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Title: Amorphous compound
United States Patent: 6,458,769
Issued: October 1, 2002
Inventors: Roberts; Ronald John (Macclesfield, GB); Brown;
John (Macclesfield, GB)
Assignee: AstraZeneca AB (Sodertalje, SE)
Appl. No.: 891860
Filed: June 25, 2001
Abstract
The present invention relates to a novel form of (S)-1-[N2
-(1-carboxy-3-phenylpropyl]-L-lysyl]-L-proline known under the generic name
lisinopril. Further, the present invention also relates to the use of the
novel amorphous form of lisinopril for the treatment of hypertension and
other cardiovascular diseases, pharmaceutical compositions containing it as
well as processes for the preparation of the novel amorphous form of
lisinopril.
DESCRIPTION OF THE INVENTION
It has surprisingly been found that the substance lisinopril can be
prepared in a stable amorphous form. Moreover, it has been found that
amorphous lisinopril possesses far greater solubility than the crystalline
form. Such a more soluble form of lisinopril may render the product more
suitable to certain formulations where quick solubility is desired, such
as `fast melt` (melt on the tongue type) formulations. It is an object of
the present invention to provide amorphous lisinopril. It is a further
object of the invention to provide mixtures of amorphous lisinopril with
other solid forms of lisinopril, such as crystalline lisinopril. Another
object of the present invention is to provide a process for the
preparation of amorphous lisinopril, substantially free from other forms
of lisinopril.
Additionally it is an object of the present invention to provide
pharmaceutical formulations comprising amorphous lisinopril.
Although crystalline lisinopril has been in the public domain for some
time now, the Applicants are not aware of any disclosure of amorphous
lisinopril having been made and publicly disclosed. Indeed, it was
generally regarded that amorphous lisinopril would be difficult to make,
particularly in a stable form. Applicants' previous attempts at
crystallization to produce other forms, always generated crystalline
hydrates or solvates that quickly took up water reverting to the
crystalline form. No amorphous product was ever formed.
Amorphous lisinopril is a non-crystalline, `porous particulate` form
exhibiting advantageous properties, such as being more soluble than
crystalline lisinopril. In addition, the amorphous lisinopril particles
are glassy in appearance having smooth surfaces with characteristic porous
rounded holes with the absence of regular faces present in crystalline
materials. Particles can range from small (1-10 .mu.m) to larger particles
(500.mu.m) in addition to aggregated particles, which are granular in
appearance. The granular shape of the amorphous particles will impart
improved flow characteristics and so aid tablet manufacture compared to
the needle-like structures found in the crystalline material. ZESTRIL.RTM.
is conventionally manufactured using wet granulation and tabletting.
Tablet manufacture by direct compression, as opposed to wet granulation,
is prone to segregation of the drug substance from the remaining
excipients, leading to a non-uniform mix. This gives rise to tablets of
variable drug content. Segregation is exacerbated by wide differences in
the particle size of the drug substance and the excipients. The larger
particle size of the amorphous lisinopril compared to the crystalline
material would be closer to that of the excipients typically used in
direct compression formulations and so would minimise segregation.
Further, it is well known that amorphous materials posses improved
compression characteristics over the crystalline form. For example,
commercial grades of lactose are produced by a spray drying technique to
introduce some amorphous content which improves the compression force /
hardness profile of the excipient (Handbook of Pharmaceutical Excipients,
3rd Edition, A. H. Kibbe, Pharmaceutical Press, p. 276). The particle size
and shape of amorphous lisinopril may thus make it more suitable for
direct compaction tabletting.
Thus, according to a first aspect of the invention there is provided
lisinopril in amorphous form.
There is also provided (S)-1-[N2 -(1-carboxy-3-phenylpropyl]-L-lysyl]-L-proline,
or a pharmaceutically-acceptable salt thereof in amorphous form.
