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Title:
Fast dissolving orally consumable films containing a taste masking agent
United States Patent: 7,648,712
Issued: January 19, 2010
Inventors: Bess; William S.
(Edison, NJ), Kulkarni; Neema (Randolph, NJ), Ambike; Suhas H. (West Hill,
CA), Ramsay; Michael P. (Ajax, CA)
Assignee: McNeil-PPC, Inc.
(Skillman, NJ)
Appl. No.: 11/429,547
Filed: May 5, 2006
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George Washington University's Healthcare MBA
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Abstract
Physiologically acceptable films,
including edible films, are disclosed. The films include a water soluble
film-forming polymer, such as pullulan, and a taste masked
pharmaceutically active agent, such as dextromethorphan. The taste masking
agent is preferably a sulfonated polymer ion exchange resin comprising
polystyrene cross-linked with divinylbenzene, such as AMBERLITE. Methods
for producing the films are also disclosed.
Description of the
Invention
SUMMARY OF THE INVENTION
The invention provides a consumable film adapted to adhere to and dissolve
in a mouth of a consumer, wherein the film comprises at least one water
soluble polymer, at least one pharmaceutically active agent and at least
one taste masking agent.
Also provided is a method for preparing the consumable film of the
invention, comprising: dissolving water-soluble ingredients in water to
provide an aqueous solution; mixing at least one water soluble film former
and at least one stabilizing agent to provide a film-forming mixture;
combining the film-forming mixture and the aqueous solution to provide a
hydrated polymer gel;
mixing oils to form an oil mixture; adding the oil mixture to the hydrated
polymer gel and mixing to provide a uniform gel;
casting the uniform gel on a substrate; and
drying the cast gel to provide the film.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
The invention provides a physiologically acceptable film that is
particularly well adapted to adhere to and dissolve in a mouth of a
consumer to deliver a pharmaceutically active agent. Preferred films
according to the invention comprise a pharmaceutically active agent, an
ion exchange resin, a film-forming agent, and at least one of the
following additional ingredients: water, antimicrobial agents,
plasticizing agents, flavoring agents, saliva stimulating agents, cooling
agents, surfactants, stabilizing agents, emulsifying agents, thickening
agents, binding agents, coloring agents, sweeteners, fragrances,
triglycerides, preservatives, polyethylene oxides, propylene glycol, and
the like.
The expression "physiologically acceptable" as used herein is intended to
encompass compounds, which upon administration to a patient, are
adequately tolerated without causing undue negative side effects. The
expression encompasses edible compounds.
The expression "pharmaceutically active agents" as used herein is intended
to encompass agents other than foods, which promote a structural and/or
functional change in and/or on bodies to which they have been
administered. These agents are not particularly limited; however, they
should be physiologically acceptable and compatible with the film.
Suitable pharmaceutically active agents include, but are not limited to:
A. antimicrobial agents, such as triclosan, cetyl pyridium chloride,
domiphen bromide, quaternary ammonium salts, zinc compounds, sanguinarine,
fluorides, alexidine, octonidine, EDTA, and the like; B. non-steroidal
anti-inflammatory drugs, such as aspirin, acetaminophen, ibuprofen,
ketoprofen, diflunisal, fenoprofen calcium, naproxen, tolmetin sodium,
indomethacin, and the like; C. anti-tussives, such as benzonatate,
caramiphen edisylate, menthol, dextromethorphan hydrobromide,
chlophedianol hydrochloride, and the like; D. decongestants, such as
pseudoephedrine hydrochloride, phenylepherine, phenylpropanolamine,
pseudoephedrine sulfate, and the like; E. anti-histamines, such as
brompheniramine maleate, chlorpheniramine maleate, carbinoxamine maleate,
clemastine fumarate, dexchlorpheniramine maleate, diphenhydramine
hydrochloride, diphenylpyraline hydrochloride, azatadine meleate,
diphenhydramine citrate, doxylamine succinate, promethazine hydrochloride,
pyrilamine maleate, tripelennamine citrate, triprolidine hydrochloride,
acrivastine, loratadine, brompheniramine, dexbrompheniramine, and the
like; F. expectorants, such as guaifenesin, ipecac, potassium iodide,
terpin hydrate, and the like; G. anti-diarrheals, such a loperamide, and
the like; H. H.sub.2-antagonists, such as famotidine, ranitidine, and the
like; I. proton pump inhibitors, such as omeprazole, lansoprazole, and the
like; J. general nonselective CNS depressants, such as aliphatic alcohols,
barbiturates and the like; K. general nonselective CNS stimulants such as
caffeine, nicotine, strychnine, picrotoxin, pentylenetetrazol and the
like; L. drugs that selectively modify CNS function, such as
phenyhydantoin, phenobarbital, primidone, carbamazepine, ethosuximide,
methsuximide, phensuximide, trimethadione, diazepam, benzodiazepines,
phenacemide, pheneturide, acetazolamide, sulthiame, bromide, and the like;
