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Published in: Pulmonary Therapy 1/2017

Open Access 01-06-2017 | Review

The Respimat® Development Story: Patient-Centered Innovation

Authors: Herbert Wachtel, Sabine Kattenbeck, Stephen Dunne, Bernd Disse

Published in: Pulmonary Therapy | Issue 1/2017

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Abstract

The Respimat® Soft Mist™ Inhaler represents a unique delivery system for respiratory medications, using an innovative concept with major technological advancements made during prototype development. The Respimat® concept was driven by the intent to solve problems associated with existing inhaler devices for patient use. The following core aims were achieved: (1) avoiding propellants while reducing requirements for patient coordination and inspiratory effort; (2) optimizing drug delivery to the lungs, and; (3) improving the patients’ experience of taking their inhaled medication. The Respimat® inhaler is the first-marketed, pocket-sized inhaler to successfully generate a metered dose of therapeutic aerosol mist from an aqueous solution. Patient feedback has strongly influenced the evolution of the Respimat® inhaler design and instructions for use. The availability of Respimat® augments options for clinicians and patients seeking to choose an inhaler that can effectively and consistently deliver respiratory medication to targeted areas of the lung. In many countries worldwide, Respimat® is available for the administration of tiotropium, olodaterol (and tiotropium/olodaterol in fixed-dose combination), ipratropium/fenoterol, and ipratropium/albuterol.
Funding: Boehringer Ingelheim.
Literature
1.
go back to reference Ari A, Fink JB. Guidelines for aerosol devices in infants, children and adults: which to choose, why and how to achieve effective aerosol therapy. Expert Rev Respir Med. 2011;5(4):561–72.CrossRefPubMed Ari A, Fink JB. Guidelines for aerosol devices in infants, children and adults: which to choose, why and how to achieve effective aerosol therapy. Expert Rev Respir Med. 2011;5(4):561–72.CrossRefPubMed
2.
go back to reference Islam N, Cleary MJ. Developing an efficient and reliable dry powder inhaler for pulmonary drug delivery—a review for multidisciplinary researchers. Med Eng Phys. 2012;34(4):409–27.CrossRefPubMed Islam N, Cleary MJ. Developing an efficient and reliable dry powder inhaler for pulmonary drug delivery—a review for multidisciplinary researchers. Med Eng Phys. 2012;34(4):409–27.CrossRefPubMed
3.
4.
go back to reference Dalby R, Spallek M, Voshaar T. A review of the development of Respimat Soft Mist Inhaler. Int J Pharm. 2004;283(1–2):1–9.CrossRefPubMed Dalby R, Spallek M, Voshaar T. A review of the development of Respimat Soft Mist Inhaler. Int J Pharm. 2004;283(1–2):1–9.CrossRefPubMed
5.
go back to reference Dalby RN, Eicher J, Zierenberg B. Development of Respimat® Soft Mist Inhaler and its clinical utility in respiratory disorders. Med Devices (Auckl). 2011;4:145–55.PubMedPubMedCentral Dalby RN, Eicher J, Zierenberg B. Development of Respimat® Soft Mist Inhaler and its clinical utility in respiratory disorders. Med Devices (Auckl). 2011;4:145–55.PubMedPubMedCentral
6.
go back to reference Dolovich MB, Ahrens RC, Hess DR, et al. Device selection and outcomes of aerosol therapy: evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology. Chest. 2005;127(1):335–71.CrossRefPubMed Dolovich MB, Ahrens RC, Hess DR, et al. Device selection and outcomes of aerosol therapy: evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology. Chest. 2005;127(1):335–71.CrossRefPubMed
8.
go back to reference Freedman T. Medihaler therapy for bronchial asthma; a new type of aerosol therapy. Postgrad Med. 1956;20(6):667–73.CrossRefPubMed Freedman T. Medihaler therapy for bronchial asthma; a new type of aerosol therapy. Postgrad Med. 1956;20(6):667–73.CrossRefPubMed
9.