Amorphous materials do not exhibit the three-dimensional long-range order
found in crystalline materials but are structurally more similar to
liquids where the arrangement of molecules is random. Amorphous solids are
not crystalline and therefore do not give a definitive x-ray diffraction
pattern, in addition they do not give rise to a melting point and tend to
liquify at some point beyond the glass transition point (Hancock and
Zografi, (1997) J. Pharm. Sci., 86:1-12).
The preferred method of differentiating amorphous lisinopril from other
crystalline and non-crystalline forms of lisinopril is X-ray powder
diffraction (XRPD). The XRPD pattern of pure amorphous lisinopril, as
illustrated in FIG. 1, can be seen to lack discernible acute peaks. Thus,
amorphous lisinopril, according to the present invention, is characterized
in providing an X-ray powder diffraction pattern containing one or more
broad diffuse halos having very low counts (i.e. see FIG. 1) in contrast
to the sharp diffraction peaks characteristic of crystalline materials
(i.e. see FIG. 2). Of course it will be appreciated that a mixture
comprising detectable amounts of both crystalline and amorphous lisinopril
will exhibit both the characteristic sharp peaks and the diffuse halo(s)
on XRPD. This will be evident by an increase in the baseline and also a
reduction in crystalline peak intensities.
Thus, according to a further aspect of the invention there is provided
amorphous lisinopril characterized in providing an X-ray powder
diffraction pattern containing one or more broad diffuse halos, and
preferably having very low counts (lacking any discernible peaks).
The term "broad diffuse halo" is the art recognized term for the `humps`
observed in XRPD (see Klug and Alexander, X-ray diffraction procedures:
for polycrystalline and amorphous materials, 2nd edition, 1974, John Wiley
and Sons, pp791-792).
In a preferred embodiment the amorphous form is stable.
The term stable as used herein, refers to the tendency to remain
substantially in the same physical form for at least a month, preferably
at least 6 months, more preferably at least a year, still more preferably
at least 3 years, even still more preferably at least 5 years, when stored
under ambient conditions (25oC./60%RH) without external treatment.
As noted above amorphous forms of many compounds often revert to the
crystalline form in a relatively short time period (days/weeks rather than
months/years). Substantially the same physical form in this context means
that at least 70%, preferably at least 80% and more preferably at least
90% of the amorphous form remains. The glass transition point of a
compound is a measure of the physical stability to crystallization.
In a preferred embodiment the amorphous lisinopril has in increasing order
of preference a glass transition point (Tg), measured by Differential
Scanning Calorimetry (DSC) or Thermal Mechanical Analysis (TMA), greater
than 70oC., 80oC., 90oC., 100oC.,
120oC., 130oC., 140oC. and 160oC. It is
generally regarded that as a rough rule of thumb a Tg of 50oC. or
greater above the storage temperature should assure reasonable physical
stability to crystallization. In a preferred embodiment the amorphous
lisinopril according to the invention has, when dry, a glass transition
point (Tg) measured by Thermal Mechanical Analysis (TMA) of 100oC.
or more, more preferably of 120oC. or more.
Thus, according to a further aspect of the invention there is provided
amorphous lisinopril which is (S)-1-[N2
-(1-carboxy-3-phenylpropyl]-L-lysyl]-L-proline, or amorphous salts
thereof, providing an X-ray powder diffraction pattern containing one or
more broad diffuse halos having very low counts, and possessing, when dry,
a glass transition point (Tg) measured by Thermal Mechanical Analysis (TMA)
of at least 100oC.
Amorphous lisinopril, or the presence of some amorphous lisinopril, can be
distinguished from crystalline lisinopril, using X-ray powder diffraction,
Raman spectroscopy, solution calorimetry, differential scanning
calorimetry, solid state nuclear magnetic resonance spectra (ssNMR) or
infra-red spectroscopy. Each of these techniques is well established in
the art. Amorphous lisinopril can also be identified based on the
morphology of the particles seen under an electron microscope.
