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Title:
Gastric retention controlled drug delivery system
United States Patent: 8,012,496
Issued: September 6, 2011
Inventors: Dudhara; Kamlesh
Mohanlal (Baroda, IN), Dharmadhikari; Nitin Bhalachandra (Mumbai, IN),
Dhavse; Vaishali Vijay (Mumbai, IN)
Assignee: Sun Pharma
Advanced Research Company Ltd. (Andheri, IN)
Appl. No.: 12/856,097
Filed: August 13, 2010
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Training Courses -- Pharm/Biotech/etc.
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Abstract
The present invention provides a gastric
retention controlled drug delivery system comprising: (a) a controlled
release core comprising a drug, a highly swellable polymer and a gas
generating agent, said core being capable of swelling and achieving
floatation rapidly while maintaining its physical integrity in
gastrointestinal fluids for prolonged periods, and (b) a rapidly releasing
coat composition comprising the same drug as in the core and
pharmaceutically acceptable excipients, wherein the coating composition
surrounds the core such that the system provides a biphasic release of the
drug in gastrointestinal fluids.
Description of the
Invention
OBJECT OF THE INVENTION
It is an object of the present invention to provide a gastric retention
controlled drug delivery system comprising: a. a controlled release core
comprising a drug, a highly swellable polymer and a gas generating agent,
said core being capable of swelling and achieving flotation rapidly while
maintaining its physical integrity in gastrointestinal fluids for
prolonged periods, and b. a rapidly releasing coat composition comprising
the same drug as in the core and pharmaceutically acceptable excipients,
wherein the coating composition surrounds the core such that the system
provides a biphasic release of the drug in gastrointestinal fluids.
Yet another specific object of the present invention is to provide a
gastric retention controlled drug delivery system for baclofen.
SUMMARY OF THE INVENTION
The present invention provides a gastric retention controlled drug
delivery system comprising: (a) a controlled release core comprising a
drug, a highly swellable polymer and a gas generating compound, said core
being capable of swelling and achieving floatation rapidly while
maintaining its physical integrity in gastrointestinal fluids for
prolonged periods, and (b) a rapidly releasing coat composition comprising
the same drug as in the core and pharmaceutically acceptable excipients,
wherein the coating composition surrounds the core such that the system
provides a biphasic release of the drug in gastrointestinal fluids.
The present invention further provides a gastric retention controlled drug
delivery system wherein the controlled release core is capable of swelling
rapidly to at least about two times its original volume, and maintaining
its physical integrity in gastrointestinal fluids for prolonged periods.
The present invention also provides a gastric retention controlled drug
delivery system comprising baclofen or its pharmaceutically acceptable
salt.
DESCRIPTION OF THE INVENTION
The present invention provides a gastric retention controlled drug
delivery system comprising: (a) a controlled release core comprising a
drug, a highly swellable polymer and a gas generating compound, said core
being capable of swelling and achieving floatation rapidly while
maintaining its physical integrity in gastrointestinal fluids for
prolonged periods, and (b) a rapidly releasing coat composition comprising
the same drug as in the core and pharmaceutically acceptable excipients,
wherein the coating composition surrounds the core such that the system
provides a biphasic release of the drug in gastrointestinal fluids.
The gastric retention controlled drug delivery system of the present
invention is useful in providing improved drug delivery. Drugs that may be
used in the gastric retention controlled drug delivery system of the
present invention may be selected from the following, viz. alcohol abuse
preparations, drugs used for alzheimer's disease, anaesthetics, acromegaly
agents, analgesics, antiasthmatics, anticancer agents, anticoagulants and
antithrombotic agents, anticonvulsants, antidiabetics antiemetics,
antiglaucoma, antihistamines, anti-infective agents, antiparkinsons,
antiplatelet agents, antirheumatic agents, antispasmodics and
anticholinergic agents, antitussives, carbonic anhydrase inhibitors,
cardiovascular agents, cholinesterase inhibitors, treatment of CNS
disorders, CNS stimulants, contraceptives, cystic fibrosis management,
dopamine receptor agonists, endometriosis management, erectile dysfunction
therapy, fertility agents, gastrointestinal agents, immunomodulators and
immunosuppressives, memory enhancers, migraine preparations, muscle
relaxants, nucleoside analogues, osteoporosis management,
parasympathomimetics, prostaglandins, psychotherapeutic agents, sedatives,
hypnotics and tranquilizers, drugs used for skin ailments, steroids and
hormones.
Examples of acromegaly agents are octreotide, laureotide and pegvisomant.
Examples of alcohol abuse preparations are chlorazepate, chlordiazepoxide,
diazepam, disulfuram, hydroxyzine, naltrexone and their salts.
Examples of anaesthetics are adrenaline, bupivacaine, chloroprocaine,
desflurane, etidocaine, levobupivacaine, lidocaine, midazolam, propofol,
ropivacaine and their salts.
