Patent Application
20090196920
The present invention describes a new pharmaceutical composition for the administration of statins and the process of preparing them.
The efficacy of the statins in the primary and secondary prevention of cardiovascular diseases has been demonstrated in a number of clinical studies. Recent evidence suggests that the clinical benefit obtained with therapy with statins could be related to a reduction of systemic inflammatory markers (Ridker P. M., et al.; N. Engl, J. Med. 344:1959-65, 2001) more than to the reduction of cholesterol level. Even though it has not been possible to prove that there is a direct relation of the anti-inflammatory mechanism of statins in the reduction of cardiovascular events, recent studies have shown that the treatment with statins improves plaque stability and reduces the arterial inflammatory reaction in patients subjected to endarterectomy (Crisby M., et. al.; Circulation 103:926-33, 2001). In addition, therapy with statins in experimental models determines the reduction of expressors of the inflammatory lesion, such as for example of the macrophage infiltration content (Van der Wal A. C., et a).; Circulation 89:36-44, 1994), of the release of VCAM-1, of interleukin-1β and of tissue factor in the arteriosclerotic lesion (Sukhova G K, et al.; Arterioscler Thromb Vaso Biol 22:1452-8, 2002).
Omega-3 type polyunsaturated fatty acids (Ω-3 PUFA) have demonstrated a beneficial effect in the prevention of cardiovascular events (Bucher H C, et al.; Am. J. Med. 2002; 112:298-304), possibly by means of an antiinflammatory, antithrombotic and antiarrhythmic mechanism (Sethi S, et al.; Blood 2002:100:-1340-6; Billman G E, et al.; Circulation 1999: 99:2452-7).
Different patents have been published which describe pharmaceutical formulations of statins, such as for example:
U.S. Pat. No. 5,180,589 or U.S. Pat. No. 5,356,896 which describe pharmaceutical composition forms for the stabilization of statins at low pH.
U.S. Pat. No. 6,235,311 describes a pharmaceutical composition combining a statin and aspirin.
U.S. Pat. No. 5,225,202 describes a pharmaceutical composition of statins in the form of pellets with an enteric coating so as to protect the product at low pH.
WO00/76482, WO00/57918 and WO00/57859 describe pharmaceutical compositions formed by lipid regulating agents in oils or in surfactants.
WO02/100394 and WO03/103640 describe pharmaceutical compositions formed by pure statin nanoparticles without any protective coating dispersed in pharmaceutically acceptable oils, however this type of formulations have stability problems for statins if the temperature of preparing the system exceeds 40° C., as is the case for most oral preparations.
As a result of the research carried out by the inventors, a new formulation has been developed consisting of a microcapsule suspension of statins in alkyl esters of PUFA in which the statins are isolated from contact with the alkyl ester of PUFA by means of a polymeric membrane that can be easily disintegrated in the gastrointestinal medium.
This coating provides stabilization of the statin, eliminating the occurrence of degradation products of the statin during the processes of preparing the microcapsule suspension and of incorporating the mentioned microcapsule suspension of statins in alkyl esters of PUFA in final system of administering the product (soft gelatin capsules, hard gelatin capsules, tablets, granules, etc.), even though these processes are carried out at a temperature exceeding 40° C.
A new preparation for statins has been developed which surprisingly allows avoiding the problems of degradation that statins have when they are formulated in the presence of oils with a high content of alkyl esters of PUFA.
Therefore, according to a first essential aspect, the present invention relates to a pharmaceutical formulation characterized in that it is made up of a suspension comprising an oil with a high content of alkyl esters of polyunsaturated fatty acid (PUFA) and microcapsules comprising at least one polymer and a statin.
Said alkyl esters of polyunsaturated fatty acid (PUFA) preferably belong to the Omega3 series, they are more preferably selected from the group consisting of the eicosapentaenoic acid, docosahexaenoic acid or mixtures thereof.
According to a preferred embodiment according to the present invention, the alkyl ester of PUFA is selected from the group consisting of ethyl, methyl, propyl, butyl esters, or mixtures thereof.
Preferably, the statins selected from the group consisting of simvastatin, lovastatin, fluvastatin, atorvastatin, cerivastatin, pravastatin, rosuvastatin or mixtures thereof.
