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Title: Process for preparing fast dispersing solid oral
dosage form
United States Patent: 5,976,577
Inventors: Green; Richard (Wiltshire, GB); Kearney; Patrick (Swindon,
GB)
Assignee: RP Scherer Corporation (Troy, MI)
Appl. No.: 891205
Filed: July 11, 1997
Abstract
Process is provided for preparing an oral solid rapidly disintegrating
freeze-dried dosage form of a pharmaceutically active substance having an
unacceptable taste, wherein prior to freeze drying, a suspension of
uncoated or coated coarse particles of a pharmaceutically active substance
in a carrier material is cooled to reduce the viscosity and minimize
release of the active substance during processing, as well as beyond the
point of disintegration of the form in the mouth, to minimize bad taste
from the drug.
DESCRIPTION OF THE INVENTION
It has now been found, in accordance with the present
invention, that it is possible to produce fast dispersing dosage forms
which disintegrate rapidly in the mouth and which do not depend on the use
of sweetening or flavoring agents to mask the taste. The dosage forms have
good mouth feel and do not exhibit premature release of the drug in the
mouth. The invention is based on the discovery that it is possible to
produce a fast dispersing freeze-dried dosage form containing drug
particles which may be uncoated or coated with a polymer or lipid material
which exhibit minimal release of the drug in the mouth. This is achieved
by using coarse coated drug particles and controlling the viscosity of the
suspension by reducing the temperature during the holding time in
suspension to minimize sedimentation of the particles without altering the
physical properties of the dried units. The resulting dosage form exhibits
delayed release of the drug for a time at least sufficient to mask the
taste in the mouth before swallowing, and typically for a longer period of
time to provide controlled or sustained release of the drug after
swallowing.
In accordance with one aspect, the present invention provides a rocess for
preparing an oral solid rapidly disintegrating dosage form of
pharmaceutically active substance, comprising forming a suspension n a
continuous phase of coarse particles of the pharmaceutically active
substance in a carrier material, reducing the temperature of the
suspension to increase the viscosity of the suspension and minimize
sedimentation of the particles, forming discrete units of the cooled
suspension, and removing the continuous phase to produce the rapidly
disintegrating form.
The term "coarse particles" as used herein means drug particles
having a size such that coatings can be formed thereon which are
sufficiently intact and continuous to prevent or minimize loss of the drug
during processing to form the dosage forms or during disintegration of the
dosage form in the mouth prior to swallowing. Size of the particles has an
important effect on the rate of release of drug when coated. A smaller
particle has a much larger overall surface area for diffusion. As a
result, the rate of release of drug is greater the smaller the particle.
Current coating techniques are able to effectively coat particles greater
than 100 .mu.m, whereas particles less than 100 .mu.m may not have an
intact coat, which will result in rapid release of the drug once in
suspension. Coating of larger particles therefore decreases the rate of
release of drug. Typically, according to the present invention, the coarse
particles may have a size of up to 1 millimeter, although the average size
is generally up to about 500 .mu.m, for example 75 to 400 .mu.m, more
usually in the region of about 100-300 .mu.m. In this size range, it is
possible to apply a uniform intact coating on the particle in order to
achieve efficient freeze-dried dosage forms with slow drug release rate.
Increasing the particle size gives rise to increased sedimentation rate of
the particles in suspension. This causes difficulties in obtaining
uniformity of dose in each dosage form and can also cause splitting of the
units if the drug particle sediments in the individual blister pockets
before being frozen. The present invention overcomes this problem by
adjusting the viscosity by reducing the temperature of the fluid
suspension by an amount such as to increase the viscosity to a level
sufficient to prevent or substantially eliminate settling out of the drug
particles, preferably over a period of about 5 minutes. The temperature of
the suspension is generally reduced from about 23-25oC. to
about 14-20oC., typically to about 15-19oC.
According to the present invention, adjustment of the temperature of the
suspension can alter the viscosity of the mix without effecting the
properties of the dried units. This prevents rapid sedimentation of the
drug particles, which is necessary to prevent rapid release of active
agent while at the same time maintaining rapid disintegration times
without gummy or gritty sensation.
