Typically, orally administered drug dosages include liquids or powders administered as compressed tablets, coated tablets, or gelatin capsules containing a single dosage of a selected drug. Dosage regimens often require predetermined schedules of multiple dosages per day or over several days. Some active ingredients may not solubilize well in gastric fluid, resulting in poor absorption and poor bioavailability. In some typical systems, small molecules that may have demonstrated effectiveness and safety at the in vitro stage often fail at the in vivo stage due to less than favorable pharmacokinetics, typically due to absorption, distribution, metabolism, and elimination (ADME). The first hurdle, absorption, can be attributed to factors that are broadly classified as either solubility or permeability.
As described herein, an oral dosage tablet and method of manufacturing the same is provided to enable tablets using active ingredients that do not solubilize well in gastric or intestinal fluids, for example with hydrophobic active ingredients. In particular, due to the poor absorption, the active ingredients may be less effective than anticipated. Such active ingredients typically require a lipid and/or a phospholipid component to aid the solubilization of the active ingredients. The active ingredients may, for example, be classified according to the biopharmaceutics classification system (BCS) as class two or class four. Each of class two and class four exhibit low solubility, for example in gastric and/or intestinal fluids. Class four typically also exhibits reduced permeability as compared with class two active ingredients.
In some examples, small molecules that may have demonstrated effectiveness and safety at the in vitro stage may fail at the in vivo stage due to less than favorable pharmacokinetics, typically termed absorption, distribution, metabolism, and elimination (ADME). One major hurdle, absorption, can be attributed to factors that are broadly classified as either solubility or permeability. The oral dosage tablet described herein addresses the aspect of poor solubility or poor permeability, using a platform approach, where the active ingredient could be quickly formulated, and three dimensionally (3D) printed into a tablet.
As compared to typical systems, the oral dosage tablet described herein bypasses the need for a specific formulation stage for each active ingredient that may be used in a tablet, which requires careful selection of the oily phase and titration of both the phospholipids and/or surfactants and the hydrophobic drug (e.g., the active ingredient). In typical systems, the formulations stage is critical due to the need for a stable dispersion before the next formulation step of solidifying the formulation. The presence of the hydrophobic active ingredient, oil, and interaction with the aqueous environment adds complexity to the overall formulation. In comparison, the oral dosage tablet described herein simplifies the overall approach by keeping the oil and water phase physically separate and thereby only requiring formulation of the active ingredient, and not the active ingredient plus the lipids that are used to aid absorption. The oral dosage tablet described herein is also scalable, for size and production capacity, as tablets of varying sizes and shapes are manufactured in the same manner, and tablets used for trials, lab testing, or industrial manufacturing are each manufactured in a similar manner. The oral dosage tablet described herein also enables an ability to change active ingredients without changing the remainder of the tablet formulation. This contrasts with typical liposome or micelle production process, where new formulations must be developed for each active ingredient.
The oral dosage tablet described herein makes use of amphipathic molecules to improve the solubility of a poor soluble or hydrophobic active ingredient. This type of active ingredient is typically found in BCS classes 2 and 4. As used herein the term “amphipathic molecules” refers to a molecule composed of a hydrophilic portion, generally referred to as a “hydrophilic head”, and a hydrophobic portion generally referred to as a “hydrophobic tail”. Such molecules can form vesicular structures in which the hydrophobic tails associate to create a hydrophobic core and the hydrophilic heads associate with an external, aqueous environment. One such structure is a liposome in which a phospholipid bilayer is oriented in a generally circular/spherical configuration such that the hydrophilic heads of one layer surround an aqueous core while the hydrophilic heads of the other layer interact with a bulk aqueous phase. Another such structure is a micelle in which a monolayer arranges itself with hydrophobic tails associated in a hydrophobic core and hydrophilic heads interacting with a bulk aqueous phase. Also included are lipids and surfactants. The close proximity and increased contact surface area of the lipid and active ingredient layers improve the overall solubility of the active ingredient through the interaction of the amphipathic molecules with the active ingredient.
