EP1937220A2 - Preparation de ramipril presentant une stabilite accrue - Google Patents
Preparation de ramipril presentant une stabilite accrueInfo
- Publication number
- EP1937220A2 EP1937220A2 EP06794863A EP06794863A EP1937220A2 EP 1937220 A2 EP1937220 A2 EP 1937220A2 EP 06794863 A EP06794863 A EP 06794863A EP 06794863 A EP06794863 A EP 06794863A EP 1937220 A2 EP1937220 A2 EP 1937220A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- ramipril
- salt
- solid dosage
- formulation
- dosage form
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 title claims abstract description 194
- 229960003401 ramipril Drugs 0.000 title claims abstract description 147
- 239000000203 mixture Substances 0.000 title claims abstract description 131
- 238000009472 formulation Methods 0.000 title claims abstract description 113
- KEDYTOTWMPBSLG-HILJTLORSA-N ramiprilat Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)C(O)=O)CC1=CC=CC=C1 KEDYTOTWMPBSLG-HILJTLORSA-N 0.000 claims abstract description 30
- 229960002231 ramiprilat Drugs 0.000 claims abstract description 29
- 238000000034 method Methods 0.000 claims description 51
- 239000007909 solid dosage form Substances 0.000 claims description 34
- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Chemical group [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 claims description 32
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 31
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 claims description 30
- 150000003839 salts Chemical class 0.000 claims description 30
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 claims description 24
- 230000015556 catabolic process Effects 0.000 claims description 18
- 238000006731 degradation reaction Methods 0.000 claims description 18
- 239000003937 drug carrier Substances 0.000 claims description 17
- 239000001175 calcium sulphate Substances 0.000 claims description 16
- 235000011132 calcium sulphate Nutrition 0.000 claims description 16
- 229910000019 calcium carbonate Inorganic materials 0.000 claims description 15
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 12
- 239000003513 alkali Substances 0.000 claims description 12
- 229910000030 sodium bicarbonate Inorganic materials 0.000 claims description 12
- 235000017557 sodium bicarbonate Nutrition 0.000 claims description 12
- 239000002904 solvent Substances 0.000 claims description 12
- 239000003125 aqueous solvent Substances 0.000 claims description 11
- 238000004519 manufacturing process Methods 0.000 claims description 11
- -1 potassium ramipril salt Chemical class 0.000 claims description 11
- KOVMAAYRBJCASY-JBDAPHQKSA-N ramipril diketopiperazine Chemical compound C([C@@H](C(=O)OCC)N1C([C@@H]2C[C@@H]3CCC[C@@H]3N2C(=O)[C@@H]1C)=O)CC1=CC=CC=C1 KOVMAAYRBJCASY-JBDAPHQKSA-N 0.000 claims description 10
- 239000007787 solid Substances 0.000 claims description 10
- 239000002775 capsule Substances 0.000 claims description 9
- 229910052708 sodium Inorganic materials 0.000 claims description 9
- 239000011734 sodium Substances 0.000 claims description 9
- 229910052700 potassium Inorganic materials 0.000 claims description 8
- 239000011591 potassium Substances 0.000 claims description 8
- 238000003860 storage Methods 0.000 claims description 8
- 238000002360 preparation method Methods 0.000 claims description 6
- 150000003385 sodium Chemical class 0.000 claims description 6
- 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 claims description 3
- 159000000007 calcium salts Chemical class 0.000 claims description 3
- 159000000000 sodium salts Chemical class 0.000 claims description 3
- 239000002245 particle Substances 0.000 claims description 2
- BXRNXXXXHLBUKK-UHFFFAOYSA-N piperazine-2,5-dione Chemical compound O=C1CNC(=O)CN1 BXRNXXXXHLBUKK-UHFFFAOYSA-N 0.000 abstract description 15
- 239000008194 pharmaceutical composition Substances 0.000 abstract 1
- 239000012535 impurity Substances 0.000 description 32
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 22
- 239000000047 product Substances 0.000 description 20
- 238000002156 mixing Methods 0.000 description 13
- 239000003381 stabilizer Substances 0.000 description 13
- 229910000029 sodium carbonate Inorganic materials 0.000 description 11
- 239000000872 buffer Substances 0.000 description 10
- 239000003814 drug Substances 0.000 description 10
