WO2011120903A2 - A fast dissolving pharmaceutical composition - Google Patents

A fast dissolving pharmaceutical composition Download PDF

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Publication number
WO2011120903A2
WO2011120903A2 PCT/EP2011/054698 EP2011054698W WO2011120903A2 WO 2011120903 A2 WO2011120903 A2 WO 2011120903A2 EP 2011054698 W EP2011054698 W EP 2011054698W WO 2011120903 A2 WO2011120903 A2 WO 2011120903A2
Authority
WO
WIPO (PCT)
Prior art keywords
pharmaceutical composition
active ingredient
composition according
matrix
solvent
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
Application number
PCT/EP2011/054698
Other languages
French (fr)
Other versions
WO2011120903A3 (en
Inventor
Varinder Ahuja
Tejas Gunjikar
Kristin Wannerberger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ferring BV
Original Assignee
Ferring BV
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to ES11711526.1T priority Critical patent/ES2553568T3/en
Priority to CA2793405A priority patent/CA2793405A1/en
Priority to US13/638,121 priority patent/US10086078B2/en
Priority to HK13108936.5A priority patent/HK1181649B/en
Priority to MX2012011204A priority patent/MX2012011204A/en
Priority to PL11711526T priority patent/PL2552403T3/en
Priority to JP2013501779A priority patent/JP5907945B2/en
Priority to DK11711526.1T priority patent/DK2552403T3/en
Priority to BR112012024428A priority patent/BR112012024428A2/en
Priority to EP11711526.1A priority patent/EP2552403B1/en
Priority to KR1020127027215A priority patent/KR101725173B1/en
Application filed by Ferring BV filed Critical Ferring BV
Priority to RU2012141141/15A priority patent/RU2566270C2/en
Priority to CN2011800171635A priority patent/CN102821755A/en
Priority to NZ602441A priority patent/NZ602441A/en
Priority to AU2011234636A priority patent/AU2011234636B2/en
Publication of WO2011120903A2 publication Critical patent/WO2011120903A2/en
Publication of WO2011120903A3 publication Critical patent/WO2011120903A3/en
Priority to IL222086A priority patent/IL222086A/en
Priority to ZA2012/07176A priority patent/ZA201207176B/en
Anticipated expiration legal-status Critical
Priority to US16/115,650 priority patent/US10512695B2/en
Ceased legal-status Critical Current

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Classifications

    • 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
    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/425—Thiazoles
    • A61K31/426—1,3-Thiazoles
    • 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
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445—Non condensed piperidines, e.g. piperocaine
    • A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/4545—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a six-membered ring with nitrogen as a ring hetero atom, e.g. pipamperone, anabasine
    • 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
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47—Quinolines; Isoquinolines
    • 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
    • A61K38/08—Peptides having 5 to 11 amino acids
    • A61K38/095—Oxytocins; Vasopressins; Related peptides
    • 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
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056—Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • 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
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00—Drugs for disorders of the respiratory system
    • A61P11/02—Nasal agents, e.g. decongestants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00—Drugs for disorders of the respiratory system
    • A61P11/06—Antiasthmatics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00—Drugs for disorders of the urinary system
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2250/00—Food ingredients
    • A23V2250/50—Polysaccharides, gums
    • A23V2250/502—Gums
    • A23V2250/5062—Inulin
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07K—PEPTIDES
    • C07K7/00—Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/50—Cyclic peptides containing at least one abnormal peptide link

Definitions

  • the subject invention relates to fast dissolving pharmaceutical compositions, to methods of making them and to their use in the treatment and prophylaxis of diseases in mammals, particularly humans.
  • a drug may physically be trapped in a matrix composed of e.g. mannitol and fish gelatin (EP 1501534; EP1165053), modified starch (US6509040), pullulan in combination with an amino acid (EP1803446), or maltodextrin in combination with sorbitol (US2004/0228919).
  • the solution, suspension or dispersion of the drug and the carrier material may be filled into blister cavities, frozen and thereafter lyophilized. As any product of technology at all times, also the latter can still be improved upon.
  • the subject invention provides an improved fast-dispersing dosage form.
  • the subject invention provides a new fast dissolving oral pharmaceutical composition typically in a unit dosage form, typically an oral lyophilisate (also named orally disintegrating tablet).
  • the present invention provides a pharmaceutical composition comprising an open matrix network carrying a pharmaceutically active ingredient, wherein the open matrix network is comprised of inulin.
  • the present invention provides a pharmaceutical composition comprising a matrix carrying a pharmaceutically active ingredient, the matrix rapidly disintegrating upon contact with an aqueous solution or with saliva, said matrix comprising inulin.
  • the pharmaceutical composition of the invention is unique in that it has a rapid dissolution in aqueous medium or in saliva, in particular the composition rapidly disintegrates when taken orally.
  • the disintegration in an aqueous medium or in the oral cavity upon consumption is typically within less than 10 seconds, and at times less than 9, 8, 7, 6, 5, 4, 3, 2 or even 1 seconds.
  • the subject invention provides a pharmaceutical composition
  • a pharmaceutical composition comprising a pharmaceutically active ingredient, having a rapid dissolution rate such that at least 80% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds.
  • 90% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds.
  • 100% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds.
  • the pharmaceutical composition of the invention may be obtained by subliming a solvent (e.g. water), for example in a freeze drying process, from a liquid preparation that comprises the active ingredient and the matrix forming agent(s) in solution.
  • a solvent e.g. water
  • unit dosage quantities of the liquid preparation that contain a defined amount of active ingredient are introduced into depressions and sublimation is then carried out thereby obtaining (after sublimation) a pharmaceutical composition in a unit dosage form.
  • the depressions may be those of an open blister pack and following the sublimation step, and thereby the formation of the solid unit dosage form of the composition in the depression, a sealing film or foil is placed over the depressions to form a sealed blister pack.
  • the invention thus provides a process for preparing a pharmaceutical composition that comprises subliming a solvent from a liquid preparation comprising a pharmaceutically active ingredient and inulin in the solvent.
  • the invention further provides a process for the preparation of a pharmaceutical composition
  • a process for the preparation of a pharmaceutical composition comprising (a) preparing a solution comprising inuiin and an active ingredient in a solvent; (b) freezing said solution; (c) subliming the solvent from the frozen solution, wherein the pharmaceutical composition so obtained is in fast- dispersing dosage form which disintegrates within 10 seconds upon contact with an aqueous solution or with saliva.
  • the subject invention provides a fast-dissolving, typically orodispersible, pharmaceutical composition, usually prepared and provided in unit dosage form, typically an oral lyophilisate, comprising an active ingredient and one or more excipients. At least one of the excipients, normally the main matrix forming agent, is the polysaccharide inulin.
  • active ingredient or “pharmaceutically active ingredient” will be used interchangeably herein.
  • composition and “composition” are interchangeably used herein to refer to a pharmaceutical composition of the invention.
  • unit dosage form or “dosage form” will be used herein to refer to said composition which is formulated with an amount of an active pharmaceutical ingredient (API) in a dose for administration as a single dose to a target individual.
  • API active pharmaceutical ingredient
  • the unit dosage form may be adapted, depending on the nature of the active ingredient, the indication, the disease stage and various other factors known per se for once, twice, thrice or any other number of daily administrations.
  • carrier should be understood to encompass any form of interaction between an active ingredient and the matrix that allows the matrix to hold and/or contain an amount of active ingredient and release it to the medium upon disintegration of the matrix.
  • matrix should be understood to denote a solid carrier medium for an active ingredient.
  • the matrix comprises one or more excipients.
  • the excipients that form the matrix may be referred to herein, at times, as “matrix forming agents” and each of said agents as “matrix forming agent”.
  • an open matrix network should be understood to encompass a matrix of water-soluble or water-dispersible carrier material having interstices dispersed throughout. The matrix rapidly disintegrates upon contact with an aqueous solution or with saliva.
  • inulin is the sole matrix forming agent in the composition.
  • one or more secondary matrix forming agents may be present in the composition.
  • Non-limiting examples of sugars, sugar alcohols, monosaccharides, disaccharides, trisaccharides, polysaccharides, proteins, amino acids, gums and the like, which are useful as secondary matrix forming agents include without limitation, mannitol, trehalose, raffmose, pullulan, inositol, sucrose, lactose, dextrose, erythritol, xylitol, lactitol, maltitol, isomalt, alanine, arginine, threonine, glycine, cysteine, serine, histidine, valine, proline, lysine, asparagine, glutamine, ribose, glucose, galactose, fructose, maltose, maltotriose, guargum, xanthan gum, tragacanth gum, veegum and so forth.
  • the balance of the formulation can be matrix.
  • the percentage of the inulin matrix can approach 100%
  • the amount of the secondary matrix forming agent useful in accordance with the present invention may range from about 0 to about 90%.
  • inulin is the main matrix forming agent.
  • the composition further comprises mannitol or raffinose or trehalose or combinations thereof as secondary matrix forming agent.
  • inulin is the matrix forming agent, comprising 10 - 99.99% out of the entire weight of the composition. In another embodiment, inulin comprises 30- 80% out of the entire weight of the composition. In yet another embodiment, inulin comprises 40-75% out of the entire weight of the composition. In yet another embodiment, inulin comprises 50-65% out of the entire weight of the composition.
  • mannitol or trehalose or raffinose or combinations thereof are used as secondary matrix forming agents, comprising 0 - 89.99% out of the entire weight of the composition.
  • these secondary matrix forming agents comprise 4-50% out of the entire weight of the composition, in another embodiment, these secondary matrix forming agents comprise 25-50% out of the entire weight of the composition.
  • a composition of the invention can be one comprising inulin as the main matrix- forming agent and mannitol or trehalose or raffinose (or combinations thereof) as a secondary matrix-forming agent, with inulin constituting 10 - 99.99% (all % of ingredient are w/w, meaning weight of mentioned ingredient out of the weight of all constituents of the composition combined), and the secondary matrix forming agent constituting 0 - 89.99%, typically 4-50%.
  • the content of the active ingredient may typically (but not exclusively) be up to 90% of the entire composition, typically in the range of about 0.01-80%) depending on the nature of the active ingredient. In one embodiment, the active ingredient comprises 0.01-1% out of the entire weight of the composition.
