AU2006335344A1

AU2006335344A1 - Controlled release formulation of divalproic acid and its derivatives

Info

Publication number: AU2006335344A1
Application number: AU2006335344A
Authority: AU
Inventors: Limor Ari-Pardo; Nava Shterman; Yonit Triger-Messer; Rina Zilberman
Original assignee: Teva Pharmaceutical Industries Ltd
Current assignee: Teva Pharmaceutical Industries Ltd
Priority date: 2006-01-11
Filing date: 2006-01-11
Publication date: 2007-07-19
Also published as: CA2635949A1; IL192554A0; JP2009525953A; WO2007081341A1; CN101400342A

Description

WO 2007/081341 PCT/US2006/001201 1 CONTROLLED RELEASE FORMULATION OF DIVALPROIC ACID AND ITS DERIVATIVES FIELD OF THE IVENTION The present invention relates to pharmaceutical formulations. More particularly, the 5 present invention concerns a formulation comprising valproic acid, a pharmaceutically acceptable salt, ester, or amide thereof or divalproex sodium, in a controlled release tablet formulation. BACKGROUND OF THE INVENTION 10 2-Propylpentanoic acid, more commonly known as valproic acid (VPA), its amide, valpromide (VPO), and certain salts and esters of the acid are effective in the treatment of epileptic seizures or as antipsychotic agents. Meade, U.S. Pat. No. 4,988,731, describes an oligomer having a 1:1 molar ratio of sodium valproate and valproic acid containing 4 units, and Meade, U.S. Pat. 5,212,326, describes a stable, non-hygroscopic solid form of valproic 15 acid which comprises an oligomer having 1:1 molar ratio of sodium valproate and valproic acid and containing four to six units. Divalproex sodium (sodium hydrogen divalproate) is useful in the prophylaxis of migraine headaches in adults and may be used in the treatment or prophylaxis of seizures. 20 However, despite its efficacy in the treatment of epilepsy, valproic acid has been shown to exhibit an elimination half-life which is apparently shorter than other commonly used anti-epileptic agents. Half-lives for the drug of between six and seventeen hours in adults and between four and fourteen hours in children have been reported. This can lead to substantial fluctuations in the plasma concentration of the drug, especially in chronic 25 administration. To maintain reasonably stable plasma concentrations, it is perhaps necessary to resort to frequent dosing, and the resulting inconvenience to the patient often results in lowered compliance with the prescribed dosing regimen. Moreover, widely fluctuating plasma concentrations of the drug may result in administration of less than therapeutic amounts of the drug in a conservative dosing regimen, or amounts too large for the particular 30 patient in an aggressive dosing regimen. To overcome this disadvantage valproic acid formulations which maintain more constant plasma levels of the drug following administration have been developed. The ultimate goal is the development of a formulation which affords stable plasma levels in an WO 2007/081341 PCT/US2006/001201 2 once-a-day dosing regimen. Efforts to accomplish this goal fall generally into one of two categories: (a) finding a form of the active ingredient which is more slowly released to the body metabolically, and (b) finding a formulation which delivers the drug by either a timed or controlled-release mechanism. 5 U.S. Pat. No. 4,369,172 (Schor, et al.) describes, for example, a prolonged release therapeutic composition based on mixtures of hydroxypropyl methylcellulose, ethyl cellulose and/or sodium carboxymethyl cellulose. Schor et al provide a long list of therapeutic agents which they suggest can be incorporated into the formulation including sodium valproate. 10 U.S. Pat. No. 4,913,906 (Friedman, et al.) appears to describe a controlled release dosage form of valproic acid, its amide, or one of its salts or esters in combination with a natural or synthetic polymer, pressed into a tablet under high pressure. 15 U.S. Pat. No. 5,009,897 (Brinker, et al.) describes granules, suitable for pressing into tablets, the granules comprising a core of divalproex sodium and a coating of a mixture of a polymer and microcrystalline cellulose. U.S. Pat. No. 5,019,398 (Daste) describes a sustained-release tablet of divalproex 20 sodium in a matrix of hydroxypropyl methylcellulose and hydrated silica. U.S. Pat. No. 5,055,306 (Barry, et al.) describes an effervescent or water-dispersible granular sustained release formulation suitable for use with a variety of therapeutic agents. The granules comprise a core comprising the active ingredient and at least one excipient, and 25 a water insoluble, water-swellable coating comprising a copolymer of ethyl acrylate and methyl methacrylate and a water soluble hydroxylated cellulose derivative. The patentees suggest a list of therapeutic agents which may be used in the formulation of the invention, including sodium valproate. 30 U.S. Pat. No. 5,169,642 (Brinkler, et al.) appears to describe a sustained release dosage form comprising granules of divalproex sodium or amides or esters of valproic acid coated with a sustained release composition comprising ethyl cellulose or a methacrylic methyl ester, a plasticizer, a detackifying agent, and a slow-release polymeric viscosity agent.