- 238000005469 granulation Methods 0.000 description 10
- 230000003179 granulation Effects 0.000 description 10
- 208000006011 Stroke Diseases 0.000 description 9
- 230000006652 catabolic pathway Effects 0.000 description 8
- 239000008380 degradant Substances 0.000 description 8
- 238000006460 hydrolysis reaction Methods 0.000 description 8
- 238000005550 wet granulation Methods 0.000 description 8
- 239000004475 Arginine Substances 0.000 description 7
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 7
- XAAHAAMILDNBPS-UHFFFAOYSA-L calcium hydrogenphosphate dihydrate Chemical compound O.O.[Ca+2].OP([O-])([O-])=O XAAHAAMILDNBPS-UHFFFAOYSA-L 0.000 description 7
- 239000007857 degradation product Substances 0.000 description 7
- 235000019700 dicalcium phosphate Nutrition 0.000 description 7
- 229940095079 dicalcium phosphate anhydrous Drugs 0.000 description 7
- 239000003085 diluting agent Substances 0.000 description 7
- 230000007062 hydrolysis Effects 0.000 description 7
- 239000000546 pharmaceutical excipient Substances 0.000 description 7
- 239000002253 acid Substances 0.000 description 6
- 150000001875 compounds Chemical class 0.000 description 6
- 208000010125 myocardial infarction Diseases 0.000 description 6
- 239000000126 substance Substances 0.000 description 6
- AAEQXEDPVFIFDK-UHFFFAOYSA-N 3-(4-fluorobenzoyl)-2-(2-methylpropanoyl)-n,3-diphenyloxirane-2-carboxamide Chemical compound C=1C=CC=CC=1NC(=O)C1(C(=O)C(C)C)OC1(C=1C=CC=CC=1)C(=O)C1=CC=C(F)C=C1 AAEQXEDPVFIFDK-UHFFFAOYSA-N 0.000 description 5
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical class OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 5
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 5
- 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 5
- 229940079593 drug Drugs 0.000 description 5
- 239000008187 granular material Substances 0.000 description 5
- 239000004615 ingredient Substances 0.000 description 5
- 239000008101 lactose Substances 0.000 description 5
- 239000001509 sodium citrate Substances 0.000 description 5
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 5
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 4
- 208000024172 Cardiovascular disease Diseases 0.000 description 4
- 206010020772 Hypertension Diseases 0.000 description 4
- UIIMBOGNXHQVGW-DEQYMQKBSA-M Sodium bicarbonate-14C Chemical compound [Na+].O[14C]([O-])=O UIIMBOGNXHQVGW-DEQYMQKBSA-M 0.000 description 4
- 229940044094 angiotensin-converting-enzyme inhibitor Drugs 0.000 description 4
- 238000007907 direct compression Methods 0.000 description 4
- 239000002552 dosage form Substances 0.000 description 4
- 239000002207 metabolite Substances 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 239000005541 ACE inhibitor Substances 0.000 description 3
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 3
- 208000028698 Cognitive impairment Diseases 0.000 description 3
- 206010019280 Heart failures Diseases 0.000 description 3
- 241000124008 Mammalia Species 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 239000007963 capsule composition Substances 0.000 description 3
- 208000010877 cognitive disease Diseases 0.000 description 3
- 206010012601 diabetes mellitus Diseases 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000005755 formation reaction Methods 0.000 description 3
- 238000011065 in-situ storage Methods 0.000 description 3
- 239000012669 liquid formulation Substances 0.000 description 3
- 230000037361 pathway Effects 0.000 description 3
- 238000012216 screening Methods 0.000 description 3
- 239000007916 tablet composition Substances 0.000 description 3
- 229920002472 Starch Polymers 0.000 description 2
- 230000002378 acidificating effect Effects 0.000 description 2
- 239000004480 active ingredient Substances 0.000 description 2
- 239000008186 active pharmaceutical agent Substances 0.000 description 2
- 238000003556 assay Methods 0.000 description 2
- 239000002585 base Substances 0.000 description 2
- VHYCDWMUTMEGQY-UHFFFAOYSA-N bisoprolol Chemical compound CC(C)NCC(O)COC1=CC=C(COCCOC(C)C)C=C1 VHYCDWMUTMEGQY-UHFFFAOYSA-N 0.000 description 2
- 229960002781 bisoprolol Drugs 0.000 description 2
- 230000003139 buffering effect Effects 0.000 description 2
- 150000005323 carbonate salts Chemical class 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 239000002934 diuretic Substances 0.000 description 2