Examples of analgesics are acetaminophen, aspirin, bupivacain,
buprenorphine, butorphanol, celecoxib, clofenadol, choline, clonidine,
codeine, diflunisal, dihydrocodeine, dihydroergotamine, dihydromorphine,
ethylmorphine, etodolac, eletriptan, eptazocine, ergotamine, fentanyl,
fentoprofen, hyaluronic acid, hydrocodon, hydromorphon, hylan, ibuprofen,
lindomethacin, ketorolac, ketotifen, levomethadon, levallorphan,
levorphanol, lidocaine, mefenamic acid, meloxicam, meperidine, methadone,
morphine, nabumetone, nalbuphin, nefopam, nalorphine, naloxone, naltrexone,
naproxen, naratriptan, nefazodone, mormethadon, oxapozin, oxycodone,
oxymorphon, pentazocin, pethidine, pehnpyramid, piritramid, piroxicam,
propoxyphene, refecoxib, rizatriptan, salsalaketoprofen, sulindac,
sumatriptan, tebacon, tilidin, tolmetin, tramadol, zolmitriptan and their
salts.
Examples of antiasthmatics are ablukast, azelastine, bunaprolast,
cinalukast, cromitrile, cromolyn, enofelast, isamoxole, ketotifen,
levcromekalin, lodoxamide, montelukast, ontazolast, oxarbazole, oxatomide,
piriprost potassium, pirolate, pobilukast edamine, quazolast, repirinast,
ritolukast, sulukast, tetrazolastmeglumine, tiaramide, tibenelast,
tomelukast, tranilast, verlukast, verofylline, zarirlukast.
Examples of anticancer agents are adriamycin, aldesleukin, allopurinol,
altretamine, amifostine, anastrozole, asparaginase, betamethasone,
bexarotene, bicalutamide, bleomycin, busulfan, capecitabine, carboplatin,
carmustine, chlorambucil, cisplatin, cladribine, conjugated estrogen,
cortisone, cyclophosphamide, cytarabine, dacarbazine, daunorubicin,
dactinomycin, denileukin, dexamethasone, discodermolide, docetaxel,
doxorubicin, eloposidem, epirubicin, epoetin, epothilones, estramustine,
esterified estrogen, ethinyl estradiol, etoposide, exemestane, flavopirdol,
fluconazole, fludarabine, fluorouracil, flutamide, floxuridine,
gemcitabine, gemtuzumab, goserelin, hexamethylmelamine, hydrocortisone,
hydroxyurea, idarubicin, ifosfamide, interferon, irinotecan, lemiposide,
letrozole, leuprolide, levamisole, levothyroxine, lomustine,
mechlorethamine, melphalan, mercaptopurine mechlorethamine, megesterol,
methotrexate, methylprednisolone, methyltestosterone, mithramycin,
mitomycin, mitotane, mitoxantrone, mitozolomide, mutamycin, nilutamide,
paclitaxel, pamidronate, pegaspargase, pentostatin, plicamycin, porfimer,
prednisolone, procarbazine, rituximab, sargramostim, semustine,
streptozocin, tamoxifien, temozolamide, teniposide, testolactone,
thioguanine, thiotepa, tomudex, topotecan, toremifene, trastumuzab,
tretinoin, semustine, streptozolocin, valrubicin, verteprofin, vinblastine,
vincristine, vindesine, vinorelbine and their salts.
Examples of anticoagulants and antithrombic agents are warfarin,
dalteparin, heparin, tinzaparin, enoxaparin, danaparoid, abciximab,
alprostadil, altiplase, anagralide, anistreplase, argatroban, ataprost,
beraprost, camonagreel, cilostazol, clinprost, clopidogrel, cloricromen,
dermatan, desirudin, domitroban, drotaverine, epoprostenol, eptifibatide,
fradafiban, gabexate, iloprost, isbogrel, lamifiban, lamoteplase,
lefradafiban, lepirudin, levosimendan, lexipafant, melagatran, nafagrel,
nafamostsat, nizofenone, orbifiban, ozagrel, pamicogrel, parnaparin,
quinobendan, reteplase, sarpogralate, satigrel, silteplase, simendan,
ticlopidine, vapiprost, tirofiban, xemilofiban, Y20811 and their salts.
Examples of anticonvulsants are carbamazepine, clonazepam, clorazepine,
diazepam, divalproex, ethosuximide, ethotion, felbamate, fosphenyloin,
gabapentin, lamotrigine, levetiracetam, lorazepam, mephenyloin,
mephobarbital, metharbital, methsuximide, oxcarbazepine, phenobarbital,
phenyloin, primidone, tiagabine, topiramate, valproic acid, vigabatrin,
zonisamide, and their salts.