  • the active ingredient comprises 0.4-2% out of the entire weight of the composition. In yet another embodiment, the active ingredient comprises 10-25% out of the entire weight of the composition. In other embodiments, the active ingredient comprises 18-40% out of the entire weight of the composition. In yet other embodiments, the active ingredient comprises 60-90%» out of the entire weight of the composition.
  • the composition of the invention does not contain fish gelatin. In another embodiment, the composition of the invention does not contain a modified starch. In another embodiment, the composition of the invention does not contain pullulan in combination with an amino acid. In another embodiment, the composition of the invention does not contain maltodcxtrin in combination with sorbitol.
  • Disintegration Time and “Dissolution Time” are used interchangeably herein and should be understood to mean the time needed to dissolve or disintegrate the composition of the invention in an aqueous solution or with saliva within the oral cavity.
  • Oral dissolving Time as used herein should be understood to mean the time needed to dissolve the composition of the invention in the oral cavity.
  • Rapid/Fast disintegration/dissolution should be understood to encompass disintegration of at least 80% of the composition of the invention, typically 90% and more typically 100% of the composition in an aqueous medium or in saliva (in the oral cavity) within 10 seconds and at times even within 9, 8, 7, 6, 5, 4, 3, 2 or 1 second.
  • aqueous medium examples include water or a buffer (e.g. potassium dihydrogen phosphate, dipotassium hydrogen phosphate, sodium hydrogen phosphate) or artificial saliva as described by Morjaria et. al (May 2004), Dissolution Technologies 12 - 15.
  • a buffer e.g. potassium dihydrogen phosphate, dipotassium hydrogen phosphate, sodium hydrogen phosphate
  • artificial saliva as described by Morjaria et. al (May 2004), Dissolution Technologies 12 - 15.
  • Saliva refers to the saliva in the oral cavity of a mammal, in particular a human.
  • a pharmaceutical composition of the invention has a rapid dissolution rate such that at least 80% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds. In another embodiment, a pharmaceutical composition of the invention has a rapid dissolution rate such that at least 90% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds. In yet another embodiment, a pharmaceutical composition of the invention has a rapid dissolution rate such that 100% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds.
  • the open matrix network enables a liquid to enter the dosage form through the interstices and permeate through its interior.
  • Permeation by aqueous media (such as saliva, water, etc.) exposes the carrier material of both the interior and exterior of the dosage form to the action of the aqueous media whereby the network of carrier material is rapidly disintegrated.
  • the open matrix structure is of a porous nature and enhances disintegration of the dosage form as compared with ordinary solid shaped pharmaceutical dosage forms such as (granulated and compressed) tablets, pills, capsules, suppositories and pessaries. Rapid disintegration results in rapid release of the active ingredient carried by the matrix.
  • the carrier material of the open matrix network is inulin or a derivative thereof.
  • Inulin is a polymer of fructose C 6 H 12 O 6 typically having a terminal glucose.
  • Inulin is a polysaccharide with ⁇ -(2->1) linkages between the fructose rings where the numbers describe the carbon atoms in the fructose ring which are linked and the ⁇ describes the stereochemical relationship.
  • the inulins are produced by many type of plants.
  • Inulin as used herein should be understood to encompass inulin derived from any source such as but not limited to plants that contain high concentrations of inulin which include, but are not limited to Elecampane (Inula helenium); Dandelion (Taraxacum officinale) Wild Yam (Dioscorea spp.); Jerusalem artichokes (Helianthus tuberosus); Chicory (Cichorium iniybus); Jicama (Pachyrhizus erosus);Burdock (Arctium lappa);Omon (Allium cepa);Garlic (Allium sativum); Agave (Agave spp.); Yacon (Smallanthus sonchifolius spp.); and Camas (Camassia spp.).
  • the Inulin is obtained from Chicory (Cichorium inlybus).
  • the pharmaceutically active ingredient may encompass any pharmaceutical ingredient such as a drug, a compound, a peptide, a nucleotide, and so forth.
  • drugs which can be carried by the open matrix network of the subject invention are analgesics, alpha blockers, anti-allergy, anti-asthma, (allergic rhinitis, chronic uticaria), anti- inflammatory, antacids, anthelmintics, anti-arrhythmic agents, anti-arthritis, anti -bacterial, anti-anxiety, anti-coagulants, anti -depressants, anti-diabetics, anti-diarrheals, anti-diuretics, anti-epileptics, anti-fungal, anti-gout, anti-hypertensive, anti-incontinence, anti-insomnia, anti-malarials, anti -migraine, anti- muscarinic, anti -neoplastic and immunosuppressants, anti-prot
  • Analgesics and anti-inflammatory agents aspirin, aloxiprin, auranofm, azapropazone, benorylate, diflunisal, etodolac, fenbufen, fenoprofen calcium, flurbiprofen, ibuprofen, indomethacin, ketoprofen, meclofenamic acid, mefenamic acid, nabumetone, naproxen, oxaprozin, oxyphenbutazone, phenylbutazone, piroxicam, sulindac, paracetamol.
  • Antacids aluminum hydroxide, magnesium carbonate, magnesium trisilicate, hydrotalcite, dimethicone.
  • Antihelmintics albendazole, bephenium hydroxynaphthoate, cambendazole, dichlorophen, ivermectin, mebendazole, oxamniquine, oxfendazole, oxantel embonate, praziquantel, pyrantel embonate, thiabendazole.
  • Anti-allergic des loratidine, loratidine, Montelukast ,Montelukast sodium, Cetirizin, Fexofenadin, Ebastine.
  • Anti-arrhythmic agents amiodarone HCl, disopyramide, flecainide acetate, quinidine sulphate.
  • Anti-bacterial agents benethamine penicillin, cinoxacin, ciprofloxacin HCl, clarithromycin, clofazimine, cloxacillin, demeclocycline, doxycycline, erythromycin, ethionamide, imipenem, nalidixic acid, nitrofurantoin, rifampicin, spiramycin, sulphabenzamide, sulphadoxine, sulphamerazine, sulphacetamide, sulphadiazine, sulphafurazole, sulphamethoxazole, sulphapyridine, tetracycline, trimethoprim.
  • Anti-coagulants dicoumarol, dipyridamole, nicoumalone, phenindione.
  • Anti -depressants amoxapine, ciclazindol, maprotiline HCl, mianserin HCl, nortriptyline HCl, trazodone HCl, trimipramine maleate.
  • Anti-diabetics acetohexamide, chlorpropamide, glibenclamide, gliclazide, glipizide, tolazamide, tolbutamide.
  • Anti-diarrheals atropine sulphate, codeine phosphate, co-phenotrope, difenoxin, loperamide hydrochloride, suphasolazine, mesalazine, oisaiazine, corticosteroids, prednisolone.
  • Anti-diuretics desmopressin, desmopressin acetate.
  • Anti-epileptics beclamide, carbamazepine, clonazepam, ethotoin, methoin, methsuximide, methylphenobarbitone, oxcarbazepine, paramethadione, phenacemide, phenobarbitone, phenytoin, phensuximide, primidone, sulthiame, valproic acid.
  • Anti-fungal agents amphotericin, butoconazole nitrate, clotrimazole, econazole nitrate, fluconazole, flucytosine, griseofulvin, itraconazole, ketoconazole, miconazole, natamycin, nystatin, sulconazole nitrate, terbinafine HCl, terconazole, tioconazole, undecenoic acid.
  • Anti-gout agents allopurinol, probenecid, sulphinpyrazone.
  • Anti -hypertensive agents amlopidine, benidipine, darodipine, dilitazem HCl, diazoxide, felodipine, guanabenz acetate, indoramin, isradipine, minoxidil, nicardipine HCl, nifedipine, nimodipine, phenoxybenzamine HCl, prazosin HCl, reserpine, terazosin HCl.
  • Anti-malaria amodiaquine, chloroquine, chloroproguanil HCl, halofantrine HCl, mefloquine HCl, proguanil HCl, pyrimethamine, quinine sulphate.
  • Anti-migraine agents rizatriptan, dihydroergotamine mesylate, ergotamine tartrate, methysergide maleate, pizotifen maleate, sumatriptan succinate, caffeine.
  • Anti-muscarinic agents oxybutinin, tolterodin, atropine, benzhexol HCl, biperiden, ethopropazine HCl, hyoscine butyl bromide, hyoscyamine, mepenzolate bromide, orphenadrine, oxyphencylcimine HCl, tropicamide.
  • Anti-neoplastic agents and Immunosuppressants aminoglutethimide, amsacrine, azathioprene, busulphan, chlorambucil, cyclosporin, dacarbazine, estramustine, etoposide, lomustine, melphalan, mercaptopurine, methotrexate, mitomycin, mitotane, mitozantrone, procarbazine HCl, tamoxifen citrate, testolactone.
  • Anti-protozoal agents benznidazole, clioquinol, decoquinate, diiodohydroxyquinoline, diloxanide furcate, dinitolmide, furzolidone, metronidazole, nimorazole, nitrofurazone, ornidazole, tinidazole.
  • Anti-rheumatics ibuprofen, aceclofenac, acemetacin, azapropazone, diclofenac sodium, diflunisal, etodolac, ketoprofen, indomethacin, mefenamic acid, naproxen, piroxicam, aspirin, benorylate, auranofm, penicillamine.
  • Anti-rhinitis, anti-uticaria Cetirizin, fexofenadin, ebastine, loratidin, montelukast
  • Anti-thyroid agents carbimazole, propylthiouracil.
  • Antivirals acyclovir, amantadine hydrochloride, famciclovir, zidovadine, didanosine, zalcitabine, foscarnet sodium.
  • Anxiolytic, sedatives, hypnotics and neuroleptics alprazolam, amylobarbitone, barbitone, bentazepam, bromazepam, bromperidol, brotizolam, butobarbitone, carbromal, chlordiazepoxide, Chlorpheniramine, chlormethiazoie, chlorpromazine, clobazam, clonazepan, clotiazepam, clozapine, diazepam, droperidol, ethinamate, flunanisone, fiunitrazepam, fluopromazine, flupenthixol decanoate, fluphenazine decanoate, flurazepam, haloperidol, lorazepam, lormetazepam, medazepam, meprobamate, methaqualone, midazolam, nitrazepam, oxazepam,
  • ⁇ -Blockers acebutolol, alprenolol, atenolol, labetalol, metoprolol, nadolol, oxprenolol, pindolol, propanolol.