WO 2007/081341 PCT/US2006/001201 3 U.S. Pat. No. 5,185,159 (Aubert, et al.) a formulation of valproic acid and sodium valproate which is prepared seemingly without the use of either a binder or a granulating solvent. The formulation optionally contains precipitated silica as an anti-sticking or detackifying agent. 5 U.S. Pat. No. 5,589,191 (Exigua, et al.) describes a slow release sodium valproate tablet formulation in which the tablets are coated with ethyl cellulose containing silicic acid anhydride. 10 Published PCT application WO 94/27587 (Ayer, et al.) describes a method for control of epilepsy by delivering a therapeutic composition of valproic acid or a derivative in combination with a poly(alkylene oxide). Bialer, et al., "Metabolism of Antiepileptic Drugs," pp. 143-151, R. H. Levy, Ed., 15 Raven Press, New York, 1984; Int. J. Pharmaceutics, 20: 53-63 (1984); and Biopharmaceutics and Drug Disposition, 6: 401-411 (1985); and Israel J. Med. Sci., 20: 46 49 (1995) report the pharmacokinetic evaluation of several sustained release formulations of valproic acid. 20 U.S. Pat No. 6,419,953 (Qiu et al.) appears to describe a hydrophilic matrix tablet suitable for the once-a-day administration of valproate compounds such as divalproex sodium, with hydroxypropylmethyl cellulose in an amount from about 20 weight percent to about 40 weight percent. 25 U.S. Pat. No. 6,528,090 (Qiu et al.) allegedly describes an oral controlled release formulation suitable for the once-a-day administration of valproate compounds, with a pharmaceutically acceptable hydrophilic polymer in an amount from about 20% to about 50% by weight of the formulation. 30 There remains, however, the need for a sustained release formulation of valproic acid which will effectively maintain plasma concentrations of the drug at more constant levels. SUMMARY OF THE INVENTION WO 2007/081341 PCT/US2006/001201 4 The present invention provides a controlled release tablet dosage formulation comprising a) about 40% to about 80% of a valproic acid compound such as Divalproex Sodium, and b) at least two, preferably hydrophilic, polymers each in an amount of less than about 5 20% of the tablet weight. Preferably the controlled release formulation comprises two to four polymers, more preferably 2 polymers. Preferably, the controlled release formulation comprises from about 45- about 55% of a valproic acid compound. Moreover, the polymers are preferably selected from the group consisting of hypromellose (Hydroxypropylmethyl cellulose HPMC), hydroxyethyl cellulose, and Polyethylene Oxide. 10 In another aspect the present invention also provides a controlled release tablet dosage form comprising a valproic acid compound and at least two, preferably hydrophilic, polymers each in an amount of less than 20% by weight of the tablet, having a dissolution profile in an aqueous buffer at 37'C and pH 5.5 of 15 a) no more than about 30% of total valproate is released during or within 3 hours of measurement in said apparatus; b) from about 35% to about 70% of total valproate is released during or within 9 hours of measurement in said apparatus; c) from about 50% to about 95% of total valproate is released during or within 12 20 hour of measurement in said apparatus, and; d) not less than 75% of total valproate is released during or within 18 hours of measurement in said apparatus. Further, there is provided a method of preparing a granular composition suitable for 25 filling into capsules or pressing into controlled release tablets dosage form comprising the following steps of a) dry blending a mixture of polymers comprising a valproic acid compound such as divalproex sodium, at least two, preferably two to four and more preferably two, preferably hydrophilic, polymers, preferably hypromellose, and hydroxyethylcellulose, and a binder, 30 preferably pregelatinized starch; b) wet granulating with a hydro alcoholic solution, a mixture of an alcohol and water, in order to form a homogeneous mixture; c) drying and sizing the wet granulate; WO 2007/081341 PCT/US2006/001201 5 d) surface"coatind the dried granulate with a dispersion containing a hydrophilic polymer, preferably hypromellose, and talc, with purified water; e) drying the coated granulate; f) adding a glidant, preferably silicon dioxide, and sieving the coated granulate; 5 g) dry blending the coated granulate with a filler, preferably microcrystalline cellulose, and a lubricant preferably stearic acid; h) compressing the blended granules into tablets; and i) coating the tablets with a cosmetic coat. 10 In the embodiment where the granules are filled into capsules this can occur after step e) the steps f) and g) above thus become optional and steps h) and i) are not relevant. In another aspect, the present invention provides a method of treating a patient suffering from a condition treated with a controlled release formulation of a valproic acid 15 compound comprising administering once-a-day a therapeutically effective amount of a valproic acid compound in a controlled release tablet dosage formulation comprising about 40% to about 80% of the valproic acid compound and at least two, preferably hydrophilic, polymers each in an amount of less than about 20% of the tablet weight. 20 DETAILED DESCRIPTION OF THE INVENTION As used herein, the terms "sustained release," "prolonged release," and "controlled release" as applied to drug formulations have the meanings ascribed to them in "Remington's Pharmaceutical Sciences," 1 8 th Ed., p. 1677, Mack Pub. Co., Easton, Pa. (1990). Sustained release drug systems include any drug delivery system which achieves the slow release of 25 drug over an extended period of time, and include both prolonged and controlled release systems. If such a sustained release system is effective in maintaining substantially constant drug levels in the blood or target tissue, it is considered a controlled release drug delivery system. If, however, a drug delivery system extends the duration of action of a drug over that achieved by conventional delivery, without reference to whether it is successful at achieving 30 substantially constant blood or tissue drug levels, it is considered a prolonged release system. The formulations of the present invention provide a controlled release formulation for valproic acid compounds. The tenn "valproic acid" is meant to encompass the compound 2 propylpentanoic acid per se, and its pharmaceutically acceptable salts, and compounds which WO 2007/081341 PCT/US2006/001201 6 readily metabolize in vivb to produce valproic acid, such as valproic acid amide (valpromide), as well as other pharmaceutically acceptable amides and esters of the acid. A particularly preferred form of valproic acid for the compositions of the present invention is the complex formed between 2-propylpentanoic acid and its sodium salt (2:1), commonly 5 referred to as "divalproex sodium." Divalproex Sodium may be represented by the following structure, wherein m is an integer from two to six: H3C CH3 H3C CH3 H\ o o o Na Na H H3CZ\ CH3 H3C CH3 - m 10 Methods for the synthesis of valproic acid are described in Oberreit, Ber. 29, 1998 (1896) and Keil, Z. Physiol. Chem. 282, 137 (1947). It's activity as an antiepileptic compound is described in the Physician Desk Reference, 52 "d Edition, page 421 (1998). Upon oral ingestion within the gastrointestinal tract, the acid moiety disassociates to form a carboxylate moiety (i.e. a valproate ion). The sodium salt of valproic acid is also known in the art as an 15 anti-epileptic agent. It is also known as sodium valproate and is described in detail in The Merck Index, 12 th Edition, page 1691 (1996). Further descriptions may be found in the Physician Desk Reference, 52 "d Edition, page 417 (1998). Divalproex sodium is effective as an anti-epileptic agent and is also used for, migraine 20 and bipolar disorders. Methods for its preparation may be found in U.S. Pat. Nos. 4,988,731 and 5,212,326, the contents of both which are hereby incorporated by reference. Like valproic acid, it apparently also disassociates within the gastrointestinal tract to form a valproate ion.

