CA2277722C - Water dispersible tablets - Google Patents
Water dispersible tablets Download PDFInfo
- Publication number
- CA2277722C CA2277722C CA002277722A CA2277722A CA2277722C CA 2277722 C CA2277722 C CA 2277722C CA 002277722 A CA002277722 A CA 002277722A CA 2277722 A CA2277722 A CA 2277722A CA 2277722 C CA2277722 C CA 2277722C
- Authority
- CA
- Canada
- Prior art keywords
- tablet
- water
- lamotrigine
- tablets
- minutes
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 239000004565 water dispersible tablet Substances 0.000 title claims abstract description 19
- 239000003826 tablet Substances 0.000 claims abstract description 218
- 239000004927 clay Substances 0.000 claims abstract description 63
- 239000008187 granular material Substances 0.000 claims abstract description 52
- 239000006185 dispersion Substances 0.000 claims abstract description 50
- PYZRQGJRPPTADH-UHFFFAOYSA-N lamotrigine Chemical compound NC1=NC(N)=NN=C1C1=CC=CC(Cl)=C1Cl PYZRQGJRPPTADH-UHFFFAOYSA-N 0.000 claims abstract description 49
- 229960001848 lamotrigine Drugs 0.000 claims abstract description 48
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 45
- 150000003839 salts Chemical class 0.000 claims abstract description 23
- 239000007919 dispersible tablet Substances 0.000 claims abstract description 22
- 238000012360 testing method Methods 0.000 claims abstract description 18
- 239000000203 mixture Substances 0.000 claims description 36
- 239000011777 magnesium Substances 0.000 claims description 35
- 229910052749 magnesium Inorganic materials 0.000 claims description 35
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 claims description 32
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims description 27
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims description 27
- 235000012211 aluminium silicate Nutrition 0.000 claims description 23
- 238000000034 method Methods 0.000 claims description 23
- 229910000323 aluminium silicate Inorganic materials 0.000 claims description 22
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 22
- 239000005995 Aluminium silicate Substances 0.000 claims description 21
- 229940069328 povidone Drugs 0.000 claims description 21
- 239000003795 chemical substances by application Substances 0.000 claims description 19
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 19
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 claims description 18
- 229920003081 Povidone K 30 Polymers 0.000 claims description 18
- 239000011230 binding agent Substances 0.000 claims description 17
- 238000009472 formulation Methods 0.000 claims description 17
- 239000002245 particle Substances 0.000 claims description 15
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- 229940080313 sodium starch Drugs 0.000 claims description 14
- SVPXDRXYRYOSEX-UHFFFAOYSA-N bentoquatam Chemical compound O.O=[Si]=O.O=[Al]O[Al]=O SVPXDRXYRYOSEX-UHFFFAOYSA-N 0.000 claims description 13
- 235000019359 magnesium stearate Nutrition 0.000 claims description 13
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- GUJOJGAPFQRJSV-UHFFFAOYSA-N dialuminum;dioxosilane;oxygen(2-);hydrate Chemical compound O.[O-2].[O-2].[O-2].[Al+3].[Al+3].O=[Si]=O.O=[Si]=O.O=[Si]=O.O=[Si]=O GUJOJGAPFQRJSV-UHFFFAOYSA-N 0.000 claims description 7
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- APSBXTVYXVQYAB-UHFFFAOYSA-M sodium docusate Chemical compound [Na+].CCCCC(CC)COC(=O)CC(S([O-])(=O)=O)C(=O)OCC(CC)CCCC APSBXTVYXVQYAB-UHFFFAOYSA-M 0.000 claims description 5
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- 239000004033 plastic Substances 0.000 claims description 3
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- 229910052902 vermiculite Inorganic materials 0.000 claims description 3
- 230000008961 swelling Effects 0.000 claims description 2
- PZZYQPZGQPZBDN-UHFFFAOYSA-N aluminium silicate Chemical compound O=[Al]O[Si](=O)O[Al]=O PZZYQPZGQPZBDN-UHFFFAOYSA-N 0.000 claims 7
- 229910000282 aluminium bentonite Inorganic materials 0.000 claims 5
- 229910001220 stainless steel Inorganic materials 0.000 claims 2
- 229940024898 povidone k30 Drugs 0.000 claims 1
- 229960004150 aciclovir Drugs 0.000 description 45
- MKUXAQIIEYXACX-UHFFFAOYSA-N aciclovir Chemical compound N1C(N)=NC(=O)C2=C1N(COCCO)C=N2 MKUXAQIIEYXACX-UHFFFAOYSA-N 0.000 description 44
- 150000001875 compounds Chemical class 0.000 description 41
- 238000005469 granulation Methods 0.000 description 19
- 230000003179 granulation Effects 0.000 description 19
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 14
- -1 glidants Substances 0.000 description 13
- 229910052500 inorganic mineral Inorganic materials 0.000 description 12
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- 239000000546 pharmaceutical excipient Substances 0.000 description 11
- YKTSYUJCYHOUJP-UHFFFAOYSA-N [O--].[Al+3].[Al+3].[O-][Si]([O-])([O-])[O-] Chemical compound [O--].[Al+3].[Al+3].[O-][Si]([O-])([O-])[O-] YKTSYUJCYHOUJP-UHFFFAOYSA-N 0.000 description 10
- 238000002156 mixing Methods 0.000 description 10
- 239000003814 drug Substances 0.000 description 9
- 239000000314 lubricant Substances 0.000 description 9
- 239000007916 tablet composition Substances 0.000 description 9
- 229920002472 Starch Polymers 0.000 description 8
- 239000000796 flavoring agent Substances 0.000 description 8
- 238000004519 manufacturing process Methods 0.000 description 8
- 229940032147 starch Drugs 0.000 description 8
- 239000008107 starch Substances 0.000 description 8
- 235000019698 starch Nutrition 0.000 description 8
- 238000011282 treatment Methods 0.000 description 8
- 235000019589 hardness Nutrition 0.000 description 7
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 6
- 229960003459 allopurinol Drugs 0.000 description 6
- 239000001913 cellulose Substances 0.000 description 6
- 229920002678 cellulose Polymers 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 239000007788 liquid Substances 0.000 description 6
- 239000011734 sodium Substances 0.000 description 6
