LOW-DOSAGE PERORAL MEDICATION FOR CONTRACEPTION CONTAINING CRYSTALLINE DIENOGEST AND ETHINYL ESTRADIOL

Abstract
The peroral medication for prevention of conception contains as one active ingredient crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one (dienogest) at a daily dosage equal to or less than 2.0 mg and as another active ingredient 17α-ethinyl estradiol at a daily dosage of less than 0.030 mg, together with one or more pharmaceutically acceptable carriers. The active ingredient dienogest is contained in the medication in crystalline form with an average particle size of preferably 25 to 70 μm. The other active ingredient ethinyl estradiol is incorporated during granulation in micronized form or by spraying an ethanolic solution containing it.
Description

BRIEF DESCRIPTION OF THE DRAWING

The present invention will now be described in greater detail with reference to the attached drawing in which



FIG. 1 is a graphical illustration showing the time dependence of in vitro release of dienogest according to examples 1 to 3, and



FIG. 2 is a graphical illustration showing the time dependence of crystalline dienogest concentrations in human plasma obtained by simulation in silico.





DETAILED DESCRIPTION OF THE INVENTION


FIG. 1 shows the time dependence for in vitro release of dienogest and ethinyl estradiol as per examples 1 to 3. Example 1 describes the measurement of the time dependence of the active ingredient release of dienogest and of the active ingredient release of ethinyl estradiol, prepared and measured according to example 1, for a conventional sugar-coated tablet containing 2 mg of dienogest and 0.030 mg of ethinyl estradiol with a dienogest particle size of 3 μm. Example 1 is a comparative example describing the release profiles of active ingredients from a prior art contraceptive tablet. Example 2 describes the measurement of the time dependence of active ingredient release of dienogest and of active release of ethinyl estradiol, prepared and measured according to example 2 for a tablet containing 1.5 mg of dienogest and 0.015 mg of ethinyl estradiol with a dienogest particle size of 40 μm. Example 3 describes the measurement of the time dependence of the active ingredient release of dienogest and of the active ingredient release of ethinyl estradiol, prepared and measured according to example 3, for a coated tablet containing 1.5 mg of dienogest and 0.015 mg of ethinyl estradiol with a dienogest particle size of 65 μm.


Surprisingly, it was found that an increase in the particle size of the dienogest tends to slow down in vitro the fast dissolution of the active compounds from the composition. By fast release is meant a release of at least 70% of the active ingredient within about 30 minutes and preferably of at least 80% in about 20 minutes.


Based on measured human plasma concentrations after oral administration of dienogest (dosage 2 mg, particle size 3 μm), the plasma concentrations were simulated in silico (FIG. 2) and curves showing the time dependent release were plotted for different dosages with the same particle size and also for equal dosages with different particle sizes.


As can be seen, the maximum plasma concentration Cmax of micronized dienogest (particle size 3 μm) is reached after two hours independently from the dosage of dienogest that is administered. Moreover, it can also be seen that the greater the particle size at the same dosage of dienogest, the lower is the Cmax without reduction in the bioavailability. The bioavailability of dienogest can be obtained from the area under the curve (AUC) for the plasma concentration. At the same dosage of dienogest but with an increasing particle size, Cmax is nearly halved from 100% (3 μm) to 78% (40 μm) and 54% (65 μm). At the same time, with increasing particle size tmax the time to reach Cmax increases from 2 h at 3 μm to 3.5 h at 40 μm and finally to 6 h at 65 μm. After about 12 h, the absorption process even for dienogest with the maximum particle size of 65 μm is completed. Thereafter, independently of the particle size, dienogest is eliminated from the plasma at the same rate and, hence, the plasma concentrations are similar.


PRACTICAL EXAMPLES
Example 1

Valette is a conventional sugar-coated tablet for oral contraception containing 0.030 mg of ethinyl estradiol and 2.0 mg of dienogest in a tablet core covered with a sugar-containing coating.


Being a difficultly soluble active ingredient dienogest is usually micronized and used at an average particle size of about 3 μm. With this particle size distribution, the optimum dosage for reliable ovulation inhibition was found to be 2 mg of dienogest.


During the granulation an ethanolic solution of the ethinyl estradiol was sprayed in.


Tablets having the following composition were prepared:


Core:


















Dienogest
2.000 mg



Ethinyl estradiol
0.030 mg



Lactose monohydrate
28.720 mg 



Corn starch
15.000 mg 



Maltodextrin
3.750 mg



Magnesium stearate
0.500 mg










All substances were granulated and mixed in a suitable manner and then pressed to form tablet cores having a diameter of 5 mm and weighing 50 mg.


