This invention relates generally to microstructures, compositions, and methods for drug release. In certain embodiments, the invention relates to dosage forms comprising a structural assembly of one or more repeatably arranged, drug-containing structural elements.
The most prevalent pharmaceutical dosage forms at present, the oral immediate-release tablets and capsules, are porous solids consisting of compacted drug and excipient particles. Upon ingestion, the gastrointestinal fluid percolates the open pores, and interdiffuses with the water-soluble excipient. The inter-granular bonds are then severed, the granules are released into the surrounding fluid, and dissolve. The large surface area-to-volume ratio of the small granules promotes rapid drug dissolution, and enables that a large fraction of the ingested drug is absorbed by the blood stream as detailed in the commonly owned references “Remington's Pharmaceutical Sciences XVIII”, A. R. Gennaro (ed.), Mack Publishing, Easton, Pa., 1990; and M. E. Aulton, K. M. G. Taylor, “Aulton's pharmaceutics: The design and manufacture of medicines”, fourth edition, Churchill Livingstone, London, UK, 2013, and others.
Because the pores in the compacted particulate dosage forms are not well connected, however, fluid percolation generally is not uniform; hence numerous excipients (˜5-10) and multiple statistical process steps are typically required to ensure that the dosage form meets the specifications. As a result, dosage form development and manufacture are both resource-intensive and time-consuming. Moreover, addition of such common excipients as lactose, starch, sugars, polyols, and so on, is undesirable because they cause allergies or other adverse effects in some patients. For further details related to the manufacture and properties of particulate dosage forms, see, e.g., Y. Qiu, L. Lirong, G. Zhang, Y. Chen, and W. Porter, “Developing oral solid dosage forms: pharmaceutical theory and practice”, Academic Press, Burlington, Mass., 2008; F. Muzzio, T. Shinbrot, B. J. Glasser, “Powder technology in the pharmaceutical industry: the need to catch up fast”, Powder Technol. 124, 2002, 1-7; and S. Yassin, D. J. Goodwin, A. Anderson, J. Sibik, D. I. Wilson, L. F. Gladden, J. A. Zeitler, “The disintegration process in microcrystalline cellulose based tablets, part 1: Influence of temperature, porosity and superdisintegrants”, J. Pharm. Sci. 104, 2015, pp. 3440-3450. For further details related to adverse effects of commonly used excipients, see, e.g., G. Pifferi, P. Restani, “The safety of pharmaceutical excipients”, Il Farmaco 58, 2003, 541-550; and D. Reker, S. M. Blum, C. Steiger, K. E. Anger, J. M. Sommer, J. Fanikos, G. Traverso, ““Inactive” ingredients in oral medications”, Sci. Trans. Med. 11, 2019, 6753.
More predictable dosage form development and manufacture could be achieved by liquid-based processing of the dosage forms, as the streamlines in laminar flow follow known pathways and the flow rates can be calculated from “constitutive” models. However, the solidification of a melt or the drying of a paste generally yields a non-porous (or minimally-porous), solid microstructure. Because the specific surface area of such non-porous dosage forms is small, their disintegration rate is much smaller than that of the compacted particulate forms. As a result, the non-porous dosage forms generally are not suited for immediate drug release.
To overcome the above and other limitations, herein a solid dosage form with substantially interconnected void space, or channels, in a controlled microstructure is disclosed. The disclosed dosage form enables more predictable drug release rates, and can be deterministically manufactured by an efficient 3D-printing process.
More specifically, in a first aspect, the present invention provides a pharmaceutical solid dosage form comprising a drug-containing solid having an outer surface and an internal structure contiguous with and terminating at said outer surface; said internal structure comprising a continuous structural assembly of one or more repeatably arranged, extruded structural elements; said extruded structural elements comprising at least one pharmaceutically active ingredient and at least a hydrophilic excipient; said extruded structural elements further comprising segments separated and spaced from adjoining segments by free spacings, said free spacings defining one or more substantially interconnected free spaces through the drug-containing solid; wherein the one or more extruded structural elements are so arranged that an average ‘free spacing’ between segments is greater than 1 μm; and upon immersion of said drug-containing solid in a physiological fluid under physiological conditions, said drug-containing solid comprises a disintegration time of less than 45 minutes.
In some embodiments, average thickness of the one or more elements is no greater than 1 mm.
In some embodiments, average thickness of the one or more elements is in the range between 5 μm and 2 mm.
In some embodiments, the thickness of the one or more elements is precisely controlled.
In some embodiments, average ‘free spacing’ between segments is in the range between 1 μm and 5 mm.
In some embodiments, the ‘free spacing’ between segments of the one or more elements is precisely controlled.
In some embodiments, at least one structural element comprises a fiber.
In some embodiments, at least one structural element comprises a sheet.
In some embodiments, at least one structural element comprises a bead that is bonded to another structural element.
In some embodiments, upon immersion of the drug-containing solid in a physiological fluid under physiological conditions, said physiological or body fluid percolates a substantially interconnected free space.
In some embodiments, no more than 15 walls must be ruptured to obtain an interconnected, continuous free space from a surface of the drug-containing solid to any point in the interior.
In some embodiments, the free space is contiguous.
In some embodiments, at least a structural element or a segment thereof is bonded to another structural element or another segment of said structural element.
In some embodiments, at least a structural element or a segment thereof is bonded to another structural element or another segment of said structural element by solidification of a fluidic contact between said elements or segments.
In some embodiments, at least one excipient comprises a solubility no less than about 10 g/l in a physiological or body fluid under physiological conditions.
In some embodiments, at least one excipient is swellable by a body fluid, and wherein an effective diffusivity of water in said swellable excipient is greater than 1×10−11 m2/s.
In some embodiments, the swellable excipient comprises a viscosity less than 500 Pa·s upon absorption of a physiological fluid under physiological conditions.
In some embodiments, at least one hydrophilic excipient is selected from the group comprising polyethylene glycol (PEG), polyethylene oxide, polyvinylpyrrolidone (PVP), PEG-PVP copolymer, poloxamer, lauroyl macrogol-32 glycerides, polyvinylalcohol (PVA), PEG-PVA copolymer, polylactic acid, polyvinylacetate phthalate, polymethacrylates (e.g., poly(methacrylic acid, ethyl acrylate) 1:1, or butylmethacrylat-(2-dimethylaminoethyl)methacrylat-methylmathacrylat-copolymer), gelatin, cellulose or cellulose derivatives (e.g., microcrystalline cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, methyl cellulose, hydroxypropyl methyl ether cellulose, or hydroxypropyl methylcellulose), starch, polylactide-co-glycolide, polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer, lactose, starch derivatives (e.g., pregelatinized starch or sodium starch glycolate), chitosan, pectin, acrylic acid crosslinked with allyl sucrose or allyl pentaerythritol (e.g., carbopol), and polyacrylic acid.
In some embodiments, a free space comprises a matter selected from the group comprising gas, liquid, or solid, and wherein said matter is partially or entirely removed upon contact with a physiological or body fluid under physiological conditions.
In some embodiments a free space comprises at least a gas.
In some embodiments, a free space comprises at least a gas, and wherein the gas comprises at least one of air, nitrogen, CO2, argon, or oxygen.
In some embodiments, upon immersion of said drug-containing solid in a physiological fluid under physiological conditions, said drug-containing solid comprises a disintegration time of less than 30 minutes.
In a second aspect, the invention herein provides a pharmaceutical solid dosage form comprising a drug-containing solid comprising a continuous structural assembly of one or more repeatably arranged, extruded structural elements; said extruded structural elements having an average thickness no greater than 1 mm; said extruded structural elements further comprising at least one pharmaceutically active ingredient and at least a hydrophilic excipient; said extruded structural elements further comprising segments separated and spaced from adjoining segments by free spacings, said free spacings defining one or more substantially interconnected free spaces through the drug-containing solid; wherein the one or more extruded structural elements are so arranged that an average ‘free spacing’ between segments is greater than 1 μm; at least one free space comprises at least a gas; and upon immersion of said drug-containing solid in a physiological fluid under physiological conditions, said drug-containing solid comprises a disintegration time of less than about 30 minutes.
In a third aspect, the invention herein provides a pharmaceutical solid dosage form comprising a drug-containing solid comprising a continuous structural assembly of one or more repeatably arranged, extruded fibers with average fiber thickness no greater than 1 mm; said extruded fibers comprising at least one pharmaceutically active ingredient and at least a hydrophilic excipient, said hydrophilic excipient having a solubility in a physiological fluid under physiological conditions greater than 1 g/l; said extruded fibers further comprising segments separated and spaced from adjoining segments by free spacings, said free spacings defining one or more substantially interconnected free spaces through the drug-containing solid; wherein the one or more extruded fibers are so arranged that an average ‘free spacing’ between segments is greater than 1 μm; at least one free space comprises at least a gas; and upon immersion of said drug-containing solid in a physiological fluid under physiological conditions, said drug-containing solid comprises a disintegration time of less than about 30 minutes.
Elements of embodiments described with respect to one aspect of the invention can be applied with respect to another aspect. By way of example but not by way of limitation, certain embodiments of the claims described with respect to the first aspect can include features of the claims described with respect to the second or third aspect, and vice versa.