go back to reference Mercer TT. Production of therapeutic aerosols; principles and techniques. Chest. 1981;80(6 Suppl):813–8.PubMed Mercer TT. Production of therapeutic aerosols; principles and techniques. Chest. 1981;80(6 Suppl):813–8.PubMed
11.
go back to reference Bell JH, Hartley PS, Cox JS. Dry powder aerosols. I. A new powder inhalation device. J Pharm Sci. 1971;60(10):1559–64.CrossRefPubMed Bell JH, Hartley PS, Cox JS. Dry powder aerosols. I. A new powder inhalation device. J Pharm Sci. 1971;60(10):1559–64.CrossRefPubMed
12.
go back to reference Morén F. Drug deposition of pressurised inhalation aerosols. I. Influence of actuator tube design. Int J Pharm. 1978;1:205–12.CrossRef Morén F. Drug deposition of pressurised inhalation aerosols. I. Influence of actuator tube design. Int J Pharm. 1978;1:205–12.CrossRef
13.
go back to reference Newman SP, Moren F, Pavia D, Little F, Clarke SW. Deposition of pressurized suspension aerosols inhaled through extension devices. Am Rev Respir Dis. 1981;124(3):317–20.PubMed Newman SP, Moren F, Pavia D, Little F, Clarke SW. Deposition of pressurized suspension aerosols inhaled through extension devices. Am Rev Respir Dis. 1981;124(3):317–20.PubMed
14.
go back to reference Leach CL. Approaches and challenges to use freon propellant replacements. Aerosol Sci Technol. 1995;22(4):328–34.CrossRef Leach CL. Approaches and challenges to use freon propellant replacements. Aerosol Sci Technol. 1995;22(4):328–34.CrossRef
16.
go back to reference Berodual Respimat (summary of product characteristics) (2004). Boehringer Ingelheim Limited; 2004. Berodual Respimat (summary of product characteristics) (2004). Boehringer Ingelheim Limited; 2004.
18.
go back to reference Lavorini F, Fontana GA, Usmani OS. New inhaler devices-the good, the bad and the ugly. Respiration. 2014;88(1):3–15.CrossRefPubMed Lavorini F, Fontana GA, Usmani OS. New inhaler devices-the good, the bad and the ugly. Respiration. 2014;88(1):3–15.CrossRefPubMed
19.
go back to reference Hochrainer D, Holz H, Kreher C, Scaffidi L, Spallek M, Wachtel H. Comparison of the aerosol velocity and spray duration of Respimat Soft Mist inhaler and pressurized metered dose inhalers. J Aerosol Med. 2005;18(3):273–82.CrossRefPubMed Hochrainer D, Holz H, Kreher C, Scaffidi L, Spallek M, Wachtel H. Comparison of the aerosol velocity and spray duration of Respimat Soft Mist inhaler and pressurized metered dose inhalers. J Aerosol Med. 2005;18(3):273–82.CrossRefPubMed
20.
go back to reference Newman SP, Weisz AW, Talaee N, Clarke SW. Improvement of drug delivery with a breath actuated pressurised aerosol for patients with poor inhaler technique. Thorax. 1991;46(10):712–6.CrossRefPubMedPubMedCentral Newman SP, Weisz AW, Talaee N, Clarke SW. Improvement of drug delivery with a breath actuated pressurised aerosol for patients with poor inhaler technique. Thorax. 1991;46(10):712–6.CrossRefPubMedPubMedCentral
21.
go back to reference Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care. 2005;50(10):1360–74.PubMed Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care. 2005;50(10):1360–74.PubMed
22.
go back to reference Ganderton D. Targeted delivery of inhaled drugs: current challenges and future goals. J Aerosol Med. 1999;12(Suppl 1):S3–8.PubMed Ganderton D. Targeted delivery of inhaled drugs: current challenges and future goals. J Aerosol Med. 1999;12(Suppl 1):S3–8.PubMed
23.
go back to reference Ibrahim M, Verma R, Garcia-Contreras L. Inhalation drug delivery devices: technology update. Med Devices (Auckl). 2015;8:131–9.PubMedPubMedCentral Ibrahim M, Verma R, Garcia-Contreras L. Inhalation drug delivery devices: technology update. Med Devices (Auckl). 2015;8:131–9.PubMedPubMedCentral
24.