- 230000009747 swallowing Effects 0.000 description 6
- OFCNXPDARWKPPY-UHFFFAOYSA-N allopurinol Chemical compound OC1=NC=NC2=C1C=NN2 OFCNXPDARWKPPY-UHFFFAOYSA-N 0.000 description 5
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- 229920001429 chelating resin Polymers 0.000 description 5
- 239000002734 clay mineral Substances 0.000 description 5
- 239000007891 compressed tablet Substances 0.000 description 5
- 238000007906 compression Methods 0.000 description 5
- 230000006835 compression Effects 0.000 description 5
- 239000002270 dispersing agent Substances 0.000 description 5
- 238000001035 drying Methods 0.000 description 5
- 239000007941 film coated tablet Substances 0.000 description 5
- 239000012530 fluid Substances 0.000 description 5
- 239000004615 ingredient Substances 0.000 description 5
- 239000000463 material Substances 0.000 description 5
- 229910052708 sodium Inorganic materials 0.000 description 5
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 4
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 4
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 4
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- 239000004353 Polyethylene glycol 8000 Substances 0.000 description 4
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- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 4
- ISAKRJDGNUQOIC-UHFFFAOYSA-N Uracil Chemical compound O=C1C=CNC(=O)N1 ISAKRJDGNUQOIC-UHFFFAOYSA-N 0.000 description 4
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- 239000003937 drug carrier Substances 0.000 description 4
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- SVUOLADPCWQTTE-UHFFFAOYSA-N 1h-1,2-benzodiazepine Chemical compound N1N=CC=CC2=CC=CC=C12 SVUOLADPCWQTTE-UHFFFAOYSA-N 0.000 description 3
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- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/52—Purines, e.g. adenine
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- A61K31/53—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with three nitrogens as the only ring hetero atoms, e.g. chlorazanil, melamine
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- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
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Abstract
A water-dispersible tablet comprises: 2% w/w to 90% w/w lamotrigine or a pharmaceutically acceptable salt thereof, and 0.25 to 40% w/w of a pharmaceutically acceptable swellable clay which is present within the granules of the tablet to provide a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 µm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia 1988, Volume II, page 895.
Description
The present invention relates to a water-dispersible tablet formulation containing a therapeutically active compound.
his Apps ; ~~; ~ is a Divi~irnal of Canadian Patent Application, S-N-2,098,108, filed Januazy 2!~, 1992.
Therapeutically active compounds or drugs are frequently administered to patients. in tablet farm where the drug is intended for oral administration since tablets are an :especially convenient pharmaceutical form for manufacture, storage .and generally usage.
However, problems., may arise with tre administration of such tablets to patients who have d~.fficulty in swallowing the tablets (for example, children or morE: seriously ill patients),especially if the tablets are large in size arising from the amount of drug required in each tablet. A solution ~:o such problems is to formulate the tablets in a form whereby they can be dispersed in water to form a dispersion containing the dnig which can then be drunk by the patient.
Known water-dispa_rsible tablets include effervescent formulations which rely on the formation of a gas to quickly break up the tablet, but these involve expensive methods of manufacture and strict regulations for such manufacture. Other known water-dispersible tablets use disintegratin~~ agents such as microcrystalline cellulose used in Feldene ;Et dispezsible tablets. We have tested well-known disintegrating agents (in~:orporated both.internally and externally to the preformed granules) such as sodium starch glycollate (e. g.
Explotab), cross-linked p widone (e. g. Kollidon CL) and a cross-linked sodium carboxymethylcell~~lose (e.g. Starch, Avicel PH102, and Ac-Di-Sol) in an acyclovir tablet, but found that they did not provide a satisfactory water-dispersible formulation. We furthermore' tested an ion exchange resin (Amberlite 1RP88) as a disintegrating agent and incorporated surface active agents (e.g. sodium lauryl sulphate and sodium docusate) in an attempt to improve tablet wetting and penetrating of water during dispersion, but in all cases the disintegration time was high.
Explotab, Rollidon, Avicel, Ac-Di-Sol and Amberlite are Trade-marks-WO 92/13527 PCT/GB92/00163 , _ 2 _ After considerable research and investigation, we have now suprisingly found that the use of a swellable clay within the granulate of a tablet formulation provides a tablet which has good dispersibility in water to provide a dispersion which can be drunk by a patient.
Swellable clays such as VeegumR and other magnesium aluminium silicates have previously been studied and proposed for use as disintegrating agents, binders and lubricants in the manufacture of tablets, but such studies and proposals were exclusively with respect to tablets intended for swallowing and not for water-dispersible tablets (Rubenstein, Pharmaceutics - The Science of Dosage Form Design (1990) for disintegrants see p 312 and 314), Moreover, there has -_ never been any su;~gestion that a clay would be suitable to meet the more stringent r~squirements for dispersible tablets. Tablets for swallowing need only have a disintegration time in water of less 15 minutes and be able to form particles on disintegration in water that can pass through a 2.OOmm mesh aperture (British Pharmacopia test for swallowable tablets). Such long disintegration times and large particle sizes arE: entirely unsuitable for a dispersible tablet.