This invention may be better understood by reference to the accompanying drawings, attention being called to the fact that the drawings are primarily for illustration, and should not be regarded as limiting. The scope of the invention is limited only by the claims and not by the drawings or description herein.
The objects, embodiments, features, and advantages of the present invention are more fully understood when considered in conjunction with the following accompanying drawings:
In order for the present disclosure to be more readily understood, certain terms are first defined below. Additional definitions for the following terms and other terms are set forth throughout the specification.
In this application, the use of “or” means “and/or” unless stated otherwise. As used in this application, the term “comprise” and variations of the term, such as “comprising” and “comprises,” are not intended to exclude other additives, components, integers or steps. As used in this application, the terms “about” and “approximately” are used as equivalents. Any numerals used in this application with or without about/approximately are meant to cover any normal fluctuations appreciated by one of ordinary skill in the relevant art.
Moreover, in the disclosure herein, the terms “active ingredient”, “active ingredients”, “one or more active ingredients”, “active pharmaceutical ingredient”, “drug”, “one or more drugs”, and so on, are used interchangeably. As used herein, an “active ingredient” or “active agent” refers to an agent whose presence or level correlates with elevated level or activity of a target, as compared with that observed absent the agent (or with the agent at a different level). In some embodiments, an active ingredient is one whose presence or level correlates with a target level or activity that is comparable to or greater than a particular reference level or activity (e.g., that observed under appropriate reference conditions, such as presence of a known active agent, e.g., a positive control).
Furthermore, in the context of the invention herein, a structural assembly of drug-containing elements comprises a drug-containing structure of elements (e.g., an assemblage, a framework, a three dimensional framework, a network, an arrangement, etc. of one or more drug-containing elements) that extends over a length, width, and thickness greater than the thickness of at least one element. This includes, but is not limited to structural assemblies of elements that extend over a length, width, and thickness greater than twice the thickness of at least one element, or greater than three times the thickness of at least one element, or greater than four times the thickness of at least one element, or greater than five times the thickness of at least one element, or greater than six times the thickness of at least one element, or greater than seven times the thickness of at least one element.
As used herein, the terms “element”, “elements”, “one or more drug-containing elements”, “drug-containing elements”, “structural elements”, “drug-containing structural elements”, and so on are used interchangeably. They are understood as the solid, drug-containing building blocks (e.g., the structural elements) that make up part of or the entire dosage form structure (e.g., the structural assembly of elements). Generally, the thickness of an element is much smaller than the thickness of the solid dosage form it forms.
As used herein, a two-dimensional structural element is referred to as having a length and width much greater than its thickness. In the present disclosure, the length and width of a two-dimensional structural element generally are greater than 2 times its thickness. An example of such an element is a “sheet”. A one-dimensional structural element is referred to as having a length much greater than its width and/or thickness. In the present disclosure, the length of a one-dimensional structural element generally is greater than 2 times its width and thickness. An example of such an element is a “fiber”. A zero-dimensional structural element is referred to as having a length and width of the order of its thickness. In the present disclosure, the length and width of a zero-dimensional structural element generally are no greater than 2 times its thickness. Furthermore, the thickness of a zero-dimensional element is less than 2.5 mm. Examples of such zero-dimensional elements are “particles” or “beads” and include polyhedra, spheroids, ellipsoids, or clusters thereof.
As used herein the term “extruded structural element” generally refers to an element with fixed cross section along its length. Such “extruded structural elements” typically form a single solid matrix (e.g., a continuous matrix or a connected solid matrix or a connected solid structure) through their thickness. Generally, moreover, such extruded structural elements are prepared by extrusion of the element formulation through a die or nozzle with a specific cross section.
Generally, as used herein, one or more extruded structural elements are considered “repeatably arranged” if the microstructural features, such as the position of elements, the spacing between elements, and so on, are “precisely controlled” or reproducible within a tight margin. For further definitions of the term “precisely controlled”, see, e.g., paragraph 146 of the specification herein. Generally, moreover, a structural assembly of repeatably arranged elements comprises an ordered or partially ordered structure.
Furthermore, as used herein, the term “segment” refers to a fraction of an element along the length and/or width of said element.
In the context of the invention disclosed herein, drug release from a solid element (or a solid dosage form, or a solid matrix, or a drug-containing solid) refers to the conversion of drug (e.g., one or more drug particles, or drug molecules, or clusters thereof, etc.) that is/are embedded in or attached to the solid element (or the solid dosage form, or the solid matrix, or the drug-containing solid) to drug in a dissolution medium. If the drug is embedded in a polymeric excipient or matrix, the drug may be released from said polymeric matrix as soon as said polymeric matrix has converted to a dilute solution (e.g., a liquid in which the excipient concentration is smaller than its solubility or “interfacial concentration”).
Similarly, in the invention disclosed herein, a polymeric excipient matrix may be considered disintegrated if said polymeric matrix has converted to a gel with polymer concentration smaller than the “interfacial concentration” (e.g., as soon as the polymer has converted to a dilute solution).
In this application, the term “interfacial concentration” is referred to as the polymer concentration which separates the “solid” and “liquid” regions of a polymer eroding into a dissolution medium. It is typically of the order of the disentanglement concentration, cp*, of said polymer in a dissolution medium (or of the order of the solubility of said polymer in a dissolution medium).
As used herein, the terms “dissolution medium”, “physiological/body fluid”, “dissolution fluid”, “medium”, “fluid”, and “penetrant” are used interchangeably. They are understood as any fluid produced by or contained in a human body under physiological conditions, or any fluid that resembles a fluid produced by or contained in a human body under physiological conditions. Examples include, but are not limited to: water, saliva, stomach fluid, gastrointestinal fluid, saline, etc. at a temperature of 37° C. and a pH value adjusted to the specific physiological condition.
Finally, as used herein, free space may be considered “substantially interconnected” if it extends over a length greater or far greater than the average thickness of one or more elements. This includes, but is not limited to free space extending over a length greater than two times the average thickness of one or more elements, or free space extending over a length greater than three times the average thickness of one or more elements, or free space extending over a length greater than four times the average thickness of one or more elements, or free space extending over a length greater than five times the average thickness of one or more elements. Also, in some embodiments, free space may be considered “substantially interconnected” if it extends over a length greater than one third of the thickness of the drug-containing solid. This includes, but is not limited to free space that extends over a length greater than half the thickness of the drug-containing solid, or at least equal to about a thickness of the drug-containing solid.
The one or more extruded structural elements 110, 120, 130, 210, 220, 230, 240, 250 generally have at least one dimension (e.g., a length, width, or thickness) substantially smaller than a dimension (e.g., a length, width, or thickness) of the drug-containing solid 101, 201 or the dosage form 100, 200. Thus, the one or more extruded structural elements 110, 120, 130, 210, 220, 230, 240, 250 can be particles or beads 110 or “0-dimensional elements” with thickness, width, and length of the same order of magnitude, and substantially smaller than a dimension of the drug-containing solid 101, 201 or dosage form 100, 200. They can also be fibers 120, 210, 220, 230 or “1-dimensional elements” with thickness and width smaller than the length. The thickness and the width of a fiber or 1-dimensional element 120, 210, 220, 230 may further be smaller than a dimension of the drug-containing solid 101, 201 or dosage form 100, 200. They can further be planes or sheets 130, 240, 250 or “2-dimensional elements” with thickness smaller than the width and length. The thickness of a sheet or 2-dimensional element 130, 240, 250 may further be smaller than a dimension of the drug-containing solid 101, 201 or dosage form 100, 200.
The one or more extruded structural elements 110, 120, 130, 210, 220, 230, 240, 250 may be arranged (e.g., structured or oriented) in a variety of ways, ranging from random (e.g., disordered) to partially regular (e.g., partially ordered) to regular (e.g., ordered or not random). The ordered or partially ordered structures, however, with repeatably arranged elements are generally preferred herein. A few non-limiting examples of such structures are given below.
Furthermore, in the configuration shown several relevant structural parameters can be derived. By way of example but not by way of limitation, the volume fraction of the drug-containing fibers, φf, with respect to the volume of the dosage form 100 (or the volume of the drug-containing solid 101 or a representative control volume of the dosage form) may be estimated as:
The specific surface area (area per unit volume of fibers 210), λs, is approximately:
The length of fibers 120 per unit volume of the drug-containing solid, lv, is roughly:
Also, the surface area of fibers 120 per unit volume of the drug-containing solid (or a representative control volume), λv, is about:
It will become obvious to a person of ordinary skill in the art after reading this specification carefully that φf, λs, lv, and λv, affect the disintegration rate and other relevant properties of a fibrous dosage form. Furthermore, it would be obvious to a person of ordinary skill in the art that Eqs. (1a)-(1d) must be adapted if the structure/arrangement/assembly (e.g. the three dimensional structural network) of fibers is changed.
Other non-limiting continuous structural assemblies of one or more repeatably arranged, extruded structural elements are presented in
More examples of how the elements may be structured, arranged, assembled, or stacked would be obvious to a person of ordinary skill in the art. All of them are within the spirit and scope of this invention.
