HA has been shown to play a role in inflammation, and to exert anti-inflammatory and anti -oxidative effects. See , for example, Petrey, A., el al ., “Hyaluronan, a crucial regulator of inflammation,” Frontiers in Immunology \ Inflammation , March 2014, Volume 5, Article 101; and Gupta R. C., etal. , “Hyaluronic Acid; Molecular Mechanisms and Therapeutic Trajectory,” Front. Vet. Sci. 6:192, the contents of which are incorporated herein by reference in their entireties. Without wishing to be bound by any particular theory, it is believed that HA can be used to reduce inflammation.
[0038] It has also been reported that HA (high molecular weight HA, in particular, such as HA having a molecular weight of greater than about 500 kDa) reduces nociceptor sensitization, attenuating inflammatory and neuropathic hyperalgesia and pain. Caires, R., et al. , “Hyaluronon modulates TRPVl channel opening, reducing peripheral nociceptor activity and pain,” Nature Communications doi: 10.1038/ncomms9095 (27 Aug 2015); Ferrari, L.F., et al. , “CD44 Signaling Mediates High Molecular Weight Hyaluranon-Induced Antihyperalgesia,” The Journal of Neuroscience, January 10, 2018, 38(2):308-321; Gupta R. C., etal. , “Hyaluronic Acid; Molecular Mechanisms and Therapeutic Trajectory,” Front. Vet. Sci. 6: 192; and Bonet, I.J.M., et al. , “Mechanisms Mediating High-Molecular-Weight Hyaluron-Induced Antihyperalgesia,” The Journal of Neuroscience, August 19, 2020, 40(34):6477-6488, the contents of which are incorporated herein by reference in their entireties. Although high molecular weight HA displays immunosuppressive and anti inflammatory properties, low molecular weight HA has been observed to recruit immune cells and promote inflammation. Litwiniuk, M., et al, “Hyaluronic Acid in Inflammation and Tissue Regeneration,” Wounds 2016; 28(3):78-88; Krasinski, R. and Tchorzewski, H. “Hyaluronan-mediated regulation of inflammation,” Postepy Hig Med Dosw. 2007; 61:683- 689; and Tolg, C., etal., “A RHAMM Mimetic Peptide Blocks Hyaluronan Signaling and Reduces Inflammation and Fibrogenesis in Excisional Skin Wounds,” AJP 2012, Vol. 81,
No. 4, 1250-1270. These observations suggest that HA (e.g, high molecular weight HA) may inhibit pain, such as inflammatory pain or neuropathic pain, and be useful in treating
such pain or diseases, disorders or conditions associated with such pain, such as osteoarthritis. See also Gotoh, S., el al ., “Effects of the molecular weight of hyaluronic acid and its action mechanisms on experimental joint pain in rats,” Annals of the Rheumatic Diseases , 1993; 52: 817-822, the content of which is incorporated herein by reference in its entirety. These observations also suggest that HA ( e.g ., high molecular weight HA) may be useful in inhibiting inflammation and suppressing immune cell function.
[0039] HA has also been implicated in wound healing, tissue regeneration, ophthalmic conditions, such as keratoconjunctivitis sicca and dry eye disease, and cancer, suggesting that HA could be useful in promoting wound healing (e.g., in skin wounds, such as excisional skin wounds) and/or treating ophthalmic conditions or cancer. See Gupta R. C., el al, “Hyaluronic Acid; Molecular Mechanisms and Therapeutic Trajectory,” Front. Vet. Sci.
6: 192; and Litwiniuk, M., el al, “Hyaluronic Acid in Inflammation and Tissue Regeneration,” Wounds 2016; 28(3):78-88, the contents of which are incorporated herein by reference in their entireties.
[0040] As used herein, “nanogel” refers to a collection of nanoparticles composed of a hydrogel, a three-dimensional network of hydrophilic polymers having at least 10% water by weight or volume.
[0041] In some embodiments, the nanogel (e.g, including both aqueous and hyaluronic acid components) is from about 75% to about 99.9%, from about 90% to about 99.9%, from about 95% to about 99.9%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, about 99.1%, about 99.2%, about 99.3%, about 99.4%, about 99.5%, about 99.6%, about 99.7%, about 99.8% or about 99.9% by weight of the formulation base. In some embodiments, the hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 1.5%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation base.
In some embodiments, the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation base. In some embodiments, the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about
10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 3%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 3%, about 4% or about 5% by weight of the formulation base. In some embodiments, the lecithin liposomes are from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9% or about 1% by weight of the formulation base.
[0042] In some embodiments, the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight ( e.g ., mean molecular weight) of greater than about 500 kilodaltons, e.g., greater than about 750 kilodaltons or greater than about 800 kilodaltons. In some embodiments, the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt of the foregoing, has a molecular weight (e.g, mean molecular weight) of less than 5,000 kilodaltons, e.g, less than about 2,500 kilodaltons, less than about 2,000 kilodaltons, less than about 1,500 kilodaltons, less than about 1,000 kilodaltons. In some embodiments, the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt of the foregoing, has a molecular weight (e.g, mean molecular weight) of from about 800 kilodaltons to about 1,500 kilodaltons.
[0043] In some embodiments, the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight (e.g, mean molecular weight) of less than about 100 kilodaltons, e.g, less than about 50, about 25 or about 10 kilodaltons. In some embodiments, the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight (e.g, mean molecular weight) of from about 150 to about 250 kilodaltons.
[0044] In some embodiments, the second fraction of hyaluronic acid is ultra-short chain hyaluronic acid. As used herein, “ultra-short chain hyaluronic acid” refers to hyaluronic acid having a molecular weight of less than about 10 kilodaltons. In some embodiments, ultra- short chain hyaluronic acid has a molecular weight of less than about 7.5 kilodaltons. In some embodiments, ultra-short chain hyaluronic acid has a molecular weight of from about 2.5 to about 10 or from about 5 to about 7 kilodaltons.
[0045] In some embodiments, the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons (e.g, greater than about 750 kilodaltons; from about 800 kilodaltons to about
1,500 kilodaltons), and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons ( e.g ., less than about 10 kilodaltons).
[0046] In some embodiments, the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid (e.g., ultra- short chain hyaluronic acid), or a pharmaceutically acceptable salt thereof, is from about 1:15 to about 10:1, e.g, from about 1:15 to about 1:1, from about 1:15 to about 1:10, from about 1:1 to about 10:1, from about 2.5:1 to about 7.5:1, or about 1:15, 1:12, 1:10, 3:1, 4:1, 5:1, 6:1 or 7 : 1.
[0047] Methods of making nanogels comprising hyaluronic acid, or a pharmaceutically acceptable salt thereof, are known in the art. See, for example, Son, S. U., el al, Nanomaterials 2017, 7, 427; and Trombino, S., etal, Pharmaceutics 2019, 11, 407, the entire contents of which are incorporated herein by reference in their entireties.
[0048] Liposomes are lipid-based delivery systems that can be used to encapsulate both hydrophobic and hydrophilic molecules. Liposomes can be used to protect encapsulated active substance(s) (e.g, nutraceutical(s)) during delivery to the bloodstream of a subject, where the liposomes are broken down, releasing the encapsulated substance(s). See, for example, Shade, C., “Liposomes as Advanced Delivery Systems for Nutraceuticals,” Integr Med (Encinitas), 2016 Mar; 15(1): 33-36; and Ling, L., etal., “Lipoic acid-derived cross- linked liposomes for reduction-responsive delivery of anticancer drug,” International Journal of Pharmaceutics 560 (2019) 246-260, the contents of which are incorporated herein by reference in their entireties.
[0049] Lecithin includes raw lecithin and lecithin fractions, such as those obtained by purification of raw lecithin, from a variety of sources. Suitable sources of lecithin include various seed oils, such as sunflower, soybean and canola oils, and egg yolk and milk. In some embodiments, the lecithin is raw lecithin. In some embodiments, the lecithin is sunflower lecithin.
[0050] In some embodiments, the lecithin liposomes have a d75 of from about 25 nm to about 250 nm, e.g., from about 30 nm to about 150 nm or from about 35 nm to about 125 nm. [0051] Methods of making lecithin liposomes, encapsulating substances (e.g, vitamin D3, glutathione, zinc oxide, N-acetyl-L-cysteine; citrulline, or a pharmaceutically acceptable salt thereof) within lecithin liposomes and characterizing lecithin liposomes are described herein and known in the art. See, for example, the examples set forth herein; and C. W.
Shade, Integrative Medicine 15, 33-36, 2016; and Laouini, A. et al ., Journal of Colloid Science and Biotechnology 1, 147-168, 2012, the contents of which are incorporated herein by reference in their entireties.
[0052] In some embodiments, the formulation base further comprises a gelling agent. Examples of gelling agents include polyvinyl carboxy polymers ( e.g. , poly(acrylic acid), or a salt thereof, such as sodium polyacrylate; a carbomer, such as carbomer 940), acacia, alginic acid, bentonite, carboxymethyl cellulose, ethylcellulose, gelatin, hydroxyethyl cellulose, hydroxypropyl cellulose, magnesium aluminum silicate (VEEGUM®), methylcellulose, poloxamers (PLURONICS®), polyvinyl alcohol, alginates (e.g, sodium alginate), tragacanth, and xanthan gum. In some embodiments, the gelling agent is poly(acrylic) acid, or a salt (e.g, pharmaceutically acceptable salt) thereof, such as sodium polyacrylate. In some embodiments, the gelling agent is a carbomer (e.g, carbomer 940, carbomer 980). Carbomer 940 is a polyvinyl carboxy polymer crosslinked with ethers of pentaerythritol. Carbomer 980 is a polyvinyl carboxy polymer crosslinked with ethers of pentaerythritol. Carbomer 980 is soluble in water, has a pH value of from 2.7 to 3.3 (0.5% solution at 25 °C) and a viscosity of from 54,000 to 60,000 cps (0.5% solution) and from 18,000 to 25,000 cps (0.2% solution). In some embodiments, the gelling agent is a polyvinyl carboxy polymer (e.g, crosslinked with ethers of pentaerythritol; carbomer 940; carbomer 980).
[0053] Typically, the gelling agent is less than about 25%, less than about 10%, less than about 5%, less than about 2%, less than about 1%, less than about 0.5%, less than about 0.1%, less than about 0.05% or less than about 0.01% (e.g, about 0.006%) by weight of the formulation base and/or the formulation.
[0054] The formulation bases described herein are particularly suitable for topical administration. The formulation bases described herein can, however, also be administered orally, parenterally (including subcutaneously, intramuscularly, intravenously, intradermally, by inhalation, topically, rectally, nasally and vaginally) or buccally, or via an implanted reservoir. The term “parenteral,” as used herein, includes subcutaneous, intracutaneous, intravenous, intramuscular, intraocular, intravitreal, intra-articular, intra-arterial, intra- synovial, intrasternal, intrathecal, intralesional, intrahepatic, intraperitoneal intralesional and intracranial injection or infusion techniques.
[0055] As used herein, “topical administration” refers to administration of a substance (e.g, a formulation base or formulation, such as a formulation base or formulation described herein) to a particular place or particular places on or in the body of a subject without regard
to the location of the effect of the substance, if any. Thus, the effect of a formulation or formulation base described herein may be local or, preferably, systemic. Non-limiting examples of topical routes of administration include transdermal, transmucosal ( e.g ., oral, nasal, vaginal, urethral), sublingual, buccal, nasal and ocular routes of administration. It follows that the formulation bases and formulations described herein can, in some embodiments, be administered to the skin, a mucous membrane (e.g., oral, nasal, vaginal, urethral mucous membrane), under the tongue, the cheek, the nose and/or the eye of a subject. In some embodiments, the formulation base or formulation described herein is administered to skin of a subject.
[0056] The formulation bases and formulations described herein can take the form of an emulsion, or a gel (e.g, hydrogel, nanogel), cream, foam, lotion, ointment, paste, spray or drop, and are suitable for use in a variety of applications, including nutraceutical, pharmaceutical, cosmeceutical and cosmetic. For rectal administration or administration to the lower intestinal tract, the formulation base or formulation can be in the form of a suppository. A suppository is typically formulated with a suitable non-irritating excipient that is solid at room temperature but liquid at rectal temperature and, therefore, will melt in the rectum. Such excipients include cocoa butter, beeswax and polyethylene glycols. For ophthalmic use, formulation bases and formulations can be provided as micronized suspensions in isotonic, pH-adjusted sterile saline, or, preferably, as solutions in isotonic, pH- adjusted sterile saline, either with or without a preservative such as benzylalkonium chloride. Alternatively, for ophthalmic uses, the formulation bases and formulations can be formulated as ointments, for example, with petrolatum. For nasal administration (e.g, inhalation), formulation bases and formulations can be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other conventional solubilizing or dispersing agents.