The polymer coating the microcapsules of statins is preferably selected from the group consisting of polyesters, polyacrylates, polycyanoacrylates, polysaccharides, polyethylene glycol, or mixtures thereof. More preferably, the polymer coating the microcapsules of statins is selected from the group consisting of gelatin, carboxymethylcellulose, alginates, carrageenans, pectins, ethyl cellulose hydroxypropyl methylcellulose, cellulose acetophthalate, hydroxypropyl methylcellulose phthalate, methylacrylic acid copolymers (Eudragit® L and S), dimethylaminoethylmethacrylate copolymers (Eudragit® E), the trimethylammoniumethylmethacrylate copolymers (Eudragit® RL and RS), polymers and copolymers of lactic and glycolic acids or mixtures thereof.
Optionally, a pharmaceutical formulation according to the present invention comprises an antioxidant, preferably vitamin E acetate. According to a preferred embodiment according to the present invention, the pharmaceutical formulation comprises carnitine.
Preferably, the microcapsules represent between 1% and 60% of the total weight of the pharmaceutical formulation according to the present invention, and the amount of statin incorporated in said microcapsules is comprised between 1% and 80% by weight, preferably between 1 and 40% by weight in relation to the total weight of the microcapsules. Preferably, the oil with a high content of alkyl esters of PUFA has a purity exceeding 60% in alkyl ester of PUFA.
According to a preferred embodiment according to the present invention, the polymer comprises a plasticizer additive, preferably those plasticizers selected from the group consisting of triethyl citrate, butyl phthalate or mixtures thereof. Other technical additives of the polymer can optionally be incorporated which improve or facilitate the encapsulation process, such as, for example, fluidizing agents, preferably talc.
The ratio between eicosapentaenoic acid and docosahexaenoic acid is preferably comprised between 0.5 and 2.
According to a preferred embodiment of the present invention, the microcapsule suspension is encapsulated by soft gelatin capsules for oral administration. Said soft gelatin capsules preferably have an enteric coating.
The preparation of the microcapsules can be carried out following any of the methods described in the literature. By way of description and without being limited thereto, the different processes of obtaining microcapsules could be grouped into the following categories:
A) Simple Coacervation Methods:
A solution of the polymer together with the possible additives of the polymer in a suitable solvent is prepared. The drug to be encapsulated is suspended in said solution of the polymer and a non-solvent of the polymer is added so as to force the deposit of the polymer on the drug crystals. Examples of these processes can be found in patent documents such as ES 2009346, EP 0 052 510, or EP 0 346 879.
B) Complex Coacervation Method
This method is based on the interaction between two colloids having opposite electric charges so as to generate an insoluble complex that is deposited on the particles of the drug to be encapsulated, forming a membrane that will isolate the drug. Examples of these processes can be found in patent documents such as GB 1393805.
C) Double Emulsion Methods:
The drug to be encapsulated is dissolved in water or in a solution of some other coadyuvant and is emulsified in a solution of the polymer and additives in a suitable solvent, such as for example dichloromethane. The resulting emulsion is in turn emulsified in water or in an aqueous solution of an emulsifying agent, such as polyvinyl alcohol. Once this second emulsion is carried out the solvent in which the polymer and the plasticizer were dissolved in is eliminated by means of evaporation or extraction. The resulting microcapsules are obtained directly by filtration or evaporation. Examples of these processes can also be found in patent documents such as U.S. Pat. No. 4,652,441.
D) Simple Emulsion Methods:
The drug to be encapsulated, the polymer and the additives are dissolved together in a suitable solvent. This solution is emulsified in water or in an emulsifier solution, such as polyvinyl alcohol, and the organic solvent is eliminated by evaporation or by extraction. The resulting microcapsules are recovered by filtration or drying. Examples of these processes can also be found in patent documents such as U.S. Pat. No. 5,445,832.
E) Solvent Evaporation Methods:
The drug to be encapsulated, the polymer and additives are dissolved together in a suitable solvent. This solution is evaporated and the resulting residue is micronized to the suitable size. Examples of this process can also be found in patent documents such as GB 2,209,937.
Solution A: A 1% solution of gelatin in water is prepared and the pH is adjusted so that it is equal to or greater than 7.
Solution B: Another 1% solution of sodium carboxymethyl cellulose in water is prepared and the pH is adjusted so that it is equal to or greater than 7.
100 mL of solution A and 100 mL of solution B are mixed and heated to 40° C. 1.2 g of powder simvastatin are dispersed in the mixture. When all the powder is dispersed and no lumps are observed, the pH is adjusted to 4.0 by means of adding acetic acid. It is maintained under stirring for 1 hour at 40° C. and then the solution is cooled to 10° C., this temperature being maintained for another hour. 1 mL of a 50% solution of glutaraldehyde in water is added.