Coating:


















Sucrose
23.69340 mg 



Glucose syrup
1.65000 mg



Calcium carbonate
2.40000 mg



Povidone K25
0.15000 mg



Macrogol 35.000
1.35000 mg



Titanium dioxide
0.74244 mg



Carnauba wax
0.01416 mg










The substances for the coating were dispersed in water and sprayed onto the tablets by appropriate equipment until the resulting sugar-containing tablet had a final weight of 80 mg.


The tablets were examined for their active ingredient release by the method described in the European Pharmacopeia, 4th edition, original issue 2002, 2.9.3.


The conditions were as follows:


















Medium:
1000 mL of water



Temperature:
37° C.



Apparatus:
blade agitator, 50 rpm



Sampling:
7 mL with replenishment



Analysis:
HPLC










The following in vitro active ingredient releases were measured:


















10 min
99.0% of dienogest; 95.2% of ethinyl estradiol



20 min
99.1% of dienogest; 95.5% of ethinyl estradiol



30 min
99.0% of dienogest; 95.5% of ethinyl estradiol










The uniformity of the dienogest content of the tablets was determined according to European Pharmacopeia 2.9.40. The relative standard deviation for the dienogest content of the tablets was 0.7%.


Example 2

Determination and dissolution and blood level curves for a dienogest/ethinyl estradiol coated tablet (1.5 mg of dienogest=DNG/0.015 mg of ethinyl estradiol=EE) with the dienogest in the core of the coated tablet having an average particle size of 40 μm.


Dienogest with a particle size distribution median of 40 μm was used. This value was measured by laser light diffraction. The ethinyl estradiol in the form of an ethanolic solution was sprayed on during the granulation.


Tablets having the following composition were prepared:


Core:


















Dienogest
1.500 mg



Ethinyl estradiol
0.015 mg



Lactose monohydrate
53.835 mg 



Corn starch
27.000 mg 



Maltodextrin
6.750 mg



Magnesium stearate
0.900 mg










All substances were granulated and mixed in a suitable manner and then pressed to form tablet cores having a diameter of 5.5 mm and weighing 90 mg.


Coating:


















Methocel
3.000 mg



Macrogol
0.600 mg



Talc
0.600 mg



Titanium dioxide
1.700 mg



Iron oxide pigment, red
0.100 mg










The substances for the coating were dispersed in water and sprayed onto the tablet cores by appropriate equipment until a coated tablet had a final weight of 96 mg.


The tablets were examined for their active ingredient release by the method described in European Pharmacopeia 2.9.3.


The conditions were as follows:


















Medium:
1000 mL of water



Temperature:
37° C.



Apparatus:
blade agitator, 50 rpm



Sampling:
7 mL with replenishment



Analysis:
HPLC










The following in vitro active ingredient releases were measured:















 30 min
53.3% of dienogest; 85.6% of ethinyl estradiol


120 min
79.5% of dienogest; 85.0% of ethinyl estradiol


300 min
90.5% of dienogest; 85.02% of ethinyl estradiol









The uniformity of the dienogest content of the tablets was determined according to European Pharmacopeia 2.9.40. The relative standard deviation of the dienogest content of the tablets was 3.3%.


Example 3

Determination and dissolution and blood level curves for a dienogest/ethinyl estradiol coated tablet (1.5 mg of dienogest=DNG/0.015 mg of ethinyl estradiol=EE) with the dienogest in the core of the coated tablet having an average particle size of 65 μm.


Dienogest with a particle size distribution median of 65 μm was used. This value was measured by laser light diffraction. Ethinyl estradiol in the form of an ethanolic solution was sprayed in during the granulation.


Coated tablets having the following composition were prepared:


Core:


















Dienogest
1.500 mg



Ethinyl estradiol
0.015 mg



Lactose monohydrate
53.835 mg 



Corn starch
27.000 mg 



Maltodextrin
6.750 mg



Magnesium stearate
0.900 mg










All substances were granulated and mixed in a suitable manner and then pressed to form tablet cores having a diameter of 5.5 mm and weighing 90 mg.


Coating:


















Methocel
3.000 mg



Macrogol
0.600 mg



Talc
0.600 mg



Titanium dioxide
1.700 mg



Iron oxide pigment, red
0.100 mg










The substances were dispersed in water and sprayed onto the tablets by use of appropriate equipment until a coated tablet had a final weight of 96 mg.


The tablets were examined for their active ingredient release by the method described in European Pharmacopeia 2.9.3.


The conditions were as follows:


















Medium:
1000 mL of water



Temperature:
37° C.