The oral dosage tablet described herein is 3D printed by applying multiple layers of active ingredients and phospholipids, typically in an alternating manner, to increase the surface area of the oily phase containing the active ingredient exposed to the aqueous environment (e.g., gastric fluid or intestinal fluid). As a result, the rate of solubilization of the hydrophobic active ingredient is improved over typical tablets. Additionally, doses of active ingredients may be personalized and adjusted through adjustments to the 3D printing, such as by printing thicker layers, thinner layers, more layers, or fewer layers, to adjust a dosage of the active ingredient without requiring a re-formulation and changes in production workflow to produce the tablet.
The oral dosage tablets described herein ensure that the thin layers of active ingredients are in close contact with a corresponding thin lipid layer. When the oral dosage tablet is orally ingested, the different layers start to disperse in the gastric environment. The increased surface area improves the ability for the lipid and/or phospholipids to solubilize the active ingredients. The increased surface area is achieved by 3D printing alternating thin layers of lipid and/or phospholipid and active ingredient.
Phospholipids typically consist of a hydrophilic head and hydrophobic end. This property is utilized in the oral dosage tablet where the hydrophobic active ingredient interacts with the hydrophobic end of the phospholipid, whereas the hydrophilic head of the phospholipid interacts with the aqueous environment. In some examples, the lipid and/or phospholipid may include any amphipathic components including surfactants, sphingolipids, ceramides, glycosphingolipids, and any combination thereof.
The phospholipids (or any of the compounds listed above) aid in the solubilization of hydrophobic active ingredients through the combination of micelles production, liposomes production or simply the cross interaction between the phospholipids and active ingredients. The net effect is the increased solubilization of the hydrophobic active ingredient. In contrast, lipids would dissolve the active ingredients which would otherwise remain as solid particles in the water-based gastric or intestinal fluids.
Turning now to the figures,
The 3D printer 100 may have two printing heads, a single printing head, or multiple nozzles for printing the lipid and active ingredient layers. For example, a 3D printer 100 that includes printer nozzles for ejecting the lipid and the active ingredient layers may be able to produce oral dosage tablets 106 more efficiently than a 3D printer with a single supply that must alternate between a supply of lipid and a supply of active ingredient formulation.
The 3D printer 100 applies layers having a thickness of less than 1 millimeter of each of the lipid layer and the active ingredient layer. In some examples, the layers of each may be between 0.1 and 0.8 millimeters in thickness. In some examples, each layer may have a thickness of 0.6 millimeters each. In some examples, the layers of lipid and active ingredient may be applied in multiple passes of the 3D printer, for example, with each subsequent layering from the 3D printer 100 applying a thin (e.g. less than 0.2 mm) layer of the material and subsequently building up a layer of each to a desired thickness by applying multiple passes or layers via the 3D printer.
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The layers of the oral dosage tablet 106 are applied by the 3D printer 100 as thin layers, less than one millimeter. In some examples, the layers may be applied through one or more passes of the 3D printer 100. The layers may have a thickness of between 0.1 millimeters to 0.8 millimeters in some examples. The thin layers, particularly of the active ingredient, increase the surface area of the active ingredient layers and enable dissolution and solubility rates for the active ingredients that exceed typical oral dosage tablets. In some examples, the layers including the lipids may have a different thickness than the layers having the active ingredients. For example, the active ingredient layers may be thicker than the lipid layers or the active ingredient layers may be thinner than the lipid layers.
The production apparatus 410 may include any suitable additive and/or subtractive manufacturing apparatus configured to perform any suitable manufacturing process. For example, the production apparatus 410 is illustrated as an extrusion deposition type of apparatus such as a 3D printer. Other suitable manufacturing apparatuses may be configured to perform processes including, for example, a screen printing machine, a digital ink jet printing machine, a flexo printing machine, a ultra violet (UV) lithography printing machine, laser printing machine, a pad printing machine, a laminated object manufacturing machine, a stereolithography machine, and/or any other suitable additive and/or subtractive production machine. Additional methods and apparatuses for manufacturing may be used in some examples including vacuum forming, thermoplastic forming, casting, injection molding, molding, and the like.
The architecture 400 may also include the production apparatus 410 in communication with at least the manufacturing management system 402 via a secondary network 416. The secondary network 416 may include any one or a combination of many different types of networks as described elsewhere herein.
