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Title:
Rapidly dissolving solid oral dosage form for delivery of composition for
increasing nitric oxide activity
United States Patent: 7,794,749
Issued: September 14, 2010
Inventors: Heuer; Marvin A.
(Mississauga, CA), Clement; Kenneth (Mississauga, CA), Chaudhuri; Shan
(Mississauga, CA)
Assignee: Northern
Innovations and Formulations Corp.
Appl. No.: 11/505,779
Filed: August 16, 2006
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Covidien Pharmaceuticals Outsourcing
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Abstract
The present invention relates to a
dietary supplement and method for a rapidly dissolving and disintegrating
solid oral dosage form. Specifically, the present invention provides
dietary supplements and methods for the delivery of dietary supplements
comprising Arginine or derivatives thereof and Xanthinol Nicotinate or
derivatives thereof. By way of oral administration to an individual of
said solid oral dosage form, a method of rapidly increasing nitric oxide
activity in an individual is also provided.
Description of the
Invention
FIELD OF THE INVENTION
The present invention relates to a solid oral dosage form which rapidly
dissolves, quickly releasing a composition directed at increasing nitric
oxide activity. The invention provides a method for reducing the
disintegration time of a solid oral dosage form comprising biologically
active ingredients directed at increasing nitric oxide activity.
BACKGROUND OF THE INVENTION
Although much research in drug delivery is currently directed at
developing controlled time-released systems, the most common form of solid
oral dosage delivery systems are those intended to be swallowed and
dissolved rapidly in the mouth or gastrointestinal tract. It is often
desirable to achieve fast release of active compounds of solid oral dosage
forms. In order to facilitate the rapid release of active compounds
disintegrants are often incorporated into the formulation of a tablet or
capsule. Disintegrants are substances or mixtures of substances that are
added to solid oral dosage forms such as tablets and capsules which
facilitate the break-up or disintegration of the tablet or capsule
contents into smaller particles which may dissolve more rapidly. Although
the exact mechanism of disintegration is still unclear, water penetration
is an indispensable step and nearly all disintegrants swell (Zhao N,
Augsburger L L. The influence of swelling capacity of superdisintegrants
in different pH media on the dissolution of hydrochlorothiazide from
directly compressed tablets. AAPS PharmSciTech. 2005 Sep. 20;
6(1):E120-6).
Nitric Oxide (NO) is a small reactive radical gas secreted by cells as a
signaling molecule (Nathan C. Nitric oxide as a secretory product of
mammalian cells. FASEB J. 1992 September; 6(12):3051-64). NO activity is
largely controlled by regulating the factors responsible for synthesizing
NO--Nitric Oxide Synthases (NOSs), such as the precursor molecules. All
major nitric oxide synthase (NOS) isoforms and splice variants, including
a muscle-specific splice variant, are expressed in the skeletal muscles of
all mammals (Stamler J S, Meissner G. Physiology of nitric oxide in
skeletal muscle. Physiol Rev. 2001 January; 81(1):209-237). Furthermore,
the inner lining, or endothelium, of blood vessels uses NO to signal the
surrounding smooth muscle to relax. This has the effect of dilating the
artery increasing blood flow.
Muscle activation, i.e. contraction, has been correlated with NO
signaling. NO production is increased in contracting muscle (Kobzik L,
Reid M B, Bredt D S, Stamler J S. Nitric oxide in skeletal muscle. Nature.
1994 Dec. 8; 372(6506):546-8) and conversely, reducing muscle activity
lowers NO levels (Tidball J G, Layergne E, Lau K S, Spencer M J, Stull J
T, Wehling M. Mechanical loading regulates NOS expression and activity in
developing and adult skeletal muscle. Am J Physiol. 1998 July; 275(1 Pt
1):C260-6). Furthermore, NO has been shown to be involved in glucose
uptake in muscles undergoing exercise (Bradley S J, Kingwell B A, McConell
G K. Nitric oxide synthase inhibition reduces leg glucose uptake but not
blood flow during dynamic exercise in humans. Diabetes. 1999 September;
48(9):1815-21). Additionally, NO activity is increased by insulin and
insulin-like growth factors which also stimulate the uptake of glucose (Kaliman
P, Canicio J, Testar X, Palacin M, Zorzano A. Insulin-like growth
factor-II, phosphatidylinositol 3-kinase, nuclear factor-kappaB and
inducible nitric-oxide synthase define a common myogenic signaling
pathway. J Biol Chem. 1999 Jun. 18; 274(25):17437-44)
Exogenous NO in humans has been shown to result in increases in measured
strength (Folland J P, Maas H, Jones D A. The influence of nitric oxide on
in vivo human skeletal muscle properties. Acta Physiol Scand. 2000 June;
169(2):141-8).