WO 2007/081341 PCT/US2006/001201 7 Furthermore, as used herein: a) any reference to "valproic acid compounds" should be construed as including a compound which disassociates within the gastrointestinal tract, or within in-vitro dissolution 5 media, to produce a valproate ion including, but not limited to, valproic acid, the sodium salt of valproate, divalproex sodium, any of the various salts of valproic acid described above, and any of the prodrugs of valproic acid described above. Divalproex sodium is the most preferred valproate compound of the present invention. b) "C.ax " means maximum plasma concentration of the valproate ion, produced by 10 the ingestion of the composition of the invention. c) "AUC" as used herein, means area under the plasma concentration-time curve, as calculated by the trapezoidal rule over the complete 24-hour interval for all the formulations. d) "Pharmaceutically acceptable" as used herein, means those salts, polymers, and excipients which are, within the scope of sound medical judgment, suitable for use in contact 15 with the tissues of humans and lower animals without undue toxicity, irritation, allergic response, and the like, in keeping with a reasonable benefit/risk ratio, and effective for their intended use in the treatment and prophylaxis of various disorders. Further, in-vitro dissolution profiles are often used in the manufacture of 20 pharmaceuticals. They serve as quality control devices to insure that different batches will have the same dissolution profile and thus produce comparable biological responses. A new valproic acid compound dosage form is provided that possess significant advantages over the sustained release formulations of the prior art. These formulations 25 provide substantially zero (0) order release of valproate, minimizing the variance between peak and trough plasma levels of valproate. All of the formulations of this invention comprise a matrix system comprising at least two, preferably hydrophilic, polymers each in an amount less than 20% by tablet weight, and may further comprise a granulate matrix surface coating. 30 In a matrix system, the drug or active pharmaceutical ingredient is homogenously dispersed in a polymer in association with conventional excipients. This admixture may be compressed under pressure to produce a tablet. The drug is released from this tablet by diffusion and erosion. Matrix systems are described in detail by (1) Handbook of pharmaceutical controlled release technology, Ed. D. L. Wise, Marcel Dekker, Inc. New WO 2007/081341 PCT/US2006/001201 8 York, N.Y. (2000), and (2) Treatise on controlled drug delivery, fundamentals, optimization, applications, Ed. A. Kydonieus, Marcel Dekker, Inc. New York, N.Y. (1992), both of which are hereby incorporated by reference. 5 The enhanced pharmacokinetic profile, described in more detail below, can be obtained by the administration of a matrix formulation of a valproic acid compound comprising at least two, preferably hydrophilic, polymers. In one embodiment, the controlled release dosage form according to the invention comprises: a) a valproic acid compound, present in an amount sufficient to provide the required 10 daily dose of valproate, and b) at least two, preferably two to four and more preferably two, preferably hydrophilic, polymers, wherein each polymer is in an amount less than about 20% of the tablet in weight, preferably less than about 16% by tablet weight. 15 In another embodiment of the present invention there is provided a controlled release formulation comprising a) a valproic acid compound, present in an amount sufficient to provide the required daily dose of valproate, b) a pharmaceutical matrix granulate comprising at least two, preferably two to four 20 and more preferably two, preferably hydrophilic, polymers, and c) a granulate surface coating of the pharmaceutical matrix granulate comprising a polymer, preferably a hydrophilic polymer, wherein the amount of each individual type of polymer in the formulation is less than about 20%, preferably less than about 16%, of the composition. 25 In preferred embodiments this surface coated granulate is pressed into a tablet core which may be optionally coated with, preferably a cosmetic coat. Preferably the valproic acid compound is divalproex sodium. The amount of a valproic acid compound sufficient to provide the required daily dose of valproate varies from 30 about 40% to about 80% by weight of the dosage form. More preferably, the controlled release dosage form of the present invention comprises about 45% to about 60% by weight of the valproic acid compound, most preferably about 45%-55% of the valproic aicd compound.

WO 2007/081341 PCT/US2006/001201 9 Suitable preferred hydrophilic polymers for use in the controlled release dosage form are selected from the group consisting of hypromellose (HPMC, such as for example Methocel K1l00, Methocel E15, and Pharmacoat 606), hydroxyethyl cellulose (HEC, such as for example Natrosol@ 250M), Polyethylene Oxide, polyvinylpyrrolidine, hydroxypropyl 5 cellulose, methyl cellulose, vinyl acetate copolymers (such as for example Kollicoat SR 30, an aqueous dispersion of Polyvinyl acetate stabilized with polyvinylpyrrolidone and sodium lauryl sulfate), polysaccharides (such as alginate, xanthum gum, etc.), methacrylic acid copolymers, maleic anhydride/methyl vinyl ether copolymers and derivatives thereof. Preferably, the hydrophilic polymers are selected from hypromellose, hydroxyethyl cellulose, 10 Polyethylene Oxide, and Kollicoat. Most preferably, the hydrophilic polymers are hypromellose and hydroxyethyl cellulose. Preferred hypromellose compounds include the commercially available Methocel K100, Methocel E15, and Pharmacoat 606. A preferred commercially available hydroxyethyl cellulose is Natrosol@ 250M. 15 The amount of each polymer in the dosage formulation of the present invention is less than about 20% by weight of the composition. Preferably, the amount of each polymer is less than about 16% by weight of the composition. More preferably, the amount of each polymer varies from about 10% to about 16% by weight of the dosage forn. Most preferably, the amount of each polymer varies from about 12% to about 16% by weight of the dosage form. 20 The controlled release tablet dosage formulation of the present invention may further comprise a hydrophobic polymer such as for example ethylcellulose. Preferred commercially available ethylcelluloses include Ethocel Premium 7cps and Ethocel Premium 1 00cps. 25 The composition of the invention also typically includes pharmaceutically acceptable excipients. As is well known to those skilled in the art, pharmaceutical excipients are routinely incorporated into solid dosage forms. This is done to ease the manufacturing process as well as to improve the performance of the dosage form. Common excipients include diluents or bulking agents, lubricants, binders, etc. Such excipients are routinely used 30 in the dosage forms of this invention. Diluents, or fillers, are added in order to increase the mass of an individual dose to a size suitable for tablet compression. Suitable diluents include powdered sugar, calcium WO 2007/081341 PCT/US2006/001201 10 phosphate, calcium sulfate, microcrystalline cellulose, lactose, mannitol, kaolin, sodium chloride, dry starch, sorbitol, etc. Lubricants are incorporated into a formulation for a variety of reasons. They reduce 5 friction between the granulation and die wall during compression and ejection. This prevents the granulate from sticking to the tablet punches and dies, facilitates its ejection from the tablet punches, etc. Examples of suitable lubricants include talc, sodium lauryl sulfate, stearic acid, vegetable oil, calcium stearate, zinc stearate, magnesium stearate, sodium stearyl fumarate, etc. 10 Glidant's are also typically incorporated into the formulation. A glidant improves the flow characteristics of the granulation. Examples of suitable glidant's include talc, silicon dioxide, and cornstarch. 15 Binders may be incorporated into the formulation. Binders are typically utilized if the manufacture of the dosage form uses a granulation step. Examples of suitable binders include povidone, polyvinylpyrrolidone, xanthan gum, cellulose gums such as carboxymethylcellulose, methyl cellulose, hydroxypropylmethylcellulose, hydroxycellulose, gelatin, starch, and pregelatinized starch. Also, binders are often the same polymers as the 20 polymers used to control the release of the active ingredient from the formulation. Other excipients that may be incorporated into the formulation include preservatives, antioxidants, or any other excipient commonly used in the pharmaceutical industry, etc. The optional tablet coat is preferably cosmetic and may be prepared from, for example, 25 commercially available powders for coating suspensions based on either Hypromellose or Polyvinyl alcohol, together with polyethylene Glycol and colorants etc. In another embodiment of the present invention there is provided a controlled release tablet core dosage form comprising from about 47 to about 50 weight percent of a valproic 30 acid compound; about 13 to 16 weight percent hypromellose; about 13 to 15 weight percent hydroxyethylcellulose; about 8 to 9 weight percent pregelatinized starch; about 4 to 10 weight percent microcrystalline cellulose; about 3 to 4 weight percent silicon dioxide and about 1 to 2 weight percent stearic acid; all weight percentages based upon the total weight of the tablet dosage form.