- 229940088679 drug related substance Drugs 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 239000012458 free base Substances 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000008107 starch Substances 0.000 description 2
- 235000019698 starch Nutrition 0.000 description 2
- 239000000725 suspension Substances 0.000 description 2
- OQHKEWIEKYQINX-UHFFFAOYSA-N 1,2,3,3a,4,5,6,6a-octahydrocyclopenta[b]pyrrol-1-ium-2-carboxylate Chemical compound C1CCC2NC(C(=O)O)CC21 OQHKEWIEKYQINX-UHFFFAOYSA-N 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- JZUFKLXOESDKRF-UHFFFAOYSA-N Chlorothiazide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC2=C1NCNS2(=O)=O JZUFKLXOESDKRF-UHFFFAOYSA-N 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
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- UJEWTUDSLQGTOA-UHFFFAOYSA-N Piretanide Chemical compound C=1C=CC=CC=1OC=1C(S(=O)(=O)N)=CC(C(O)=O)=CC=1N1CCCC1 UJEWTUDSLQGTOA-UHFFFAOYSA-N 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- 239000004141 Sodium laurylsulphate Substances 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 125000001980 alanyl group Chemical group 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- LSQZJLSUYDQPKJ-NJBDSQKTSA-N amoxicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=C(O)C=C1 LSQZJLSUYDQPKJ-NJBDSQKTSA-N 0.000 description 1
- 229960003022 amoxicillin Drugs 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 125000000637 arginyl group Chemical group N[C@@H](CCCNC(N)=N)C(=O)* 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 235000010216 calcium carbonate Nutrition 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 229910000389 calcium phosphate Inorganic materials 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 150000004649 carbonic acid derivatives Chemical class 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 150000001860 citric acid derivatives Chemical class 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 229910017052 cobalt Inorganic materials 0.000 description 1
- 239000010941 cobalt Substances 0.000 description 1
- GUTLYIVDDKVIGB-UHFFFAOYSA-N cobalt atom Chemical compound [Co] GUTLYIVDDKVIGB-UHFFFAOYSA-N 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000001882 diuretic effect Effects 0.000 description 1
- 238000010931 ester hydrolysis Methods 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 229920001903 high density polyethylene Polymers 0.000 description 1
- 239000004700 high-density polyethylene Substances 0.000 description 1
- 150000004677 hydrates Chemical class 0.000 description 1
- 229960002003 hydrochlorothiazide Drugs 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 229910052744 lithium Inorganic materials 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 150000002736 metal compounds Chemical class 0.000 description 1
- 210000003739 neck Anatomy 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- LSQZJLSUYDQPKJ-UHFFFAOYSA-N p-Hydroxyampicillin Natural products O=C1N2C(C(O)=O)C(C)(C)SC2C1NC(=O)C(N)C1=CC=C(O)C=C1 LSQZJLSUYDQPKJ-UHFFFAOYSA-N 0.000 description 1
- 229940124531 pharmaceutical excipient Drugs 0.000 description 1
- 229960001085 piretanide Drugs 0.000 description 1
- 159000000001 potassium salts Chemical class 0.000 description 1
- 230000003389 potentiating effect Effects 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 229940002612 prodrug Drugs 0.000 description 1
- 239000000651 prodrug Substances 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 235000017550 sodium carbonate Nutrition 0.000 description 1
- 235000002639 sodium chloride Nutrition 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 230000003019 stabilising effect Effects 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 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
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2009—Inorganic compounds
-
- 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
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/4841—Filling excipients; Inactive ingredients
- A61K9/485—Inorganic compounds
-
- 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
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
Definitions
- the present invention relates to a dosage form of Ramipril and also to its manufacture and use.