Furthermore, amorphous lisinopril is much more soluble than crystalline
lisinopril, providing another means of discriminating between the
crystalline and amorphous lisinopril forms, or detecting an amount of
amorphous form within a lisinopril preparation.
As noted above, the preferred method of differentiating amorphous
lisinopril from other crystalline and non-crystalline forms of lisinopril
is X-ray powder diffraction (XRPD).
Another method of distinguishing physical forms, such as crystalline and
amorphous lisinopril, is 13 C Solid state NMR spectra (ssNMR)
acquired with cross polarization, magic angle spinning and high power
proton decoupling. The isotropic chemical shifts (peak positions) measured
in solid state NMR spectra are not only a function of the molecule's
atomic connectivity, but also of molecular conformation and inter- and
intra-molecular interactions. Thus different peak positions may be
observed for different physical forms. For amorphous materials, the
dispersion of environments often causes substantially broadened spectra
(Nuclear Magnetic resonance Spectroscopy, R K Harris, Longman (1987), p.
155.).
The 13 C solid state NMR spectra of amorphous lisinopril, as
illustrated in FIG. 4, can be seen to give broadened peaks. Thus,
amorphous lisinopril, according to the present invention, is characterised
in providing a 13 C solid state NMR spectra containing broadened
peaks (as in FIG. 4) in contrast to the sharp, well defined peaks
characteristic of crystalline materials (as in FIG. 5).
In one embodiment, the amorphous lisinopril of the present invention is
substantially free from other forms of lisinopril. Substantially free from
other forms of lisinopril shall be understood to mean that amorphous
lisinopril contains less than 50%, preferably less than 25%, more
preferably less than 10% and still more preferably less than 5% of any
other forms of lisinopril, e.g. crystalline lisinopril.
It will be appreciated however, that because of the enhanced solubility
property of amorphous lisinopril, mixtures comprising substantially
crystalline or other solid forms of lisinopril with amorphous lisinopril
will, depending on the amount of amorphous product present, may also
possess varying degrees of increased solubility. Such mixtures comprising
amorphous lisinopril can be prepared, for example, by mixing amorphous
lisinopril prepared according to the present invention with other solid
forms of lisinopril, such as crystalline form, prepared according to prior
art methods. A mixture might also be prepared if the manufacturing process
is incomplete, or incorporates steps that allow or cause amorphous product
to be formed.
Thus, the present invention also relates to mixtures comprising amorphous
lisinopril in admixture with other solid forms of lisinopril. Such
mixtures comprising amorphous lisinopril include for instance mixtures
containing a detectable amount of amorphous lisinopril, 1%, 2%, 5%, 10%,
20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 95%, 98%, or 99% (by weight), of
amorphous lisinopril.
Examples of other solid forms of lisinopril include, but are not limited
to, crystalline lisinopril, and other polymorphs.
A detectable amount of amorphous lisinopril is an amount that can be
detected using conventional techniques, such as FT-IR, Raman spectroscopy,
XRPD, TMA, DSC and the like.
Numerous techniques can be employed to detect a particular form of a
compound within a mixture. The limits of detection of a particular form in
admixture with another form, i.e. crystalline in amorphous or vice versa,
is as follows: by XRPD it is reported to be approximately 5% according to
Hancock and Zografi (J. Pharm. Sci., 86:1-12, 1997) and approximately 2.0%
according to Surana and Suryanarayanan (Powder Diffraction, 15:2-6, 2000).
The limits of detection by solution calorimetry is reported to be
approximately 1% according Hogan and Buckton (International Journal of
Pharmaceutics, 207:57-64, 2000). The limits of detection by solid state
NMR is reported to be approximately 5-10% according to Saindonet al.,
(Pharmaceutical Research, 10:197-203,1993). The limits of detection by
near infra red spectroscopy is reported to be approximately 2-5% according
to Blanco and Villar (Analyst, 125:2311-2314, 2000). The limits of
detection by Modulated Differential Scanning Calorimetry (MDSC) is
reported to be approximately 6% according to Saklatvala et al.,
(International Journal of Pharmaceutics, 192: 55-62, 1999). The limits of
detection by FTRaman spectroscopy is reported to be approximately 2%
according to Taylor and Zografi (Pharm. Res. 15:755-761, 1998).