M. antiparkinsonism drugs such as levodopa, amantadine and the like; N.
narcotic-analgesics such as morphine, heroin, hydromorphone, metopon,
oxymorphone, levorphanol, codeine, hydrocodone, xycodone, nalorphine,
naloxone, naltrexone and the like; O. analgesic-antipyretics such as
salycilates, phenylbutazone, indomethacin, phenacetin and the like; and P.
psychopharmacological drugs such as chlorpromazine, methotrimeprazine,
haloperidol, clozapine, reserpine, imipramine, tranylcypromine, phenelzine,
lithium and the like.
The amount of pharmaceutically active agent that can be used in the
rapidly dissolving films, according to the present invention, is dependent
upon the dose needed to provide an effective amount of the
pharmaceutically active agent. Examples of doses for specific
pharmaceutically active agents that can be delivered per one strip of
rapidly dissolving oral film are reviewed in Table A
-- see Original Patent.
Ion exchange resins preferred for use in
the films of the invention are water-insoluble and consist of a
pharmacologically inert organic or inorganic matrix containing covalently
bound functional groups that are ionic or capable of being ionized under
the appropriate conditions of pH. The organic matrix may be synthetic
(e.g., polymers or copolymers of acrylic acid, methacrylic acid,
sulfonated styrene, sulfonated divinylbenzene), or partially synthetic
(e.g., modified cellulose and dextrans). The inorganic matrix can also be,
e.g., silica gel modified by the addition of ionic groups. The covalently
bound ionic groups may be strongly acidic (e.g., sulfonic acid), weakly
acidic (e.g., carboxylic acid), strongly basic (e.g., quaternary
ammonium), weakly basic (e.g., primary amine), or a combination of acidic
and basic groups. In general, those types of ion exchangers suitable for
use in ion exchange chromatography and for such applications as
deionization of water are suitable for use in these controlled release
drug preparations. Such ion exchangers are described by H. F. Walton in
"Principles of Ion Exchange" (pp. 312-343). The ion exchange resins useful
in the present invention have exchange capacities below about 6
milliequivalents per gram (meq/g) and preferably below about 5.5 meq/g.
The resin is crosslinked with a crosslinking agent selected from
difunctional compounds capable of crosslinking polystyrenes; these are
commonly known in the art. Preferably, the crosslinking agent is a divinyl
or polyvinyl compound. Most preferably the crosslinking agent is
divinylbenzene. The resin is crosslinked to an extent of about 3 to about
20%, preferably about 4 to about 16%, more preferably about 6 to about
10%, and most preferably about 8% by weight based on the total resin. The
resin is crosslinked with the crosslinking agent by means well known in
the art.
The size of the ion exchange resins should preferably fall within the
range of about 20 to about 200 micrometers. Particle sizes substantially
below the lower limit are difficult to handle in all steps of the
processing. Particle sizes substantially above the upper limit, e.g.,
commercially available ion exchange resins having a spherical shape and
diameters up to about 1000 micrometers, are gritty in liquid dosage forms
and have a greater tendency to fracture when subjected to drying-hydrating
cycles.
Representative resins useful in this invention include AMBERLITE IRP-69
(obtained from Rohm and Haas) and Dow XYS-40010.00 (obtained from The Dow
Chemical Company). Both are sulfonated polymers composed of polystyrene
cross-linked with 8% of divinylbenzene, with an ion exchange capacity of
about 4.5 to 5.5 meq/g of dry resin (H+-form). Their essential difference
is in physical form. AMBERLITE IRP-69 comprises irregularly-shaped
particles with a size range of 47 to 149 micrometers, produced by milling
the parent, large-sized spheres of AMBERLITE IRP-120. The Dow XYS-40010.00
product comprises spherical particles with a size range of 45 to 150
micrometers. Another useful exchange resin, Dow XYS-40013.00, is a polymer
composed of polystyrene cross-linked with 8% of divinylbenzene and
functionalized with a quaternary ammonium group; its exchange capacity is
normally within the range of approximately 3 to 4 meq/g of dry resin.
The most preferred resin is AMBERLITE IRP-69. However, in less preferred
embodiments, the taste masking agent need not be an ion exchange resin. In
these embodiments, the taste masking agent can be, e.g., magnesium
trisilicate. See, e.g., U.S. Pat. Nos. 4,650,663 and 4,581,232 to Peters
et al. Taste can also be masked by polymers, such as EUDRAGIT E (Rohm and
Haas), and/or cellulosics, such as ethylcellulose, and the like.
