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Title: Fast decomposing pellets
United States Patent: 6,224,909
Inventors: Opitz; Michaela (Bad Durkheim, DE); Von
Buren; Hendrik (Nussloch, DE); Gabel; Rolf-Dieter (Schwetzingen, DE); Lee;
Geoffrey (Buckenhof, DE)
Assignee: Roche Diagnostics GmbH (DE)
Appl. No.: 147817
Filed: May 11, 1999
PCT Filed: September 9, 1997
PCT NO: PCT/EP97/04897
371 Date: May 11, 1999
102(e) Date: May 11, 1999
PCT PUB.NO.: WO98/10754
PCT PUB. Date: March 19, 1998
Foreign Application Priority Data: Sep 12, 1996[DE] (196
37 082)
Abstract
The invention concerns pharmaceutical forms of administration that are
in the form of pellets which contain a retarding agent in which the
release rate of the active substance is not delayed or is substantially
identical compared to corresponding pellets that contain no retarding
agent. The release rate of these rapidly disintegrating pellets is at
least about 90% within a time period of 30 minutes. In addition the
present invention also concerns processes for the production these
pellets.
Description of the Invention
The invention concerns pharmaceutical forms of
administration that are in the form of pellets which contain at least one
rounding agent required to produce extrusion pellets which acts as a
retardant or disintegration-retarding agent which is suitable for delaying
the release time of active substances, wherein the release of the active
substance from the pellet (pellet A) is not less than that of a
corresponding reference core pellet (pellet B) which does not contain this
rounding agent as a pharmaceutical auxiliary substance. The release rate
of these rapidly disintegrating pellets is at least about 90% within a
time period of 30 minutes. In addition the present invention also concerns
processes for the production these pellets.
Pellets are usually used for modified release drug forms. They have
considerable advantages compared to conventional pharmaceuticals with a
modified release of the active substance such as e.g. the avoidance of
dose-dumping and local intolerances, minimized intra- and interindividual
variations, independent of stomach emptying times, mixing of various
retarded pellets, mixing of pellets with different (optionally
incompatible) active substances and improvement of bioavailability.
The following principles are often used to produce pellets with a modified
release of the active substance: a) modification of the active substance
release with the aid of coatings or b) matrix systems.
Coatings that are resistant to gastric juice are stable in the acidic
environment of the stomach and slowly dissolve by salt formation in a
weakly acidic or basic range. Since, however, pellets are substantially
independent of the stomach emptying rhythms, gastric juice-resistant
coatings only lead to a short-term delay of the release of active
substance.
Coatings are also used which are insoluble in the gastro-intestinal tract
and release the dissolved active substance by means of diffusion through
the coat. In this case the release rate can for example be set by means of
the diffusion coefficients, the film thickness, the concentration
gradient, the osmotic pressure and the use of pore formers. However, in
the case of poorly soluble active substances the amount of liquid
diffusing through the coat into the core is not sufficient to dissolve the
active substance so that only a part of the total dose is released.
In order to circumvent these disadvantages time-controlled systems have
been developed in recent years in which the envelope bursts after a
certain delay time. The release profile can be adjusted by mixing pellet
collectives with various coatings. These systems are distinguished by
being independent of intraindividual and interindividual variations, they
release the complete dose of active substance and are suitable for readily
soluble as well as for poorly soluble pharmaceutical substances.
Milosovich (U.S. Pat. No. 3,247,066) developed a drug form with controlled
release of the active substance based on small pellets which contain a
colloid that swells in water and are coated with an indigestible envelope.
Digestive fluid passes into the core containing disintegrant by means of
diffusion which then swells and bursts the core.
A further variant of this multilayered so-called time controlled explosion
system (abbreviated: TCES) (cf. EP 0 210 540 B1) in which a layer directly
under the envelope which contains disintegrant causes the coating to
burst.
Bayer AG (patent DD 297 767) developed a pellet formulation with a time
controlled release that was produced by rotor granulation. With the aid of
a release-controlling double layer composed of an external indigestible
lacquer layer and an inner coat which controls the migration of the water
towards the core, moisture reaches the core containing disintegrant which
then bursts the envelope.
However, the formulations produced in U.S. Pat. No. 3,247,066, in EP 0 210
540 B1 and DD 297 767 were not produced by means of extrusion and rounding
so that it was not possible to obtain pellets with a narrow particle-size
distribution.