Amorphous lisinopril can be prepared by precipitation. Other ways of
making 15 amorphous product include: spray drying, freeze drying (lyophilisation),
melt precipitation, vapour condensation, crash cooling, from supercritical
fluids e.g. using Solution Enhanced Dispersion by Supercritical fluids (SEDS),
Rapid Expansion of Supercritical Solution (RESS) processes etc,
co-precipitation with suitable excipients (these include sugars, acids,
polymers, insoluble or enteric polymers, surfactants) to form solid
dispersions, molecular dispersions, co-precipitates or co-evaporates by
melting or fusion, or from solvents, including supercritical solvents.
The preferred method of preparing amorphous lisinopril is by precipitation
using an anti-solvent. Thus, amorphous lisinopril may be prepared by
dissolving any form of lisinopril in a suitable solvent, such as for
instance water or methanol, followed either by (i) precipitation via
addition of a suitable antisolvent which is miscible with the first
solvent, such as for example acetone when the first solvent is methanol,
or (ii) addition of an immiscible antisolvent, such as for example toluene
or chlorobenzene when the first solvent is water, and azeotroping to allow
precipitation of amorphous lisinopril.
According to one aspect of the invention there is provided a process for
the preparation of amorphous lisinopril comprising the steps of:
a) dissolving or suspending lisinopril of any form, or a mixture of
lisinopril of any form in a suitable solvent;
b) adding an antisolvent to precipitate out amorphous lisinopril; and,
c) isolating the amorphous lisinopril thus obtained.
In one embodiment the solvent and antisolvent are immiscible and
precipitation of the amorphous product in step b) is effected following
evaporation of the immiscible solution.
Thus, the process comprises the steps of:
a) dissolving or suspending lisinopril of any form, or a mixture of
lisinopril of any form in a suitable solvent;
b) adding an antisolvent which is immiscible with the solvent used in step
a);
c) azeotroping to precipitate out amorphous lisinopril; and,
d) isolating the amorphous lisinopril thus obtained.
By the term `any form` we include, solvated and desolvated forms,
crystalline forms and other non-crystalline forms.
In one embodiment the lisinopril is dissolved in the solvent in dehydrated
form. In such instances, it is preferred that the dehydrated lisinopril is
added to the solvent before the lisinopril has had a chance to rehydrate.
It is preferred therefore, that the dehydrated lisinopril is prepared by
heating a hydrated form for a suitable length of time and the `still hot`
dehydrate is added directly to the solvent mixture. Equally, in an
alternate embodiment, the solvent can be added to the lisinopril
dehydrate.
The inventors have found that it is not necessary to dehydrate lisinopril
dihydrate in every case. However, if hydrated lisinopril is dissolved in
water as the solvent it is preferred that non-polar antisolvents are used.
When using dehydrated lisinopril it is preferred that polar antisolvents
are used, however non-polar antisolvents can also be used.
It is preferred that the temperature of the mixture during mixing with the
antisolvent is 0 to +50oC., most preferably +20oC. to
40oC., and for the antisolvent to be at ambient temperature before
mixing. It is preferred to add the antisolvent to the lisinopril solvent
solution. The antisolvent may be added continuously or discontinuously,
preferably discontinuously in two or more aliquots over a period of up to,
but not limited to 8 hours. The amount of antisolvent should be such that
the concentration of lisinopril in the resulting mixture is higher than
the solubility. The preferred ratio of antisolvent to lisinopril solvent
solution should be in the range of 5:1 to 10: I by volume. The water
content in the final mixture should preferably be below 10% by volume.
