JP2017531026A - 徐放性乱用抑止性液体充填剤形 - Google Patents
徐放性乱用抑止性液体充填剤形 Download PDFInfo
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Abstract
Description
本明細書で使用する「活性物質」又は「乱用されやすい活性物質」という用語は、潜在的に乱用されやすい任意のオピオイド又はオピオイド関連化合物を意味する。活性物質としては、アルフェンタニル、アリルプロジン、アルファプロジン、アニレリジン、ベンジルモルヒネ、ベジトラミド、ブプレノルフィン、ブトルファノール、クロニタゼン、コデイン、シクラゾシン、デソモルヒネ、デキストロモラミド、デゾシン、ジアンプロミド、ジヒドロコデイン、ジヒドロモルヒネ、ジメノキサドール、ジメフェプタノール、ジメチルチアンブテン、ジオキサフェチルブチレート、ジピパノン、エプタゾシン、エトヘプタジン、エチルメチルチアンブテン、エチルモルヒネ、エトニタゼン、フェンタニル、ヘロイン、ヒドロコドン、ヒドロモルホン、ヒドロキシペチジン、イソメタドン、ケトベミドン、レバロルファン、レボフェナシルモルファン、レボルファノール、ロフェンタニル、メペリジン、メプタジノール、メタゾシン、メタドン、メトポン、モルヒネ、ミロフィン、ナルブフィン、ナルセイン、ニコモルヒネ、ノルピパノン、オピウム、オキシコドン、オキシモルホン、パプブレタム、ペンタゾシン、フェナドキソン、フェナゾシン、フェノモルファン、フェノペリジン、ピミノジン、プロピラム、プロポキシフェン、スフェンタニル、チリジン、トラマドール、タペンタドール、並びにこれらの薬学的に許容される塩及び混合物を挙げることができるが、これらに限定されない。
放出制御剤は、Compritol(登録商標)ATO888(グリセリルベヘネート)、Compritol(登録商標)HD5 ATO(ベヘノイルポリオキシルグリセリド)、Geleol(商標)モノ及びジグリセリド(グリセロールモノステアレート)、Gelucire(登録商標)33/01(C8〜C18飽和脂肪酸のグリセロールエステル)、Gelucire(登録商標)39/01及び43/01(C12〜C18飽和脂肪酸のグリセロールエステル)、Gelucire(登録商標)44/14(ラウロイルポリオキシルグリセリド/PEG−32グリセリルラウレート)、Gelucire(登録商標)50/13(ステアロイルポリオキシルグリセリド)、Gelucire(登録商標)53/10(PEG−32グリセリルステアレート)、Gelucire(登録商標)62/02(飽和ポリグリコール化グリセリド)、Precirol(登録商標)ATO5(グリセロールジステアレート/グリセリルパルミトステアレート)又はSuppocire(登録商標)ペレット(硬化油脂)からなる群から選択される化合物を含み得る。
第2の薬剤は、ヒドロキシプロピルメチルセルロース(HPMC)、ポリ酢酸ビニル、ポリビニルピロリドン、セルロースエーテル、セルロースエステル、アクリル樹脂及びこれらの誘導体、並びにこれらの組合せからなる群から選択され得る。特に、第2の薬剤は、エチルセルロース、ヒドロキシプロピルメチルセルロース、ヒドロキシプロピルセルロース、ヒドロキシメチルセルロース、ポリ(メタ)アクリル酸、ポリビニルピロリドン及びこれらの誘導体、例えば、これらの塩、アミド又はエステル、並びにこれらの組合せから選択され得る。
本開示の組成物は、1種以上のポリエチレングリコールも含有し得る。いくつかの実施形態において、PEGは、3000、3050、3100、3150、3200、3250、3300、3350、3400、3450、3500、3550、3600、3650、3700、3750、3800、3850、3900、3950又は4000ダルトンの平均分子量を有する。これらの値のいずれかを使用して、第2のPEGの平均分子量の範囲を規定できる。例えば、PEGは、約3100ダルトン〜約3900ダルトン、約3200ダルトン〜約3800ダルトン、約3300ダルトン〜約3700ダルトン、約3400ダルトン〜約3600ダルトン、約3000ダルトン〜約3200ダルトン、約3200ダルトン〜約3400ダルトン、約3600ダルトン〜約3800ダルトン又は約3800ダルトン〜約4000ダルトンの平均分子量を有し得る。