WO 2007/081341 PCT/US2006/001201 11 A particularly preferred controlled release formulation of the invention is described in Table 1 infra, wherein all weight percentages are based upon the total weight of the dosage form. 5 Table 1: Preferred Controlled Release Formulation of the Invention (Uncoated Tablet Core) Ingredient Formulation (mg) %) of tablet CORE: Divalproex Sodium 538.2 47.1-50.6 Starch 91.8 8.0-8.6 Hydroxypropylmethyl Cellulose (Methocel K- 90.0-150.0 8.0-13.1 Hydroxyethyl Cellulose NF 150.0 13.1-14.1 SURFACE COATING: Hydroxypropylmethyl Cellulose (Methocel E-15) 24.0-84.0 2.2-7.4 Talc Extra Fine 28.0 2.5-2.6 DRY MIXING: Silicon Dioxide (Syloid 244) 40.0 3.5-3.8 Microcrystalline Cellulose (Avicel PH 102) 50.0 4.6-8.8 Stearic Acid NF 20.0 1.8-1.9 Total 1064.0-1142.0 100 In another embodiment of the present invention there is provided a controlled release 10 tablet dosage formulation comprising at least two, preferably two to four and more preferably two, preferably hydrophilic, polymers, the formulation having a dissolution profile of a) no more than about 30% of the total valproic acid compound is released during or within 3 hours; b) from about 35% to about 70% of the total valproic acid compound is released during or within 9 hours; c) from about 55% to about 95% of the total valproic acid 15 compound is released during or within 12 hour; and d) not less than 75% of the total valproic acid compound is released during or within 18 hours. The dissolution profile of the controlled release tablet dosage form of the present invention is in an USP type II apparatus at 100 rpm, at a temperature of 37'C, in an acid stage of 500 ml of 0.lN HCl for 45 minutes, followed by a basic stage of 900ml 0.05 M phosphate buffer with 75mM Sodium Lauryl Sulfate (SLS) pH 20 5.5.

