GB1567294A - Pharmaceutical compositions - Google Patents

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Publication number
GB1567294A
GB1567294A GB6014/78A GB601478A GB1567294A GB 1567294 A GB1567294 A GB 1567294A GB 6014/78 A GB6014/78 A GB 6014/78A GB 601478 A GB601478 A GB 601478A GB 1567294 A GB1567294 A GB 1567294A
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adsorbate
poly
dichloride
composition
fumed silica
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GB6014/78A
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Merck and Co Inc
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Merck and Co Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/785Polymers containing nitrogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/141Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
    • A61K9/143Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with inorganic compounds

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Veterinary Medicine (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Inorganic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Compositions Of Macromolecular Compounds (AREA)
  • Addition Polymer Or Copolymer, Post-Treatments, Or Chemical Modifications (AREA)

Abstract

A pharmacologically acceptable bile acid sequestering agent composition which after the prolonged action of moist air does not stick and is free-flowing, contains an essentially uniform adsorbate of a quaternary ionic polymer on a finely divided, water-insoluble, solid, pharmacologically acceptable aggregate having a large surface-to-mass ratio. The composition is prepared by mixing the component in aqueous solution, evaporating the water and drying the adsorbate thus formed. The composition described can be used for the reduction of cholesterol in the blood.

Description

(54) PHARMACEUTICAL COMPOSITIONS (71) We, MERCK & CO. INC., a corporation duly organized and existing under the laws of the State of New Jersey, United States of America, of Rahway, New Jersey, Unites States of America, do hereby declare the invention for which we pray that a patent may be granted to us and the method by which it is to be performed to be particularly described in and by the following statement:- Certain ionene polymers, and in particular poly - [Imethyl - (3 - trimethyl ammoniopropyl)iminioitrimethylene dichloride], are highly efficient as bile-acid sequestrants. Poly - [imethyl - (3 - trimethyl - ammonio?ropyl)iminiol- trimethylene dichloride] is however extremely hygroscopic and, when exposed to air, even at relatively low humidities, rapidly deliquesces to form initially a sticky unworkable product, and finally a solution of the polymer. This hygroscopic characteristic has presented a formidable problem in the formation of poly [(methyl - (3 - trimethylammoniopropyl)iminioStrimethylene dichloride] and, even when such formulation, e.g. by encapsulation of tableting, is conducted under anhydrous conditions, the resulting tablets and capsules rapidly absorb water under normal atmospheric conditions (the coatings of such capsules being permeable to water) to produce unsatisfactory adhesive caking products.
Compositions comprising substantially uniform pulverulent mixtures of poly [Imethyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] with various pharmacologically acceptable solid carriers, such as powdered silica, starch, talc, cellulose and kaolin, when prepared by thoroughly dry-mixing the components (as in a ball mill) under substantially anhydrous conditions, are adhesive in character, and ordinarily become sticky and cake after relatively short exposure to air at 25% relative humidity.
A method of preparing substantially non-adhesive, powdered poly [Imethyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] adsorbate compositions, which remain free-flowing and non-caking, even after prolonged contact with moist air of relative humidity greater than 35% and in some cases up to 76%, has now been discovered and the present invention is based on that discovery. The invention is applicable generally to ionene quaternary polymers of the following formula:
C113 Z el N -W (2n+2+V) nS 2CE2 2N (CH3)3 CE12CH2CH2N (C173)3 Formula I n herein called "ionene quaternary polymers of Formula I". In Formula I, n is the number of repeating units in the polymer; Y is a univalent or multivalent pharmacologically acceptable anion; a is the anionic charge on Y; m is the reciprocal of a; W is propyl, hydroxypropyl, allyl, alkoxypropyl (e.g. ethoxypropyl or methoxypropyl), halopropyl (e.g. chloropropyl, bromopropyl or iodopropyl), or primary, secondary, tertiary or quaternary ammoniopropyl, (e.g. unsubstituted ammoniopropyl, alkylammoniopropyl such as methylammoniopropyl, dialkylammoniopropyl such as dimethylammoniopropyl, or trialkylammoniopropyl such as trimethylammoniopropyl); Z is allyl, N- trimethylammoniopropyl - Nmethyl- 3 -- aminopropyl, N- trimethylmethylammoniumpropyl- N,N dimethyl - 3 ammoniopropyl, halopropyl (e.g. chloropropyl, bromopropyl or iodopropyl), or primary, secondary, tertiary or quaternary ammoniopropyl, (e.g.
unsubstituted ammoniopropyl, alkylammoniopropyl such as methylammoniopropyl, dialkylammoniopropyl such as dimethylammoniopropyl, or trialkylammoniopropyl such as trimethylammoniopropyl) and V is the number of positively charged nitrogens (N+) in the W and Z groupings.
In accordance with the present invention, a non-adhesive free-flowing pharmacologically acceptable bile acid sequestrant composition comprising a hygroscopic ionene quaternary polymer having the formula I set forth herein, is prepared by forming a substantially uniform suspension of a fumed silica or a silica aerogel in an aqueous solution of the ionene quaternary polymer, evaporating off water from the resulting suspension, and drying the adsorbate thus produced. It is preferred to use approximately equal weights, on a dry basis, of fumed silicon dioxide and the ionene quaternary polymer, which is preferably poly - [(methyl (3 - trimethylammoniopropyl)iminioltrimethylene dichloride], although substantially non-adhesive adsorbate compositions are prepared when the weight ratio is about 40 parts fumed silica to 60 parts polymer; fumed silica-polymer adsorbates containing up to 75% fumed silica are likewise both non-adhesive and effective as bile-acid sequestrants, but they are not ordinarily used because of their increased proportion of fumed silica material.
It should be noted that fumed silicon dioxides are prepared by burning silicon tetrachloride in a flame of hydrogen and oxygen to produce primary spherical particles which, while still semi-molten, fuse into clusters of such particles called aggregates; these aggregates, during further cooling and collecting, become physically entangled to form agglomerates. The latter, upon dispersion in an aqueous solution, can disentangle to reform aggregates. Fumed silicon dioxides so prepared, are supplied in the form of a light fluffy, amorphous pure white, non-toxic, pharmacologically acceptable powder, approved by FDA for use as a direct food additive, under the trade mark Cab-O-Sil, by Cabot Corporation, 125 High Street, Boston, Massachusetts. A similar non-toxic, FDA-approved, micron-sized synthetic silica is supplied under the trade mark Syloid silica aerogels and xerogels by W. R. Grace and Co., Davison Chemical Division, Charles and Baltimore Streets, Baltimore, Maryland. These aerogels and xerogels are prepared by the reaction of sulfuric acid and sodium silicate. The aerogels are highly porous solids formed by replacement of liquid in a gel by gas so that there is little shrinkage. The xerogels are porous solids formed from a gel by drying with unhindered shrinkage.
The process in accordance with the invention is conveniently conducted by first forming a substantially uniform suspension of fumed silica in approximately ten to fifty times its weight of water, and slowly adding to this suspension, with rapid stirring, an aqueous solution of the ionene quaternary polymer, which preferably contains about 5% of the polymer, e.g. poly - [(methyl - (3 - trimethylammoniopropyl) - iminioltrimethylene dichloride]. The rate of addition is usually adjusted so as to be complete in from 5 to 15 minutes, and the resulting milky suspension is stirred vigorously for a short time, e.g. 5 to 15 minutes. The suspension is then evaporated to dryness under reduced pressure with stirring at a temperature within the range 250C to 400C; the temperature should not exceed 500C during this evaporation step, since some discoloration of the polymer can occur above this temperature. The residual powdered silica-polymer adsorbate composition is then dried in vacuo at a temperature of 25"C to 400 C.
It is a preferred feature of the present invention that it is not necessary to use isolated solid polymer for preparing the aqueous solution. Instead, the aqueous polymerization reaction solution can itself be used in this procedure thereby avoiding the isolation, drying and storage of the ionene quaternary polymer. This is advantageous when the polymer, like poly - [(methyl - (3 trimethylammoniopropyl)iminioltrimethylene dichloride], is highly hygroscopic.