The carrier material which forms a network or matrix containing the
pharmaceutically active substance after removal of the continuous phase
may be any water-soluble or water-dispersible material that is
pharmaceutically acceptable, inert to the pharmaceutically active
substance and which is capable of forming a rapidly disintegrating
network, i.e. disintegrates within 10 seconds or less in the mouth. The
preferred carrier material for use in the present invention is gelatin,
usually pharmaceutical grade gelatin. Other substances may be used as the
carrier material are, for example, hydrolyzed dextrose, dextran, dextrin,
maltodextrin, alginates, hydroxyethyl cellulose, sodium carboxymethyl
cellulose, microcrystalline cellulose, corn-syrup solids, pectin,
carrageenan, agar, chitosan, locust bean gum, xanthan gum, guar gum,
acacia gum, tragacanth, conjac flower, rice flower, wheat gluten, sodium
starch glycolate, soy fiber protein, potato protein, papain, horseradish
peroxidase, glycine and mannitol.
It is possible to adjust the viscosity of the suspension sufficiently to
prevent rapid sedimentation of drug particles up to 400 .mu.m. The use of
particles in this size range can prevent release of drug during the mixing
stage. As demonstrated in the working examples, when gelatin is used, it
has been found that reducing the holding temperature of the suspension
from about 23oC. to about 15oC., the viscosity of
the suspension is increased sufficiently to prevent any sedimentation over
a five-minute period. For a placebo formulation, the viscosity at 25o
would be approximately 1.5-4.0 mPa.s, which would be expected to increase
to between 20-50 mPa.s at 15oC., when measured at 500 s-1
using a Haake VT550 viscometer with an NV sensor. The viscosity of a
particular formulation will vary greatly, however, depending on the drug
concentration and properties. The data in Example 2 shows a viscosity at
23oC. of 36 mPa.s which increases to 73 mPa.s upon cooling to
15oC. The higher values in this example are due to the presence
of an additional 19.5% drug material but a significant increase in
viscosity is again observed.
The ideal properties of the dried units can be maintained by a slight
alteration in the polymeric carrier material or the temperature used. By
varying the polymer level, a slightly different temperature will be
required to maintain unit properties of hardness and disintegration,
whilst preventing sedimentation. The polymer level used must therefore be
optimized with the holding temperature, as alterations in either will
affect the sedimentation rate, unit hardness and disintegration time.
A further advantage realized in the use of temperature modification of the
suspension is the consequent decrease in the rate of release of drug from
particles which have been coated. Diffusion processes are temperature
dependent. By holding the suspension at a lower temperature and at higher
viscosity, the rate of release of drug from the coated particles is
reduced. This allows longer available mixing times before release of drug
has reached a point where the bitter or unpleasant taste is no longer
masked. This is useful for the production process where dosing of large
batches takes a number of hours. Drug release from the coated particles
does occur gradually, but the process of the invention decreases this rate
substantially allowing longer production run times.
The term "rapidly disintegrating" as used herein means that the
solid dosage form will disintegrate in water at 37oC. in 60
seconds or less. The forms usually disintegrate in about 5-20 seconds,
more usually 5 to 10 seconds or less, when tested by the following
procedure which is analogous to the Disintegration Test for Tablets, B.P.
1973 which is described in British patent number 1548022:
Apparatus: this comprises a glass or suitable plastic tube 80 to 100 mm
long, with an internal diameter of about 28 mm and an external diameter of
30 to 31 mm and fitted at the lower end, so as to form a basket, with a
disk of rust-proof wire gauze complying with the requirements for a No.
1.70 sieve (B.P. 1973, page A136).
A glass cylinder is provided with a flat base and an internal diameter of
about 45 mm containing water not less than 15 cm deep at a temperature
between 36o and 38oC.