Examples of antidiabetic agents are acarbose, acetohexamide, carbutamide,
chlorpropamide, epalrestat, glibornuride, gliclazide, glimepiride,
glipizide, gliquidone, glisoxepid, glyburide, glyhexamide, metformin,
miglitol, nateglinide, orlistat, phenbutamide, pioglitazone, repaglinide,
rosiglitazone, tolazamide, tolbutamide, tolcyclamide, tolrestat,
troglitazone, voglibose and their salts.
Examples of antiemetics are alprazolam benzquinamide, benztropine,
betahistine, chlorpromazine, dexamethasone, difenidol, dimenhydrinate,
diphenhydramine, dolasetron, domperidone, dronabinol, droperidol,
granisetron, haloperidol, lorazepam, meclizine, methylprednisolone,
metoclopramide, ondansetron, perphenazine, prochlorperazine, promethazine,
scopolamine, tributine, triethylperazine, triflupromazine,
trimethobenzamide, tropisetron and their salts.
Examples of antiglaucoma agents are alprenoxime, dapiprazole, dipivefrin,
latanoprost, naboctate, pirnabine and their salts.
Examples of antihistamines are acrivastine, activastine, albuterol,
azelastine, bitolterol, alimemazine, amlexanox, azelastine, benzydamine,
brompheniramine, cetirizine, chlorpheniramine, cimetidine, clemastine,
cycloheptazine, cyproheptadine, diclofenac, diphenhydramine, dotarizine,
ephedrine, epinastine, epinephrine, ethylnorepinephrine, fenpoterol,
fexofenadine, flurbiprofen, hydroxyzine, ibuprofen, isoetharine,
isoproterenol, ipratropium bromide, ketorolac, levocetirizine, loratidine,
mequitazine, metaproterenol, phenylephrine, phenylpropanolamine,
pirbuterol, promethazine, pseudoepedrine, pyrilamine, salmeterol,
terbutaline, tranilast, xanthine derivatives, xylometazoline and their
salts.
Examples of anti-infective agents are abacavir, albendazole, amantadine,
amphotericin, amikacin, aminosalicylic acid, amoxycillin, ampicillin,
amprenavir, atovaquin, azithromycin, aztreonam, carbenicillin, cefaclor,
cefadroxil, cefamandole, cefazolin, cefdinir, cefepime, cefexime,
cefoperazone, cefotaxime, cefotitam, cefoperazone, cefoxitin, cefpodoxine,
cefprozil, ceftazidime, ceftibuten, ceftizoxime, ceftriaxone, cefuroxime,
cephalexin, chloroquine, cidofovir, cilastatin, ciprofloxacin,
clarithromycin, clavulinic acid, clindamycin, colistimethate,
dalfopristine, dapsone, daunorubicin, delavirdin, demeclocycline,
didanosine, doxycycline, doxorubicin, efavirenz, enoxacin, erythromycin,
ethambutol, ethionamide, famsiflovir, fluconazole, flucytocin, foscarnet,
fosfomycin, ganciclavir, gatifloxacin, griseofulvin, hydroxychloroquine,
imipenem, indinavir, interferon, isoniazide, itraconazole, ivermectil,
ketoconazole, lamivudine, levofloxacin, linizolid, lomefloxacin,
lovacarbef, mebendazole, mefloquine, meropenem, methanamine, metronidazole,
minocycline, moxefloxacin, naldixic acid, nelfinavir, neomycin, nevirapine,
nitorfurantoin, norfloxacin, ofloxacin, oseltamivir, oxytetracycline,
palivizumab, penicillins, perfloxacin, piperacillin, praziquantel,
pyrazinamide, pyrimethamine, quinidine, quinupristine, retonavir,
ribavirin, rifabutine, rifampicin, rimantadine, saquinavir, sparfloxacin,
stavudine, streptomycin, sulfamethoxazole, teramycin, terbinafine,
tetracycline, ticarcillin, thiabendazole, tobramycin, trimethoprim,
trimetraxate, troleandomycin, trovafloxacin, valacyclovir, vancomycin,
zalcitabine, zanamivir, zidovudine and their salts.
Examples of antiparkinsons are amantadine, adrogolide, altinicline,
benztropine, biperiden, brasofensine, bromocriptine, budipine, cabergoline,
CHF-1301, dihydrexidine, entacapone, etilevodopa, idazoxan, iometopane,
lazabemide, melevodopa, carbidopa/levodopa, mofegiline, moxiraprine,
pergolide, pramipexole, quinelorane, rasagiline, ropinirole, seligiline,
talipexole, tolcapone, trihexyphenidyl and their salts.
Examples of antirheumatic agents are azathiprine, betamethasone, celecoxib,
cyclosporin, diclofenac, hydroxychloroquine, indomethacin, infliximab,
mercaptobutanedioic acid, methylprednisolone, naproxen, penicillamine,
piroxicam, prednisolone, sulfasalazine and their salts.
Examples of platelet agents are abciximab, anagrelide, aspirin, cilostazol,
clopidogrel, dipyridamole, epoprostenol, eptifibatide, ticlopidine,
tinofiban and their salts.