This preferred method thus results in the direct product, from the aqueous polymerization reaction solution, of the desired adsorbate composition in a nonadhesive form adapted for pharmaceutical formulation.
In the adsorbate compositions of the present invention, the polymer, as shown by microscopic examination, forms a thin film on the surface of the fumed silica, in contrast to compositions prepared by dry-mixing the components, in which the polymer component, although intimately associated with the fumed silica, is present in the form of discrete granules. As might be expected from these observed structures and the necessarily greater surface area possessed by the polymer film in the fumed silica-polymer adsorbate compositions, the hygroscopicity of the adsorbate compositions is appreciably greater than that of the composition prepared by dry-mixing the components. It is indeed surprising that, in spite of their greater hygroscopicity, the adsorbate compositions of the present invention remain completely non-adhesive, non-caking and free-flowing after two days' exposure to moist air at 76% relative humidity, whereas the compositions obtained by dry-mixing the same components become adhesive and cake even after a few hours exposure to moist air of 35% relative humidity.
Effective lowering of cholesterol blood levels can be obtained by the oral administration of remarkably small dosages of the adsorbate compositions of this invention. This enables a flexibility of formulation previously unavailable. The compositions of the present invention are light fluffy pulverulent powders, and are suitably used as such, or admixed with appropriate amounts of conventional pharmaceutically acceptable binders and/or additional solid carrier agents, such as starch, gelatin, sugars, as glucose and lactose, methylcellulose, natural and synthetic, talc or synthetic gums. The compositions are preferably made into unit dosage forms such as tablets or filled gelatin capsules or, if desired, the premeasured dose may be enclosed in a foil or paper envelope which can be readily torn open and added to edible liquids such as fruit juices or other beverages. The unit dosage may also include supplementary vitamins and minerals. The unit-dose composition may comprise from 10% to 99 X" by weight of the polymer-silica adsorb ate - composition, e.g. poly - [fmethyl - (3 trimethylammoniopropyl)iminioltrimethylene dichloride] - fumed - silica adsorbate composition, the remainder being additives such as carriers, flavorings, excipients, and flow agents. In such a unit dose, the active polymer may make up from 100 milligrams to up to 10 grams in powder packets.
For convenience of administration, it is preferred to use tablets or capsules containing 300600 milligrams of adsorbate compositions comprising equal amounts of fumed silica and the ionene quaternary polymer, e.g. poly - [(methyl (3 - trimethylammoniopropyl)iminiol trimethylene dichloride]. Such unit dosage compositions would thus provide about 150300 milligrams of the polymer; a capsule or tablet containing 600 milligrams of adsorbent composition taken four times per day would thus provide a daily dosage of 1.2 grams of the polymer. Multiple dosages, e.g., two or three tablets or capsules can of course be taken at one time if desired. In the case of tablets, a plastic film can be applied, if desired, to seal the tablets from moisture, and to mask the taste of the polymer in well known ways.
An enteric coating such as fats, fatty acids, waxes and mixtures thereof, shellac, ammoniated shellac, and cellulose acid phthalates, may also be applied by well known and accepted techniques.
The following examples illustrate methods of carrying out the present invention, but it is to be understood that these examples are given for purposes of illustration and not of limitation.
EXAMPLE 1 A mixture of about forty grams of fumed silicon dioxide and 1100 ml of water is stirred vigorously until a thin, lump-free, substantially uniform suspension is obtained. This suspension is stirred while slowly adding to it a solution of forty grams of anhydrous poly - [(methyl - (3 - trimethylammoniopropyl)iminioltri- methylene dichloride] in 300 ml of water. The resulting suspension is evaporated to dryness under reduced pressure, and the residual adsorbate is dried in vacuo for a period of about 15 hours and milled to give about 85 grams of a white, fluffy, freeflowing, non-caking powder containing about 5% of adsorbed moisture.