Double-coated granulates are known from EP 0 421 921 B1 which are obtained
by extrusion of the wet granulate mass and which are moulded into
spherical pellets with a diameter of 0.3 to 1.5 mm. However, these are
pellets which achieve a time controlled release by a gastric
juice-resistant but intestinal juice-soluble film and not by a burst
mechanism.
Although an advantage of extrusion processes over rotor granulation is
that a narrow distribution of particle sizes can be achieved, a
fundamental disadvantage of extrusion pellets is that it is not possible
to dispense with certain pharmaceutical additives such as microcrystalline
cellulose for their production since they give the extrudate the required
plastic-rigid properties required for rounding. In this case such
additives in most cases also act as retarding agents i.e. they lead to a
delayed (retarded) release of the active substance. This retardation which
is often an inevitable consequence is not desirable in all cases.
Retarding agents (in particular microcrystalline cellulose), can form a
matrix system which prevents the disintegration of the pellets so that
overall pellets with retarding properties with regard to the release of
the active substance are obtained. Furthermore the additives used as
rounding agents also acts as disintegration retarding agents i.e. they
prevent the rapid decay of the pellets into smaller particles. Especially
in the case of poorly soluble medicinal substances these effects cause a
considerable delay in the release of the active substance and a
retardation of the drug release. Hence active substances that have a
strongly pH-dependent solubility profile and which are poorly soluble
especially in the basic intestinal juice are characterized by the
formation of a dense matrix system with microcrystalline cellulose. In
such cases the release profile cannot be varied as desired by means of the
composition and the thickness of the coating since the leaching of the
drug from the matrix and the rate of disintegration of the pellets play an
important role in the release properties.
Therefore the object of the invention was to provide such pellets that
rapidly disintegrate and release the active substance in as short a time
as possible from the core pellets although the pellets contain rounding
aids which among others act as retarding agents and/or as disintegrating
retarding agent.
It was surprisingly found that pellet cores which contain a) a rounding
agent acting as a retarding agent or as a disintegration-retarding agent
b) a tablet disintegrant (also referred to as intensive disintegrant in
the following) and c) at least one auxiliary substance selected from the
group comprising surfactants and binding agents and d) optionally fillers
or combinations of these auxiliary substances, disintegrate well.
Furthermore the corresponding active substances are rapidly released from
the core pellets and essentially without delay compared to a pellet which
does not have this rounding agent or retarding agent. This applies
particularly to poorly soluble active substances. In particular the core
pellets contain an intensive disintegrant, a surfactant and a binding
agent in addition to the rounding agent. It is also possible to use a
binding agent e.g. polyvinylpyrrolidone (PVP) instead of the surfactant.
In a preferred variant a PVP is additionally added to the pellet core in
addition to the surfactant.
A further advantage of the pellets according to the invention is that they
have a narrow particle size distribution: At least 90% of the particles
have a diameter of about 0.6-1.2 mm. Moreover the pellets also
disintegrate relatively rapidly when they contain active substances which
have a strong pH-dependent solubility profile. The pellets usually have a
diameter between 0.5-2 mm, depending on the perforated disk used for the
extrusion.
The rapidly disintegrating pellets according to the invention (also
referred to as core pellet A in the following) have a release rate of the
active substance which is not delayed despite the presence of the rounding
agent that acts as a retarding agent or disintegration-retarding agent.
The release of the active substance is essentially not retarded. The
release is relatively rapid and, in particular, it is comparable with the
pellet which can be produced by an alternative process to the extrusion
process and which does not contain this retarding agent or
disintegration-retarding agent (also referred to as core pellet B in the
following or reference pellet). The core pellets according to the
invention do not have a delayed release of the active substance. The
release rate of such core pellets is preferably at least 90% after 30
minutes.
The pellets according to the invention (core pellets A) contain the common
pharmaceutical disintegrants preferably in an amount of 5-50% and
surfactants in an amount of 0.1-20%. Binding agents can be advantageously
added in an amount of 1-10%. Microcrystalline cellulose (e.g. Avicel.RTM.)
as a rounding aid is in particular present in an amount of 5-70%. The
percentages refer to the weight percentages of the pellet cores if not
stated otherwise.