Examples of antispasmodics and anticholinergic agents are aspirin,
atropine, diclofenac, hyoscyamine, mesoprostol, methocarbamol,
phenobarbital, scopolamine and their salts.
Examples of antitussives are acetaminophen, acrivastin, albuterol,
benzonatate, beractant, brompheniramine, caffeine, calfactant,
carbetapentane, chlorpheniramine, codeine, colfuscerin, dextromethorpham,
dornase alpha, doxylamine, epinephrine, fexofenadine, guaphenesin,
ipratropium, levalbuterol, metaproterenol, montelukast, pentoxyphyline,
phenylephrine, phenylpropanolamine, pirbuterol, poractant alpha,
pseudoephedrine, pyrilamine, salbuterol, salmeterol, terbutaline,
theophylline, zafirlukast, zileuton and their salts.
Examples of carbonic anhydrase inhibitors are acetazolamide,
dichlorphenamide, dorzolamide, methazolamide, sezolamide and their salts.
Examples of cardiovascular agents are abciximab, acebutolol, activase,
adenosine, adrenaline, amidarone, amiloride, amlodipine, amyl nitrate,
atenolol, atorvastatin, benzepril, bepiridil, betaxalol, bisoprolol,
candesartan, captopril, cartenolol, carvedilol, cerivastatin,
chlorthalidone, chlorthiazole, clofibrate, clonidine, colestipol,
colosevelam, digoxinm, diltiazem, disopyramide, dobutamine, dofetilide,
doxazosin, enalapril, epoprostenol, eprosartan, esmolol, ethacrynate,
erythrityl, felodipine, fenoidapam, fosinopril, flecamide, fluorosemide,
fluvastatin, gemfibrozil, hydrochlorthiazide, hydroflumethazine, ibutilide,
indapamide, isosorbide, irbesartan, labetolol, lacidipine, lisinopril,
losartan, lovastatin, mecamylamine, metaprolol, metaminol, metazolone,
methylchlothaizide, methyldopa, metyrosine, mexiletine, midrodine,
milrinonr, moexipril, nadolol, niacin, nicardipine, nicorandil, nifidepine,
nimodipine, nisoldipine, nitroglycerin, phenoxybenzamine, perindopril,
polythiazide, pravastatin, prazosin, procainamide, propafenone,
propranolol, quanfacine, quinapril, quinidine, ranipril, reteplase,
simvastatin, sotalol, spironolactone, streptokinase, telmisartan,
terazosin, timolol, tocainamide, torsemide, trandolapril, triamterene,
trapidil, valsartan and their salts.
Examples of cholinesterase inhibitors are donepezil, edrophonium,
neostigmine, pyridostigmine, rivastigmine, tacrine and their salts.
Examples of CNS stimulants are caffeine, doxapram, dexoamphetamine,
donepezil, edorphonium, methamphetamine, methylphenidate, modafinil,
neostigmine, pemoline, phentermine, pyriodstigmine, rivastigmine, tacrin
and their salts.
Examples of contraceptives are desogestral, ethinyl estradiol, ethynodiol,
levonorgestrel, medroxyprogesterone, mestranol, norgestimate,
norethindrone, norgestrel and their salts.
Examples of cystic fibrosis management are dornase alpha, pancrelipase,
tobramycin and their salts.
Examples of dopamine receptor agonists are amantadine, cabergoline,
fenoldopam, pergolide, pramipezal, ropinirole and their salts.
Examples of drugs used for endometriosis management are danazol, goserelin,
leuprolide, nafarelin, norethindrone and their salts.
Examples of drugs used for erectile dysfunction therapy are alprostadil,
sildenafil, yohimbine and their salts.
Examples of fertility agents are citrorelix, clomiphen, follitropin,
ganirelix, gonadotropin, menotropin, progesterone, urofollitropin and
their salts.
Examples of gastrointestinal agents are alosetron, bisacodyl, bismuth
subsalicylate, celecoxib, difoxin, dipheoxylate, docusate, famotidine,
glycopyrrolate, infliximab, lansoprazole, loperamide, metaclopramide,
nizatidine, omeprazole, pantoprazole, rabeprazole, ranitidine, simethicone,
sucralfate, and their salts.
Examples of immunomodulators and immunosupressives are azathioprin,
ceftizoxine, cyclosporin, daclizumab, glatiramer, immunoglobulin,
interferon, leflunomide, levamisol, mycophenolate, mausomanab,
phthalidomide, ribavirine, sirolimus and their salts.
Examples of drugs used in alzheimer's disease are CP 118954, donepezil,
galanthamine, metrifonate, revastigmine, tacrine, TAK-147 and their salts.