  • Cardiac inotropic agents amrinone, digitoxin, digoxin, enoximone, lanatoside C, medigoxin.
  • Corticosteroids beclomethasone, betamethasone, budesonide, cortisone acetate, desoxymethasone, dexamethasone, fludrocortisone acetate, flunisolide, flucortolone, fluticasone propionate, hydrocortisone, methylpredm ' solone, prednisolone, prednisone, triamcinolone.
  • Cough suppressants codeine phosphate dexomethorphan, ,guaifenesin, pholcodine, diamorphine, methadone.
  • Cytotoxics ifosfamide, chlorambucil, melphalan, busulphan, cytotoxic antibodies, doxorubicin, epirublcin, plicamycin, bleomycin, methotrexate, cytarabine, fludarabine, gencitabine, fluorouracil, mercaptopurine, thioguanine, vincristine, vinblastine, vindesine, etoposide.
  • Decongestants pseudoephedrine hydrochloride.
  • Diuretics acetazolamide, amiloride, bendrofluazide, bumetanide, chlorothiazide, chlorthalidone, ethacrynic acid, frusemide, metoiazone, spironolactone, triamterene.
  • Enzymes pancreatin, pepsin, lipase.
  • Anti-parkinsonian agents bromocriptine mesylate, lysuride maleate, selegiline, para-fluoroselegiline, lazabemide, rasagiline, 2-BUMP [N-(2-butyl)-N- methylpropargylamine], M-2-PP [N-methyl-N-(2-pentyl)-propargylamine], MDL- 72145 [beta-(fluoromethyIene)-3,4-dimethoxy-benzeneethanamine] , mofegiline, apomorphine, N-propylnoraporphine, cabergolme, metergoline, naxagolide, pergolide, piribedil, ropinirole, terguride, quinagolide.
  • Gastro-intestinal agents bisacodyl, cimetidine, cisapride, diphenoxylate HCl, domperidone, metoclopr amide, famotidine, loperamide, mesalazine, nizatidine, esomeprazole, metopimazine, pantoprazole, ondansetron HCl, Granisetron, tropisetron, dolasetron, ranitidine HCl, sulphasalazine.
  • Lanzoprazole
  • Histamine Receptor Antagonists acrivastine, astemizole, cinnarizine, cyclizine, cyproheptadine HCl, dimenhydrinate, flunarizine HCl, loratadine, meclozine HCl, oxatomide, terfenadine, triprolidine.
  • Lipid regulating agents bezafibrate, clofibrate, fenofibrate, gemfibrozil, probucol.
  • Local anaesthetics amethocaine, amylocaine, benzocaine, bucricaine, bupivacaine, butacaine, butanilicaine, butoxycaine, butyl aminobenzoate, carticaine, chloroprocaine, cinchocaine, clibucaine, clormecaine, coca, cocaine, cyclomethycaine, dimethisoquin, diperodon, dyclocaine, ethyl chloride, ethyl p- piperidinoacetylaminobenzoate, etidocaine, hexylcaine, isobutamben, ketocaine, lignocaine, mepivacaine, meprylcaine, myrtecaine, octacaine, oxethazaine, oxybu
  • Neuro-muscular agents pyridostigmine.
  • Nitrates and other anti-anginal agents amyl nitrate, glyceryl trinitrate, isosorbide dinitrate, isosorbide mononitrate, pentaerythritol tetranitrate.
  • Nutritional agents betacarotene, vitamins, such as vitamin A, vitamin B 2 , vitamin D, vitamin E, vitamin K, minerals.
  • Opioid analgesics codeine, dextropropyoxyphene, diamorphine, dihydrocodeine, meptazinol, methadone, morphine, nalbuphine, pentazocine.
  • Oral vaccines to prevent or reduce the symptoms of diseases such as Influenza, Tuberculosis, Meningitis, Hepatitis, Whooping Cough, Polio, Tetanus, Diphtheria, Malaria, Cholera, Herpes, Typhoid, HIV, AIDS, Measles, Lyme disease, Traveller's Diarrhea, Hepatitis A, B and C, Otitis Media, Dengue Fever, Rabies, Parainfluenza, Rubella, Yellow Fever, Dysentery, Legionnaires Disease, Toxoplasmosis, Q-Fever, Haemorrhegic Fever, Argentina Haeraorrhegic Fever, Caries, Chagas Disease, Urinary Tract Infection caused by E.
  • diseases such as Influenza, Tuberculosis, Meningitis, Hepatitis, Whooping Cough, Polio, Tetanus, Diphtheria, Malaria, Cholera, Herpes, Typhoid, HIV, AIDS
  • Voiding dysfunctions Tamsuiosine, trospium chloride, tolterodine , oxybutinin Proteins, peptides and recombinant drugs: recombinant hormones and iso- hormones, recombinant cytokines, recombinant plasminogens, TNF receptor fusion protein, monoclonal antibodies, nucleic acids, antisense oligonucleotides, oligonucleotides, glycoproteins and adhesion molecules.
  • Sex hormones and Contraceptives clomiphene citrate, danazol, desogestrel, ethinyloestradiol, ethynodiol, ethynodiol diacetate, levonorgestrel, medroxyprogesterone acetate, mestranol, methylte sto sterone , norethisterone, norethisterone enanthate, norgestrel, estradiol, conjugated estrogens, dydrogesterone, progesterone, stanozolol, stilboestrol, testosterone, tibolone.
  • Stimulants amphetamine, dexamphetamine, dexfenfluramine, fenfluramine, mazindol, pemoline.
  • the active ingredient is desmopressin acetate.
  • the dosage form can be used in voiding postponement or in the treatment or prevention of incontinence, primary nocturnal enuresis (PNE), nocturia or central diabetes insipidus.
  • PNE primary nocturnal enuresis
  • the amount of desmopressin acetate in the composition comprises 0.01 ⁇ 2.75 %w/w. In another embodiment, the amount of desmopressin acetate in the composition comprises 0.06 - 2.00 %w/w.
  • the active ingredient is loratidine.
  • the dosage form can e.g. be used for the relief of nasal or non-nasal symptoms of allergic rhinitis and chronic idiopathic urticaria.
  • the amount of loratidine in the composition comprises 15-20 %w/w. In another embodiment, the amount of loratidine in the composition comprises about 19 %w/w.
  • the active ingredient is famotidine.
  • the dosage form can e.g. be used in the treatment of gastroesophageal reflux disease, duodenal and gastric ulcer, pathological hypersecretory conditions (e.g. Zollinger-Ellison syndrome and multiple endocrine adenomas).
  • the amount of famotidine in the composition comprises 20-90 %w/w. In another embodiment, the amount of famotidine in the composition comprises 30 - 85 %w/w.
  • the active ingredient is monteiukast sodium.
  • the dosage form can e.g. be used in prophylaxis and chronic treatment of asthma, allergic rhinitis and exercise-induced bronchoconstriction.
  • the amount of monteiukast sodium in the composition comprises 5-30 %w/w. in another embodiment, the amount of monteiukast sodium in the composition comprises 10-25 %w/w.
  • a pharmaceutical dosage form of the invention disintegrates, thereby releasing the active ingredient, upon contact with a fluid (an aqueous medium or saliva).
  • a pharmaceutical dosage form of the invention is an orodispersibie pharmaceutical dosage form which disintegrates in the mouth within 10 seconds or less.
  • orodispersibie as used herein should be understood to encompass a solid dosage form which disintegrates or dissolves in the mouth within (at most) 10 seconds, in further embodiments, the orodispersibie dosage form disperses in the mouth within 9, 8, 7, 6, 5, 4, 3, 2, or even within 1 second.
  • Suitable route of administration for the dosage form of the subject invention is oral administration including buccal and sublingual administration.
  • the dosage form is administered sublingually.
  • Dosage forms of the invention may also be placed on the tongue or against the cheek or gingiva.
  • Pharmaceutical dosage forms of the present invention are adapted to supply the active ingredient to e.g. the oral cavity.
  • the active may be absorbed across the mucosa at the site of administration, e.g. sublingual mucosa, and/or otherwise, in the case of oral administration, from the oral cavity (e.g. across the buccal and/or gingival mucosa) and/or from the gastrointestinal tract for systemic distribution.
  • the exact dose and regimen of administration of the dosage form will necessarily be dependent upon the therapeutic effect to be achieved and may vary with the particular active ingredient, the route of administration, and the age and condition of the individual subject to whom the medicament is to be administered. At times patients may be instructed to take two or any other number of unit dosage forms in a single administration or at times only a portion, such as half or a quarter of the unit dosage form in a single administration.
  • the dosage form of the invention achieves a balance of performance: stability and fast disintegration. It may be produced by known lyophilisate technology. It can be stored (and packed) in blisters. The invention achieves these results in a single processing step, without the need to resort to multiple steps including granulation.
  • the matrix may also include other excipients (auxiliary agents, accessory agents) such as, but not limited to fillers, matrix-forming agents, thickeners (including but not limited to guar gum and xanthum gum),binders, diluents, lubricants, pH adjusting agents, protecting agents, viscosity enhancers, wicking agents, non-effervescent disintegrants, effervescent disintegrants, surfactants, anti-oxidants, wetting agents, colorants, flavouring agents, taste-masking agents, sweeteners, preservatives and so forth.
  • excipients auxiliary agents, accessory agents
  • auxiliary agents such as, but not limited to fillers, matrix-forming agents, thickeners (including but not limited to guar gum and xanthum gum),binders, diluents, lubricants, pH adjusting agents, protecting agents, viscosity enhancers, wicking agents, non-effervescent disintegrants, effervescent disintegrants, surfact
  • a composition of the invention is obtainable by subliming solvent from a liquid preparation comprising an active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent.
  • the liquid preparation is placed in a mould, e.g. such that following sublimation a solid composition, typically in a dosage unit, is formed within the mould.
  • a mould can be an open blister pack whereby the solid dosage unit is formed within the blister pack's depression which is thereafter sealed by a sealing film or foil.