Rounding agents that are suitable for the production of extrusion pellets
are all common auxiliary substances known in the literature which enable a
rounding of the pharmaceutical mass obtained by extrusion primarily in a
rod shape. Microcrystalline cellulose and derivatives thereof such as e.g.
Avicel.RTM., Avicel.RTM. PH 101, Avicel.RTM. PH 105 or Avicel.RTM. PH 200
are for example suitable. Provided these rounding aids delay the release
of the active substance compared to other pellets which do not contain
this auxiliary substance or provided these rounding aids delay the
disintegration of the pellets into smaller particles
(disintegration-retarding agents), they are suitable within the sense of
the present invention as so-called retarding agents for the production of
the core pellets according to the invention.
All common pharmaceutical binding agents come into consideration as
binding agents e.g. gelatin, microcrystalline cellulose, L-HPC, starch,
standard hydroxypropylmethyl cellulose derivatives and
polyvinylpyrrolidone (PVP) derivatives. However, polyvinylpyrrolidone (PVP)
derivatives are particularly preferred as binding agents since these do
not impair but rather favour the disintegration of the pellets despite
having excellent binding properties so that according to the invention it
is even possible to omit the surfactant if PVP is used in combination with
an intensive disintegrant.
All standard pharmaceutical auxiliary substances can be used as tablet
disintegrants (disintegration aids) or intensive disintegrants for
pharmaceutical purposes which have strong swelling properties in aqueous
media and which are distinguished by volume enlargement through the uptake
of water. The term tablet disintegrant relates to those pharmaceutical
auxiliary substances which enable rapid disintegration of tablets in water
or in gastric juice and that enable the release of drugs in absorbable
form. Depending on the mechanism of action these are substances that
increase the porosity of solid forms of administration and have a large
absorption ability for water (starch, cellulose derivatives, alginates,
dextrans, cross-linked polyvinylpyrrolidone and others), as well as
wetting agents that allow wetting of the solid forms of administration
(such as e.g. polyethylene glycol sorbitan fatty acid ester). Sodium
carboxymethyl cellulose, modified corn starch (e.g. Starch.RTM.1500) and
sodium carboxymethyl starch (Explotab.RTM. or Primojel.RTM.) are
preferably used. Primojel.RTM. is particularly preferred.
Standard pharmaceutical surface active substances are used as surfactants
such as ionic and non-ionic surfactants, such as benzalkonium chloride,
polyoxyethylene-polyoxypropylene copolymers (e.g. Pluronic.RTM. F68),
polyethylene glycol glycerol ester, alkyl sulfates, preferably sodium
dodecylsulfate (Texapon.RTM.) and stearic acid or alkali or alkaline earth
salts thereof (Mg or Na salts) or stearates such as e.g. PEG-400-stearate
(Mirj.RTM.).
Optionally one or several standard pharmaceutical fillers are also added.
The amount of filler can be up to 80%. Fillers that are used according to
the invention are carbohydrates such as sugars preferably glucose, lactose
and sucrose, sugar alcohols such as mannitol and sorbitol, starch, starch
derivatives and dibasic calcium phosphate. However, all known fillers are
in principle suitable.
Particularly preferred formulations according to the invention comprise
15-25% microcrystalline cellulose, 15-25% disintegrant, 2-10% surfactant
and/or 3-7% polyvinylpyrrolidone (all data in % by weight) as well as
optionally further binders or fillers.
Active substances within the sense of the invention are basically all
drugs that come into consideration for the therapeutic treatment of
humans. Those active substances are preferred that are poorly soluble.
Poorly soluble active substances within the sense of the present invention
are those that are referred to in general pharmacopeias (e.g. USP XXII) as
not easily soluble active substances. Such active substances have for
example a solubility of less than 0.1 mg/ml, in particular of less than
0.05 mg/ml or less than 0.01 mg/ml in an aqueous medium or whose
solubility properties are strongly pH dependent. Active substances are for
example
(.+-.)-1-(9H-carbazol-4-yloxy)-3-[(2-(2-methoxyphenoxy)-ethyl)-amino]-2-pr
opanol (INN: Carvedilol),
2-{4-[2-[(4-chloro-benzoyl)-amino]ethyl]phenoxy}-2-methylpropionic acid
(INN: Bezafibrat), INN: Glibenclamid or
1-isopropyl-3-[(4-m-toluidino-3-pyridyl)sulfonyl]-urea (INN: Torasemid).
