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Title: Expandable gastro-retentive therapeutic system
with controlled active substance release in the gastro-intestinal tract
United States Patent: 6,290,989
Inventors: Asmussen; Bodo (Bendorf, DE); Cremer; Karsten
(Bonn, DE); Hoffmann; Hans-Rainer (Neuwied, DE); Ludwig; Karin (Neuwied,
DE); Roreger; Michael (Neuwied, DE)
Assignee: LTS Lohmann Therapie-Systeme AG (DE)
Appl. No.: 341492
Filed: August 31, 1999
PCT Filed: January 9, 1998
PCT NO: PCT/EP98/00099
371 Date: August 31, 1999
102(e) Date: August 31, 1999
PCT PUB.NO.: WO98/31341
PCT PUB. Date: July 23, 1998
Foreign Application Priority Data: Jan 14, 1997[DE] (197
00 915)
Abstract
The present invention describes a device for the controlled release of
active compounds in the gastrointestinal tract with delayed pyloric
passage, having a component expandable on contact with gastric juice,
which is surrounded by a polymer covering which is permeable to gastric
juice and active compounds. The device contains at least one active
compound which is present in a multiparticulate preparation which releases
the active compound into the gastric juice with a delay. Compared with
conventional pharmaceutical forms with delayed pyloric passage, the
release of active compound from a device according to the invention can be
better controlled; likewise the device can be easily rolled or folded and
can be introduced into capsules without problems.
Description of the Invention
The invention relates to a device for the controlled
release of active compounds in the gastrointestinal tract with delayed
pyloric passage, having a component expanding on contact with gastric
juice, which is surrounded by a polymer covering which is permeable to
gastric juice and active compounds. It relates in particular to a device
which, by means of the reversible expansion of a component contained in
it, undergoes extension on contact with gastric juice, which delays the
pyloric passage and thereby leads to a prolonged gastric residence time.
U.S. Pat. No. 4,207,890 describes a device for the controlled release of
active compounds, which by means of its expansion undergoes local
retention in the stomach and thereby has a prolonged residence time in the
same. The device has (a) a polymer covering, which is present in collapsed
form before administration. The polymer covering itself has no openings
and consists of a material which is virtually unhydratable, but is
permeable to body fluids and active compounds. The device moreover has (b)
an element which controls the release of active compound. According to
Claim 2, this element can be the polymer covering itself. As a further
element (c), the device has an expanding component on contact with body
fluids.
Significant problems of the administration form remain unsolved, however.
In particular, the patent specification gives no concrete advice on the
preparation of the active compound or the manner of its introduction into
the device. In the description of the invention (top of column 5), it is
proposed to seal the active compound into a small sachet which in turn can
be inserted into a capsule before it is incorporated into the device.
Such a solution is affected by serious disadvantages. In view of the fact
that the entire device must be dimensioned such that it can still be
administered orally, it is virtually impossible to accommodate in it an
expandable element and a capsule which contains a sachet with active
compound. The industrial production, filling and sealing of such a small
sachet of active compound and its introduction into a small capsule could
also be associated with great difficulties.
EP 0 307 904 A1 furthermore discloses a very specific embodiment of a
gastroretentive device with an expanding component (a) which contains the
active compound and whose expansion takes place by means of evolution of
CO2. A polymer covering (b) of polyvinyl alcohol in sachet form
and (c) an additional covering decomposing in gastric juice, e.g. a
capsule, are furthermore provided.
This EP 307 904 also offers no practical solution to the introduction of
the active compound. According to the exemplary embodiments, active
compound powder is introduced manually into the polyvinyl alcohol
covering. It is particularly disadvantageous that active compound and--the
alkaline--CO2 generator are combined to give one element,
although it is known that many active compounds are incompatible with
alkaline auxiliaries, which even include some of those described in the
patent specification as preferred (e.g. ASA).
Both EP 307 904 A1 and U.S. Pat. No. 4,207,890 lack advice on how the
release rate is to be controlled independently of the permeability of the
polymer covering provided, which is particularly important if a rapidly
permeating active compound is to be administered over a relatively long
time.
