Patent Application
20060171969
The present invention relates to new pharmaceutical compositions for the administration of liquid drugs in solid oral forms, said compositions comprising one or more active ingredients, one or more surface-active agents and optionally a co-surfactant and/or an absorption enhancer absorbed on a solid inert carrier.
It is well known in the art that it is difficult to orally administer drugs, which are liquid at room temperature. Generally, these drugs show a poor water solubility and therefore a limited absorption, resulting in a poor bioavailability together with an absorption characterized by a strong inter- and intra-subject variability. Therefore, it would be important to have at disposal compositions able to improve these characteristics that could seriously compromise the bioavailability as well as the therapeutic activity of said compounds.
Generally, oily drugs are formulated in soft or hard gelatine capsules which present technical problems relating to filling, losses etc. They can be also absorbed on inert carriers, but in this case even though the technological problems can be solved, it is impossible to improve the bioavailability.
In WO 01/66087 and WO 01/66088 pharmaceutical compositions for oral administration of a liquid active ingredient, for example a nitrooxyderivative of naproxen or other NSAIDs, are disclosed. Said compositions comprise, further to the active ingredient, one or more surfactants, optionally an oily or semi-solid fat or one or more short-chain alcohols. These compositions form an oil-in-water emulsion in situ upon contact with aqueous media such as gastrointestinal fluids.
In WO 95/08983 a self-emulsifying composition suitable for oral administration is disclosed, said composition forming a microemulsion in situ upon contact with biological fluids. The described composition comprises an active ingredient, a lipophilic phase consisting of a mixture of glycerides and fatty acids esters, a surface-active agent, a co-surfactant and a hydrophilic phase consisting of the gastrointestinal fluids.
In EP 274 870 a pharmaceutical composition containing a non-steroidal anti-inflammatory drug (NSAID) and a surfactant is described, said composition being able to form micelles containing said active ingredient upon oral administration
In WO 01/41737 an immediate-release solid oral pharmaceutical composition, comprising a solid carrier and a liquid drug or a solution of a poor soluble drug, is described.
It has been now surprisingly found that it is possible to improve the oral bioavailability of liquid drugs at room temperature, by formulating the solid drug in solid pharmaceutical compositions able to form emulsions in situ upon contact with the biological fluids and with the water used for ingesting the pharmaceutical form.
In particular, the present invention relates to the preparation of solid pharmaceutical compositions for oral administration consisting of an admixture absorbed in a solid inert carrier, said admixture comprising:
i) one or more liquid active ingredients and
ii) one or more surfactants and
iii) optionally a co-surfactant and/or
iv) optionally an absorption enhancer
said composition forming an oil-in-water emulsion upon contact with aqueous media such as biological fluids. Particularly preferred is a pharmaceutical composition according to claim 1 wherein the admixture absorbed in the inert carrier comprises:
For liquid active ingredient, a drug being liquid, generally oily, at room temperature is meant. Examples of drugs being oily liquids at room temperature are for example several nitrate esters of drugs such as the non-steroidal anti-inflammatory drugs (NSAIDs) described in EP 609415, EP 670825, EP 722434, EP 759899 and patent applications WO 00/51988, WO 00/61537, WO 00/61541 e WO 01/54691 in the name of applicant.
Examples of said nitrate esters are the following:
Further examples of liquid drugs are nicotine, nitroglycerin, valproic acid, benzonatate, clofibrate, clorfeniramine, clorfenoxamine, clorfentermine and clorpromazine and liquid vitamins.
The compositions of the invention are able to form an emulsion, upon ingestion of the pharmaceutical form by a patient, having reduced droplet size. The average droplet size of the emulsion is of from 0.1 and 50 microns and preferably is less than 5 micron.
The emulsion droplet size is measured by simulating the formation of an emulsion by adding in a beaker 50 ml of a 0.1N HCl aqueous solution and 100 mg of the composition under examination. The time required for the mixture to form an emulsion, can vary from 20 seconds to 10 minutes depending on the composition. The average droplet size of the emulsion was then determined by employing the light scattering technique or electronic microscopy.
Examples of surfactants that can be employed are anionic, non-ionic and cationic surfactants. Examples thereof may include, but are not limited to, alkaline soaps, such as sodium and potassium stearate, organic amines soaps, sulphuric esters, such as sodium lauryl sulphate, monolauryl glycerosulphuric acid sodium salt, alkyl aryl sulfonates, esters and ethers of polyethylene glycols, polysorbates, benzalkonium chloride, cetyltrimethylammonium bromide, cetrimide, particularly the commercially available products Arlacel, Tween, Capmul, Cremophor, Labrafac, Labrafil, Labrasol, etc. In a few cases it can be useful to add also co-surfactants, that is when a well definite HLB (hydrophilic-lipophilic balance) is requested. Preferred co-surfactants are straight or branched chain alcohols, preferably C1-C6 alcohols, such as ethyl alcohol, propyl alcohol, isopropyl alcohol, butyl alcohol, isobutyl alcohol, and polyols such as glycerol, ethylene glycol, propylene glycol, isopropylene glycol, butylene glycol, isobutylene glycol.