Thus, in muscles, NO is a signaling molecule which increases blood flow,
increases glucose uptake and increases strength. Therefore, in terms of
athletic performance it would be advantageous to increase and sustain
levels of NO. Furthermore, it would be advantageous to expedite the
increase of NO levels and activity through rapid delivery of NO-modulating
compositions.
SUMMARY OF THE INVENTION
The foregoing needs and other needs and objectives that will become
apparent for the following description are achieved in the present
invention which comprises the formulation of a rapidly dissolving solid
oral dosage form for the delivery of a dietary supplement directed at
increasing nitric oxide activity in the body of an individual, e.g. a
human or an animal. The present invention provides a dietary supplement
comprising Arginine or derivatives thereof and Xanthinol Nicotinate or
derivatives thereof wherein active constituents of said dietary supplement
may be fine-milled. The dietary supplement of the present invention
further comprises Croscarmellose and/or Crospovidone, wherein said
Croscarmellose or Crospovidone act as agents of disintegration in a solid
oral dosage form. The present invention also provides a method of reducing
the dissolution and disintegration time of a dietary supplement comprising
at least Arginine or derivatives thereof.
DETAILED DESCRIPTION OF THE INVENTION
The present invention, according to various embodiments thereof, is
directed to a rapidly dissolving and disintegrating solid oral dosage form
for the delivery of dietary supplements comprising at least Arginine or
derivatives thereof wherein active constituents of said dietary supplement
may be fine-milled. According to various embodiments of the present
invention, the dietary supplement may further include Croscarmellose
and/or Crospovidone as disintegrant agents. A method of decreasing the
dissolution and disintegration time of dietary supplements comprising
Arginine or derivatives thereof is also provided. Furthermore, the present
invention provides a dietary supplement which comprises Arginine or
derivatives thereof and Xanthinol Nicotinate or derivatives thereof.
Croscarmellose (CAS No. 9000-11-7) is a polymer of cross linked
carboxymethyl cellulose sodium. It is a hydrophilic, insoluble and highly
absorbent material capable of excessive swelling in solution conceptually
similar to a sponge. These properties make it useful in drug delivery
systems as a disintegrant agent in solid dosage forms, offering improved
bioavailability through enhanced dissolution of incorporated active
compounds. As a tablet disintegrant, Croscarmellose is typically used at
concentrations from 0.5 to 5% w/w (Wade A, Weller P J. Handbook of
Pharmaceutical Excipients, Second Edition, The Pharmaceutical Press,
London, 1994, 141-142).
U.S. Pat. No. 6,599,530 entitled "Oral compacted composition comprising
catechol derivatives" purports to describe an oral composition for fast
delivery of entacapone and nitecapone comprising at least 6%
Croscarmellose.
U.S. Pat. No. 6,245,352 entitled "Pharmaceutical formulation" discloses a
pharmaceutical composition comprising the anticancer drug tamoxifen.
Croscarmellose is used as the disintegrant in concentrations up to 3% in
various formulations are described.
U.S. Pat. No. 4,781,925 titled "Calcium supplement compressed tablets"
purports to describe a calcium supplement tablet with improved
disintegration characteristics comprising 0.5-1% Croscarmellose.
U.S. Pat. No. 5,955,107 entitled "Pharmaceutical suspension tablet
compositions" provides the formulation of a generic tablet to deliver
pharmacologically active ingredients including vitamins. The disclosed
composition includes Croscarmellose at a concentration of 1-6%.
