AU2023203385A1 - Omeprazole based oral paste formulation having increased temperature stability and enhanced absorption - Google Patents

Omeprazole based oral paste formulation having increased temperature stability and enhanced absorption Download PDF

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AU2023203385A1
AU2023203385A1 AU2023203385A AU2023203385A AU2023203385A1 AU 2023203385 A1 AU2023203385 A1 AU 2023203385A1 AU 2023203385 A AU2023203385 A AU 2023203385A AU 2023203385 A AU2023203385 A AU 2023203385A AU 2023203385 A1 AU2023203385 A1 AU 2023203385A1
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formulation
omeprazole
oil
mixture
sweet almond
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AU2023203385A
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Angelis Vasili
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RANDLAB AUSTRALIA Pty Ltd
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RANDLAB AUSTRALIA Pty Ltd
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Priority claimed from AU2022902313A external-priority patent/AU2022902313A0/en
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Publication of AU2023203385A1 publication Critical patent/AU2023203385A1/en
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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
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/44Oils, fats or waxes according to two or more groups of A61K47/02-A61K47/42; Natural or modified natural oils, fats or waxes, e.g. castor oil, polyethoxylated castor oil, montan wax, lignite, shellac, rosin, beeswax or lanolin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0053Mouth and digestive tract, i.e. intraoral and peroral administration
    • A61K9/0056Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/06Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Zoology (AREA)
  • Nutrition Science (AREA)
  • Physiology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

There is provided an omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress. The formulation includes omeprazole, a hydrophobic carrier including sweet almond oil and aniseed oil, a stabilizing agent including triethanolamine, a thickening agent including hydrogenated castor oil, and an antioxidant agent including butylated hydroxyanisole. The omeprazole is in an amount from about 30% to about 45% w/w of the formulation. The hydrophobic carrier is in an amount from about 50% to about 70% w/w of the formulation. The weight ratio of sweet almond oil to aniseed oil is from about 6:1 to about 4:1.