  • the process comprises introducing unit dosage quantities of said preparation into depressions of an open blister pack; and then subliming the preparation to obtain solid dosage forms within said depressions.
  • the sublimation can be carried out by freeze drying the preparation comprising the active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent.
  • the solvent is water.
  • the invention thus discloses a process for preparing fast-dispersing dosage forms by lyophilizing a combination of an active ingredient, inulin and optionally secondary matrix forming agent(s).
  • the fast-dispersing dosage form contains a network of the active ingredient and the carrier inulin, the network having been obtained by subliming solvent from liquid preparation that contains the active ingredient, inulin and other optional matrix forming agents.
  • Said preparation may be a solution, suspension or dispersion.
  • an initial preparation comprising an active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent is prepared followed by sublimation.
  • the sublimation can be carried out by freeze drying the preparation
  • the preparation in liquid form
  • the preparation that comprises an active ingredient, inulin and any other optional matrix forming agent in a solvent
  • moulds typically contains a defined amount of such solution with a defined amount of active ingredient.
  • the preparation in the mould is then frozen, for example by passing gaseous cooling medium over the mould.
  • the solvent is sublimed therefrom.
  • the sublimation is carried out in a freeze dryer. In consequence an open matrix network of inulin optionally together with other matrix forming agents included in the solution, carrying the active ingredient, is thereby formed.
  • the preparation is contained in a mould during the freeze-drying process to produce a solid form in any desired shape.
  • the mould Prior to the lyophilization, the mould may be cooled and frozen (e.g. in a fast-freeze tunnel or on the shelves of the lyophilizer), for example using liquid nitrogen or solid carbon dioxide.
  • freeze dried compositions can either be removed from the mould if desired or stored therein until later use.
  • each mould is so designed so to produce a unit dosage form of the composition.
  • the composition so obtained is fast-dispersing and disintegrates within 10 seconds upon contact with fluid.
  • the solvent can be water but can optionally contain a co-solvent (such as an alcohol e.g. tert-butyl alcohol) to improve the solubility of the chemical.
  • a co-solvent such as an alcohol e.g. tert-butyl alcohol
  • the composition may contain a pH adjusting agent to adjust the pH of a solution from which the dosage form is prepared within the range of from 2 to 10, typically from 3.5 to 9.5 or from 4.5 to 8.
  • a pH adjusting agent to adjust the pH of a solution from which the dosage form is prepared within the range of from 2 to 10, typically from 3.5 to 9.5 or from 4.5 to 8.
  • Citric acid, sodium hydroxide, and sodium carbonate are used as pH adjusting agent, but others including hydrochloric acid and malic acid can also be used.
  • Non-volatile pH adjusting agents will not be removed by freeze drying or other sublimation processes and so may be present in the final product.
  • the mould may comprise a series of cylindrical or other shape depressions in it, each of a size corresponding to a desired size of a dosage form to be formed.
  • the mould is a depression in a sheet of filmic material.
  • the filmic material may contain more than one depression.
  • the filmic material may be similar to that employed in conventional blister packs which are used for packaging oral contraceptive tablets and like medicament forms.
  • the filmic material may be made of thermoplastic material with the depressions formed by thermoforming or coldforming. Polyvinyl chloride film can be used as filmic material. Laminates of filmic material may also be used.
  • step 3 Add loratadine to the solution obtained in step 2 under continuous stirring to obtain a suspension.
  • step 2 1) Dissolve inulin and other excipients in the solution obtained in step 1 under stirring at 200 - 500 rpm.
  • step 3 Add Famotidine to the solution of step 2 under continuous stirring till proper suspension is formed.
  • Famotidine lyophilisate formulations were prepared using the method described in "II" herein above.
  • step 2 1) Dissolve Inulin and other excipients in the Montelukast solution of step 1 under stirring at 200 - 500 rpm.
  • Comparative lyophilisates were prepared according to the method described in "B" herein above, but using Pullulan in place of inulin.
  • Comparative lyophilisates were prepared according to the method described in "B" herein above, but using fish gelatin in place of inulin.
  • This test measures the expected disintegration time of a composition of the invention in an aqueous medium which is an indication of its disintegration time in saliva.
  • the disintegration rate of the lyophilisates on a wet filter paper was determined according to the method described in WO2009002084 page 12 paragraph 129, wherein the test was performed at a temperature of about 25 ⁇ 2°C.
  • the dissolving time of the placebo lyophilisates in the oral cavity was determined according to the method described in PCT application WO2009002084, page 12 paragraph 132, wherein the lyophilisate was placed on the tongue of a healthy human adult and then measuring the time for it to completely dissolve while rubbing the lyophilisates between the tongue and the upper palate.
  • the mean ODT was calculated from the data obtained from 5 healthy human adults.
  • This test measures the disintegration time of the compositions of the invention in aqueous medium which is an indication of their disintegration time in saliva.
  • This test measures the dissolution (%) of an active ingredient from a composition of the invention in aqueous medium which is an indication of the release rate of the active ingredient from the composition.
  • Dissolution media (0.1N HC1, Phosphate buffer pH 6.8, Acetate buffer pH 4.5, or 0.5% SLS in water) was selected on the basis of the active ingredient in the composition.
  • Dissolution bowls were filled with appropriate media volume (500mL and 900mL) on the basis of the active ingredient in the composition and the temperature of the media was maintained at 37°C ⁇ 0.5°C using water bath.
  • the apparatus used was USP type II (Paddle) and set at the required rpm (50rpm) as per the test procedure. Samples were withdrawn as per the time point (5 min, 10min, 15min, and 30min) defined in the test procedure. Samples were analysed

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Abstract

The subject invention is directed to a pharmaceutical composition comprising an open matrix network carrying a pharmaceutically active ingredient, wherein the open matrix network comprises inulin.

Description

A FAST DISSOLVING PHARMACEUTICAL COMPOSITION
FIELD OF THE INVENTION
The subject invention relates to fast dissolving pharmaceutical compositions, to methods of making them and to their use in the treatment and prophylaxis of diseases in mammals, particularly humans.
BACKGROUND OF THE INVENTION
Fast dissolving pharmaceutical dosage forms which are designed to release an active ingredient in the oral cavity are well known and can be used to deliver a wide range of drugs (Critical Reviews in Therapeutic Drug Carrier Systems, 21(6):433~475 (2004); Seager H. (1998), J. Phar, Pharmacol 50:375-382; Bandari et al. (January 2008), Asian Journal of Pharmaceutics 2-11).
In a fast dissolving dosage form, a drug may physically be trapped in a matrix composed of e.g. mannitol and fish gelatin (EP 1501534; EP1165053), modified starch (US6509040), pullulan in combination with an amino acid (EP1803446), or maltodextrin in combination with sorbitol (US2004/0228919). The solution, suspension or dispersion of the drug and the carrier material may be filled into blister cavities, frozen and thereafter lyophilized. As any product of technology at all times, also the latter can still be improved upon.
The subject invention provides an improved fast-dispersing dosage form. SUMMARY OF THE INVENTION
The subject invention provides a new fast dissolving oral pharmaceutical composition typically in a unit dosage form, typically an oral lyophilisate (also named orally disintegrating tablet).
In one embodiment, the present invention provides a pharmaceutical composition comprising an open matrix network carrying a pharmaceutically active ingredient, wherein the open matrix network is comprised of inulin. In another embodiment the present invention provides a pharmaceutical composition comprising a matrix carrying a pharmaceutically active ingredient, the matrix rapidly disintegrating upon contact with an aqueous solution or with saliva, said matrix comprising inulin.
The pharmaceutical composition of the invention is unique in that it has a rapid dissolution in aqueous medium or in saliva, in particular the composition rapidly disintegrates when taken orally. The disintegration in an aqueous medium or in the oral cavity upon consumption (where it disintegrates upon contact with saliva) is typically within less than 10 seconds, and at times less than 9, 8, 7, 6, 5, 4, 3, 2 or even 1 seconds.
Accordingly, the subject invention provides a pharmaceutical composition comprising a pharmaceutically active ingredient, having a rapid dissolution rate such that at least 80% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds. In a further embodiment, 90% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds. In yet a further embodiment, 100% of the composition is disintegrated in an aqueous medium or in saliva in less than 10 seconds.
The pharmaceutical composition of the invention may be obtained by subliming a solvent (e.g. water), for example in a freeze drying process, from a liquid preparation that comprises the active ingredient and the matrix forming agent(s) in solution.
According to one embodiment, unit dosage quantities of the liquid preparation that contain a defined amount of active ingredient are introduced into depressions and sublimation is then carried out thereby obtaining (after sublimation) a pharmaceutical composition in a unit dosage form. The depressions may be those of an open blister pack and following the sublimation step, and thereby the formation of the solid unit dosage form of the composition in the depression, a sealing film or foil is placed over the depressions to form a sealed blister pack. The invention thus provides a process for preparing a pharmaceutical composition that comprises subliming a solvent from a liquid preparation comprising a pharmaceutically active ingredient and inulin in the solvent.
The invention further provides a process for the preparation of a pharmaceutical composition comprising (a) preparing a solution comprising inuiin and an active ingredient in a solvent; (b) freezing said solution; (c) subliming the solvent from the frozen solution, wherein the pharmaceutical composition so obtained is in fast- dispersing dosage form which disintegrates within 10 seconds upon contact with an aqueous solution or with saliva.
DETAILED DESCRIPTION OF THE INVENTION
The subject invention provides a fast-dissolving, typically orodispersible, pharmaceutical composition, usually prepared and provided in unit dosage form, typically an oral lyophilisate, comprising an active ingredient and one or more excipients. At least one of the excipients, normally the main matrix forming agent, is the polysaccharide inulin.
The following are some of the terms used above and below in this patent specification and claims:
The terms "active ingredient" or "pharmaceutically active ingredient" will be used interchangeably herein.
The term "pharmaceutical composition" and "composition" are interchangeably used herein to refer to a pharmaceutical composition of the invention. The term "unit dosage form" or "dosage form" will be used herein to refer to said composition which is formulated with an amount of an active pharmaceutical ingredient (API) in a dose for administration as a single dose to a target individual. The unit dosage form may be adapted, depending on the nature of the active ingredient, the indication, the disease stage and various other factors known per se for once, twice, thrice or any other number of daily administrations. The term "carrying" should be understood to encompass any form of interaction between an active ingredient and the matrix that allows the matrix to hold and/or contain an amount of active ingredient and release it to the medium upon disintegration of the matrix.