Turning now to the details of the user device 404, the user device 404 may be any suitable type of computing device such as, but not limited to, a tablet, a mobile phone, a smart phone, a personal digital assistant (PDA), a laptop computer, a desktop computer, a cloud computing device, or any other suitable device capable of communicating with the manufacturing management system 402 via the network 403 or any other suitable network. For example, the user device 404(1) is illustrated as an example of a smart phone, while the user device 404(N) is illustrated as an example of a laptop computer.
The user device 404 may include a web service application 440 within memory 412. Within the memory 412 of the user device 404 may be stored program instructions that are loadable and executable on processor(s) 414, as well as data generated during the execution of these programs. Depending on the configuration and type of user device 404, the memory 412 may be volatile (such as random access memory (RAM)) and/or non-volatile (such as read-only memory (ROM), flash memory, etc.). The web service application 440, stored in the memory 412, may allow the user 401 to interact with the manufacturing management system 402 via the network 403. Such interactions may include, for example, interacting with user interfaces provided by the manufacturing management system 402, selecting oral dosage tablet 106 designs, customizing oral dosage tablet 106 capsule designs (e.g., by adjusting a size, thickness, or components within each of the layers), and placing orders for oral dosage tablets 106, performing any other interaction described herein or relating to obtaining tablets, and any other suitable client-server interactions. The manufacturing management system 402, whether associated with the electronic marketplace or not, may host the web service application 440.
The manufacturing management system 402 may include one or more service provider computers, and may host web service applications. These servers may be configured to host a website (or combination of websites) viewable on the user device 404 (e.g., via the web service application 440). The user 401 may access the website to view items (e.g., capsules) that can be ordered from the manufacturing management system 402 (or an electronic marketplace associated with the manufacturing management system 402). These may be presentable to the user 401 via the web service applications.
The manufacturing management system 402 may include at least one memory 418 and one or more processing units (or processor(s)) 420. The processor 420 may be implemented as appropriate in hardware, computer-executable instructions, software, firmware, or combinations thereof. Computer-executable instruction, software, or firmware implementations of the processor 420 may include computer-executable or machine-executable instructions written in any suitable programming language to perform the various functions described. The memory 418 may include more than one memory and may be distributed throughout the manufacturing management system 402. The memory 418 may store program instructions that are loadable and executable on the processor(s) 420, as well as data generated during the execution of these programs. Depending on the configuration and type of memory including the manufacturing management system 402, the memory 418 may be volatile (such as random access memory (RAM)) and/or non-volatile (such as read-only memory (ROM), flash memory, or other memory). The memory 418 may include an operating system 422 and one or more application programs, modules, or services for implementing the techniques described herein including at least a manufacturing management engine 406. In some examples, the production apparatus 410 is configured to perform the techniques described herein with reference to the manufacturing management system 402, including the manufacturing management engine 406.
The manufacturing management system 402 may also include additional storage 424, which may be removable storage and/or non-removable storage including, but not limited to, magnetic storage, optical disks, and/or tape storage as well as private or public cloud networks. The disk drives and their associated computer-readable media may provide non-volatile storage of computer-readable instructions, data structures, program modules, and other data for the computing devices. The additional storage 424, both removable and non-removable, are examples of computer-readable storage media. For example, computer-readable storage media may include volatile or non-volatile, removable or non-removable media implemented in any suitable method or technology for storage of information such as computer-readable instructions, data structures, program modules, or other data. As used herein, modules, engines, and components, may refer to programming modules executed by computing systems (e.g., processors) that are part of the manufacturing management system 402, the user device 404, and/or the production apparatus 410.
The manufacturing management system 402 may also include input/output (I/O) device(s) and/or ports 426, such as for enabling connection with a keyboard, a mouse, a pen, a voice input device, a touch input device, a display, speakers, a printer, or other I/O device.
The manufacturing management system 402 may also include a user interface 428. The user interface 428 may be utilized by an operator or one of the users 401 to access portions of the manufacturing management system 402. In some examples, the user interface 428 may include a graphical user interface, web-based applications, programmatic interfaces such as application programming interfaces (APIs), or other user interface configurations. The manufacturing management system 402 may also include a data store 430. In some examples, the data store 430 may include one or more data stores, databases, data structures, or the like for storing and/or retaining information associated with the manufacturing management system 402. Thus, the data store 430 may include databases, such as a customer information database 432, a model database 434, and a content item database 436.