[0057] The formulation bases and formulations described herein can provide for immediate release or sustained/delayed release of one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance) contained therein.
Formulations
[0058] Also provided herein is a formulation comprising a formulation base described herein and one or more active substances. In some embodiments, the formulation is a nutraceutical formulation, e.g, comprises one or more nutraceuticals. In some embodiments,
the formulation is a cosmetic formulation, e.g, comprises one or more cosmetics. In some embodiments, the formulation is a cosmeceutical formulation, e.g. , comprises one or more cosmeceuticals. In some embodiments, the formulation is a pharmaceutical formulation, e.g. , comprises one or more pharmaceuticals.
[0059] As used herein, “active substance” refers to a substance that, upon administration to a subject, has a biological activity or produces a biological (e.g, pharmacological) effect. Examples of active substances include neutraceuticals, cosmeceuticals and pharmaceuticals. [0060] In some embodiments, the one or more active substances comprise a neutraceutical. Examples of neutraceuticals include adenosine triphosphate, glutathione, N- acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin (e.g, vitamin Bi2), vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc, selenium, iron, folic acid or alpha-lipoic acid.
[0061] In some embodiments, the one or more active substances comprise a cosmeceutical. Examples of cosmeceuticals include marine algal compounds (e.g, phlorotannins, sulfated polysaccharides, tyrosinase inhibitors).
[0062] In some embodiments, the one or more active substances comprises a pharmaceutical. Examples of pharmaceuticals include glutathione and zinc.
[0063] In some embodiments, one or more of the one or more active substances (e.g, nutraceuticals, such as neutraceuticals that support the immune system, nutraceuticals that support sports performance) is encapsulated within the lecithin liposomes. Encapsulation, particularly of unstable, active substances, can increase the amount of an active substance that is ultimately delivered to a subject compared to unencapsulated delivery.
[0064] Also provided herein are formulations to support the immune system. Thus, some embodiments provide a formulation comprising a formulation base described herein and one or more nutraceuticals that support the immune system.
[0065] Examples of nutraceuticals that support the immune system include glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc (e.g, zinc oxide), selenium, iron, folic acid and alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-
10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc ( e.g ., zinc oxide), selenium, iron, folic acid and alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support the immune system are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc (e.g., zinc oxide), selenium, iron, folic acid or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc (e.g, zinc oxide) and alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support the immune system are selected from glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc (e.g, zinc oxide) or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support the immune system comprise, consist essentially of or consist of (e.g, are) alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
[0066] Some embodiments provide a formulation comprising a formulation base described herein and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L- cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide. In some embodiments, the formulation base comprises a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; and lecithin liposomes having a d75 of from about 25 nm to about 250
nm. In some further embodiments, the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes and the nutraceuticals. In some embodiments, the formulation comprises about 2.2% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.2% by weight of the lecithin liposomes; about 0.2% by weight alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; about 1.1% by weight glutathione, or a pharmaceutically acceptable salt thereof; about 0.2% by weight N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; about 0.4% by weight coenzyme Q10; about 0.4% by weight vitamin D3, or a pharmaceutically acceptable salt thereof; about 0.4% by weight vitamin C, or a pharmaceutically acceptable salt thereof; and about 0.4% by weight zinc oxide. In some embodiments, the formulation further comprises water ( e.g ., in some embodiments, about 91% by weight water). In some embodiments, at least one of the nutraceuticals (e.g., in some embodiments, glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; vitamin D3, or a pharmaceutically acceptable salt thereof; and zinc oxide) is encapsulated within the lecithin liposomes.
[0067] Also provided herein are formulations to support sports performance. Thus, some embodiments provide a formulation comprising a formulation base described herein and one or more nutraceuticals that support sports performance.
[0068] In some embodiments, the one or more neutraceuticals that support sports performance comprise a nitric oxide and/or arginine (e.g, nitric oxide) booster. Non-limiting examples of nitric oxide boosters include citrulline, beetroot, potassium nitrate and coenzyme Q-10 (CoQ-10).
[0069] In some embodiments, the one or more neutraceuticals that support sports performance comprise an ATP booster. Non-limiting examples of ATP boosters include ATP and ribose, or a pharmaceutically acceptable salt of either of the foregoing.
[0070] In some embodiments, the one or more nutraceuticals that support sports performance comprise a carnosine booster. Non-limiting examples of camosine boosters include magnesium orotate.
[0071] Non-limiting examples of nutraceuticals that support sports performance include ATP, ribose, citrulline, orotate (e.g, magnesium orotate), beetroot, nitrate (e.g, potassium nitrate), caffeine and CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
In some embodiments, the one or more neutraceuticals that support sports performance comprise, consist essentially of or consist of ATP, ribose, citrulline, orotate (e.g, magnesium orotate), beetroot, nitrate (e.g, potassium nitrate), caffeine and CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing. In some embodiments, the one or more nutraceuticals that support sports performance comprise, consist essentially of or consist of ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and CoQ-10, or a pharmaceutically acceptable salt thereof. In some embodiments, the one or more nutraceuticals that support sports performance are selected from ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; or CoQ-10, or a pharmaceutically acceptable salt thereof.
[0072] Some embodiments provide a formulation comprising a formulation base described herein and the following nutraceuticals: ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10. In some embodiments, the formulation base comprises a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; and lecithin liposomes having a d75 of from about 25 nm to about 250 nm. In some further embodiments, the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes and the nutraceuticals. In some embodiments, the formulation comprises about 0.1% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 1.2% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the lecithin liposomes; about 1.8% by weight ATP, or a pharmaceutically acceptable salt thereof; about 0.2% by weight ribose, or a pharmaceutically acceptable salt thereof; about 0.1% by
weight citrulline, or a pharmaceutically acceptable salt thereof; about 0.4% by weight magnesium orotate; about 0.4% by weight beet root powder; about 0.2% by weight potassium nitrate; about 10% by weight caffeine, or a pharmaceutically acceptable salt thereof; and about 0.2% by weight coenzyme Q10. In some embodiments, the formulation further comprises water ( e.g ., in some embodiments, about 84% by weight water). In some embodiments, at least one of the nutraceuticals (e.g., in some embodiments, magnesium orotate) is encapsulated within the lecithin liposomes.
[0073] Typically, from about 1% to about 99%, from about 50% to about 99%, from about 75% to about 99%, from about 90% to about 99%, about 90%, about 91% about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98% or about 99% of the formulation by weight is the formulation base. In some embodiments, the nanogel (e.g, including both aqueous and hyaluronic acid components) is from about 65% to about 99%, from about 75% to about 99%, from about 75% to about 95%, from about 90% to about 90%, from about 90% to about 99%, about 80%, about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98% or about 99% by weight of the formulation. In some embodiments, the hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 2.6%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation. In some embodiments, the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 10%, from about 1% to about 5%, about 1%, about 2%, about 2.2%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% by weight of the formulation. In some embodiments, the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 3%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 3%, about 4% or about 5% by weight of the formulation. In some embodiments, the lecithin liposomes are from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 0.1% to about 1%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9% or about 1% by weight of the formulation.
[0074] Typically, the one or more active substances ( e.g ., nutraceuticals, such as nutraceuticals that support the immune system, nutraceuticals that support sports performance), taken individually or collectively, are from about 0.1% to about 30%, from about 0.1% to about 20%, from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 30%, from about 1% to about 20%, from about 1% to about 10%, from about 1% to about 5%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% of the formulation by weight.
[0075] The formulations described herein can further include an excipient (e.g., a pharmaceutically acceptable excipient), e.g, to increase the stability of the formulation, or other physical characteristic of the formulation. Typically, such carriers are non-bioactive, meaning they have insubstantial or no biological activity and/or produce insubstantial or no biological effect, e.g, in the amount administered. Examples of excipients include preservatives, such as sodium hydroxymethylglycinate (Suttocide™ A), flavor enhancers, such as orange oil, diluents, solvents, glycerin, gelatin, albumin, lactose, starch, stabilizers, melting agents, emulsifying agents, such as polysorbates (e.g, polysorbate 40), suspending agents, salts and buffers. An excipient can be organic or inorganic.
[0076] Typically, excipient(s), taken individually or collectively, are from about 0.1% to about 30%, from about 0.1% to about 20%, from about 0.1% to about 10%, from about 0.1% to about 7.5%, from about 0.1% to about 5%, from about 1% to about 30%, from about 1% to about 20%, from about 1% to about 10%, from about 1% to about 5%, about 0.1%, about 0.2%, about 0.3%, about 0.4%, about 0.5%, about 0.6%, about 0.7%, about 0.8%, about 0.9%, about 1%, about 2%, about 2.5%, about 3%, about 4%, about 5%, about 6%, about 7%, about 8%, about 9% or about 10% of the formulation by weight.
[0077] Suitable routes of administration and forms of the formulations described herein include those routes of administration and forms described herein with respect to formulation bases.
Uses
[0078] The formulation bases described herein can be incorporated into formulations comprising a formulation base described herein and one or more active substances. Upon administration to a subject, the formulation base and/or formulation is expected to be an efficient and non-invasive delivery system for the one or more active substances of the
formulation, providing for absorption of the one or more active substances into the body of the subject. In addition, HA itself has been shown to play a role in inflammation and pain and, therefore, is expected to impart utility to the formulation base, even in the absence of other active substances.
[0079] Accordingly, provided herein is a method of administering a formulation base or formulation described herein to a subject, comprising applying the formulation base or formulation to a subject. In some embodiments, the formulation base or formulation is applied topically. In some embodiments, the formulation base or formulation is applied to skin, a mucous membrane ( e.g ., oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under a tongue of a subject (e.g., skin, a mucous membrane, a cheek or an eye or under a tongue of the subject). In some embodiments, the formulation base or formulation is applied to skin of a subject.
[0080] Also provided herein is a method of treating a subject in need of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation to the subject. Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of a formulation base or formulation described herein, comprising administering an effective amount of the formulation base or formulation to the subject. Examples of subjects in need of the formulation bases and/or formulations described herein, and examples of diseases, disorders or conditions that would benefit from administration of a formulation base or formulation described herein are as set forth herein.
[0081] Inflammation of the skin, such as that resulting from bug bites, sunburn and inflammatory skin disease, such as psoriasis and dermatitis, is expected to particularly benefit from the anti-inflammatory, analgesic and anti -nociceptive properties of HA. Thus, also provided herein is a method of inhibiting inflammation in a subject (e.g, a subject in need thereof, such as a pediatric subject), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein). Also provided herein is a method of treating inflammation in a subject (e.g, a subject in need thereof, such as a pediatric subject), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein). In some embodiments, the inflammation is inflammation of the skin, such as that resulting from a bug bite or bum (e.g, sunburn).
[0082] Also provided herein is a method of treating a bug bite or burn ( e.g ., sunburn), comprising administering to a subject (e.g., a subject in need thereof, such as a pediatric subject; a subject having a bug bite or burn, such as a pediatric subject having a bug bite or burn), a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein).
[0083] Burns can result from exposure to radiation, such as ultraviolet (e.g, UVA, UVB and/or UVC) radiation. Sunburns typically result from over-exposure to sunlight, although they can also be the result of over-exposure to other sources of ultraviolet radiation, such as tanning beds and ultraviolet therapies.
[0084] Also provided herein is a method of inhibiting pain (e.g, inflammatory pain, neuropathic pain) in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein). Also provided herein is a method of treating pain (e.g, inflammatory pain, neuropathic pain) in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein). [0085] HA is also expected to be useful in wound healing, for example, post-surgery. Thus, also provided herein is a method of promoting wound healing and/or tissue regeneration in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation base or formulation described herein (e.g, an effective amount of a formulation base or formulation described herein). In some embodiments, the method promotes wound healing and/or tissue regeneration of a skin wound, such as an excisional skin wound, in a subject.
[0086] In some embodiments, a formulation base described herein is administered to the subject (e.g, pediatric subject). In some embodiments, a formulation described herein is administered to the subject.
[0087] Also provided herein is a method of administering one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance) to a subject, comprising applying a formulation described herein to the subject. In some embodiments, the formulation is applied topically. In some embodiments, the formulation is applied skin, a mucous membrane (e.g, oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under
a tongue of a subject ( e.g ., skin, a mucous membrane, a cheek or an eye or under a tongue of the subject). In some embodiments, the formulation is applied to skin of a subject.
[0088] Also provided herein is a method of treating a subject in need of one or more active substances (e.g., nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance), comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject. Also provided herein is a method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system and/or nutraceuticals that support sports performance), comprising administering an effective amount of a formulation described herein comprising the one or more active substances to the subject. Examples of subjects in need of the one or more active substances described herein, and examples of diseases, disorder or conditions that would benefit from administration of one or more active substances described herein are as set forth herein.
[0089] Risks associated with COVID-19, SARS, MERS and other pathogens can be mitigated by active ingredients and other active substances that support the immune system.