- the present invention relates to stability of formulations for treating or preventing various disease states involving the administration of Ramipril.
- Ramipril has been used for the treatment of hypertension, heart failure, stroke, myocardial infarction, diabetes and cardiovascular disease. Ramipril may also reduce the risk of further strokes, heart attacks and cognitive impairment among stroke patients. It is commercially available at 1.25mg, 2.5mg, 5mg and lOmg strengths.
- Ramipril is defined in official monographs in both the United States Pharmacopeia and the European Pharmacopoeia.
- impurities A-N In the European Pharmacopoeia 14 impurities are categorised and labelled as impurities A-N.
- Impurities A, B, C and D are defined as qualif ⁇ ed impurities with impurities E to N being classed as 'other detectable impurities'. Different limits have been applied to the two sets of impurities. To fulfil the United States standard, only impurities A, B, C and D require quantification. Of the 14 impurities that are named in the European Pharmacopoeia only two are identified as potential degradation products: impurities D and E.
- Impurity D ramipril diketopiperazine
- impurity E ramipril diacid or ramiprilat
- Ramipril is converted in vivo to ramiprilat and can therefore be considered to be a prodrug of ramiprilat.
- Ramiprilat is formed in vivo by ester hydrolysis to this active diacid from ramipril.
- ester hydrolysis By the very nature of the compound it is therefore inherently designed to be sensitive to hydrolysis. It is important, when considering the formulation of such a compound that the potential hydrolysis is minimised by design, so that an adequate potency of the active ingredient in the formulation is maintained over the shelf life of the product.
- Integral mixing of the components of a solid dosage form can be carried out on dry components, and hence direct compression has become a standard for tablet formulation.
- Wet granulation methods and spray granulation methods are also known and offer additional options for mixing of tablet components. However, such methods are to be avoided if there is risk of damage to or degradation of components due to contact with solvents, especially water, used in the granulation.
- a commercially viable shelf life of a formulated product would be considered to be 2 years or greater, and an acceptable potency over this shelf life would be 95 to 105%. This potency limit is applied in most European Pharmacopoeias, except where a compound is subject to substantial degradation such as Amoxycillin where a 90% potency lower limit applies.
- the major degradation product identified in the British Pharmacopoeia is the diketopiperazine derivative (impurity D).
- impurity D the major degradation product identified in the British Pharmacopoeia
- the limits imposed by the British Pharmacopoeia on the diketopiperazine derivative infer that the loss in potency over the shelf life of the product would be expected to be due to the conversion of ramipril to the diketopiperazine degradation product.
- a limit of 8% and 6% for this degradant is applied to the capsule and tablet formulation respectively, and therefore by simple mass balance, the potency could fall below the standard lower limit of 95%.
- the limit imposed on other impurities including ramiprilat (impurity E) is set at levels below 0.5% and, therefore, such impurities as degradation products are considered to be undesirable.
- ACE inhibitor formulations are known in the art. Such formulations can be found in, for example, US 4,727,160, US 4,743,450, US 4,830,853, US 5,151,433, US 5,256,687, US 5,686,451, US2003/0027837, US2003/0049314, US 6,555,551, US 6,576,256, US2003/0215526, US2003/0225124, US2004/0157911, US2004/0157928, US2004/0171669, US2005/0009806, US 6,844,361, US 6,869,963, US 2005/0069586, US2005/0106237, US2005/0118259, US2005/0142196, US 2005/0169981, US2005/0186274, US2005/0202081, US2006/0034937, US2006/0134213, US2006/0159742, WO96/31197, WO98/10753, WO02/011709, WO 03/059388, WO03/0758
- Degradation of pharmaceutically active compounds is of concern to both medical practitioners and to the community at large. If significant degradation takes place between manufacture and administration of an active then suboptimal dosing is highly likely. For actives used in the treatment of hypertension and cardiovascular disease dosing accuracy is of tantamount importance as ineffective treatment is likely to result in life-threatening complications.