Even when swellab:Le clays have been proposed as disintegrating agents for swallowable tablets, they are not regarded as very suitable for such use because their off-white appearance can often discolour the tablet and becausE: they are not as effective as other disintegrating agents (Banker and Anderson - Theory and Practice of Industrial Pharmacy p 328 1;1986) and Bhargava et a~ - Drug Development and Industrial Pharmacy, 17(:L5), 2093-2102(1991)). In fact, bentonite is identified in Mar:;hall and Rudnic, Modern Pharmaceutics (1990) p 374, as the least swell.able of the ten disintegrants listed. There is no mention in the above text-book references of how the swellable clay should be incorporated - i.e. by intra-granular addition or by extra-granular addition. In the former case, the clay would be included in the mixture from which the granulate is formed; in the latter case the clay would be added to the pre-formed granulate.
:w.~
WO 92/13527 PCf/GB92/00163 In J. Pharm. Sci, 55, 1244 (1966), Wai et ~1, reviewed the following papers relating to swellable clays such as Veegum and bentonite as disintegrating agents: Wai et a~., J.Pharm.Sci, 55, 1215(1966);
Granberg et al., J.Am.Pharm.Assoc.Sci, 38, 648(1949); Gross et al., J.Am.Pharm.Assoc.:~ci, 41, 157(1952); Firouzabadian et al., J.Am.Pharm.Assoc.Sci, 43, 248(1954); Ward et al., Drug Cosmetic Ind, 91, 35(1962); Nair et a_~,., J.Am.Pharm.Assoc.Sci, 46, 131(1957); and Patel et a~., Indian J.Pharm., 19, Jan.1957. Wai et al., then compared three grades of: Veegum evalulating both extra-granular and intra-granular addition and concluded that "the clays were not good disintegrating a~;ents when wet granulated" (i.e. intra-granular addition), and then went on to recommend extra-granular addition.
Furthermore R.T.Vanderbilt and Co. (Manufacturers of Veegum) in their publication "Veegum - 'The Versatile Ingredient for Pharmaceutical Formulations" at F~ 19 describe a tablet formulation in which Veegum is added after granulation (tablet No.2). There is no reference in the publication to a formulation of a tablet in Which Veegum is added during granulation.
In contrast to t:he above recommendations, we have found that a swellable clay such as Veegum must be added during granulation to meet the British Phannacopoeia (B. P.) standard for dispersible tablets (presently set at a dispersion time of 3 minutes or less). If the swellable clay is added only after granulation the dispersion time is too high to meet the above standard.
By using Veegum and other swellable clays in the manner described above, we have been able to prepare water-dispersible tablets containing a variety of therapeutically active compounds. The resulting tablets can readily be dispersed in water to form a dispersion which can be drunk by a patient.
According to the present invention there is provided a water-dispersi-ble tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, an anti-viral nucleoside derivative (f~~r example acyclovir), an anti-protozoal naphthoquinone, allopurinol, oxopurinol, anti-convulsant 1,2,4 triazine derivative (for example lamotrigine) and trimethoprim (optionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay to provide a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 ~tm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia, 1988, Volume II, page 895.
The afore-mentioned published test requires that the tablet be capable of a) dispensing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 ~,m; b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page 895; said apparatus consisting of: (I) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to E30.0 mm long, 21.5 mm in internal diameter and with a wall thickness. of about 2 mm; (ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65'mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are ~~.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square - 4a -(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter a.s the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stain:Less steel wire 0.635 mm in diameter and having nominal mesh apertures of 2.00 mm attached to the underside of the lower plate; (iv) said plastic plates being held rigidly in position and. 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable: the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes; (v) said assembly being suspended in water at 19° to 21"C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
- 4b -The above-defined therapeutically active compound employed in the tablet according to the invention is hereinafter referred to as "the active compound".
The present inventic>n further provides a process for the preparation of: a water-dispersible tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, an anti-viral nucleoside derivative, an anti-protozoal naphthoquinone, allopurinol oxopurinol, anti-convulsant 1,2,4 triazine derivative and _ trimethoprim (opt:ionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay which comprises bringing the said active compound into association with the said swellable clay to provide a water-dispersible.table which is capable of d.ispers.ing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 ~m in accordance with the test for dispei:sible tablets defined in the British Pharmacopoeia, 1988, ~lolume II, page 895.
Preferably said process comprises the steps of:
- S -a) admixing in dry, finely-divided form the active compound with an effective amount o.f a pharmaceutically acceptable swellable clay, optionally with the addition of one or more other pharmaceutical carriers or excipients;
b) addition of a quantity of a pharmaceutically acceptable liquid sufficient t:o moisten the dry mixture;
c) granulation of the resulting moist mixture to form granules;
d) drying the granules and optionally blending the granules with other optional carriers or excipients such as lubricants, glidants, flavouring agents and disintegrating agents; and e) compression of the granules to form a tablet which is capable of dispersing i.n water within a period of 3 minutes to provide a dispersion ~rhich is capable of passing through a sieve screen with a mesh aperture of 710~m in accordance with the above defined British Pharmacopoeia test for dispersible tablets.
A tablet according to the invention, as well as being quickly dispersible in water, has the added advantage that it meets the British Pharmacopoeia (B. P.) test for dispersible tablets in respect of dispersion times and dispersion quality (i.e. passage through a 710um sieve).
Preferably the dispersion time of a tablet according to the invention is less than 2 minutes, more preferably less than 1.50 minutes and _ most preferably less than 1 minute.
A further advantage of the tablets according to invention is that because a relati~~ely fine dispersion is formed.the tablet will have a lower dissolution time and thus the drug may be absorbed into the blood stream much faster. Furthermore the fast dispersion times and relatively fine dispersions obtained with tablets according to the ~%O 92/13527 PCT/GB92/00163 invention are also advantageous for swallowable tablets. Thus tablets-according to the invention can be presented both for dispersion in water and also for directly swallowing. Those tablets according to the invention that are intended for swelling are preferably film-coated to aid swallowing. Such film-coating however increases the dispersion time up to 5 minutes determined in accordance with the above-mentioned B.P. test.