The basket is suspended centrally in the cylinder in such a way that it
can be raised and lowered repeatedly in a uniform manner so that at the
highest position the gauze just breaks the surface of the water and at the
lowest position the upper rim of the basket just remains clear of the
water.
Method: one shaped article is placed in the basket and raised and lowered
in such a manner that the complete up and down movement is repeated at a
rate equivalent to 30 times a minute. The shaped article is disintegrated
when no particle remains above the gauze which would not readily pass
through it.
In accordance with another aspect of the invention, there is provided an
oral solid rapidly disintegrating dosage form of a pharmaceutically active
substance when prepared by the process of the invention.
In yet a further aspect, the invention provides an oral solid rapidly
disintegrating dosage form of a pharmaceutically active substance
comprising coarse particles of the active substance having an intact
coating of a polymer or lipid material homogeneously dispersed in a matrix
of a water soluble or water dispersible carrier material. The optimum size
of the coated particles is in the region of about 50 .mu.m to 400 .mu.m,
preferably about 100-300 .mu.m.
The present invention solves a number of problems associated with rapidly
disintegrating dosage forms. In particular, the larger sized particles
employed allows for the formation of a continuous intact coating on the
drug particles which prevents or minimizes early release of the drug
during processing, and also prevents early release during rapid
disintegration of the dosage form in the mouth. The coating also can be
such as to provide controlled or sustained release of the drug so that
drug release begins at a particular time after administration or when the
drug has reached a particular location within the body.
The coated particles may be produced using any of the coating techniques
capable of producing particles in the size range of interest. Examples are
solvent evaporation, solvent extraction, coarcevation, spray congealing,
spray drying, pan coating, air suspension techniques, spheronization,
lyposomes, complex formation, hot-melt encapsulation, interfacial
polymerization, electrostatic encapsulation, ion-exchange resins,
centrifugal processes, or combinations thereof.
The coated particles can contain up to about 98% by weight of the
pharmaceutically active substance. More usually this amount is 10% to 95%
by weight.
Generally, the coating on the particles is a polymer or lipid material and
serves to prevent loss of the pharmaceutical agent during processing, as
well as delaying release of the pharmaceutically active substance beyond
the point of disintegration of the form in the mouth. Any suitable polymer
or lipid or combination can be used as the coating material. Examples of
suitable polymers include cellulose and derivatives such as ethylcellulose,
hydroxyethylcellulose, hydroxypropylmethylcellulose,
hydroxypropylcellulose, methylcellulose, cellulose acetate, cellulose
acetate phthalate, hydroxypropylmethylcellulosephthalate, acrylic
derivatives, such as polymethacrylates, polyglycolic--polylactic acid,
polyvinylalcohol, gelatin, collagen and polyethyleneglycol. Examples of
suitable lipid materials include waxes such as beeswax and lanolin,
stearic acid and derivatives such as glycerol esters, fixed oils, fats,
phospholipids, and glycolipids.
Such coatings are well known to persons skilled in this art. Persons
skilled in the art could also readily provide coatings having a particular
dissolution time so as to ensure that drug release is prevented until
required.
The continuous phase used for forming the suspension of the
pharmaceutically active substance is preferably water. The water may be
admixed, if desired, with a co-solvent such as an alcohol, e.g. ethanol.
The free-flowing fluid suspension generally has a solids content of 50% by
weight or less, more usually 5-25% by weight. A solids content of higher
than 50% by weight results in the mixture becoming more akin to a paste
rather than a fluid suspension.
Dosing from a fluid suspension rather than a paste offers advantages by
facilitating the dosing and freeze-drying processes and producing product
with a very rapid disintegration time. If dosed from a paste the
disintegration time is generally much greater due to the overall higher
content of solids.
According to the process of the invention, sedimentation in the drug
suspension in the carrier material is controlled by manipulation of the
matrix temperature to create a more viscous solution. By cooling a 3%
gelatin solution from about 25oC. to about 15oC.,
the viscosity increases from about 2.0 mPa.s to 50.0 mPa.s. By following
this approach, it is possible to sufficiently delay the rate of
sedimentation of coated particles without significantly altering the
physical properties of the finished units.