The film-forming agent used in the films according to the present
invention can be selected from the group consisting of pullulan,
hydroxypropylmethyl cellulose, hydroxyethyl cellulose, hydroxypropyl
cellulose, polyvinyl pyrrolidone, carboxymethyl cellulose, polyvinyl
alcohol, sodium alginate, polyethylene glycol, xanthan gum, tragacanth
gum, guar gum, acacia gum, arabic gum, polyacrylic acid,
methylmethacrylate copolymer, carboxyvinyl polymer, amylose, high amylose
starch, hydroxypropylated high amylose starch, dextrin, pectin, chitin,
chitosan, levan, elsinan, collagen, gelatin, zein, gluten, soy protein
isolate, whey protein isolate, casein and mixtures thereof. A preferred
film former is pullulan, in amounts ranging from about 0.01 to about 99 wt
%, preferably about 30 to about 80 wt %, more preferably from about 45 to
about 70 wt % of the film and even more preferably from about 60 to about
65 wt % of the film.
Unless specified otherwise, the term "wt %" as used herein with reference
to the final product (i.e., the film, as opposed to the formulation used
to create it), denotes the percentage of the total dry weight contributed
by the subject ingredient. This theoretical value can differ from the
experimental value, because in practice, the film typically retains some
of the water and/or ethanol used in preparation.
In embodiments containing relatively high oil content, it is preferable to
avoid substantial amounts of humectant in the film (and more preferable to
have no humectant in the film), so as to avoid producing an overly moist,
self-adhering film. In particular, it is preferred to formulate high oil
content films with a plasticizing agent other than glycerin, which is also
a humectant, and with a sweetener other than sorbitol, which is a mild
humectant.
Saliva stimulating agents can also be added to the films according to the
present invention. Useful saliva stimulating agents are those disclosed in
U.S. Pat. No. 4,820,506. Saliva stimulating agents include food acids such
as citric, lactic, malic, succinic, ascorbic, adipic, fumaric and tartaric
acids. Preferred food acids are citric, malic and ascorbic acids. The
amount of saliva stimulating agents in the film is from about 0.01 to
about 12 wt %, preferably about 1 wt % to about 10 wt %, even more
preferably about 2.5 wt % to about 6 wt %.
Preferred plasticizing agents include triacetin in amounts ranging from
about 0 to about 20 wt %, preferably about 0 to about 2 wt %. Other
suitable plasticizing agents include monoacetin and diacetin.
Preferred cooling agents include monomenthyl succinate, in amounts ranging
from about 0.001 to about 2.0 wt %, preferably about 0.2 to about 0.4 wt
%. A monomenthyl succinate containing cooling agent is available from
Mane, Inc. Other suitable cooling agents include WS3, WS23, Ultracool II
and the like.
Preferred surfactants include mono and diglycerides of fatty acids and
polyoxyethylene sorbitol esters, such as, Atmos 300 and Polysorbate 80.
The surfactant can be added in amounts ranging from about 0.5 to about 15
wt %, preferably about 1 to about 5 wt % of the film. Other suitable
surfactants include pluronic acid, sodium lauryl sulfate, and the like.
Preferred stabilizing agents include xanthan gum, locust bean gum and
carrageenan, in amounts ranging from about 0 to about 10 wt %, preferably
about 0.1 to about 2 wt % of the film. Other suitable stabilizing agents
include guar gum and the like.
Preferred emulsifying agents include triethanolamine stearate, quaternary
ammonium compounds, acacia, gelatin, lecithin, bentonite, veegum, and the
like, in amounts ranging from about 0 to about 5 wt %, preferably about
0.01 to about 0.7 wt % of the film.
Preferred thickening agents include methylcellulose, carboxyl
methylcellulose, and the like, in amounts ranging from about 0 to about 20
wt %, preferably about 0.01 to about 5 wt %.
Preferred binding agents include starch, in amounts ranging from about 0
to about 10 wt %, preferably about 0.01 to about 2 wt % of the film.
