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Title: Drug delivery system for enhanced bioavailability
of hydrophobic active ingredients
United States Patent: 6,531,158
Issued: March 11, 2003
Inventors: Teng; Ching-Ling (Fremont, CA); Hsiao; Charles
(Livermore, CA); Gatts; Joshua (Hayward, CA)
Assignee: Impax Laboratories, Inc. (Haywood, CA)
Appl. No.: 635234
Filed: August 9, 2000
Abstract
The present invention provides a drug delivery system for the oral
administration of a hydrophobic active ingredient. The active ingredient's
post-ingestion dissolution rate and its corresponding bioavailability can be
optimized by intimately mixing a micronized hydrophobic drug with suitably
sized inert particles to a dispersion that will facilitate desired
bioavailability. In a particular embodiment, the hydrophobic active
ingredient is fenofibrate. Suitably sized inert particles include
microcrystalline cellulose and lactose. Dispersion may be monitored by
microscopic visualization.
DETAILED DESCRIPTION OF THE INVENTION
The advantages of the present invention are obtained, e.g., when using
hydrophobic pharmaceutical substances that are not readily dissolved in
water, although the degree of water solubility can vary with the type of
substance used, and the intention is not that the solubility of the active
pharmaceutical substance or substances shall constitute a limitation of
the invention. One skilled in the art may easily establish, by routine
experimentation, whether a pharmaceutical substance can be used in a
pharmaceutical composition according to this invention.
Examples of active ingredients that are considered hydrophobic, poorly
water-soluble or water-insoluble include benzodiazepines, clofibrate,
chlorpheniramine, dinitirate, digoxin, digitoxin, ergotamin tartate,
estradiol, fenofibrate, griseofulvin, hydrochlorothiazide, hydrocortisone,
isosorbide, medrogeston, oxyphenbutazone, prednisolone, prednisone,
polythiazide, progensterone, spironolactone, tolbutamide,
10,11-dihydro-5H-dibenzo[a,d]cyclo-heptene-5-carboxamide;
5H-dibenzo[a,d]cycloheptene-5-carboxamide, fish oil and the like. This
recitation is in no way exhaustive.
Many hydrophobic active ingredients are available commercially in
micronized form, or may be micronized by methods well known to those
skilled in the art. For example, micronized active ingredients may be
reduced to a fine powder by use of conventional methods such as an air-jet
micronizer. The fenofibrate of the instant invention may be purchased in
micronized form.
Inert particles of suitable size, as embodied in the present invention,
may be any pharmaceutically acceptable excipient. Water-soluble excipients
include, but are not limited to, for example, sugars such as lactose,
mannitol, dextrose and sorbitol. Water-insoluble excipients include, but
are not limited to, for example, microcrystalline cellulose, calcium
phosphate, and many synthetic or organic polymers. Inert substrates that
are suitable particles for the present invention are well known in the
art. See, e.g., Wade & Waller, Handbook of Pharmaceutical Excipinets (2nd
ed. 1994).
In particular, microcrystalline cellulose is a highly crystalline,
insoluble, particulate cellulose consisting primarily of crystalline
aggregates obtained by removing amorphous (fibrous cellulose) regions of a
purified cellulose source material derived from, for example, wood pulp or
cotton linters. Various methods for producing microcrystalline cellulose
include steam explosion, acid hydrolysis, and pressure treatment. See,
e.g., U.S. Pat. No. 5,769,934, Ha et al. Microcrystalline cellulose is
considered insoluble.
Another example, the disaccharide sugar lactose, is well known in the art
as a water soluble excipient in pharmaceutical preparations. Lactose can
be milled to the appropriate minute size by standard methodologies, e.g.,
passing through a suitably sized screen, or various particle sizes can be
obtained commercially.
The size of inert substrate particles preferred in the present invention
may range from about 1 micron to 500 microns. Preferably, the inert
substrate particles are smaller than about 100 microns in size. Most
preferably, the inert substrate particles are less than about 50 microns
in size. Particles having irregular surface areas are also preferred.
Microcrystalline cellulose is available commercially as, for example,
EMCOCEL.RTM. from Edward Mendell Co., Inc. (Cedar Rapids, Iowa.) and
AVICEL.RTM. from FMC BioPolymer. (Philadelphia, Pa.). Lactose is available
commercially from numerous sources, such as FMC BioPolymer. It may be
milled, e.g., through an appropriately sized mesh screen, to a suitable
particle size.
In a preferred embodiment of the invention, the ratio of inert ingredient
to active ingredient is between 0.1 to 10.0 weight/weight. More
preferably, the ratio of the inert substrate to the hydrophobic drug is
between about 0.1 and 4.0. Most preferably, the ratio of the inert
substrate to the hydrophobic drug is between about 0.3 and 2.0.
