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Pharm/Biotech Resources
Title: Modified release coated drug preparation
United States Patent: 6,958,161
Issued: October 25, 2005
Inventors: Hayes; David (Rostrevor, AU); LoPore; Angelo (Magill,
AU); Lukas; Stefan (Manningham, AU); Quinn; Eugene (Prospect, AU)
Assignee: F H Faulding & Co Limited (Underdale, AU)
Appl. No.: 120376
Filed: April 12, 2002
Abstract
A modified release preparation having one or more coated core elements,
each core element including an active ingredient and having a modified
release coating, wherein a stabilising coat is provided between each core
element and its modified release coating so that, upon in vitro dissolution
testing, the amount of active ingredient released at any time on a
post-storage dissolution profile is within 40 percentage points of the
amount of active ingredient released at any time on a pre-storage
dissolution profile.
SUMMARY OF THE INVENTION
The present invention provides a modified release preparation having one
or more coated core elements, each core element including an active
ingredient and having a modified release coating, wherein a stabilising coat
is provided between each core element and its modified release coating so
that, upon in vitro dissolution testing, the amount of active ingredient
released at any time on a post-storage dissolution profile is within 40
percentage points of the amount of active ingredient released at any time on
a pre-storage dissolution profile.
In a preferred form, the amount of active ingredient released at the
majority of time points on the post-storage dissolution profile is within 30
percentage points of the amount of active ingredient released at the same
time on the pre-storage dissolution profile, although more preferably it
will be within 20 percentage points and more preferably within 10 percentage
points. In this respect, reference to 'percentage points' is reference to a
cumulative amount of active ingredient released. Thus, if immediately after
production (represented by the pre-storage dissolution testing referred to
above) a formulation releases 10% of the total active ingredient, at the
same time in the post-storage dissolution testing, the formulation will
release no more than 40% of the total amount of active, more preferably no
more than 30% and most preferably no more than 20%.
With regard to the above reference to 'the majority of time points on the
post storage dissolution profile', it will be appreciated by a skilled
addressee that there may be irregular spikes at some time points on the
profile for some tablets for a wide range of reasons. Indeed, it is possible
that at some time points the amount of release may be outside the more
preferred 30, 20 and 10 percentage point ranges. Preferably, such
irregularities will occur only as isolated incidents for individual tablets,
and preferably at time points that are not in the more critical early
dissolution times, such as in the first 20 minutes after commencement.
Indeed, it is to be understood that a post storage dissolution profile that
substantially complies with these requirements will be considered to be
indicative of a preparation within the scope of the present invention.
With further reference to determining whether a preparation is in accordance
with the present invention, the in vitro dissolution testing should be
carried out on preparations subjected to a standardised storage test based
on the accelerated conditions of storage referred to in the United States'
Food & Drug Administration (FDA) guidelines. The guidelines define
accelerated conditions as the storage of a pharmaceutical product (namely,
in its container and package) at 75% relative humidity (RH) and 40° C. for 6
months. However, it has also recently been proposed that suitable
accelerated conditions for such pharmaceutical products would be storage at
60% RH and 30° C. for 12 months.
These sets of conditions are deemed equivalent for the purpose of the in
vitro dissolution testing required to be conducted to determine whether a
preparation falls within the scope of the present invention. Indeed, a
product that meets the above criteria after either of these storage
conditions is considered to be within the scope of the present invention.
Further, the in vitro dissolution testing should also of course be conducted
so as to provide a dissolution profile, being a plot of percentage of active
ingredient released in a prescribed aqueous media as a function of time.
Such a dissolution profile may be measured utilising the standard USP XXIV
2000—Apparatus 1 (baskets).
Modified release preparations in accordance with the present invention will
typically be such as to provide a delayed release of the active ingredient,
with reference to the active ingredient's dissolution profile. In this
respect, where the modified release is such as to provide a delayed release
(generally referred to as a 'delayed release preparation') the preparation
aims to slow the release of the active in the stomach to minimise the side
effects of the active that may be caused by release of the active in the
stomach. Such side effects include nausea and gastrointestinal irritation.
Most delayed release preparations aim for the drug to be released in the
upper regions of the small intestines, for a number of reasons, as follows:
 | the drug is able to start working as soon as possible after ingestion
without side effects caused by drug being released in the stomach; |
 | the conditions in the upper small intestine are usually optimum for
drug absorption; and |
 | to avoid acid degradation of the drug in the stomach. |
By way of explanation, the stomach contents of healthy individuals who have
eaten average meals usually have a residence time of 30 minutes to an hour
and are at a pH in the stomach usually in the range of 1 to 3. The stomach
contents then move to the intestines where the pH usually ranges from 4 to
7, where a rapid release of the active ingredient is desired to allow rapid
and complete absorption of the active ingredient. There may be release of
the drug in the stomach after a lag period, if the residence time is longer
or the stomach conditions are different from usual, but the release will be
at a much slower rate than an immediate release preparation, so the high
localised concentrations that cause nausea and irritation do not occur.