EXAMPLE 2 A mixture of 122.61 mg of fumed silicon dioxide is suspended in 5 ml of water using a high speed stirrer. A solution containing 121.1 mg anhydrous weight of poly - [{methyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] in 3 ml of water is added slowly while agitation is continued. The resulting milky suspension is evaporated to dryness in vacuo, and the residue adsorbate is further dried in vacuo to give a fumed silica - poly - [(methyl - (3 - trimethyl ammoniopropyl)iminio}trimethylene dichloride] composition in the form of a fluffy white free-flowing non-caking powdery adsorbate which, upon exposure to laboratory atmosphere (relative humidity approximately 35 vE) for a period of 15 hours, fully retains its free-flowing and non-caking characteristics.
EXAMPLE 3 A mixture of 1.34 g of fumed silicon dioxide is suspended in 60 ml of water using a high speed stirrer. A solution containing 1.34 g anhydrous weight of poly [(methyl - (3 - trimethylammoniopropyl)iminiojtrimethylene dichloride] in 30 ml. of water is added slowly while agitation is continued. The resulting milky suspension is stirred vigorously for approximately half an hour, and then evaporated to dryness in vacuo, and the residual adsorbate is further dried in vacuo to give approximately 2.5 g. of a fumed silica-poly-[lmethyl - (3 - trimethyl ammoniopropyl)iminio}trimethylene dichloride] composition in the form of a fluffy, white, free-flowing, non-caking powdery adsorbate. This material remains free-flowing and non-caking after prolonged exposure to air at 76% relative humidity.
The poly - [(methyl - (3 - trimethylammon opropyl)iminioUtrimethylene dichloride] utilized as the bile acid sequestrant polymer component of the adsorbate compositions prepared as described in foregoing examples, as well as other ionene quaternary polymers and pharmacologically acceptable salts which may also be used as the polymer component in such adsorbate compositions, may be synthesized in accordance with various procedures described in the specifications of our copending applications Nos. 24486/75(1,470,538), 15642/76(1,525,762 and 43741/77(1,539,006).
WHAT WE CLAIM IS: 1. A method of preparing a non-adhesive free-flowing pharmacologically acceptable bile acid sequestrant composition comprising a hygroscopic ionene quaternary polymer, having the formula I set forth herein, that comprises forming a substantially uniform suspension of a fumed silica or a silica aerogel in an aqueous solution of the ionene quaternary polymer, evaporating off water from the resulting suspension, and drying the adsorbate thus produced.
2. A method as claimed in Claim 1, in which the ionene polymer is poly[{methyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] and the solid aggregate is fumed silica.
3. A method as claimed in Claim 2, in which there is initially formed a substantially uniform suspension of fumed silica in approximately 10 to 50 times its weight of water, an aqueous solution of poly[{methyl - (3 - trimethyl ammoniopropyl)iminioltrimethylene dichloridei is slowly added to this suspension with rapid stirring, and the water is evaporated from the resulting suspension under reduced pressure while stirring and maintaining the temperature of the mixture at 25--40"C to produce a composition comprising approximately equal weights of poly - [(methyl - (3 - trimethylammoniopropyl)iminio}trimethylene dichloride] and fumed silica.
4. A method as claimed in Claim 3, in which the initial suspension contains one part by weight of fumed silica in approximately 25 parts by weight of water and the dilute solution of poly - [f methyl - (3 - trimethylammoniopropyl)iminioj- trimethylene dichloride] contains one part of it in about eight parts by weight of water.
5. A method as claimed in any one of Claims 1 to 4, including the further step of milling the resulting adsorbate after drying it.
6. A bile acid sequestrant composition that is non-adhesive and free-flowing after prolonged exposure to moist air and that comprises a substantially uniform adsorbate of an ionene quaternary polymer, having the formula I set forth herein, on a fumed silica or silica aerogel.
7. A sequestrant composition as claimed in Claim 6 comprising a substantially uniform adsorbate film of polyjimethyl - (3 - trimethylammoniopropyl)iminioltri- methylene dichloride] on fumed silica.
8. A composition as claimed in Claim 7 containing approximately equal weights of poly - [(methyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] and fumed silica.
**WARNING** end of DESC field may overlap start of CLMS **.