Examples of drugs used for migraine preparations are acetaminophen,
dihyroergotamine, divalproex, ergotamine, propranolol, risatriptan,
sumitriptan, trimetrexate and their salts. Examples of muscle relaxants
are alcuronium-chloride, azapropazon, atracurium, baclofen, carisoprodol,
quinine derivatives, chloromezanon, chlorophenesincarbamate, chlorozoxazon,
cyclobenzaprine, dantrolen, decamethoniumbromide,
dimethyltubocurariniumchloride, doxacurium, fenyramidol,
gallamintriethiodide, guaiphensine, hexafluoreniumbromide,
hexacarbacholinbromide, memantin, mephenesin, meprobamate, metamisol,
metaxalon, methocarbamol, mivacurium, orphenadrin, pancuronium, phenazon,
phenprobamate, pipecuronium, rapacuronium, rocuronium, succinylcholine,
suxamethoniumchloride, tetrazepam, tizanidine, tubocurarine chloride,
tybamate, vecuronium and their salts.
In preferred embodiments of the gastric retention controlled drug delivery
system the muscle relaxant used is baclofen or its pharmaceutically
acceptable salt. A baclofen gastric retention controlled drug delivery
system is not known or disclosed or suggested prior to the present
invention.
Baclofen may be used in the system in an amount ranging from about 15 mg
to about 80 mg. In the gastric retention controlled drug delivery system
of the present invention, baclofen is used in an amount of 30 mg. The
system is designed such that a large part of the 30 mg dose of baclofen is
present in the core, and is available as controlled release, while a small
part of the drug is present in the coat, and is available as immediate
release. Thus, a biphasic release of baclofen is provided by the delivery
system of the present invention.
Examples of nucleoside analogues are abacavir, acyclovir, didanosine,
gamciclovir, gemcitabine, lamivudine, ribavirin, stavudine, zalcitabine
and their salts.
Examples of drugs used for osteoporosis management are alendronate,
calcitonin, estradiol, estropipate, medroxyprogesterone, norethindrone,
norgestimate, pamidronate, raloxifen, risdronate, zoledronate and their
salts.
Examples of parasympathomimetics are bethanechol, piperidine, edrophonium,
glycopyrolate, hyoscyamine, pilocarpine, tacrine, yohimbine and their
salts.
Examples of prostaglandins are alprostadil, epoprostenol, misoprostol and
their salts.
Examples of psychotherapeutic agents are acetophenazine, alentemol,
alpertine, alprazolam, amitriptyline, apriprazole, azaperone, batelapine,
befipiride, benperidol, benzindopyrine, bimithil, biriperone, brofoxine;
bromperidol; bromperidol, bupropion, buspirone, butaclamol, butaperazine;
butaperazin, carphenazine, carvotroline, cericlamine, chlorazepine,
chlordiazepoxide, chlorpromazine; chlorprothixene, cinperene, cintriamide,
citalopram, clomacran, clonazepam, clopenthixol, clopimozide, clopipazan,
cloroperone, clothiapine, clothixamide, clozapine; cyclophenazine,
dapiprazole, dapoxetine, desipramine, divalproex, dipyridamole, doxepin,
droperidol, duloxetine, eltoprazine, eptipirone, etazolate, fenimide,
flibanserin, flucindole, flumezapine, fluoxetine, fluphenazine,
fluspiperone, fluspirilene, flutroline, fluvoxamine, gepirone, gevotroline,
halopemide, haloperidol, hydroxyzine, hydroxynortriptyline, iloperidone,
imidoline, lamotrigine, loxapine, enperone, mazapertine, mephobarbital,
meprobamate, mesoridazine, mesoridazine, milnacipran, mirtazepine,
metiapine, milenperone, milipertine, molindone, nafadotride, naranol,
nefazodone, neflumozide, ocaperidone, odapipam, olanzapine, oxethiazine,
oxiperomide, pagoclone, paliperidone, paroxitene, penfluridol, pentiapine
perphenazine, phenelzine, pimozide, pinoxepin, pipamperone, piperacetazine,
pipotiazine, piquindone, pirlindole, pivagabine, pramipexole,
prochlorperazine, prochlorperazine, promazine, quetiapine, reboxetine,
remoxipride, remoxipride, risperidone, rimcazole, robolzotan, selegiline,
seperidol, sertraline, sertindole; seteptiline, setoperone, spiperone,
sunipitron, tepirindole, thioridazine, thiothixene, tiapride, tioperidone,
tiospirone, topiramate, tranylcypromine, trifluoperazine, trifluperidol,
triflupromazine, triflupromazine, trimipramine, venlafaxine, ziprasidone
and their salts.
Examples of sedatives, hypnotics and tranquilisers are bromazepam,
buspirone, clazolam, clobazam, chlorazepate, diazepam, demoxepam,
dexmedetomitine, diphenyhydramine, doxylamine, enciprazine, estrazolam,
hydroxyzine, ketazolam, lorazatone, lorazepam, loxapine, medazepam,
meperidine, methobarbital, midazolam, nabilone, nisobamate, oxazepam,
pentobarbital, promethazine, propofol, triazolam, zaleplon, zolpidem and
their salts.