These active substances are poorly soluble. In particular Carvedilol has a
strongly pH-dependent solubility profile and is particularly poorly
soluble in the intestinal juice. However, these substances and in
particular Carvedilol are released very well from the pellets according to
the invention.
In order to check the disintegration of pellets it is possible to use
generally known methods and instruments that are described in standardized
form in pharmacopeias. A standardized paddle apparatus (37oC.,
90 rpm) can therefore be used to measure the disintegration time. The
disintegration time is stopped as soon as 90% of the pellets have
disintegrated into smaller agglomerates. The release rate of the active
substance (data in % in relation to a certain unit of time) is also
determined according to generally standardized methods (cf. European
pharmacopoiea or US Pharmacopoiea).
Surprisingly the pellets according to the invention have a disintegration
rate of at least 90% after 30 minutes and already after 20, 10 or 5 or 2
minutes in the case of particularly preferred embodiments. At least 90% of
the active substance has been released after 30 minutes. After 10 minutes
the active substance has been released from the core pellets by at least
50%, preferably at least 70% and especially by at least 90%. Surprisingly
it was also possible to achieve these release rates with poorly soluble
active substances. The release is determined in an aqueous medium, the pH
of the solution being adjusted to a value at which the active substance
has an optimal solubility.
Thus Texapon.RTM. and Carvedilol pellets containing disintegrant have
already disintegrated even after 2 minutes and already exhibit ca. 70%
release of active substance after 5 minutes. The disintegration is
advantageously further accelerated by the use of Pluronic.RTM. F 68 so
that already after 5 minutes more than 90% of the Carvedilol has been
released. These pellet cores according to the invention which have not
been coated are thus suitable as alternatives to a non-retarded monolithic
pharmaceutical form.
Pellets according to the invention particularly advantageously contain a
combination of a tablet disintegrant together with either a surfactant
and/or a binding agent. It is particularly preferred to combine a
disintegrant with a surfactant or to combine a disintegrant with a binding
agent. The addition of a combination of a disintegrant with one of the
auxiliary substances mentioned (surfactant and/or binding agent) leads to
a better release rate than the addition of disintegrant alone (cf. Tables
1 and 2).
The pellets according to the invention are produced by mixing the active
substances with the pharmaceutical auxiliary substances 1, and
subsequently granulating, extruding and rounding. The extrusion/rounding
process according to the invention enables in contrast to rotor
granulation the pellets to be produced with a very narrow particle size
distribution. If a perforated disk is used with a hole diameter of 1 mm,
about 90% of the pellets have a diameter of about 0.6-1.2 mm.
For the production of the pellets according to the invention a neutral
starter core is not necessary it is possible to incorporate much larger
doses of active substance. According to the invention amounts of active
substance of up to at least 80% (% by weight) are feasible. The amount of
active substance is preferably for example at least 30%, 50% or 70%.
Carvedilol pellets can be produced without any difficulty within the sense
of the present invention with a content of active substance of 70% and
these decay in less than 10 minutes, in particular less than 5 minutes or
less than 2 minutes.
In a special embodiment the core pellets according to the invention can
also be coated with coatings e.g. to modify the release of active
substance or to cover an unpleasant taste. In the sense of the present
invention the rapidly disintegrating core pellets can also be provided
with a coating in order to develop time-controlled systems by coating the
rapidly disintegrating swelling pellets according to the invention in
which the coating bursts after a certain delay time. The core formulations
according to the invention are particularly well suited as a base for the
development of a drug form with a modified release of active substance in
which a time-controlled release of the active substance is achieved by the
bursting of a film since the swelling pressure that develops in the pellet
core after uptake of moisture is sufficient to tear open an indigestible
coating. Especially in the case of poorly water-soluble pharmaceutical
substances such burst systems offer the advantage over diffusion pellets
that the dose of active substance is released relatively rapidly and
completely from the drug form. The delay time can be varied between 10
minutes and 5 hours by the composition and the film coating thickness of
the film as well as by the formulation of the rapidly disintegrating core.
It is known that a thick film layer alone can delay the start of release
for a long time, this however, results in a slower release of active
substance after the coating bursts. Larger amounts of coating additionally
require more time to apply the coating which is uneconomical. Surprisingly
the film coating thickness of the pellets according to the invention can
be kept relatively low by selection of suitable film additives.