Suitable sweeteners that can be included are those well known in the art,
including both natural and artificial sweeteners. Suitable sweeteners
include, e.g.: A. water-soluble sweetening agents such as monosaccharides,
disaccharides and polysaccharides such as xylose, ribose, glucose
(dextrose), mannose, galactose, fructose (levulose), sucrose (sugar),
maltose, invert sugar (a mixture of fructose and glucose derived from
sucrose), partially hydrolyzed starch, corn syrup solids, dihydrochalcones,
monellin, steviosides, and glycyrrhizin; B. water-soluble artificial
sweeteners such as the soluble saccharin salts, i.e., sodium or calcium
saccharin salts, cyclamate salts, the sodium, ammonium or calcium salt of
3,4-dihydro-6-methyl-1,2,3-oxathiazine-4-one-2,2-dioxide, the potassium
salt of 3,4-dihydro-6-methyl-1,2,3-oxathiazine-4-one-2,2-dioxide (acesulfame-K),
the free acid form of saccharin, and the like; C. dipeptide based
sweeteners, such as L-aspartic acid derived sweeteners, such as L-aspartyl-L-phenylalanine
methyl ester (aspartame) and materials described in U.S. Pat. No.
3,492,131, L-alpha-aspartyl-N-(2,2,4,4-tetramethyl-3-thietanyl)-D-alaninamide
hydrate, methyl esters of L-aspartyl-L-phenylglycerin and
L-aspartyl-L-2,5,dihydrophenyl-glycine,
L-aspartyl-2,5-dihydro-L-phenylalanine, L-aspartyl-L-(1-cyclohexyen)-alanine,
and the like; D. water-soluble sweeteners derived from naturally occurring
water-soluble sweeteners, such as a chlorinated derivative of ordinary
sugar (sucrose), known, for example, under the product description of
sucralose; and E. protein based sweeteners such as thaumatoccous danielli
(Thaumatin I and II).
In general, an effective amount of auxiliary sweetener is utilized to
provide the level of sweetness desired for a particular composition, and
this amount will vary with the sweetener selected. This amount will
normally be 0.01% to about 10% by weight of the composition when using an
easily extractable sweetener. The water-soluble sweeteners described in
category A above, are usually used in amounts of about 0.01 to about 10 wt
%, and preferably in amounts of about 2 to about 5 wt %. Some of the
sweeteners in category A (e.g., glycyrrhizin) can be used in amounts set
forth for categories B-E below due to the sweeteners' known sweetening
ability. In contrast, the sweeteners described in categories B-E are
generally used in amounts of about 0.01 to about 10 wt %, with about 2 to
about 8 wt % being preferred and about 3 to about 6 wt % being most
preferred. These amounts may be used to achieve a desired level of
sweetness independent from the flavor level achieved from any optional
flavor oils used. Of course, sweeteners need not be added to films
intended for non-oral administration.
The flavorings that can be used include those known to the skilled
artisan, such as natural and artificial flavors. These flavorings may be
chosen from synthetic flavor oils and flavoring aromatics, and/or oils,
oleo resins and extracts derived from plants, leaves, flowers, fruits and
so forth, and combinations thereof. Representative flavor oils include:
spearmint oil, cinnamon oil, peppermint oil, clove oil, bay oil, thyme
oil, cedar leaf oil, oil of nutmeg, oil of sage, and oil of bitter
almonds. Also useful are artificial, natural or synthetic fruit flavors
such as vanilla, chocolate, coffee, cocoa and citrus oil, including lemon,
orange, grape, lime and grapefruit and fruit essences including apple,
pear, peach, strawberry, raspberry, cherry, plum, pineapple, apricot and
so forth. These flavorings can be used individually or in admixture.
Commonly used flavors include mints such as peppermint, artificial
vanilla, cinnamon derivatives, and various fruit flavors, whether employed
individually or in admixture. Flavorings such as aldehydes and esters
including cinnamyl acetate, cinnamaldehyde, citral, diethylacetal,
dihydrocarvyl acetate, eugenyl formate, p-methylanisole, and so forth may
also be used. Generally, any flavoring or food additive, such as those
described in Chemicals Used in Food Processing, publication 1274 by the
National Academy of Sciences, pages 63-258, may be used. Further examples
of aldehyde flavorings include, but are not limited to acetaldehyde
(apple); benzaldehyde (cherry, almond); cinnamic aldehyde (cinnamon);
citral, i.e., alpha citral (lemon, lime); neral, i.e. beta citral (lemon,
lime); decanal (orange, lemon); ethyl vanillin (vanilla, cream);
heliotropine, i.e., piperonal (vanilla, cream); vanillin (vanilla, cream);
alpha-amyl cinnamaldehyde (spicy fruity flavors); butyraldehyde (butter,
cheese); valeraldehyde (butter, cheese); citronellal (modifies, many
types); decanal (citrus fruits); aldehyde C-8 (citrus fruits); aldehyde
C-9 (citrus fruits); aldehyde C-12 (citrus fruits); 2-ethyl butyraldehyde
(berry fruits); hexenal, i.e. trans-2 (berry fruits); tolyl aldehyde
(cherry, almond); veratraldehyde (vanilla); 2,6-dimethyl-5-heptenal, i.e.
melonal (melon); 2-6-dimethyloctanal (green fruit); and 2-dodecenal
(citrus, mandarin); cherry; grape; mixtures thereof; and the like.