For example, glutathione has been implicated in regulation of innate and adaptive immune system function, particularly in the context of viruses, protection of cells from oxidative damage, reduction of inflammation and maintenance of redox homeostasis. See, for example, Minich, D.M. and Brown, B.I. Nutrients 2019, 11, 2073; Lee, C. Oxidative Medicine and Cellular Longevity 2018, Article ID 6208067; Forman, H.J., et al, Molecular Aspects of Medicine 30(2009), 1-12; Ghezzi, P., International Journal of General Medicine 2011 :4, 105-113; Horowitz, R.I., et al, Respiratory Medicine Case Reports 30(2020), 101063; and Polonikov, A. ACS Infect. Dis., https://dx.doi.org/10.1021/acsinfecdis.0c00288, the entire contents of which are incorporated herein by referenced in their entireties. Glutathione also plays a role in regulating nitric oxide synthase, which synthesizes nitric oxide, a reactive oxygen species that may help to reduce respiratory tract infection, such as COVID-19, by inactivating viruses and inhibiting viral replication. See, for example, Kobayashi, J. and Murata, F, “Nitric oxide inhalation as an interventional rescue therapy for COVID-19- induced acute respiratory distress syndrome”, Annals of Intensive Care, (2020) 10:61; Akerstrom, S., et al., “Nitric Oxide Inhibits the Replication Cycle of severe Acute Respiratory Syndrome Coronavirus”, Journal of Virology, Feb 2005, p. 1966-1969;
Zamanian, R.T., et al., “Outpatient Inhaled Nitric Oxide in a Patient with Vasoreactive
Idiopathic Pulmonary Arterial Hypertension and COVID-19 Infection ” , American Journal of Respiratory and Critical Care Medicine, 202(1), July 1, 2020, 130-132; Ko, Y.-F., etal., “Could nasal nitric oxide help to mitigate the severity of COVID-1?”, Microbes and Infection , 22 (2020 168-171; and Harbrecht, B.G., etal., “Glutathione Regulates Nitric Oxide Synthase in Cultured Hepatocytes”, Annals of Surgery , 225(1): 76-87 (1997), the entire contents of which are incorporated herein by reference in their entireties.
[0090] N-acetylcysteine has been shown to increase GSH, improve T cell response, inhibit viral replication, attenuate influenza and influenza-like episodes, improve cell- mediated immunity and modulate inflammation. See, for example, Poe, F.L. and Corn, J. Medical Hypotheses 143 (2020) 109862; Geiler, J., et al, Biochemical Pharmacology 79 (2010) 413-420; De Flora, S., et al, Eur. Resp. J., 1997, 10, 1535-1541, the entire contents of which are incorporated herein by reference in their entireties.
[0091] Alpha-lipoic acid is known to have antioxidant and anti-inflammatory properties. See, for example, Tibullo, D., et al, Inflamm. Res. (2017) 66:947-959; Zhang, G., et al, Molecular Medicine Reports 12:180-186 (2015); and Shen, H.-H., et al, Mediators of Inflammation 2019, Article ID 8187529, the entire contents of which are incorporated herein by reference in their entireties.
[0092] Zinc has been shown to regulate antiviral and antibacterial immunity and inflammatory response, and inhibit viral replication, and is known to be important for the growth, development and maintenance of immune function. See, for example, Skalny, A.V., et al, International Journal of Molecular Medicine 46:17-26, 2020; Zhang, J., et al, Brain, Behavior, and Immunity 87(2020), 59-73; te Velthuis, A.J.W., et al, PLoS Pathogens 2010,
6, 11, el001176; Read, S.A., etal, Adv. Nutr., 2019, 10:696-710; Barnett, J.B., etal, Nutrition Reviews 68(l):30-37; Mocchegiani, E., et al , Mechanisms of Ageing and Development 121(2000), 21-35, the entire contents of which are incorporated herein by reference in their entireties.
[0093] Coenzyme Q-10 (CoQ-10) has been found to reduce oxidative stress. See, for example, Tsai, K.-L., etal, Journal of Nutritional Biochemistry 23(2012), 458-468; Sangsefidi, Z.S., et al, Food Sci. Nutr. 2020; 8; 1766-1776; and Knott, A., et al, Biofactors, 2015, 383-390, the entire contents of which are incorporated herein by reference in their entireties.
[0094] Vitamin D supplementation has been found to reduce the risk of having acute respiratory infections. See, for example, Martineau, A.R., et al, Health Technology
Assessment 23(2), 2019; and Martineau, A.R., Annals of Internal Medicine , doi:10.7326/ACPJC-2017-166-10-051, the entire contents of which are incorporated herein by reference in their entireties.
[0095] Thus, also provided herein is a method of supporting the immune system of a subject ( e.g ., a subject in need thereof), comprising administering to the subject a formulation described herein (e.g., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
[0096] Also provided herein is a method of inhibiting viral replication in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
[0097] Also provided herein is a method of inhibiting inflammation in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system, and/or a formulation comprising one or more nutraceuticals that support sports performance.
[0098] Also provided herein is a method of treating a viral infection in a subject (e.g, a subject in need thereof), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support the immune system.
[0099] Muscle contraction during heavy exercise can lead to constricted blood flow, increased oxidative stress and ultimately delayed onset muscle soreness (DOMS), which can be mitigated by active ingredients and other active substances that support sports performance. For example, ATP acts as a vasodilator, among other things, increasing blood flow throughout the body when administered by intra-arterial infusion and intravenously. The effects of ATP at appropriate dosages are comparable to that of histamine or acetylcholine, without the uncomfortable local or general symptoms. See, for example, Duff, F., el al., “A Quantitative Study of the Response to Adenosine Triphosphate of the Blood Vessels of the Human Hand and Forearm,” J. Physiol., 1954;125(3):581-589; and Shepherd, T, etal., “Prolonged adenosine triphosphate infusion and exercise hyperemia in humans,” J. Appl. Physiol. 121: 629-635, 2016, the contents of which are incorporated herein by reference in their entireties. Furthermore, ATP has been shown to increase repeated sprint ability and muscle excitability, showing an increase in short burst performance and repeated short burst
performance. See, for example, Purpura, M., etal., “Oral Adenosine-5 '-triphosphate (ATP) Administration Increases Postexercise ATP Levels, Muscle Excitability, and Athletic Performance Following a Repeated Sprint Bout,” Journal Of The American College of Nutrition, 2017, Vol. 36, No. 3, 177-183, the content of which is incorporated herein by reference in its entirety. Adenosine compounds, such as ATP, also appear to exert an analgesic effect, particularly in the post-surgery context and the context of chronic neuropathic pain. See , for example, Hayashida, M., el al., “Clinical application of adenosine and ATP for pain control,” J. Anesth. (2005) 19:225-235, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that ATP increases vascularity, performance and endurance. [00100] Ribose is a precursor to ATP and supports ATP production. Furthermore, ribose has been shown to increase performance in exercise and benefits perceived exertion, particularly in lower-fitness adults undergoing high-intensity exercise. See, for example, Seifert, J., et al, “The influence of D-ribose ingestion and fitness level on performance and recovery,” Journal of the International Society of Sports Nutrition (2017) 14:47, the content of which is incorporated herein by reference in its entirety. See also Mahoney, D.E., et al, “Understanding D-Ribose and Mitochondrial Function f Adv. Biosci. Clin. Med. 2018; 6(1): 1-5; Bayram, M., et al, “D-Ribose aids heart failure patients with preserved ejection fraction and diastolic dysfunction: a pilot study,” Ther. Adv. Cardiovasc. Dis. 2015, 9(3): 56-65; Herrick, J., et al, “D-Ribose - an additive with caffeine,” Medical Hypotheses 72 (2009), 499-500; Derosa, G., et al, “A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Effectiveness of a Food Supplement Containing Creatine and D-Ribose Combined with a Physical Exercise Program in Increasing Stress Tolerance in Patients with Ischemic Heart Disease,” Nutrients 2019, 11, 3075, the contents of which are incorporated herein by reference in their entireties. Ribose also helps with the recovery of decreased ATP levels from exercise.
[00101] Citrulline has been shown to increase muscle protein synthesis by reallocating mitochondrial fuel to the protein synthesis machinery. See, for example, Goron, A., et al, “Citrulline stimulates muscle protein synthesis, by reallocating ATP consumption to muscle protein synthesis”, Journal of Cachexia, Sarcopenia and Muscle, 2019: 10: 919-928, the content of which is incorporated herein by reference in its entirety. Citrulline has also been shown to increase resistance exercise performance (RPE) in both male and female subjects, suggesting citrulline increases muscle performance and endurance. See, for example, Glenn,
J.M., etal ., “Acute citrulline malate supplementation improves upper- and lower-body submaximal weightlifting exercise performance in resistance-trained females”, Eur J Nutr., 2017 Mar; 56(2): 775-784. doi: 10.1007/s00394-015-l 124-6, the content of which is incorporated herein by reference in its entirety. Citrulline has also shown an ability to regulate protein synthesis and fight oxidative stress. See , for example, Cynober, L., etal ., “The 2009 ESPEN Sir David Cuthbertson. Citrulline: A new major signaling molecule or just another player in the pharmaconutrition game?, Clinical Nutrition , 29 (2010) 545-551, the content of which is incorporated herein by reference in its entirety. Citrulline has also been shown to protect from muscle wasting by increasing protein synthesis. See , for example, Ham, D.J., etal ., “Citrulline protects muscle cells from wasting in an mTOR independent manner in vitro ”, Proceedings of the Australian Physiological Society , http://aups.org.au/Proceedings/4413P; and Le Plenier, S., etal., “Effects of leucine and citrulline versus non-essential amino acids on muscle protein synthesis in fasted rat: a common activation pathway?, Amino Acids, (2012) 43: 1171-1178, the contents of which are incorporated herein by reference in their entireties. Citrulline also play a role in nitric oxide production in the intestine. By restoring nitric oxide production in the intestine, citrulline has been shown to decrease oxidative stress and magnify the effects of nitric oxide. See, for example, Wijnands, K.A.P., et al, “Citrulline a More Suitable Substrate than Arginine to Restore NO Production and the Microcirculation during Endotoxemia”, PLoS ONE, May 2012 7(5): e37439, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that citrulline can be used to relieve oxidative stress and, thus, fatigue caused by exercise-induced respiratory muscle fatigue, and increase muscle performance and endurance.
[00102] Magnesium orotate has been shown to stimulate production of beta-alanine, which is synthesized into camosine and thereby increases muscle concentrations of carnosine. See, for example, Perim, P., etal., “Can the Skeletal Muscle Carnosine Response to Beta-Alanine Supplementation Be Optimized”, Frontiers in Nutrition, August 1019, volume 6, Article 135, 10 pages, the content of which is incorporated herein by reference in its entirety. Carnosine, in turn, increases muscle performance both in duration and intensity. See, for example, Baguet, A., et al., “Important role of muscle camosine in rowing performance,” J. Appl. Physiol. 109: 1096-1101, 2010, the content of which is incorporated herein by reference in its entirety. Furthermore, beta-alanine supplementation has been shown to decrease fatigue in high intensity/high volume workouts. See, for example, Hoffman, J., “Short-duration beta-
alanine supplementation increases training volume and reduces subjective feelings of fatigue in college football players,” Nutr. Res. 2008;28(1):31-35, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that magnesium orotate decreases fatigue and increases endurance.
[00103] Beetroot provides precursors to L-arginine, from which nitric oxide (NO) is synthesized. NO derived from beetroot has been shown to increase muscle performance in intense endurance exercise. NO has also shown beneficial effects in “improving fatigue resistance, augmenting fiber contractility, and ultimately enhancing whole body exercise tolerance or performance.” See , for example, Jones, A., etal ., “Fiber Type-Specific Effects of Dietary Nitrate,” Exerc. Sport Sci. Rev., Vol. 44, No. 2, pp. 53Y60, 2016, the content of which is incorporated herein by reference in its entirety. In addition, NO supplementation has been shown to improve exercise capacity, decrease oxidative stress and improve recovery time from intense workouts. See, for example, Handzlik, M., el al., “Likely Additive Ergogenic Effects of Combined Preexercise Dietary Nitrate and Caffeine Ingestion in Trained Cyclists,” 1 SRN Nutrition, Volume 2013, Article ID 396581, 8 pages; Nyakayiru, J., etal, “Beetroot Juice Supplementation Improves High-Intensity Intermittent Type Exercise Performance in Trained Soccer Players,” Nutrients, 2017, 9, 314; and Kelly, J., et al,
“Dietary nitrate supplementation: effects on plasma nitrite and pulmonary 02 uptake dynamics during exercise in hypoxia and normoxia,” Am. J. Physiol. Regul. Integr. Comp. Physiol. 307: R920-R930, 2014, the contents of which are incorporated herein by reference in their entireties. NO has also been shown to increase maximal power and contractile speed of trained athletes performing multi-joint concentric actions. See, for example, Rimer, E., et al, “Acute Dietary Nitrate Supplementation Increases Maximal Cycling Power in Athletes,” Int. J. Sports Physiol. Perform. 2016 September; 11(6): 715-720, the content of which is incorporated herein by reference in its entirety. NO has also been shown to improve cognitive performance. See, for example, Thompson, C., et al, “Dietary nitrate supplementation improves sprint and high-intensity intermittent running performance,” Nitric Oxide, 61 (2016) 55-61, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that beetroot increases endurance and muscle strength performance, and improves recovery time and fast twitch muscle performance.