The extruded structural elements typically comprise one or more active ingredients 117, 118, 127, 128, 137, 138, 218, 228, 238, 248, 258 (also referred to here as “drug”), and in most cases also one or more excipients 119, 129, 139, 219, 229, 239, 249, 259 (also referred to herein as “excipient”). If an element comprises at least one active ingredient and at least one excipient, the drug and excipient may be structured in the element in an ordered or “partially or completely disordered” manner. Moreover, by way of example but not by way of limitation, the structural features of the drug or the excipient in the element may, for example, comprise particles, beads, polygons, ellipsoids, cubes, tubes, rods, etc., or combinations thereof, and have a size at the nano-, micro-, meso-, or macro-scale.
More such examples of compositions and material structures of elements would be obvious to a person of ordinary skill in the art. All of them are within the scope of this invention.
If the composition of an element consists of drug only, or if the drug is interconnected in the material structure of the element, the drug may be in direct contact with dissolution fluid upon immersion of the element in a dissolution fluid. Thus, in some embodiments, the drug may be released from an element by dissolution of drug into the dissolution fluid.
If the material structure of an element 300, however, comprises one or more discontinuous clusters of at least one drug particle 308, 310 or at least one drug molecule 309, 311 surrounded by a solid excipient 312 as shown in
In the first non-limiting example, the excipient comprises an erodible polymer. Thus, as soon as the element 300 is brought in contact with dissolution medium, the medium diffuses into the excipient. The penetrant molecules (e.g., the dissolution fluid that diffused into the solid excipient) may then induce the solid excipient to swell (e.g., to increase in volume) and to transition from a solid to a fluidic or gel consistency solution. Subsequently, the polymer molecules from the gel consistency solution may diffuse or erode into the dissolution medium. The drug may be released from the element 300 as soon as the excipient has converted to dissolved molecules or a gel with polymer concentration smaller than the “interfacial concentration”.
The “interfacial concentration” is referred to in this application as the polymer concentration which separates the “solid” and “liquid” regions. For a typical polymer that erodes into a dissolution fluid, the interface is diffuse, and thus the interfacial concentration is difficult to determine precisely. As schematically shown in
at which a solution comprising said polymer and a dissolution fluid becomes concentrated. (For further information, see e.g., P. G. De Gennes, “Scaling concepts in polymer physics”, fifth ed., Cornell University Press, 1996; or M. Doi, S. F. Edwards, “The theory of polymer dynamics”, Oxford University Press, 1986).
In the second non-limiting example, the excipient comprises an absorptive or swellable polymer. Thus upon immersion of the element in a dissolution fluid, the fluid diffuses into the solid polymeric excipient. The penetrant molecules (e.g., the dissolution fluid that diffused into the solid excipient) may then convert part or all of the solid drug enclosed in the polymeric excipient to dissolved drug molecules. The mobility of drug molecules may be greater in the penetrated polymeric excipient than in the excipient without penetrant. Thus the drug molecules embedded in the penetrated excipient may diffuse to the dissolution medium swiftly, and drug may be released within the specific time requirements.
More examples of drug release from elements would be obvious to a person of ordinary skill in the art. All of them are within the scope of this invention.
The following examples set forth, in detail, ways by which the drug release and disintegration behavior of elements and structured dosage forms may be modeled. The models will enable one of skill in the art to more readily understand the properties and advantages of the structured dosage forms. The models and examples are presented by way of illustration, and are not meant to be limiting in any way.
a) Element Erosion by Diffusion without Convection
Integrating gives
where R(t) is the fiber radius as a function of time, R0 is the initial fiber radius, jp the flux of the eroding polymer, ρe the density of the solid polymer, cp* the disentanglement concentration of the polymer (which is an estimate of the interfacial concentration and further described experimental examples 6 and 7, Eq. (18), and
By way of example but not by way of limitation, if R0=250 μm, cp*=163 kg/m3, ρe=1150 kg/m3, Dp=1.09×10−10 m2/s, the fiber radius decreases to about 210 μm after the time t=R02/Dp=9.5 mins. Thus about 29% of the fiber are dissolved or disintegrated at this time in this example. By contrast, if the fiber radius is increased to 2.5 mm (a typical radius of a dosage form) and the other parameters are kept the same, only about 3% would be eroded 9.5 minutes after immersion in a still fluid. This percentage is an order of magnitude smaller than the corresponding value of a thin fiber, which exemplifies the advantage of a “thin” fiber over a “thick” fiber or dosage form for achieving fast disintegration (and high drug release) rates.
It would be obvious to a person of ordinary skill in the art that the model presented (and any of the following models) are readily adapted to fibers or elements of non-circular cross sections. Such fibers or elements include, but are not limited to fibers or elements with square, rectangular, elliptical, polygonal, or any other cross section. Furthermore, more examples of models of erosion of a single fiber or element in a still dissolution medium would be obvious to a person of ordinary skill in the art. All of them are within the scope of this invention.
b) Diffusion of Dissolution Fluid into an Element
where t is time and kd a constant.
If a substantial amount of dissolution fluid diffuses into the fiber 304, it swells and the polymer density (or the polymer concentration) in the fiber is reduced. The radius of the swollen, gelated fiber, Rgel, may be estimated as
where R0 is the initial fiber radius, the exponent n=3 for a fiber that expands uniformly in 3 dimensions (n=2 for a fiber that expands radially only), ρe is the density of the polymer in the solid/dry state, and cgel an average concentration of swellable polymer in the gel 344.
The entire fiber 304 is converted into a gel when X=Rgel. Thus by Eq. (4), the time taken by the dissolution fluid 364 to penetrate the fiber 304 (i.e., to convert it into a gel) may be estimated as:
where Deff is an effective diffusivity of physiological/body fluid in the polymeric fiber under physiological conditions. By way of example but not by way of limitation, if R0=250 μm and Deff=4×10−10 m2/s, by Eq. (6) tpen=156 seconds. Conversely, if R0 is increased to 2.5 mm and Deff remains unchanged, tpen increases to 260 minutes. Thus the penetration time of a “thin” fiber is much shorter than that of a “thick” fiber or a “thick” dosage form of the same composition.
It may be noted that the above equations can be readily adapted to multi-component fibers or elements. Also, more such examples of models of diffusion of dissolution fluid into a single fiber or element would be obvious to a person of ordinary skill in the art. All of them are within the scope of this invention.
c) Disintegration of Penetrated Elements
The penetrated fiber or element may be considered a polymeric solution (or dispersion or gel) that has a viscosity greater than the viscosity of the dissolution fluid. If the viscosity of the solution (e.g., the penetrated fiber, or even the penetrated fiber surface) is small enough, and if such external forces applied on the fiber as gravity, shear, or imbalances in fluid pressure are large enough, the penetrated fiber may be deformed or broken up into pieces. The pieces may then dissolve or disentangle rapidly in the dissolution fluid. Thus a fiber may be disintegrated soon after it is penetrated in such non-limiting situations.
In other cases without limitation, a swollen, gelated (or penetrated) fiber may, for example, erode by diffusion of polymer molecules into a stagnant dissolution medium. This situation is similar to the non-limiting example shown in
In both cases introduced above, the diffusion of dissolution fluid into the fiber or element contributes to faster disintegration. “Thin” fibers or elements are penetrated faster than “thick” fibers or elements, or “thick” minimally-porous dosage forms. “Thin” fibers or elements are therefore preferred to meet immediate-release specifications, the most relevant requirement of a typical pharmaceutical dosage form.
d) Element Erosion with Convection
In a stirred medium, the moving dissolution fluid 366 may impose a shear stress on the surface of an element or fiber 386 (i.e., the surface of the gelated layer) and a concentration boundary layer 356 may develop around an element or fiber 306 as schematically shown in
The time to erode 80% of the content of a circular fiber or element of initial radius, R0, in cross flow with Reynolds number, Re=2R0v∞ρf/μf˜1 or smaller, may be estimated as:
where v∞ is the far-field velocity of the dissolution medium, ρe the density of the eroding polymer in the fiber, cp* an estimate of the interfacial concentration, and Dp the diffusivity of a polymer molecule in the dissolution medium.
By way of example but not by way of limitation, if R0=250 μm, cp*=163 kg/m3, ρe=1150 kg/m3, Dp=1.09×10−10 m2/s, and v∞=10 mm/s, by Eq. (7) tE=1.7 mins. By contrast, if a fiber with initial radius R0=2.5 mm would erode under the same conditions, the erosion time, tE=77.8 min. Thus, also in this non-limiting example, the “thin” element or fiber disintegrates at least an order of magnitude faster than the “thick” fiber or the “thick” minimally-porous dosage form.
Any more examples of models of element or fiber erosion with convection would be obvious to a person of ordinary skill in the art. All of them are within the scope of this invention.
e) Dosage Form Disintegration in a Stagnant Dissolution Fluid
Upon immersion of the dosage form 400 in a dissolution fluid 410, the free spaces 420 may be percolated rapidly by the fluid 410 if (a) the free spaces 420 are (partially or entirely) inter-connected, (b) the content of the free spaces 420 is partially or entirely removable by the dissolution fluid 410, (c) the free spacing, λf, (e.g., the “free” distance between the one or more elements or segments) is on the sub-micro-, micro-, or meso-scale or greater, and (d) the excipient in the element or fiber is wettable by the dissolution fluid. Thus if the above conditions are satisfied, an element or fiber 430 in the three dimensional structural network will be surrounded by the dissolution fluid 410 soon (e.g. in less than about a second) after immersion of the dosage form 400. It is assumed that this is the case in the non-limiting example described here. The time to percolate part or all of the free spaces 420 is thus not considered to be rate-determining in dosage form disintegration or drug release.