Apparatus:
blade agitator, 50 rpm



Sampling:
7 mL with replenishment



Analysis:
HPLC










The following in vitro active ingredient releases were measured:


















 30 min
33.6% of dienogest; 92.3% of ethinyl estradiol



120 min
68.6% of dienogest; 95.1% of ethinyl estradiol



300 min
90.6% of dienogest; 96.3% of ethinyl estradiol



360 min
94.3% of dienogest; 95.2% of ethinyl estradiol










The uniformity of the dienogest content of the tablets was determined according to European Pharmacopeia 2.9.40. The relative standard deviation of the dienogest content of the tablets was 2.2%.


Preferably the effective ingredients in the peroral medication for preventing conception consist only of crystalline dienogest and ethinyl estradiol.


While the invention has been illustrated and described as embodied in a low-dosage peroral medication for contraception containing crystalline dienogest and ethinyl estradiol, it is not intended to be limited to the details shown, since various modifications and changes may be made without departing in any way from the spirit of the present invention.


Without further analysis, the foregoing will so fully reveal the gist of the present invention that others can, by applying current knowledge, readily adapt it for various applications without omitting features that, from the standpoint of prior art, fairly constitute essential characteristics of the generic or specific aspects of this invention.


What is claimed is new and is set forth in the following appended claims.

Claims
  • 1. A peroral medication for contraception containing 2.0 mg or less of crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and less than 0.030 mg of 17α-ethinyl estradiol as effective active ingredients for preventing conception, wherein said crystalline 17α-cyanomethyl-17β-hydroxy-estra-4,9-dien-3-one has an average particle size from 25 to 270 μm.
  • 2. The peroral medication as defined in claim 1, wherein said average particle size is from 30 to 70 μm.
  • 3. The peroral medication as defined in claim 1, wherein said average particle size is from 40 to 65 μm.
  • 4. The peroral medication as defined in claim 1, containing from 0.75 to 2.0 mg of said crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and from 0.015 to 0.020 mg of said ethinyl estradiol.
  • 5. The peroral medication as defined in claim 1, containing from 1.5 to 2.0 mg of said crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one dienogest and from 0.015 to 0.020 mg of said ethinyl estradiol.
  • 6. The peroral medication as defined in claim 1, comprising 21, 22, 23, 24, 25, or 26 daily dosage units containing said crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and said ethinyl estradiol and 7, 6, 5, 4, 3, or 2 daily dosage units respectively not containing said crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and not containing said ethinyl estradiol for a 28-day menstrual cycle.
  • 7. A peroral medication for contraception comprising a tablet or a coated tablet for daily oral administration, wherein said tablet or said coated tablet contains an active ingredient combination effective for preventing conception, together with pharmaceutically acceptable carriers; wherein said active ingredient combination consists of from 0.75 to 2.0 mg of crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and from 0.015 to 0.020 mg of ethinyl estradiol; andwherein said crystalline 17α-cyanomethyl-17β-hydroxy-estra-4,9-dien-3-one consists of crystals of said 17α-cyanomethyl-17β-hydroxy-estra-4,9-dien-3-one with an average particle size of from 25 to 270 μm.
  • 8. A contraceptive preparation for oral administration consisting of 21 daily dosage units each consisting of an effective ingredient combination for contraception and 7 daily dosage units each not containing active ingredients for preventing conception, or consisting of 22 daily dosage units each consisting of said effective ingredient combination for contraception and 6 daily dosage units each not containing said active ingredients for preventing conception, orconsisting of 23 daily dosage units each consisting of said effective ingredient combination for contraception and 5 daily dosage units each not containing said active ingredients for preventing conception, orconsisting of 24 daily dosage units each consisting of said effective ingredient combination for contraception and 4 daily dosage units each not containing said active ingredients for preventing conception, orconsisting of 25 daily dosage units each consisting of said effective ingredient combination for contraception and 3 daily dosage units each not containing said active ingredients for preventing conception, orconsisting of 26 daily dosage units each consisting of said effective ingredient combination for contraception and 2 daily dosage units each not containing said active ingredients for preventing conception; wherein said effective ingredient combination for contraception consists of from 0.75 to 2.0 mg of said crystalline 17α-cyanomethyl-17β-hydroxyestra-4,9-dien-3-one and from 0.015 to 0.020 mg of said ethinyl estradiol; andwherein said crystalline 17α-cyanomethyl-17β-hydroxy-estra-4,9-dien-3-one consists of crystals of said 17α-cyanomethyl-17β-hydroxy-estra-4,9-dien-3-one with an average particle size of from 25 to 270 μm.
CROSS-REFERENCE

U.S. Provisional Application No. 60/836,914, filed Aug. 10, 2006, also discloses the invention described and claimed herein and provides a basis for a claim of priority for that invention under 35 U.S.C. 119(e).

Provisional Applications (1)
Number Date Country
60836914 Aug 2006 US