According to a further feature of the present invention therefore we provide a water-dispersible film-coated tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, as antiviral nucleoside derivative, an anti-protozoal napthoquinone, allopurinol, oxopurinol, an anti-convulsant 1,2,4-triazine derivative and trimethoprim (optionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay to provide a film-coated tablet which is capable of dispersing in Water within a period of 5 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710~m in accordance with the above-defined British Pharmacopoeia test for dispersible tablets subject to the variation of the said period specified in the test from 3 minutes to S minutes. The references herein to tablets according to the invention include bath film-coated and non-film-coated tablets.
After the dispersion has passed through the 710~cm mesh screen, there should be substantially no residue, except fragments of undissolved tablet coating or shell, remaining on the screen or adhering to the lower surface of the disc, if a disc optionally has been used; and if any residue remains, it: should consist of a soft mass having no palpably firm, unmoistened core.
The particle size distribution of the dispersion particularly when the active compound is acyclovir are set out in the following table with the increasingly preferred values being quoted from left to right.
Particle BP More Most Size (~m)* Standard Preferably Preferably Preferably <710 <100% 100% 100% 100%
<300 - >50% >70% >80%
<200 - - >50% >70%
<150 - - - >50%
* (equivalent spherical volume diameter) Examples of active compounds which have been employed in the tablets according to the invention are listed below together with respective patent publications, (in s~ppropriate instances) which teach how to make them and infecaions ot~ medical conditions which can be treated by them acyclovir (UR Nu= 1523865), Lamotrigine -(EP Nos: 021 1.21 and 247 829) diazepam, paracetamol, -(both commercially available), 1-(~-D-arabinofuranosyl)-5-propy-1-ynyl-uracil (EP No. 0272 065), 2-[4-(4-chlorophenyl)cyclohexylJ-3-hydroxy- 1,4-naphthoquinone: (EP No. 0123 238), allopurinol (G.B. No.
1445 983).
Examples of other active compounds include: 3'-azido-3'-deoxythymidine (EP No. 0196 185), S-prop-1.-ynyl-1-(5-trimethylacetyl-~-D-arabinofura-nosyl)uracil (EP No. 0375 7.64), 2-(2-amino-1,6-dihydro-6-oxo-9H(purin-9-yl)methoxy)ethyl-valinatE: (EP No. 0308 065), 2',3'-dideoxy-5-ethyn- ..
yl-3'-fluorouridine (EP No. 0356 166), 5-chloro-1-(2,3-dideoxy-3-fluo-ro-~-erythropeatofuranosyl;uracil (EP No. 0305 117 and EP No. 0317 128), penciclovir, i.e. 9-[4-hydroxy-3-(hydroxymethyl)butylJguanine (EP No. 141927), famciclovi.r, i.e. 2-amino-9-[4-acetoxy-3-(acetoxyme-thyl)butylJ purine (EP No. 0182024) and E-5-(2-bromovinyl)-1-~-arabi-nofuranosyluracil ~; EP No. (1031 128), dextromethorphan, pseudophedrine, acrivastine, triprolidine, guaiphenesine, dihydrocodeine, codeine phosphate and ascorbic acid.
_ g _ Preferably the active compound is lamotrigine, i.e.(3,5-diamino-6-(2,3-dichlorophenyl)-1,2,4-triazine, more preferably acyclovir or pharmaceutically acceptable salts of these compounds which have acceptable dispersibilit:y in water. Thus, for example, a suitable salt of lamotrigine is the isethionate salt (i.e. 2-hydroxymethanesul-phonate).
It will be appreciated that reference to any active compound also includes any pha=maceuti.cally acceptable salts thereof.
The term "swellable clay" as used herein includes layered clays (such as smectites), porous fibrous clay minerals, and synthetic clay '_ materials related. in structure to layered clays and porous fibrous clays.
The term "layered clays" as used herein includes substantially homogeneous layered~clays and mixtures thereof, and interstratified or mixed layered clays. Substantially homogeneous layered clays includes the smectite group for example dioctahedral and trioctahedral types.
Examples of dioctahedral smectites are .the montmorillonite group (montmorillonoids); magnesium and other (e. g. calcium) aluminium silicates such as Veegum in its various grades e.g. Veegum, Veegum HV, Veegum F, and Veegum W'G); almasilate; fullers earth (e. g. Surrey finest); American fullers earth; bentoni.te; beidellite; cheto montmorillonite, Wyoming montmorillonite, Utah montmorillonite;
Tatalia and Chambers montm:orillonites; and iron rich smectites such as nontrite (e. g. Garfield nontronite) and ferrian smectites.
Examples of triocatahedral smectites (also known as saponites) are Swinefordite, hectorite, stevensite. Examples of smectites containing more unusual elements are Volkhonsite, Medmontite, Sauconite, nickel smectites and vanadium smectites. As well as the monimiorillonite group, related smectites such as vermiculites may also have application.
The term "interstratified or mixed layer clays", as used herein includes clays involving different layers arranged in a regular or irregular structure. The most common examples of such clays have generally two comyponents in substantially equal proportions and have been given mineral names such as rectorite (mica-smectite), hydrobiotite (bi~tite-vermiculite), corrensiten (chlorite-smectite) allettite (talc-saponite). More irregular arrangements include illite-smectite, chlorite-smectite, and kaolinite-smectite. Further examples of interstratified clays are tosudite, tarasovite, allevardite, Japanese bentonite ("acid clays"), AWAZU acid clay, and kaolinite-smectite. Other mixed layer clays may include one or more of the following minerals: clinchlore, chamosite, nimite, thuringite, -_ sudoite, and~cookeite. Mixed layer smectities are also known e.g.
interdispersed montmorillonite and beidellite layers. The layers of mixed layer clays may be homogeneous or non-homogeneous.
The term "porous fibrous clays" includes palygorskite and sepiolite such as, for example attapulgite and American fuller's earth.