Subsequent to fluid 410 percolation to the interior of the drug-containing solid 404, the dissolution fluid 410 that surrounds a segment then penetrates into it by diffusion, and the segment may swell and erode. Upon inter-diffusion of the fluid 410 and the polymeric segment, polymer molecules 440 (and gel-layer 450) may spread out. They may intersect with the molecules of adjoining segments at a certain time, t1, after immersion. Then at t2 a polymer-fluid solution 460 is formed. The time t2 to convert the drug-containing solid 404 to such a solution 460 may be estimated by the penetration and erosion times of a single element (or a single segment) 430 in a stagnant fluid 410 (e.g. by Eqs. (3) and (6)).
If all the free spaces 420 are percolated by the dissolution fluid 410, and the drug containing solid 401 further does not expand as it is converted to a solution 460, the concentration of the excipient polymer, cp,sol, in the solution 460 is about:
where Me is the mass and Ve the volume of the absorptive/soluble excipient, Vfs the volume of the free spaces 420, φf the volume fraction of the solid/dry elements in the dry dosage form, φe the volume fraction of the absorptive/soluble excipient polymer in the dry elements 430, and ρe is the density of the excipient in the dry state.
The solution 460 is dilute and the polymer molecules disentangled if the polymer concentration in the solution 460, cp,sol≤cp*. This is the case if:
Thus if Eq. (9) is satisfied, the polymer concentration in, or the viscosity of, the solution 460 is so small that the solution 460 is dilute or almost dilute. Consequently, the structured dosage form can be considered disintegrated as soon the single elements (or segments) 430 are eroded or penetrated. Dosage form 400 disintegration is determined solely by the behavior of a single element 430, and the inter-element interactions may be neglected. Thus for an element or fiber 430 geometry and properties of the composition as in the non-limiting examples a and b above, the dosage form 400 is disintegrated just a few minutes after immersion. This is well within immediate-release specification, which is one of the most relevant requirements of a typical pharmaceutical dosage form 400.
If the concentration of polymer in the solution 460, cp,sol>>cp*, however, the solution 460 may be considered a viscous mass. The viscous mass (or the viscous solution, or the viscous dosage form) then erodes from its exterior surface by diffusion. The diffusion flux of the eroding polymer, jp, may be estimated as:
and the time to disintegrate a thickness, Hdis, of the viscous mass 460 eroding from both faces may be estimated by
Thus by way of example but not by way of limitation, if cp,sol=300 kg/m3, cp*=163 kg/m3, Hdis=1 mm, and Dp=1.09×1010 m2/s, by Eq. (11), tdis=203 min. This disintegration time does not meet immediate-release specifications, and is far longer than the time to penetrate or disintegrate a single element 430. Thus if the concentration of polymer in (and the viscosity of) the solution 460 are too high, the drug release rate of the fibrous dosage form may be reduced substantially. This is detrimental to an immediate-release dosage form.
It may be noted that in case the structural assembly of elements expands (and/or ruptures) after immersion in a dissolution medium, the relative amount of dissolution fluid in the solution 460 is increased. Thus the solution 460 is less concentrated and the threshold given by Eq. (9) can be increased.
Any more models or examples of the disintegration of a structured dosage form in a stagnant fluid obvious to a person of ordinary skill in the art are all within the scope of this invention.
f) Dosage Form Disintegration in a Stirred Dissolution Fluid
Unlike the sequential layer-by-layer removal of material from the surface 502, material removal in the interior 540 of the dosage form is a parallel process because all the fibers 555 (e.g. the fibers in the interior) erode simultaneously. But the fibers 550, 555 impede fluid flow, reducing the fluid velocity in the interior of the structure (i.e., in the free spaces). The streamlines in the free spaces (or pores) may be as shown in
where μl is the viscosity of the liquid dissolution fluid, K is a hydraulic permeability and dp/dx a pressure gradient across the dosage form.
For a cross-ply arrangement of fibers as shown in
(for further information, see, e.g., J. Happel and H. Brenner, “Low Reynolds number hydrodynamics with special application to particulate media”, Prentice-Hall, Englewood Cliffs, N.J., 1965). Some estimated values of K, K⊥, and K∥ are listed below for specific non-limiting examples of the radius of solid fibers, R, and the inter-fiber spacing, λ:
The pressure gradient across the dosage form 500 may be estimated from fluid flow outside the dosage form 500 (
Further assuming that p pat. at the rear of the dosage form, the pressure gradient may be estimated as:
where a cord length L≈D/2 may be used for a dosage form that is of cylindrical disk shape (D is the dosage form diameter). Thus the average velocity of the fluid in the free spaces (or pores),
If the pores are considered an array of tubes, the maximum fluid velocity in the pores (e.g., the free spaces) is a factor two greater than the average velocity,
x
(Here again the calculations refer to a structure/arrangement/assembly as shown in
The calculated tE values are well within immediate-release specification, and shorter than the times to disintegrate the dosage form structures from the exterior surfaces. Thus even though the velocity in the interior of the fibrous structure 504 is reduced substantially, material removal by simultaneous erosion of fibers 555 in the interior is faster than by sequential erosion from the surface in the non-limiting examples presented.
It may be noted, however, that even in a stirred medium, if swelling of fibers in the interior is faster than erosion, the fibrous dosage form may disintegrate as described in the non-limiting example e above.
Finally, for a non-porous disk-shaped solid dosage form that erodes from both faces by convection (e.g., in a rotating basket of a USP dissolution apparatus), the erosion rate per eroding face may be approximated as:
where Ω is the angular velocity of the rotating basket. The effective disintegration time of the dosage form of initial thickness H0 eroding from both faces may be estimated as:
(It may be noted that in the present non-limiting example, erosion from the sides is not considered because the thickness of the dosage form is assumed smaller than the dosage form width or length. Furthermore, we may note that the model may be adapted if the eroding surfaces are not planar.)
By way of example but not by way of limitation, if cp*=163 kg/m3, Dp=1.09×10−10 m2/s, ρe=1150 kg/m3, ρl=1000 kg/m3, μl=0.001 Pa·s, Ω=5.24 rad/s, and H0=5 mm, by Eqs. (15) and (16) the calculated 0.8×tdis=73 min. This estimation of the disintegration time is an order of magnitude greater than the values tabulated above for parallel erosion of fibers with flow through the fibrous structure. Thus also in a stirred medium, the fibrous structures are superior to the non-porous structures if immediate drug release is the goal.
(For further details related to the USP dissolution apparatus, see, e.g., The United States Pharmacopeial Convention, USP 39-NF 34; further details related to convective mass transfer models are given, e.g., in V. G. Levich, “Physicochemical Hydrodynamics”, Prentice-Hall, Englewood Cliffs, N.J., 1962.)
Any more models or examples of the disintegration of a fibrous or structured dosage form in a stirred fluid obvious to a person of ordinary skill in the art are all within the scope and spirit of this invention.
g) Summary of Disintegration Models
The above non-limiting models illustrate the effects of the following design parameters on the disintegration rate of elements and structured dosage forms: the geometry of the structural assembly of elements, the solubility of the excipient in the dissolution medium (e.g., the “interfacial concentration”), the diffusivity of the excipient in the dissolution medium, the diffusivity of the medium in the excipient, the fractions of the individual components in the elements, and the disentanglement concentration of the excipient. All these parameters can be deterministically controlled during the manufacture of a structured dosage form.
Furthermore, the models illustrate that the structured dosage forms can be so designed that the length-scale of the disintegration-rate-determining mass transfer step is decreased from the thickness of the dosage form to the half-thickness of an element. As a result, the structured dosage forms can be designed to deliver drug faster (e.g., an order of magnitude faster) than the corresponding non-porous solid forms. Thus, the structured dosage forms offer predictable disintegration within a wide range of disintegration (and drug release) rates.
In view of the theoretical models and considerations above, which are suggestive and approximate rather than exact, the design and embodiments of the structured dosage forms disclosed herein comprise the following.
The pharmaceutical dosage forms disclosed herein generally comprise a drug-containing solid having an outer surface and an internal structure contiguous with and terminating at said outer surface. The internal structure comprises a structural assembly of one or more extruded structural elements. The elements comprise at least one active ingredient, and in some cases also at least one excipient. The elements further comprise segments separated and spaced from adjoining segments by free spacings defining one or more substantially interconnected free spaces in the drug-containing solid.
For achieving rapid percolation of dissolution fluid into the free spaces, in some embodiments a “free spacing”, λf, (e.g., a “free” distance between adjoining (i.e., neighboring) elements, or adjoining segments, is such that the percolation time of physiological/body fluid into one or more interconnected free spaces of the dosage form is no greater than 900 seconds under physiological conditions. This includes, but is not limited to percolation times no greater than 700 seconds, no greater than 500 seconds, no greater than 300 seconds, no greater than 100 seconds, no greater than 50 seconds, or no greater than 10 seconds under physiological conditions. The pressure of the physiological/body fluid at different surfaces of the interconnected free spaces may assume different values during fluid percolation.