[00104] Potassium nitrate, like beetroot, provides precursors to L-arginine. Potassium nitrate has been shown to increase force production in fast-twitch muscle, and reduce
perceived exertion for a task, thereby improving perceived strength and endurance for the task. See , for example, Hernandez, A., etal ., “Dietary nitrate increases tetanic [Ca2+]i and contractile force in mouse fast-twitch muscle,” J. Physiol ., 2012 Aug 1; 590 (Pt 15): 3575- 3583, the content of which is incorporated herein by reference in its entirety. Nitrate supplementation has also been shown to decrease systolic blood pressure and improve antioxidant response after aerobic exercise. See , for example, Menezes, E., etal ., “Potential Benefits of Nitrate Supplementation on Antioxidant Defense System and Blood Pressure Responses after Exercise Performance,” Oxidative Medicine and Cellular Longevity, Volume 2019, Article ID 7218936, 10 pages, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that by decreasing blood pressure, potassium nitrate can decrease exercise-induced stress on the body. [00105] Caffeine is an ergogenic aid that improves peak aerobic capacity and peak pulmonary ventilation. Furthermore, caffeine has been shown to increase muscle oxygen saturation, and improve performance in short duration, high intensity, repeated sprinting.
See , for example, Ruiz-Moreno, C., et al ., “Acute caffeine intake increases muscle oxygen saturation during a maximal incremental exercise test,” Br. J. Clin. Pharmacol. 2020;86:861- 867; and Wickham, K., etal., “Administration of Caffeine in Alternate Forms,” Sports Med (2018) 48 (Suppl 1):S79-S91, the contents of which are incorporated herein by reference in their entireties. Caffeine has also been shown to increase total weight lifted and improve fatigue index. See, for example, Mielgo-Ayuso, J., et al., “Effect of Caffeine Supplementation on Sports Performance Based on Differences Between Sexes: A Systematic Review,” Nutrients 2019, 11, 2313, the content of which is incorporated herein by reference in its entirety. When co-ingested with dietary nitrate, such as that derived from beetroot, caffeine has been shown to delay time to exhaustion. See, for example, Handzlik, M., et al., “Likely Additive Ergogenic Effects of Combined Preexercise Dietary Nitrate and Caffeine Ingestion in Trained Cyclists,” ISBN Nutrition, Volume 2013, Article ID 396581, 8 pages, the content of which is incorporated herein by reference in its entirety. Without wishing to be bound by any particular theory, it is believed that caffeine will improve sports performance, muscle performance, endurance and fatigue, and decrease oxidative stress. Sources of caffeine include green tea. Thus, in some embodiments, caffeine is from green tea.
[00106] CoQ-10 improves the production of nitric oxide synthase, while decreasing oxidative stress. Furthermore, CoQ-10 has been shown to increase antioxidant capacity and suppress downstream inflammatory mediators. See, for example, Tsai, K.-L., etal, Journal
of Nutritional Biochemistry 23(2012), 458-468; Sangsefidi, Z.S., et al., Food Sci. Nutr. 2020; 8; 1766-1776; and Knott, A., et al, Biofactors , 2015, 383-390, the contents of which are incorporated herein by reference in their entireties. Without wishing to be bound by any particular theory, it is believed that CoQ-10 will increase endurance and delay fatigue by virtue of decreased oxidative stress. Without wishing to be bound by any particular theory, it is believed that CoQ-10 will magnify the effects of other nitric oxide boosters, such as citrulline, beetroot and potassium nitrate, as well as assist in reducing reactive oxygen species and decrease oxidative stress.
[00107] Thus, also provided herein is a method of supporting the sports performance of a subject ( e.g ., a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
[00108] Also provided herein is a method of inhibiting delayed onset muscle soreness in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
[00109] Also provided herein is a method of increasing blood oxygen level in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance. [00110] Also provided herein is a method of decreasing oxidative stress in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance. [00111] Also provided herein is a method of increasing strength, stamina and/or endurance in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
[00112] Also provided herein is a method of increasing nitric oxide level in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a
formulation described herein ( e.g ., an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance. [00113] Also provided herein is a method of reducing fatigue (e.g., exercised-induced fatigue) in a subject (e.g, a subject in need thereof, such as an athlete), comprising administering to the subject a formulation described herein (e.g, an effective amount of a formulation described herein), such as a formulation comprising one or more nutraceuticals that support sports performance.
[00114] In any of the aforementioned methods, particularly those involving a formulation comprising one or more nutraceuticals that support sports performance, the formulation is administered to the subject prior to physical activity (e.g, exercise, a workout). Alternatively or in addition, the formulation can be administered to the subject during physical activity (e.g, exercise, a workout). Alternatively or in addition, the formulation can be administered to the subject after physical activity (e.g, exercise, a workout).
[00115] In any of the aforementioned methods, in some embodiments, administering a formulation base or formulation described herein comprises applying the formulation to the skin, a mucous membrane (e.g, oral, nasal, vaginal, urethral mucous membrane), a cheek, a nose and/or an eye, and/or under the tongue of a subject (e.g, to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject). Other suitable routes of administration include those routes of administration described herein with respect to formulation bases. [00116] A formulation base or formulation can be administered (e.g, applied) to a subject, in accordance with any of the aforementioned methods and embodiments thereof, once or repeatedly, for example, as directed by a healthcare professional. For example, administration can be 1, 2, 3, 4, 5, 6, etc. times per day.
[00117] Specific dosage and treatment regimens for any particular subject will depend upon a variety of factors, such as the disease, disorder or condition, the activity of the specific substance employed (e.g, in the disease, disorder or condition being treated), the age, body weight, general health status, sex and/or diet of the subject, time of administration, rate of excretion, drug combination, the severity and course of the disease, disorder, condition or symptom, the subject’s disposition to the disease, disorder, condition or symptom, and the judgment of the treating physician. Selection of specific dosage and treatment regimens is within the skill of a person of ordinary skill in the art in view of the present disclosure and the references cited herein.
Methods of Making
[00118] In some embodiments, a method of making a formulation base described herein comprises forming a mixture of lecithin liposomes ( e.g. , according to any of the embodiments or combinations of embodiments described herein) and hyaluronic acid (e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture. In some embodiments, the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture. Without wishing to be bound by any particular theory, it is believed that gelation of a mixture of lecithin liposomes and hyaluronic acid, or a pharmaceutically acceptable salt thereof, results in formation of a hyaluronic acid- based nanogel having within it (e.g, dispersed or uniformly dispersed within it) the lecithin liposomes.
[00119] In some embodiments, a method of making a formulation described herein comprises forming a mixture of lecithin liposomes (e.g, according to any of the embodiments or combinations of embodiments described herein), one or more active substances (e.g, any of the active substances described herein) and hyaluronic acid (e.g, first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture. In some embodiments, the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein), one or more active substances (e.g, any of the active substances described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture. Without wishing to be bound by any particular theory, it is
believed that gelation of such mixtures results in formation of a hyaluronic acid-based nanogel having within it ( e.g ., dispersed or uniformly dispersed within it) the lecithin liposomes and the one or more active substances (e.g., the one or more nutraceuticals, such as one or more nutraceuticals that support the immune system).
[00120] For example, in some embodiments, a method of making a formulation described herein comprises forming a mixture of lecithin liposomes (e.g, according to any of the embodiments or combinations of embodiments described herein), one or more nutraceuticals (e.g, according to any of the embodiments or combinations of embodiments described herein) and hyaluronic acid (e.g, the first and second fractions of hyaluronic acid, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture. In some embodiments, the method comprises forming a first mixture of lecithin liposomes e.g, according to any of the embodiments or combinations of embodiments described herein), one or more nutraceuticals (e.g, according to any of the embodiments or combinations of embodiments described herein) and a first fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof; adding a second fraction of hyaluronic acid (e.g, according to any of the embodiments or combinations of embodiments described herein), or a pharmaceutically acceptable salt thereof, to the first mixture, thereby forming a second mixture; and inducing gelation of the second mixture.
[00121] In some embodiments, the methods of making further comprise forming the lecithin liposomes. By forming the lecithin liposomes in the presence of one or more active substances (e.g, nutraceuticals, such as vitamin C, N-acetyl-L-cysteine, glutathione, zinc, citrulline, or a pharmaceutically acceptable salt of the foregoing), lecithin liposomes encapsulating one or more active substances can be produced. Accordingly, in some embodiments, forming the lecithin liposomes includes combining one or more active substances and lecithin under conditions suitable to form lecithin liposomes encapsulating the one or more active substances (e.g, nutraceuticals, such as nutraceuticals that support the immune system, nutraceuticals that support sports performance).
[00122] In some embodiments, inducing gelation comprises adding a gelling agent (e.g, according to any of the embodiments or combinations of embodiments described herein) to the mixture or second mixture. In some embodiments, the gelling agent is poly(acrylic) acid,
or a salt ( e.g ., pharmaceutically acceptable salt) thereof, such as sodium polyacrylate. In some embodiments, the gelling agent is a carbomer (e.g., carbomer 940, carbomer 980). [00123] Methods of making the formulation bases and formulations described herein are further described in the Exemplification.
NUMBERED EMBODIMENTS
[00124] The following numbered embodiments relate to formulation bases, and formulations thereof, as well as methods of making and using the foregoing.
A1. A formulation base comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons.
A2. The formulation base of embodiment Al, for topical administration.
A3. The formulation base of embodiment Al or A2, for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
A4. The formulation base of any one of embodiments Al-3, in the form of an emulsion.
A5. The formulation base of any one of embodiments A 1-4, in the form of a gel, cream, foam, lotion, ointment, paste, spray or drop.
A6. The formulation base of any one of embodiments Al-5, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 750 kilodaltons.
A7. The formulation base of embodiment A6, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of from about 800 kilodaltons to about 1,500 kilodaltons.
A8. The formulation base of any one of embodiments A 1-7, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 10 kilodaltons.
A9. The formulation base of any one of embodiments Al-8, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 1 : 1 to about 10:1.
A10. The formulation base of embodiment A9, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is about 5:1.
A11. The formulation base of any one of embodiments Al-10, wherein the lecithin liposomes having a d75 of from about 30 nm to about 150 nm.
A12. The formulation base of any one of embodiments Al-11, further comprising a gelling agent.
A13. The formulation base of embodiment A12, wherein the gelling agent is poly(acrylic acid), or a salt thereof.
A14. The formulation base of embodiment A12 or A13, wherein the gelling agent is a carbomer.
A15. A method of making the formulation base of any one of embodiments 1-14, comprising forming a mixture of the lecithin liposomes and the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
A16. A formulation comprising the formulation base of any one of embodiments Al-14 and one or more active substances.
A17. The formulation of embodiment A16, wherein the one or more active substances are selected from a neutraceutical, a cosmeceutical or a pharmaceutical.
A18. The formulation of embodiment A16 or A17, wherein the formulation is a nutraceutical formulation.
A19. The formulation of any one of embodiments A16-18, wherein the one or more active substances comprise a neutraceutical.
A20. The formulation of any one of embodiments A16-19, wherein the formulation is a cosmetic formulation.
A21. The formulation of any one of embodiments A16-20, wherein the one or more active substances comprise a cosmeceutical.
A22. The formulation of any one of embodiments A16-21, wherein the formulation is a pharmaceutical formulation.
A23. The formulation of any one of embodiments A16-22, wherein the one or more active substances comprises a pharmaceutical.
A24. A method of administering one or more active substances to a subject, comprising applying a formulation of any one of embodiments A16-23 to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
A25. A method of treating a subject in need of one or more active substances, comprising administering an effective amount of a formulation of any one of embodiments A16- 23 comprising the one or more active substances to the subject.
A26. A method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances, comprising administering an effective amount of a formulation of any one of embodiments A16- 23 comprising the one or more active substances to the subject.
A27. The method of embodiment A25 or A26, wherein administering an effective amount of the formulation comprises applying an effective amount of the formulation to skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
[00125] The following numbered embodiments relate to formulations to support the immune system, and methods of making and using the same.
B 1. A formulation comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes within the nanogel, lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and one or more nutraceuticals that support the immune system.