組成物は1種以上の染料も含み得る。染料は、乱用者に静脈内注射を思いとどまらせることにより、乱用を抑止するのに有用である。例えば、活性成分と共に染料が抽出されると、乱用者に静脈内注射を思いとどまらせる着色溶液になる。したがって、ある種の実施形態において、染料は抽出及び注射による乱用を減少させる。染料は、医薬製剤での使用に適しているか、又はこのような使用についてFDAに承認された公知の染料から選択され得る。例えば、染料はFD&C青色2号又はPEG中のFD&C青色2号の50/50重量%溶液であり得る。別の実施形態において、染料は、FD&C青色1号、FD&C黄色6号及びFD&C赤色40号を含む灰色染料であり得る。染料は、90%PEG3350ブレンドであってもよい。ある種の実施形態において、染料ブレンド14mg又は濃縮染料約1.4mgを、各カプセルに使用する。ある種の実施形態において、灰色染料は、視覚的抑止性があり、不透明であるため用いられる。剤形は、染料を約0.10重量%、0.20重量%、0.30重量%、0.40重量%、0.50重量%、1重量%、2重量%、3重量%、4重量%、5重量%、6重量%、7重量%、8重量%、9重量%、10重量%、11重量%、12重量%、13重量%、14重量%、15重量%、16重量%、17重量%、18重量%、19重量%、又は20重量%含み得る。これらの値のいずれかを使用して、染料の重量%の範囲を規定できる。例えば、剤形は、染料を約0.10重量%〜約15重量%含有し得る。特に、剤形は、染料を約0.20重量%〜約1.5重量%、約0.50重量%〜約1.0重量%、又は約7重量%〜約14重量%含有し得る。ある種の実施形態において、剤形は、染料を約1mg、1.4mg、2mg、3mg、4mg、5mg、6mg、7mg、8mg、9mg、10mg、11mg、12mg、13mg、14mg、15mg、16mg、17mg、18mg、19mg、20mg、21mg、22mg、23mg、24mg、25mg、26mg、27mg、28mg、29mg又は30mg含み得る。別の実施形態において、本開示の剤形は、染料を除外する。
組成物は保存料又は抗酸化剤も含み得る。保存料又は抗酸化剤は、乱用抑止性剤形の分解又は劣化を減少又は制限する。剤形への保存料又は抗酸化剤の添加は、剤形の保存寿命にわたって活性物質の早期分解を防止するために必要であり得る。
経口投与されるオピオイド鎮痛剤の乱用の最も一般的な手段の一つは、剤形からの活性物質の迅速な送達を実現するために、経口剤形を操作することを含む。徐放性製剤に関しては、乱用者は、6〜12時間かけて送達されることが元々意図された活性物質を即時放出させるために剤形を操作しようとする。これは、粒径の減少又は溶媒の使用により利用され得る「用量ダンピング」と称される、乱用者がとる一般的な方法である。用量ダンピングにより、意図されたレベルよりも高いレベルの活性物質が体内に即時放出され、その結果、陶酔感が高まる。乱用に有効な手段として用いられる物理的操作、例えば、咀嚼、粉砕又は粉末化のためには、元の剤形を操作して、薬物の粒径を減少させ、それを効果的に吹送及び/又は嚥下できるようにする必要がある。伝統的に、剤形の粒径を減少させることにより、溶液又は溶媒が作用し得る表面積が増加するので、溶出速度が上昇する。物理的操作による乱用を防止する一つの方法は、粒径に関わらず同様の速度で溶解するマトリックス中に、乱用されやすい活性物質を捕える方法である。これは、一度に得られる活性物質の量を制限することで、乱用者が高い陶酔感を得るのを阻止する。いくつかの実施形態において、本開示の製剤は、粒径に関わらず徐放性プロファイルを維持する。得られる活性物質の迅速な発現におけるこの遅延は、経口、経鼻及び静脈内経路による乱用を減少させると考えられる。
本開示の乱用抑止性組成物は、活性物質の徐放を可能にする。剤形は、少なくとも1種の活性物質の徐放性プロファイルを示す組成物になるように製造され得る。本明細書で使用する「徐放性」とは、活性物質又はその薬学的に許容される塩を、使用者の消化管内に6〜12時間かけて放出する剤形を示す。特に、活性物質は、6〜12時間連続して放出される。一実施形態において、模擬胃液への曝露により剤形から6〜12時間以内に放出される活性物質、例えば、オキシコドンHClの量は、約85%である。本開示の製剤は、徐放性活性物質について参考文献に列挙された薬物と一致する徐放性プロファイルを示す。
別の実施形態において、本開示は、乱用されやすい少なくとも1種の活性物質、放出制御剤、並びに第2の薬剤及び/又はPEGを含む均質化懸濁液を調製することを含む、経口用徐放性乱用抑止性剤形を製造する方法に関する。PEGは、約3000ダルトン〜約4000ダルトンの平均分子量を有し得る。放出制御剤は、70℃以下の融解温度を有し得る。第2の薬剤は100℃以上の融解温度を有し得る。方法は、均質化懸濁液をカプセルに分配して、剤形を製造することをさらに含み得る。いくつかの実施形態において、カプセルは、カプセル本体とカプセルキャップとを結合することにより形成される。本明細書に記載の方法のいくつかの実施形態において、活性物質はヒドロコドンである。他の実施形態において、活性物質はオキシコドンHClである。ある種の実施形態において、本開示の乱用抑止性剤形はカプセルである。本開示の乱用抑止性剤形は、液体充填カプセル化により製造され得る。液体充填カプセル化は、医薬品有効成分を、担体マトリックス中に懸濁又は乳化して、カプセルに充填する方法である。