WO 2007/081341 PCT/US2006/001201 12 In yet another ethbodiment of the present invention there is provided a controlled release tablet dosage formulation comprising a valproic acid compound and at least two, preferably two to four and more preferably two, preferably hydrophilic, polymers, the formulation having a relative pharmacokinetic profile in a mammal as compared to the 5 pharmacokinetic profile of Depakote ER (a commercially available extended release Divalproex Sodium formulation), of a) an average AUC value in the range from about 85% to about 120% wherein the observed AUC value for the Depakote ER is set at 100%, and b) a Cmax value in the range from about 90% to about 160% wherein the observed Cmax value for the Depakote ER is set at 100%, wherein the controlled release tablet dosage formulation is 10 administered to a non-fasting manual. Moreover, in a fasting manual the AUC value ranges from about 90 to about 130 and the Cmax value ranges from about 100 to about 160. In this pharmacokinetic profile the parameters for AUC and Cmax are presented as 100 times the ratio of the observed value for the dosage formulation of the present invention versus the observed value for Depakote ER. Preferably, the values for the pharmacokinetic parameters 15 of the dosage forms of the present invention satisfy the 0.80-1.25 criterion for equivalence with Depakote ER. The dosage formulations of the present invention comprising a valproic acid compound and at least two, preferably hydrophilic, polymers in an amount of less than 20%, preferably less than 16%, therefore have comparable pharmacokinetics in comparison to the commercially available Depakote ER formulation, and are preferably bioequivalent. 20 The controlled release formulations are generally prepared using standard techniques well known in the art. Typically, they are prepared by dry blending the, preferebly hydrophilic, polymer, filler, valproic acid compound, and other excipients followed by granulating the mixture using a hydro alcoholic solution (a mixture of alcohol and water) 25 until proper granulation is obtained. The granulation is done by methods known in the art. The wet granules are dried in a fluid bed dryer, sifted and ground to appropriate size, and may subsequently be surface coated with a dispersion containing a hydrophilic polymer. Fillers and lubricating agents are mixed with the dried granulation to obtain the final formulation. 30 More specifically, a controlled release tablet dosage formulation comprising a valproic acid compound and at least two, preferably hydrophilic, polymers may be prepared as in the following example. The method for preparing a granular composition suitable for pressing into controlled release tablets dosage form comprises the steps of, WO 2007/081341 PCT/US2006/001201 13 1) dry blending a tnixture of polymers comprising a valproic acid compound such as divalproex sodium, and a least two, preferably two to four and more preferably two, preferably hydrophilic, polymers, preferably hypromellose, and hydroxyethylcellulose, and binder, preferably pregelatinized starch; 5 2) wet granulating with a hydro alcoholic solution, a mixture of alcohol and water, in order to form a homogeneous mixture; 3) drying and sizing the wet granulate; 4) surface coating the dried granulate with a dispersion containing diluents and a polymer, preferably a hydrophilic polymer, more preferably hypromellose, and talc, with 10 purified water; 5) drying the coated granulate; 6) adding a glidant, preferably silicon dioxide, and sieving the coated granulate; 7) dry blending the coated granulate with a filler, preferably microcrystalline cellulose, and a lubricant preferably stearic acid; 15 8) compressing the blended granules into tablets; and 9) optionally coating the tablets with a cosmetic coat. The compositions of the invention can be administered orally in the form of tablets, pills, or the granulate may be loose filled into capsules. The tablets can be prepared by 20 techniques known in the art and contain a therapeutically useful amount of the valproic acid compound and such excipients as are necessary to form the tablet by such techniques. Tablets and pills can additionally be prepared with enteric coatings and other release-controlling coatings for the purpose of acid protection, easing swallow ability, etc. The coating may be colored with a pharmaceutically accepted dye. The amount of dye and other excipients in the 25 coating liquid may vary and will not impact the performance of the extended release tablets. The coating liquid generally comprises film forming polymers such as hydroxypropyl cellulose, polyvinyl alcohol, hydroxypropylmethyl cellulose, cellulose esters or ethers such as cellulose acetate or ethylcellulose, an acrylic polymer or a mixture of polymers. The coating solution is generally an aqueous solution or an organic solution further comprising 30 plasiticizer e.g. polyethylene glycol, propylene glycol, sorbitan monoleate, sorbic acid, colorants such as titanium dioxide, pharmaceutically acceptable dyes or lacquers. In another embodiment of the present invention there is provided a method of treating a patient suffering from a condition treated with a controlled release formulation of a valproic WO 2007/081341 PCT/US2006/001201 14 acid compound comprising administering once-a-day a therapeutically effective amount of a valproic acid compound in a controlled release tablet dosage formulation comprising about 40% to about 80% of the valproic acid compound and at least two, preferably two to four and more preferably two, preferably hydrophilic, polymers each in an amount of less than about 5 20%, preferably less than 16%, of the tablet weight. The controlled release tablet formulations of the present invention provide an effective delivery system for the once daily administration of valproic acid compound (divalproex sodium) to patients in need of such treatment. The formulations of the invention provide substantially level plasma concentrations of valproic acid falling within the therapeutic range of the drug over a period 10 which permits administration once daily. The following examples are presented in order to further illustrate the invention. These examples should not be construed in any manner to limit the invention. 