Other methods exist that could be used to increase the viscosity of the
mix to prevent sedimentation such as the inclusion of polymers or
viscosity modifying agents. Due to the nature of the dosage form however,
the use of these compounds will tend to alter the finished properties of
the units if included at a sufficient level to prevent sedimentation of
the coarse particles. Such viscosity modifying agents include cellulose or
cellulose derivatives such as ethylcellulose, hydroxyethylcellulose,
hydroxypropylcellulose, caboxymethylcellulose, sodium
hydroxypropylmethylcellulose, carbomer, xanthan gum, maltodextrin, acacia,
tragacanth, povidone and polyvinyl alcohol. The presence of these polymers
at the levels required to increase the viscosity causes an increase in the
disintegration times of the dried units. When taken, the units disperse to
form a gummy mass rather than the melting sensation obtained with ideal
freeze-dried dosage forms.
It is also possible to adjust the density of the coated drug particles by
selection of suitable lipids/polymers or combinations thereof and
manipulation of the coat/drug ratio. By applying a sufficient coat to the
drug particle of a lipid or waxy material that has a density lower than
that of the drug particle or of the solution, the rate of sedimentation of
the coated particle can be decreased.
In accordance with another aspect of the invention, an agent may be added
to the suspension which gives increased structural integrity to the
matrix. The structure-forming agent is typically a polyhydric alcohol, for
example mannitol or sorbitol. The structure-forming agent is normally
added to the suspension in an amount of about 1-5% by weight, for example
about 2-4% by weight.
The suspension may also contain other additional ingredients such as, for
example, flavoring agents and sweetening agents. Preservatives and
coloring agents may also be added,
The discrete units into which the suspension is formed may be liquid
units, for example contained within the pockets of a suitable mold.
Alternatively, the suspension may be in the form of solid units, for
example frozen units or gelled units where the carrier material readily
forms a gel. Typically each unit will contain up to 250 mg of the drug,
for example 10-100 mg. Unit dosage forms of the drug in rapidly
disintegrating form are encompassed by the present invention.
The suspension of the particles in the carrier material is preferably
formed into discrete units by introduction into a mold which preferably
comprises a plurality of depressions, each of the depressions being of the
desired shape and size for the oral dosage form product. The mold
preferably comprises a plurality of depressions formed in sheet of a
filmic material which may be similar to the material employed
conventionally in the blister packaging of pharmaceuticals. A preferred
filmic material for use as a mold in the present invention is described in
WO94/12142. The desired quantities of the suspension may be filled into
the mold using an automatic filling means which delivers a predetermined
dose into each of the depressions in the mold.
A covering material may be adhered to the film material in the areas
surrounding the depressions after removal of solvent from the suspension
filling the depressions. The covering sheet is preferably an aluminum foil
or aluminum foil laminate which may be adhered to the film material around
the depressions by, for example, a heat sensitive material. The cover
sheet may be adhered to the film material in a manner such that it can
peeled away by the user to uncover the oral dosage form in the depressions
in the mold. Alternatively, it may be adapted to the oral dosage forms
being pushed through.
Alternative methods of forming discrete frozen or gelled units of the
suspension include solidifying the mixtures in dropwise fashion. For
example, the suspension may be passed through one or more holes to form
drops, spheres or a spray of small particles which can be solidified by
passage through a cold gas or liquid, for example liquid nitrogen.
Alternatively, the drops, spheres or spray may be solidified by contact
with a chilled liquid which is immiscible with the solution or suspension
and which has a density such that the drops either fall through the
immiscible liquid as they solidify or float on the surface of the
immiscible liquid.
Removal of the continuous phase from the discrete units of the suspension
comprising the pharmaceutically active substance is carried out by
techniques well known to those skilled in the art. For example, when the
discrete units are in a liquid form, they will generally be frozen or
gelled prior to drying. The suspension contained within the pockets of a
suitable mold is frozen, for example by passing a gaseous cooling medium
such as liquid nitrogen over the mold or by inserting the mold into a
nitrogen spray freezing chamber. Alternatively, the mold may be cooled by
passing the mold over a cold surface. Once the dosage forms have been
frozen, the mold may be stored in a cold store prior to drying.