The term "matrix" should be understood to denote a solid carrier medium for an active ingredient. The matrix comprises one or more excipients. The excipients that form the matrix may be referred to herein, at times, as "matrix forming agents" and each of said agents as "matrix forming agent".
The term "an open matrix network" should be understood to encompass a matrix of water-soluble or water-dispersible carrier material having interstices dispersed throughout. The matrix rapidly disintegrates upon contact with an aqueous solution or with saliva.
In one embodiment, inulin is the sole matrix forming agent in the composition. In another embodiment, one or more secondary matrix forming agents may be present in the composition.
Non-limiting examples of sugars, sugar alcohols, monosaccharides, disaccharides, trisaccharides, polysaccharides, proteins, amino acids, gums and the like, which are useful as secondary matrix forming agents, include without limitation, mannitol, trehalose, raffmose, pullulan, inositol, sucrose, lactose, dextrose, erythritol, xylitol, lactitol, maltitol, isomalt, alanine, arginine, threonine, glycine, cysteine, serine, histidine, valine, proline, lysine, asparagine, glutamine, ribose, glucose, galactose, fructose, maltose, maltotriose, guargum, xanthan gum, tragacanth gum, veegum and so forth.
Generally, the balance of the formulation can be matrix. Thus the percentage of the inulin matrix can approach 100%, The amount of the secondary matrix forming agent useful in accordance with the present invention may range from about 0 to about 90%. In one embodiment of the invention, inulin is the main matrix forming agent. In another embodiment, the composition further comprises mannitol or raffinose or trehalose or combinations thereof as secondary matrix forming agent.
In one embodiment, inulin is the matrix forming agent, comprising 10 - 99.99% out of the entire weight of the composition. In another embodiment, inulin comprises 30- 80% out of the entire weight of the composition. In yet another embodiment, inulin comprises 40-75% out of the entire weight of the composition. In yet another embodiment, inulin comprises 50-65% out of the entire weight of the composition.
In other embodiments, mannitol or trehalose or raffinose or combinations thereof are used as secondary matrix forming agents, comprising 0 - 89.99% out of the entire weight of the composition. In one embodiment, these secondary matrix forming agents comprise 4-50% out of the entire weight of the composition, in another embodiment, these secondary matrix forming agents comprise 25-50% out of the entire weight of the composition.
Thus, a composition of the invention can be one comprising inulin as the main matrix- forming agent and mannitol or trehalose or raffinose (or combinations thereof) as a secondary matrix-forming agent, with inulin constituting 10 - 99.99% (all % of ingredient are w/w, meaning weight of mentioned ingredient out of the weight of all constituents of the composition combined), and the secondary matrix forming agent constituting 0 - 89.99%, typically 4-50%. The content of the active ingredient may typically (but not exclusively) be up to 90% of the entire composition, typically in the range of about 0.01-80%) depending on the nature of the active ingredient. In one embodiment, the active ingredient comprises 0.01-1% out of the entire weight of the composition. In another embodiment, the active ingredient comprises 0.4-2% out of the entire weight of the composition. In yet another embodiment, the active ingredient comprises 10-25% out of the entire weight of the composition. In other embodiments, the active ingredient comprises 18-40% out of the entire weight of the composition. In yet other embodiments, the active ingredient comprises 60-90%» out of the entire weight of the composition. In one embodiment, the composition of the invention does not contain fish gelatin. In another embodiment, the composition of the invention does not contain a modified starch. In another embodiment, the composition of the invention does not contain pullulan in combination with an amino acid. In another embodiment, the composition of the invention does not contain maltodcxtrin in combination with sorbitol.
"Disintegration Time" and "Dissolution Time" are used interchangeably herein and should be understood to mean the time needed to dissolve or disintegrate the composition of the invention in an aqueous solution or with saliva within the oral cavity.
"Oral dissolving Time" as used herein should be understood to mean the time needed to dissolve the composition of the invention in the oral cavity.
"Rapid/Fast disintegration/dissolution" as used herein should be understood to encompass disintegration of at least 80% of the composition of the invention, typically 90% and more typically 100% of the composition in an aqueous medium or in saliva (in the oral cavity) within 10 seconds and at times even within 9, 8, 7, 6, 5, 4, 3, 2 or 1 second.
Examples of an aqueous medium as used herein are water or a buffer (e.g. potassium dihydrogen phosphate, dipotassium hydrogen phosphate, sodium hydrogen phosphate) or artificial saliva as described by Morjaria et. al (May 2004), Dissolution Technologies 12 - 15.
Saliva as used herein refers to the saliva in the oral cavity of a mammal, in particular a human.
In one embodiment, a pharmaceutical composition of the invention has a rapid dissolution rate such that at least 80% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds. In another embodiment, a pharmaceutical composition of the invention has a rapid dissolution rate such that at least 90% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds. In yet another embodiment, a pharmaceutical composition of the invention has a rapid dissolution rate such that 100% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds.
The open matrix network enables a liquid to enter the dosage form through the interstices and permeate through its interior. Permeation by aqueous media (such as saliva, water, etc.) exposes the carrier material of both the interior and exterior of the dosage form to the action of the aqueous media whereby the network of carrier material is rapidly disintegrated.
The open matrix structure is of a porous nature and enhances disintegration of the dosage form as compared with ordinary solid shaped pharmaceutical dosage forms such as (granulated and compressed) tablets, pills, capsules, suppositories and pessaries. Rapid disintegration results in rapid release of the active ingredient carried by the matrix.
In the subject invention, the carrier material of the open matrix network is inulin or a derivative thereof.
Inulin is a polymer of fructose C6H12O6 typically having a terminal glucose. Inulin is a polysaccharide with β-(2->1) linkages between the fructose rings where the numbers describe the carbon atoms in the fructose ring which are linked and the β describes the stereochemical relationship. The inulins are produced by many type of plants.
Inulin as used herein should be understood to encompass inulin derived from any source such as but not limited to plants that contain high concentrations of inulin which include, but are not limited to Elecampane (Inula helenium); Dandelion (Taraxacum officinale) Wild Yam (Dioscorea spp.); Jerusalem artichokes (Helianthus tuberosus); Chicory (Cichorium iniybus); Jicama (Pachyrhizus erosus);Burdock (Arctium lappa);Omon (Allium cepa);Garlic (Allium sativum); Agave (Agave spp.); Yacon (Smallanthus sonchifolius spp.); and Camas (Camassia spp.). In a specific embodiment, the Inulin is obtained from Chicory (Cichorium inlybus).
The pharmaceutically active ingredient may encompass any pharmaceutical ingredient such as a drug, a compound, a peptide, a nucleotide, and so forth. Non-limiting examples of drugs which can be carried by the open matrix network of the subject invention are analgesics, alpha blockers, anti-allergy, anti-asthma, (allergic rhinitis, chronic uticaria), anti- inflammatory, antacids, anthelmintics, anti-arrhythmic agents, anti-arthritis, anti -bacterial, anti-anxiety, anti-coagulants, anti -depressants, anti-diabetics, anti-diarrheals, anti-diuretics, anti-epileptics, anti-fungal, anti-gout, anti-hypertensive, anti-incontinence, anti-insomnia, anti-malarials, anti -migraine, anti- muscarinic, anti -neoplastic and immunosuppressants, anti-protozoal, anti-rheumatics, anti-rhinitis, anti-spasmatic. anti-thyroid, antivirals, anxiolytics, sedatives, hypnotics and neuroleptics, beta-blockers, anti-benign hyperplasia (BHP), cardiac inotropic, corticosteroids, cough suppressants, cytotoxics, decongestants, diabetic gastric stasis, diuretics, enzymes, anti-parkinsonian, gastro-intestinal, histamine receptor antagonists, infertility, endometriosis, hormone replacement therapy, lipid regulating agents, local anesthetics, neuromuscular agents, nitrates and anti-anginal agents, menstrual disorders, motion sickness, anti-pain, anti-nausea, movement disorders, nutritional agents, opioid analgesics, oral vaccines, proteins, peptides and recombinant drugs, prevention of chemotherapy induced and post operative nausea and vomiting proton pump inhibitors, schizoprenia, sex hormones and contraceptives, seizure/panic disorder, sexual dysfunction (male and female), spermicides, stimulants voiding dysfunctions, veterinary medicines and so forth .
Specific non-limiting examples of these drugs are:
Alfa blockers: Tamsulosine
Analgesics and anti-inflammatory agents: aspirin, aloxiprin, auranofm, azapropazone, benorylate, diflunisal, etodolac, fenbufen, fenoprofen calcium, flurbiprofen, ibuprofen, indomethacin, ketoprofen, meclofenamic acid, mefenamic acid, nabumetone, naproxen, oxaprozin, oxyphenbutazone, phenylbutazone, piroxicam, sulindac, paracetamol.
Antacids: aluminum hydroxide, magnesium carbonate, magnesium trisilicate, hydrotalcite, dimethicone.
Antihelmintics: albendazole, bephenium hydroxynaphthoate, cambendazole, dichlorophen, ivermectin, mebendazole, oxamniquine, oxfendazole, oxantel embonate, praziquantel, pyrantel embonate, thiabendazole. Anti-allergic: des loratidine, loratidine, Montelukast ,Montelukast sodium, Cetirizin, Fexofenadin, Ebastine.
Anti-arrhythmic agents: amiodarone HCl, disopyramide, flecainide acetate, quinidine sulphate.
Anti-bacterial agents: benethamine penicillin, cinoxacin, ciprofloxacin HCl, clarithromycin, clofazimine, cloxacillin, demeclocycline, doxycycline, erythromycin, ethionamide, imipenem, nalidixic acid, nitrofurantoin, rifampicin, spiramycin, sulphabenzamide, sulphadoxine, sulphamerazine, sulphacetamide, sulphadiazine, sulphafurazole, sulphamethoxazole, sulphapyridine, tetracycline, trimethoprim.
Anti-coagulants: dicoumarol, dipyridamole, nicoumalone, phenindione.
Anti -depressants: amoxapine, ciclazindol, maprotiline HCl, mianserin HCl, nortriptyline HCl, trazodone HCl, trimipramine maleate.