Examples of drugs used for treatment of skin ailments are acitretin,
alclometasone, allitretinoin, betamethasone, calciprotrine, chlorhexidine,
clobetasol, clocortolone, clotriamozole, collagenase, cyclosporin,
desonide, difluorosone, doxepine, eflornithine, finasteride, fluocinolone,
flurandrenolide, fluticasone, halobetasol, hydrochloroquine, hydroquinone,
hydroxyzine, ketoconazole, mafenide, malathion, menobenzone, neostigmine,
nystatin, podofilox, povidone, tazorotene, tretinoin and their salts.
Examples of steroids and hormones are alclometasone, betamethasone,
calcitonin, citrorelix, clobetasol, clocortolone, cortisones, danazol,
desmopressin, desonide, desogestrel, desoximetasone, dexamethasone,
diflorasone, estradiol, estrogens, estropipate, ethynlestradiol,
fluocinolone, flurandrenolide, fluticasone, glucagon, gonadotropin,
goserelin, halobetasol, hydrocortisone, leuprolide, levonorgestrel,
levothyroxine, medroxyprogesterone, menotropins, methylprednisolone,
methyltestosterone, mometasone, naferelin, norditropin, norethindrone,
norgestrel, octreolide, oxandrolone, oxymetholone, polytropin,
prednicarbate, prednisolone, progesterone, sermorelin, somatropin,
stanozolol, testosterone, urofollitropin and their salts.
In accordance with this invention the core achieves a high degree of
swelling in a short time. This high degree of swelling may be achieved by
using highly and rapidly swellable polymers, or by avoiding a high
pressure of compaction of the swellable polymers, or by use of highly
swellable polymers that inherently compress to a low density. When the
core that is compressed has a low density, the core has sufficient
strength such that if it has to be further coated by compression then it
can be transferred mechanically from the first compression station, where
it is compressed, to the second compression station, where the compression
coat is formed; or if it is to be further coated by spraying, then it can
withstand the rigors of agitation in the coating equipment.
Examples of the highly swellable polymers that may be used in the present
invention include: highly swellable grades of cellulose ethers such as
hydroxy C.sub.1-4 alkyl C.sub.1-4 alkyl celluloses, carboxyalkyl
celluloses, hydroxy C.sub.1-4 alkyl celluloses preferably
hydroxyethylcellulose, hydroxypropylcellulose, hydroxypropyl
methylcellulose, more preferably a high viscosity grade of
hydroxyethylcellulose; gums of plant, animal, mineral or synthetic origin
such as (i) agar, alginates, carrageenan, furcellaran derived from marine
plants, (ii) guar gum, gum arabic, gum tragacanth, karaya gum, locust bean
gum, pectin derived from terrestrial plants, (iii) microbial
polysaccharides such as dextran, gellan gum, rhamsan gum, welan gum,
xanthan gum, and (iv) synthetic or semi-synthetic gums such as propylene
glycol alginate, hydroxypropyl guar and modified starches like sodium
starch glycolate; a superdisintegrant polymer such as cross-linked
polyvinylpyrrolidone, cross-linked sodium carboxymethylcellulose,
carboxymethyl starch, sodium carboxymethyl starch, potassium
methacrylate-divinylbenzene copolymer, polyvinyl alcohols, amylose,
cross-linked amylose, starch derivatives, microcrystalline cellulose and
cellulose derivatives, alpha-, beta- and gamma-cyclodextrin and dextrin
derivatives; an acrylic acid polymer such as cross-linked polymer
available under the tradename Carbopol.RTM.; a vinyl pyrrolidone polymer
such as crosslinked polyvinylpyrrolidone or crospovidone; copolymers of
vinyl pyrrolidone and vinyl acetate; or mixtures thereof.
In preferred embodiments the highly swellable polymer is a mixture of a
superdisintegrant and one or more binding agents, the binding agent being
selected from hydrophilic polymers, preferably highly swellable polymers.
In preferred embodiments, the hydrophilic polymer used is a high viscosity
cellulose derivative having aqueous solution viscosity ranging from about
500 mPas to about 1,20,000 mPas. A mixture of sodium starch glycolate and
high viscosity grade hydroxyethyl cellulose is used as the preferred
swellable polymer in one embodiment of the present invention. In yet
another embodiment, the highly swellable polymer used is a mixture of
sodium starch glycolate, high viscosity grade hydroxyethyl cellulose and
hydroxypropyl methylcellulose.