go back to reference Heijerman H, Westerman E, Conway S, Touw D, Doring G. Inhaled medication and inhalation devices for lung disease in patients with cystic fibrosis: a European consensus. J Cyst Fibros. 2009;8(5):295–315.CrossRefPubMed Heijerman H, Westerman E, Conway S, Touw D, Doring G. Inhaled medication and inhalation devices for lung disease in patients with cystic fibrosis: a European consensus. J Cyst Fibros. 2009;8(5):295–315.CrossRefPubMed
26.
go back to reference Zierenberg B. Optimizing the in vitro performance of Respimat. J Aerosol Med. 1999;12(Suppl 1):S19–24.PubMed Zierenberg B. Optimizing the in vitro performance of Respimat. J Aerosol Med. 1999;12(Suppl 1):S19–24.PubMed
27.
go back to reference Spiriva (tiotropium) Respimat 2.5 micrograms, solution for inhalation (summary of product characteristics) (2016). Boehringer Ingelheim Limited; 2016. Spiriva (tiotropium) Respimat 2.5 micrograms, solution for inhalation (summary of product characteristics) (2016). Boehringer Ingelheim Limited; 2016.
29.
go back to reference Capstick TG, Clifton IJ. Inhaler technique and training in people with chronic obstructive pulmonary disease and asthma. Expert Rev Respir Med. 2012;6(1):91–101.CrossRefPubMed Capstick TG, Clifton IJ. Inhaler technique and training in people with chronic obstructive pulmonary disease and asthma. Expert Rev Respir Med. 2012;6(1):91–101.CrossRefPubMed
30.
go back to reference Nichols SC, Mitchell JP, Sandell D, et al. A Multi-laboratory in vitro study to compare data from abbreviated and pharmacopeial impactor measurements for orally inhaled products: a report of the European Aerosol Group (EPAG). AAPS PharmSciTech. 2016;17(6):1383–92.CrossRefPubMed Nichols SC, Mitchell JP, Sandell D, et al. A Multi-laboratory in vitro study to compare data from abbreviated and pharmacopeial impactor measurements for orally inhaled products: a report of the European Aerosol Group (EPAG). AAPS PharmSciTech. 2016;17(6):1383–92.CrossRefPubMed
31.
go back to reference Wachtel H, Moser A. The Respimat®, a new Soft MistTM inhaler for Delivering Drugs to the Lungs. In: Rathbone MJ, Hadgraft J, Roberts MS, Lane ME, editors. Modified release drug delivery technology. 2nd ed. London: Taylor & Francis; 2008. p. 637–45.CrossRef Wachtel H, Moser A. The Respimat®, a new Soft MistTM inhaler for Delivering Drugs to the Lungs. In: Rathbone MJ, Hadgraft J, Roberts MS, Lane ME, editors. Modified release drug delivery technology. 2nd ed. London: Taylor & Francis; 2008. p. 637–45.CrossRef
32.
go back to reference Lippmann M. Deposition and clearance of inhaled particles in the human nose. Ann Otol Rhinol Laryngol. 1970;79(3):519–28.CrossRefPubMed Lippmann M. Deposition and clearance of inhaled particles in the human nose. Ann Otol Rhinol Laryngol. 1970;79(3):519–28.CrossRefPubMed
33.
go back to reference Newman SP, Brown J, Steed KP, Reader SJ, Kladders H. Lung deposition of fenoterol and flunisolide delivered using a novel device for inhaled medicines: comparison of RESPIMAT with conventional metered-dose inhalers with and without spacer devices. Chest. 1998;113(4):957–63.CrossRefPubMed Newman SP, Brown J, Steed KP, Reader SJ, Kladders H. Lung deposition of fenoterol and flunisolide delivered using a novel device for inhaled medicines: comparison of RESPIMAT with conventional metered-dose inhalers with and without spacer devices. Chest. 1998;113(4):957–63.CrossRefPubMed
34.