Mixing, e.g. agitation or stirring, is preferable both during the
dissolving step and the precipitation step. The precipitation should
continue for a period to ensure that amorphous product formation is as
complete as possible, e.g. up to 15 hours, preferably, 1-8 hours.
The amorphous product may be separated from the solution, e.g. by
filtration or centrifugation, followed by washing with a wash solution,
preferably a solvent in which amorphous lisinopril has a very low
solubility. The amorphous product can be dried to a constant weight, e.g.
at +30oC. to +50oC., preferably at reduced pressure, for,
e.g. 10 to 48 hours.
For storage, the amorphous product is preferably kept at 25oC.,
60%RH (ambient conditions) having a water content up to about 30% (for
relative humidities in the range 40% RH-80% RH). In a preferred embodiment
the water content is from between about 5% and 20%, more preferably
between about 7% and 18%.
The invention is therefore also directed to a method of enhancing the
bioavailability of lisinopril, particularly crystalline lisinopril
dihydrate, comprising admixing said lisinopril with amorphous lisinopril.
Alternatively, the method comprises converting any amount of lisinopril,
particularly crystalline lisinopril, to amorphous lisinopril.
In a further aspect, the invention provides a compound obtainable by a
process or method as described above.
`Zestril` has received regulatory approval for use in the following
indications:
Hypertension
`Zestril` is indicated in the treatment of essential hypertension and in
renovascular hypertension. It may be used alone or concomitantly with
other classes of antihypertensive agents.
Congestive Heart Failure
`Zestril` is indicated in the management of congestive heart failure as an
adjunctive treatment with diuretics and, where appropriate, digitalis.
High doses reduce the risk of the combined outcomes of mortality and
hospitalization.
Acute Myocardial Infarction
`Zestril` is indicated for the treatment of haemodynamically stable
patients within 24 hours of an acute myocardial infarction, to prevent the
subsequent development of left ventricular dysfunction or heart failure
and to improve survival. Patients should receive, as appropriate, the
standard recommended treatments such as thrombolytics, aspirin and
beta-blockers.
Renal And Retinal Complications of Diabetes Mellitus
In normotensive insulin-dependent and hypertensive non-insulin-dependent
diabetes mellitus patients who have incipient nephropathy characterised by
microalbuminuria, `Zestril` reduces urinary albumin excretion rate. `Zestril`
reduces the risk of progression of retinopathy in normotensive
insulin-dependent diabetes mellitus patients.
According to the invention there is further provided a pharmaceutical
composition comprising amorphous lisinopril, as active ingredient, in
association with a pharmaceutically acceptable carrier, diluent or
excipient and optionally other therapeutic ingredients. Compositions
comprising other therapeutic ingredients are especially of interest in the
treatment of hypertension, congestive heart failure, acute myocardial
infarction and in renal and retinal complications of diabetes mellitus.
The invention also provides the use of amorphous lisinopril in the
manufacture of a medicament for use in the treatment of a cardiovascular
related condition, and in particular, a method of treating a hypertensive
or congestive heart failure condition which method comprises administering
to a subject suffering from said condition a therapeutically effective
amount of amorphous lisinopril or a product comprising amorphous
lisinopril. In a further embodiment a therapeutically effective amount of
a composition comprising amorphous lisinopril is administered to the
subject.
The invention also provides amorphous lisinopril for use in treating
hypertension, congestive heart failure, acute myocardial infarction and in
renal and retinal complications of diabetes mellitus.
The invention also provides the use of amorphous lisinopril in treating
hypertension, congestive heart failure, acute myocardial infarction and in
renal and retinal complications of diabetes mellitus.
Any suitable route of administration may be employed for providing the
patient with an effective dosage of drug comprising amorphous lisinopril
according to the invention. For example, peroral or parenteral
formulations and the like may be employed. Dosage forms include capsules,
tablets, dispersions, suspensions and the like, e.g. enteric-coated
capsules and/or tablets, capsules and/or tablets containing enteric-coated
pellets of lisinopril. In all dosage forms amorphous lisinopril can be
admixtured with other suitable constituents. The preferred route of
administration is peroral using fast melt tablets.