- the present invention provides a solid dosage form comprising ramipril and a pharmaceutically acceptable carrier, wherein the ramipril is in the form of a ramipril salt.
- At least 50% of the ramipril is in the form of a ramipril salt.
- a solid dosage form comprising ramipril and a pharmaceutically acceptable carrier, wherein at least 50% of the ramipril is in the form of a sodium or potassium ramipril salt and the pharmaceutical carrier is selected from the group consisting of calcium sulphate, calcium carbonate and a mixture thereof.
- the present invention provides a solid dosage form comprising ramipril and a pharmaceutically acceptable carrier, wherein the pH of the dosage form is alkaline so as to maintain ramipril in the form of a salt during storage.
- This pH is typically measured as pH of a 1% solution in water.
- forumulations of the invention combine both first and second aspects.
- preferred solid dosage forms both are prepared so as to have the % levels of ramipril salt recited and also are formulated with pH as specified so as to promote maintenance of ramipril in salt form.
- the invention also provides a solid dosage form, comprising ramipril and a pharmaceutically acceptable carier, wherein: -
- a 1% solution of the solid dosage form in water has a pH of 8 or greater; and (c) degradation of ramipril to the ramipril diketopiperazine during storage at
- 25°C and 60% RH is less than 1% over 3 months.
- the invention further provides a solid dosage from, comprising ramipril and a pharmaceutically acceptable carrier, wherein:-
- a 1% solution of the solid dosage form in water has a pH of 7.5 or greater;
- Stability is increased by having more of the ramipril in salt form.
- the ramipril salt is selected from a salt of an alkali metal and a salt of an alkali earth metal.
- the salt is selected from the lithium, calcium and potassium salts.
- the salt is the sodium salt.
- the solid dosage form is in the form of a tablet and tablets of different strengths are set out in the examples below.
- the solid dosage form is in the form of a capsule.
- the present invention provides a method of making a ramipril formulation, comprising obtaining a ramipril salt and incorporating the ramipril salt into the formulation.
- At least 50% by weight of the ramipril is in the form of a ramipril salt.
- a method of making a ramipril formulation comprising obtaining a ramipril salt and incorporating the ramipril salt into the formulation, wherein at least 50% by weight of the ramipril is in the form of a sodium or potassium ramipril salt and wherein the formulation comprises a pharmaceutical carrier selected from the group consisting of calcium sulphate, calcium carbonate and a mixture thereof.
- the formulation is in solid dosage form, further preferably a tablet.
- the solid dosage form is a capsule.
- At least 70%, more preferably at least 80%, more preferably at least 85%, further preferably at least 90%, more preferably at least 95%, further preferably at least 98% by weight of the ramipril is in the form of a ramipril salt.
- the method comprises:- adding ramipril to an aqueous solvent; converting the ramipril into a salt of ramipril; dissolving the salt of ramipril in the aqueous solvent; and removing the solvent, to yield dried ramipril salt.
- the aqueous solvent consists essentially of water.
- the solvent comprises a mixture of water and alcohol, more preferably a mixture of water and ethanol, the mixture containing preferably at least 40%, more preferably at least 60% water by weight.
- Ramipril is relatively insoluble in aqueous solvents.
- the methods hence typically comprise dispersing ramipril particles in the aqueous solvent.
- the method comprises adding an alkali to the solvent to convert the ramipril into the ramipril salt.
- the method comprises adding sodium hydrogen carbonate to the solvent to convert the ramipril into the ramipril salt.
- the method comprises converting at least 50% of the ramipril into the ramipril salt, more preferably at least 70%, more preferably at least 80%, more preferably at least 85%, further preferably at least 90%, more preferably at least 95%, further preferably at least 98%.
- the converting comprises maintaining the ramipril in the aqueous solvent in the presence of a metal compound for sufficient time that substantially all the ramipril is converted into ramipril salt.
- a solid dosage formulation comprising ramipril obtained by making the formulation out of a ramipril preparation, wherein at least 50% of the ramipril in the ramipril preparation is in the form of a ramipril salt.