Claims (10)

**WARNING** start of CLMS field may overlap end of DESC **. ammoniopropyl)iminio}trimethylene dichloride] composition in the form of a fluffy white free-flowing non-caking powdery adsorbate which, upon exposure to laboratory atmosphere (relative humidity approximately 35 vE) for a period of 15 hours, fully retains its free-flowing and non-caking characteristics. EXAMPLE 3 A mixture of 1.34 g of fumed silicon dioxide is suspended in 60 ml of water using a high speed stirrer. A solution containing 1.34 g anhydrous weight of poly [(methyl - (3 - trimethylammoniopropyl)iminiojtrimethylene dichloride] in 30 ml. of water is added slowly while agitation is continued. The resulting milky suspension is stirred vigorously for approximately half an hour, and then evaporated to dryness in vacuo, and the residual adsorbate is further dried in vacuo to give approximately 2.5 g. of a fumed silica-poly-[lmethyl - (3 - trimethyl ammoniopropyl)iminio}trimethylene dichloride] composition in the form of a fluffy, white, free-flowing, non-caking powdery adsorbate. This material remains free-flowing and non-caking after prolonged exposure to air at 76% relative humidity. The poly - [(methyl - (3 - trimethylammonìopropyl)iminioUtrimethylene dichloride] utilized as the bile acid sequestrant polymer component of the adsorbate compositions prepared as described in foregoing examples, as well as other ionene quaternary polymers and pharmacologically acceptable salts which may also be used as the polymer component in such adsorbate compositions, may be synthesized in accordance with various procedures described in the specifications of our copending applications Nos. 24486/75(1,470,538), 15642/76(1,525,762 and 43741/77(1,539,006). WHAT WE CLAIM IS:
1. A method of preparing a non-adhesive free-flowing pharmacologically acceptable bile acid sequestrant composition comprising a hygroscopic ionene quaternary polymer, having the formula I set forth herein, that comprises forming a substantially uniform suspension of a fumed silica or a silica aerogel in an aqueous solution of the ionene quaternary polymer, evaporating off water from the resulting suspension, and drying the adsorbate thus produced.
2. A method as claimed in Claim 1, in which the ionene polymer is poly[{methyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] and the solid aggregate is fumed silica.
3. A method as claimed in Claim 2, in which there is initially formed a substantially uniform suspension of fumed silica in approximately 10 to 50 times its weight of water, an aqueous solution of poly[{methyl - (3 - trimethyl ammoniopropyl)iminioltrimethylene dichloridei is slowly added to this suspension with rapid stirring, and the water is evaporated from the resulting suspension under reduced pressure while stirring and maintaining the temperature of the mixture at 25--40"C to produce a composition comprising approximately equal weights of poly - [(methyl - (3 - trimethylammoniopropyl)iminio}trimethylene dichloride] and fumed silica.
4. A method as claimed in Claim 3, in which the initial suspension contains one part by weight of fumed silica in approximately 25 parts by weight of water and the dilute solution of poly - [f methyl - (3 - trimethylammoniopropyl)iminioj- trimethylene dichloride] contains one part of it in about eight parts by weight of water.
5. A method as claimed in any one of Claims 1 to 4, including the further step of milling the resulting adsorbate after drying it.
6. A bile acid sequestrant composition that is non-adhesive and free-flowing after prolonged exposure to moist air and that comprises a substantially uniform adsorbate of an ionene quaternary polymer, having the formula I set forth herein, on a fumed silica or silica aerogel.
7. A sequestrant composition as claimed in Claim 6 comprising a substantially uniform adsorbate film of polyjimethyl - (3 - trimethylammoniopropyl)iminioltri- methylene dichloride] on fumed silica.
8. A composition as claimed in Claim 7 containing approximately equal weights of poly - [(methyl - (3 - trimethylammoniopropyl)iminioltrimethylene dichloride] and fumed silica.
9. A tablet or capsule comprising a composition as claimed in Claim 7 or 8 in
amount such that it contains from 150 to 300 milligrams of poly - [{methyl-(3 trimethylammoniopropyl)iminio}trimethylene dichloride].
10. A composition as claimed in Claim 6 substantially as hereinbefore described.
GB6014/78A 1977-02-17 1978-02-15 Pharmaceutical compositions Expired GB1567294A (en)

