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Title: Process for manufacturing bite-dispersion tablets
United States Patent: 6,475,510
Issued: November 5, 2002
Inventors: Venkatesh; Gopadi M. (King of Prussia, PA);
Palepu; Nageswara R. (Harlow, GB)
Assignee: SmithKline Beecham Corporation (Philadelphia, PA)
Appl. No.: 581334
Filed: June 8, 2000
PCT Filed: December 17, 1998
PCT NO: PCT/US98/27061
371 Date: June 8, 2000
102(e) Date: June 8, 2000
PCT PUB.NO.: WO99/32092
PCT PUB. Date: July 1, 1999
Abstract
This invention relates to a method for the manufacture of Bite-dispersion
tablets which disperse easily and quickly in the oral cavity, after a gentle
bite, without the aid of water, and if necessary includes masking the bitter
taste of medicaments. The process comprises preparing a dry granulation of
one or more of medicaments blended with suitable excipients, flavors and a
combination of a waxy material and phospholipid (BMI-60) or an intense
sweetener derived from fruit flavonoids (Neohesperidine) for taste-masking
and compressing into tablets which can be packaged in bottles or blisters
using conventional equipment.
DETAILED DESCRIPTION OF THE INVENTION
In accordance with the present invention, a process is disclosed herein
for the manufacturing of bite-dispersible tablets containing one or more
medicaments, or active ingredients/agents, which will disperse easily, and
quickly, after a gentle bite when taken orally.
It has now been found that by properly selecting a combination of commonly
used excipients, such as xylitol and directly compressible mannitol,
maltodextrin or sorbitol, preparing dry granules thereof, and subsequently
blending these granules with additional excipients, in an extragranular
admixture, a bite-dispersible tablet can be produced which rapidly
disintegrates in the oral cavity without water. It will be recognized by
the skilled artisan that the proportions of the above noted excipients may
need to be "fine tuned" for each medicament, or combination of medicament,
such as those disclosed herein.
The process herein comprises:
(1) blending intragranular components together which include, one or more
medicaments (also referred to herein as active agents or active
ingredients), individually or in combination, together with any suitable
or desired excipients, and a combination of a waxy material and a
taste-masking agent, which may include an intense sweetener, preferably
BMI-60 or Neohesperidine; and optionally may include one or more
additional flavoring agents and a disintegrant; and
(2) preparing a dry granulation mixture by techniques well known in the
art, such as by roller compacting or slugging, milling and sieving as may
be required; and
(3) preparing a compression mix by blending the intragranular dry granules
from step (2) with any necessary or desired extragranular excipients as
will be described herein; and
(4) compressing the mixture from step (3) into tablets.
The resulting tablets have been found to have a low friability, so that
they can be readily packaged into bottles or blisters using conventional
equipment.
The desired fraction of the dry granulation mixture, produced in step 2
above, may optionally be heat treated (Thermal Infusion Process, TIPped)
following procedures well known in the art, such as those described in
U.S. Pat. No. 5,690,959 prior to blending with additional excipients and
compressing into tablets.
Steps # 1 and 2 above provide for substantially taste-masked granules of a
medicament, while Steps # 3 and 4 result in the desired bite-dispersible
tablet. In an alternative embodiment of the present invention, instead of
the taste-masked granules produced in Step # 2, commercially available
taste-masked granules of medicaments, such as polymer coated granules from
Eurand America or microencapsulated Descote.RTM. granules, or any other
suitable polymer coated medicament, may instead be blended with the
excipients and flavors and compressed into bite-dispersion tablets
following Steps # 3 and 4.
It is recognized that there are many suitable means for producing
taste-masked intragranular medicaments for use in the intragranular
component mix. Often the polymer coated granules, or microencapsulated
granules of the active ingredients, may be active agents which have a
bitter, or unpleasant taste. These medicaments may be coated, for
instance, with separate layers of polymers, such as methacrylate ester
copolymers, as taught in U.S. Pat. No. 5,578,316. Suitable coating
materials described in this application include a wide range of
copolymers, such as those available under the tradename of Eudragit. These
copolymers are manufactured and marketed by Rohm Pharma of Darmstadt,
Germany.