The customer information database 432 may be used to retain information pertaining to customers of the manufacturing management system 402, such as the user 401. Such information may include, for example, customer account information (e.g., electronic profiles for individual users), demographic information for customers, payment instrument information for customers (e.g., credit card, debit cards, bank account information, and other similar payment processing instruments), account preferences for customers, shipping preferences for customers, purchase history of customers, oral dosage tablet models, customer material preferences, and other similar information pertaining to a particular customer and sets of customers of the manufacturing management system 402. In some examples, the customer information may be encrypted and decrypted when needed using typical encryption techniques. In some examples, the customer information may be de-identified or anonymized and instead merely present generic profiles that can be selected from for manufacturing. In some examples, the information retained in the customer information database 432 may be shared with and/or received from the electronic marketplace.
The model database 434 may be used to store three-dimensional models or designs of oral dosage tablets 106. The model database 434 may be referenced when the manufacturing management engine 406 attempts to identify a particular three-dimensional item or a particular oral dosage tablet design, or generate manufacturing instructions for a particular tablet. The model database 434 may be configured to store any suitable data in any suitable format (e.g., computer-aided drafting (CAD) file such as a STereoLithography file or .STL format) capable of storing a representation of a three-dimensional item.
The digital content item database 436 may be used to retain information about digital content items for which oral dosage tablet designs are available. For example, the digital content item database 436 may include a table that includes all digital content items available for purchase in the electronic marketplace, information about the design of the different oral dosage tablets such as the active ingredients included and the dosage.
Any suitable computing system or group of computing systems can be used for performing the operations or methods described herein.
The computing device 500 can include a processor 540 interfaced with other hardware via a bus 505. A memory 510, which can include any suitable tangible (and non-transitory) computer readable medium, such as RAM, ROM, EEPROM, or the like, can embody program components (e.g., program code 515) that configure operation of the computing device 500. Memory 510 can store the program code 515, program data 517, or both. In some examples, the computing device 500 can include input/output (“I/O”) interface components 525 (e.g., for interfacing with a display 545, keyboard, mouse, and the like) and additional storage 530.
The computing device 500 executes program code 515 that configures the processor 540 to perform one or more of the operations described herein. The program code 515 may be resident in the memory 510 or any suitable computer-readable medium and may be executed by the processor 540 or any other suitable processor.
The computing device 500 may generate or receive program data 517 by virtue of executing the program code 515. For example, oral dosage tablet designs, drug characteristics, formulations, and patient treatment profiles are all examples of program data 517 that may be used by the computing device 500 during execution of the program code 515.
The computing device 500 can include network components 520. Network components 520 can represent one or more of any components that facilitate a network connection. In some examples, the network components 520 can facilitate a wireless connection and include wireless interfaces such as IEEE 802.11, Bluetooth, or radio interfaces for accessing cellular telephone networks (e.g., a transceiver/antenna for accessing CDMA, GSM, UMTS, or other mobile communications network). In other examples, the network components 520 can be wired and can include interfaces such as Ethernet, USB, or IEEE 1394.
Although
The method for forming the oral dosage tablet 106 may also include operation 604 of forming an active ingredient paste. The formulation for each active ingredient layer may be fixed once determined. The paste for the active ingredient layer may be formed primarily through the mixing of hydrophilic polymers such as Polyvinylpyrrolidone with a water-based co-solvent. The active ingredient layer is formulated to contain the required active ingredient, hydrophilic binders such as polyvinylpyrrolidone (PVP) and a disintegrant such as sodium starch glycolate and are mixed to obtain a uniform paste. As the main change in formulation is the active ingredient, formulation changes can be made quickly by only changing the active ingredient layer and therefore, accelerating time to market for different oral dosage tablets 106.
The method for forming the oral dosage tablet 106 may also include operation 606 of forming a wet tablet. Forming the wet tablet can involve operations 608, where a first layer of a lipid paste is applied, and operation 610, where a second layer of the active ingredient paste is applied on top of the lipid paste. The thin layers of the lipid paste and the active ingredient paste may be applied through the use of a 3D printer, screen printer, or other application method that applies thin layers of a pate or paste-like material to a substrate. The layers may be applied at a thickness of between 0.3 to 0.8 millimeters. In some examples, prior to applying the thin layers, the lipid and/or the active ingredient paste may be degassed and loaded into a syringe or other dispensing device. The degassing may be performed using a centrifuge. Degassing the paste ensures that the layers will be applied consistently and evenly without air bubbles or pockets.