B2. The formulation of embodiment Bl, wherein the one or more nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta-glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract,
zinc, selenium, iron, folic acid or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
B3. The formulation of embodiment B2, wherein the one or more nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
B4. The formulation of any one of embodiments Bl-3, wherein at least one of the one or more nutraceuticals is encapsulated within the lecithin liposomes.
B5. A formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
B6. The formulation of embodiment B5 comprising: about 2.2% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.2% by weight of the lecithin liposomes; about 0.2% by weight alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; about 1.1% by weight glutathione, or a pharmaceutically acceptable salt thereof;
about 0.2% by weight N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; about 0.4% by weight coenzyme Q10; about 0.4% by weight vitamin D3, or a pharmaceutically acceptable salt thereof; about 0.4% by weight vitamin C, or a pharmaceutically acceptable salt thereof; and about 0.4% by weight zinc oxide.
B7. The formulation of embodiment B5 or B6, further comprising water.
B8. The formulation of embodiment B7, comprising about 91% by weight water.
B9. The formulation of any one of embodiments B5-8, wherein at least one of the nutraceuticals is encapsulated within the lecithin liposomes.
B10. The formulation of embodiment B9, wherein the glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; vitamin D3, or a pharmaceutically acceptable salt thereof; and zinc oxide are encapsulated within the lecithin liposomes.
B11. The formulation of any one of embodiments B5-10, wherein the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes and the nutraceuticals.
B12. The formulation of any one of embodiments Bl-11, for topical administration.
B13. The formulation of any one of embodiments B 1-12, for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
B14. The formulation of any one of embodiments Bl-13, in the form of an emulsion.
B15. The formulation of any one of embodiments B 1-14, in the form of a gel, cream, foam, lotion, ointment, paste, spray or drop.
B16. The formulation of any one of embodiments Bl-15, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 750 kilodaltons.
B17. The formulation of embodiment B 16, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of from about 800 kilodaltons to about 1,500 kilodaltons.
B18. The formulation of any one of embodiments Bl-17, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 10 kilodaltons.
B19. The formulation of any one of embodiments Bl-18, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 1:1 to about 10:1.
B20. The formulation of embodiment B 19, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is about 5:1.
B21. The formulation of any one of embodiments Bl-20, wherein the lecithin liposomes have a d75 of from about 30 nm to about 150 nm.
B22. The formulation of any one of embodiments Bl-21, wherein the formulation is a nutraceutical formulation.
B23. The formulation of any one of embodiments Bl-22, wherein the formulation is a cosmetic formulation.
B24. The formulation of any one of embodiments Bl-23, wherein the formulation is a pharmaceutical formulation.
B25. The formulation base of any one of embodiments B 1-24, further comprising a gelling agent.
B26. The formulation base of embodiment B25, wherein the gelling agent is poly(acrylic acid), or a salt thereof.
B27. The formulation base of embodiment B25 or B26, wherein the gelling agent is a carbomer.
B28. A method of making the formulation of any one of embodiments Bl-27, comprising forming a mixture of the lecithin liposomes, the nutraceuticals and the hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
B29. A method of supporting the immune system of a subject, comprising administering to the subject a formulation of any one of embodiments Bl-27.
B30. The method of embodiment B29, wherein the immune system is the native immune system.
B31. The method of embodiment B29, wherein the immune system is the adaptive immune system.
B32. A method of inhibiting viral replication in a subject, comprising administering to the subject a formulation of any one of embodiments Bl-27.
B33. A method of inhibiting inflammation in a subject, comprising administering to the subject a formulation of any one of embodiments Bl-27.
B34. A method of treating a viral infection in a subject, comprising administering to the subject an effective amount of a formulation of any one of embodiments Bl-27.
B35. The method of embodiment B34, wherein the viral infection is COVID-19, severe acute respiratory syndrome (SARS) or Middle East respiratory syndrome (MERS).
B36. The method of any one of embodiments B29-35, wherein administering the formulation comprises applying a formulation described herein to the skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
[00126] The following numbered embodiments relate to formulations to support sports performance, and methods of making and using the same.
Cl. A formulation comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes within the nanogel, lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and one or more nutraceuticals that support sports performance.
C2. The formulation of embodiment Cl, wherein the one or more nutraceuticals comprise a nitric oxide booster.
C3. The formulation of embodiment C2, wherein the nitric oxide booster is citrulline, or a pharmaceutically acceptable salt thereof, beetroot, potassium nitrate or coenzyme Q- 10 (CoQ-10).
C4. The formulation of any one of embodiments Cl-3, wherein the one or more nutraceuticals comprise an adenosine triphosphate (ATP) booster.
C5. The formulation of embodiment C4, wherein the ATP booster is ATP, or a pharmaceutically acceptable salt thereof, or ribose, or a pharmaceutically acceptable salt thereof.
C6. The formulation of any one of embodiments Cl -5, wherein the one or more nutraceuticals comprise a carnosine booster.
C7. The formulation of embodiment C6, wherein the carnosine booster is magnesium orotate.
C8. The formulation of embodiment Cl, wherein the one or more nutraceuticals are selected from ATP, ribose, citrulline, orotate, beetroot, nitrate, caffeine or CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
C9. The formulation of any one of embodiments Cl -8, wherein at least one of the one or more nutraceuticals is encapsulated within the lecithin liposomes.
CIO. A formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and the following nutraceuticals:
ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10.
Cl 1. The formulation of embodiment CIO, comprising: about 0.1% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof;
about 1.2% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the lecithin liposomes; about 1.8% by weight ATP, or a pharmaceutically acceptable salt thereof; about 0.2% by weight ribose, or a pharmaceutically acceptable salt thereof; about 0.1% by weight citrulline, or a pharmaceutically acceptable salt thereof; about 0.4% by weight magnesium orotate; about 0.4% by weight beet root powder; about 0.2% by weight potassium nitrate; about 10% by weight caffeine, or a pharmaceutically acceptable salt thereof; and about 0.2% by weight coenzyme Q10.
C12. The formulation of embodiment CIO or Cl 1, further comprising water.
C13. The formulation of embodiment C12, comprising about 84% by weight water.
C14. The formulation of any one of embodiments CIO-13, wherein at least one of the nutraceuticals is encapsulated within the lecithin liposomes.
C15. The formulation of embodiment C14, wherein the magnesium orotate is encapsulated within the lecithin liposomes.
Cl 6. The formulation of any one of embodiments Cl 0-15, wherein the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes and the nutraceuticals.
Cl 7. The formulation of any one of embodiments Cl-16, for topical administration.
Cl 8. The formulation of any one of embodiments Cl-17, for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
Cl 9. The formulation of any one of embodiments Cl-18, in the form of an emulsion.
C20. The formulation of any one of embodiments Cl-19, in the form of a gel, cream, foam, lotion, ointment, paste, spray or drop.
C21. The formulation of any one of embodiments Cl -20, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 750 kilodaltons.
C22. The formulation of embodiment C21, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of from about 800 kilodaltons to about 1,500 kilodaltons.
C23. The formulation of any one of embodiments Cl -22, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 10 kilodaltons.
C24. The formulation of any one of embodiments Cl-23, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 1 : 15 to about 1:10.
C25. The formulation of embodiment C24, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is about 1:12.
C26. The formulation of any one of embodiments Cl -25, wherein the lecithin liposomes have a d75 of from about 30 nm to about 150 nm.
C27. The formulation of any one of embodiments Cl -26, wherein the formulation is a nutraceutical formulation.
C28. The formulation of any one of embodiments Cl-27, wherein the formulation is a cosmetic formulation.
C29. The formulation of any one of embodiments Cl -28, wherein the formulation is a pharmaceutical formulation.
C30. The formulation base of any one of embodiments Cl-29, further comprising a gelling agent.
C31. The formulation base of embodiment C30, wherein the gelling agent is poly(acrylic acid), or a salt thereof.
C32. The formulation base of embodiment C30 or C31, wherein the gelling agent is a carbomer.
C33. A method of making the formulation of any one of embodiments Cl-32, comprising forming a mixture of the lecithin liposomes, the nutraceuticals and the hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
C34. A method of supporting the sports performance of a subject, comprising administering to the subject a formulation of any one of embodiments Cl-32.
C35. A method of inhibiting delayed onset muscle soreness in a subject, comprising administering to the subject a formulation of any one of embodiments Cl-32.
C36. A method of inhibiting inflammation in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C37. A method of increasing blood oxygen level in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C38. A method of decreasing oxidative stress in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C39. A method of increasing strength, stamina or endurance in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C40. A method of increasing nitric oxide level in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C41. A method of reducing exercise-induced fatigue in a subject, comprising administering to the subject a formulation of any one of embodiments Cl -32.
C42. The method of any one of embodiments C34-41, wherein the formulation is administered to the subject prior to a workout.
C43. The method of any one of embodiments C34-42, wherein administering the formulation comprises applying the formulation to the skin, a mucous membrane, a cheek or an eye or under a tongue of the subject.
EXEMPLIFICATION
Example 1. Fabrication of Lecithin Liposomes Encapsulating Vitamin D3
[00127] The following materials were used to prepare lecithin liposomes encapsulating vitamin D3 :
• 88 grams organic sunflower lecithin powder
• 27 grams vitamin D3
• One litre of steam-distilled water
• One 2 litre flat-bottomed borosilicate glass flask
• One 1 litre flat-bottomed borosilicate glass flask
• Two 200 millilitre flat-bottomed borosilicate glass flasks
• Glass rod or glass spoon
• Small Pyrex glass saucepan
• Electric hand whisk or a food blender with a glass mixing bowl
• Ultrasonic cleaner 2 litre capacity
• A 1 litre glass bottle.
[00128] Lecithin liposomes encapsulating vitamin D3 were prepared using the following process:
1. Poured 900 millilitres steam-distilled water into the 2 litre borosilicate glass flask.
2. Weighed 88 grams of sunflower lecithin, added it to the water from step (1) and stirred with glass spoon or glass rod.
3. Poured 100 millilitres steam-distilled water into a glass saucepan and brought water to near boiling.
4. Weighed 27 grams vitamin d3 and placed it into a 200-millilitre borosilicate glass flask. When the water in step (3) was near boiling, poured it over the vitamin D3 and swirled until the vitamin D3 dissolved. (This happens very quickly when using very hot water.)
5. Then, partly filled the saucepan with cold water and placed the 200ml borosilicate glass flask with dissolved vitamin D3 into the saucepan to cool. When it was sufficiently cool or cold, poured the vitamin D3 fluid into the 2-litre borosilicate glass flask and stirred with the glass rod or glass spoon. Put a saucer or plate on top and allowed it to stand for several hours or overnight.
6. Used the electric hand food whisk for five minutes to blend the lecithin and vitamin D3 mix.
7. Poured the now thoroughly blended lecithin and vitamin d3 into the 1 litre flat bottomed borosilicate glass flask and placed it into the ultrasonic unit.
8. Filled the steel well of the ultrasonic unit with water to its maximum level and switched on, and let it run it for a total of 100 minutes. Periodically stirred the solution with the glass spoon or glass rod.
9. Poured liposomal vitamin D3 into 1 litre glass bottle and placed it into the fridge. Drew down as needed.
Example 2. Manufacture of Formulation Comprising Formulation Base [00129] Deionized or distilled water having a pH of 7 and a temperature of 68 °C is mixed on medium speed (moderate agitation) while 1/3 of the long chain hyaluronic acid is slowly feathered in. The resulting mixture was blended for 6 minutes. One or more active substances are added individually, and the resulting mixture is blended for 2 minutes after the addition of each, individual substance. Lecithin liposomes encapsulating vitamin D3 from
Example 1 are added, and the resulting mixture is blended for 2 minutes. The remaining 2/3 of the long chain HA and all of the ultra-short chain HA are added, and the resulting mixture is blended for 4 minutes. Carbomer 940 is added, and the resulting mixture is blended for 2 minutes. The formulation gels rapidly, and is, therefore, packaged immediately.
[00130] The formulation can be applied to clean, dry skin topically to effect transdermal administration. Application may be repeated, as desired or recommended by a healthcare professional.
Example 3. Formulation and Manufacture of Immune Gel
[00131] 1.0 Kilogram of an immune gel having the following formula was prepared according to the procedure described below:
1. Charged steam distilled water into a steam jacketed kettle (final mixing tank). Started warming the water to 40 °C.
2. Added vitamin C slowly into vortex while mixing using a propeller lOO-lOOOrpm until completely dissolved.
3. Added N-acetyl-L-cysteine slowly into vortex while mixing until completely dissolved.
4. Added glutathione (GSH) slowly into vortex while mixing until completely dissolved.
5. Added zinc oxide slowly into vortex while mixing until completely dispersed and uniform.
6. Added organic sunflower lecithin slowly into vortex while mixing until completely dissolved.
7. Added vegetable glycerin slowly into vortex while mixing until completely dispersed and uniform.
8. Added alpha lipoic acid slowly into vortex while mixing until uniformly dispersed.
9. Added coenzyme Q10 slowly into vortex while mixing until uniformly dispersed.
10. Added vitamin D3 (cholecalciferol) slowly into vortex while mixing until uniformly dispersed.
11. Using the in-line high shear emulsifier, circulated the content of the kettle thru the high shear emulsifier for 30 minutes.