By way of example but not by way of limitation, the percolation time into one or more interconnected free spaces of the dosage form may be determined as follows (
Also, in some embodiments, the effective free spacing, λf,e, on average is greater than 0.1 μm. This includes, but is not limited to an average λf,e greater than 0.25 μm, or greater than 0.5 μm, or greater than 1 μm, or greater than 2 μm, or greater than 5 μm, or greater than 7 μm, or greater than 10 μm, or greater than 15 μm, or greater than 20 μm, or greater than 25 μm, or greater than 30 μm, or greater than 40 μm, or greater than 50 μm, or in the ranges of 0.1 μm-5 mm, 0.1 μm-3 mm, 0.25 μm-5 mm, 0.5 μm-5 mm, 0.25 μm-3 mm, 0.1 μm-2.5 mm, 0.25 μm-2 mm, 1 μm-4 mm, 5 μm-4 mm, 10 μm-4 mm, 15 μm-4 mm, 20 μm-4 mm, 30 μm-4 mm, 40 μm-4 mm, or 50 μm-4 mm. As shown in the non-limiting 2-D examples 700, 702, 704, 706 of
Furthermore, in some embodiments at least one of the one or more excipients is wettable by a physiological/body fluid under physiological conditions. In the context of this work, a solid surface 810 is wettable by a fluid if the contact angle 820 of a fluid droplet 830 on the solid surface 810 exposed to air 840 is no more than 90 degrees (
In some embodiments disclosed herein, moreover, the following holds. If the average wall thickness is greater than 100 μm, an interconnected, continuous cluster of free space that extends from the outer surface of the drug-containing solid to a given point in the internal structure is obtained if no more than 0 to 12 walls are ruptured (e.g, walls of drug-containing solid enclosing free space are opened or removed). This includes, but is not limited to 0-11, 0-10, 0-9, 0-8, 0-7, 0-6, or 0-5 walls that must be ruptured to obtain an interconnected cluster of free space that extends from the outer surface to a given point in the internal structure. If the average wall thickness is smaller than 100 μm, no more than 0 to 24 walls must be ruptured to obtain such an interconnected cluster of free space. This includes, but is not limited to 0-22, 0-22, 0-18, 0-16, 0-14, 0-12, or 0-10 walls that must be ruptured to obtain an interconnected cluster of free space that extends from the outer surface of the drug-containing solid to a given point in the interior. In
For achieving a specific surface area (i.e., surface area-to-volume ratio) large enough to guarantee rapid disintegration of the elements, in some embodiments the one or more elements have an average thickness, ho, no greater than 2.5 mm. This includes, but is not limited to ho no greater than 2 mm, or no greater than 1.5 mm. It may be noted, however, that if the elements are very thin and tightly packed, the free spacing between the elements can be very small, too. This may limit the rate at which dissolution fluid can percolate or flow through the internal structure upon immersion in a dissolution fluid. Thus, in some embodiments the one or more elements have an average thickness, h0, in the ranges of 0.1 μm-2.5 mm, 0.5 μm-2.5 mm, 1 μm-2.5 mm, 1.75 μm-2.5 mm, 2.5 μm-2.5 mm, 2.5 μm-2 mm, 5 μm-2 mm, 10 μm-2 mm, 15 μm-2.5 mm, 20 μm-2.5 mm, 30 μm-2.5 mm, 40 μm-2.5 mm, or 50 μm-2.5 mm. We may further note that the average thickness of the elements, ho, can be greater than 2.5 mm in dosage forms that release drug over longer periods of time (e.g., in a time greater than about 25-45 minutes).
The element thickness, h, may be considered the smallest dimension of an element (i.e., h≤w and h≤l, where h, w and l are the thickness, width and length of the element, respectively). The average element thickness, h0, is the average of the element thickness along the length of the one or more elements. By way of example but not by way of limitation,
Furthermore, in some embodiments, a contact width, 2a, between two elements (or two segments) is no greater than 2.5 mm. This includes, but is not limited to a contact width between two elements (or two segments) no greater than 2 mm, or no greater than 1.75 mm, or no greater than 1.5 mm. In other examples without limitation, a contact width, 2a, between two elements (or two segments) may be no greater than 1.1 times the thickness of the contacting elements (or segments) at the position of the contact. This includes, but is not limited to a contact width, 2a, between two elements (or two segments) no greater than 1 time, or no greater 0.8 times, or no greater than 0.6 times the thickness of the contacting elements (or segments) at the position of the contact.
Moreover, we may note that the cross section of an element may, for example, be polygonal, ellipsoidal, etc. (or combinations thereof), and it may comprise inward-curved or outward-curved or un-curved surfaces. Furthermore, the cross section of an element may vary along the length (and/or along the width) of the element.
An element or a segment in the structural assembly may, for example, be defined by its position (e.g., the position of its central axis, etc.) relative to a reference point or frame. (In the invention herein, a reference frame may be understood as a reference coordinate system.) The reference point or the origin and orientation of the reference frame may be specified on the outer surface or within the internal structure of the drug containing solid.
In some embodiments of the invention herein, the position of at least one element or at least one segment in the structural assembly of one or more elements is precisely controlled. Such embodiments include, but are not limited to structural assemblies of elements wherein the position of a fraction of the elements or segments is precisely controlled. The volume fraction of elements or segments (with respect to the total volume of elements or segments that make up the structural assembly of elements) of which the position is precisely controlled can be greater than 0.1, or greater than 0.3, or greater than 0.5, or greater than 0.7, or greater than 0.9. It may be noted that in the context of the invention herein, a variable or a parameter (e.g., the position of an element, or a spacing between elements or segments, or an element thickness) is precisely controlled if it is deterministic and not stochastic (or random). A variable or parameter may be deterministic if, upon multiple repetitions of a step that includes said variable, the standard deviation of the values of said variable is smaller than the average value. This includes, but is not limited to a standard deviation of the values of said variable smaller than half the average value, or smaller than one third of the average value, or smaller than a quarter of the average value, or smaller than one fifth or the average value, or smaller than one sixth of the average value of said variable, or smaller than one eight of the average value of said variable, or smaller than one tenth of the average value of said variable, or smaller than one fifteenth of the average value of said variable, or smaller than one twentieth of the average value of said variable.
In some embodiments, furthermore, at least one spacing between elements or segments, λ, and/or at least one element thickness, h, is/are precisely (or deterministically) controlled. Thus, in some embodiments herein, if an element is produced multiple times under identical conditions, the standard deviation of the thickness of said elements is less than the average value of said elements' thickness. Similarly, if a spacing between elements is produced multiple times under identical conditions, the standard deviation of said inter-element spacing is less than the average value of said inter-element spacing in certain embodiments of the invention herein. It may be noted that in the invention herein, an inter-element spacing includes, but is not limited to a spacing between two segments. Also, we may note that the spacing between elements or segments may change along the length of said elements or segments. Similarly, an element thickness includes, but is not limited to the thickness of a segment. Also, the thickness of an element or a segment may change along the length of said element or segment.
A non-limiting example of a structural assembly of elements wherein the position of a large fraction (or all) of the elements, the spacing between elements, and the element thickness are controlled (or precisely controlled) is an ordered structure. As shown in the non-limiting schematics of
Moreover, as shown in
Typically, the volume fraction of drug-containing elements in the dosage form is no greater than 0.98. In other non-limiting examples, the volume fraction of drug-containing elements in the dosage form is no greater than 0.95, no greater than 0.93, or no greater than 0.9. In most cases, it is in the range 0.1-0.9, depending on how the one or more elements are arranged. A small volume fraction of drug containing elements is desirable to fill small amounts of drug in a comparable large volume (i.e., if the dosage form is used for delivery of a highly potent drug with a drug dose of just a few milligrams or less). On the contrary, a large volume fraction of drug-containing elements is desirable to fill large amounts of drug in a small volume (i.e., if the dosage form is used for delivery of a low potency drug or delivery of multiple active ingredients with a total drug dose of several 100 mg or more).
For achieving rapid erosion of one or more elements after contact with physiological/body fluid, in some embodiments the drug-containing elements include at least one excipient that has a solubility greater than 0.1 g/l in physiological/body fluids under physiological conditions. This includes, but is not limited to a solubility of at least one excipient in a physiological/body fluid greater than 0.5 g/l, or greater than 1 g/l, or greater than 5 g/l, or greater than 10 g/l, or greater than 20 g/l, or greater than 30 g/l, or greater than 50 g/l, or greater than 70 g/l, or greater than 100 g/l. Furthermore, the diffusivity of a dissolved excipient molecule in a physiological/body fluid may be greater than 1×10−12 m2/s under physiological conditions. This includes, but is not limited to a diffusivity of a dissolved excipient molecule in a physiological/body fluid greater than 2×10−12 m2/s, greater than 4×10−12 m2/s, greater than 6×10−12 m2/s, greater than 8×10−12 m2/s or greater than 1×10−11 m2/s under physiological conditions. The volume fraction of soluble excipient in the excipient (e.g., the excipient in its totality or all the volume of the one or more excipients in the one or more fibers) may be greater than 0.02. This includes, but is not limited to volume fractions of the soluble excipient in the excipient greater than 0.04, greater than 0.06, greater than 0.08, or greater than 0.1.