The rapidly disintegrating pellets can additionally be coated with readily
soluble films (e.g. hydroxypropyl methylcellulose) or with films which
dissolve pH-dependently in the gastrointestinal tract (gastric
juice-resistant coatings). The pellets can also be coated with layers of
various film formers or various formulations of the same film former.
Coated pellets which release the active substance after various delay
times as well as rapidly disintegrating non-coated pellets can be mixed in
order to achieve diverse release profiles (e.g. pulsed release, release
according to a 0 order kinetics or nth order kinetics, sigmoidal release).
The rapidly disintegrating pellets can be coated by common pharmaceutical
methods e.g. in a fluidized bed or coating pan.
Calculated from the time that the release begins, the coated rapidly
disintegrating pellets according to the invention have a release of at
least 50% after 180 minutes. The amount of coating applied can be varied
such that the proportion by weight of the film former is between 1 and 70%
relative to the pellet core weight.
Preferred coating materials for the production of coated pellets whose
film is burst by the swelling of the pellet core are preferably ethyl
cellulose e.g. Aquacoat.RTM. and methacrylic ester copolymers e.g.
Eudragit.RTM. RL/ RS. Materials that can be used for readily soluble films
are e.g. cellulose derivatives (such as e.g. hydroxypropylmethyl
cellulose) or amino-alkylmethacrylate copolymers (e.g. Eudragit.RTM. E).
Dicarboxylic acid derivatives of cellulose compounds (e.g.
hydroxypropylmethyl cellulose phthalate, hydroxypropylmethyl cellulose
succinate) as well as methacrylic acid copolymers (e.g. Eudragit.RTM. L,
Eudragit.RTM. S) are suitable as film formers for pH-dependent soluble
coatings.
The following film additives can be used: Softening agents in an amount of
0.1-50%, detackifiers (0.1-70%) as well as, especially in the case of
films that are burst by the swelling of the pellet core, substances which
can accelerate or delay the diffusion of the release liquid into the core
and can consequently modify the delay time until the release of active
substance starts (0.1-50%). Furthermore it is possible to add pore
formers, aroma substances, dyes, pigments as well as fillers.
All common pharmaceutical softening agents can be used as softening
agents. Acetylated fatty acid glycerides, acetyl-triethyl citrate, acetyl-tributyl
citrate, dibutyl phthalate, diethyl phthalate, dimethyl phthalate,
glycerol triacetate, propylene glycol, polyethylene glycol,
polyoxyethylene-polyoxypropylene copolymers, castor oil and tributyl
citrate are preferred. Triethyl citrate is particularly preferred.
All common pharmaceutical detackifiers can be used as detackifiers.
Talcum, Aerosil.RTM., kaolin and micronized silicic acid are preferred.
Glycerol esters and ethers of higher fatty acids e.g. glycerol
monostearate, polyethylene glycol-32-glyceryl laurate are particularly
preferred.
Additives that come into consideration that can control the diffusion of
water into the pellet core are hydrophobizing additives (e.g. waxes,
talcum, fatty acids and fatty acid esters) as well as substances that
accelerate diffusion (e.g. surfactants, fatty acid esters and fatty acid
ethers). Montanglycol wax, glycerol monostearate, stearic acid and stearic
acid derivatives and polyethylene glycol-glyceryl esters, glycerylbehenate,
glycerylpalmito-stearate, cetyl palmitate are particularly preferred.
The coated and/or non-coated pellets according to the invention can be
pressed according to known processes into tablets also together with
standard pharmaceutical auxiliary substances or be filled into capsules or
sachets or embedded in matrices. The formulations are equally suitable for
readily and poorly water-soluble active substances. The capsules contain
the active substance in an amount of up to 350 mg, in particular 1-200 mg,
preferably 10-100 mg. Pellet tablets can contain the active substance in
an amount of up to 1000 mg, preferably 1-500 mg and in particular 10-250
mg.
Claim 1 of 26 Claims
What is claimed is:
1. A pharmaceutical composition consisting essentially of pellets
containing (a) an active substance, (b) 5-70% by weight rounding agent
which acts as an active-substance-release retardant or a
particle-disintegration retardant, (c) 5-50% by weight tablet disintegrant
and (d) at least one of (1) 0.1-20% by weight surfactant and (2) 1-10% by
weight binding agent, wherein the pellets have a diameter of between 0.5
and 2 mm.
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