Sodium starch glycolate is a sodium salt of carboxymethyl ether of starch
having a molecular weight in the range of 500,000 to 1,000,000 Daltons,
and is commercially available as Explotab.RTM. and Primojel.RTM.. Sodium
starch glycolate causes disintegration by rapid uptake of water, followed
by rapid and enormous swelling. The advantage of using sodium starch
glycolate as the superdisintegrant is that its effectiveness is not
affected by the presence of hydrophobic excipients, such as lubricants, or
by increased compression pressure. It is capable of swelling to 300 times
its volume in water. Sodium starch glycolate is used as the preferred
superdisintegrant in the present invention in an amount ranging from about
5% to about 50% by weight of the core, preferably from about 10% to about
40% by weight of the core, more preferably from about 15% to about 30% by
weight of the core.
Hydroxyethyl cellulose is a non-ionic, water soluble polymer, which is a
partially substituted poly(hydroxyethyl)ether of cellulose, and is
available in different grades that vary in viscosity and degree of
substitution. It is commercially available as Cellosize from Amerchol
Corp., and Natrosol.RTM. from Aqualon. Preferably, hydroxyethyl cellulose
having aqueous solution viscosity ranging from 9000 mPas to 30,000 mPas
for a 2% w/v aqueous solution is used as the hydrophilic polymer in the
present invention. It is used in an amount ranging from about 5% to about
50% by weight of the core, preferably from about 10% to about 40% by
weight of the core, more preferably from about 15% to about 30% by weight
of the core.
Hydroxypropyl methylcellulose (HPMC) is a partly O-methylated and
O-(2-hydroxypropylated) cellulose, available in different grades that vary
in viscosity. The molecular weight of HPMC ranges between 10,000 and
1,500,000. It is commercially available as Benecel MHPC, Methocel and
Metolose. In one embodiment of the present invention, HPMC K4M grade is
used as the swelling polymer in an amount ranging from about 5% to about
25% by weight of the core, more preferably from about 10% to about 15% by
weight of the core.
In preferred embodiments the mixture of high viscosity grade hydroxyethyl
cellulose and sodium starch glycolate is used as the highly swellable
polymer, preferably in a weight ratio lying in the range of 1:9 to 9:1,
more preferably 3:7 to 7:3 and still more preferably 4:6 to 6:4, of
hydroxyethyl cellulose:sodium starch glycolate. The cores formed with this
mixture are capable of swelling rapidly and achieving floatation while
maintaining their physical integrity over prolonged periods of time.
The gas generating agent used in the core of the gastric retention
controlled drug delivery system of the present invention may include a
single component that generates gas upon contact with the gastric fluid,
or may include a gas generating couple. Gas generating components that may
be used in the present invention include carbonates such as calcium
carbonate, bicarbonates such as sodium or potassium bicarbonate, sulfites
such as sodium sulfite, sodium bisulfite, or sodium metabisulfite, and the
like. These salts may be used alone or in combination with an acid source
as a gas generating couple. The acid source may be an edible organic acid,
a salt of an edible organic acid, or mixtures thereof. Examples of organic
acids that may be used include citric acid, malic acid, succinic acid,
tartaric acid, fumaric acid, maleic acid, ascorbic acid, glutamic acid,
and their salts, and mixtures thereof. The gas generating agent is used in
an amount ranging from about 1% to about 50% by weight of the core, more
preferably from about 1% to about 15% by weight of the core. Sodium
bicarbonate is used as the preferred gas generating agent.
The highly swellable polymer may further comprise an excipient that
increases the rate of swelling of the delivery system. This excipient may
be a water-soluble compound that induces osmosis, or a wicking agent such
as microcrystalline cellulose, that promotes the influx of water into the
system. Water-soluble compounds suitable for inducing osmosis, i.e.
osmotic agents or osmogents, include all pharmaceutically acceptable and
pharmacologically inert water-soluble compounds referred to in the
pharmacopoeias such as United States Pharmacopoeia, as well as in
Remington: The Science and Practice of Pharmacy. Pharmaceutically
acceptable water-soluble salts of inorganic or organic acids, or non-ionic
organic compounds with high water solubility, e.g. carbohydrates such as
sugar, or amino acids, are generally preferred. The examples of agents
used for inducing osmosis include inorganic salts such as magnesium
chloride or magnesium sulfate, lithium, sodium or potassium chloride,
lithium, sodium or potassium hydrogen phosphate, lithium, sodium or
potassium dihydrogen phosphate, salts of organic acids such as sodium or
potassium acetate, magnesium succinate, sodium benzoate, sodium citrate or
sodium ascorbate; carbohydrates such as mannitol, sorbitol, arabinose,
ribose, xylose, glucose, fructose, mannose, galactose, sucrose, maltose,
lactose, raffinose; water-soluble amino acids such as glycine, leucine,
alanine, or methionine; urea and the like, and mixtures thereof. In
preferred embodiments, the core of the gastric retention controlled drug
delivery system includes one or more osmotic agents that increase the rate
of swelling of the system. Preferably, the osmotic agent is used in an
amount ranging from about 0.5% to about 50% by weight of the core, more
preferably from about 2% to about 40% by weight of the core.