Anti-diabetics: acetohexamide, chlorpropamide, glibenclamide, gliclazide, glipizide, tolazamide, tolbutamide.
Anti-diarrheals: atropine sulphate, codeine phosphate, co-phenotrope, difenoxin, loperamide hydrochloride, suphasolazine, mesalazine, oisaiazine, corticosteroids, prednisolone.
Anti-diuretics: desmopressin, desmopressin acetate.
Anti-epileptics: beclamide, carbamazepine, clonazepam, ethotoin, methoin, methsuximide, methylphenobarbitone, oxcarbazepine, paramethadione, phenacemide, phenobarbitone, phenytoin, phensuximide, primidone, sulthiame, valproic acid.
Anti-fungal agents: amphotericin, butoconazole nitrate, clotrimazole, econazole nitrate, fluconazole, flucytosine, griseofulvin, itraconazole, ketoconazole, miconazole, natamycin, nystatin, sulconazole nitrate, terbinafine HCl, terconazole, tioconazole, undecenoic acid.
Anti-gout agents: allopurinol, probenecid, sulphinpyrazone.
Anti -hypertensive agents: amlopidine, benidipine, darodipine, dilitazem HCl, diazoxide, felodipine, guanabenz acetate, indoramin, isradipine, minoxidil, nicardipine HCl, nifedipine, nimodipine, phenoxybenzamine HCl, prazosin HCl, reserpine, terazosin HCl.
Anti-insomnia: Zolpidem
Anti-malaria: amodiaquine, chloroquine, chloroproguanil HCl, halofantrine HCl, mefloquine HCl, proguanil HCl, pyrimethamine, quinine sulphate. Anti-migraine agents: rizatriptan, dihydroergotamine mesylate, ergotamine tartrate, methysergide maleate, pizotifen maleate, sumatriptan succinate, caffeine.
Anti-muscarinic agents: oxybutinin, tolterodin, atropine, benzhexol HCl, biperiden, ethopropazine HCl, hyoscine butyl bromide, hyoscyamine, mepenzolate bromide, orphenadrine, oxyphencylcimine HCl, tropicamide.
Anti-neoplastic agents and Immunosuppressants: aminoglutethimide, amsacrine, azathioprene, busulphan, chlorambucil, cyclosporin, dacarbazine, estramustine, etoposide, lomustine, melphalan, mercaptopurine, methotrexate, mitomycin, mitotane, mitozantrone, procarbazine HCl, tamoxifen citrate, testolactone.
Anti-protozoal agents: benznidazole, clioquinol, decoquinate, diiodohydroxyquinoline, diloxanide furcate, dinitolmide, furzolidone, metronidazole, nimorazole, nitrofurazone, ornidazole, tinidazole.
Anti-rheumatics: ibuprofen, aceclofenac, acemetacin, azapropazone, diclofenac sodium, diflunisal, etodolac, ketoprofen, indomethacin, mefenamic acid, naproxen, piroxicam, aspirin, benorylate, auranofm, penicillamine.
Anti-rhinitis, anti-uticaria: Cetirizin, fexofenadin, ebastine, loratidin, montelukast
Anti-spasmatic: phloroglucinoi anhydre
Anti-thyroid agents: carbimazole, propylthiouracil.
Antivirals: acyclovir, amantadine hydrochloride, famciclovir, zidovadine, didanosine, zalcitabine, foscarnet sodium.
Anxiolytic, sedatives, hypnotics and neuroleptics: alprazolam, amylobarbitone, barbitone, bentazepam, bromazepam, bromperidol, brotizolam, butobarbitone, carbromal, chlordiazepoxide, Chlorpheniramine, chlormethiazoie, chlorpromazine, clobazam, clonazepan, clotiazepam, clozapine, diazepam, droperidol, ethinamate, flunanisone, fiunitrazepam, fluopromazine, flupenthixol decanoate, fluphenazine decanoate, flurazepam, haloperidol, lorazepam, lormetazepam, medazepam, meprobamate, methaqualone, midazolam, nitrazepam, oxazepam, pentobarbitone, perphenazine phenylephrine, pimozide, prochlorperazine, pseudoephedrineHCL, sulpride, temazepam, thioridazine, triazolam, zopiclone.
β-Blockers: acebutolol, alprenolol, atenolol, labetalol, metoprolol, nadolol, oxprenolol, pindolol, propanolol.
Cardiac inotropic agents: amrinone, digitoxin, digoxin, enoximone, lanatoside C, medigoxin. Corticosteroids: beclomethasone, betamethasone, budesonide, cortisone acetate, desoxymethasone, dexamethasone, fludrocortisone acetate, flunisolide, flucortolone, fluticasone propionate, hydrocortisone, methylpredm'solone, prednisolone, prednisone, triamcinolone.
Cough suppressants: codeine phosphate dexomethorphan, ,guaifenesin, pholcodine, diamorphine, methadone.
Cytotoxics: ifosfamide, chlorambucil, melphalan, busulphan, cytotoxic antibodies, doxorubicin, epirublcin, plicamycin, bleomycin, methotrexate, cytarabine, fludarabine, gencitabine, fluorouracil, mercaptopurine, thioguanine, vincristine, vinblastine, vindesine, etoposide.
Decongestants: pseudoephedrine hydrochloride.
Diuretics: acetazolamide, amiloride, bendrofluazide, bumetanide, chlorothiazide, chlorthalidone, ethacrynic acid, frusemide, metoiazone, spironolactone, triamterene.
Enzymes: pancreatin, pepsin, lipase.
Epilepsy: Gabapentin
Anti-parkinsonian agents: bromocriptine mesylate, lysuride maleate, selegiline, para-fluoroselegiline, lazabemide, rasagiline, 2-BUMP [N-(2-butyl)-N- methylpropargylamine], M-2-PP [N-methyl-N-(2-pentyl)-propargylamine], MDL- 72145 [beta-(fluoromethyIene)-3,4-dimethoxy-benzeneethanamine] , mofegiline, apomorphine, N-propylnoraporphine, cabergolme, metergoline, naxagolide, pergolide, piribedil, ropinirole, terguride, quinagolide.
Gastro-intestinal agents: bisacodyl, cimetidine, cisapride, diphenoxylate HCl, domperidone, metoclopr amide, famotidine, loperamide, mesalazine, nizatidine, esomeprazole, metopimazine, pantoprazole, ondansetron HCl, Granisetron, tropisetron, dolasetron, ranitidine HCl, sulphasalazine. Lanzoprazole,
Histamine Receptor Antagonists: acrivastine, astemizole, cinnarizine, cyclizine, cyproheptadine HCl, dimenhydrinate, flunarizine HCl, loratadine, meclozine HCl, oxatomide, terfenadine, triprolidine.
Hormone replacement therapy: dydrogesterone
Hypertension: Enalapril
Lactation: Oxytocin, oxytocin agonists
Lipid regulating agents: bezafibrate, clofibrate, fenofibrate, gemfibrozil, probucol. Local anaesthetics: amethocaine, amylocaine, benzocaine, bucricaine, bupivacaine, butacaine, butanilicaine, butoxycaine, butyl aminobenzoate, carticaine, chloroprocaine, cinchocaine, clibucaine, clormecaine, coca, cocaine, cyclomethycaine, dimethisoquin, diperodon, dyclocaine, ethyl chloride, ethyl p- piperidinoacetylaminobenzoate, etidocaine, hexylcaine, isobutamben, ketocaine, lignocaine, mepivacaine, meprylcaine, myrtecaine, octacaine, oxethazaine, oxybuprocaine, parethoxycaine, pramoxine, prilocaine, procaine, propranocaine, propoxycaine, proxymetacaine, ropivacaine, tolycaine, tricaine, trimecaine, vadocaine.
Motion sickness: diphenhydramine
Neuro-muscular agents: pyridostigmine.
Nitrates and other anti-anginal agents: amyl nitrate, glyceryl trinitrate, isosorbide dinitrate, isosorbide mononitrate, pentaerythritol tetranitrate.
Nutritional agents: betacarotene, vitamins, such as vitamin A, vitamin B2, vitamin D, vitamin E, vitamin K, minerals.
Opioid analgesics: codeine, dextropropyoxyphene, diamorphine, dihydrocodeine, meptazinol, methadone, morphine, nalbuphine, pentazocine.
Oral vaccines: to prevent or reduce the symptoms of diseases such as Influenza, Tuberculosis, Meningitis, Hepatitis, Whooping Cough, Polio, Tetanus, Diphtheria, Malaria, Cholera, Herpes, Typhoid, HIV, AIDS, Measles, Lyme disease, Traveller's Diarrhea, Hepatitis A, B and C, Otitis Media, Dengue Fever, Rabies, Parainfluenza, Rubella, Yellow Fever, Dysentery, Legionnaires Disease, Toxoplasmosis, Q-Fever, Haemorrhegic Fever, Argentina Haeraorrhegic Fever, Caries, Chagas Disease, Urinary Tract Infection caused by E. coli, Pneumococcal Disease, Mumps, Chikungunya, Hayfever, Asthma, Rheumatoid Arthritis, Carcinomas, Coccidiosis, Newcastle Disease, Enzootic pneumonia, Feline leukemia, Atrophic rhinitis, Erysipelas, Foot and Mouth disease and Swine pneumonia, or to prevent or reduce the symptoms of diseases caused by Vibrio species, Salmonella species, Bordetelia species, Haemophilus species, Toxoplasmosis gondii, Cytomegalovirus, Chlamydia species, Streptococcal species, Norwalk Virus, Escheiischia coli, Helicobacter pylori, Rotavirus, Neisseria gonorrhae, Neisseria meningiditis, Adenovirus, Epstein Ban- Virus, Japanese Encephalitis Virus, Pneumocystis carini, Herpes simplex, Clostridia species, Respiratory Syncytial Virus, Klebsiella species, Shigella species, Pseudomonas aeruginosa, Parvovirus, Campylobacter species, Rickettsia species, Varicella zoster, Yersinia species, Ross River Virus, J.C. Virus, Rhodococcus equi, Moraxella catarrhalis, Borrelia burgdorferi and Pasteurella haemolytica.