Crospovidone (CAS No. 9003-39-8) is a hydrophilic synthetic homopolymer of
cross-linked N-vinyl-2-pyrrolidone. It is completely insoluble in water,
acids, alkalis and all organic solvents. As with most disintegrants,
Crospovidone swells in aqueous solution. Crospovidone has been used to
manufacture hard tablets which dissolve within 33 seconds (Shu T, Suzuki
H, Hironaka K, Ito K. Studies of rapidly disintegrating tablets in the
oral cavity using co-ground mixtures of mannitol with crospovidone. Chem
Pharm Bull (Tokyo). 2002 February; 50(2):193-8).
U.S. Pat. No. 7,081,255 entitled "Antifungal compositions with improved
bioavailability" purports to describe an oral composition to deliver the
antifungal itraconazole. The solid dosage form includes 8.49% Crospovidone.
U.S. Pat. No. 6,599,531 entitled "Method of making ibuprofen and narcotic
analgesic compositions" purports to describe the formulation of a solid
dosage form tablet to deliver ibuprofen and hydrocodone bitartrate
comprising from 4-10% of one of croscarmellose sodium, crospovidone or
sodium starch glycolate as a disintegrant.
U.S. Pat. No. 7,049,283 titled "Pharmaceutical compositions for the oral
delivery of pharmacologically active agents" purports to describe the use
of crospovidone or povidone as the disintegrant at a concentration of
0.5-50% in formulations to deliver bone disease medication.
L-Arginine (CAS No. 74-79-3) is considered a semi-essential amino acid.
Normally L-Arginine is synthesized in sufficient amounts by the body.
However, conditions and circumstances are known wherein L-Arginine
supplementation is required.
L-Arginine participates in several important metabolic processes (Barbul
A. Arginine: biochemistry, physiology, and therapeutic implications. JPEN
J Parenter Enteral Nutr. 1986 March-April; 10(2):227-38). As such is known
that L-Arginine is a precursor for the synthesis of proteins, other amino
acids, urea, creatine and nitric oxide (NO) (Appleton J. Arginine:
Clinical potential of a semi-essential amino. Altern Med Rev. 2002
December; 7(6):512-22).
As a precursor to NO, L-Arginine plays an important role in regulating
cardiovascular endothelium-dependent processes. Many of the therapeutic
effects of L-Arginine are likely due to its role as a NO precursor (Preli
R B, Klein K P, Herrington D M. Vascular effects of dietary L-arginine
supplementation. Atherosclerosis. 2002 May; 162(1):1-15). Moreover, L-Arginine
has been shown to improve endothelial-dependent dilatation and reduce
monocyte adhesion to endothelial cells, both of which benefit patients
with advanced coronary artery disease (Adams M R, McCredie R, Jessup W,
Robinson J, Sullivan D, Celermajer D S. Oral L-arginine improves
endothelium-dependent dilatation and reduces monocyte adhesion to
endothelial cells in young men with coronary artery disease.
Atherosclerosis. 1997 Mar. 21; 129(2):261-9). The endothelial dysfunction
associated with chronic heart failure has been corrected by oral L-Arginine
supplementation (Rector T S, Bank A J, Mullen K A, Tschumperlin L K, Sih
R, Pillai K, Kubo S H. Randomized, double-blind, placebo-controlled study
of supplemental oral L-arginine in patients with heart failure.
Circulation. 1996 Jun. 15; 93(12):2135-41) and in mice, it has been shown
to increase aerobic exercise capacity and NO production (Maxwell A J, Ho H
V, Le C Q, Lin P S, Bernstein D, Cooke J P. L-arginine enhances aerobic
exercise capacity in association with augmented nitric oxide production. J
Appl Physiol. 2001 March; 90(3):933-8). In patients with heart failure L-Arginine
supplementation increases impaired exercise-induced vasodilation (Kubota
T, Imaizumi T, Oyama J, Ando S, Takeshita A. L-arginine increases
exercise-induced vasodilation of the forearm in patients with heart
failure. Jpn Circ J. 1997 June; 61(6):471-80). L-Arginine supplementation
in conjunction with exercise results in additive effects on
vasodilatation, which is consistent with the mechanism of each treatment
effecting different points of NO signaling (Hambrecht R, Hilbrich L, Erbs
S, Gielen S, Fiehn E, Schoene N, Schuler G. Correction of endothelial
dysfunction in chronic heart failure: additional effects of exercise
training and oral L-arginine supplementation. J Am Coil Cardiol. 2000 Mar.