In order to improve the absorption, an absorption enhancer can be added to the active ingredient, dissolved or suspended in the surface-active agent and optionally in the co-surfactant. Many substances possess said activity and among these the following can be mentioned: polysorbates, sorbitan esters, sodium dioctyl sulfosuccinate, ethoxydiglycol, ethoxylated nonyl phenols, polyethylene lauryl ether, phospholipid derivatives, fatty acid esters, biliary acid derivatives, aprotic solvents such as dimethyl sulfoxide, dimethylformamide, dimethylacetamide and 2-pyrrolidone.
The active ingredient, surfactants and absorption enhancer admixture is allowed to absorb on an inert carrier in such a ratio to obtain a powder having good technological characteristics as far as for example free-flowing is concerned. For the absorption of said mixture generally granulators, kneaders or mixers normally used in the pharmaceutical field can be employed. Generally the mixture/solid carrier ratio may vary from 1:20 to 10:1 even though the preferred ratio is from 1:2 to 2:1.
As solid carrier any non toxic pharmaceutical compound may be used, including for example clays such as bentonite, kaolin, silica derivatives such as Aerosil, Cabosil, cellulose derivatives such as Avicel, silicates such as magnesium trisilicate, talc, hydroxides such as magnesium and aluminium hydroxide, starches, sugars and cyclodextrins. Silica is the preferred absorber.
The ratio by weight of active ingredient: surfactant may vary from 1:0.1 to 1:10, preferably of from 1:0.3 to 1:3.
The ratio by weight of co-surfactant:surfactant may vary from 1:0.1 to 1:5, preferably of from 1:0.1 to 1:5.
The ratio by weight of absorption enhancer:surfactant may vary from 1:0.1 to 1:10, preferably of from 1:0.3 to 1:3.
The ratio by weight of admixture : solid carrier may vary from 1:20 to 10:1, preferably of from 1:2 to 2:1.
The resulting product is a free-flowing powder that can be employed in several pharmaceutical forms in the form for example of sachet), tablets (chewing, effervescent or quick dissolution tablets), controlled release capsules or tablets so as to have the active ingredient release in particular areas of the gastrointestinal tract; for this purpose, the coating will be gastroresistant or specifically directed into gut areas, for example colon.
Depending on the pharmaceutical form type, it is possible to use suitable excipients for having the desired formulation. Thus in the case of sachets, sugars, suspending agents, flavourings and sweeteners can be employed, whereas for tablets and capsules, diluents, disintegrants and lubricants can be used. Examples for these materials can be found in Remington's Pharmaceutical Sciences, 17th Edition, Mack Publishing Company, Easton, Pa., 1985.
Preparation of 2-[(2,6-dichlorophenyl)amino]-benzeneacetic acid 4-(nitrooxy)butyl ester (NO-diclofenac; formula (IV)) absobed on colloidal silica
Cremophor EL and compound of formula IV were added in a suitable vessel and mixed to homogeneity. In the same time Aerosil 200, Phospfolipon 80 H and Explotab were mixed separately. The powder mixture was slowly introduced in a mixer under stirring until complete absorption of the components was achieved. Emulsion average droplet size: 2.2 micron (minimum 0.27, maximum 13.3).
Preparation of a pharmaceutical powder form (sachet) for oral use employing the active ingredient mixture of Example 1
For preparing sachets, NO-diclofenac absorbed as described in Example 1 was mixed adding orange and lemon flavour as well as saccharin sodium and saccharose. A cube mixer was used with stirring at 9 rpm for 15 minutes. The mixture was distributed in sachets each weighing 3.0 g.
Dissolution Test
On the mixture obtained as described in Example 2, a dissolution test was carried out in 0.1N HCl at 37° C. with a rotation speed of 50 rpm. The dissolution results are listed in Table 1.
Preparation of 2-fluoro-α-methyl(1,1′-biphenyl)-4-acetic acid 4-(nitrooxy)butyl ester (NO-flurbiprofen; formula (XIX)) absorbed on colloidal silica
A suitable vessel was charged with NO-flurbiprofen and Cremophor EL and the mixture was stirred until a homogenous product was obtained. Separately, Aerosil 200 was mixed with Explotab and the whole was added to the previous mixture to give a homogenous mixture that was poured on a 0.85 mm sieve.
Average emulsion droplet size: 1.5 micron (minimum 0.20; maximum 12.8).
Preparation of a pharmaceutical powder form for oral use (sachets) employing the active ingredient mixture obtained in example 3
For preparing 3 g sachets, each containing 200 mg of active ingredient, 1000 g of the mixture obtained as previously described in example 3 were mixed with saccharin sodium, orange aroma and saccharose.
Preparation of tablets employing the mixture of example 3.