Voiding dysfunctions: Tamsuiosine, trospium chloride, tolterodine , oxybutinin Proteins, peptides and recombinant drugs: recombinant hormones and iso- hormones, recombinant cytokines, recombinant plasminogens, TNF receptor fusion protein, monoclonal antibodies, nucleic acids, antisense oligonucleotides, oligonucleotides, glycoproteins and adhesion molecules.
Veterinary Arthiritis: Tepoxalin
Sex hormones and Contraceptives: clomiphene citrate, danazol, desogestrel, ethinyloestradiol, ethynodiol, ethynodiol diacetate, levonorgestrel, medroxyprogesterone acetate, mestranol, methylte sto sterone , norethisterone, norethisterone enanthate, norgestrel, estradiol, conjugated estrogens, dydrogesterone, progesterone, stanozolol, stilboestrol, testosterone, tibolone.
Schizoprenia; Olanzapine, Nicergolme
Sexual dysfunction: Cabergolin, oxytocin, tadalafil, sildenafil, vardenafil Spermicides: nonoxynol 9.
Stimulants: amphetamine, dexamphetamine, dexfenfluramine, fenfluramine, mazindol, pemoline.
In a specific, non-limiting embodiment, the active ingredient is desmopressin acetate. In this embodiment the dosage form can be used in voiding postponement or in the treatment or prevention of incontinence, primary nocturnal enuresis (PNE), nocturia or central diabetes insipidus. In one embodiment, the amount of desmopressin acetate in the composition comprises 0.01 ~ 2.75 %w/w. In another embodiment, the amount of desmopressin acetate in the composition comprises 0.06 - 2.00 %w/w.
In a specific, non-limiting embodiment, the active ingredient is loratidine. In this embodiment the dosage form can e.g. be used for the relief of nasal or non-nasal symptoms of allergic rhinitis and chronic idiopathic urticaria. In one embodiment, the amount of loratidine in the composition comprises 15-20 %w/w. In another embodiment, the amount of loratidine in the composition comprises about 19 %w/w.
In a specific, non-limiting embodiment, the active ingredient is famotidine. In this embodiment the dosage form can e.g. be used in the treatment of gastroesophageal reflux disease, duodenal and gastric ulcer, pathological hypersecretory conditions (e.g. Zollinger-Ellison syndrome and multiple endocrine adenomas). In one embodiment, the amount of famotidine in the composition comprises 20-90 %w/w. In another embodiment, the amount of famotidine in the composition comprises 30 - 85 %w/w.
In a specific, non-limiting embodiment, the active ingredient is monteiukast sodium. In this embodiment the dosage form can e.g. be used in prophylaxis and chronic treatment of asthma, allergic rhinitis and exercise-induced bronchoconstriction. In one embodiment, the amount of monteiukast sodium in the composition comprises 5-30 %w/w. in another embodiment, the amount of monteiukast sodium in the composition comprises 10-25 %w/w.
A pharmaceutical dosage form of the invention disintegrates, thereby releasing the active ingredient, upon contact with a fluid (an aqueous medium or saliva).
Typically, a pharmaceutical dosage form of the invention is an orodispersibie pharmaceutical dosage form which disintegrates in the mouth within 10 seconds or less.
The term "orodispersibie" as used herein should be understood to encompass a solid dosage form which disintegrates or dissolves in the mouth within (at most) 10 seconds, in further embodiments, the orodispersibie dosage form disperses in the mouth within 9, 8, 7, 6, 5, 4, 3, 2, or even within 1 second.
Suitable route of administration for the dosage form of the subject invention is oral administration including buccal and sublingual administration. In a specific embodiment, the dosage form is administered sublingually. Dosage forms of the invention may also be placed on the tongue or against the cheek or gingiva.
Pharmaceutical dosage forms of the present invention are adapted to supply the active ingredient to e.g. the oral cavity. The active may be absorbed across the mucosa at the site of administration, e.g. sublingual mucosa, and/or otherwise, in the case of oral administration, from the oral cavity (e.g. across the buccal and/or gingival mucosa) and/or from the gastrointestinal tract for systemic distribution. The exact dose and regimen of administration of the dosage form will necessarily be dependent upon the therapeutic effect to be achieved and may vary with the particular active ingredient, the route of administration, and the age and condition of the individual subject to whom the medicament is to be administered. At times patients may be instructed to take two or any other number of unit dosage forms in a single administration or at times only a portion, such as half or a quarter of the unit dosage form in a single administration.
The dosage form of the invention achieves a balance of performance: stability and fast disintegration. It may be produced by known lyophilisate technology. It can be stored (and packed) in blisters. The invention achieves these results in a single processing step, without the need to resort to multiple steps including granulation. in addition to the ingredients previously discussed, the matrix may also include other excipients (auxiliary agents, accessory agents) such as, but not limited to fillers, matrix-forming agents, thickeners (including but not limited to guar gum and xanthum gum),binders, diluents, lubricants, pH adjusting agents, protecting agents, viscosity enhancers, wicking agents, non-effervescent disintegrants, effervescent disintegrants, surfactants, anti-oxidants, wetting agents, colorants, flavouring agents, taste-masking agents, sweeteners, preservatives and so forth.
In one embodiment, a composition of the invention is obtainable by subliming solvent from a liquid preparation comprising an active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent. Typically, the liquid preparation is placed in a mould, e.g. such that following sublimation a solid composition, typically in a dosage unit, is formed within the mould. A mould can be an open blister pack whereby the solid dosage unit is formed within the blister pack's depression which is thereafter sealed by a sealing film or foil.
In one embodiment, the process comprises introducing unit dosage quantities of said preparation into depressions of an open blister pack; and then subliming the preparation to obtain solid dosage forms within said depressions. The sublimation can be carried out by freeze drying the preparation comprising the active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent. In one embodiment, the solvent is water.
The invention thus discloses a process for preparing fast-dispersing dosage forms by lyophilizing a combination of an active ingredient, inulin and optionally secondary matrix forming agent(s). The fast-dispersing dosage form contains a network of the active ingredient and the carrier inulin, the network having been obtained by subliming solvent from liquid preparation that contains the active ingredient, inulin and other optional matrix forming agents. Said preparation may be a solution, suspension or dispersion.
Typically, an initial preparation comprising an active ingredient, inulin and optionally secondary matrix forming agent(s) in a solvent is prepared followed by sublimation. The sublimation can be carried out by freeze drying the preparation
In a freeze drying procedure, the preparation (in liquid form) that comprises an active ingredient, inulin and any other optional matrix forming agent in a solvent is filled into moulds. Each mould typically contains a defined amount of such solution with a defined amount of active ingredient. The preparation in the mould is then frozen, for example by passing gaseous cooling medium over the mould. After the preparation has been frozen, the solvent is sublimed therefrom. The sublimation is carried out in a freeze dryer. In consequence an open matrix network of inulin optionally together with other matrix forming agents included in the solution, carrying the active ingredient, is thereby formed.
The preparation is contained in a mould during the freeze-drying process to produce a solid form in any desired shape. Prior to the lyophilization, the mould may be cooled and frozen (e.g. in a fast-freeze tunnel or on the shelves of the lyophilizer), for example using liquid nitrogen or solid carbon dioxide.
After lyophilization, the freeze dried compositions can either be removed from the mould if desired or stored therein until later use. Typically, each mould is so designed so to produce a unit dosage form of the composition. The composition so obtained is fast-dispersing and disintegrates within 10 seconds upon contact with fluid.
The solvent can be water but can optionally contain a co-solvent (such as an alcohol e.g. tert-butyl alcohol) to improve the solubility of the chemical.
The composition may contain a pH adjusting agent to adjust the pH of a solution from which the dosage form is prepared within the range of from 2 to 10, typically from 3.5 to 9.5 or from 4.5 to 8. Citric acid, sodium hydroxide, and sodium carbonate are used as pH adjusting agent, but others including hydrochloric acid and malic acid can also be used. Non-volatile pH adjusting agents will not be removed by freeze drying or other sublimation processes and so may be present in the final product.
The mould may comprise a series of cylindrical or other shape depressions in it, each of a size corresponding to a desired size of a dosage form to be formed.
In one embodiment, the mould is a depression in a sheet of filmic material. The filmic material may contain more than one depression. The filmic material may be similar to that employed in conventional blister packs which are used for packaging oral contraceptive tablets and like medicament forms. For example the filmic material may be made of thermoplastic material with the depressions formed by thermoforming or coldforming. Polyvinyl chloride film can be used as filmic material. Laminates of filmic material may also be used.
EXAMPLES
The invention is further described in the following examples, which are not in any way intended to limit the scope of the inventions as claimed.
A) Materials used in the examples presented below
Figure imgf000019_0001
B) Method for preparing Placebo formulation
1) Dissolve Inulin and other excipients if present in purified water under stirring at 200 - 500 rpm.
2) Adjust the pH of the solution using citric acid solution or NaOH.
3) Make up the final volume of the solution using purified water.
4) Mix the solution under stirring at 200 to 500 rpm for further 15min. 5) Dose the solution into each cavity of preformed blister sheets (preferably using dispensing pipette).
6) Freeze the filled blisters at a temperature in the range of -20 to -110°C.
7) Freeze dry the blisters in a lyophilizer.
8) Place the blister sheet containing dried lyophilisates on the punched carrier web of the blister packaging machine to transport the blister sheets through the sealing station of the packaging machine.
9) Seal the blister with a lidding foil and punch into final blisters.
C) Formulations
The following formulations were prepared using the method described in the method section "B" herein above.
Figure imgf000020_0001
Figure imgf000021_0001
Figure imgf000022_0001
D) Method for preparing dosage forms containing Desmopressin
1) Dissolve Inulin and other excipients in purified water under stirring at 200 - 500 rpm
2) Dissolve Desmopressin acetate in purified water and add to the solution
prepared in step 1.
3) Adjust the pH of the solution using citric acid solution (5% w/v).
4) Make up the final volume of the solution using purified water.
5) Mix the solution under stirring at 200 to 500 rpm for further 15min.
6) Dose the solution into cavities of preformed blister sheets (preferably using dispensing pipette).
7) Freeze the filled blisters at a temperature in the range of -20 to - 110°C
8) Freeze dry the blisters in a lyophilizer
9) Place the blister sheet containing dried lyophilisates on the punched carrier web of the blister packaging machine to transport the blister sheets through the sealing station of the packaging machine.