1; 35(3):706-13).
Short-term L-Arginine supplementation improves blood flow and exercise
capacity in patients with Precapillary Pulmonary Hypertension, a rare
disease characterized by high pulmonary artery pressure (Nagaya N, Uematsu
M, Oya H, Sato N, Sakamaki F, Kyotani S, Ueno K, Nakanishi N, Yamagishi M,
Miyatake K. Short-term oral administration of L-arginine improves
hemodynamics and exercise capacity in patients with precapillary pulmonary
hypertension. Am J Respir Crit Care Med. 2001 March; 163(4):887-91).
Furthermore, research has shown that reduced availability of L-Arginine
may result in reduced NO production (Hallemeesch M M, Lamers W H, Deutz N
E. Reduced arginine availability and nitric oxide production. Clin Nutr.
2002 August; 21 (4):273-9) thereby indicating that in order to achieve
increased NO levels, L-Arginine supplement is required. Therefore, it is
desirable to ensure adequate L-Arginine availability to facilitate NO
function and production.
In an embodiment of the present invention, which is set forth in greater
detail in the examples below, the dietary supplement includes Arginine or
derivatives thereof. A serving of the dietary supplement may include from
about 1.000 g to about 6.000 g of Arginine or derivatives thereof. The
preferred dosage of a serving of the dietary supplement comprises about
3.275 g of Arginine or derivatives thereof.
Xanthinol Nicotinate
Xanthinol nicotinate is one of several forms of the vitamin Niacin
(vitamin B3). It easily passes through the cell membrane and is considered
the most potent form of Niacin. Pharmaceutically, Xanthinol nicotinate is
classified as a vasodilator.
In patients with peripheral arterial obliterative disease, Xanthinol
nicotinate was found to have anti-platelet and thrombolytic actions
accompanied by an increase in the release of NO (Bieron K, Swies J,
Kostka-Trabka E, Gryglewski R J. Thrombolytic and antiplatelet action of
xanthinol nicotinate (Sadamin): possible mechanisms. J Physiol Pharmacol.
1998 June; 49(2):241-9). Xanthinol nicotinate may also have the effects of
enhancing cellular metabolism and increasing oxygen supply which may be
the mechanism of improvements in both short- and long-term memory
associated with 500 mg of Xanthinol nicotinate three times per day for
eight weeks in a double blind study (Loriaux S M, Deijen J B, Orlebeke J
F, De Swart J H. The effects of nicotinic acid and xanthinol nicotinate on
human memory in different categories of age. A double blind study.
Psychopharmacology (Berl). 1985; 87(4):390-5).
In an embodiment of the present invention, which is set forth in greater
detail in the examples below, the dietary supplement includes Xanthinol
nicotinate or derivatives thereof. A serving of the dietary supplement may
include from about 0.0500 g to about 1.5000 g of Xanthinol nicotinate or
derivatives thereof. The preferred dosage of a serving of the dietary
supplement comprises about 0.2325 g of Xanthinol nicotinate or derivatives
thereof.
Fine-Milling of Active Constituents
As set forth above, the dosage form of the dietary supplement, in
accordance with the example embodiments set forth below, may be provided
in accordance with customary processing techniques for herbal and/or
dietary supplements, wherein the active ingredients are suitably processed
into a desired form. In accordance with various embodiments of the present
invention, one or more ingredients of the diet supplement are processed so
as to form fine-milled particles. For instance, in various embodiments,
one or more ingredients of the dietary supplemental are processed by a
large-scale dry milling technique that produces fine particles, preferably
known as fine-milled particles. The use of dry milling techniques, in
combination with excipients and polymers, to form fine-milled particles
has been shown to improve flow and dispersability, stability, resistance
to moisture, bioavailability, and dissolution/release properties.
