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Title: HFA suspension
formulations containing an anticholinergic
United States Patent: 7,311,894
Issued: December 25, 2007
Inventors: Schmelzer;
Christel (Ingelheim, DE)
Assignee: Boehringer
Ingelheim Pharma GmbH & Co. KG (Ingelheim, DE)
Appl. No.: 10/392,559
Filed: March 20, 2003
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Pharm Bus Intell
& Healthcare Studies
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Abstract
The invention relates to propellant gas
formulations containing suspensions of the crystalline monohydrate of
(1.alpha.,2.beta.,4.beta.,5.alpha.,7.beta.)-7-[(hydroxydi-2-thienylacetyl-
)oxy]-9,9-dimethyl-3-oxa-9-azoniatricyclo[3.3.1.0.sup.2,4]nonane-bromide.
Description of the
Invention
APPLICATION DATA
This application claims benefit to German application no. DE 102 14 263.7
filed Mar. 28, 2002 and U.S. provisional application No. 60/386,145 filed
Jun. 5, 2002.
FIELD OF THE INVENTION
The invention relates to pressurised gas preparations for metered-dose
aerosols with suspension formulations of the crystalline monohydrate of
(1.alpha.,2.beta.,4.beta.,5.alpha.,7.beta.)-7-[(hydroxydi-2-thienylacetyl-
)oxy]-9,9-dimethyl-3-oxa-9-azoniatricyclo[3.3.1.0.sup.2,4]nonane-bromide,
processes for the preparation thereof and the use thereof for preparing a
pharmaceutical composition, particularly for preparing a pharmaceutical
composition with an anticholinergic activity.
BACKGROUND TO THE INVENTION
The compound
(1.alpha.,2.beta.,4.beta.,5.alpha.,7.beta.)-7-[(hydroxydi-2-thienylacetyl-
)oxy]-9,9-dimethyl-3-oxa-9-azoniatricyclo[3.3.1.0.sup.2,4]nonane-bromide,
is known from European Patent Application EP 418 716 A1 and has the
following chemical structure -- see Original Patent.
The compound has valuable pharmacological properties and is known by the
name tiotropium bromide (BA679). Tiotropium bromide is a highly effective
anticholinergic and can therefore provide therapeutic benefit in the
treatment of asthma or COPD (chronic obstructive pulmonary disease).
Tiotropium bromide is preferably administered by inhalation.
The aim of the present invention is to prepare HFA-metered-dose aerosols
containing tiotropium bromide as the sole active ingredient in suspended
form.
DETAILED DESCRIPTION OF THE
INVENTION
It has been found that, depending on the choice of conditions which can be
used when purifying the crude product obtained after industrial manufacture,
tiotropium bromide occurs in various crystalline modifications.
It has been found that these different modifications can be deliberately
produced by selecting the solvents used for the crystallisation as well as
by a suitable choice of the process conditions used in the crystallisation
process. For the purposes of preparing the formulations according to the
invention, crystalline tiotropium bromide monohydrate has proved
particularly suitable.
Accordingly, the present invention relates to suspensions of crystalline
tiotropium bromide monohydrate in the propellant gases HFA 227 and/or HFA
134a, optionally in admixture with one or more other propellant gases,
preferably selected from the group consisting of propane, butane, pentane,
dimethylether, CHClF.sub.2, CH.sub.2F.sub.2, CF.sub.3CH.sub.3, isobutane,
isopentane and neopentane.
Preferred suspensions according to the invention are those which contain as
propellant gas HFA 227 on its own, a mixture of HFA 227 and HFA 134a or HFA
134a on its own. If a mixture of propellant gases HFA 227 and HFA 134a is
used in the suspension formulations according to the invention, the weight
ratios in which these two propellant gas components are used may be freely
selected. If in the suspension formulations according to the invention one
or more other propellant gases are used in addition to the propellant gases
HFA 227 and/or HFA 134a, selected from the group consisting of propane,
butane, pentane, dimethylether, CHClF.sub.2, CH.sub.2F.sub.2,
CF.sub.3CH.sub.3, isobutane, isopentane and neopentane, the proportion of
this other propellant gas component is preferably less than 50%, preferably
less than 40%, more preferably less than 30%.
The suspensions according to the invention preferably contain between 0.001
and 0.8% tiotropium. Suspensions which contain 0.08 to 0.5%, more preferably
0.2 to 0.4% tiotropium are preferred according to the invention.
By tiotropium is meant the free ammonium cation. The propellant gas
suspensions according to the invention are characterised in that they
contain tiotropium in the form of the crystalline tiotropium bromide
monohydrate which is exceptionally suitable for this application.