In polymers that form viscous solutions when combined with a dissolution medium, the ‘solubility’ in the context of this invention is the polymer concentration in physiological/body fluid at which the average shear viscosity of the polymer-physiological/body fluid solution is 5 Pa·s in the shear rate range 1-100 l/s under physiological conditions. The pH value of the physiological/body fluid may thereby be adjusted to the specific physiological condition of interest. By contrast, the solubility of a material that does not form a viscous solution when combined with a dissolution medium is the maximum amount of said material dissolved in a given volume of dissolution medium at equilibrium divided by said volume of the medium. It may, for example, be determined by optical methods.
Furthermore, in some embodiments the one or more drug-containing elements include at least one excipient that is absorptive of a physiological/body fluid. The effective diffusivity of physiological/body fluid in an absorptive excipient (and/or an element) is greater than 0.5×10−11 m2/s under physiological conditions. In other examples without limitation, the effective diffusivity of physiological/body fluid in an absorptive excipient (and/or an element) may be greater than 1×10−11 m2/s, greater than 3×10−11 m2/s, greater than 6×10−11 m2/s, or greater than 8×10−11 m2/s under physiological conditions.
Alternatively, for absorptive excipients where diffusion of physiological/body fluid to the interior is not Fickian, a rate of penetration may be specified. In some embodiments, the rate of penetration of a physiological/body fluid into a solid, absorptive excipient (and/or an element) is greater than an average thickness of the one or more drug-containing elements divided by 3600 seconds (i.e., h0/3600 μm/s). In other examples without limitation, rate of penetration may be greater than h0/1800 μm/s, greater than h0/1200 μm/s, greater than h0/800 μm/s, or greater than h0/600 μm/s.
For determining the effective diffusivity (and/or the rate of penetration) of dissolution medium in a solid, absorptive excipient (and/or an element) the following procedure may be applied. An element (e.g an element of the dosage form structure or an element that just consists of the absorptive excipient) may be fixed at both ends and placed in a still dissolution medium at 37° C. The time t1 for the element to break apart or deform substantially may be recorded. (By way of example but not by way of limitation, a deformation of a fiber may be considered substantial if either the length, width, or thickness of the fiber differs by more than 10 to 20 percent from its initial value. In elements with weight fraction, we, or volume fraction, φe, of absorptive/swellable excipient smaller than 0.4, a deformation of an element may be considered substantial if either the length, width, or thickness of the element differs by more than 25×φe percent or 25×we percent from its initial value.) The effective diffusivity, Deff, may then be determined according to Deff=hf2/4t1 where hf is the initial element thickness (e.g., the thickness of the dry element). Similarly, the rate of penetration of a physiological/body fluid into the element is equal to hf/2t1.
The effective diffusivity of dissolution medium in or the average velocity at which the fluid front advances (i.e., the rate of penetration of a physiological/body fluid) into a solid, absorptive excipient (or an element) may also be determined by spectral methods. By way of example but not by way of limitation, a film with thickness of the order of the thickness of an element may be cast from the element material (or the absorptive excipient only) by either addition and removal of a solvent or by melting and solidification. One side of the film may be exposed to the dissolution medium. On the other side of the film, the concentration of dissolution medium may be monitored. As soon as the monitored concentration of dissolution medium raises substantially (e.g., as soon as the concentration of water or dissolution fluid in the absorptive/swellable excipient on the monitored surface is greater than twice the concentration of water or dissolution fluid in the absorptive/swellable excipient of the initial solid film or element), the film is penetrated. The time ti to penetrate the film may be recorded and the effective diffusivity and rate of penetration calculated as detailed in the previous paragraph. Spectral methods are suited for materials that have some mechanical strength (i.e., increased viscosity) when they are penetrated by the dissolution fluid. They are also suited for materials (or fibers) where the deformation of the fiber upon penetration of dissolution fluid is small.
In some embodiments, at least one excipient of the drug-containing solid transitions from solid to a fluidic or gel consistency solution upon being solvated with a volume of physiological/body fluid equal to the volume of the one or more free spaces of the drug-containing solid (or dosage form). To ensure that the disintegration rate of such a drug-containing solid is of the order of the disintegration rate of a single element (e.g., to avoid that the drug-containing solid forms a viscous mass upon immersion in a dissolution medium that erodes slowly from its outer surfaces), the viscosity of said solution is no greater than 500 Pa·s. In other words, a solution comprising the weight of soluble/absorptive excipient in the drug-containing solid and a volume of physiological/body fluid equal to the volume of the free spaces of the drug-containing solid (specifically the volume of the free spaces that are removable by the dissolution fluid), has a viscosity no greater than 500 Pa·s. This includes, but is not limited to a viscosity of said solution less than 400 Pa·s, less than 300 Pa·s, less than 200 Pa·s, less than 100 Pa·s, less than 50 Pa·s, less than 25 Pa·s, or less than 10 Pa·s. In the context of this work, the viscosity of a solution is the average shear viscosity of the solution in the shear rate range 1-100 1/s under physiological conditions.
Non-limiting examples of excipients that if used at the right quantities satisfy some or all of the above requirements include polyethylene glycol (PEG), polyvinylpyrrolidone (PVP), PEG-PVP copolymer, poloxamer, lauroyl macrogol-32 glycerides, polyvinylalcohol (PVA), PEG-PVA copolymer, polylactic acid, polyvinylacetate phthalate, polymethacrylates (e.g., poly(methacrylic acid, ethyl acrylate) 1:1, butylmethacrylat-(2-dimethylaminoethyl)methacrylat-methylmathacrylat-copolymer), gelatin, cellulose or cellulose derivatives (e.g., microcrystalline cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, methyl cellulose, hydroxypropyl methyl ether cellulose, hydroxypropyl methylcellulose), starch, polylactide-co-glycolide, polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer, pregelatinized starch, lactose, sodium starch glycolate, polyacrylic acid, acrylic acid crosslinked with allyl sucrose or allyl pentaerythritol (e.g., carbopol), or polyols (e.g., lactitol, maltitol, mannitol, isomalt, xylitol, sorbitol, maltodextrin, etc.), among others.
The one or more free spaces may be filled with a matter selected from the group comprising solid, liquid, gas (or vacuum), or combinations thereof If one or more elements (or one or more segments) is/are partially or entirely surrounded by free space, the content of said free space may be removed partially or entirely after contact with dissolution fluid to give the fluid access to the one or more elements within the structural assembly of elements. This condition is, for example, satisfied by gases. Examples of biocompatible gases that may fill the free space include air, nitrogen, CO2, argon, oxygen, and nitric oxide, among others.
Liquids that are partially or entirely removed from the structure upon contact with dissolution fluid, and thus may be used to fill the free spaces include, but are not limited to such biocompatible low viscosity fluids as: Polyethylene glycol (PEG) with molecular weight smaller than about 1000 Da (e.g. PEG 400, PEG 300, etc.), Poloxamer 124, 2-Pyrrolidone, Glycerol triacetate (Triacetin), D-alpha tocopheryl polyethylene glycol 1000 succinate (TPGS), Polyoxyl Hydroxystearate, Polyoxyl 15 Hydroxystearate, Castor oil, Polyoxyl castor oil (Polyethoxylated castor oil), Polyoxyl 35 castor oil, Polyoxyl hydrogenated castor oil, Glyceryl monooeleate, Glycerin, Propylene glycol, Propylene carbonate, Propionic acid, Peanut oil, water, Sesame oil, Olive oil, Almond oil, combinations of such (and/or other) liquids with a polymer or any other molecule that dissolves in them, among others.
Non-limiting examples of solids that are removed or dissolved after contact with physiological/body fluid include sugars or polyols, such as Sucrose, Lactose, Maltose, Glucose, Maltodextrin, Mannitol, Maltitol, Isomalt, Lactitol, Xylitol, Sorbitol, among others. Other examples of solids include polymers, such as polyethylene glycol, polyvinyl pyrrolidone, polyvinyl alcohol, among others. Other examples of solids include effervescent agents, such as sodium bicarbonate. The relevant physical properties of a solid that is bonded to a drug-containing fiber are high solubility and diffusivity in physiological/body fluids to ensure its rapid removal after contact with physiological/body fluid. Thus other non-limiting examples of a solid include solid active pharmaceutical ingredients with high solubility and diffusivity, such as Aliskiren. Typically, a solid material should have a solubility in physiological/body fluid under physiological conditions greater than 50 g/l to be removed or dissolved rapidly after contact with dissolution medium. This includes, but is not limited to a solubility greater than 75 g/l, or greater than 100 g/l, or greater than 150 g/l. The diffusivity of the solid material (as dissolved molecule in physiological/body fluid under physiological conditions) should typically be greater than 4×10−12 m2/s if the solid material must be dissolved rapidly after contact with dissolution medium. This includes, but is not limited to a diffusivity greater than 6×10−12 m2/s,or greater than 8×1012 m2/s, or greater than 1×10−11 m2/s.