12. Switched the steam off, added hyaluronic acid (sodium hyaluronate 0.80-1.50 million daltons) to the mixing kettle.
13. Kept mixing for 10 minutes until the sodium hyaluronate was dispersed uniformly.
14. Added hyaluronic acid (sodium hyaluronate <10,000 daltons) to the mixing kettle. Kept mixing for 15 minutes.
15. Added the preservative (SUTTOCIDE™ A) to the mixing kettle, and mixed for 10 minutes.
16. Added the orange oil to the mixing kettle, and mixed for 10 minutes.
17. Added the carbomer 940 to the mixing kettle, and mixed for 1 minute.
18. Using the in-line high shear emulsifier, circulated the content of the kettle thru the high shear emulsifier for 30 minutes.
[00132] The immune gel can be applied to clean, dry skin topically to effect transdermal administration. Application may be repeated, as desired or as recommended by a healthcare professional.
Example 4. Preparation of Beet Root Powder
[00133] Organic, non-genetically modified organism (GMO) beet root powder (beta vulgaris) was drum dried at 90 °F for 360 minutes. Approximately 2 mg dried beet root powder/serving (approximately 0.2% by weight) was included in a performance gel formulation. Exceeding this inclusion rate resulted in beet-colored markings on skin, where applied.
Example 5. Preparation of a Performance Gel Formulation
[00134] 10.96 Kilograms of a performance gel having the following formula was prepared according to the procedure described below:
1. Charged steam distilled water into a steam jacketed kettle (final mixing tank). Started warming the water to 40 °C.
2. Added caffeine slowly into vortex while mixing using a propeller 100-1000rpm until completely dissolved.
3. Added ATP slowly into vortex while mixing until completely dissolved.
4. Added hyaluronic acid (<10,000 D) slowly into vortex while mixing until completely dissolved.
5. Added SUTTOCIDE™ A slowly into vortex while mixing until completely dispersed and uniform.
6. Added liposomes (organic sunflower lecithin) slowly into vortex while mixing until completely dispersed and uniform.
7. Added beet root powder slowly into vortex while mixing until uniformly dispersed.
8. Added coenzyme Q10 slowly into vortex while mixing until uniformly dispersed.
9. Added ribose slowly into vortex while mixing until uniformly dispersed.
10. Added potassium nitrate until uniformly dispersed.
11. Switched the steam off, and added hyaluronic acid (sodium hyaluronate 0.80-1.50 million Daltons) to the mixing kettle.
12. Kept mixing for 10 minutes until the sodium hyaluronate was dispersed uniformly.
13. Added potassium nitrate. Kept mixing for 15 minutes.
14. Added citrulline until uniformly dispersed.
15. Added magnesium orotate until uniformly dispersed.
16. Added polysorbate 40 until uniformly dispersed.
17. Using the in-line high shear emulsifier, circulated the content of the kettle through the high shear emulsifier for 30 minutes.
[00135] The resulting gel was light purple in color
[00136] Two to three pumps of the performance gel can be applied to clean, dry skin five minutes before workout. The performance gel can be rubbed on skin until dry, typically for 30 seconds. Application can be repeated to desired dosage or as directed by a healthcare professional.
Example 6. Preparation of Liposomes Encapsulating Magnesium Orotate
[00137] The following materials were used in the preparation of liposomes encapsulating magnesium orotate:
• 40 grams organic sunflower lecithin powder
• 10 grams Mg orotate
• One litre of steam-distilled water
• One 2 litre flat-bottomed borosilicate glass flask
• One 1 litre flat-bottomed borosilicate glass flask
• Two 200 millilitre flat-bottomed borosilicate glass flasks
• Glass rod or glass spoon
• Small Pyrex glass saucepan
• Electric hand whisk or a food blender with a glass mixing bowl
• Ultrasonic cleaner 2 litre capacity
• A 1 litre glass bottle.
[00138] The liposomes were prepared using the following process:
10. Poured 900 millilitres steam-distilled water into the 2-litre borosilicate glass flask.
11. Weighed 40 grams of sunflower lecithin, and added it to the above and stirred with glass spoon or glass rod.
12. Poured 100 millilitres steam-distilled water into a glass saucepan and brought to near boiling.
13. Weighed 10 grams Mg orotate and placed it into a 200-millilitre borosilicate glass flask. When the water in step 3 was near boiling, poured it over the Mg orotate and swirled until dissolved. (This happened very quickly when very hot water was used.)
14. Then, partly filled the saucepan with cold water and placed the 200ml borosilicate glass flask with dissolved Mg orotate into it to cool. When the flask was sufficiently cool or cold, poured the Mg orotate fluid into the 2-litre borosilicate glass flask and stirred with the glass rod or glass spoon. Put a saucer or plate on top and allowed it to stand for several hours or overnight.
15. Used the electric hand food whisk for five minutes to blend the lecithin and Mg orotate mix.
16. Poured the now thoroughly blended lecithin and Mg orotate into the 1 litre flat bottomed borosilicate glass flask and placed it into the ultrasonic unit.
17. Filled the steel well of the ultrasonic unit with water to its maximum level, switched it on, and let it run it for a total of 100 minutes. Periodically stirred the solution with the glass spoon or glass rod.
18. Poured the resulting liposomal Mg orotate into 1 litre glass bottle and placed it into the fridge. Drew down as needed.
[00139] The liposomes encapsulating magnesium orotate were incorporated into the performance gel formulation described in Example 5 by adding liposomes encapsulating magnesium orotate in step 6 of Example 5, and omitting step 15 of Example 5.
[00140] The teachings of all patents, published applications and references cited herein are incorporated by reference in their entirety.
[00141] While example embodiments have been particularly shown and described, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the embodiments encompassed by the appended claims.
Claims
1. A formulation base comprising: a nanogel comprising a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, and a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and lecithin liposomes within the nanogel, the lecithin liposomes having a d75 of from about 25 nm to about 250 nm, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons, and the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons.
2. The formulation base of claim 1, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 750 kilodaltons.
3. The formulation base of claim 2, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of from about 800 kilodaltons to about 1,500 kilodaltons.
4. The formulation base of any one of claims 1-3, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 10 kilodaltons.
5. The formulation base of any one of claims 1-4, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 1:1 to about 10:1.
6. The formulation base of claim 5, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is about 5:1.
7. The formulation base of any one of claims 1-4, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is from about 1 : 15 to about 1:10.
8. The formulation base of claim 7, wherein the weight ratio of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, to the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, is about 1:12.
9. The formulation base of any one of claims 1-8, wherein the lecithin liposomes have a d of from about 30 nm to about 150 nm.
10. The formulation base of any one of claims 1-9, further comprising a gelling agent.
11. The formulation base of claim 10, wherein the gelling agent is poly(acrylic acid), or a salt thereof.
12. The formulation base of claim 10 or 11, wherein the gelling agent is a carbomer.
13. A formulation comprising the formulation base of any one of claims 1-12 and one or more active substances.
14. The formulation of claim 13, wherein the one or more active substances comprise one or more nutraceuticals.
15. The formulation of claim 13 or 14, wherein the one or more active substances comprise one or more nutraceuticals that support the immune system.
16. The formulation of claim 15, wherein the one or more nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, coenzyme Q10 (CoQ-10), vitamin A, a B vitamin, vitamin D3, vitamin C, vitamin E, a probiotic, echnicacea, garlic, astragalus, a beta- glucan, docosahexaenoic acid, colostrum, ginseng, a thymic extract, zinc, selenium, iron, folic acid or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
17. The formulation of claim 16, wherein the one or more nutraceuticals are selected from glutathione, N-acetyl-L-cysteine, CoQ-10, vitamin D3, vitamin C, zinc or alpha-lipoic acid, or a pharmaceutically acceptable salt of any of the foregoing.
18. The formulation of claim 13 or 14, wherein the one or more active substances comprise one or more nutraceuticals that support sports performance.
19. The formulation of claim 18, wherein the one or more nutraceuticals comprise a nitric oxide booster.
20. The formulation of claim 19, wherein the nitric oxide booster is citrulline, or a pharmaceutically acceptable salt thereof, beetroot, potassium nitrate or coenzyme Q- 10 (CoQ-10).
21. The formulation of any one of claims 18-20, wherein the one or more nutraceuticals comprise an adenosine triphosphate (ATP) booster.
22. The formulation of claim 21, wherein the ATP booster is ATP, or a pharmaceutically acceptable salt thereof, or ribose, or a pharmaceutically acceptable salt thereof.
23. The formulation of any one of claims 18-22, wherein the one or more nutraceuticals comprise a camosine booster.
24. The formulation of claim 23, wherein the camosine booster is magnesium orotate.
25. The formulation of claim 18, wherein the one or more nutraceuticals are selected from ATP, ribose, citrulline, orotate, beetroot, nitrate, caffeine or CoQ-10, or a pharmaceutically acceptable salt of any of the foregoing.
26. The formulation of any one of claims 13-25, wherein at least one of the one or more active substances is encapsulated within the lecithin liposomes.
27. A formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons;
a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and the following nutraceuticals: alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; coenzyme Q10; vitamin D3, or a pharmaceutically acceptable salt thereof; vitamin C, or a pharmaceutically acceptable salt thereof; and zinc oxide.
28. The formulation of claim 27, comprising: about 2.2% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.2% by weight of the lecithin liposomes; about 0.2% by weight alpha-lipoic acid, or a pharmaceutically acceptable salt thereof; about 1.1% by weight glutathione, or a pharmaceutically acceptable salt thereof; about 0.2% by weight N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; about 0.4% by weight coenzyme Q10; about 0.4% by weight vitamin D3, or a pharmaceutically acceptable salt thereof; about 0.4% by weight vitamin C, or a pharmaceutically acceptable salt thereof; and about 0.4% by weight zinc oxide.
29. The formulation of claim 27 or 28, further comprising water.
30. The formulation of claim 29, comprising about 91% by weight water.
31. The formulation of any one of claims 27-30, wherein at least one of the nutraceuticals is encapsulated within the lecithin liposomes.
32. The formulation of claim 31, wherein the glutathione, or a pharmaceutically acceptable salt thereof; N-acetyl-L-cysteine, or a pharmaceutically acceptable salt thereof; vitamin D3, or a pharmaceutically acceptable salt thereof; and zinc oxide are encapsulated within the lecithin liposomes.
33. A formulation comprising: a first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the first fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of greater than about 500 kilodaltons; a second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof, wherein the hyaluronic acid of the second fraction, or a pharmaceutically acceptable salt thereof, has a molecular weight of less than about 250 kilodaltons; lecithin liposomes having a d75 of from about 25 nm to about 250 nm; and the following nutraceuticals:
ATP, or a pharmaceutically acceptable salt thereof; ribose, or a pharmaceutically acceptable salt thereof; citrulline, or a pharmaceutically acceptable salt thereof; magnesium orotate; beetroot; potassium nitrate; caffeine, or a pharmaceutically acceptable salt thereof; and coenzyme Q10.
34. The formulation of claim 33, comprising: about 0.1% by weight of the first fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 1.2% by weight of the second fraction of hyaluronic acid, or a pharmaceutically acceptable salt thereof; about 0.4% by weight of the lecithin liposomes; about 1.8% by weight ATP, or a pharmaceutically acceptable salt thereof;
about 0.2% by weight ribose, or a pharmaceutically acceptable salt thereof; about 0.1% by weight citrulline, or a pharmaceutically acceptable salt thereof; about 0.4% by weight magnesium orotate; about 0.4% by weight beet root powder; about 0.2% by weight potassium nitrate; about 10% by weight caffeine, or a pharmaceutically acceptable salt thereof; and about 0.2% by weight coenzyme Q10.
35. The formulation of claim 33 or 34, further comprising water.
36. The formulation of claim 35, comprising about 84% by weight water.
37. The formulation of any one of claims 33-36, wherein at least one of the nutraceuticals is encapsulated within the lecithin liposomes.
38. The formulation of claim 37, wherein the magnesium orotate is encapsulated within the lecithin liposomes.
39. The formulation of any one of claims 27-38, wherein the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof, form a nanogel within which are the lecithin liposomes and the nutraceuticals.
40. The formulation base of any one of claims 1-12 or the formulation of any one of claims 13-39, for topical administration.
41. The formulation base of any one of claims 1-12 and 40, or the formulation of any one of claims 13-40, for transdermal, transmucosal, sublingual, buccal, nasal or ocular administration.