カプセルは、硬ゼラチン又はヒドロキシプロピルメチルセルロースで通常作られる。この剤形の利点の一つは、他の従来の圧縮固体剤形よりも必要とされる賦形剤及び処理工程が少ないことである。内側の固相の医薬品有効成分(例えば、オキシコドン又はヒドロコドン)を、外側の流体相(例えば、ステアロイルポリオキシルグリセリド及び/又はPEG)中に懸濁してもよい。一実施形態において、ステアロイルポリオキシルグリセリドは、硬ゼラチンカプセルの融点未満(<70℃)の温度で融解し、室温で固体である熱可塑性プラスチックであるため、液体充填カプセルに用いられる。充填材料が室温で液体である場合、バンド法を行う必要がある。この方法では、漏出を防ぐために、2つのカプセルの先端が結合し、統合されたカプセル体を形成する場所にゼラチンバンドが添加される。いくつかの実施形態において、本開示の製剤はバンドを含み得る。
PEGを含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
ステアロイルポリオキシルグリセリド又はC12〜18飽和脂肪酸のグリセロールエステル、及びPEG3350を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセルを調製し、オキシコドンの放出プロファイルを決定した。カプセルを以下の例示的手順を用いて調製した。ステアロイルポリオキシルグリセリド又はC12〜18飽和脂肪酸のグリセロールエステル、PEG3350及び灰色染料を熱板上の150mLのステンレス製カップに入れ、撹拌せずに窒素ブランケット下で完全に融解させた。融解したら、クエン酸及びオキシコドンHCl(及び、存在する場合、他の成分)を徐々に添加し、混合した。70℃の必要最低融解温度に達したら、融解物を、Silversonホモジナイザーを用いて、設定5で、窒素ブランケット下で最低10分間均質化した。均質化後、融解物を<75℃まで冷却させた。金属スパチュラを用いて、カプセルに重量まで手で充填した。融解物を熱板に残し、液体状態を維持した。充填したカプセル及び残りの融解物を冷却させ、良好なカプセル及び廃棄物の重量を記録した。表3に、調製した製剤を列挙する。
表3のオキシコドン塩酸塩徐放性ADF液体充填カプセルを溶出について試験した。オキシコドン塩酸塩徐放錠についてUSPモノグラフを参照して溶出試験を行った。媒体として模擬胃液(酵素なし)900mL及びバスケット速度100rpmで、USP<711>装置I(バスケット)を利用する溶出装置で、これらの試験を行った。各評価時点で試料1.5mLを採取し、HPLC分析にかけた。HPLC条件をUSPモノグラフから修正し、オキシコドンHClの放出を観察した。HPLC条件は以下の通りであった:注入体積30μL(オキシコドン)、流速1.7mL/分(オキシコドン)、検出:225nmUV(オキシコドン)、カラム温度25℃、オートサンプラー温度:常温、勾配:アイソクラティック及びランタイム:5分。溶出試験の規格を表1及び2に示す。放出プロファイルを表4に示す。
HPMCを含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
PEGの代わりにHPMCを含有する追加の製剤を評価して、活性放出プロファイルに対するHPMCの効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表5に示す。放出プロファイルを表6に示す。
HPMC及びPEG35000を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
HPMC及びPEG35000を含有する追加の製剤を評価して、放出プロファイルに対するHPMC及びPEG35000の効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表7に示す。放出プロファイルを表8に示す。
HPMC及びPEG3350を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
HPMC及びPEG3350を含有する追加の製剤を評価して、放出プロファイルに対するHPMC及びPEG3350の効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表9に示す。放出プロファイルを表10に示す。
HPMC及びPEG3350を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
増加量のHPMCを含有する追加の製剤を評価して、放出プロファイルに対する増加量のHPMCの効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表11に示す。放出プロファイルを表12に示す。
PVP又はPEG3350を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