The resulting suspension is dried by means of spray drying, obtaining a microcapsules powder containing 37% of simvastatin.
This microcapsule powder is directly dispersed in oil containing 88% ethyl ester of PUFA with an eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) ratio of 1.2.
A 1% solution of gelatin in water is prepared.
100 mL of this solution are taken and 1 g of powder simvastatin is dispersed therein. Once all the simvastatin has been dispersed 30 mL of a saturated solution of sodium sulfate in water are added. It is maintained under stirring for 1 hour and 0.5 mL of a 50% solution of glutaraldehyde in water are added.
The formed microcapsules are collected by filtration, washed with water and dried in a vacuum oven. The simvastatin content of these microcapsules is 45%.
The resulting microcapsule powder is dispersed directly in oil containing 70% of methyl ester of PUFA with an EPA/DHA ratio of 0.8.
A 10% solution of polyethylene glycol in water with molecular weight 35000 (PEG-35000) is prepared.
6 g of lovastatin are dispersed in this solution by means of intense stirring.
When a fine dispersion without lumps has been obtained, the solution is dried by means of spray drying.
The obtained microcapsule powder has a 40% lovastatin concentration and is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 1.
A 2% solution of sodium acetophthalate in water is prepared. 5 g of simvastatin powder are suspended in 100 mL of this solution. The resulting suspension is dried by means of spray drying.
The obtained microcapsule powder is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 0.5.
Solution A: A 10% solution of PLGA in dichloromethane (DCM) with intrinsic viscosity (I.V.) of 0.17 and lactic/glycolic ratio of 1/1 is prepared.
Solution B: 5 g of simvastatin and 1 g of vitamin E acetate are dissolved in 100 mL of solution A.
Solution C: A 1% solution of polyvinyl alcohol (PVA) in water is prepared.
100 mL of solution B are added slowly and under intense stirring to 1000 mL of solution C until obtaining a milky emulsion.
While stirring is maintained, a nitrogen current is passed through the previous emulsion for two hours to eliminate most of the DCM.
Then the resulting suspension is frozen and lyophilized.
A powder is obtained which is washed with abundant water to eliminate the excess PVA and is dried under reduced pressure.
The resulting powder is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 1.5.
A 10% solution of polyethylene glycol in water with molecular weight 35000 (PEG-35000) is prepared.
5 g of simvastatin and 1 g of carnitine are dispersed in this solution by means of intense stirring. When a fine dispersion without lumps has been obtained the solution is dried by means of spray drying.
The obtained microcapsule powder is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 1.
Solution A: A 10% solution of carnitine in water is prepared.
Solution B: A 10% solution of PLGA in dichloromethane (DCM) with intrinsic viscosity (I.V.) of 0.17 and lactic/glycolic ratio 1/1 is prepared.
Solution C. 10 g of simvastatin and 1 g of vitamin E acetate are dissolved in 100 mL of solution B.
20 mL of solution A are emulsified in solution C by means of intense stirring with an Ultra Turrax homogenizer. The resulting emulsion is in turn emulsified in 1000 mL of a 1% solution of PVA in water.
While stirring is maintained, a nitrogen current is passed through the previous emulsion for two hours to eliminate most of the DCM.
Then the resulting suspension is frozen and lyophilized.
A microcapsule powder is obtained which is washed with abundant water to eliminate the excess PVA and is dried under reduced pressure in a vacuum oven.
The resulting microcapsule powder has a simvastatin concentration of 25% and is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 1.2.
10 g of simvastatin are suspended in 100 mL of a suspension of Eudragit FS 30D® (30% suspension in water of copolymers of methacrylic acid, methyl methacrylic acid and methyl acrylate) until obtaining a fine suspension. Triethyl citrate (plasticizer of the polymer) is added to this suspension up to a concentration of 5%.
The resulting suspension is dried by means of spray drying.
The resulting microcapsule powder is dispersed directly in oil containing 85% of ethyl ester of PUFA with an EPA/DHA ratio of 1.2.
| Number | Date | Country | Kind |
|---|---|---|---|
| P200402492 | Oct 2004 | ES | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/ES05/00542 | 10/13/2005 | WO | 00 | 4/14/2009 |