The term "synthetic clay materials" as used herein includes materials related in structure to layered clays and porous fibrous clays such as synthetic hectorite (lithium magnesium sodium silicate) for example laponite R.
It will be appreciated that within the scope of the invention the following classes of clays have application alone or in combination and in mixed layer clays: kaolinites, serpentines, pyrophyllites, talc, micas and brittle micas, chlorites, smectites and vermiculites, palygorskites and. sepiolites. Other phyllosilicates (clay minerals) which may be employed i.n the tablets according to the invention are allophane and imogolite.
The following references describe the characterisation of clays of the above types: Chemistry of Clay and Clay Minerals. Edited by A.C.D.
Newman. Mineralogical Society Monograph No. 6, 1987, Chapter 1; S.W.
WO 92/13527 ' PCT/GB92J00163 Bailey; Summary of recommendations of AIPEA Nomenclature Committee, Clay Minerals 15, 85-93; and A Handbook of Determinative Methods in Mineralogy, 1987, Chapter 1 by P.L. Hall.
Suitably the swellable: clay is a pharmaceutically acceptable crystalline mineral clay having a lattice structure which expands upon hydration, preferably a pharmaceutically acceptable smectite or attapulgite clay, especially a montmorillonoid, more preferably yet a montmorillonoid chosen from the group consisting of montmorillonite, sauconite, vermiculite, bentonite and hectorite, still more preferably an aluminium ma esium silicate and most R
gn preferably Veegum .
The term "smectite" as used herein in relation to tablets of the present invention includes the smectites as exemplified herein and with reference to 0'Brian P, and Williamson C.J., in "Clays and Clay Minerals vol. 38 No. 3 pp322-326, 1990" and the other clay nomenclature references set out hereinbefore.
The term "magnesium aluminium silicate" as used herein in relation to tablets of the present invention should be understood to include the Aluminium Magnesium Silicate defined in the British Pharmacovoeia, volume I, pages 27-28, 1988 and the Magnesium Aluminium Silicate defined in the United States Pharmacopoeia, National Formularv XVI', pages 1943-1944, 1990. Advantageously, said silicate is in the form of a microfine powder having a No. 325 US Standard mesh particle size, a viscosity of 250 cps (~ 25%) for a 5.5% (w/v) aqueous dispersion and an acid demand (the volume in ml. of O.1N hydrochloric acid required to reduce the pH of one gram to 4) of 6-8: such a material is available as VEEGUM F (R.T. Vanderbilt Co., New York, N.Y., U.S.A.; K
& K-Greeff Chemicals Ltd., Croydon, Surrey CR9 3QL, England).
The amount of swellable clay employed in the tablet according to the invention generally depends on the weight of the tablet. Experiments with acyclovir indicate for a 100mg tablet, amounts as low as 0.25%
w/w of tablet ca.n be used whereas for tablets of about 1000mg to 1200mg up to 60% w/w, advantageously up to 50% w/w preferably up to 40% w/w could bE~ used to give a satisfactory dispersible tablet in accordance with t:he invention. Other practical considerations such as poor flow and cocnpression properties may, however, limit the maximum percentage weight. of clay which can be incorporated within any given weight of tablet.. In our experiments up to 40% w/w of swellable clay was used for a t<iblet having a total weight of Il00mg and gave fine dispersions and past dispersion times.
Thus for a dispersible tablet containing an active compound defined hereinbefore such as acyclovir or lamotrigine, the intra-granular amount of swellable clay such as a crystalline mineral clay for example, magnesium aluminium silicate is suitably present in the following genera:L ranges 0.25 to 60% w/w, preferably 0.25 to 50% w/w, more preferably 0.5 to 50% w/w, more preferably still 1 to 50% w/w, more preferably ;still 1 to 40% w/w, more preferably still 2 to 20%
w/w, more preferably still 2.5 to 20% w/w, still more preferably 3 to 10% w/w, and most preferably 5 to 10%, most desirably about 5% w/w.
The tablets according to the invention will generally contain a pre-determined amount of the active compound, depending on the identity of the compound, the desired dosage and the total weight of the tablet.
When the active compound is acyclovir, the tablets generally contain 100 to 1000mg, preferably 200 to 800mg, such as 400 to 800mg of the compound. Such dosage units may be administered one or more times, for example up to five times, per day, at the discretion of the physician, according to the age and condition of the patient and the particular condition being treated. For an acyclovir tablet having a total weight about 1000 to 1200mg and containing about 750 to 850mg of acyclovir, the swellable clay e.g. Veegum F, is preferably present in an amount of 40 to 120 mg it;itragranularly.