go back to reference Pitcairn G, Reader S, Pavia D, Newman S. Deposition of corticosteroid aerosol in the human lung by Respimat Soft Mist inhaler compared to deposition by metered dose inhaler or by Turbuhaler dry powder inhaler. J Aerosol Med. 2005;18(3):264–72.CrossRefPubMed Pitcairn G, Reader S, Pavia D, Newman S. Deposition of corticosteroid aerosol in the human lung by Respimat Soft Mist inhaler compared to deposition by metered dose inhaler or by Turbuhaler dry powder inhaler. J Aerosol Med. 2005;18(3):264–72.CrossRefPubMed
35.
go back to reference Brand P, Hederer B, Austen G, Dewberry H, Meyer T. Higher lung deposition with Respimat Soft Mist inhaler than HFA-MDI in COPD patients with poor technique. Int J Chron Obstruct Pulmon Dis. 2008;3(4):763–70.PubMedPubMedCentral Brand P, Hederer B, Austen G, Dewberry H, Meyer T. Higher lung deposition with Respimat Soft Mist inhaler than HFA-MDI in COPD patients with poor technique. Int J Chron Obstruct Pulmon Dis. 2008;3(4):763–70.PubMedPubMedCentral
36.
go back to reference Kilfeather SA, Ponitz HH, Beck E, et al. Improved delivery of ipratropium bromide/fenoterol from Respimat Soft Mist Inhaler in patients with COPD. Respir Med. 2004;98(5):387–97.CrossRefPubMed Kilfeather SA, Ponitz HH, Beck E, et al. Improved delivery of ipratropium bromide/fenoterol from Respimat Soft Mist Inhaler in patients with COPD. Respir Med. 2004;98(5):387–97.CrossRefPubMed
37.
go back to reference von Berg A, Jeena PM, Soemantri PA, et al. Efficacy and safety of ipratropium bromide plus fenoterol inhaled via Respimat Soft Mist Inhaler vs. a conventional metered dose inhaler plus spacer in children with asthma. Pediatr Pulmonol. 2004;37(3):264–72.CrossRef von Berg A, Jeena PM, Soemantri PA, et al. Efficacy and safety of ipratropium bromide plus fenoterol inhaled via Respimat Soft Mist Inhaler vs. a conventional metered dose inhaler plus spacer in children with asthma. Pediatr Pulmonol. 2004;37(3):264–72.CrossRef
38.
go back to reference Hohlfeld JM, Sharma A, van Noord JA, et al. Pharmacokinetics and pharmacodynamics of tiotropium solution and tiotropium powder in chronic obstructive pulmonary disease. J Clin Pharmacol. 2014;54(4):405–14.CrossRefPubMed Hohlfeld JM, Sharma A, van Noord JA, et al. Pharmacokinetics and pharmacodynamics of tiotropium solution and tiotropium powder in chronic obstructive pulmonary disease. J Clin Pharmacol. 2014;54(4):405–14.CrossRefPubMed
39.
go back to reference Wise RA, Anzueto A, Cotton D, et al. Tiotropium Respimat inhaler and the risk of death in COPD. N Engl J Med. 2013;369(16):1491–501.CrossRefPubMed Wise RA, Anzueto A, Cotton D, et al. Tiotropium Respimat inhaler and the risk of death in COPD. N Engl J Med. 2013;369(16):1491–501.CrossRefPubMed
40.
go back to reference Calverley PM, Konen-Bergmann M, Richard F, Bell S, Hohlfeld JM. Tiotropium Respimat versus HandiHaler: comparison of bronchodilator efficacy of various doses in clinical trials. Adv Ther. 2016;33(5):786–93.CrossRefPubMedPubMedCentral Calverley PM, Konen-Bergmann M, Richard F, Bell S, Hohlfeld JM. Tiotropium Respimat versus HandiHaler: comparison of bronchodilator efficacy of various doses in clinical trials. Adv Ther. 2016;33(5):786–93.CrossRefPubMedPubMedCentral
41.
go back to reference Kattenbeck S (2016) Human factor studies. Case study instructions for use for Respimat®. Presented at: IPAC-RS symposium 2016 at RDD 2016: Meeting the quality challenge for orally inhaled drug products, Scottsdale, Arizona, 21 April 2016. Kattenbeck S (2016) Human factor studies. Case study instructions for use for Respimat®. Presented at: IPAC-RS symposium 2016 at RDD 2016: Meeting the quality challenge for orally inhaled drug products, Scottsdale, Arizona, 21 April 2016.