Frozen discrete units may be dried by freeze drying according to
techniques which are well known in the art. The continuous phase, for
example water, is sublimed in a freeze drying process under a reduced
pressure which transforms the solid phase solvent (ice) directly into a
vapor. The freeze drying process will generally be carried out in a freeze
drying chamber typically operating under a vacuum of 0.1 to 1.0 mBar for a
period of time of from 180 to 500 minutes.
Alternatively, frozen discrete units may be dried by a process as
described in U.S. Pat. Nos. 5,120,549 and 5,330,763. According to that
process, the pharmaceutically active substance and carrier material
dispersed in a solvent is solidified and the solidified matrix is
subsequently contacted with a second solvent that is substantially
miscible with the first at a temperature lower than the solidification
point of the first solvent. The matrix component is substantially
insoluble in the second solvent and the first solvent is thereby removed
from the matrix.
An alternative process for drying frozen discrete units is described in
WO94/14422. In this process, the solvent is removed under conditions
whereby the solvent is evaporated from the solid through the liquid phase
to a gas, rather than subliming from a solid to a gas as in lyophilization.
This is achieved by a vacuum drying at a temperature below the equilibrium
freezing point of the composition at which point the solvent (such as
water) changes phase.
When the discrete units are gelled units, any drying methods may be used
which do not affect the properties of the preparations. For example,
drying may be carried out at decreased pressure, or by forced-air drying.
Drying at decreased pressure is preferable, and is typically carried out
at a temperature of from 25oC. to 35oC. under a
vacuum of -750 mmHg or less, for 2 to 5 hours. Drying using forced-air is
preferably carried out at a temperature from 3o to 15oC.
for 1 to 6 days.
The process of the invention is advantageously used to prepare oral solid
rapidly disintegrating dosage forms of various pharmaceutically active
substances. The invention is particularly adapted to the formation of oral
solid rapidly disintegrating dosage forms of drugs having an unacceptable
taste. For example, paracetamol, which is routinely incorporated into
conventional tablets has a bitter taste, can be formulated according to
the present invention into an oral rapidly disintegrating dosage form
which does not have an unacceptable taste. By coating paracetamol with a
polymer or lipid material to provide coated microparticles of paracetamol,
and incorporating the microparticles into a matrix solution of gelatin and
mannitol, it is possible to provide a rapidly disintegrating solid oral
dosage form which does not rely on the use of sweeteners and flavoring
agents (although such agents may optionally be present) to mask the taste
of the drug.
Other classes of therapeutic agents which may be used are antacids,
analgesics, anti-anginals, anti-anniety, anti-arrhythmics, anti-bacterials,
anti-diarrhoeals, anti-depressants, anti-epileptics, anti-fungals,
anti-histamines, anti-hypertensives, anti-inflammatory agents, anti-virals,
cardiac agents, contraceptives, cough suppressants, cytotoxics,
decongestants, diuretics, drugs for genito-urinary disorders, drugs for
use in parkinsonism and related disorders, drugs for use in rheumatic
disorders, hypnotics, minerals and vitamins, lipid lowering drugs and sex
hormones. Veterinary drugs may also be processed according to the present
invention.
Claim 1 of 23 Claims
1. A process for preparing an oral solid rapidly
disintegrating dosage form of a pharmaceutically active substance,
comprising the steps of:
forming a suspension in a continuous phase of coarse particles of a
pharmaceutically active substance in a carrier material, said carrier
material being selected from the group consisting of water-soluble and
water-dispersible carrier materials;
reducing the temperature of the suspension to form a cooled suspension of
increased viscosity;
forming discrete units of said cooled suspension; and
removing the continuous phase to leave said rapidly disintegrating form in
said carrier material.
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