15 EXAMPLES Example 1: Divalproex Sodium formulations. Tablets containing a tablet core of 538 mg of divalproex sodium, starch, and various 20 polymers were prepared. The tablet compositions are presented in Table 2. Table 2: Divalproex Sodium controlled release formulations (mg/tablet) Katerials K- K- K- N- K- K- K- K- K- K 3065 32752 33429 33861 34999 3500 35002 35003 35689 39 43 Core Divalproex Sodium 538.2 538.2 538.2 538.2 538.2 538.2 538.2 538.2 538.2 538.2 538.2 Starch 1500 55.0 90.0 149.8 89.8 91.8 91.8 91.8 91.8 91.8 91.8 91.8 Polyox WSR N-12K 90.0 150.0 Polyox WSR 301 110.0 Hypromellose 150.0 150.0 150.0 (Methocel K-1 5M CR) Hypromellose 90.0 90.0 150.0 150.0 90.0 90.0 150.0 (MethocelK-100M CR) Ethocel Premium 7cps 30.8 100.0 Hydroxyethylcellulose 150.0 150.0 150.0 150.0 150.0 150.0 150.0 150.0 150.0 (Natrosol@ 250M) Calcium Phosphate 40.0 Dibasic Surface coating Hypromellose 6cps 56.0 (Pharmacoat 606) WO 2007/081341 PCT/US2006/001201 15 Hypromellose 56.0 56.0 84.0 24.0 (Methocel E-15 CR) Ethylcellulose 56.0 (Ethocel Premium 7cps) Ethylcetlulose 56.0 (Ethocel Premium 100cps) Dibutyl Sebacate 7.0 7.0 PEG 400 1 7.0 7.0 Kollicoat SR 30D 46.0 50.0 40.0 TEC 17.3 18.75 15.0 Talc 15.6 16.25 13.0 28.0 28.0 28.0 28.0 28.0 Dry Mixing Syloid 60.0 40.0 40.0 40.0 40.0 40.0 40.0 40.0 40.0 40.0 40.0 Avicel PH-102 70.0 50.0 50.0 50.0 50.0 50.0 50.0 50.0 50.0 100.0 50.0 Magnesium Stearate 10.0 1 Stearic acid 20.0 20.0 20.0 20.0 20.0 20.0 20.0 20.0 20.0 20.0 Coating of Tablet Tale 7.8 Pharmacoat 606 7.8 Kollicoat SR 30D 31.2 PEG 6000 3.2 Ethylcellulose 3.0 (Ethocel Prem. 7cps) TEC 13.5 Tate 3,0 Opadry 31F32870 25.0 35.0 - 10.5 Yellow Opadry II 85F27675 29.0 30.0 Grey Total 1029.0 1152.1 1233.0 1265.0 1064.0 1064.0 1110.0 1110.0 1094.0 1142.0 1092.0 % Hydroxyethyl 13.02 11.86 14.10 14.10 13.51 13.51 13.71 13.1 13.7 cellulose(HEC) vs. tablet weight % Hypromellose 13.02 12.16 11.86 13.72 13.72 13.51 13.51 13.35 15.2 15.9 (HPMC) vs. tablet weight % Polyox vs. tablet 19.40 12.16 weight % Kollicoat SR 30D 4.00 6.58 3.16 % Ethylcellulose 3.00 8.14 | 5.06 5.06 Example 2: Preparation of Divalproex Sodium controlled release formulation. This Example illustrate the manufacture of a preferred dosage form of the present 5 invention on a scale of 2500 tablets. Divalproex sodium was milled through in Quadro comill equipped with an 0.187 inch aperture screen. 2.691 kg of milled drug was loaded directly into a mixer and mixed with 230 g of starch NF, 225 g of Methocel K-100M (Hypromellose NF) and 375 g Natrosol@ 250M WO 2007/081341 PCT/US2006/001201 16 (Hydroxyethylc6llulose-NF) for 4 minutes. This mixture was granulated using 150 g of 95% Alcohol USP for 1 minute and a mixture of 25 g purified water and 25 g 95% Alcohol for another 30 seconds, and subsequently dried. The dried granules were milled through a 1 mm aperture screen. The granules were then granulate coated in a fluidized bed drier using a 5 suspension prepared from 1350 g purified water and 280g Methocel E-1 5 (Hypromellose 15 cps NF) and140 g tale. The coated granules were blended with 100 g of silicon dioxide (Syloid 244) and 125 g of microcrystalline cellulose (Avicel PH 102) in a mixer for 10 minutes. 50 g of Stearic Acid was added and mixed for another 5 minutes The blended mixture was compressed into 1.00 gram tablet cores. 10 Example 3: Dissolution tests with Dilvaproex Sodium controlled release tablets. Dissolution tests with the controlled release divalproex sodium tablet formulations were performed. These in vitro dissolution tests were conducted using an Apparatus II described in the United State Pharmacopeia XXJ/National Formulary XVI. A comparative 15 dissolution test in release medium was conducted under the following conditions. Divalproex Sodium ER tablets were dissolved in an USP type II apparatus at 100 rpm, at a temperature of 37'C, in an acid stage of 500 ml of 0.lN HCl for 45 minutes, followed by a basic stage of 900ml 0.05 M phosphate buffer with 75mM Sodium Lauryl Sulfate (SLS) pH 5.5. Sampling times in the basic stage were at 3, 9, 12, and 18 hours. The results of this dissolution test are 20 presented in Table 3. Table 3: Percentage of labeled dose dissolved in a comparative dissolution test at the 25 sampling times indicated in hours. Time, hours K-30965 K-32752 K-33429 K-33861 K-34999 K-35002 K-35989 K-36076 0 0 0 0 0 0 0 0 0 0.75 4 2 1 2 3 2 2 3 3.75 20 13 25 23 22 17 29 19 9.75 59 39 60 52 58 42 59 47 12.75 98 51 80 64 68 58 67 55 18.75 102 87 95 81 85 84 81 71 24.75 96 102 Based upon these dissolution studies, the results appearing in Table 3 above, the following conclusions were drawn: a) no more than about 30% of total valproate is released during or within 3 hours of measurement in said apparatus; b) from about 35% to about 70% WO 2007/081341 PCT/US2006/001201 17 of total valproate is released during or within 9 hours of measurement in said apparatus; c) from about 55% to about 95% of total valproate is released during or within 12 hour of measurement in said apparatus, and; d) not less than 75% of total valproate is released during or within 18 hours of measurement in said apparatus. 5 Example 4: In vivo pharmacokinetic study In three in-vivo biostudies pharmacokinetics were compared between preferred formulations and a reference drug. The bioavailability and plasma concentration versus time profile of valproate from oral controlled release tablet formulations of divalproex sodium (K 10 34999, K-35002, and K-35689 described in Table 2) determined under fasting and non fasting conditions were compared to those of a commercially available extended release divalproex sodium tablet formulation (Depakote ER) under the same conditions in healthy subjects (15 subjects in a non-fasting study and 13 in a fasting study). Pharmacokinetic parameters were obtained for Cmax and AUCO- 24 in both the fasted 15 and non-fasted (fed) biostudy. Analyses of variance (ANOVAs) were obtained for these parameters as well. The pharmacokinetic results for each formulation as compared to the reference formulation are summarized in the Table 5. Table 5: Comparative Pharmacokinetics of formulation versus reference formulation FoInulation Parameter 100 X Ratio of 90% CI on Log Power of ANOVA P Value Geometric Transformed for Log Transfoned means Data Data K-34999 (fasted) AUC 105 93.4 - 118 0.79234 0.4793 Cnax 113 101-126 0.84891 0.0733 K-35002 (fasted) AUC 115 102-130 0.79234 0.0500 Cmax 140 126- 157 0.84891 0.0001 K-35689 (fasted) AUC 107 98 - 117 Cmax 121.6 113.7 - 129.9 K-34999 (fed) AUC 94 88.1 - 100 0.99828 0.1128 Cmax 103 94.1 - 112 0.96475 0.6119 K-35002 (fed) AUC 106 98.9- 113 0.99754 0.1670 Cinax 141 129- 154 0.95639 0.0001 K-35689 (fed) AUC 108 98.3 - 117.9 Cinax 117.5 110.6 - 124.8 20 The 90% confidence intervals for the AUC values for the test formulations administered under fasting and non-fasting conditions versus the reference fasting and non fasting, would satisfy the criterion for bioequivalence when the values are in the range from 0.80-1.25 times the reference value. Additionally, the 90% confidence interval for the ratio of WO 2007/081341 PCT/US2006/001201 18 central values of Cmai for-the test formulations under fasting and non-fasting regimens would also be satisfied by the same bioequivalence criterion. The controlled release tablet dosage formulations perform well. The controlled release regimens are either similar or bioequivalent to the reference regimen with respect to extent of 5 absorption as characterized by AUC. The two test regimens did not differ statistically significantly from the reference regimen with respect to Cmax values of the controlled release regimens compared the reference regimen suggest that the controlled release tablet dosage formulation provides controlled release of valproic acid in vivo under fasting and non-fasting conditions. 10 Moreover, the results demonstrate the controlled release characteristics of the test formulations and their similarity in bioavailability based on AUC when compared to the reference fonnulation.