42.
go back to reference SPIRIVA Respimat Using your SPIRIVA Respimat inhaler (2015). Boehringer Ingelheim Ltd. SPIRIVA Respimat Using your SPIRIVA Respimat inhaler (2015). Boehringer Ingelheim Ltd.
43.
go back to reference Kamin W, Frank M, Kattenbeck S, Moroni-Zentgraf P, Wachtel H, Zielen S. A handling study to assess use of the Respimat® Soft Mist™ inhaler in children under 5 years old. J Aerosol Med Pulm Drug Deliv. 2015;28(5):372–81.CrossRefPubMedPubMedCentral Kamin W, Frank M, Kattenbeck S, Moroni-Zentgraf P, Wachtel H, Zielen S. A handling study to assess use of the Respimat® Soft Mist™ inhaler in children under 5 years old. J Aerosol Med Pulm Drug Deliv. 2015;28(5):372–81.CrossRefPubMedPubMedCentral
44.
go back to reference Bickmann D, Kamin W, Sharma A, Wachtel H, Moroni-Zentgraf P, Zielen S. In vitro determination of Respimat dose delivery in children: an evaluation based on inhalation flow profiles and mouth–throat models. J Aerosol Med Pulm Drug Deliv. 2015;29(1):76–85. Bickmann D, Kamin W, Sharma A, Wachtel H, Moroni-Zentgraf P, Zielen S. In vitro determination of Respimat dose delivery in children: an evaluation based on inhalation flow profiles and mouth–throat models. J Aerosol Med Pulm Drug Deliv. 2015;29(1):76–85.
45.
go back to reference Hodder R, Price D. Patient preferences for inhaler devices in chronic obstructive pulmonary disease: experience with Respimat Soft Mist inhaler. Int J Chron Obstruct Pulmon Dis. 2009;4:381–90.CrossRefPubMedPubMedCentral Hodder R, Price D. Patient preferences for inhaler devices in chronic obstructive pulmonary disease: experience with Respimat Soft Mist inhaler. Int J Chron Obstruct Pulmon Dis. 2009;4:381–90.CrossRefPubMedPubMedCentral
46.
go back to reference Braido F, Chrystyn H, Baiardini I, et al. “Trying, But Failing”—the role of inhaler technique and mode of delivery in respiratory medication adherence. J Allergy Clin Immunol Pract. 2016;4(5):823–32.CrossRefPubMed Braido F, Chrystyn H, Baiardini I, et al. “Trying, But Failing”—the role of inhaler technique and mode of delivery in respiratory medication adherence. J Allergy Clin Immunol Pract. 2016;4(5):823–32.CrossRefPubMed
47.
go back to reference Rogueda P, Traini D. The future of inhalers: how can we improve drug delivery in asthma and COPD? Expert Rev Respir Med. 2016;10(10):1041–4.CrossRefPubMed Rogueda P, Traini D. The future of inhalers: how can we improve drug delivery in asthma and COPD? Expert Rev Respir Med. 2016;10(10):1041–4.CrossRefPubMed
48.
go back to reference Asakura Y, Nishimura N, Maezawa K, Terajima T, Kizu J, Chohnabayashi N. Effect of switching tiotropium HandiHaler® to Respimat® Soft Mist Inhaler in patients with COPD: the difference of adverse events and usability between inhaler devices. J Aerosol Med Pulm Drug Deliv. 2013;26(1):41–5.CrossRefPubMed Asakura Y, Nishimura N, Maezawa K, Terajima T, Kizu J, Chohnabayashi N. Effect of switching tiotropium HandiHaler® to Respimat® Soft Mist Inhaler in patients with COPD: the difference of adverse events and usability between inhaler devices. J Aerosol Med Pulm Drug Deliv. 2013;26(1):41–5.CrossRefPubMed
49.