It is recognized that these polymeric aqueous dispersions may also contain
additives such as, plasticizers, pigments, talc and the like, which may be
included for use herein in the intragranular mix. These additives include
plasticizers are employed to assist in the film forming characteristics of
the polymeric coating and also to provide greater integrity and elasticity
to the films coat. Exemplary of plasticizers that may be employed in the
coatings of this invention are triethyl citrate, triacetin, tributyl
citrate, acetyl triethyl citrate, acetyl tributyl citrate, dibutyl
phthalate, dibutyl sebacate, vinyl pyrrolidone and propylene glycol. The
amount of plasticizer present in the aqueous dispersion may be from 5% to
about 30% by weight of the dry polymers.
Suitably the desired excipients for use in the intragranular admixture of
process step (i) above include, but are not limited to, xylitol, directly
compressible mannitol, maltodextrin or sorbitol; or a combination thereof,
preferably xylitol. However, the extragranular mixture requires the use of
certain pharmaceutically acceptable excipients, and these excipients may
be selected from xylitol, directly compressible mannitol, maltodextrin or
sorbitol; or a combination thereof, preferably xylitol.
The present invention does require in the intragranular mixture, a
component which is a waxy material, and a second component which is either
an intense sweetener, such as those derived from fruit flavonoids, or a
taste masking agent such as the lipoproteins and phospholipids derived
from soy lecithin, which are further described herein. As noted above, the
admixture may optionally comprise additionally flavoring agents, and a
distintegrent. If, however, the intragranular mixture uses a polymer
coated granule of a pharmaceutically active agent, or a commercially
available taste-masked granule of a pharmaceutically active ingredient is
used instead, it is recognized that the waxy material and the second
component are not necessary and may therefore be optionally included.
Suitable waxy materials for use herein include, but are not limited to,
the mono-, di- or tri- C10-30 aliphatic esters of glycerol,
preferably glycerol palmito-stearate or glyceryl behenate; the high
molecular weight (C10-30) straight chain aliphatic alcohols, such as
stearyl alcohol or cetyl alcohol; and mixtures of high molecular weight
aliphatic acids and esters; or combinations thereof Preferably, the waxy
material is stearyl alcohol or cetyl alcohol, or is glycerol
palmito-stearate or glyceryl behenate.
Suitable taste-masking agents which may be incorporated in the
intragranular formulation preferably include the lipoproteins and
phospholipids derived from soy lecithin, such as BMI-60, a fractionated
product from soy lecithin from Kao Corporation. However, other suitable
components for taste-masking of active ingredients include, but are not
limited to, synthetic or naturally occurring waxes such as Compritol.RTM.
or Precirol.RTM. (glyceryl behenate or glycerol palmito-stearate, from
Gattefosse s.a., France), cetyl alcohol or carnauba wax. It is noted that
the waxy material and the taste-masking agents may be the same agents for
use in the intragranular admixture, such as in the case of use of the
synthetic or naturally occurring waxes noted above; or may be a
combination thereof
Suitable sweetener agents for use in the intragranular formulation
preferably include the intense sweeteners derived from fruit flavonoids,
such as Neohesperidine DC from EM Industries, Inc. Suitably the required
second component in the intragranular admixture may be either be the above
noted taste-masking agent, the intense sweetner or a combination thereof
Preferably the second component is either BMI-60 or Neohesperidine DC, a
combination of these two products.
Suitably, the waxy material, in combination with BMI-60 or Neohesperidine
DC, is present at a level of from about 1% to about 30%, preferably from
about 3% to about 20% by weight of composition. In the intragranular
admixture if the first and second component are present it is preferably
from about 0.5 to about 2% w/w of the formulation. Alternatively, the waxy
material to the taste-masking/sweetener ratio will vary in these
formulations from about 20:1 to about 5:1 (total formulation).