Description

OMEPRAZOLE BASED ORAL PASTE FORMULATION HAVING INCREASED TEMPERATURE STABILITY AND ENHANCED ABSORPTION TECHNICAL FIELD
The present invention relates to an improved oral paste formulation containing a proton pump inhibitor and, in particular, to an omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress.
BACKGROUND ART
Omeprazole is a well known proton pump inhibitor (PPI) that decreases the amount of acid produced in the stomach, and so is widely used (in appropriate dose strength) to treat, as well as prevent, symptoms of gastroesophageal reflux disease, gastric and duodenal ulcers and other disease conditions caused by excess stomach acid. Omeprazole is also used to treat stomach infections caused by Helicobacter pylori bacteria.
As well as in human medicine, omeprazole is used in veterinary medicine to treat and prevent gastric and duodenal ulcers in horses, dogs, cats and some other companion animals.
Although the preferred PPI used in the present invention is omeprazole, there are other known PPIs which may be used, such as esomeprazole, lansoprazole, pantoprazole and leminoprazole. Methods for their preparation may be found in the literature. For example, in the patent literature, omeprazole is disclosed in EP 5129, esomeprazole is disclosed in US 5,714,504, lansoprazole in EP 174,726, pantoprazole in EP 166,287 and leminoprazole in GB 2,163,747.
Horses, and especially race horses, are prone to developing gastric ulcers (also referred to as stomach ulcers) during times of stress, such as when they are training, competing,
30/05/23 being transported in a horse float or trailer, or confined in a stall or small paddock. Foals may also develop such stress induced ulcers during weaning.
PPIs are potent inhibitors of gastric acid secretion by inhibiting H+K-ATPase, the enzyme involved in the final step of hydrogen ion production in the parietal cells. Hence, PPIs have been used in the treatment of gastric acid related diseases in humans. Peptic ulcers are common also in some animals, particularly in horses. Although the aetiology of gastro-duodenal ulcers in horses has not been ascertained, it appears that stress plays an important role in some cases.
PPIs are highly acid labile and hence oral formulations are enteric coated. Enteric coated formulations are expensive and time consuming to manufacture, and require elaborate technology and equipment. Another disadvantage of an enteric coated formulation is its moisture sensitivity.
W094/25070 discloses an oral composition containing a proton pump inhibitor in the form of enteric coated dry particles mixed with a dry gelling agent. The mixture may then be made into a paste-like gel prior to administration. The composition therefore requires enteric coating, with the aforementioned disadvantages associated with such formulation. Furthermore, because such a moist gel is not stable during long term storage at room temperature it cannot be manufactured and sold as a ready-to-use formulation. Rather, it must be prepared, without preparation, at the time of administration, making it inconvenient to use.
The formulation described herein is a stable, ready-to-use paste formulation containing a proton pump inhibitor suitable for administering to animals such as horses, cattle, pigs etc, and human beings, which may have difficulty swallowing solid dosage forms such as tablets and capsules. The present invention can be easily administered to horses and is readily accepted by these animals. The formulation of the present invention has increased temperature stability during long term storage at room temperature, and has enhanced absorption.
30/05/23
DISCLOSURE OF INVENTION
It is, therefore, a preferred object of the present invention to provide an omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress.
It is another preferred object of the present invention that the aforementioned formulation has increased temperature stability and enhanced absorption by a horse that is at risk of suffering stress, or is suffering stress, over well known omeprazole based oral paste formulations and solid dosage forms.
It is yet another preferred object of the present invention to provide an omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress and which overcomes, or at least ameliorates the shortcomings of the prior art, or at least provides a useful alternative.
According to one aspect of the present invention, there is provided an omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress, the formulation comprising omeprazole, a hydrophobic carrier comprising sweet almond oil and aniseed oil, a stabilizing agent comprising triethanolamine, a thickening agent comprising hydrogenated castor oil, and an antioxidant agent comprising butylated hydroxyanisole, wherein the omeprazole is in an amount from about 30% to about 45% w/w of the formulation, the hydrophobic carrier is in an amount from about 50% to about 70% w/w of the formulation, and wherein the weight ratio of sweet almond oil to aniseed oil is from about 6:1 to about 4:1.
Preferably, the omeprazole is in the form of a powder of micronized particles in which about 90% of the particles have a maximum particle diameter of about 1,000 micrometers, and about 10% of the particles have a maximum particle diameter of less than about 800 micrometers.
In a preferred form, the stabilizing agent provides a pH of greater than 9 to the formulation.
The formulation may further comprise a sweetening agent comprising saccharin, and/or a colouring agent comprising iron oxide.
In a particularly preferred embodiment, the formulation comprises 37% w/w omeprazole, 50.14% w/w sweet almond oil, 10% w/w aniseed oil, 1% w/w triethanolamine, 1.5% w/w hydrogenated castor oil, 0.01% w/w butylated hydroxyanisole, 0.2% w/w saccharin, and 0.15% w/w high purity yellow iron oxide.
According to another aspect of the present invention, there is provided a process for preparing the above oral paste formulation, comprising the steps of: (a) mixing sweet almond oil, aniseed oil and triethanolamine until the mixture is uniform, (b) adding saccharin to the mixture from step (a) and mixing until uniform, (c) adding butylated hydroxyanisole to the mixture from step (b) and mixing until completely dissolved, (d) adding omeprazole in micronized powder form and high purity yellow iron oxide to the mixture from step (c) and mixing until completely dispersed, and (e) adding hydrogenated castor oil to the mixture from step (d) and mixing until a uniform and thickened paste forms.
According to yet another aspect of the present invention, there is provided a method for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress, the method comprising orally administering to a horse in need thereof a pharmaceutically effective amount of the above oral paste formulation.
There has been thus outlined, rather broadly, the more important features of the invention in order that the detailed description thereof that follows may be better understood and put into practical effect, and in order that the present contribution to the art may be better appreciated.
There are additional features of the invention that will be described hereinafter. As such, those skilled in the art will appreciate that the conception, upon which the disclosure is based, may be readily utilized as the basis for designing other formulations, process steps and methods of prevention and treatment for carrying out the objects of the present invention. It is important, therefore, that the broad outline of the invention described above be regarded as including such equivalent features insofar as they do not depart from the spirit and scope of the present invention.
DETAILED DESCRIPTION OF THE INVENTION
EXAMPLE 1
The composition of the formulation used in this Example is as follows:
Omeprazole powder 370 g Sweet almond oil 501.4 g Aniseed oil 100 g Triethanolamine 10g Hydrogenated castor oil 15 g Butylated hydroxyanisole 0.1 g Saccharin 2g High purity yellow iron oxide 1.5 g
Using the above quantities, sweet almond oil, aniseed oil and triethanolamine are mixed until the mixture is uniform. Saccharin is then added with mixing until uniform. Butylated hydroxyanisole is then added with mixing until completely dissolved. Omeprazole powder form (as micronized particles and yellow iron oxide (in high purity) are then added with mixing until completely dispersed. Finally, hydrogenated castor oil is added and mixing continues for about 30 minutes until a uniform and thickened paste forms that is suitable for administration as an oral paste.
The pH of the formulation according to this Example is greater than 9, which is largely attributable to the basifying effect of triethanolamine, to provide a buffered and stable non-acidic environment for the highly acid labile omeprazole.
The temperature stability of this formulation is greater than that of well known omeprazole based oral paste formulations. Without wishing to be bound by theory, this increased temperature stability of the active agent omeprazole is considered to be due to the selection of sweet almond oil and aniseed oil as the hydrophobic carrier in the weight ratio of sweet almond oil to aniseed oil of about 5:1.
EXAMPLE 2
The paste formulation prepared in Example 1 is used to fill paste dosing syringes which are to be used to orally administer a pharmaceutically effective amount of the paste to a horse that is diagnosed with stomach ulcers.
The paste, in a dose strength of omeprazole appropriate for the weight, age and condition of the horse, is deposited on the dorsal part of the affected horse's tongue. Normally, a dose strength range of from about 0.2 mg/kg body weight to about 20 mg/kg body weight may be used.
The amount of the formulation to be administered may vary according to the particular animal species to be treated, the specific active ingredient (i.e. PPI) in the formulation, the severity of the disease, the physical condition of the afflicted animal, and other factors. A physician or veterinarian skilled in the art of ulcer treatment may readily determine the proper dosage for the specific host under treatment.
The omeprazole is absorbed by the affected horse more efficiently and in a greater proportion (at least a 4% enhancement) of the available omeprazole in the formulation than is the case in well known omeprazole based oral paste formulations. Without wishing to be bound by theory, this enhanced absorption of the active agent omeprazole
30/05/23 is considered to be due to the selection of sweet almond oil and aniseed oil as the hydrophobic carrier in the weight ratio of sweet almond oil to aniseed oil of about 5:1.
The stomach ulcers of the affected horse showed significant improvement and healing well within 28 days of orally administering the paste.
EXAMPLE 3
The unused paste dosing syringes filled with the paste formulation in Example 2 are used to orally administer a pharmaceutically effective amount of the paste to a horse that suffers stress and is in need of the prevention of disease conditions caused by excess stomach acid. The same administration procedure as that in Example 2 is followed, but with a reduced daily dose appropriate to the stress levels of the horse, and similarly enhanced absorption of the active agent omeprazole occurs.
Over a 28 day period during which the horse experienced numerous stressful events, no stomach ulcers developed in the horse.
It will be readily apparent to persons skilled in the art that various modifications may be made in details of the design of the omeprazole based oral paste formulation, of the process steps for its preparation, and of the methods which utilize any such formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress, without departing from the scope or ambit of the present invention.
The reference in this specification to any prior publication (or information derived from it), or to any matter which is known, is not, and should not be taken as an acknowledgement or admission or any form of suggestion that that prior publication (or information derived from it) or known matter forms part of the common general knowledge in the field of endeavour to which this specification relates before the filing date of this patent application.