When the active compound is lamotrigine or a pharmaceutically acceptable salt thereof the tablets according to the invention conveniently contain 2.5 to 500 mg. desirably 5 to 250 mg. of lamotrigine calculated as Iamotrigine base. Preferred said unit doses include 5 mg., 12.5 mg., 25 mg., 50 mg., 100 mg., 150 mg., 200 mg. and 250 mg., calculated as the base. For tablets having a total weight of about 55 to 65mg and containing about 5mg lamotrigine, the swellable clay, e.g. Veegu;m F, is preferably present in an amount of 2 to 4mg, especially about 3mg. Similarly for a tablet having a weight of about 220 to 350mg and containing about 80 to 120mg, preferably 100mg of lamotrigine, the swellable clay, e.g. Veegum F, is preferably present in amount of 5 to 20mg, especially about l2mg. -In general the tablets according to the invention contain the active compound in the following percentage proportions:-Acyclovir - 20 to 90% w/w, preferably 45 to 85% w/w Lamotrigine - 3 to 90% w/w, preferably 5 to 40% w/w 1-(~-D-arabinofuranosyl)-5-propynyl-1-ynyluracil - 10 to 90% w/w, preferably 65 to 80% w/w Paracetamol - 50 to 90% w/w, preferably 60 to 75% w/w 2-[4-(4-chlorophenyl)cyclohexylJ-3-hydroxy-1,4-naphthoquinone - 50 to 85% w/w, preferably 60 to 75% w/w Allopurinol - 25 to 80% w/w, preferably 45 to 65% w/w Diazepam - 4 to 30% w/w, preferably 8 to 16% w/w Pseudoephedrine - 5 to 50% w/w, preferably 15 to 30% w/w Dextromethorphan - 2 to 20% w/w, preferably 5 to 15% w/w Triprolidine - 10 to 50% w/w, preferably 20 to 30% w/w Codeine phosphate Dihydrocodeine Ascorbic Acid Acrivastine - 1 to 10% w/w, preferably 2 to 5% w/w Guaiphenesine - 10 to 40% w/w, preferably 15 to 30% w/w Ibuprofen - 20 to 5~0% w/w" preferably 65 to 85% w/w When the active compound I;such as acyclovir) is present in an amount of at least 60% wfw in tablets according to the invention, we have suprisingly found that the dispersion time remains substantially constant over a range of tablet hardnesses. This is a considerable quality control advantages since in industrial manufacture it is essential to maintain a constant tablet hardness. Tablets according to the invention c:an thus be produced with sufficient hardness and friability so that they can easily be film-coated. A tablet according to the invention should desirably have a friability of . about 2% or less, preferably 0.5% or less.
Based on experiments that we have carried out, it has been found that in addition to tree amount of swellable clay present within the granules of the tablet, a further amount of swellable clay may be present outside the granules. At very low intra-granular amounts (such as 1% w/w or below), higher extra-granular amounts (such as about 10% w/w or more) may decrease the dispersion time, but in general extra-granular addition has little or no effect on the dispersion time. 7.'he maximum percentages) of the clay present within the granules and, optionally outside the granules, may be limited by other practical considerations such as poor flow and compression properties.
Other excipients suitable for inclusion in the tablets according to the invention include the following:
a) Binders and Adhesives: we have found e.g. with acyclovir tablet formulations that i.f there is sufficient amount of swellable clay such as Veegum F present within the granules, then a separate binder is not required (i.e. the clay also acts as a binder).
Preferably however a separate binder is present in a sufficient amount to provide a tablet having a satisfactory tablet hardness and satisfactory dispersion characterstics. The amount of binder will vary depending on the overall tablet formulation and type of binder used but general functional limits for most tablets of the invention are 0 to 25% w/w. The following binders and amounts are suitable for inclusion in a tablet according to the invention. The concentration. of the binder in the granulation fluid (% w/v) is given (% w/w in tablet will vary according to the volume of granulating solution used to form a satisfactory tablet): Examples of binders are: acacia mucilage 0 to 25% w/v, preferably 1 to 5% w/v, alginic acid 0 to 20.0% w/v, preferably 1 to 5% w/v, polyvinylpyrrolidone (povidone) 0 to 15.0% w/v, preferably 0.5 to 5% w/v, gelatin 0 to 20.0% w/v, preferably 1 to 5.0% w/v, su.crose 0 to 70.0% w/v, preferably 2.0 to 20.0% w/v, starch mucilage 0 to 10.0% w/v, preferably 0.5 to 5.0% w/v, pregelatinised starch 0 to 10.0% w/v, preferably 0.5 to 5.0% w/v, starch paste 0 to 10.0% w/v, preferably 5.0 to 10.0% w/v, sodium alginate 0 t.o 5.0% w/v, preferably 1.0 to 3.0% w/v, sorbitol 0 to 10.0% w/v, preferably 3.0 to 10.0% w/v, tragacanth 0 to 20% w/v, preferably 5.0 to 1Ø0% w/v, glucose 0 to 50%, preferably 5 to 25% w/v, hydroxypropylmethyl cellulose (HPMC) 0 to 10% w/v, preferably 1..0 to 5.0% w/v, magnesium aluminium silicate 0 to 40%
w/v, preferably 2 to 10% w/v, starch paste 0 to 25% w/v, preferably 5 to 15% w/v, polyvinylpyrrolidone 0 to 15% w/v, preferably 3 to 10% w/v, carboxymethylcellulose sodium 0 to 10%
w/v, prefera.bly 1 to 6% w/v, dextrin 0 to 50% w/v, preferably 5 to 25% w/v, ethyl cellulose 0 to 10% w/v, preferably 1 to 6% w/v, polyethylene glycol 0 to 5% w/v, guar gum 0 to 10% w/v, preferably 1 t~o 5% w/v, zein 0 to 30% w/v, preferably 1 to 10%
w/v, hydroxyethyl cellulose 0 to 5% w/v, preferably 2 to 4% w/v, hydroxypropyl cellulos~a up to 5% w/v, preferably 2 to 4% w/v, methyl cellulose up 'to 20% w/v, preferably 1 to 10% w/v, polymethacrylates up ~to 25% w/v, preferably 5 to 10% w/v, carboxymethylcellulose calcium 0 to 20% w/v, preferably 5 to 10%
w/v.
b) Disintegrating agents: Tablets according to the invention can be formulated in the absence of separate disintegrating agents although their incl°ision may be advantageous for their -disintegration in water as an adjunct to the dispersion afforded by the clay above. E~Kamples of suitable disintegrating agents Which can optionally be incorporated into a tablet according to the invention are: microcrystalline cellulose (e.g. Avicel R) 0 to 30% w/w, preferably 5 to 10% w/w, Sodium carboxymethyl cellulose (e. g. Nymcel R) 0 to 5% w/w, preferably 1 to 2% w/w, calcium carboxymethyl cellulose 0 to 20% w/w, preferably 1 to 5%
w/w, modified cellulose gWm (e. g. Ac-Di-Sol R) 0 to 10% w/w, preferably 1 to 5% w/w, cross-linked povidone 0 to 10% w/w, .
preferably 2 to 6% w/w, alginic acid and alginates 0 to 10% w/w, 2 to 5% w/w, pregelatinised starch 0 to 10% w/w, preferably 0.5 to 5% w/w, sodium starch glycollate (e.g. Explotab R, Primojbl R) 0 to 10% w/w, preferably 0.5 to 5% w/w, modified corn starch (e. g. starch 1500 R) 0 to 20% w/w, preferably 1 to 10% w/w, starch (e.g. potato/maize starch ) 0 to 15% w/w, preferably 0.2 to 10% w/w, ion exchange resin such as polacrin potassium (e. g.
