Q: What do you believe
are the major
shortcomings of
conventional patches?
Q: How is the Isis Patch
programmed?
A: It’s really been a one-size-fits-all approach, with no
effective way to modulate how
much or when a drug is released.
Also, the size and type of drug
molecule that will cross the skin
barrier are limited. Adverse skin
reactions to the adhesives have
hurt the usability of many
patches. These limitations can be
addressed by iontophoresis, but
the trouble has been that existing
iontophoretic devices are way
too bulky, uncomfortable, and
difficult to use for most patients,
even with training.
A: Following consultation with
the patient, the doctor e-mails
the prescription into the patient’s
pharmacy (or the patch can be
pre-programmed with profiled
dosages). Each patch has a
unique identification number for
individualized tracking and
follow-up. The pharmacist
activates the patch and transfers
the dosing information using the
Isis hand-held control. The
patient then applies the patch
and has the option of returning it
to the physician for compliance
tracking.
Q: What is your go-to-
market strategy?
Q: What are the key
features and benefits of
the Isis Patch?
software interface and wireless
controller are where our approach
really stands out, and there are
many features designed to give
physicians control. A patch can
hold up to three different drugs
for up to 7 days of dosing. Each
can be delivered at a
predetermined rate, over a time
period that may be programmed
into the patch and subsequently
retrieved to the patient’s record.
There are also many ease-of-use
features, such as pulse dose
delivery and nocturnal shut-off,
which make delivery of desired
dosage more reliable. Our team’s
background in PTF flexible
circuits has led to several
innovations over traditional rigid
and flexible copper circuits, like
our environmentally friendly
manufacturing process. It can
reduce the cost of conventional
iontophoresis by as much as 50%.
A: To begin with, the design is
different. It’s quite thin, 0.002 of
an inch thick and made of soft
and pliable polyester substrate, as
opposed to the thick, plastic-covered patches we’ve had. It’s
small, soft, and very pliable. The
polymers are skin friendly and
adhere better without causing
irritation. In addition, our
hydrogels are unique and
proprietary to Isis. They allow us
to use more diverse drugs than
are currently available. The
Q: So will this lead to
improved compliance?
A: Yes, because it’s a painless
alternative to injection that is
convenient, easy to wear, and
multi-day. Physicians tell us they
like the ability to remotely control
activation of the patch and
monitor use as well as adjust drug
delivery. This software-driven
system helps them avoid under-and overdosing as well as misuse.
A: We are currently working
with one of the largest pharmacy
chains in North America on the
doctor/pharmacy interface. Our
plans are to license the
technology to Pharma.
Engagement has already begun
with three major players in this
space. Additionally, Isis is
developing three drug therapies
for diabetes, ADHD, and
movement disorders. Our
strategy has been to focus on
sizeable market opportunities in
which we can show clear
advantage to both patient and
physician in a way that is just not
Drug Delivery Technology October 2008 Vol 8 No 9