Claims (7)

CLAIMS:
1. An omeprazole based oral paste formulation for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress, the formulation comprising omeprazole, a hydrophobic carrier comprising sweet almond oil and aniseed oil, a stabilizing agent comprising triethanolamine, a thickening agent comprising hydrogenated castor oil, and an antioxidant agent comprising butylated hydroxyanisole, wherein the omeprazole is in an amount from about 30% to about 45% w/w of the formulation, the hydrophobic carrier is in an amount from about 50% to about 70% w/w of the formulation, and wherein the weight ratio of sweet almond oil to aniseed oil is from about 6:1 to about 4:1.
2. The formulation of claim 1, wherein the omeprazole is in the form of a powder of micronized particles in which about 90% of the particles have a maximum particle diameter of about 1,000 micrometers, and about 10% of the particles have a maximum particle diameter of less than about 800 micrometers.
3. The formulation of claim 1 or claim 2, wherein the stabilizing agent provides a pH of greater than 9 to the formulation.
4. The formulation of any one of claims 1 to 3, further comprising a sweetening agent comprising saccharin, and/or a colouring agent comprising iron oxide.
5. The formulation of claim 4, wherein the formulation comprises 37% w/w omeprazole, 50.14% w/w sweet almond oil, 10% w/w aniseed oil, 1% w/w triethanolamine, 1.5% w/w hydrogenated castor oil, 0.01% w/w butylated hydroxyanisole, 0.2% w/w saccharin, and 0.15% w/w high purity yellow iron oxide.
6. A process for preparing the oral paste formulation of claim 5, comprising the steps of: (a) mixing sweet almond oil, aniseed oil and triethanolamine until the mixture is uniform, (b) adding saccharin to the mixture from step (a) and mixing until uniform, (c) adding butylated hydroxyanisole to the mixture from step (b) and mixing until completely dissolved,
(d) adding omeprazole in micronized powder form and high purity yellow iron oxide to the mixture from step (c) and mixing until completely dispersed, and (e) adding hydrogenated castor oil to the mixture from step (d) and mixing until a uniform and thickened paste forms.
7. A method for the prevention and treatment of disease conditions caused by excess stomach acid in horses that suffer stress, the method comprising orally administering to a horse in need thereof a pharmaceutically effective amount of the oral paste formulation of any one of claims I to 5.
AU2023203385A 2022-08-15 2023-05-30 Omeprazole based oral paste formulation having increased temperature stability and enhanced absorption Pending AU2023203385A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
AU2022902313 2022-08-15
AU2022902313A AU2022902313A0 (en) 2022-08-15 Omeprazole Based Oral Paste Formulation Having Increased Temperature Stability and Enhanced Absorption

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AU2023203385A1 true AU2023203385A1 (en) 2024-02-29

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