Amberlite IRP-88) up to 5% w/w, preferably 0.5 to 2.0% w/w. The "R" following the brand names above indicates a Trade- , mark; Amberlite is also a Trade-mark:
Work with lamotrigine and other active compounds is sup-portive of the view that if LHPC is used a suitable dis-persion can 'be obtained without the need for a separate wetting agent/surfactant:
c) Fillers: These serve the purpose of bulking up the tablet to a suitable size and aiding compressibility especially in lower dosage tablets. The amount of filler depends on its type, size of tablet and amount of active compound. When the concentration of active compound is below 60% w/w, more preferably 45% w/w and most preferably below 30% w/w, an inorganic water-insoluble filler is advantageously used. Examples of Water-soluble fillers (which can he used in general quantities of 0 to 95% w/w) are:
soluble lactose, compressible sugar, confectioners sugar, dextrose, m;annitol, sodium chloride, sorbitol, xylitol, sodium chloride F. Examples of water-insoluble fillers (Which can be used in general quantities of 0 to 93% w/w) are: calcium carbonate, magnesium carbonate, calcium phosphate (e.g. di and tri basic calcium phosphate), calcium sulphate, kaolin, microcrysta:Lline cellulose, powdered cellulose, pregelatinized starch S to 75%, starch, barium sulphate, magnesium trisilicate, aluminium h:~rdroxide .
Inclusion o:E a filler having a negative heat of solution in water, for example mannitol, sorbitol and xylitol, provides tablets which, in addition to being water-dispersible, are especially auitable for chewing in the mouth, the dissolving of such an excipient in the saliva producing a cool, pleasant sensation.
d) Lubricants: Generally lubricants are used in as low an amount as .possible. Examples of lubricants with percentage weights which are suitable for a tablet are: stearates (e.g. magnesium or calcium ste,arate) 0.2 to 5% w/w, preferably 0.25 to 1% w/w, talc 0.19 to 5% w/w, preferably 1 to 2% w/w, polyethylene glycol 0.19 to 5% w/w, preferably 2 to S% w/w, liquid paraffin 0.18 to 5%
w/w, preferably 2 to 5% w/w, sodium lauryl sulphate 0.19 to 5%
w/w, preferably 0.5 to 2% w/w, magnesium lauryl sulphate 0.12 to 5% w/w, preferably 1 to 2% w/w, colloidal silicon dioxide 0.1 to 5% w/w, preferably 0.1 to 1.0% w/w, palmitostearate 0.01 to 5%
w/w, preferably 1 to 3% w/w, stearic acid 0.01 to 5% w/w, preferably 1'to 3% wfw, zinc stearate 0.01 to 2% w/w, 0.5 to 1.5%
w/w, hydrogenated vegetable oil 0.5 to 5% w/w, preferably 1 to 3%
w/w. More suitably the lower value is 0.25%.
e) Wetting agents/surfactants: examples with suitable amounts are:
sodium dodecyl sulphate 0 to 10% w/w, preferably 0.5 to 2% w/w, sodium lauryl sulphate 0 to 10% w/w, preferably 0.1 to 3.0% w/w, polyoxyethylen.e sorbitan fatty acid esters (Tweens) 0 to 3% w/w, preferably 0.05 to 1.~~% w/w, polyoxyethylene stearates 0 to 2%
w/w, preferably 0.05 to 1.0% w/w, sorbitan fatty acid esters (Spans) 0 to 3% w/w, preferably 0.05 to 1.0% w/w.
f) Glidants: for example, talc 0 to 5% w/w, preferably 1 to 2% w/w, starch 0 to 15% w/w, preferably 2 to 10% w/w, magnesium stearate up to 5%, preferably 0 - 2.0% w/w, silica derivatives generally 0 to 1% w/w, preferably ~7.2 to 0.5% w/w, such as colloidal silica (e. g. Aerosil) 0 to 0-5% w/w, preferably 0.25 to 3% w/w, pyrogenic silica 0 to 2% w/w, preferably 0.25 to 1% w/w, hydrated sodium silicoaluminate 0 to 2% w/w, preferably 0.5 to 1% w/w, colloidal silicon dioxide 0 to 0.5% w/w.
g) Flavouring agents: are used in for example approximate quantities of 0 to 5% wfw, preferably 0.25 to 2% w/w, orange, cherry and strawberry, raspberry, grape and passion fruit.
h) Sweetening agents: far example sodium saccharin 0 to 10% w/w, preferably, 0.5 to 5.0% w/w, aspartame 0 to 10% w/w, preferably 0.25 to 5.0% w/w, confectioners sugar 0 to 30% w/w, preferably 5 to 20% w/w, sorbitol 25 to 90% w/w, preferably 0.5 to 10% w/w, sucrose 0 to 85% w/w, preferably 0.5 to 20% w/w, xylitol 0 - 20%
w/w, preferabl.y 0.5 to 10% w/w.
Tween, Aerosil and Span are Trade-marks:
- 18. -Such materials may be incorporated at the appropriate stages) of the manufacturing process together with any other agents (e. g.
colourants).
Based on the teachings and principles set out herein, the following general formulations are illustrative of tablets of the invention, and the skilled man given these teachings and principles will be able to make specific tablet formulations in accordance with the invention.