It is therefore the object of the present invention to create a
gastroretentive pharmaceutical form having the advantages of an expandable
device according to U.S. Pat. No. 4,207,890, but which is an improvement
in
the sense of the production technology, the active compound stability and
the control of the active compound release rate independently of the
properties of the integrity-preserving polymer covering.
This object is achieved in very general form by a device for the
controlled release of active compounds in the gastrointestinal tract with
delayed pyloric passage, having a component expandable on contact with
gastric juice, which is surrounded by a polymer covering which is
permeable to gastric juice and active compounds, and which contains at
least one active compound in the form of a multiparticulate preparation
which releases the active compound into the gastric juice with a delay.
Particular features of the invention follow from the subclaims and from
the description below.
A device according to the invention offers the possibility of controlling
the release rate of the active compound or of the active compounds
relatively independently of the permeability of the polymer covering by
means of the nature and composition of the multiparticulate preparation.
The polymer covering can thus be optimized with respect to other important
properties such as strength, sealing ability, flexibility and permeability
for gastric juice and must not be adjusted as a top priority to the
control of the release rate. The same polymer covering, for example, can
thus be used for various products with different active compounds or
different multiparticulate preparations of active compounds. Equally, the
combined administration of two active compounds with differing
permeabilities is made possible by means of a single device in that a
multiparticulate preparation of each active compound having an appropriate
release profile is provided in the same device.
The possibility of controlling the release rate, which is largely
independent of the polymer covering, is therefore particularly of
importance, since the requirement must be made of the same covering or
membrane that on contact with gastric juice it very rapidly absorbs water
or makes possible the diffusing-in of water, which must lead within a
short time to the activation of the expansion mechanism of the device. An
absorption and diffusion of water which is as rapid as possible, however,
is accompanied by particularly high hydrophilicity and, as a rule, by a
rapid diffusion of dissolved substances--properties which possibly
counteract control of the active compound release by the membrane over a
period of hours. Conversely, polymer membranes which release dissolved
active compounds only slowly cannot [lacuna] water sufficiently rapidly
into the device, so that in the case of a device having such a membrane
the danger exists that it passes through the pylorus before its expansion
mechanism could be activated. A multiparticulate preparation with
controlled release of active compound accordingly makes possible a
particularly advantageous and varied possibility of constructing expanding
gastroretentive systems.
The advantage of the better control of the release rate is combined in a
device according to the invention with the advantage of the better
introduction of active compound during preparation and the better handling
ability of the device after the introduction of the active compound. In
particular, the possibility of rolling, folding or compressing the device
for the purpose of introduction into hard gelatine capsules is thus
guaranteed. The spatial separation of active compound and
expansion-promoting propellants in the device is also advantageous, since
it lowers the danger of incompatibilities.
Within the meaning of this invention, the concept of the multiparticulate
preparation which releases the active compound into the gastric juice with
a delay includes all multiparticulate delayed-release forms known in
pharmaceutical technology. In this case, these are preparation forms in
which a large number of particles in each case define one dose unit of the
active compound and in which the delayed-release mechanism is combined
with the construction or the formulation of the individual particles.
Preparations of this type can have, for example, the form of pellets,
powders, granules, microcapsules, nanoparticles, etc. with particle sizes
of below 3 mm in diameter; particle sizes of up to 2 mm in diameter are
preferred. The delaying of the active compound release can be effected by
covering the individual particles with a polymer film or with a fatty or
waxy substance or by embedding the active compound in a suitable carrier
material which does not disintegrate rapidly in gastric juice. Suitable
carrier materials therefore as a rule contain auxiliaries which are
lipophilic and poorly and/or slowly soluble.
Claim 1 of 15 Claims
What is claimed is:
1. Device for the controlled release of active compounds in the
gastrointestinal tract with delayed pyloric passage comprising a component
expandable on contact with gastric juice, a flexible polymer covering
which is permeable to gastric juice and active compounds, wherein said
polymer covering surrounds said expandable component and wherein said
polymer covering contains at least one active compound present in a
multiparticulate preparation consisting of individual particles containing
said active compound, wherein said active compound is released into the
gastric juice with a delay.
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