- a solid dosage formulation comprising ramipril and a pharmaceutically acceptable carrier, obtained by making the formulation out of a ramipril preparation, wherein at least 50% of the ramipril in the ramipril preparation is in the form of a sodium or potassium ramipril salt and the pharmaceutical carrier is selected from the group consisting of calcium sulphate, calcium carbonate and a mixture thereof.
- a solid dosage form comprising a sodium or potassium ramipril salt and a pharmaceutical carrier selected from the group consisting of calcium sulphate, calcium carbonate and a mixture thereof, obtained by the methods described herein.
- the present invention preferably provides a ramipril formulation which is basic.
- a basic ramipril formulation wherein the ramipril is in the form of a ramipril salt.
- the ramipril is in the form of a ramipril salt.
- at least 50% of the ramipril is in the form of a ramipril salt.
- dosage forms that can be used for the oral administration of ramipril are anticipated.
- dosage forms include suspensions, solutions, tablets (chewable, dispersible and conventional), capsule formulations, multiparticulate formulations and formulations adapted to control the release of the drug from the oral dosage form, a so called sustained release formulation.
- Solid formulations according to the invention preferably give a pH of greater than 7 when made up as a 1% solution in water. Any formulations having this property are said to be basic. Liquid formulations according to the invention preferably have a pH greater than 7.
- the altered degradation pathway is beneficial in the case of ramipril formulations because the product of the altered degradation pathway is an active metabolite of the drug. Degradation over time to other (inactive) products can thus be minimised.
- the invention preferably provides ramipril formulations that display altered degradation pathway to the active metabolite ramiprilat, rather that the inactive diketopiperazine.
- the "altered degradation pathway” may be obtained or promoted by the inclusion of stabilisers in the formulation that makes the pH of a 1% solution in water basic in pH, i.e. greater than pH 7.
- Preferred formulations according to the invention give a pH of greater than 7.5, more preferably greater than pH 8.
- Liquid formulations according to the invention preferably have a pH of greater than 7.5, more preferably greater than pH 8.
- stabiliser means any material that by its inclusion will render the pH of a 1% solution of the formulation basic.
- stabilisers include carbonate salts, amino acids with basic side chains, and amines, although many suitable “stabilisers” will be known to those of skill in the art.
- Preferred formulations according to the invention include citrate, carbonate salts, arginine, and ethanolamine, ethanolamine being particularly useful for liquid formations.
- Other examples of “stabilisers” include sodium lauryl sulphate, talc, magnesium stearate, sodium carbonate, sodium bicarbonate, calcium carbonate and salts.
- the present invention also relates to a ramipril formulation that demonstrates substantially no degradation to ramipril diketopiperazine during storage.
- substantially all degradation taking place during storage is to ramiprilat.
- the formulations of the invention may contain any suitable pharmaceutical excipients such as binders, coatings, sweeteners, surfactants, lubricants, glidants, fillers, other active ingredients, colorants and any other excipients or additives known to those in the art.
- suitable pharmaceutical excipients such as binders, coatings, sweeteners, surfactants, lubricants, glidants, fillers, other active ingredients, colorants and any other excipients or additives known to those in the art.
- Formulations of the invention may contain buffers that keep the pH of the formulation within an alkaline range even in the presence of significant amounts of acid.
- the formulations of the invention help to ensure that patients treated using said formulations receive the dose of ramipril (or ramiprilat) intended by the prescribing physician.
- Formulations according to the invention also offer extended shelf lives. Because the efficacy of treatment does not decrease as the formulations of the invention age (or at least decreases at a vastly reduced rate when compared to known formulations) less wastage of expired medicaments occurs. There is, therefore, a concomitant reduction in unit cost for medicaments according to the invention over previously known formulations.
- Preferred formulations according to the invention give degradation to ramipril diketopiperazine during storage at 25°C and 60% RH for 3 months of less than 1%, more preferably less than 0.5%.
- the present invention also provides a method for treating or preventing a disease in a mammal selected from the group consisting of hypertension, heart failure, stroke, myocardial infarction, diabetes and cardiovascular disease or for reducing the risk of further strokes, heart attacks and cognitive impairment among stroke patients comprising administering to a mammal in need of such treatment a formulation according to the present invention.