The waxy material, taste-masking agents and sweetener agents noted herein
for use in the intragranular component mix may also be optionally used in
the extragranular admixture.
Suitable active ingredients for incorporation into the bite-dispersion
tablets of the present invention include the many bitter, unpleasant
tasting, or numbing effects of drugs which include, but are not limited
to, histamine H2 -antagonists, such as, cimetidine, ranitidine,
famotidine, nizatidine, etinidine; lupitidine, nifenidine, niperotidine,
roxatidine, sulfotidine, tuvatidine and zaltidine; antibiotics, such as
penicillin, ampicillin, amoxycillin, and erythromycin; acetaminophen;
aspirin; caffeine, dextromethorphan, diphenhydramine, bromopheniramine,
chloropheniramine, theophylline, spironolactone, NSAIDS's such as
ibuprofen, ketoprofen, naprosyn, and nabumetone; 5HT4 inhibitors, such as
granisetron, or ondansetron; seratonin re-uptake inhibitors, such as
paroxetine, fluoxetine, and sertraline; vitamins such as ascorbic acid,
vitamin A, and vitamin D; dietary minerals and nutrients, such as calcium
carbonate, calcium lactate, etc., or combinations thereof.
The above drugs are not limiting but merely exemplary of unpleasant
tasting drugs that may be employed in this invention. Additionally, other
compounds such as the nonsteriodal anti-inflammatory drugs (NSAIDs), such
as naprosyn, i.e. the propionic acid derivatives, are a preferred
embodiment of this invention. Suitably, these agents, in particular the
anti-inflammatory agents, may also be combined with other active
therapeutic agents, such as various steroids, decongestants,
antihistamines, etc., as may be appropriate.
The inactive ingredients or excipients, optionally used in the
intragranular admixture and the required extragranular admixtures, include
the pharmaceutically acceptable excipients such as xylitol [a sweetening
agent (2.5 times as sweet as mannitol) with a large negative heat of
solution--153 J/g)], fructose, sorbitol (heat of solution:--111 J/g),
mannitol (heat of solution:--121 J/g), and maltodextrin.
Suitable flavoring agents for use herein include, but are not limited to,
wintergreen, orange, grapefruit, and cherry-raspberry. If the
intragranular mixture does not contain a polymer coated active ingredient
than preferably the mixture includes a flavouring agent. Further, if a
flavouring agent is present in the extragranular mix it should be present
from about 0.5 to about 3% w/w of the total tablet formulation.
The formulation may optionally contain suitable disintegrants (both intra
and extra-granular) such as, but not limited to, sodium starch glycolate [Explotab.RTM.],
crosslinked polyvinylpyrrolidone [Crospovidone b.RTM.], corn starch,
acacia, Croscarmellose of sodium [Ac-di-sol.RTM.], sodium
carboxymethylcellulose, veegum, alginates. Preferably the disintegrant is
sodium starch glycolate, or corn starch.
While a disintegrant is an optional component in the intragranular mix, it
is preferably corn starch or acacia, with the drug to disintegrant ratio
of about 50:1 to 20:1.
While a disintegrant is also an optional component in the extragranular
mix, it is preferably sodium starch glycolate (Explotab), Croscarmellose
of sodium (Ac-Di-Sol) or crosslinked polyvinylpyrrolidone (Crospovidone),
and is present in about 1-4% wt. of formulation.
The formulation may also optionally contain suitable lubricants, (both
intra and extra-granular) such as but not limited to, magnesium stearate,
stearic acid and its pharmaceutically acceptable alkali metal salts,
calcium stearate, sodium stearate, Cab-O-Sil, Syloid, sodium lauryl
sulfate, sodium chloride, magnesium lauryl sulfate or talc. Preferably, a
suitable lubricant is magnesium stearate or stearic acid. The amount of
lubricant present in the total formulation may be from about 0.5 to about
2.0 by weight of composition. Suitably, the lubricant is present in the
extra-granular mix.