Furthermore, one or more filler materials such as microcrystalline cellulose or others, one or more sweeteners, one or more taste masking agents, one or more stabilizing agents, one or more preservatives, one or more coloring agents, or any other common or uncommon excipient may be added as excipient to the dosage form.
In some embodiments, a disintegration time of the dosage form (or the drug-containing solid) is no greater than (or less than) 45 minutes. This includes, but is not limited to a disintegration time no greater than 30 minutes, no greater than 25 minutes, no greater than 20 minutes, or no greater than 15 minutes. In the context of this disclosure, the disintegration time is defined as the time required to release 80 percent of the drug content of a representative dosage form structure into a stirred dissolution medium. The released drug may be a solid, such as a solid drug particle, and/or a molecule, such as a dissolved drug molecule. The disintegration test may, for example, be conducted with a USP disintegration apparatus under physiological conditions. (See, e.g. The United States Pharmacopeial Convention, USP 39-NF 34). Another method without limitation to conduct a disintegration test is by a USP basket apparatus (i.e., a USP apparatus 1 as shown in The United States Pharmacopeial Convention, USP 39-NF 34) under physiological conditions (e.g., at a temperature of 37° C. and at a stirring rate or basket rotation rate of 50-150 rpm). In this method, the time to disintegrate 80 percent of the representative dosage form structure after immersion in the stirred dissolution medium may, for example, be determined by visual or other optical methods. It may be noted that if the drug is in molecular form immediately or almost immediately after it is released from the dosage form structure, the disintegration time is about the same as the time to dissolve 80 percent of the drug content of a representative dosage form structure after immersion in a stirred dissolution medium. By way of example but not by way of limitation, the drug release time of dosage form structures comprising particles of highly water-soluble drugs in a water-soluble excipient matrix may be limited or determined by the disintegration time of the dosage form. As the dosage form structure disintegrates the released drug particles dissolve rapidly and the drug is in molecular form soon after the dosage form structure has disintegrated.
In case the drug-containing elements are well bonded to each other (or to a solid material that fills the one or more free spaces), the greater of a tensile strength or a yield strength of the assembled dosage form material is no less than 0.005 MPa. In other examples without limitation, the greater of a tensile strength or a yield strength of the assembled dosage form material is no less than 0.01 MPa, or 0.015 MPa, or 0.02 MPa, or 0.025 MPa, or 0.04 MPa, or 0.06 MPa, or 0.1 MPa, or 0.25 MPa, or 0.5 MPa. Bonding between the drug containing elements (or between the elements and the content of the free space) can, for example, be by interdiffusion of molecules, mechanical interlocking, or by other forces due to the surface energy of the materials. In some embodiments, good bonding is achieved without deforming the drug-containing elements plastically in the solid state. In this case, it may be possible to readily distinguish the elements from the free spaces in an image of the cross section of the dosage form (e.g., a scanning electron micrograph, a computerized tomograph, an x-ray image, or an image taken by another technique).
In some embodiments, the mechanical properties of the structural assembly of one or more elements disclosed herein (particularly the structures with weakly bonded elements (or segments), or even not bonded or unbonded elements (or segments)) may be improved, for example, by applying a coating on the surface of the dosage form (or the outer surface of the drug-containing solid). The thickness of the coating may, for example, be non-uniform. In the non-limiting example of
Also the coating materials include, but are not limited to polyethylene glycol (PEG), polyvinylpyrrolidone (PVP), PEG-PVP copolymer, poloxamer, lauroyl macrogol-32 glycerides, polyvinylalcohol (PVA), PEG-PVA copolymer, polylactic acid, polyvinylacetate phthalate, polymethacrylates (e.g., poly(methacrylic acid, ethyl acrylate) 1:1, butylmethacrylat-(2-dimethylaminoethyl)methacrylat-methylmathacrylat-copolymer), gelatin, cellulose or cellulose derivatives (e.g., microcrystalline cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, methyl cellulose, hydroxypropyl methyl ether cellulose, hydroxypropyl methylcellulose), starch, polylactide-co-glycolide, polyvinyl caprolactam-polyvinyl acetate-polyethylene glycol graft copolymer, pregelatinized starch, lactose, sodium starch glycolate, or polyacrylic acid, Sucrose, Lactose, Maltose, Glucose, Maltodextrin, Mannitol, Maltitol, Isomalt, Lactitol, Xylitol, Sorbitol, a sweetener, a coloring agent, a preservative, a stabilizer, a taste masking agent, among others.
In some embodiments, in addition to the drug-containing solid 101, 201 described above, the dosage form 1200 disclosed herein may comprise another drug-containing solid 1201 that contains at least one active ingredient (or one or more other drug-containing solids that contain at least one active ingredient; all such other drug-containing solids are referred to here as “other solid” or “other drug-containing solid”). Said other drug-containing solid 1201 has an outer surface 1202 and internal structure 1204 contiguous with and terminating at said outer surface 1202 as shown in
The following examples set forth, in detail, ways by which the structured dosage forms may be prepared and analyzed, and will enable one of skill in the art to more readily understand the principle thereof. The following examples are presented by way of illustration and are not meant to be limiting in any way.
Melt-processed dosage forms were prepared by first mixing 40 wt % of solid Acetaminophen particles (particle size about 40-80 μm as received from Sigma, St. Louis) with 60 wt % granules of polyethylene glycol with a molecular weight of 35,000 g/mol (PEG 35k, as received from Sigma, St. Louis). The solid mixture was then loaded into the granule-feeding unit of an adapted extrusion-micropatterning machine as shown schematically in
Melt-processed fibrous dosage forms (e.g., structured dosage forms) were then micro-patterned as follows. A single-layer pattern of the fibrous effluent from the extruder nozzle was first deposited on a surface (also referred to herein as “moving platform” or “linear stage” or “x-y-z stage”) which was moved along the desired path in the x-y plane. It should be noted that in the invention herein, the terms “depositing on a surface”, “micropatterning”, “patterning”, “3D-micro-patterning”, “3D-printing”, etc. are used interchangeably. Further patterns were then added layer-by-layer to the deposited structure until the deposited fibrous structure reached the desired thickness. The velocity of the linear stage in the x-y plane was 7.3 mm/s during deposition (or patterning). The distance between the nozzle exit and the top of the deposited fibrous structure (or the deposition surface) was kept at 1 to 2 mm during patterning. The ambient temperature and that of the x-y-z stage were at room temperature. The process was stopped as soon as the thickness of the dosage form reached about 5 mm. Three different three dimensional structural networks of fibers were prepared: structures of the configuration shown in
For preparing melt-processed minimally-porous solid dosage forms, a stainless steel mold was placed on the top surface of the linear stage and was filled with the effluent extrudate until a height of 5 mm was reached. The material was left in the mold, which was kept at room temperature, for about 2 minutes to solidify. Subsequently, the solid dosage form was ejected.
The elastic modulus and mechanical strength of the fibrous and minimally-porous dosage forms was sufficient to handle the dosage forms without taking specific care.
Wet-processed dosage forms were prepared by first mixing 60 wt % of solid ibuprofen particles (particle size about 20-40 μm, as received from BASF, Ludwigshafen, Germany) with 40 wt % particles of polyvinyl alcohol-polyethylene glycol graft copolymer 3:1 with a molecular weight of 45,000 Daltons (particle size about 50 μm, as received from BASF, Ludwigshafen, Germany; tradename: Kollicoat IR). The particles were mixed and loaded into the granule-feeding unit of an adapted extrusion-micropatterning machine as shown schematically in
For preparing wet-processed fibrous dosage forms (e.g., structured dosage forms), a single layer of the fibrous effluent from the extruder nozzle was micro-patterned on a moving surface (e.g., a “linear stage” or “x-y-z stage”) as described in the example 1 above. Then further patterns were added layer-by-layer to the deposited structure (e.g., the layers were stacked) until the deposited fibrous structure reached the desired thickness. The x-y-z stage (and the deposited structure) were position- and velocity-controlled. The velocity of the x-y-z stage was 14.4 mm/s during deposition of the material. The distance between the nozzle exit and the top of the fibrous structure (or the deposition surface defined by the x-y-z stage) was kept at 1 to 2 mm during patterning. The process was stopped when the thickness of the dosage form reached about 4-5 mm. After that warm air at a temperature of 60° C. was blown on the dosage form structure for about 5 minutes to dry the fibrous material. The fibrous dosage forms prepared had a three dimensional structural network of fibers as schematically shown in
For preparing wet-processed minimally-porous solid dosage forms, a stainless steel mold was placed on the top surface of the linear stage and was filled with the effluent stream until a height of about 4-5 mm was reached. The material was then left in the mold for about 48 hours in a dry environment at room temperature to remove the residual water. Subsequently, the dosage form was ejected from the mold.
For imaging melt-processed dosage form and fiber disintegration, the dosage forms and the fiber were first attached to a sample holder using a drop of Loctite Super Glue. The sample holder was then immersed in the dissolution fluid which was a 0.05 M phosphate buffer solution (prepared with sodium phosphate monobasic and sodium phosphate dibasic) at a pH of 5.8 and at 37° C. (as suggested by the monograph of The United States Pharmacopeial Convention, USP 39-NF 34). For imaging dosage form disintegration, the fluid was stirred with a paddle rotating at 50 rpm during the entire dosage form disintegration time and images were captured at specific time points. Images of the disintegrating fibers were captured in both a stirred medium as above and also in a still (not stirred) dissolution fluid. All the images of dosage form disintegration were taken with a Nikon DX camera equipped with an additional 7 diopters of magnification.