Claims

1. A controlled release dosage formulation comprising, 5 a) a valproic acid compound in an amount of about 40% to about 80% by weight of the dosage form, and b) at least two polymers each in an amount of less than about 20% of the tablet weight. 10

2. The controlled release dosage formulation according to claim 1, wherein the valproic acid compound is selected from the group consisting of valproic acid, a pharmaceutically acceptable salt, ester, or amide thereof, and divalproex sodium.

3. The controlled release dosage formulation according to claim 1, wherein the dosage 15 formulation is a tablet.

4. The controlled release dosage formulation according to claim 1, wherein at least one of the polymers is a hydrophilic polymer. 20

5. The controlled release dosage formulation according to claim 1, wherein the valproic acid compound is in an amount of about 45% to about 60%.

6. The controlled release dosage formulation according to claim 5, wherein the valproic acid compound is in an amount of about 45% to about 55%. 25

7. The controlled release dosage formulation according to claim 1, wherein the valproic acid compound is Divalproex Sodium.

8. The controlled release dosage formulation according to claim 1, wherein the amount 30 of each polymer is less than about 16% of the tablet weight.

9. The controlled release dosage formulation according to claim 1, wherein the amount of each polymer is from about 10% to about 16% of the tablet weight. WO 2007/081341 PCT/US2006/001201 20

10. The controlled rel-ease dosage formulation according to claim 1, wherein the amount of each polymer is from about 12% to about 16% of the tablet weight.

11. The controlled release dosage formulation according to claim 1, wherein the polymers 5 are selected from the group consisting of hypromellose (HPMC), hydroxyethyl cellulose (HEC), polyethylene oxide (Polyox), polyvinylpyrrolidine, hydroxypropyl cellulose, methyl cellulose, vinyl acetate copolymers, polysaccharides, methacrylic acid copolymers, maleic anhydride/methyl vinyl ether copolymers and derivatives thereof 10

12. The controlled release dosage formulation according to claim 1, wherein the polymers are selected from the group consisting of hypromellose (Hydroxypropylmethyl cellulose, HPMC), hydroxyethyl cellulose, Polyethylene Oxide, and Kollicoat 30SR.

13. The controlled release dosage formulation according to claim 1, wherein the polymers 15 are selected from the group consisting of hypromellose K100 (Methocel K100), hypromellose El5 (Methocel E15), and hydroxyethylcellulose 250 (Natrosol@ 250M).

14. The controlled release dosage formulation according to claim 4, further comprising at least one additional polymer which is hydrophobic. 20

15. The controlled release dosage formulation according to claim 14, wherein the at least one hydrophobic polymer is ethylcellulose.

16. The controlled release dosage formulation according to claim 1, wherein the polymers 25 are hydrophilic, and further comprising at least one hydrophobic polymer.

17. The controlled release dosage formulation according to claim 16, wherein the at least one hydrophobic polymer is ethylcellulose. 30

18. The controlled release dosage form according to claim 1, wherein the fonnulation is in a form of a coated core, comprising a) a compressed surface coated matrix granulate, and b) a coating on the compressed core. WO 2007/081341 PCT/US2006/001201 21

19. The coated' core according to claim 18, wherein the surface coated matrix granulate comprises the valproic acid compound and at least two hydrophilic polymers.

20. The coated core according to claim 19, wherein the hydrophilic polymers are selected 5 from the group consisting of hypromellose (HPMC), hydroxyethyl cellulose (HEC), Polyethylene Oxide, polyvinylpyrrolidine, hydroxypropyl cellulose, methyl cellulose, vinyl acetate copolymers, polysaccharides, polyethylene oxide, methacrylic acid copolymers, maleic anhydride/methyl vinyl ether copolymers and derivatives thereof 10

21. The coated core according to claim 19, wherein the hydrophilic polymers are selected from the group consisting of hypromellose (Hydroxypropylmethyl cellulose, HPMC), hydroxyethyl cellulose, Polyethylene Oxide, and Kollicoat 30SR.

22. The coated core according to claim 19, wherein the hydrophilic polymers are selected 15 from the group consisting of hypromellose K100 (Methocel K100), hypromellose E15 (Methocel E15), and hydroxyethylcellulose 250 (Natrosol@ 250M).

23. The coated core according to claim 19, wherein the surface coating of the surface coated matrix granulate comprises a hydrophilic polymer. 20

24. The coated core according to claim 23, wherein the hydrophilic polymer is selected from the group consisting of hypromellose (Pharmacoat 606), hypromellose E15 (Methocel E15), and Kollicoat 30 SR.

25 25. The coated core according to claim 21, wherein the hydrophilic polymer is hypromellose E15 (Methocel E15).

26. The controlled release dosage formulation according to claim 1, wherein the dosage formulation comprises, 30 a) about 47 to 50 weight percent of a valproic acid compound; b) about 13 to 16 weight percent hypromellose; c) about 13 to 15 weight percent hydroxyethylcellulose; d) about 8 to 9 weight percent pregelatinized starch; e) about 4 to 10 weight percent microcrystalline cellulose; WO 2007/081341 PCT/US2006/001201 22 f) about 3 to 4'Weight percent silicon dioxide, and g) about 1 to 2 weight percent stearic acid.

27. The controlled release dosage formulation according to claim 26, wherein the valproic 5 acid compound is Divalproex Sodium.

28. The controlled release dosage formulation according to claim 1, having a dissolution profile in an aqueous buffer at 37'C and pH 5.5 of a) no more than about 30% of total valproic acid compound is released during or 10 within 3 hours; b) from about 40 to about 70% of total valproic acid compound is released during or within 9 hours; c) from about 50% to about 95% of total valproic acid compound is released during or within 12 hours, and; 15 d) not less than 75% of the total valproic acid compound is released during or within 18 hours.