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AU (1) AU518127B2 (en)
BE (1) BE863930A (en)
CA (1) CA1109395A (en)
CH (1) CH636012A5 (en)
DE (1) DE2806707A1 (en)
DK (1) DK46578A (en)
ES (1) ES466892A1 (en)
FI (1) FI67483C (en)
FR (1) FR2381079A1 (en)
GB (1) GB1567294A (en)
GR (1) GR66100B (en)
HU (1) HU177685B (en)
IE (1) IE46408B1 (en)
IL (1) IL53978A (en)
IT (1) IT7848013A0 (en)
LU (1) LU79071A1 (en)
NL (1) NL7801240A (en)
NO (1) NO148838C (en)
NZ (1) NZ186399A (en)
PH (1) PH15263A (en)
PL (1) PL122299B1 (en)
PT (1) PT67663B (en)
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Cited By (11)

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US5607669A (en) * 1994-06-10 1997-03-04 Geltex Pharmaceuticals, Inc. Amine polymer sequestrant and method of cholesterol depletion
US5618530A (en) * 1994-06-10 1997-04-08 Geltex Pharmaceuticals, Inc. Hydrophobic amine polymer sequestrant and method of cholesterol depletion
US5624963A (en) * 1993-06-02 1997-04-29 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US5679717A (en) * 1994-06-10 1997-10-21 Geltex Pharmaceuticals, Inc. Method for removing bile salts from a patient with alkylated amine polymers
US5703188A (en) * 1993-06-02 1997-12-30 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US5900475A (en) * 1994-06-10 1999-05-04 Geltex Pharmaceuticals, Inc. Hydrophobic sequestrant for cholesterol depletion
US5929184A (en) * 1993-06-02 1999-07-27 Geltex Pharmaceuticals, Inc. Hydrophilic nonamine-containing and amine-containing copolymers and their use as bile acid sequestrants
US6129910A (en) * 1993-06-02 2000-10-10 Geltex Pharmaceuticals, Inc. Water-insoluble noncrosslinked bile acid sequestrants
US6203785B1 (en) 1996-12-30 2001-03-20 Geltex Pharmaceuticals, Inc. Poly(diallylamine)-based bile acid sequestrants
US6423754B1 (en) 1997-06-18 2002-07-23 Geltex Pharmaceuticals, Inc. Method for treating hypercholesterolemia with polyallylamine polymers
US6726905B1 (en) 1997-11-05 2004-04-27 Genzyme Corporation Poly (diallylamines)-based phosphate binders

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US5709880A (en) * 1995-07-10 1998-01-20 Buckman Laboratories International, Inc. Method of making tabletized ionene polymers
EP0778027A3 (en) 1995-12-04 1998-04-01 Helmut Univ.-Prof. Dr. Wachter Use of silica for the preparation of a medicament
JP4010585B2 (en) * 1996-10-15 2007-11-21 久光製薬株式会社 Tablets containing anion exchange resin

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US4027009A (en) * 1973-06-11 1977-05-31 Merck & Co., Inc. Compositions and methods for depressing blood serum cholesterol
AR206115A1 (en) * 1973-06-11 1976-06-30 Merck & Co Inc PROCEDURE TO PREPARE A NON-BRANCHED AND NON-CROSSLINK LINEAR POLYMER