42. The formulation base of any one of claims 1-12, 40 and 41, or the formulation of any one of claims 13-41, in the form of an emulsion.
43. The formulation base of any one of claims 1-12 and 40-42, or the formulation of any one of claims 13-42, in the form of a gel, cream, foam, lotion, ointment, paste, spray or drop.
44. A method of making the formulation base of any one of claims 1-12 and 40-43, comprising forming a mixture of the lecithin liposomes and the first and second fractions of hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
45. A method of making the formulation of any one of claims 13-43, comprising forming a mixture of the lecithin liposomes, the one or more active substances or nutraceuticals, and the hyaluronic acid, or a pharmaceutically acceptable salt thereof; and inducing gelation of the mixture.
46. A method of administering a formulation base or formulation to a subject, comprising applying a formulation base of any one of claims 1-12 and 40-43, or a formulation of any one of claims 13-43 to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject.
47. A method of treating a subject in need of a formulation base of any one of claims 1-12 and 40-43, or a formulation of any one of claims 13-43, comprising administering an effective amount of the formulation base of any one of claims 1-12 and 40-43, or the formulation of any one of claims 13-43 to the subject.
48. A method of treating a subject having a disease, disorder or condition that would benefit from administration of a formulation base of any one of claims 1-12 and 40- 43, or a formulation of any one of claims 13-43, comprising administering an effective amount of the formulation base of any one of claims 1-12 and 40-43, or the formulation of any one of claims 13-43 to the subject.
49. A method of inhibiting inflammation in a subject, comprising administering a formulation base of any one of claims 1-12 and 40-43, or a formulation of any one of claims 13-43 to the subject.
50. A method of treating inflammation in a subject in need thereof, comprising administering an effective amount of a formulation base of any one of claims 1-12 and 40-43, or a formulation of any one of claims 13-43 to the subject.
51. The method of claim 49 or 50, wherein the inflammation is inflammation of the skin.
52. The method of any one of claims 49-51, wherein the inflammation is a result of a bug bite or sunburn.
53. The method of any one of claims 49-52, comprising administering an effective amount of the formulation base of any one of claims 1-12 and 40-43 to the subject.
54. The method of any one of claims 49-52, comprising administering an effective amount of the formulation of any one of claims 13-43 to the subject.
55. A method of administering one or more active substances or nutraceuticals to a subject, comprising applying a formulation of any one of claims 13-43 comprising the one or more active substances or nutraceuticals to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject.
56. A method of treating a subject in need of one or more active substances or nutraceuticals, comprising administering an effective amount of a formulation of any one of claims 13-43 comprising the one or more active substances or nutraceuticals to the subject.
57. A method of treating a subject having a disease, disorder or condition that would benefit from administration of one or more active substances or nutraceuticals, comprising administering an effective amount of a formulation of any one of claims 13-43 comprising the one or more active substances or nutraceuticals to the subject.
58. The method of any one of claims 47-54, 56 and 57, wherein administering the formulation base or the formulation comprises applying an effective amount of the formulation to skin, a mucous membrane, a cheek, a nose or an eye, or under a tongue of the subject.
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US202063053338P | 2020-07-17 | 2020-07-17 | |
US202063053312P | 2020-07-17 | 2020-07-17 | |
US63/053,338 | 2020-07-17 | ||
US63/053,312 | 2020-07-17 | ||
US202163145569P | 2021-02-04 | 2021-02-04 | |
US63/145,569 | 2021-02-04 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2022016038A1 true WO2022016038A1 (en) | 2022-01-20 |
Family
ID=77338799
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2021/041936 WO2022016038A1 (en) | 2020-07-17 | 2021-07-16 | Formulation bases comprising hyaluronic acid and formulations of same |
PCT/US2023/010967 WO2024155274A1 (en) | 2020-07-17 | 2023-01-17 | Formulation bases comprising hyaluronic acid and formulations of same |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2023/010967 WO2024155274A1 (en) | 2020-07-17 | 2023-01-17 | Formulation bases comprising hyaluronic acid and formulations of same |
Country Status (1)
Country | Link |
---|---|
WO (2) | WO2022016038A1 (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IT202200007232A1 (en) * | 2022-04-12 | 2023-10-12 | Uriach Italy S R L | COMPOSITION INCLUDING LIPOIC ACID, VITAMIN D AND GLUTATHIONE, ITS USES, AND RELATED PHARMACEUTICAL AND NUTRACEUTICAL COMPOSITIONS |
IT202200007226A1 (en) * | 2022-04-12 | 2023-10-12 | Uriach Italy S R L | COMPOSITION INCLUDING LIPOIC ACID, VITAMIN D AND GLUTATHIONE, ITS USES, AND RELATED PHARMACEUTICAL AND NUTRACEUTICAL COMPOSITIONS |
WO2023199241A1 (en) * | 2022-04-12 | 2023-10-19 | URIACH ITALY S.r.l. | Composition comprising lipoic acid, vitamin d and glutathione, uses thereof, and pharmaceutical and nutraceutical compositions thereof |
IT202200023289A1 (en) | 2022-11-11 | 2024-05-11 | Global Pharmacies Partner S R L In Forma Abbreviata G P P S R L | NUTRACEUTIC SUPPLEMENT FOR THE PREVENTION AND TREATMENT OF RESPIRATORY TRACT INFECTIONS |
WO2024173616A1 (en) * | 2023-02-15 | 2024-08-22 | The Trustees Of Princeton University | Methods, devices and compositions for preserving human milk |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107550750A (en) * | 2016-06-30 | 2018-01-09 | 株式会社爱茉莉太平洋 | Cosmetic composition containing different molecular weight hyaluronic acid |
-
2021
- 2021-07-16 WO PCT/US2021/041936 patent/WO2022016038A1/en active Application Filing
-
2023
- 2023-01-17 WO PCT/US2023/010967 patent/WO2024155274A1/en unknown
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN107550750A (en) * | 2016-06-30 | 2018-01-09 | 株式会社爱茉莉太平洋 | Cosmetic composition containing different molecular weight hyaluronic acid |
Non-Patent Citations (74)
Title |
---|
AKERSTROM, S. ET AL.: "Nitric Oxide Inhibits the Replication Cycle of severe Acute Respiratory Syndrome Coronavirus", JOURNAL OF VIROLOGY, February 2005 (2005-02-01), pages 1966 - 1969, XP055818507, DOI: 10.1128/JVI.79.3.1966-1969.2005 |
AND LE PLENIER, S. ET AL.: "Effects of leucine and citrulline versus non-essential amino acids on muscle protein synthesis in fasted rat: a common activation pathway?", AMINO ACIDS, vol. 43, 2012, pages 1171 - 1178, XP035098433, DOI: 10.1007/s00726-011-1172-z |
ARPICCO, S. ET AL.: "Hyaluronic Acid Conjugates as Vectors for the Active Targeting of Drugs, Genes and Nanocomposites in Cancer Treatment", MOLECULES, vol. 19, 2014, pages 3193 - 3230, XP055414782, DOI: 10.3390/molecules19033193 |
BAGUET, A ET AL.: "Important role of muscle carnosine in rowing performance", J. APPL. PHYSIOL, vol. 109, 2010, pages 1096 - 1101 |
BARNETT, J.B. ET AL., NUTRITION REVIEWS, vol. 68, no. 1, pages 30 - 37 |
BAYRAM, M. ET AL.: "D-Ribose aids heart failure patients with preserved ejection fraction and diastolic dysfunction: a pilot study", THER. ADV. CARDIOVASC. DIS., vol. 9, no. 3, 2015, pages 56 - 65 |
BONET, I.J.M. ET AL.: "Mechanisms Mediating High-Molecular-Weight Hyaluron-Induced Antihyperalgesia", THE JOURNAL OF NEUROSCIENCE, vol. 40, no. 34, 19 August 2020 (2020-08-19), pages 6477 - 6488 |
C. W. SHADE, INTEGRATIVE MEDICINE, vol. 15, 2016, pages 33 - 36 |
CAIRES, R. ET AL.: "Hyaluronon modulates TRPV1 channel opening, reducing peripheral nociceptor activity and pain", NATURE COMMUNICATIONS, 27 August 2015 (2015-08-27) |
CYNOBER, L ET AL.: "The 2009 ESPEN Sir David Cuthbertson. Citrulline: A new major signaling molecule or just another player in the pharmaconutrition game?", CLINICAL NUTRITION, vol. 29, 2010, pages 545 - 551, XP027343497 |
DE FLORA, S ET AL., EUR. RESP. J., vol. 10, 1997, pages 1535 - 1541 |
DUFF, F. ET AL.: "A Quantitative Study of the Response to Adenosine Triphosphate of the Blood Vessels of the Human Hand and Forearm", J. PHYSIOL.,, vol. 125, no. 3, 1954, pages 581 - 589 |
EL KECHAI NAILA ET AL: "Mixtures of hyaluronic acid and liposomes for drug delivery: Phase behavior, microstructure and mobility of liposomes", INTERNATIONAL JOURNAL OF PHARMACEUTICS, ELSEVIER, NL, vol. 523, no. 1, 18 March 2017 (2017-03-18), pages 246 - 259, XP029977557, ISSN: 0378-5173, DOI: 10.1016/J.IJPHARM.2017.03.029 * |
FERRARI, L.F. ET AL.: "CD44 Signaling Mediates High Molecular Weight Hyaluranon-Induced Antihyperalgesia", THE JOURNAL OFNEUROSCIENCE, vol. 38, no. 2, 10 January 2018 (2018-01-10), pages 308 - 321 |
FORMAN, H.J. ET AL., MOLECULAR ASPECTS OF MEDICINE, vol. 30, 2009, pages 1 - 12 |
GEILER, J ET AL., BIOCHEMICAL PHARMACOLOGY, vol. 79, 2010, pages 413 - 420 |
GHEZZI, P., INTERNATIONAL JOURNAL OF GENERAL MEDICINE, vol. 4, 2011, pages 105 - 113 |
GLENN, J.M. ET AL.: "Acute citrulline malate supplementation improves upper- and lower-body submaximal weightlifting exercise performance in resistance-trained females", EUR JNUTR., vol. 56, no. 2, March 2017 (2017-03-01), pages 775 - 784, XP036182895, DOI: 10.1007/s00394-015-1124-6 |
GORON, A. ET AL.: "Citrulline stimulates muscle protein synthesis, by reallocating ATP consumption to muscle protein synthesis", JOURNAL OF CACHEXIA, SARCOPENIA AND MUSCLE,, vol. 10, 2019, pages 919 - 928 |
GOTOH, S. ET AL.: "Effects of the molecular weight of hyaluronic acid and its action mechanisms on experimental joint pain in rats", ANNALS OF THE RHEUMATIC DISEASES, vol. 52, 1993, pages 817 - 822, XP008063686 |
GUPTA R. C. ET AL.: "Hyaluronic Acid; Molecular Mechanisms and Therapeutic Trajectory", FRONT. VET. SCI., vol. 6, pages 192 |
HAM, D.J. ET AL.: "Citrulline protects muscle cells from wasting in an mTOR independent manner in vitro''", PROCEEDINGS OF THE AUSTRALIAN PHYSIOLOGICAL SOCIETY, Retrieved from the Internet <URL:http://aups.org.au/Proceedings/4413P> |
HANDZLIK, M. ET AL.: "Likely Additive Ergogenic Effects of Combined Preexercise Dietary Nitrate and Caffeine Ingestion in Trained Cyclists", ISRNNUTRITION, vol. 2013, pages 8 |
HARBRECHT, B.G. ET AL.: "Glutathione Regulates Nitric Oxide Synthase in Cultured Hepatocytes", ANNALS OF SURGERY, vol. 225, no. 1, 1997, pages 76 - 87 |
HAYASHIDA, M. ET AL.: "Clinical application of adenosine and ATP for pain control", J. ANESTH., vol. 19, 2005, pages 225 - 235, XP019373367, DOI: 10.1007/s00540-005-0310-8 |