Therefore, an ideal delayed release profile has minimal active ingredient
released in the low pH of the stomach for approximately 20 minutes, and then
when put in an aqueous solution with a pH of at least 4, 100% of the active
ingredient is released within 60 minutes. Realistically, it is difficult to
get a preparation that releases no active ingredient in the stomach and then
all of the active ingredient in the intestines, so a realistic profile would
be for less than 10% of the active ingredient to be released in a pH of
about 1.2 after 20 minutes and at least 90% of the active ingredient
released after 60 minutes in a pH of at least 5 in in vitro tests. In one
preferred form of the invention no more than 20% of the active ingredient is
released in a pH of about 1.2 by 20 minutes and at least 80% of the active
ingredient in a pH of at least 5 by 60 minutes. For the purposes of in vitro
testing, a release profile may be determined at pH 1.2 using a 0.6N
hydrochloric acid solution, and at pH 5.5 using a phosphate buffer.
Such a release profile is preferred for some pharmaceutical active
ingredients such as antibiotics, or for any drug that can cause nausea or
gastrointestinal irritation but that has a narrow absorption window high in
the intestinal tract. For example, bisphosphonates are known to cause
gastrointestinal ulceration at higher doses, opioid analgesics are known to
cause nausea, and very basic drugs can be neutralised by the acidic
conditions of the stomach, precipitate and not be absorbed. Additionally,
other reactions may take place causing the activity of the drug to be lost.
As mentioned above, an important aspect of the manufacture (and also the
regulatory review and approval) of all modified release preparations,
including delayed release preparations, concerns their stability over
extended periods of time, particularly their ability to provide a
dissolution profile that is largely unaffected during the intended shelf
life of the preparation.
In this respect, it has been found that the dissolution profile for a
modified release preparation in accordance with the present invention is
significantly less affected after being subjected to storage. This gives
rise to a high degree of confidence, when determining an expiration date for
a pharmaceutical product made from the preparation, that the desired release
profile will still be maintained through to the expiration date. It also
permits an extended expiration date to be set.
By way of example, for a particular delayed release preparation (in this
instance being a preparation with doxycycline as the active ingredient), the
amount of active ingredient released at various times might be as follows
(in vitro dissolution testing conducted pre-storage in a pH 1.2 solution):
| 0 |
0 |
| 10 |
8 |
| 20 |
20 |
| 30 |
60 |
| 40 |
75 |
| 60 |
90 |
| 90 |
95 |
For this example, a preparation in accordance with the present invention
would desirably release amounts of active in the following ranges (namely,
within 40 percentage points) after exposure to accelerated conditions of
storage (in vitro dissolution testing conducted post-storage in a pH 1.2
solution):
| 0 |
0 |
| 10 |
0 to 48 |
| 20 |
0 to 60 |
| 30 |
20 to 100 |
| 40 |
35 to 100 |
| 60 |
50 to 100 |
| 90 |
55 to 100 |
Most preferably in this example, the amounts of active released after
exposure to accelerated conditions of storage (again, in vitro dissolution
testing conducted post-storage in a pH 1.2 solution) would desirably be in
the following ranges (namely within 20 (but preferably 10) percentage points
for times up to and including about 20 minutes, and within 30 (but again
preferably 10) percentage points thereafter):
| 0 |
0 |
| 10 |
0 to 28 |
| 20 |
0 to 40 |
| 30 |
30 to 90 |
| 40 |
45 to 100 |
| 60 |
60 to 100 |
| 90 |
65 to 100 |
A modified release preparation in accordance with the present invention
should thus satisfy the various national regulatory and approval
requirements in relation to shelf life and stability.
DETAILED DESCRIPTION OF THE INVENTION The preferred dosage forms for the modified release preparations of the
present invention will be formulated from a plurality of pellets. Each
pellet will preferably be one of the coated core elements mentioned above,
being a core element containing an active ingredient and having a modified
release coating, there being a stabilising coat between the core element and
the modified release coating.
In one form, a plurality of such coated core elements may be provided in a
capsule. In a more preferred form, a plurality of such coated core elements
(or a plurality of suitably agglomerated coated core elements) may be
compressed, along with suitable normal tablet excipients, and provided as a
tablet. It is also possible for the dosage form to be a single coated core
element, large enough itself to be referred to as a tablet.