PVP K 30 was dissolved in 300 g water and the solution was used to wet the mixture of example 3 in a Erweka mixer. The product thus obtained was poured on a 2 mm sieve and then it was dried in an oven at 40° C. for 3 hours. Afterwards, it was poured on a 1 mm sieve in a floating granulator and Avicel was added under stirring in a V mixer for 15 minutes. The product was compressed to the theoretical weight of 800 mg with a 18×10 mm oblong punch. Tablets having the following characteristics were obtained:
Preparation of a solid pharmaceutical form (granulate) using (S)-6-methoxy-α-methyl-2-naphthaleneacetic acid 4-(nitrooxy)butyl ester (NO-Naproxen; compound of formula (XX))
100 mg of Phospholipon 80 H were dispersed in 2.5 ml water by heating at 85° C. The dispersion of Phospholipon 80 H was added under stirring to a mixture of NO-Naproxen and Tween 80. After adding Phospholipon, Aerosil and Explotab were added under stirring. A granulate was obtained and dried in an oven. The granulate was sieved through a 600 μm sieve. By dispersing 400 mg of this granulate in 20 ml water, an emulsion having an average droplet size of 2.2 micron was obtained (minimum 0.27; maximum 13.3).
Preparation of coated tablets employing the tablets obtained as described in example 3.2
Methocel E 15 and PEG 6000 were dissolved in a suitable vessel and then talc and titanium dioxide were dispersed therein. The tablets prepared as described in example 3.2 were charged in a Pellegrini vessel and the tablet coating was performed with the film forming suspension according to the following parameters:
Preparation of gastroresistant coated tablets employing the tablets obtained as described in example 3.2
Eudragit L30D was poured in 1.1 kg water under stirring to avoid foaming. 6.5 g NaOH were added and stirring was continued for further 30 minutes. A latex was obtained that was sieved through a 0.25 mm mesh sieve. Triethyl citrate, talc and antifoam agent were added, then the suspension was homogenized together with the Eudragit suspension. The tablets prepared according to example 3.2 were introduced into a vessel and sprayed with the mixture obtained as mentioned above, by employing a peristaltic pump and a Graco atomizer gun. The mixture was sprayed with a pressure of 1.5 bar and at a rate of 40 g/minute with an air capacity of 7 m3/minute at 55° C. The tablets temperature was maintained at 34° C.
In man evaluation of pharmacokinetic and pharmacodynamic parameters of the oral NO-diclofenac formulation described in example 2 (sachets).
Six healthy fastened patients were administered with 75, 100 and 150 mg NO-Diclofenac sachets formulated as described in example 2.
In order to evaluate the pharmacokinetic parameters, blood samples were taken at 0.25, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24 and 32 hours after administration of the pharmaceutical formulation. The active ingredient NO-diclofenac and its metabolites diclofenac and the hydroxyderivative 4-OH-diclofenac were dosed in plasma by a LC/MS/MS method, previously validated. NO-diclofenac was not found in the samples at any dosage. The pharmacokinetic parameters of plasma levels obtained for diclofenac (D) and the 4-hydroxydiclofenac (40H-Diclofenac, 40H-D) are reported in Table 2.
The inhibition of COX-1/COX-2, in blood samples taken at 0.5, 1, 3, 6, 10, 24 and 32 hours after administration, was also evaluated in the same patients. The obtained results are listed in Table 3.
The results obtained both as pharmacokinetics and as pharmacodynamics confirm that the NO-diclofenac formulation described in example 2 has a good bioavailability in terms of plasmatic levels of diclofenac and of anti-inflammatory activity measured according to the ciclooxygenase 1 and 2 inhibition.
Comparison of NO-flurbiprofen bioavailability (Formula XIX) formulated in usual gelatine capsules vs sachets and tablets.
8.1 : Pharmaceutical forms
8.1.A) Usual tablets
The active ingredient was absorbed on starch and silica without surfactants and absorption enhancers. After absorption, the granulate was mixed with talc, magnesium stearate and carboxymethylcellulose and filled in hard gelatine capsules.
8.1.B) Sachets
Sachets have been prepared as described in example 3.1
8.1.C) Tablets
Tablets have been prepared as described in example 3.2
The bioavailability study has been performed on 12 healthy subjects. The subjects were administered each at three different times and in a randomized way with two 100 mg capsules, 200 mg caps and 200 mg tablets containing each NO-flurbiprofen.
Blood samples were taken after each administration at the here below listed times: 0.25, 0.50, 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours. Flurbiprofen concentration in every plasmatic sample was determined by a LC/MS/MS method.
The obtained results are reported in
The obtained results show that both sachets and tablets are non-bioequivalent in comparison with usual capsules, as they give a better absorption both in terms of Cmax and in terms of AUC.
| Number | Date | Country | Kind |
|---|---|---|---|
| M12002A001392 | Jun 2002 | IT | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP03/06496 | 6/20/2003 | WO | 9/12/2005 |