The amount of flavoring employed is normally a matter of preference
subject to such factors as flavor type, individual flavor, and strength
desired. Thus, the amount may be varied in order to obtain the result
desired in the final product. Such variations are within the capabilities
of those skilled in the art without the need for undue experimentation. In
general, amounts of about 0.1 to about 30 wt % are useable with amounts of
about 2 to about 25 wt % being preferred and amounts from about 8 to about
10 wt % are more preferred.
The compositions of this invention can also contain coloring agents or
colorants. The coloring agents are used in amounts effective to produce
the desired color. The coloring agents useful in the present invention,
include pigments such as titanium dioxide, which may be incorporated in
amounts of up to about 5 wt %, and preferably less than about 1 wt %.
Colorants can also include natural food colors and dyes suitable for food,
drug and cosmetic applications. These colorants are known as FD&C dyes and
lakes. The materials acceptable for the foregoing spectrum of use are
preferably water-soluble, and include FD&C Blue No. 2, which is the
disodium salt of 5,5-indigotindisulfonic acid. Similarly, the dye known as
Green No. 3 comprises a triphenylmethane dye and is the monosodium salt of
4-[4-N-ethyl-p-sulfobenzylamino)diphenyl-methylene]-[1-N-ethyl-N-p-sulfon-
ium benzyl)-2,5-cyclo-hexadienimine]. A full recitation of all FD&C and
D&C dyes and their corresponding chemical structures may be found in the
Kirk-Othmer Encyclopedia of Chemical Technology, Volume 5, Pages 857-884,
which text is accordingly incorporated herein by reference.
The films can also include a triglyceride. Examples of triglycerides
include vegetable oils such as corn oil, sunflower oil, peanut oil, olive
oil, canola oil, soybean oil and mixtures thereof A preferred triglyceride
is olive oil. The triglyceride is added to the film in amounts from about
0.1 wt % to about 12 wt %, preferably in a range from about 0.5 wt % to
about 9 wt %, of the film.
The films can include a preservative in amounts from about 0.001 wt % to
about 5 wt %, preferably from about 0.01 wt % to about 1 wt % of the film.
Preferred preservatives include sodium benzoate and potassium sorbate.
Other suitable preservatives include, but are not limited to, salts of
edetate (also known as salts of ethylenediaminetetraacetic acid, or EDTA,
such as disodium EDTA) and parabens (e.g., methyl, ethyl, propyl or butyl-hydroxybenzoates,
etc.) or sorbic acid. The preservatives listed above are exemplary, but
each preservative must be evaluated on an empirical basis, in each
formulation, to assure the compatibility and efficacy of the preservative.
Methods for evaluating the efficacy of preservatives in pharmaceutical
formulations are known to those skilled in the art.
The films can also include a polyethylene oxide compound. The molecular
weight of the polyethylene oxide compound ranges from about 50,000 to
about 6,000,000. A preferred polyethylene oxide compound is N-10 available
from Union Carbide Corporation. The polyethylene oxide compound is added
in amounts from about 0.1 wt % to about 5 wt %, preferably from about 0.2
wt % to about 4.0 wt % of the film.
The films can also include propylene glycol. The propylene glycol is added
in amounts from about 1 wt % to about 20 wt %, preferably from about 5 wt
% to about 15 wt % of the film.
Methods for preparing films according to the invention are capable of
encapsulating the oil ingredients within the film-forming matrix and
maintaining the integrity of the film, even when the film contains oils in
amounts of 10 wt % or more.
In certain methods for preparing films according to the invention, the
film-forming ingredients are mixed and hydrated with water separately from
the water-soluble ingredients, which are mixed in aqueous solution
separately from the organic ingredients and surfactants. In these methods,
the final formulation is preferably produced by mixing the film-forming
phase with the aqueous phase, then mixing in the organic phase, which
includes surfactants, such as Polysorbate 80 and Atmos 300. This mass is
mixed until emulsified. In other embodiments, the aqueous and film forming
phases are combined into a single phase by dissolving the water soluble
ingredients in the water and then adding the gums to hydrate. The organic
phase is then added to this single aqueous phase.
The resulting formulation is cast on a suitable substrate and dried to
form a film. The film is preferably air-dried or dried under warm air and
cut to a desired dimension, packaged and stored. The film can contain from
about 0.1% to about 10 wt % moisture, preferably from about 3% to about 8
wt % moisture, even more preferably from about 4 to about 7 wt % moisture.