Accordingly, the present invention preferably relates to suspensions which
contain between 0.0012 and 1% crystalline tiotropium bromide monohydrate. Of
particular interest according to the invention are suspensions which contain
0.1 to 0.62%, more preferably 0.25 to 0.5% crystalline tiotropium bromide
monohydrate.
The percentages specified within the scope of the present invention are
always percent by mass. If parts by mass of tiotropium are given in percent
by mass, the corresponding values for the crystalline tiotropium bromide
monohydrate which is preferably used within the scope of the present
invention may be obtained by multiplying by a conversion factor of 1.2495.
In some cases within the scope of the present invention the term suspension
formulation may be used instead of the term suspension. The two terms are to
be regarded as interchangeable within the scope of the present invention.
The propellant-containing inhalation aerosols or suspension formulations
according to the invention may also contain other ingredients such as
surface-active agents (surfactants), adjuvants, antioxidants or flavourings.
The surface-active agents (surfactants) which may be contained in the
suspensions according to the invention are preferably selected from among
Polysorbate 20, Polysorbate 80, Myvacet 9-45, Myvacet 9-08,
isopropylmyristate, oleic acid, propyleneglycol, polyethyleneglycol, Brij,
ethyloleate, glyceryl trioleate, glyceryl monolaurate, glyceryl monooleate,
glyceryl monosterate, glyceryl monoricinoleate, cetylalcohol, sterylalcohol,
cetylpyridinium chloride, block polymers, natural oil, ethanol and
isopropanol. Of the abovementioned suspension adjuvants Polysorbate 20,
Polysorbate 80, Myvacet 9-45, Myvacet 9-08 or isopropylmyristate are
preferably used. Myvacet 9-45 or isopropylmyristate are particularly
preferred. Where the suspensions according to the invention contain
surfactants, these are preferably present in an amount of 0.0005 1%, more
preferably 0.005 0.5%.
The adjuvants optionally contained in the suspensions according to the
invention are preferably selected from among alanine, albumin, ascorbic
acid, aspartame, betaine, cysteine, phosphoric acid, nitric acid,
hydrochloric acid, sulphuric acid and citric acid. Of these, ascorbic acid,
phosphoric acid, hydrochloric acid or citric acid are preferred, while
hydrochloric acid or citric acid is more preferable.
Where the suspensions according to the invention contain adjuvants, these
are preferably present in an amount of 0.0001 1.0%, preferably 0.0005 0.1%,
more preferably 0.001 0.01%, while an amount of from 0.001 0.005% is
particularly preferred according to the invention.
The antioxidants optionally contained in the suspensions according to the
invention are preferably selected from among ascorbic acid, citric acid,
sodium edetate, editic acid, tocopherols, butylhydroxytoluene,
butylhydroxyanisol and ascorbyl palmitate, of which tocopherols,
butylhydroxytoluene, butylhydroxyanisol and ascorbyl palmitate are
preferred.
The flavourings which may be contained in the suspensions according to the
invention are preferably selected from among peppermint, saccharine,
Dentomint.RTM., aspartame and ethereal oils (e.g. cinnamon, aniseed,
menthol, camphor), of which peppermint or Dentomint.RTM. is particularly
preferred.
For administration by inhalation it is necessary to prepare the active
substance in finely divided form. The crystalline tiotropium bromide
monohydrate which may be obtained as detailed in the experimental section is
either ground (micronised or obtained in finely divided form by other
technical methods known in principle in the art (such as precipitation and
spray drying). Methods of micronising active substances are known in the
art. Preferably, after micronisation, the active substance has an average
particle size of 0.5 to 10 .mu.m, preferably 1 to 6 .mu.m, more preferably
1.5 to 5 .mu.m. Preferably, at least 50%, more preferably at least 60%, most
preferably at least 70% of the particles of active substance have a particle
size which is within the ranges specified above. More preferably, at least
80%, most preferably at least 90% of the particles of active substance have
a particle size within the ranges specified above.
Surprisingly, it has been found that it is also possible to prepare
suspensions which contain, apart from the abovementioned propellant gases,
only the active substance and no other additives. Accordingly, in another
aspect, the present invention relates to suspensions which contain only the
active substance and no other additives.
The suspensions according to the invention may be prepared by methods known
in the art. For this the ingredients of the formulation are mixed with the
propellant gas or gases (optionally at low temperatures) and transferred
into suitable containers.