While suitable tabletting excipients will be known to a person skilled in
the art, the optimal formulation of the tablet involves balancing the need
for content uniformity (namely, making sure the same number of pellets is
present in each tablet and therefore the same amount of active ingredient is
present in each tablet) and the amount of excipients required to protect the
friable coating of the modified release pellets.
In this respect, if the number of pellets is too low, there will be problems
with content uniformity, while if the number of pellets is too high there
will not be enough tabletting excipients to cushion the pellets during
compression into a tablet and the modified release coating will be
compromised. Therefore, the percentage of pellets in each tablet is ideally
in the range of 20 to 40% (more preferably 25 to 35%, but most preferably
about 30%) by weight of the total dosage weight.
When forming tablets, a person skilled in the art would recognise that when
a tablet is being formulated it is necessary to include excipients to fulfil
the function of a filler, a binder, a disintegrant and a lubricant along
with the active ingredient. In the present invention the active ingredient
is present in the form of pellets with a modified release coating.
Optionally, the tablet may also contain other ingredients such as flavours,
colours etc.
The range of materials that are suitable for use as fillers, disintegrants,
binders and lubricants will be well known to the person skilled in the art.
In a final tablet formulation, the core pellets may be present in an amount
of 5 to 50% w/w, based on the total tablet weight. Below a level of about 5%
w/w core pellets in the tablet formulation there may be potency problems or
the tablet may be too large to swallow. Above a level of about 50% w/w core
pellets in the tablet formulation the tablet may contain too many pellets
and insufficient binder and the pellet coating may be compromised or the
pellets may stick together under the compression forces required to form the
tablets.
Preferably lactose and/or starch are used as fillers in the tablet. The
total amount of lactose plus starch present in the tablet can range between
50 to 95% w/w, based on the total weight of the tablet. A suitable
disintegrant for use in a tablet of the present invention is crospovidone,
and this may be present in a range of 0 to 15% w/w, based on the total
weight of the tablet. A suitable lubricant for use in a tablet of the
invention is magnesium stearate and the lubricant may be present in a range
of between 0.2 to 1.0% w/w, based on the total weight of the tablet.
The core elements provide the active ingredient. The active ingredient may
be embodied within and through the core element, and may be combined with or
without the normal excipients, additives and fillers. Alternatively, the
active ingredient may itself be coated onto, for example, an inert bead to
provide the core element. Preferably, before coating with the stabilising
coat and the modified release coating, the core elements each have a
diameter in the range of 50 microns to 2000 microns. If a single core is to
be used the size of the core will preferably range from 5 mm to 20 mm.
The core elements may be formed by any suitable method. For example, the
core elements may be formed by spheronisation onto seed core, extrusion,
marumerisation, or rotogranulation. Preferably, the core elements will be
formed by extrusion.
It will be appreciated that the core elements may contain any suitable or
required additives, such as excipients, fillers or other ingredients.
Preferably, the composition of the core element is carefully determined to
further enhance the likelihood of the post-storage dissolution profile being
acceptably similar to the dissolution profile pre-storage.
In one preferred form of the invention the core is formed by extrusion using
an extruding solution.
The core material to be extruded preferably contains the active ingredient,
a binder, a wicking agent and a lubricant.
Preferably the binder is microcrystalline cellulose, however powdered
cellulose or any of the co-processed microcrystalline celluloses that
contain additives such as silica, may be used. Preferably the amount of
binder used ranges between 8 to 45% by weight, based on the total weight of
the core.
It is preferable to have a wicking agent or water transport modifier in the
core formulation. A wicking agent allows water to be transported throughout
the core and aids in the release of all of the active ingredient in the
core. Preferably, the wicking agent is selected from lactose, starch or
sorbitol. Most preferably the wicking agent is lactose. Preferably the
wicking agent is present in an amount of from 0 to 45% by weight, based on
the total weight of the core.
Optionally, the core formulation may also include a lubricant, and a number
of suitable lubricants will be known to the person skilled in the art. In a
preferred form of the present invention the lubricant is selected from
sodium lauryl sulphate or magnesium stearate. Preferably the lubricant is
present in an amount ranging from 0 to 10% by weight, based on the total
weight of the core.
The active ingredient may be present in the core element in any suitable
amount, and for instance may be provided in an amount from 5 to 95% by
weight, preferably from 20 to 80% by weight, based on the total weight of
the core element.