Different types of equipment can be used to achieve the desired degree of
dispersion. Dispersion of the active ingredient and the inert particles
may be monitored easily by visualization. Accordingly, a sample is removed
from the batch being mixed, placed on a microscope slide with water or a
very low concentration of surfactant solution, and viewed under
magnification. Agglomerates or aggregates of poorly dispersed active
ingredient absorb light and appear as opaque bodies. Visualization also
provides for standardized and uniform dispersion levels among different
batches.
Other methods of monitoring dispersion include scanning electron
microscopy which visually presents the degree of dispersion; analyzing the
dissolution rate of the preparation; testing the light obscuration
particle count; and measuring the wetting time, i.e., timing how long it
takes for the powder blend to sink after being placed on a solution
surface.
The pharmaceutical compositions produced in accordance with this invention
may be used in different types of pharmaceutical preparations. The
preparations will preferably be intended for enteral administration,
primarily for oral administration. The preparations may be in solid form,
for instance, in capsule, powder or granule, or tablet form or in the form
of suppositories for rectal administration. Alternatively, the formulation
may be dispersed into a suitable liquid for, e.g., pediatric use.
Pharmaceutical compositions prepared in accordance with the invention may
also be used in preparations for external use, such as in ointments and
creams.
The pharmaceutical preparations can be formulated by combining the
inventive pharmaceutical compositions with the conventional pharmaceutical
additives and excipients, normally used in the desired forms of the
preparations, with the aid of known methods. Such additions may comprise,
for example, additional carriers, binders, preservatives, lubricants,
glidants, disintegrants, flavorants, dyestuffs and like substances, all of
which are well known in the art.
The pharmaceutical preparations herein may be prepared by wet granulation.
The wet granulation procedure includes mixing the microcrystalline
cellulose and the micronized active ingredient to be incorporated into a
dosage form with a suitable solvent in, for example, a high shear
granulator, twin shell blender or double-cone blender, or a simple
planetary mixer, and thereafter adding solutions of a binding agent to the
mixed solution to obtain a granulation. Suitable solvents include water,
or other polar organic solvents such as alcohols. After mixing, the damp
mass, optionally, can be screened through a suitably sized mesh screen,
and then dried via, for example, tray drying, the use of a fluid-bed
dryer, spray dryer, radio-frequency dryer, microwave, vacuum, or infra-red
dryer. A Fitzmill or Co-mill or oscillating mill may be used to control
granule size. A V-blender or double cone blender may be used for final
blending.
Alternatively, the mixed microcrystalline cellulose/micronized active
agent may be mixed with solvent for wet granulation in the presence of a
suitable surfactant. Suitable surfactants may be ionic or nonionic, and
are well-known to those practicing the art.
Disintegrants are often added to ensure that the ultimate prepared solid
dosage form has an acceptable disintegration rate in the environment of
use, such as the gastrointestinal tract. Typical disintegrants include
starch derivatives and salts of carboxymethyl cellulose such as
croscarmellose.
The milled granule may optionally be blended with a lubricant. Lubricants
include magnesium stearate, sodium stearate, magnesium sulfate, steric
acid or talc. Such lubricants are commonly included in the final tableted
or capsuled product.
Bioavailability refers to the degree to which the therapeutically active
medicament becomes available in the body after administration. Typically,
bioavailability is measured in patients who fasted overnight before being
dosed with the test preparation. Plasma samples are then taken and
analyzed for the plasma concentration of the parent compound and/or its
active metabolite. These data may be expressed as Cmax, the maximum amount
of active ingredient found in the plasma, or as AUC, the area under the
plasma concentration time curve. Shargel & Yu, Applied Biopharmaceutics
adf Pharmacokinetics ch. 10 (3rd Ed. 1996); see also APPLIED
Pharmacokinetics: Principles of Therapeutic Drug Monitoring (Evans et al.,
eds., 3rd ed. 1992).
It will be appreciated by those skilled in the art that although the
invention is illustrated with particularly hydrophobic drugs, the
composition and method of this invention is also applicable to more
soluble drugs in need of enhanced bioavailability.
Claim 1 of 19 Claims
We claim:
1. A drug delivery system comprising micronized fenofibrate or a
pharmaceutically acceptable salt thereof and an inert substrate of
suitable particle size, selected from microcrystalline cellulose or
lactose, which when orally administered as a single 67 mg dose in adults
maintains post ingestion blood plasma levels of fenofibric acid of:
at least about 100 mg/ml at one hour;
at least about 350 mg/ml at two hours;
at least about 750 mg/ml at four hours;
at least about 850 mg/ml at five hours; and
at least about 650 mg/ml at twenty-four hours.
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