In addition to these above noted excipients, the formulation may also
contain high surface area ingredients such as talc, acacia, corn starch,
magnesium trisilicate or magnesium aluminum silicate. Suitably, the high
surface area materials are present at a level from about 1% to about 10%
by weight of composition, preferably from about 2% to about 6% by weight
of composition.
The formulation may also include coloring agents, or pigments, such as
FD&C or D&C approved lakes and dyes, iron oxide and titanium dioxide. The
amount of pigment present may be from about 0.1% to about 2.0% by weight
of the composition.
The formulation may also contain suitable lubricants in the intra and
extra-granular mixtures, such as but not limited to, magnesium stearate or
stearic acid. Suitably, the lubricant is present in the extra-granular
mix.
Additional other conventional pharmaceutical diluents or excipients may be
also be included, as needed, in either the intragranular or extragranular
admixture. Suitable excipients which may be employed include, for example,
fillers, binders, lubricants, binders, compression aids, and wetting
agents. To further assist patient compliance, the formulation may also
contain sweeteners such as aspartame, sodium cyclamate and sodium
saccharinate; and flavorants such as those noted above.
The present invention provides for a method of manufacturing
bite-dispersion tablets which are capable of rapid operation, is cost
effective, and suitable particularly to moisture/heat sensitive
medicaments.
Another aspect of this invention, as compared to other fast-dispersion
technologies, is that no specialized manufacturing or packaging equipment
is required to manufacture these tablets.
Suitably, the tablets of the present invention include:
a) 1-60 parts of at least one medicament; and
b) 10-90 parts, preferably 15-85 parts of xylitol; and
c) 0.5-20 parts, preferably 1.0-20 parts of a waxy material, such as
glyceryl behenate (Compritol.RTM.), or glycerol palmitostearate (Precirol.RTM.);
and
d) optionally, 0.5-7 parts, more preferably 1.0-4.0 parts of an intense
sweetener/taste masking agent such as Neohesperidine or BMI-60 (the actual
range depending upon the bitterness of the medicament).
The xylitol content in the formulations may vary significantly depending
on the medicament; for example, 1 part of Granisetron hydrochloride to 90
parts of xylitol, preferably to 40-70 parts of xylitol, depending on the
required dose; 1 part of Paroxetine hydrochloride to 15 parts of xylitol,
preferably to 4-10 parts of xylitol; 1 part of Acetaminophen to 6 parts of
xylitol, preferably to 2-4 parts of xylitol; 1 part of Ibuprofen to 6
parts of xylitol, preferably to 2-4 parts of xylitol; 1 part of Cimetidine
free base to 6 parts of xylitol, preferably to 2-4 parts of xylitol; 5
parts of Calcium Carbonate to 1 part of xylitol, preferably 2 parts of
Calcium Carbonate to 3-2 parts of xylitol; per total weight of
formulation. Preferably, parts are ratios determined by w/w % of the total
formulation.
The medicament, waxy material and sweetener/taste masking agent are
blended together with suitable additional excipients, preferably roller
compacted and milled, to produce palatable granules, this admixture is
also referred to herein as the intragranular component. These
intragranular components, or for instance, commercially available
microencapsulated granules of the medicament, are then blended with
additional excipients including xylitol, flavors and a lubricant (also
referred to herein as the extragranular components) and compressed into
fast dispersing tablets.
The taste-masked drug granule to xylitol ratio in the extragranular
component of the tablet formula varies from about 1:10 to 3:1, preferably
from about 1:5 to 2:1, depending on the strength of the dosage form and/or
the extent of bitterness associated with the medicament.
The drug to xylitol ratio, if present, in the intragranular component of
the tablet formula varies from about 1:30 to 10:1, preferably from about
1:20 to 3:1, depending on the strength of the dosage form and/or the
extent of bitterness associated with the medicament.