A traditional tablet machine could potentially be used to produce oral dosage tablet 106. In such examples, a layer of lipid would be compacted onto a layer of pre-compacted tablet. This may present challenges due to the sticky and soft nature of lipids, making it difficult for a tablet to be compacted in this manner. Furthermore, repeated layering within a single layer would take additional amount of time for traditional tablet machine, as compared to produce a single layer tablet.
The method for forming oral dosage tablet 106 may also include operation 612 of drying and cooling the oral dosage tablets after applying the thin layers. The drying of the oral dosage tablet 106 removes any excess water or moisture from the layers that may have been added to formulate the paste for the lipid or active ingredient layers. The cooling adds rigidity to the lipids and hardens the tablet. Once dried and stored in a low temperature environment, the tablets become more stable and durable for storage and transportation.
The method for forming the oral dosage tablet 106 may also include storing the oral dosage tablets 106 in airtight, light proof packaging at a particular temperature to prevent the lipid layers of the oral dosage tablet 106 from becoming rancid. The oral dosage tablets 106 may be stored at or below four degrees Celsius in airtight containers to prevent the lipid layers from becoming rancid. In some examples, the containers may also block light, such as ultraviolet light, from contacting the oral dosage tablet 106. The oral dosage tablet 106 thereby becomes stable and enables storage for extended periods of time without losses in efficacy of the tablet.
While the present subject matter has been described in detail with respect to specific aspects thereof, it will be appreciated that those skilled in the art, upon attaining an understanding of the foregoing, may readily produce alterations to, variations of, and equivalents to such aspects. Numerous specific details are set forth herein to provide a thorough understanding of the claimed subject matter. However, those skilled in the art will understand that the claimed subject matter may be practiced without these specific details. In other instances, methods, apparatuses, or systems that would be known by one of ordinary skill have not been described in detail so as not to obscure claimed subject matter. Accordingly, the present disclosure has been presented for purposes of example rather than limitation, and does not preclude the inclusion of such modifications, variations, and/or additions to the present subject matter as would be readily apparent to one of ordinary skill in the art.
Unless specifically stated otherwise, it is appreciated that throughout this specification discussions utilizing terms such as “processing,” “computing,” “calculating,” “determining,” and “identifying” or the like refer to actions or processes of a computing device, such as one or more computers or a similar electronic computing device or devices, that manipulate or transform data represented as physical electronic or magnetic quantities within memories, registers, or other information storage devices, transmission devices, or display devices of the computing platform. The use of “adapted to” or “configured to” herein is meant as open and inclusive language that does not foreclose devices adapted to or configured to perform additional tasks or steps. Additionally, the use of “based on” is meant to be open and inclusive, in that a process, step, calculation, or other action “based on” one or more recited conditions or values may, in practice, be based on additional conditions or values beyond those recited. Headings, lists, and numbering included herein are for ease of explanation only and are not meant to be limiting.
Aspects of the methods disclosed herein may be performed in the operation of such computing devices. The system or systems discussed herein are not limited to any particular hardware architecture or configuration. A computing device can include any suitable arrangement of components that provide a result conditioned on one or more inputs. Suitable computing devices include multi-purpose microprocessor-based computer systems accessing stored software that programs or configures the computing system from a general purpose computing apparatus to a specialized computing apparatus implementing one or more aspects of the present subject matter. Any suitable programming, scripting, or other type of language or combinations of languages may be used to implement the teachings contained herein in software to be used in programming or configuring a computing device. The order of the blocks presented in the examples above can be varied—for example, blocks can be re-ordered, combined, and/or broken into sub-blocks. Certain blocks or processes can be performed in parallel.
This application claims the benefit of U.S. Provisional Application No. 63/184,934 filed May 6, 2021, the entire contents of which are hereby incorporated for all purposes in their entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/IB2022/054235 | 5/6/2022 | WO |
Number | Date | Country | |
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63184934 | May 2021 | US |