Formulations benefit by containing fine-milled particles for the purpose
of providing the one or more ingredients in particle sizes that optimize
one or more of the flow and dispersability, stability, resistance to
moisture, bioavailability, and dissolution/release properties of the one
or more ingredients in a dietary supplement. In vitro tests designed to
simulate the environment of stomach were preformed to test the dissolution
rate of fine-milled particle tablets versus non-fine-milled. These test
showed that in tablets produced from fine-milled particles the time to
100% dissolution was approximately 15 minutes. In the case of
non-fine-milled particle compositions, only 90% dissolution was observed
after 120 minutes. In preferred embodiments, the dietary supplemental
contains fine-milled particles having and average size between about 50 nm
and about 2 nm.
U.S. Provisional Patent Application 60/776,325 discloses a method for
improving the absorption, palatability, taste, texture, and
bioavailability of compounds by increasing the solubility of said
compounds in proprietary formulations for the purposes of enhancing or
improving muscle size, growth and/or recovery time and/or weight loss. The
increased bioavailability of the compound or ingredients is achieved by
reducing the particle size via "fine-milling" thereby increasing the
surface area-to-volume ratio each particle, thus increasing the rate of
dissolution. The compositions and methods disclosed promote increased
bioavailability by increasing the total surface area of poorly soluble
particles, thereby increasing the rate of absorption.
As used herein the, term "fine-milled" and/or "fine-milling" refers to the
process of micronization. Micronization is a mechanical process that
involves the application of force to a particle, thereby resulting in a
reduction in the size of the particle. The force, in the case of
micronization may be applied in any manner such as, e.g., the collision of
particles at high rates of speed, grinding, or by an air-jet micronizer.
In preferred embodiments, fine-milled particles are obtained by
jet-milling with nitrogen and compressed air.
As used herein, term "particle size" refers to the diameter of the
particle. The term "average particle size" means that at least 50% of the
particles in a sample will have the specified particle size. Preferably,
at least 80% of the particles in a sample will have the specified particle
size, and more preferably, at least 90% of the particles in a given sample
will have the specified particle size.
The size of a particle can be determined any of the methods known within
the art. Methods for particle size determination which may be employed are
for example, e.g., sieves, sedimentation, electrozone sensing (Coulter
counter), microscopy, and/or Low Angle Laser Light Scattering. The
preferred methods for the particle size determination of the present
invention are those methods which are most commonly used in the
pharmaceutical industry, such as laser diffraction, e.g., via light
scattering Coulter Delsa 440SX.
The fine-milling process may be employed in the processing of one or more
of the ingredients of the present invention in the dosage forms of
tablets, e.g., immediate-release film coated, modified-release and
fast-dissolving; capsules or tablets, e.g., immediate-release and
modified-release; liquid dispersions; powders; drink mixes, etc.
The present invention concerns a solid dosage form for rapidly releasing a
dietary supplement directed at increasing nitric oxide activity in the
body of an individual, e.g. a human or an animal. Typically, solid oral
dosage forms include tablets, chewable tablets, capsules, and soft gelatin
capsules. The preferred dosage forms of the present invention comprises
tablets or caplets. Moreover, the dietary supplement of the present
invention may be consumed as a stand-alone dietary supplement or may be
included as a component of a larger composition.
Furthermore, the solid dosage form and composition may be provided in
accordance with customary processing techniques for herbal and dietary
supplements in any of the forms mentioned above. Additionally, the solid
dosage form and composition set forth in the examples embodiments herein
may contain any appropriate number and type of excipients, as is
well-known in the art.
Preferably, the solid dosage form is consumed by an individual, e.g. a
human or an animal in accordance with the following method: As a dietary
supplement, a serving of said solid dosage form consisting of three
tablets may be taken with an 8 oz. glass of water at least once daily.
When used in conjunction with an exercise program, one serving is to be
taken prior to exercise. In this manner the solid dosage form may be
rapidly dissolved and effectively and efficiently release contained
biologically active components. In an embodiment of the present invention
the biologically active components to be released are Arginine or
derivatives thereof and Xanthinol Nicotinate or derivatives thereof. In
another embodiment of the present invention the biologically active
component to be released is Arginine. The present invention is directed at
rapidly providing components for increasing nitric oxide activity in an
individual e.g. a human or an animal.
Claim 1 of 39 Claims
A dietary supplement comprising L-Arginine,
Xanthinol Nicotinate, and yohimbine.
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