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US5840766A (en) * 1993-06-02 1998-11-24 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US6129910A (en) * 1993-06-02 2000-10-10 Geltex Pharmaceuticals, Inc. Water-insoluble noncrosslinked bile acid sequestrants
US5624963A (en) * 1993-06-02 1997-04-29 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US6060517A (en) * 1993-06-02 2000-05-09 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US5929184A (en) * 1993-06-02 1999-07-27 Geltex Pharmaceuticals, Inc. Hydrophilic nonamine-containing and amine-containing copolymers and their use as bile acid sequestrants
US5703188A (en) * 1993-06-02 1997-12-30 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and compositions therefor
US5981693A (en) * 1994-06-10 1999-11-09 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and alkylated compositions therefor
US5618530A (en) * 1994-06-10 1997-04-08 Geltex Pharmaceuticals, Inc. Hydrophobic amine polymer sequestrant and method of cholesterol depletion
US5917007A (en) * 1994-06-10 1999-06-29 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and alkylated compositions therefor
US5919832A (en) * 1994-06-10 1999-07-06 Geltex Pharmaceuticals Inc. Amine polymer sequestrant and method of cholesterol depletion
US5693675A (en) * 1994-06-10 1997-12-02 Geltex Pharmaceuticals Inc. Alkylated amine polymers
US5969090A (en) * 1994-06-10 1999-10-19 Geltex Pharmaceuticals, Inc. Hydrophobic sequestrant for cholesterol depletion
US5607669A (en) * 1994-06-10 1997-03-04 Geltex Pharmaceuticals, Inc. Amine polymer sequestrant and method of cholesterol depletion
US5679717A (en) * 1994-06-10 1997-10-21 Geltex Pharmaceuticals, Inc. Method for removing bile salts from a patient with alkylated amine polymers
US6066678A (en) * 1994-06-10 2000-05-23 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and alkylated compositions therefor
US5900475A (en) * 1994-06-10 1999-05-04 Geltex Pharmaceuticals, Inc. Hydrophobic sequestrant for cholesterol depletion
US7399821B2 (en) 1994-06-10 2008-07-15 Genzyme Corporation Alkylated poly(allylamine) polymers and methods of use
US6225355B1 (en) 1994-06-10 2001-05-01 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and alkylated compositions therefor
US7101960B2 (en) 1994-06-10 2006-09-05 Genzyme Corporation Process for removing bile salts from a patient and alkylated compositions therefor
US6433026B2 (en) 1994-06-10 2002-08-13 Geltex Pharmaceuticals, Inc. Process for removing bile salts from a patient and alkylated compositions therefor
US6784254B2 (en) 1994-06-10 2004-08-31 Genzyme Corporation Process for removing bile salts from a patient and alkylated compositions therefor
US6610283B1 (en) 1996-12-30 2003-08-26 Genzyme Corporation Poly(diallylamine)-based bile acid sequestrants
US7125547B2 (en) 1996-12-30 2006-10-24 Genzyme Corporation Poly(diallylamine)-based bile acid sequestrants
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Also Published As

Publication number Publication date
CH636012A5 (en) 1983-05-13
ZA78913B (en) 1979-09-26
ATA87978A (en) 1980-12-15
NZ186399A (en) 1980-11-28
AU3309978A (en) 1979-08-16
IL53978A (en) 1981-03-31
FI780296A (en) 1978-08-18
DE2806707A1 (en) 1978-08-24
FI67483B (en) 1984-12-31
SE7801242L (en) 1978-08-17
PL204642A1 (en) 1979-06-04
GR66100B (en) 1981-01-16
PT67663A (en) 1978-03-01
IT7848013A0 (en) 1978-02-10
SE433170B (en) 1984-05-14
FI67483C (en) 1985-04-10
IE46408B1 (en) 1983-06-01
DK46578A (en) 1978-08-18
NO148838B (en) 1983-09-19
FR2381079B1 (en) 1981-09-11
ES466892A1 (en) 1979-08-16
PT67663B (en) 1980-03-03
IE780332L (en) 1978-08-17
JPS53102958A (en) 1978-09-07
HU177685B (en) 1981-12-28
NL7801240A (en) 1978-08-21
PL122299B1 (en) 1982-07-31
AT363173B (en) 1981-07-10
FR2381079A1 (en) 1978-09-15
BE863930A (en) 1978-08-14
IL53978A0 (en) 1978-04-30
NO780367L (en) 1978-08-18
PH15263A (en) 1982-11-02
NO148838C (en) 1983-12-28
CA1109395A (en) 1981-09-22
LU79071A1 (en) 1978-09-28
AU518127B2 (en) 1981-09-17

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PS Patent sealed [section 19, patents act 1949]
PCNP Patent ceased through non-payment of renewal fee