- the mammal is preferably human, but can also be a non-human animal.
- the present invention also provides the use of a formulation according to the present invention in the manufacture of a medicament for the treatment of hypertension, heart failure, stroke, myocardial infarction, diabetes and cardiovascular disease or for reducing the risk of further strokes, heart attacks and cognitive impairment among stroke patients.
- the medicament is in the form of a capsule or, in particular, a tablet.
- liquid formulations such as suspensions and syrups.
- this invention provides a therapeutic package suitable for commercial sale, comprising a container, a ramipril formulation according to the invention, and, associated with said container, notice advising of extended shelf life.
- ramipril may be administered alone or in combination with other therapeutic agents.
- ramipril is co-administered with a diuretic agent, preferably the diuretic is selected from hydrochlorothiazide or piretanide.
- Ramipril is typically present in formulations according to the invention in an amount of from about 1.25 mg to about 10 mg. Other formulations may have 2.5 mg or 5 mg per tablet. The amount of active can be adjusted to be outside these limits depending, for example, on the size of the animal subject being treated (e.g., a horse).
- the term 'Ramipril' includes all the pharmaceutically acceptable versions thereof, e.g. salts, esters, clathrates thereof, and also anhydrous as well as hydrated forms.
- formulations herein may be varied, that is additions and replacement of ingredients with equivalents may be made, without departing from the scope of the invention as herein claimed.
- the formulation mentioned may advantageously contain citrate salts in place of carbonates and bicarbonates whilst retaining the extended shelf life.
- Table 1 Stability of starch/ramipril blend in a capsule
- the impurity levels reported in the examples above are the levels of impurity when stored in bottles for 14 days at 40 0 C 75 % relative humidity, with the exception of formulation 4 which was stored for 1 month at the same conditions.
- wet granulation is used to formulate basic formulations according to the invention to ensure that the principle degradation product is ramiprilat.
- Samples of the granule produced were filled into 60ml HDPE bottles with 33mm necks and a screw caps and placed on stability at 4O 0 C 75% RH.
- the ramipril raw material used was commercially sourced from Neuland.
- the related substances were determined at the time points specified using the standard methods of analysis for this drug.
- Capsule Data were manufactured as part of a development campaign at Cobalt Canada.
- the formulation needs to be alkaline to ensure that the ramiprilat is formed in an aqueous environment.
- Formulations with dibasic calcium phosphate are less stable than formulations that use alternative calcium salts, such as calcium sulphate & calcium carbonate
- formulation C • The stability of the product is sensitive to increases in the bicarbonate levels rather than calcium carbonate levels as formulation C is more stable when compared with formulation B.
- Formulation C has a higher percentage of sodium bicarbonate and a lower percentage levels with respect to ramipril.
- Stabilising agents of choice were Sodium Bicarbonate, Arginine, and Sodium Carbonate.
- Stabilising agents of choice were Sodium Bicarbonate, Arginine, and Sodium Carbonate.
- ramiprilat is the principal degradant, with the exception of formulation M where arginine was low in concentration relative to ramipril and lactose was the diluent and formulation J where the product was wet granulated after 14 days with a high diketopiperazine value at granulation stage and lactose was the diluent.
- Formulations were manufactured with the buffer sodium citrate, which buffers to a pH around 7.8 (see Table 8).
- Table 8 Formulations of Ramipril tablets containing increasing concentration of Sodium Citrate.
- Ramiprilat is not the principle degradant when the alkali is replaced by a buffer.
- Ramiprilat is the principal degradant when alkaline substances are added, such as arginine, sodium bicarbonate and sodium carbonate.
- the ratio of the alkaline substance used to stabilise ramipril is important with regard to degradation pathway, the total impurity levels detected on stability, and the extent of the suppression of the diketopiperazine impurity level: it is preferred to have an excess.
- the diluents calcium sulphate and calcium carbonate are preferred to dibasic calcium phosphate and lactose.
- ramipril reacts with the alkaline substances to form a salt in situ.
- the sodium or arginate component of the salt prevents by steric hindrance the degradation pathway to the diketopiperazine.