PVP又はPEG3350を含有する追加の製剤を評価して、放出プロファイルに対する効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表15に示す。放出プロファイルを表16に示す。
染料の評価
様々な染料を、静脈内乱用を抑止するその可能性について評価した。様々な濃度のFD&C青色2号、緑色(FD&C青色2号及びFD&C黄色5号)、FD&C黄色5号、FD&C赤色40号及び灰色染料(FD&C青色1号、FD&C黄色6号、FD&C赤色40号)を、95%エタノール5%精製水(190プルーフ)の溶液に溶解し、溶液をシリンジフィルターに通すことにより評価した。シリンジ濾過後、染料溶液を色強度について目視評価し、0は無色を示し、5は暗く際立った色を示す、0〜5のスケールで採点した。以下の表15に示すように、青色及び緑色染料は、低い濃度、例えば、0.25重量/重量%で最も高い色強度を示した。濾過前後の灰色染料溶液を図2A及び2Bに各々示す。灰色染料は特に目立ち、魅力に欠ける。染料の抽出後の許容される色スケールは、5が色の最高レベルである1〜5のスケールで≧4で指定される。
オキシコドン徐放性液体充填カプセル製剤の乱用抑止特性
粉砕−徐放性剤形の粉砕又は咀嚼の目的は、剤形の徐放特性を破壊し、活性物質の「ダンピング」又は比較的短時間での放出を引き起こすことである。これは、乱用者により操作される装置がほとんど又は全く不要であるため、乱用の一般的方法である。咀嚼又は粉砕したら、薬物を、嚥下又は吹送して、活性物質を即時放出することができる。
ステアロイルポリオキシルグリセリドを含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
ステアロイルポリオキシルグリセリドを含有する追加の製剤を評価して、放出プロファイルに対する効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表22に示す。放出プロファイルを表23に示す。
HPMC及びPEG3350を含む、オキシコドン塩酸塩徐放性ADF液体充填カプセル
ステアロイルポリオキシルグリセリド、HPMC及びPEG3350を含有する追加の製剤を評価して、放出プロファイルに対する効果を決定した。製剤を実施例1と同じ手順を用いて調製した。製剤を表24に示す。放出プロファイル及び粘度を表25及び26に示す。
Claims (30)
- (a)乱用されやすい活性物質、
(b)約70℃以下の融解温度を有する放出制御剤、及び
(c)約100℃以上の融解温度を有する第2の薬剤、又は
(d)約3000ダルトン〜約4000ダルトンの平均分子量を有するポリエチレングリコール
を含む、徐放性乱用抑止性カプセル。 - 乱用されやすい活性物質、約70℃以下の融解温度を有する放出制御剤、及び約100℃以上の融解温度を有する第2の薬剤を含む、請求項1に記載のカプセル。
- 乱用されやすい活性物質、約70℃以下の融解温度を有する放出制御剤、及び約3000ダルトン〜約4000ダルトンの平均分子量を有するポリエチレングリコールを含む、請求項1に記載のカプセル。
- 放出制御剤が、グリセリルベヘネート、ベヘノイルポリオキシルグリセリド、グリセロールモノステアレート、C8〜C18飽和脂肪酸のグリセロールエステル、C12〜C18飽和脂肪酸のグリセロールエステル、ラウロイルポリオキシルグリセリド/PEG−32グリセリルラウレート、ステアロイルポリオキシルグリセリド、PEG−32グリセリルステアレート、飽和ポリグリコール化グリセリド、グリセロールジステアレート/グリセリルパルミトステアレート及び硬化油脂からなる群から選択される、請求項1に記載のカプセル。
- 第2の薬剤が、ヒドロキシプロピルメチルセルロース、ポリビニルアルコール、ポリビニルピロリドン、セルロースエーテル、セルロースエステル及びアクリル樹脂からなる群から選択される、請求項1に記載のカプセル。
- 放出制御剤が、ステアロイルポリオキシルグリセリドである、請求項1に記載のカプセル。
- 第2の薬剤が、ポリビニルピロリドンである、請求項1に記載のカプセル。
- 放出制御剤が、カプセルの約15重量%〜約70重量%である、請求項1に記載のカプセル。
- 第2の薬剤が、カプセルの約5重量%〜約20重量%である、請求項1に記載のカプセル。
- ポリエチレングリコールが、カプセルの約10重量%〜約40重量%である、請求項1に記載のカプセル。
- 活性物質が、ヒドロコドンである、請求項1に記載のカプセル。
- 活性物質が、オキシコドンHClである、請求項1に記載のカプセル。
- 活性物質が、オキシモルホンHClである、請求項1に記載のカプセル。
- 活性物質が、ヒドロモルホンHClである、請求項1に記載のカプセル。
- 染料をさらに含む、請求項1に記載のカプセル。