The film-forming phase can include pullulan and stabilizing agents such as
xanthan gum, locust bean gum and carrageenan. These ingredients are mixed
and then hydrated in water for about 30 to about 48 hours to form a gel.
The water is preferably heated to a temperature of about 25 to about
45.degree. C. to promote hydration. The amount of water is about 40 to 80%
of the gel. The resulting hydrated gel is then chilled to a temperature of
about 20 to about 30.degree. C. for about 1 to about 48 hours. The water
is preferably deionized.
In preferred embodiments, the aqueous phase includes water heated to a
temperature of about 60 to 90.degree. C., preferably 70 to 80.degree. C.,
and ingredients such as the pharmaceutically active agent, ion exchange
resin (or other masking agent), coloring agent, preservative and
sweetener. The water is preferably deionized and the amount of water used
is about 5 to about 80 wt % of the final gel mixture.
The pharmaceutically active agent is sorbed to the ion exchange resin (or
other masking agent) without separating ion exchanged pharmaceutically
active agent from unexchanged agent and counter ion salts.
Adsorption of the pharmaceutically active agent onto the ion exchange
resin particles to form the pharmaceutically active agent/resin complex is
a well known technique as shown in U.S. Pat. Nos. 2,990,332 and 4,221,778.
In general, the pharmaceutically active agent is mixed with an aqueous
suspension of the resin, and in less preferred embodiments, the complex is
then washed and dried. Adsorption of pharmaceutically active agent onto
the resin may be detected by measuring a change in the pH of the reaction
medium, or by measuring a change in concentration of sodium or
pharmaceutically active agent.
Binding of pharmaceutically active agent to resin can be accomplished
according to four general reactions. In the case of a basic
pharmaceutically active agent, these are: (a) resin (Na-form) plus
pharmaceutically active agent (salt form); (b) resin (Na-form) plus
pharmaceutically active agent (as free base); (c) resin (H-form) plus
pharmaceutically active agent (salt form); and (d) resin (H-form) plus
pharmaceutically active agent (as free base). All of these reactions
except (d) have cationic byproducts, by competing with the cationic
pharmaceutically active agent for binding sites on the resin, reduce the
amount of pharmaceutically active agent bound at equilibrium. For basic
pharmaceutically active agents, stoichiometric binding of pharmaceutically
active agent to resin is accomplished only through reaction (d).
Four analogous binding reactions can be carried out for binding an acidic
pharmaceutically active agent to an anion exchange resin. These are: (a)
resin (Cl-form) plus pharmaceutically active agent (salt form); (b) resin
(Cl-form) plus pharmaceutically active agent (as free acid); (c) resin
(OH-form) plus pharmaceutically active agent (salt form); and (d) resin
(OH-form) plus pharmaceutically active agent (as free acid). All of these
reactions except (d) have ionic by-products and the anions generated when
the reactions occur compete with the anionic pharmaceutically active agent
for binding sites on the resin with the result that reduced levels of
pharmaceutically active agent are bound at equilibrium. For acidic
pharmaceutically active agents, stoichiometric binding of pharmaceutically
active agent to resin is accomplished only through reaction (d). The
binding may be performed, for example, as a batch or column process, as is
known in the art.
In less preferred embodiments, the adsorption complex, including
pharmaceutically active agent and resin, is collected and washed with
ethanol and/or water to insure removal of any unadsorbed pharmaceutically
active agent. The complexes are usually air-dried in trays at room or
elevated temperature.
The ratio of the pharmaceutically active agent adsorbate to ion exchange
resin adsorbent in the adsorption complex is about 1:3 to about 3:1,
preferably about 1:2 to about 2:1, most preferably about 1:1. The only
limit to using ratios in excess of 1:3 is an economic and aesthetic one.
The amount of the pharmaceutically active agent adsorbed to the ion
exchange resin is in the range from about 25 to about 75% by weight of the
pharmaceutically active agent/resin adsorption complex (hereinafter
referred to as the "pharmaceutically active agent/resin complex" or
"complex"). More preferably, the amount of the pharmaceutically active
agent adsorbed to the ion exchange resin is in the range from about 33 to
about 77% by weight of the pharmaceutically active agent/resin complex.
Most preferably, the amount of the pharmaceutically active agent adsorbed
to the ion exchange resin is in the range from about 40 to about 60% by
weight of the pharmaceutically active agent/resin complex.
The amount of pharmaceutically active agent/resin complex in the
formulation is adjusted to deliver a predetermined dose of the
pharmaceutically active agent over a predetermined period of time.