HERNANDEZ, A. ET AL.: "Dietary nitrate increases tetanic [Ca 21] i and contractile force in mouse fast-twitch muscle", J. PHYSIOL., vol. 590, 1 August 2012 (2012-08-01), pages 3575 - 3583 |
HERRICK, J. ET AL.: "D-Ribose - an additive with caffeine", MEDICAL HYPOTHESES, vol. 72, 2009, pages 499 - 500, XP026032879, DOI: 10.1016/j.mehy.2008.12.038 |
HOFFMAN, J: "Short-duration beta- alanine supplementation increases training volume and reduces subjective feelings of fatigue in college football players", NUTR. RES., vol. 28, no. 1, 2008, pages 31 - 35, XP022420477, DOI: 10.1016/j.nutres.2007.11.004 |
HOROWITZ, R.I. ET AL., RESPIRATORY MEDICINE CASE REPORTS, vol. 30, 2020, pages 101063 |
JONES, A. ET AL.: "Fiber Type-Specific Effects of Dietary Nitrate", EXERC. SPORT SCI. REV., vol. 44, no. 2, 2016, pages 53Y60 |
KELLY, J. ET AL.: "Dietary nitrate supplementation: effects on plasma nitrite and pulmonary 0 uptake dynamics during exercise in hypoxia and normoxia", AM. J. PHYSIOL. REGUL. INTEGR. COMP. PHYSIOL., vol. 307, 2014, pages R920 - R930 |
KNOTT, A. ET AL., BIOFACTORS, 2015, pages 383 - 390 |
KO, Y.-F. ET AL.: "Could nasal nitric oxide help to mitigate the severity of COVID-1?", MICROBES AND INFECTION, vol. 22, 2020, pages 168 - 171, XP086184763, DOI: 10.1016/j.micinf.2020.05.002 |
KOBAYASHI, J.MURATA, I.: "Nitric oxide inhalation as an interventional rescue therapy for COVID-19-induced acute respiratory distress syndrome", ANNALS OF INTENSIVE CARE, vol. 10, 2020, pages 61 |
KRASINSKI, R.TCHORZEWSKI, H.: "Hyaluronan-mediated regulation of inflammation", POSTEPY HIGMEDDOSW., vol. 61, 2007, pages 683 - 689 |
LAOUINI, A ET AL., JOURNAL OF COLLOID SCIENCE AND BIOTECHNOLOGY, vol. 1, 2012, pages 147 - 168 |
LEE, C, OXIDATIVE MEDICINE AND CELLULAR LONGEVITY, 2018 |
LING, L. ET AL.: "Lipoic acid-derived crosslinked liposomes for reduction-responsive delivery of anticancer drug", INTERNATIONAL JOURNAL OF PHARMACEUTICS, vol. 560, 2019, pages 246 - 260, XP085630474, DOI: 10.1016/j.ijpharm.2019.02.007 |
LITWINIUK, M. ET AL.: "Hyaluronic Acid in Inflammation and Tissue Regeneration", WOUNDS, vol. 28, no. 3, 2016, pages 78 - 88, XP055788519 |
MAHONEY, D.E ET AL.: "Understanding D-Ribose and Mitochondrial Function", ADV. BIOSCI. CLIN. MED., vol. 6, no. 1, 2018, pages 1 - 5 |
MARTINEAU, A.R. ET AL., HEALTH TECHNOLOGY ASSESSMENT, vol. 23, no. 2, 2019 |
MARTINEAU, A.R., ANNALS OF INTERNAL MEDICINE, |
MENEZES, E. ET AL.: "Potential Benefits of Nitrate Supplementation on Antioxidant Defense System and Blood Pressure Responses after Exercise Performance", OXIDATIVE MEDICINE AND CELLULAR LONGEVITY, vol. 2019, pages 10 |
MIELGO-AYUSO, J. ET AL.: "Effect of Caffeine Supplementation on Sports Performance Based on Differences Between Sexes: A Systematic Review", NUTRIENTS, vol. 11, 2019, pages 2313 |
MINICH, D.M.BROWN, B.I: "A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Effectiveness of a Food Supplement Containing Creatine and D-Ribose Combined with a Physical Exercise Program in Increasing Stress Tolerance in Patients with Ischemic Heart Disease", NUTRIENTS, vol. 11, 2019, pages 3075 |
MOCCHEGIANI, E. ET AL., MECHANISMS OF AGEING AND DEVELOPMENT, vol. 121, 2000, pages 21 - 35 |
NYAKAYIRU, J. ET AL.: "Beetroot Juice Supplementation Improves High-Intensity Intermittent Type Exercise Performance in Trained Soccer Players", NUTRIENTS, vol. 9, 2017, pages 314 |
PERIM, P. ET AL.: "Can the Skeletal Muscle Carnosine Response to Beta-Alanine Supplementation Be Optimized", FRONTIERS IN NUTRITION, vol. 6, August 2019 (2019-08-01), pages 10 |
PETREY, A. ET AL.: "Hyaluronan, a crucial regulator of inflammation", FRONTIERS IN IMMUNOLOGY I INFLAMMATION,, vol. 5, March 2014 (2014-03-01) |
POE, F.L.CORN, J., MEDICAL HYPOTHESES, vol. 143, 2020, pages 109862 |
POLONIKOV, A, ACSINFECT. DIS., Retrieved from the Internet <URL:https://dx.doi.org/10.1021/acsinfecdis.0c00288> |
PURPURA, M ET AL.: "Oral Adenosine-5'-triphosphate (ATP) Administration Increases Postexercise ATP Levels, Muscle Excitability, and Athletic Performance Following a Repeated Sprint Bout", JOURNAL OF THE AMERICAN COLLEGE OF NUTRITION, vol. 36, no. 3, 2017, pages 177 - 183, XP055768320, DOI: 10.1080/07315724.2016.1246989 |
READ, S.A. ET AL., ADV. NUTR., vol. 10, 2019, pages 696 - 710 |
RIMER, E. ET AL.: "Acute Dietary Nitrate Supplementation Increases Maximal Cycling Power in Athletes", INT. J. SPORTS PHYSIOL. PERFORM., vol. 11, no. 6, September 2016 (2016-09-01), pages 715 - 720 |
RUIZ-MORENO, C ET AL.: "Acute caffeine intake increases muscle oxygen saturation during a maximal incremental exercise test", BR. J. CLIN. PHARMACOL., vol. 86, 2020, pages 861 - 867 |
S. M. BERGE ET AL., J. PHARMACEUTICAL SCIENCES, vol. 66, 1977, pages 1 - 19 |
SANGSEFIDI, Z.S. ET AL., FOOD SCI. NUTR., vol. 8, 2020, pages 1766 - 1776 |
SEIFERT, J. ET AL.: "The influence of D-ribose ingestion and fitness level on performance and recovery", JOURNAL OF THE INTERNATIONAL SOCIETY OF SPORTS NUTRITION, vol. 14, 2017, pages 47 |
SHADE, C.: "Liposomes as Advanced Delivery Systems for Nutraceuticals", INTEGR MED (ENCINITAS), vol. 15, no. 1, March 2016 (2016-03-01), pages 33 - 36 |
SHEN, H.-H. ET AL., MEDIATORS OF INFLAMMATION, 2019 |
SHEPHERD, J. ET AL.: "Prolonged adenosine triphosphate infusion and exercise hyperemia in humans", J. APPL. PHYSIOL., vol. 121, 2016, pages 629 - 635 |
SKALNY, A.V. ET AL., INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE, vol. 46, 2020, pages 17 - 26 |
SON, S. U. ET AL., NANOMATERIALS, vol. 7, 2017, pages 427 |
TE VELTHUIS, A.J.W. ET AL., PLOS PATHOGENS, vol. 6, no. 11, 2010, pages el001176 |
THOMPSON, C. ET AL.: "Dietary nitrate supplementation improves sprint and high-intensity intermittent running performance", NITRIC OXIDE, vol. 61, 2016, pages 55 - 61 |
TIBULLO, D. ET AL., INFLAMM. RES., vol. 66, 2017, pages 947 - 959 |
TOLG, C. ET AL.: "A RHAMM Mimetic Peptide Blocks Hyaluronan Signaling and Reduces Inflammation and Fibrogenesis in Excisional Skin Wounds", AJP, vol. 81, no. 4, 2012, pages 1250 - 1270, XP055096230, DOI: 10.1016/j.ajpath.2012.06.036 |
TROMBINO, S. ET AL., PHARMACEUTICS, vol. 11, 2019, pages 407 |
TSAI, K.-L. ET AL., JOURNAL OF NUTRITIONAL BIOCHEMISTRY, vol. 23, 2012, pages 458 - 468 |
WICKHAM, K. ET AL.: "Administration of Caffeine in Alternate Forms", SPORTS MED, vol. 48, 2018, pages S79 - S91 |
WIJNANDS, K.A.P. ET AL.: "Citrulline a More Suitable Substrate than Arginine to Restore NO Production and the Microcirculation during Endotoxemia", PLOS ONE, vol. 7, no. 5, May 2012 (2012-05-01), pages e37439 |
ZAMANIAN, R.T ET AL.: "Outpatient Inhaled Nitric Oxide in a Patient with Vasoreactive Idiopathic Pulmonary Arterial Hypertension and COVID-19 Infection", AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, vol. 202, no. 1, 1 July 2020 (2020-07-01), pages 130 - 132 |
ZHANG, G. ET AL., MOLECULAR MEDICINE REPORTS, vol. 12, 2015, pages 180 - 186 |
ZHANG, J. ET AL., BRAIN, BEHAVIOR, AND IMMUNITY, vol. 87, 2020, pages 59 - 73 |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
IT202200007232A1 (en) * | 2022-04-12 | 2023-10-12 | Uriach Italy S R L | COMPOSITION INCLUDING LIPOIC ACID, VITAMIN D AND GLUTATHIONE, ITS USES, AND RELATED PHARMACEUTICAL AND NUTRACEUTICAL COMPOSITIONS |
IT202200007226A1 (en) * | 2022-04-12 | 2023-10-12 | Uriach Italy S R L | COMPOSITION INCLUDING LIPOIC ACID, VITAMIN D AND GLUTATHIONE, ITS USES, AND RELATED PHARMACEUTICAL AND NUTRACEUTICAL COMPOSITIONS |
WO2023199241A1 (en) * | 2022-04-12 | 2023-10-19 | URIACH ITALY S.r.l. | Composition comprising lipoic acid, vitamin d and glutathione, uses thereof, and pharmaceutical and nutraceutical compositions thereof |
IT202200023289A1 (en) | 2022-11-11 | 2024-05-11 | Global Pharmacies Partner S R L In Forma Abbreviata G P P S R L | NUTRACEUTIC SUPPLEMENT FOR THE PREVENTION AND TREATMENT OF RESPIRATORY TRACT INFECTIONS |
WO2024173616A1 (en) * | 2023-02-15 | 2024-08-22 | The Trustees Of Princeton University | Methods, devices and compositions for preserving human milk |
Also Published As
Publication number | Publication date |
---|---|
WO2024155274A1 (en) | 2024-07-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
WO2022016038A1 (en) | Formulation bases comprising hyaluronic acid and formulations of same | |
US10292952B2 (en) | Mixed salt compositions for maintaining or restoring electrolyte balance while producing elevated and sustained ketosis | |
JP6978392B2 (en) | Transmucosal delivery of tocotrienols | |
US20070292493A1 (en) | Pharmaceutical composition and method for the transdermal delivery of calcium | |
WO2009104696A1 (en) | Oral or enteral composition useful for recovery of physical functions | |
JP2012197283A (en) | Treatment using citrulline | |
JP2013544802A (en) | Inflammatory disease | |
US7740878B2 (en) | Use of betaine to enhance exercise performance | |
US20210220301A1 (en) | Pharmaceutical or Nutritional Combination Comprising Beta-Hydroxy-Betamethylbutyrate | |
TWI830696B (en) | Compositions for inhibiting muscle fiber degeneration | |
Hu et al. | Pyruvate-enriched oral rehydration solution improved intestinal absorption of water and sodium during enteral resuscitation in burns | |
JP2019182881A (en) | Composition for preventing or improving peripheral neuropathy | |
Grucza et al. | Effects of supplementation with glutathione and its precursors on athlete performance | |
KR102239075B1 (en) | Composition for Preventing or Treating Sarcopenia Comprising IF1 | |
Wang et al. | Antioxidants Supplementation During Exercise: Friends or Enemies for Cardiovascular Homeostasis? | |
US20150050260A1 (en) | Pyrroloquinoline quinone based compositions and uses | |
US20100081626A1 (en) | Weight loss compositions and uses thereof | |
US20090221693A1 (en) | Novel use of organic compounds | |
RU2492867C1 (en) | Biologically active additive | |
TW201818930A (en) | Composition for improving muscular endurance | |
WO2022026612A1 (en) | Nutritional supplements for repairing muscle and defending against deterioration from human aging | |
US20220023393A1 (en) | Pharmaceutical composition for preventing or treating obesity or sarcopenia, containing if1 as active ingredient | |
Badavi et al. | Combination of grape seed extract and exercise training improves left ventricular dysfunction in STZ-induced diabetic rats | |
JP5180841B2 (en) | Novel use of polyamine-deficient food compositions for human or livestock use in the manufacture of therapeutic foods | |
KR102427243B1 (en) | Composition for improving exercise performance comprising euscaphic acid |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
121 | Ep: the epo has been informed by wipo that ep was designated in this application |
Ref document number: 21755152 Country of ref document: EP Kind code of ref document: A1 |
|
NENP | Non-entry into the national phase |
Ref country code: DE |
|
122 | Ep: pct application non-entry in european phase |
Ref document number: 21755152 Country of ref document: EP Kind code of ref document: A1 |