The drug to waxy material (if present) in the intragranular composition
varies from about 10:1 to 1:30, preferably from about 5:1 to 1:20,
depending on the dose and bitterness of the medicament. The ratio of the
taste-masked granule (steps #1 and 2) to xylitol in the extragranular mix
varies from about 1:10 to 3:1, preferably from about 4:1 to 1:1.
Another aspect of the present invention is the novel formulation for a
fast-dispersing pharmaceutical tablet for oral administration which tablet
has a structure comprising compacted granulates; the granulates comprising
a medicament together with a combination of a waxy material and a
taste-masking agent, optionally with an intense sweetner, and/or flavoring
agent; and optionally a pharmaceutically acceptable excipent selected from
xylitol, mannitol, maltodextrin, or sorbitol, or a combination thereof,
the granulates being compacted together into a tablet form together with
extragranular components which are a disintegrant, a sweetner and/or
taste-masking agent, and a pharmaceutically acceptable excipent selected
from xylitol, mannitol, maltodextrin, or sorbitol, or a combination
thereof
Preferably, the medicament in the tablet as noted above, is an analgesic,
antacid, antiemetic, anti-inflammatory agent, arthritis medication,
calcium supplement, antihistamine, decongestant, or a mixture thereof.
Preferably, the tablet granulates further comprise an intragranular
pharmaceutically acceptable excipiewhich is xylitol, and an extragranular
granular excipient is xylitol.
Preferably the granulates include an intense sweetener which is derived
from fruit flavonoids; or a taste masking agent of a lipoprotein or acidic
phospholipids derived from soy lecithin. More preferably, the phospholipid
is derived from a fractionated product derived from soy lecithin.
Preferably, the granulate waxy material comprises a synthetic or naturally
occurring wax, or a mono-, di- or tri- C10 -C30 aliphatic ester
of glycerol, such as glycerol palmito-stearate or glyceryl behenate. Or
the waxy material may comprise a high molecular weight (C10-C30) straight
chain aliphatic alcohol, or mixtures of high molecular weight aliphatic
acids and esters, such as stearyl alcohol or cetyl alcohol.
Preferably, the waxy material is in combination with BMI-60 or
Neohesperidine DC and is present at a level of from about 1% to about 30%,
preferably from about 3% to about 20% by weight of composition.
The granulates may further comprise a high surface area material
comprising acacia or corn starch, or a combination thereof, at a level of
from about 1% to about 10%, preferably from about 2% to about 6% by weight
of composition. Preferably, the tablets may also comprise a high surface
area material comprising acacia or corn starch, or a combination thereof,
at a level of from about 1% to about 10% in the extragranular component of
the formulation, preferably wherein the high surface area material is
acacia.
The granulates may further comprises a flavoring agent, or the
extragranular component may further comprises a flavoring agent, or a
combination thereof
In the process of making the tablets preferably, the granualtes are
optionally subjected to heat treatment prior to being compacted with the
extragranular components.
Claim 1 of 101 Claims
What is claimed is:
1. A process for the preparation of a fast dispersing tablet for oral
administration, which process comprises:
(i) admixing together intragranular components which are at least one
pharmaceutically active ingredient, one or more pharmaceutically
acceptable excipients which are xylitol, directly compressible mannitol,
maltodextrin and sorbital, or a combination thereof; a waxy material which
is a synthetic or natural wax, a mono-, di- or tri-(C10-30) aliphatic
esters of glycerol, a (C10-30) straight chain aliphatic alcohol, a
(C10-30) aliphatic acid, and a (C10-30) aliphatic ester, or
combinations thereof; an intense sweetener or taste-masking agent; and
optionally a disintegrant; and
(ii) preparing the admixture of step (i) for compression by dry
granulation, slugging, roller compacting, milling or sieving, or
combinations thereof; and
(iii) blending the product of step (ii) with an extragranular component
which comprises a pharmaceutically acceptable excipient of xylitol,
directly compressible mannitol, maltodextrin or sorbitol, or a combination
thereof; and optionally a sweetener or taste-masking agent;
(iv) compressing into tablets.
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