A person skilled in the art of making cores for pellets will be familiar
with other materials that may be used to provide the same physical effects
as the binder, the wicking agent or the lubricant.
The active ingredient may be any suitable and desirable pharmaceutical,
medicament or chemical. For example, the active ingredient may be acid salts
of doxycycline, tetracycline, oxytetracycline, minocycline,
chlortetracycline, or demeclocycline. Any active ingredient that causes
nausea or irritation, but also has a narrow absorption window high in the
intestines will benefit from the application of this invention.
The stabilising coat is a physical barrier between the active ingredient and
the modified release coating. The stabilising coat may also be referred to
as a seal coat or an intermediary layer.
The purpose of the stabilising coat is to keep the active ingredient and the
modified release coating separated. In this respect, it is believed that the
stabilising coat slows migration of moisture or solvent between the modified
release coating and the active ingredient. Whilst the stabilising coat will
preferably keep the active ingredient separated from the modified release
coating during storage, the stabilising coat will ideally not interfere
significantly with the rate of release of the active ingredient, and
therefore should be at least semi-permeable in aqueous media and may even be
soluble. Indeed, the stabilising coat is intended to keep migration of core
materials to a minimum such that their interaction with coating materials is
reduced or prevented, whilst still allowing for release of core materials in
an aqueous environment.
The stabilising coat may thus be any suitable material which makes an inert
barrier between the core element, or the active ingredient containing layer,
and the modified release coating, and may be water soluble, water swellable
or water permeable polymeric or monomeric materials. Examples of such
materials include, but are not limited to, hydroxypropylmethyl cellulose,
hydroxypropyl cellulose, polyvinyl pyrrolidone, polyethylene glycol or
methacrylate based polymers (e.g. Eudragit® RS or Eudragit® RL).
Preferably the stabilising coat includes a water-soluble polymer that does
not interfere with the release of the active ingredient, and talc or another
agent that performs the same function as talc. The water soluble polymer and
talc may be present in the range of between 9 parts polymer to 1 part talc,
through to 1 part polymer to 9 parts talc.
The modified release coating may also be any suitable coating material, or
combination of coating materials, that will provide the desired modified
release profile. For example, coatings such as enteric coatings,
semi-enteric coatings, delayed release coatings or pulsed release coatings
may be desired. In particular, a coating will be suitable if it provides an
appropriate lag in active release prior to the rapid release at a rate
essentially equivalent to immediate release of the active ingredient.
In particular, materials such as hydroxypropylmethyl cellulose phthalate of
varying grades (and also as an aqueous dispersion), methacrylate based
polymers (e.g. Eudragit® L100-55 and Eudragit® L30D) and hydroxypropylmethyl
cellulose acetate succinate are all suitable. It is also possible to use a
mixture of enteric polymers to produce the modified release coating. It is
also possible to use a mixture of enteric polymer with a water permeable,
water swellable or water-soluble material.
Suitable water-soluble or water permeable materials include but are not
limited to hydroxypropylmethyl cellulose, hydroxypropyl cellulose, polyvinyl
pyrrolidone, polyethylene glycol or mixtures thereof.
The modified release coating may contain between 40 to 90% w/w enteric
polymer, and between 10 to 60% w/w water-soluble or water permeable
material, based on the total weight of the modified release coating. The
modified release coating may also contain 0 to 30% w/w of a plasticiser,
based on the total weight of the modified release coating.
The polymer coat weight of the modified release coating (as a percentage of
the total pellet) will vary depending on the delay desired and the polymer
used, but generally will be between and 5%w/w and 20%w/w. By polymer coat
weight is meant the polymer and plasticiser in the coating layer, and does
not include additives such as talc, which do not significantly affect the
release rate of the pellet.
The stabilising coat and the modified release coating may be applied to a
core element in any suitable manner, such as by fluidised bed coating,
including wurster coating, and rotacoating. In a preferred form, both coats
will be applied by wurster coating.
Drying the pellet using any one of a number of drying techniques known in
the art, such as oven drying or drying in a fluidised bed apparatus, may
further improve stability.
Claim 1 of 24 Claims
1. A modified release preparation having one or more coated core elements,
each core element comprising an active ingredient selected from the group
consisting of the acid salts of doxycycline, tetracycline, oxytetracycline,
minocycline, chlortetracycline or demeclocycline and having a modified
release coating, wherein a stabilising coat is provided between each core
element and its modified release coating so that, upon in vitro
dissolution testing, the amount of active ingredient released at any time
on a post-storage dissolution profile is within 40 percentage points of
the amount of active ingredient released at any time on a pre-storage
dissolution profile.
____________________________________________
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