- the levels of alkali agents are preferably in excess of the molar concentration required to form a stoichiometric salt of ramipril.
- Granulation process involves the mixing of a number of ingredients and some of these ingredients will dissolve in water used for granulation. The granulation solvent in the powder mix will therefore be a complex solution. Excess alkali is used to ensure that the salt is formed in situ. Separately from the manufacturing process, the end formulation preferably has excess alkali, to maintain ramipril in the salt form.
- Calcium sulphate and calcium carbonate are preferred excipients, because the microenvironment of the granule, the surface of the material will be alkaline, whereas the microenvironment for lactose and surprisingly dibasic calcium phosphate is acidic.
- the product utilises sodium bicarbonate as the stabilising agent and calcium sulphate as the major diluent.
- Calcium sulphate has an advantage over other excipients in that it can absorb water into its structure through the formation of complex hydrates, reducing the amount of free water available for the hydrolysis reaction. Absolute low moisture content is not essential for achieving adequate stability for the product.
- the preferred formulations are stable with up to 8% moisture being detected.
- the invention thus provides conditions preferred for producing a tablet of ramipril that is stable over its shelf life and where the principal degradant is the "active" metabolite/ compound ramiprilat, and manufactures the product in such a way that a salt of ramipril is formed and/or maintained in situ, by reacting or combining the acid component of ramipril with a suitable alkaline.
- the invention thus provides stable ramipril-containing formulations together with methods for the manufacture thereof.
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Abstract
L'invention concerne une préparation pharmaceutique contenant du ramipril essentiellement sous la forme d'un sel de ramipril, cette préparation étant tamponnée à un pH basique. Le ramipril dans la préparation se dégrade de préférence en diacide ou en ramiprilate plutôt qu'en dicétopipérazine.
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB0521529A GB0521529D0 (en) | 2005-10-21 | 2005-10-21 | Ramipril formulation |
| GB0522047A GB2431579A (en) | 2005-10-28 | 2005-10-28 | Ramipril formulations |
| US11/273,575 US20070259941A1 (en) | 2005-10-28 | 2005-11-15 | Ramipril formulation |
| US11/508,916 US20070098782A1 (en) | 2005-10-28 | 2006-08-24 | Ramipril Formulation |
| PCT/GB2006/003927 WO2007045907A2 (fr) | 2005-10-21 | 2006-10-23 | Preparation de ramipril presentant une stabilite accrue |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP1937220A2 true EP1937220A2 (fr) | 2008-07-02 |
Family
ID=37909496
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP06794863A Ceased EP1937220A2 (fr) | 2005-10-21 | 2006-10-23 | Preparation de ramipril presentant une stabilite accrue |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP1937220A2 (fr) |
| AU (1) | AU2006303068A1 (fr) |
| WO (1) | WO2007045907A2 (fr) |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030215526A1 (en) * | 2002-03-08 | 2003-11-20 | Scott Stofik | Stable formulations of angiotensin converting enzyme (ACE) inhibitors |
| US6869963B2 (en) * | 2003-07-11 | 2005-03-22 | Sandoz Ag | Stable pharmaceutical compositions containing an ACE inhibitor |
| EA011862B1 (ru) * | 2004-03-24 | 2009-06-30 | Актавис Груп Хф. | Композиции рамиприла |
| GB2431579A (en) * | 2005-10-28 | 2007-05-02 | Arrow Int Ltd | Ramipril formulations |
-
2006
- 2006-10-23 WO PCT/GB2006/003927 patent/WO2007045907A2/fr not_active Ceased
- 2006-10-23 EP EP06794863A patent/EP1937220A2/fr not_active Ceased
- 2006-10-23 AU AU2006303068A patent/AU2006303068A1/en not_active Abandoned
Non-Patent Citations (1)
| Title |
|---|
| See references of WO2007045907A3 * |
Also Published As
| Publication number | Publication date |
|---|---|
| AU2006303068A1 (en) | 2007-04-26 |
| WO2007045907A2 (fr) | 2007-04-26 |
| WO2007045907A3 (fr) | 2007-08-30 |
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