The gastric retention controlled drug delivery system of the present
invention may also include various pharmaceutically acceptable excipients,
for example disintegrants such as starch, cellulose derivatives, gums,
crosslinked polymers and the like; binders such as starch, gelatin,
sugars, cellulose derivatives, polyvinyl pyrrolidone and the like;
lubricants such as talc, magnesium stearate, colloidal silicon dioxide,
polyethylene glycol, cellulose derivatives and the like; and mixtures
thereof.
In preferred embodiments, hydroxypropyl methylcellulose (HPMC) is used as
the binder. Preferably, HPMC K4M is used as the binder in an amount
ranging from about 0.2% to about 5% by weight of the core, more preferably
from about 0.2% to about 2% by weight of the core.
Examples of lubricants that may be used in the present invention include
talc, magnesium stearate, calcium stearate, aluminum stearate, stearic
acid, hydrogenated vegetable oils, colloidal silicon dioxide, polyethylene
glycol, cellulose derivatives such as carboxyalkyl cellulose and its
alkali salts, or mixtures thereof. In preferred embodiments, the lubricant
used is a mixture of silicified microcrystalline cellulose, talc and
polyethylene glycol. Silicified microcrystalline cellulose is a
synergistic, intimate physical mixture of microcrystalline cellulose and
colloidal silicon dioxide, having a particle size in the range of 20 to
200 .mu.m, and generally contains 2% by weight of colloidal silicon
dioxide. It is commercially available as Prosolv.RTM. SMCC, and has an
improved compaction property as compared to microcrystalline cellulose.
The polyethylene glycol (PEG) used is PEG 8000. The mixture is used as the
lubricant in an amount ranging from about 0.5% to about 40% by weight of
the core, preferably from about 5% to about 30% by weight of the core,
more preferably from about 10% to about 25% by weight of the core.
The core of the gastric retention controlled drug delivery system is
surrounded by a rapidly releasing coat composition comprising the same
drug as in the core, and pharmaceutically acceptable excipients. In a
preferred embodiment of the present invention, the coat composition
comprises baclofen and pharmaceutically acceptable excipients, such as
film forming agents, plasticisers and the like. The film forming agents
are selected from a group comprising cellulose ethers and esters such as
methyl cellulose, ethyl cellulose, hydroxypropyl cellulose, hydroxypropyl
methylcellulose (HPMC); acrylic acid polymers such as methacrylate and
methyl methacrylate copolymers, and the like, and mixtures thereof. In
preferred embodiments hydroxypropyl methylcellulose is used as the film
forming agent in an amount ranging from about 0.5% to about 5% by weight
of the core, preferably from about 1% to about 3% by weight of the core.
The rapidly releasing composition may further contain one or more
plasticisers selected from a group comprising glycerin, propylene glycol,
polyethylene glycols, acetylated monoglyceride, citrate esters such as
triethyl citrate, and phthalate esters such as diethyl phthalate. In
preferred embodiments propylene glycol is used as the plasticiser.
Alternatively, hydroxypropyl methylcellulose coating solution,
commercially available as Opadry.RTM. II from Colorcon, may be mixed with
the drug and used to coat the controlled release cores.
The manufacture of coated tablets may be performed in two steps. In the
first manufacturing step the core composition is added to the die cavity
at a first compression station, compressed and ejected with the aid of a
lower punch. The second step consists of applying a coat on the core by
conventional methods such as spray coating or compression coating. Spray
coating comprises exposing the surfaces of the core by rolling it in a
suitable coating vessel or by fluidizing them in a fluidizing equipment;
and applying coating compositions containing drug and coating polymers.
The drug is incorporated either in the same composition containing the
coating polymer in a liquid vehicle or is layered as a powder. Compression
coating comprises filling the coating composition for the lower half of
the tablet into the die at a second compression station, transfer of the
core from the first compression station to the second compression station
and its placement in the center of the coating composition already filled
into the die, filling of the upper half of the coating composition into
the die, a compression phase to form the coated tablet, and an ejection
phase that serves to remove the compression coated tablet from the die
with the aid of the lower punch.
The gastric retention controlled drug delivery system of the present
invention rapidly swells while maintaining its physical integrity in
gastrointestinal fluids for prolonged periods. A low density is achieved
by entrapment of the gas generated by the gas generating agent such that
the system floats in gastric fluids. The swelling and gas entrapment can
occur rapidly such that the system is capable of achieving floatation in a
dissolution bath containing 0.1N HCl in 15 minutes, preferably in less
than 10 minutes.
Claim 1 of 1 Claim
1. An oral controlled drug delivery
system for once-a-day therapy comprising baclofen and release rate
controlling excipients, wherein the said system is adapted to release
baclofen in a controlled manner so as to provide control over the plasma
levels, such that the plasma levels of baclofen are within a desirable
range over a 24-hour period for said once-a-day therapy. ____________________________________________
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