- 染料が、FD&C青色1号、FD&C黄色6号及びFD&C赤色40号を含む、請求項15に記載のカプセル。
- 染料が、抽出及び注射による乱用を減少させる、請求項15に記載のカプセル。
- カプセルが、活性物質を少なくとも約2.5重量%含む、請求項1に記載のカプセル。
- カプセルが、活性物質、放出制御剤、第2の薬剤又はポリエチレングリコールを含む加熱均質化懸濁液をカプセル本体に充填することにより調製される、請求項1に記載のカプセル。
- カプセルが、活性物質を約10mg、約20mg、約40mg又は約80mg含み、活性物質の徐放性を示す、請求項1に記載のカプセル。
- カプセルの内容物が、40℃/相対湿度75%で固体である、請求項1に記載のカプセル。
- (a)
(i)乱用されやすい少なくとも1種の活性物質、
(ii)約100℃以下の融解温度を有する放出制御剤、及び
(iii)約100℃以上の融解温度を有する第2の薬剤、又は
(iv)約3000ダルトン〜約4000ダルトンの平均分子量を有するポリエチレングリコール
を含む、均質化懸濁液を調製すること、
(b)前記均質化懸濁液をカプセル本体に分配して、カプセルを製造すること
を含む、乱用されやすい少なくとも1種の活性物質を含む徐放性乱用抑止性カプセルを製造する方法。 - 放出制御剤が、ステアロイルポリオキシルグリセリドである、請求項22に記載の方法。
- 第2の薬剤が、ポリビニルピロリドンである、請求項22に記載の方法。
- 活性物質が、ヒドロコドンである、請求項22に記載の方法。
- 活性物質が、オキシコドンHClである、請求項22に記載の方法。
- 活性物質が、オキシモルホンHClである、請求項22に記載の方法。
- 活性物質が、ヒドロモルホンHClである、請求項22に記載の方法。
- カプセルが、カプセル本体とカプセルキャップとを結合することにより形成される、請求項22に記載の方法。
- 治療有効量の請求項1に記載のカプセルを、それを必要とする対象に投与することを含む、疼痛の治療方法。
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| PCT/US2015/056458 WO2016064873A1 (en) | 2014-10-20 | 2015-10-20 | Extended release abuse deterrent liquid fill dosage form |
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2015
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- 2015-10-20 EP EP15852848.9A patent/EP3209282A4/en not_active Withdrawn
- 2015-10-20 CA CA2964628A patent/CA2964628A1/en not_active Abandoned
- 2015-10-20 JP JP2017521106A patent/JP2017531026A/ja active Pending
- 2015-10-20 US US14/918,112 patent/US20160106737A1/en not_active Abandoned
- 2015-10-20 WO PCT/US2015/056458 patent/WO2016064873A1/en not_active Ceased
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2016
- 2016-06-07 US US15/175,377 patent/US10959958B2/en not_active Expired - Fee Related
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Also Published As
| Publication number | Publication date |
|---|---|
| US20170020822A1 (en) | 2017-01-26 |
| AU2015336065A1 (en) | 2017-05-04 |
| CA2964628A1 (en) | 2016-04-28 |
| US20160106737A1 (en) | 2016-04-21 |
| EP3209282A4 (en) | 2018-05-23 |
| EP3209282A1 (en) | 2017-08-30 |
| US10959958B2 (en) | 2021-03-30 |
| WO2016064873A1 (en) | 2016-04-28 |
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