50.
go back to reference Dal Negro RW, Povero M. Acceptability and preference of three inhalation devices assessed by the Handling Questionnaire in asthma and COPD patients. Multidiscip Respir Med. 2015;11:7.CrossRef Dal Negro RW, Povero M. Acceptability and preference of three inhalation devices assessed by the Handling Questionnaire in asthma and COPD patients. Multidiscip Respir Med. 2015;11:7.CrossRef
51.
go back to reference Miravitlles M, Montero-Caballero J, Richard F, et al. A cross-sectional study to assess inhalation device handling and patient satisfaction in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11:407–15.CrossRefPubMedPubMedCentral Miravitlles M, Montero-Caballero J, Richard F, et al. A cross-sectional study to assess inhalation device handling and patient satisfaction in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11:407–15.CrossRefPubMedPubMedCentral
52.
go back to reference Schurmann W, Schmidtmann S, Moroni P, Massey D, Qidan M. Respimat Soft Mist inhaler versus hydrofluoroalkane metered dose inhaler: patient preference and satisfaction. Treat Respir Med. 2005;4(1):53–61.CrossRefPubMed Schurmann W, Schmidtmann S, Moroni P, Massey D, Qidan M. Respimat Soft Mist inhaler versus hydrofluoroalkane metered dose inhaler: patient preference and satisfaction. Treat Respir Med. 2005;4(1):53–61.CrossRefPubMed
53.
go back to reference Dal Negro RW, Povero M. The economic impact of educational training assessed by the Handling Questionnaire with three inhalation devices in asthma and Chronic Obstructive Pulmonary Disease patients. Clinicoecon Outcomes Res. 2016;8:171–6. Dal Negro RW, Povero M. The economic impact of educational training assessed by the Handling Questionnaire with three inhalation devices in asthma and Chronic Obstructive Pulmonary Disease patients. Clinicoecon Outcomes Res. 2016;8:171–6.
54.
go back to reference Dekhuijzen PN, Lavorini F, Usmani OS. Patients’ perspectives and preferences in the choice of inhalers: the case for Respimat(®) or HandiHaler(®). Patient Prefer Adherence. 2016;10:1561–72.CrossRefPubMedPubMedCentral Dekhuijzen PN, Lavorini F, Usmani OS. Patients’ perspectives and preferences in the choice of inhalers: the case for Respimat(®) or HandiHaler(®). Patient Prefer Adherence. 2016;10:1561–72.CrossRefPubMedPubMedCentral
55.
go back to reference Kamin W, Krackhardt D, Goessl R, et al. A handling study to assess the use of the Respimat® Soft Mist™ Inhaler in children aged 4–12 years. Pulm Ther. 2015;1:53–63.CrossRef Kamin W, Krackhardt D, Goessl R, et al. A handling study to assess the use of the Respimat® Soft Mist™ Inhaler in children aged 4–12 years. Pulm Ther. 2015;1:53–63.CrossRef
57.
go back to reference SPIRIVA® RESPIMAT® (tiotropium bromide) inhalation spray foi Ridgefield, CT, USA: Boehringer Ingelheim Pharmaceuticals, Inc.; 2016. SPIRIVA® RESPIMAT® (tiotropium bromide) inhalation spray foi Ridgefield, CT, USA: Boehringer Ingelheim Pharmaceuticals, Inc.; 2016.
58.
go back to reference Moroni-Zentgraf P. Impact of patient needs on design and usage of an inhalation device in respiratory medicine. Respir Drug Deliv Eur. 2013;1:141–52. Moroni-Zentgraf P. Impact of patient needs on design and usage of an inhalation device in respiratory medicine. Respir Drug Deliv Eur. 2013;1:141–52.
Metadata
Title
The Respimat® Development Story: Patient-Centered Innovation
Authors
Herbert Wachtel
Sabine Kattenbeck
Stephen Dunne
Bernd Disse
Publication date
01-06-2017
Publisher
Springer Healthcare
Published in
Pulmonary Therapy / Issue 1/2017
Print ISSN: 2364-1754
Electronic ISSN: 2364-1746
DOI
https://doi.org/10.1007/s41030-017-0040-8

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