For example, a preferred antitussive film of the invention is administered
at one dose every 12 hours to deliver a pharmaceutically effective amount
of dextromethorphan over a period of approximately 12 hours to a patient
in need of such administration. A typical adult dose of a film of the
invention measuring 1''.times.1.25'' (2.54 cm.times.3.18 cm) weighs about
60 to about 190 mg and contains about 20 to about 130 mg of
pharmaceutically active agent/resin complex to deliver about 5 to about 65
mg of pharmaceutically active agent (e.g., dextromethorphan hydrobromide)
when the average pharmaceutically active agent:ion exchange resin ratio is
about 1:1.
In a particularly preferred embodiment of the invention, pullulan is
present in the film in an amount of about 2 to about 6 mg/cm.sup.2,
dextromethorphan is present in the film in an amount of about 1.4 to about
3 mg/cm.sup.2, and sulfonated polymer ion exchange resin is present in
said film in an amount of about 1.4 to about 2 mg/cm.sup.2.
The antitussive pharmaceutically active agents that are suitable for use
in these preparations are acidic, amphoteric or most often basic
antitussives. Examples of basic pharmaceutically active agents useful in
the present invention include, but are not limited to dextromethorphan,
diphenhydramine, caramiphen, carbapentane, ethylmorphine, noscapine and
codeine. In addition, the antitussive embodiments of the invention can
further comprise additional agents that are therapeutically effective to
treat conditions other than coughing. That is, more than one type of
pharmaceutically active agent can be included in a film of the invention.
For example, in the case of a film containing an antitussive agent, the
film can further comprise an antihistamine, sympathomimetic
pharmaceutically active agent (nasal decongestant, bronchodilator),
analgesic, antiinflammatory, cough suppressant and/or expectorant.
Compounds which are antihistamines, sympathomimetic pharmaceutically
active agents (nasal decongestant, bronchodilator), analgesic,
antiinflammatory, cough suppressants and/or expectorants are well known to
those of skill in the art and need not be discussed in detail herein.
In embodiments, a certain percentage of the films disclosed herein will
contain non-coated pharmaceutically active agent/resin complexes. The
remaining pharmaceutically active agent/resin complexes are further
characterized by the presence of a coating. In the preferred embodiment of
the present invention, about 20 to about 80% of the pharmaceutically
active agent/resin complexes in the sustained-release compositions are
coated, most preferably about 40 to about 60% of the pharmaceutically
active agent/resin complexes. The coating is a water-permeable, diffusion
barrier coating material. The presence of a coating allows one to
selectively modify the dissolution profile as desired of a pharmaceutical
composition comprising the pharmaceutically active agent/resin complexes
of the present invention.
The coating materials can in general be any of a large number of
conventional natural or synthetic film-forming materials used singly, in
admixture with each other, and in admixture with plasticizers, pigments,
etc. with diffusion barrier properties and with no inherent
pharmacological or toxic properties. In general, the major components of
the coating should be insoluble in water, and permeable to water and
pharmaceutically active agent. However, it might be desirable to
incorporate a water-soluble substance, such as methyl cellulose, to alter
the permeability of the coating, or to incorporate an acid-insoluble,
base-soluble substance to act as an enteric coating. The coating materials
may be applied as a suspension in an aqueous fluid or as a solution in
organic solvents. Suitable examples of such coating materials are
described by R. C. Rowe in Materials used in Pharmaceutical Formulation.
(A. T. Florence, editor), Blackwell Scientific Publications, Oxford,
1-36(1984), incorporated by reference herein. Preferably the
water-permeable diffusion barrier is selected from the group consisting of
ethyl cellulose, methyl cellulose and mixtures thereof Most preferably,
the coating material is SURELEASE, manufactured by Colorcon which is water
based ethyl cellulose latex, plasticized with dibutyl sebacate or with
vegetable oils. Other non-limiting coating materials included within the
scope of the present invention are AQUACOAT, manufactured by FMC
Corporation of Philadelphia, which is ethylcellulose pseudolatex; solvent
based ethylcellulose; shellac; zein; rosin esters; cellulose acetate;
EUDRAGITS, manufactured by Rohm and Haas of Philadelphia, which are
acrylic resins; silicone elastomers; poly(vinyl chloride) methyl
cellulose; and hydroxypropylmethyl cellulose.
Conventional coating solvents and coating procedures (such as fluid bed
coating and spray coating) can be employed to coat the particles.
Techniques of fluid bed coating are taught, for example, in U.S. Pat. Nos.