10) Seal the blister with a lidding foil and punch into final blisters.
E) Desmopressin Formulations
The following desmopressin lyophilisate formulations were prepared using the method described in "D" herein above.
Figure imgf000023_0001
Figure imgf000024_0001
Figure imgf000025_0001
Figure imgf000026_0001
F) Method for preparing dosage forms containing Loratadine
1) Disperse gums in purified water under stirring at 200 - 500 rpm.
2) Prepare solution of Inulin and other excipients in water under stirring at 200 - 500 rpm, and add this solution in the gum solution obtained in step 1 under stirring.
3) Add loratadine to the solution obtained in step 2 under continuous stirring to obtain a suspension.
4) Homogenize the Loratadine suspension for 20min to form uniform suspension.
5) Adjust the pH of the suspension using citric acid solution (5% w/v).
6) Make up the final volume of the suspension using purified water.
7) Mix the suspension under stirring at 200 to 500 rpm for further 15min.
8) Dose prepared suspension into each cavity of preformed blister sheets with intermediate stirring of the suspension to maintain uniformity.
9) Freeze the filled blisters at a temperature in the range of -20 to -1 10°C.
10) Freeze dry the blisters in a lyophilizer.
11) Place the blister sheet containing dried lyophili sates on the punched carrier web of the blister packaging machine to transport the blister sheets through the sealing station of the packaging machine.
12) Seal the blister with a lidding foil and punch into final blisters.
G) Loratadine formulations
The following Loratidine lyophilisate formulations were prepared using the method described in "F" herein above.
Figure imgf000027_0001
Example 25
Figure imgf000028_0001
H) Method for preparing dosage forms containing Famotidine
1) Disperse guar gum in purified water under stirring at 200 - 500 rpm.
2) Dissolve inulin and other excipients in the solution obtained in step 1 under stirring at 200 - 500 rpm.
3) Add Famotidine to the solution of step 2 under continuous stirring till proper suspension is formed.
4) Homogenize the Famotidine suspension obtained in step 3 for lOmin to form uniform suspension.
5) Make up the final volume of the suspension using purified water.
6) Mix the suspension under stirring at 200 to 500 rpm for further 15min.
7) Dose prepared suspension into each cavity of preformed blister sheets with intermediate stirring of the suspension to maintain uniformity.
8) Freeze the filled blisters at a temperature in the range of -20 to -1 10°C
9) Freeze dry the blisters in a lyophilizer
10) Place the blister sheet containing dried lyophilisates on the punched carrier web of the blister packaging machine to transport the blister sheets through the sealing station of the packaging machine.
11) Seal the blister with a lidding foil and punch into final blisters.
I) Famotidine formulations
The following Famotidine lyophilisate formulations were prepared using the method described in "II" herein above.
Figure imgf000029_0001
J. Method for preparing dosage forms containing Montelukast
1) Dissolve Montelukast sodium in purified water under stirring at 200 - 500 rpm.
2) Dissolve Inulin and other excipients in the Montelukast solution of step 1 under stirring at 200 - 500 rpm.
3) Make up the final volume of the solution using purified water.
4) Mix the solution under stirring at 200 to 500 rpm for further 15min.
5) Dose the solution into each cavity of preformed blister.
6) Freeze the filled blisters at a temperature in the range of -20 to -1 10°C.
7) Freeze dry the blisters in a lyophilizer
8) Place the blister sheet containing dried lyophilisates on the punched carrier web of the blister packaging machine to transport the blister sheets through the sealing station of the packaging machine.
9) Seal the blister with a lidding foil and punch into final blisters. K, Montelukast formulations
The following montelukast orodispersible dosage forms were prepared using the method described in "J" above.
Figure imgf000030_0001
Figure imgf000031_0001
L) Comparative Examples
Example 33
Comparative lyophilisates were prepared according to the method described in "B" herein above, but using Pullulan in place of inulin.
Figure imgf000031_0002
Figure imgf000032_0001
Example 38
Comparative lyophilisates were prepared according to the method described in "B" herein above, but using fish gelatin in place of inulin.
Figure imgf000033_0001
M) Disintegration Tests
Ma) Disintegration test in petri dish
This test measures the expected disintegration time of a composition of the invention in an aqueous medium which is an indication of its disintegration time in saliva.
The disintegration rate of the lyophilisates on a wet filter paper was determined according to the method described in WO2009002084 page 12 paragraph 129, wherein the test was performed at a temperature of about 25 ± 2°C.
Mb) Measurement of Oral Dissolving Time (ODT ) of placebo
The dissolving time of the placebo lyophilisates in the oral cavity was determined according to the method described in PCT application WO2009002084, page 12 paragraph 132, wherein the lyophilisate was placed on the tongue of a healthy human adult and then measuring the time for it to completely dissolve while rubbing the lyophilisates between the tongue and the upper palate. The mean ODT was calculated from the data obtained from 5 healthy human adults.
N) Method for testing Disintegration time (Invitro DT)
This test measures the disintegration time of the compositions of the invention in aqueous medium which is an indication of their disintegration time in saliva.
Equipment : Electrolab, Model : ED2 SAPO
Procedure:
The method was followed as per USP 31-NF 26 (General Chapters,
<701 disintegration) and Ph Eur. 1997 (2.9.1. Disintegration of tablets and capsules). Water was filled into the beaker and maintained at 37°C ±0.5°C using water bath. The lyophilisates were placed in sinker made up of copper wire with diameter of about 0.5mm (±0.05mm) and length of about 15mm. The lyophilisates were then place into the basket of basket rack assembly and instrument was set on. The disintegration time was noted in seconds.
O) Dissolution method
This test measures the dissolution (%) of an active ingredient from a composition of the invention in aqueous medium which is an indication of the release rate of the active ingredient from the composition.
Equipment : Varian, Model : VK7025
Procedure:
The method was followed as per USP 32-NF 27 (General Chapters,
<71 l>Dissolution). Dissolution media (0.1N HC1, Phosphate buffer pH 6.8, Acetate buffer pH 4.5, or 0.5% SLS in water) was selected on the basis of the active ingredient in the composition. Dissolution bowls were filled with appropriate media volume (500mL and 900mL) on the basis of the active ingredient in the composition and the temperature of the media was maintained at 37°C ±0.5°C using water bath. The apparatus used was USP type II (Paddle) and set at the required rpm (50rpm) as per the test procedure. Samples were withdrawn as per the time point (5 min, 10min, 15min, and 30min) defined in the test procedure. Samples were analysed
chromatographically or by UV as per the test procedure and % release was calculated.
The disintegration rates, ODT, in-vitro DT and Dissolution data for the lyophilisates prepared according to examples 1 to 18, and comparative example 19 to 24 are given in table 1.
Figure imgf000035_0001
Figure imgf000036_0001
NA - Not applicable for column 3 as the oral dissolving time was measured for placebo lyophilisates only.
NA - Not applicable for column 5 as the dissolution time was measured for lyophilisates containing drug substances only.

Claims

1. A pharmaceutical composition comprising an open matrix network carrying a pharmaceutically active ingredient, wherein the open matrix network comprises inuiin.
2. A pharmaceutical composition comprising a matrix carrying a pharmaceutically active ingredient, the matrix rapidly disintegrating upon contact with an aqueous solution or with saliva, said matrix comprising inuiin.
3. A pharmaceutical composition according to claim 1 or 2, wherein inuiin is the main matrix forming agent.
4. A pharmaceutical composition according to any one of claims 1-3, wherein the matrix comprises inuiin and mannitol.
5. A pharmaceutical composition according to any one of claims 1-3, wherein the matrix comprises inuiin and trehalose.
6. A pharmaceutical composition according to any one of claims 1-3, wherein the matrix comprises inuiin and raffinose.
7. A pharmaceutical composition according to any one of claims 1-6, wherein at least 80% of the composition is dissolved in an aqueous medium or in saliva within 10 seconds.
8. A pharmaceutical composition according to any one of claims 1 -7, in an oral dosage form.
9. A pharmaceutical composition according to claim 8 which is adapted for sublingual administration.
10. A pharmaceutical composition according to any one of claims 1-9 obtainable by subliming a solvent from a liquid preparation comprising the active ingredient and inuiin in a solvent.
1 1. A pharmaceutical composition according to claim 10, wherein the sublimation is carried out by freeze drying the preparation.
12. A pharmaceutical composition according to any one of claims 1-11, wherein the active ingredient is desmopressin acetate.
13. A pharmaceutical composition according to any one of claims 1-1 1 , wherein the active ingredient is loratidine.
14. A pharmaceutical composition according to any one of claims 1-1 1 , wherein the active ingredient is famotidine.
15. A pharmaceutical composition according to any one of claims 1-1 1, wherein the active ingredient is montelukast sodium.
16. A process for preparing a pharmaceutical composition comprising subliming a solvent from a liquid preparation comprising a pharmaceutically active ingredient and inulin in the solvent.
17. A process according to claim 16, comprising: (a) introducing unit dosage quantities of said liquid preparation into depressions of an open blister pack; and (b) subliming the preparation to obtain solid unit dosage forms within said depressions,
18. A process according to claim 17, wherein the sublimation is carried out by freeze drying the preparation.
19. A process according to claim 16, wherein the solvent is water.
20. A process according to any one of claims 16-19, wherein the active ingredient is desmopressin.
21. A process according to any one of claims 16-19, wherein the active ingredient is loratidine.
22. A process according to any one of claims 16-19, wherein the active ingredient is famotidine.
23. A process according to any one of claims 16-19, wherein the active ingredient is montelukast sodium.
24. A process for the preparation of a pharmaceutical composition comprising:
(a) preparing a solution comprising inulin and an active ingredient in a solvent;
(b) freezing said solution;
(c) subliming the solvent from the frozen solution,
wherein the pharmaceutical composition so obtained is disintegrates within 10 seconds upon contact with an aqueous solution or with saliva.
25. A process according to claim 24, wherein the composition is a composition according to any one of claims 1 -15.
PCT/EP2011/054698 2010-03-29 2011-03-28 A fast dissolving pharmaceutical composition Ceased WO2011120903A2 (en)

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