The compositions of the invention comprise the compound of the invention.
The compositions may be conveniently presented in unit dosage forms, and
prepared by any methods known in the art of pharmacy.
In view of the enhanced solubility that amorphous lisinopril has compared
to crystalline lisinopril, compositions wherein some, but preferably a
substantial amount, of the total amount of the lisinopril is amorphous
(i.e. >20%), can be prepared as a `fast melt` tablet and/or formulation.
A fast melt tablet is defined as a tablet dosage form for oral use that
disintegrates in the mouth within approximately one minute. Chewing or
water is not needed for disintegration. Should the drug and tablet
excipients be sufficiently soluble, the tablet dissolves to a complete
solution before the patient swallows.
Several advantages of fast melt tablets over conventional oral tablets and
liquids may exist. Patient compliance may improve because of ease of
swallowing, lack of need for water, and taste-masking and improved
accuracy of dosage. Patient populations that may benefit the most include
geriatric patients, paediatric patients and patient who cannot swallow or
have difficulty in swallowing. A fast melt tablet would also benefit
patients with congestive heart failure who tend to retain fluid, and
therefore are treated with fluid intake restriction. The fluid used to
take their medications are included in the amount of fluid that they are
prescribed per day (which may be as little as 500 ml), so a fast melt
tablet that can be taken without fluid would benefit these patients.
Fast melt tablets are manufactured by a variety of tablet technologies
including wet granulation, direct compression and freeze-drying (see for
example: Corveleyn and Remon, International Journal of Pharmaceutics,
(1997) 152: 215-225).
For a general review on fast melt technology please consult, Habib et al.,
(Critical Reviews in Therapeutic Drug Carrier Systems, 17(1):61-72, 2000).
According to a further aspect of the invention there is provided a fast
melt tablet formulation comprising amorphous lisinopril.
Crystalline lisinopril dihydrate is soluble in water and should go into
solution in the gastrointestinal tract rapidly after ingestion. This is
demonstrated by the dissolution of the current marketed Zestril.RTM.
tablets in which typically greater than 90% of the dose is dissolved
within 15 minutes. Once in solution, absorption is limited by the
physicochemical characteristics of the compound, its ability to cross the
gastrointestinal mucosa and enter into the blood stream and transit time
of the gut. A form that would go into solution more rapidly would only
affect the first step however. Thus, despite the enhanced solubility that
a lisinopril formulation comprising amorphous form would likely have,
because solubility is not a limiting step in the rate and extent of
absorption of lisinopril, it is unlikely that this would affect the
bioavailability or the clinical benefits of lisinopril.
In the practice of the invention, the most suitable route of
administration as well as the magnitude of a therapeutic dose of amorphous
lisinopril in any given case will depend on the nature and severity of the
disease to be treated. The dose, and dose frequency, may also vary
according to the age, body weight, and response of the individual patient.
In general, a suitable oral dosage form may cover a dose range from 0.5 mg
to 150 mg total daily dose, administered in one single dose or equally
divided doses. A preferred dosage range is from I mg to 60 mg.
Combination therapies comprising amorphous lisinopril and other active
ingredients in separate dosage forms, or in one fixed dosage form, may
also be used. Examples of such active ingredients include anti-bacterial
compounds, non-steroidal anti-inflammatory agents, antacid agents,
alginates, prokinetic agents, other antihypertensive agents, diuretics,
digitalis, thrombolytics, aspirin and beta-blockers.
Claim 1 of 6 Claims
We claim:
1. Amorphous lisinopril having the formula (S)-1-[N2
-(1-carboxy-3-phenylpropyl)]-L-lysyl]-L-proline, wherein amorphous
lisinopril has a glass transition point (Tg) when dry, measured by Thermal
Mehanical Analysis (TMA), of 100oC. or more.
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