3,089,824, 3,117,027, and 3,253,944. The coating is normally applied to
the pharmaceutically active agent/resin complex, but alternatively can be
applied to the resin before complexing with the pharmaceutically active
agent. Non-limiting examples of coating solvents include ethanol, a
methylene chloride/acetone mixture, coating emulsions, methyl acetone,
tetrahydrofuran, carbonetetrachloride, methyl ethyl ketone, ethylene
dichloride, trichloroethylene, hexane, methyl alcohol, isopropyl alcohol,
methyl isobutyl ketone, toluene, 2-nitropropane, xylene, isobutyl alcohol,
n-butyl acetate.
It is preferred that the coated pharmaceutically active agent/resin
complexes are coated in the range from about 40 to about 70% w/w
pharmaceutically active agent/resin complex. More preferably, the
pharmaceutically active agent/resin complex is coated in the range from
about 45 to about 55% w/w pharmaceutically active agent/resin complex.
Most preferably, the pharmaceutically active agent/resin complex is coated
about 50% w/w pharmaceutically active agent/resin complex. Variation in
the amount of coating and/or the use of coated/uncoated complex mixtures
can be employed to selectively modify the dissolution profile as desired.
The average particle sizes of the non-hydrated coated and uncoated
pharmaceutically active agent/resin complexes is about 60 to about 200 and
about 60 to about 250 micrometers, respectively. More preferably, average
particle sizes of the coated pharmaceutically active agent/resin complexes
is between about 70 and about 190 micrometers, and most preferably about
70 to about 180 micrometers. More preferably, average particle sizes of
the uncoated pharmaceutically active agent/resin complexes is between
about 55 and about 160 micrometers, and most preferably about 60 to about
150 micrometers. It is desirable that about 85%, preferably about 95%, and
most preferably about 98% of the resin particles have sizes within the
ranges set forth above. Adjustments within these ranges can be made to
accommodate desired aesthetic qualities of the final formulation product.
It is more preferable that the resin dextromethorphan complex have
particle sizes within these ranges as well.
In embodiments, it is possible to hydrate the film-forming ingredients and
combine all of the ingredients without heating. This method comprises
dissolving the water-soluble ingredients in water to form an aqueous
mixture; mixing the film-forming ingredients in powder form to form a
powder mixture; adding the powder mixture to the aqueous mixture to form a
hydrated polymer gel; stirring the hydrated polymer at room temperature
for about 30 minutes to about 48 hours; mixing the cooling agent, menthol
and any other oils to form an oil mixture; adding the oil mixture to the
hydrated polymer gel and mixing until uniform; deaerating the film until
air bubbles are removed, casting the uniform mixture on a suitable
substrate; and drying the cast mixture to form a film. This method
hydrates the film-forming ingredients without heating the water, which can
reduce energy costs in the manufacturing process and undesirable losses of
volatile ingredients to evaporation. Further, mixing the oils in two steps
minimizes the amount of flavor lost.
While not wishing to be bound by any theories, it is believed that the
film-forming ingredients can be hydrated and mixed without heating due to
an ionic effect known as the Donnan equilibrium. Hydrating the
film-forming agents in the presence of electrolytes in solution
effectively lowers the viscosity of the polymer gel being formed, thus
increasing the efficiency of the hydrating process. The water-soluble
ingredients of the formulation provide the electrolytes, which are
dissolved in the hydration solution prior to addition of the film-forming
ingredients. High-shear mixing also accelerates hydration, which delumps
the powders, providing greater surface area for water contact. In
addition, local heating effects, generated in the shear regions, provide
energy for hydration without substantially raising the temperature of the
mass.
Claim 1 of 14 Claims
1. An orally consumable single layer film
that is adapted to adhere to and to dissolve fast in a mouth of a
consumer, comprising: a.) at least one polymer selected from the group
consisting of pullulan, hydroxypropylmethyl cellulose, hydroxyethyl
cellulose, hydroxypropyl cellulose, polyvinyl pyrrolidone, carboxymethyl
cellulose, polyvinyl alcohol, sodium alginate, polyethylene glycol,
tragacanth gum, guar gum, acacia gum, arabic gum, polyacrylic acid,
methylmethacrylate copolymer, carboxyvinyl polymer, amylose, high amylose
starch, hydroxypropylated high amylose starch, dextrin, pectin, chitin,
chitosan, levan, elsinan, collagen, gelatin, zein, gluten, soy protein
isolate, whey protein isolate, casein and mixtures thereof b.) at least
one pharmaceutically active agent; and c.) a taste masking agent, which is
ethyl cellulose wherein the pharmaceutically active agent is coated with
the taste masking agent and suspended in the film. ____________________________________________
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