Representative images that present the disintegration processes of melt-processed single fibers (i.e., fibers consisting of 60% PEG 35k and 40% Acetaminophen) in still and stirred dissolution fluid are shown in
Images of the disintegration process of a melt-processed single fiber in stirred dissolution medium are shown in
The disintegration process of a wet-processed single fiber (i.e., a fiber consisting of 60% ibuprofen and 40% polyvinyl alcohol-polyethylene glycol graft copolymer with molecular weight ˜45,000 Da) in still (i.e., unstirred) dissolution medium is shown in
Before the disintegration of wet-processed dosage forms was imaged, the edges of the dosage form were cut away so that the microstructural topology was uniform across the entire structure. Imaging of the disintegration of wet-processed dosage forms and fibers was done the same way as the melt-processed dosage forms.
The disintegration of a wet-processed fibrous dosage form with R/λ=0.27 (i.e., a volume fraction of fibers, φf=0.42) is shown in
Drug release (and drug dissolution) from fibers and dosage forms was tested by a USP dissolution apparatus 1 (as shown, e.g., in The United States Pharmacopeial Convention, USP 39-NF 34) filled with 900 ml of the dissolution fluids above (a 0.05 M phosphate buffer solution with pH 5.8 for melt-processed fibers and dosage forms and pH 7.2 for wet-processed fibers and dosage forms. The temperature of the dissolution fluid was 37±2° C. in both cases). The basket was rotated at 50 rpm. The concentration of dissolved drug in the dissolution fluid was measured versus time by UV absorption at 244 nm using a fiber optic probe. For all the dosage forms, the fraction of drug dissolved increased steadily with time at roughly constant rate until it plateaued out to the final value.
single fiber and the drug release results of wet-processed minimally-porous solid structure. The time to dissolve 80% of the drug content, t0.8, is readily extracted from these curves. The average t0.8 values of the various dosage forms tested are listed in Table 1. The average t0.8 of the single fiber is roughly 3 mins. t0.8 increases if the fibers are assembled to a dosage form, to 7 mins. t0.8 of the fibrous dosage forms, however, is much faster than the drug release time of the corresponding minimally-porous solid structure with t0.8=79 mins.
The shear viscosities of PEG 35k-physiological/body fluid solutions was determined by first mixing water with PEG 35k at a polymer concentration of 5, 10, 20, 33, and 47 wt % (i.e., the water weight fractions were 95, 90, 80, 67, and 53 wt %). A shear rheometer (TA Instruments, ARG2 Rheometer, stress-controlled) equipped with a 60 mm diameter cone with an apex angle of 178° was used. The temperature was 37±1° C. during the experiments, and the shear strain-rate range was 1-100/s.
It was found that the shear viscosities of the PEG 35k-water solutions investigated were highly dependent on the weight fraction of polymer, wp, in the measured range 0.05<wp<0.47. But the shear viscosity of a specific solution (e.g., a solution at a given weight fraction of the polymer) was mostly independent of shear rate {dot over (γ)}, if 1 s−1<{dot over (γ)}<100 s−1. In
From this data, both the microstructure and select properties of the polymer solution can be estimated. In an infinitely dilute water-polymer solution where the polymer molecules can be considered as individual units that do not touch as shown later in
In a dilute solution, the diffusivity, Dp, of a linear polymer (a relevant property for dosage form disintegration) in a θ-solvent follows Zimm's equation:
where kb is Boltzmann's constant, T the temperature, N the number of bonds of the polymeric chain, and b the bond length. Using T=310 K, N=2385, b=1.54 Å, and μl=0.001 Pa·s (as for the dilute PEG 35k-water solutions), Dp=1.09×10−10 m2/s.
The dilute solution assumptions, however, break down if the concentration is increased to the value where the molecules touch. The critical polymer concentration, cp*, at which the polymer molecules entangle (another relevant property for dosage form disintegration) is about:
where M is the molecular weight of the polymer and NA Avogadro's number. The experimental data presented in
The solution is considered semi-dilute if the polymer concentration is above cp*. Typically, in the semi-dilute region μs˜cp4˜6. This law is in agreement with our experiments in the range 0.16<wp<0.47.
The shear viscosities of Kollicoat IR-physiological/body fluid solutions were determined by first mixing water with Kollicoat IR at polymer concentrations of 2.5, 5, 10, 15, 20, 25, 30, 35, and 40 wt %. A shear rheometer (TA Instruments, ARG2 Rheometer, stress-controlled) equipped with a 60 mm diameter cone with an apex angle of 178° was used. The temperature was 37° C. during the experiments, and the shear strain-rate range was 1 s−1-100 s−1.
These results allow us to estimate the structure of the water-polymer solutions. The viscosity of an infinitely dilute water-polymer solution is a linear function of the polymer concentration, and the results of this work suggest that the solution is dilute up to wp*=0.14. In such a dilute solution, the polymer molecules are individual molecules surrounded by water. They do not touch each other or form an interconnected structure as shown in
Then in the semi-dilute region the solution viscosity typically follows μs˜cp4-6. This work suggests that the solution is semidilute if 0.14<wp<0.25. In such semidilute solutions, the polymer molecules touch, but entanglement of the chains of different molecules is minimal (
If the polymer concentration is increased beyond wp** (or cp**) (wp**≈0.25 in the system of this example), however, the polymer molecules may entangle to fit in the given space (
In some embodiments, the amount of active ingredient contained in a dosage form disclosed in this invention is appropriate for administration in a therapeutic regimen that shows a statistically significant probability of achieving a predetermined therapeutic effect when administered to a relevant population. By way of example but not by way of limitation, active ingredients may be selected from the group consisting of acetaminophen, aspirin, caffeine, ibuprofen, an analgesic, an anti-inflammatory agent, an anthelmintic, anti-arrhythmic, antibiotic, anticoagulant, antidepressant, antidiabetic, antiepileptic, antihistamine, antihypertensive, antimuscarinic, antimycobacterial, antineoplastic, immunosuppressant, antihyroid, antiviral, anxiolytic and sedatives, beta-adrenoceptor blocking agents, cardiac inotropic agent, corticosteroid, cough suppressant, diuretic, dopaminergic, immunological agent, lipid regulating agent, muscle relaxant, parasympathomimetic, parathyroid, calcitonin and biphosphonates, prostaglandin, radiopharmaceutical, anti-allergic agent, sympathomimetic, thyroid agent, PDE IV inhibitor, CSBP/RK/p38 inhibitor, or a vasodilator).
In conclusion, this invention discloses a dosage form with predictable structure and drug release behaviour. Both can be tailored by well-controllable parameters. This enables faster and more economical development and manufacture of pharmaceutical dosage forms, and higher quality and more personalized medical treatments.
It is contemplated that a particular feature described either individually or as part of an embodiment in this disclosure can be combined with other individually described features, or parts of other embodiments, even if the other features and embodiments make no mention of the particular feature. Thus, the invention herein extends to such specific combinations not already described. Furthermore, the drawings and embodiments of the invention herein have been presented as examples, and not as limitations. Thus, it is to be understood that the invention herein is not limited to these precise embodiments. Other embodiments apparent to those of ordinary skill in the art are within the scope of what is claimed.
This application is a continuation-in-part of, and incorporates herein by reference in its entirety, the U.S. application Ser. No. 16/916,208 filed on Jun. 30, 2020, and titled “Dosage form comprising structural framework of two-dimensional elements”, which is a continuation-in-part of the U.S. application Ser. No. 15/964,063 filed on Apr. 26, 2018, and titled “Dosage form comprising two-dimensional structural elements”, which is a continuation-in-part of the International Application No. PCT/US2016/058935 filed on Oct. 26, 2016, and titled “Solid Dosage Form for Immediate Drug Release and Apparatus and Method for Manufacture thereof”, which claims priority to and the benefit of the U.S. Provisional Application No. 62/246,470 filed Oct. 26, 2015, the U.S. Provisional Application No. 62/360,546 filed on Jul. 7, 2016, and the U.S. Provisional Application No. 62/377,068 filed on Aug. 19, 2016. All foregoing applications are hereby incorporated by reference in their entirety. This application also is a continuation-in-part of, and incorporates herein by reference in its entirety, the U.S. application Ser. No. 15/482,776 filed on Apr. 9, 2017, and titled “Fibrous dosage form”, which claims priority to and the benefit of the U.S. Provisional Application No. 62/446,431 filed on Jan. 14, 2017, and the U.S. Provisional Application No. 62/468,888 filed on Mar. 8, 2017. All foregoing applications are hereby incorporated by reference in their entirety.
Number | Date | Country | |
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62446431 | Jan 2017 | US | |
62468888 | Mar 2017 | US |
Number | Date | Country | |
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Parent | 15482776 | Apr 2017 | US |
Child | 17367344 | US | |
Parent | 16916206 | Jun 2020 | US |
Child | 15482776 | US |