29. The controlled release dosage formulation according to claim 1, having a comparative pharmacokinetic profile compared to the pharmacokinetic profile of commercially available 20 Divalproex Sodium ER 500mg tablets (Depakote ER) when dosed in a mammal of, a) a mean AUC value in the range from about 90% to about 130%, wherein the observed mean AUC value for the Depakote ER is set at 100%, and b) a mean Cmnax value in the range from about 100% to about 160% wherein the observed mean Cmax value for the Depakote ER is set at 100%, 25 wherein the controlled release dosage formulation is administered to a fasting mammal.

30. The controlled release dosage formulation according to claim 29, wherein the mammal is a human. 30

31. The controlled release dosage formulation according to claim 1, having a relative pharmacokinetic profile compared to the pharmacokinetic profile of commercially available Divalproex Sodium ER 500mg tablets (Depakote ER) in a mammal of, a) a mean AUC value in the range from about 85% to about 120% wherein the observed mean AUC value for the Depakote ER is set at 100%, WO 2007/081341 PCT/US2006/001201 23 b) a mean Cma value in the range from about 90% to about 160% wherein the observed mean Cmax value for the Depakote ER is set at 100%, wherein the controlled release dosage formulation is administered to a non-fasting mammal. 5

32. The controlled release dosage formulation according to claim 31, wherein the mammal is a human.

33. A method of preparing a granular composition suitable for pressing into controlled release tablets dosage form or filling into capsules comprising the following steps of, 10 a) dry blending a mixture comprising a valproic acid compound, at least two hydrophilic polymers, and binder; b) wet granulating with a hydro alcoholic solution, a mixture of an alcohol and water, in order to form a homogeneous mixture; c) drying and sizing the wet granulate; 15 d) surface coating the dried granulate with a dispersion containing a hydrophilic polymer and talc, with purified water; e) drying the coated granulate; and optionally f) adding a glidant, and sieving the coated granulate; 20 g) dry blending the coated granulate with a filler and a lubricant; wherein each hydrophilic polymer in steps a) and d) is in an amount less than about 20% of the composition.

34. The method according to claim 33, wherein the each hydrophilic polymer is in an 25 amount of less than about 16% of the composition.

35. The method according to claim 33, wherein the valproic acid compound is Divalproex Sodium, the at least two hydrophilic polymers are at least hypromellose and hydroxyethylcellulose, the binder is pregelatinized starch, the hydrophilic polymer for surface 30 coating is hypromellose.

36. The method for preparing a granulate composition for pressing into controlled release tablet dosage fonn according to claim 33, further comprising the following steps of, f) optionally, adding a glidant, and sieving the coated granulate; WO 2007/081341 PCT/US2006/001201 24 g) optionalty,dty blending the coated granulate with a filler and a lubricant; h) compressing the granules into tablets; and i) optionally coating the tablets with a cosmetic coat, wherein each hydrophilic polymer in steps a) and d) is in an amount less than about 20% of 5 the composition.

37. The method according to claim 36, wherein the valproic acid compound is Divalproex Sodium, the at least two hydrophilic polymers are at least hypromellose and hydroxyethylcellulose, the binder is pregelatinized starch, the hydrophilic polymer for surface 10 coating is hypromellose, the glidant is silicon dioxide, the filler is microcrystalline cellulose, and the lubricant is stearic acid.

38. A controlled release capsule dosage formulation comprising a granular composition which comprises, 15 a) a valproic acid compound in an amount of about 40% to about 80% by weight of the dosage form, and b) at least two polymers each in an amount of less than about 20% of the capsule weight. 20

39. The controlled release capsule dosage formulation according to claim 38, wherein at least one of the polymers is a hydrophilic polymer.

40. The controlled release capsule dosage formulation according to claim 38, wherein the valproic acid compound is Divalproex Sodium. 25

41. The controlled release capsule dosage formulation according to claim 38, wherein the amount of each polymer is less than about 16% of the capsule weight.

42. The controlled release capsule dosage formulation according to claim 38, wherein the 30 amount of each polymer is from about 10% to about 16% of the capsule weight.

43. The controlled release capsule dosage formulation according to claim 38, wherein the amount of each polymer is from about 12% to about 16% of the capsule weight. WO 2007/081341 PCT/US2006/001201 25

44. The controlled~release capsule dosage formulation according to claim 38, wherein the polymers are selected from the group consisting of hypromellose (HPMC), hydroxyethyl cellulose (HEC), polyethylene oxide (Polyox), polyvinylpyrrolidine, hydroxypropyl cellulose, methyl cellulose, vinyl acetate copolymers, polysaccharides, methacrylic acid 5 copolymers, maleic anhydride/methyl vinyl ether copolymers and derivatives thereof

45. The controlled release capsule dosage formulation according to claim 38, wherein the polymers are selected from the group consisting of hypromellose (Hydroxypropylmethyl cellulose, HPMC), hydroxyethyl cellulose, Polyethylene Oxide, and Kollicoat 30SR. 10

46. The controlled release capsule dosage formulation according to claim 38, further comprising an additional hydrophobic polymer.

47. The controlled release capsule dosage formulation according to claim 38, wherein the 15 formulation is in a form comprising a capsule containing a pharmaceutical surface coated matrix granulate.

48. The controlled release capsule dosage formulation according to claim 47, wherein the pharmaceutical surface coated matrix granulate comprises the valproic acid compound and at 20 least two hydrophilic polymers.

49. A method of treating a patient comprising administering once-a-day a therapeutically effective amount of a valproic acid compound in a controlled release dosage formulation comprising about 40% to about 80% of the valproic acid compound and at least two 25 hydrophilic polymers each in an amount of less than about 20% of the formulation weight.

50. The method according to claim 49, wherein the controlled release dosage formulation is a controlled release tablet dosage formulation. 30

51. The method of treating a patient according to claim 50, wherein the amount of each hydrophilic polymer is less than about 16% of the tablet weight.

52. The method according to claim 49, wherein the controlled release dosage formulation is a controlled release capsule dosage formulation. WO 2007/081341 PCT/US2006/001201 26

53. The method of treating a patient according to claim 52, wherein the amount of each hydrophilic polymer is less than about 16% of the capsule content weight.