The propellant gas-containing suspensions according to the invention
mentioned above may be administered using inhalers known in the art (pMDIs=pressurised
metered dose inhalers). Accordingly, in another aspect, the present
invention relates to pharmaceutical compositions in the form of suspensions
as hereinbefore described combined with one or more inhalers suitable for
administering these suspensions. In addition, the present invention relates
to inhalers which are characterised in that they contain the propellant
gas-containing suspensions described above according to the invention. The
present invention also relates to containers (e.g. cartridges) which are
fitted with a suitable valve and can be used in a suitable inhaler and which
contain one of the above-mentioned propellant gas-containing suspensions
according to the invention. Suitable containers (e.g. cartridges) and
methods of filling these cartridges with the propellant gas-containing
suspensions according to the invention are known from the prior art.
In view of the pharmaceutical activity of tiotropium the present invention
further relates to the use of the suspensions according to the invention for
preparing a drug for administration by inhalation or by nasal route,
preferably for preparing a drug for the treatment by inhalation or by nasal
route of diseases in which anticholinergics may provide a therapeutic
benefit.
Most preferably, the invention further relates to the use of the suspensions
according to the invention for preparing a pharmaceutical composition for
the treatment by inhalation of respiratory complaints, preferably asthma or
COPD.
The Examples that follow serve to illustrate the present invention more
fully by way of example, without restricting it to their content.
Starting Materials
Crystalline Tiotropium Bromide Monohydrate
The tiotropium obtained according to EP 418 716 A1 may be used to prepare
the crystalline tiotropium bromide monohydrate. This is then reacted as
described below.
15.0 kg of tiotropium bromide are added to 25.7 kg of water in a suitable
reaction vessel. The mixture is heated to 80 90.degree. C. and stirred at
constant temperature until a clear solution is formed. Activated charcoal
(0.8 kg), moistened with water, is suspended in 4.4 kg of water, this
mixture is added to the solution containing tiotropium bromide and rinsed
with 4.3 kg of water. The mixture thus obtained is stirred for at least 15
min. at 80 90.degree. C. and then filtered through a heated filter into an
apparatus which has been preheated to an outer temperature of 70.degree. C.
The filter is rinsed with 8.6 kg of water. The contents of the apparatus are
cooled to a temperature of 20 25.degree. C. at a rate of 3 5.degree. C.
every 20 minutes. Using cold water the apparatus is cooled further to 10
15.degree. C. and crystallisation is completed by stirring for at least
another hour. The crystals are isolated using a suction filter drier, the
crystal slurry isolated is washed with 9 L of cold water (10 15.degree. C.)
and cold acetone (10 15.degree. C.). The crystals obtained are dried at
25.degree. C. for 2 hours in a nitrogen current.
Yield: 13.4 kg of tiotropium bromide monohydrate (86% of theory).
The tiotropium bromide monohydrate obtainable using the method described
above was investigated by DSC (Differential Scanning Calorimetry). The DSC
diagram shows two characteristic signals. The first, relatively broad,
endothermic signal between 50 120.degree. C. can be attributed to the
dehydration of the tiotropium bromide monohydrate into the anhydrous form.
The second, relatively sharp, endothermic peak at 230.+-.5.degree. C. can be
put down to the melting of the substance. This data was obtained using a
Mettler DSC 821 and evaluated using the Mettler STAR software package. The
data was recorded at a heating rate of 10 K/min.
The crystalline tiotropium bromide monohydrate was characterised by IR
spectroscopy. The data was obtained using a Nicolet FTIR spectrometer and
evaluated with the Nicolet OMNIC software package, version 3.1. The
measurement was carried out with 2.5 .mu.mol of tiotropium bromide
monohydrate in 300 mg of KBr. The following Table (see Original Patent)
shows some of the essential bands of the IR spectrum.
The monocrystal X-ray structural analysis carried out showed that the
crystalline tiotropium bromide monohydrate obtainable by the above process
has a simple monoclinic cell with the following dimensions: a=18.0774 .ANG.,
b=11.9711 .ANG., c=9.9321 .ANG., .beta.=102.691.degree., V=2096.96 .ANG..sup.3.
These data were obtained using an AFC7R 4-circuit diffractometer (Rigaku)
using monochromatic copper K.sub..alpha. radiation. The structural
resolution and refinement of the crystal structure were obtained by direct
methods (SHELXS86 Program) and FMLQ-refinement (TeXsan Program).
To prepare the suspensions according to the invention the crystalline
tiotropium bromide monohydrate obtainable by the above process is micronised
by methods known per se in the art, to prepare the active substance in the
form of the average particle size which corresponds to the specifications
according to the invention.
Claim 1 of 2 Claims
1. A suspension of crystalline tiotropium
bromide monohydrate in propellant gases HFA 227 and/or HFA 134a,
optionally in admixture with one or more other propellant gases chosen
from propane, butane, pentane, dimethylether, CHClF.sub.2,
CH.sub.2F.sub.2, CF.sub.3CH.sub.3, isobutane, isopentane and neopentane. ____________________________________________
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