INGREDIEN'.f CONCENTRATION (% w/w) in Tablet Active compound 5 to 90 Swellable clay 0.25 to 60 (preferably 0.25 to 50) Binder 0 to 25 Disintegrating af;ent 0 to 20 Water-soluble filler 0 to 95 Water-insoluble :Filler 0 to 95 Wetting agent 0 to 5 Lubricant 0.1 to 5 Colours, flavours, sweeteners0 to 10 Approximate Tablet weight: 50-2000mg WO 92/13527 PCf/GB92/00163 Other aspects of the tablet preparation will now be discussed.
Suitably the dry mixing is effected with a mixing time of 5 minutes to 25 minutes preferably about 10 minutes.
The swellable clay can be dry mixed with the active compound and other excipients and then granulating solution added, or the clay and other excipients can be dispersed firstly in the granulating solution and then added to the active compound and any other excipients prior to granulation.
The liquid employed to moisten the dry mixture, prior to the granulation step, is preferably aqueous, for example water or a mixture of water and a suitable alcohol such as ethanol or isopropanol.
Wet mixing or granulating times which are suitable (depending on the type of mixer used) are 5 to 20 minutes.
Suitable granule drying times and conditions (which will vary according to the type of equipment used and batch size of granules) are about 50 to 8'0°C, (using a dryer such as with a tray or fluid bed dryer) to obtain a moisture content generally below about 4~.
Generally suitable compression weights and final table hardness will vary according to the size of tablet, but generally suitable values are as follows:
Approximate Approximate Approximate Tablet weight Tablet Target tablet (mg) diameter hardness (KP) 60 5.6 1-2 80 6.4 3-4 125 . 7.4 4-5 _ 250 8.6 S-6 330 9.4 6-g 500 11.0 10-12 600 11.8 10-14.
1000 14.0 12-16 The tablets may optionally be film-coated, for example with hydroxypropylmethyl cellulose, polyethylene glycol or titanium dioxide, and/or may be scored and/or may be polished, for example with polyethylene glycol 8000. If the tablets are film-coated, this .makes them easier to swallow or chew (i.e. the tablets are suitable for either dispersion in water or for direct swallowing or chewing), but the dispersion time is increased.
The present invention also provides:
. - 21 -a) Granules containing an active compound and a pharmaceutically acceptable swellable clay, suitable for use in the preparation of a Water-dispersible tablet according to the invention.
b) Use of granules as defined above in the preparation of a water-disper~~ible tablet according to the invention. Optionally, a further amount of swellable clay may be added after granulation and before compression;
c) Use of a pharmaceutically acceptable swellable clay as a dispersing agent in the preparation of a water-dispersible tablet containing an active compound (as defined above);
d) Use in human medicinal therapy of a water-dispersible tablet comprising an active compound (as defined above), together with an effective amount of pharmaceutically acceptable swellable clay within the granules of the tablet.
Suitably the swell.able clay of the invention is a pharmaceutically acceptable crystalline minezal compound, such as aluminium magnesium silicate (e.g. Vee:gum).
The therapeutic c4se of a tablet of the invention includes both treatment and prophylaxis.
The invention ha~~ been found to have particular application with lamotrigine becaur~e of t:he long term instability of lamotrigine in aqueous media. Furthermare dispersible tablets containing lamotrigine have been found t:o give a finer dispersion than tablets using more common disintegrating agents such as Explotab.
Further aspects of the invention illustrated with respect of lamotrigine are:
e) Granules, suitable for use in the preparation of a water-dispersible compressed tablet, comprising lamotrigine or a pharmaceuti<:ally acceptable salt thereof together with a pharmaceutically acceptable crystalline mineral clay as dispersing agent;
f) Use of granules as defined above in the preparation of a water-dispersible compressed tablet which may involve the addition of a further amount of crystalline mineral clay compound after granu:Lation and before compression; and g) Use of a pharmaceutically acceptable crystalline mineral clay as dispersing agent in the preparation of a water-dispersible compressed tablet containing lamotrigine or a pharmaceutically acceptable ::alt thereof.
h) A water-dispersible tablet comprising lamotrigine or a pharmaceutically acceptable salt thereof together with a pharmaceutically acceptable crystalline mineral clay having a lattice stricture which expands upon hydration as dispersing agent. The lamotrigine or a pharmaceutically acceptable salt thereof togeaher with the mineral' clay are comprised within the tablet in granulated form. .
i) A method for the preparation of a lamotrigine water-dispersible tablet which comprises the steps of admixture :in dry, finely-divided form of lamotrigine or a . pharmaceutically acceptable salt thereof and the pharmaceutically acceptable crystalline mineral clay which may be chosen from the group consisting of attapulg:ite, smectite and mont~orillonoid clays or magnesium aluminium silicate, optional addition of other pharmaceutical ingredients such as fillers (~ lactose, av:icel or mannitol), disintegrants, binders, etc.
WO 92/1352 i PCf/GB92/00163 addition of a quantity of a pharmaceutically acceptable liquid sufficient to moisten the mixture, granulation of the resulting moist mass, drying of the granules and blending of the granules with optional lubricants, glid;ant, flavours, disintegrants etc., and formation o:f the blend into a tablet.
j) Use in human medicine of a water-dispersible compressed tablet comprising Lamotrigine or a pharmaceutically acceptable salt _ thereof together with a pharmaceutically acceptable crystalline mineral clay as dispersing agent, and k) A method four the treatment in a human being of a disorder of the central nervous system which comprises administration of a water-dispersible compressed tablet comprising lamotrigine or a pharmaceuti~~ally acceptable salt thereof together with a pharmaceuti~~ally acceptable crystalline mineral clay as dispersing .agent.
Especially preferred tablets are those wherein the lamotrigine is present as the base.
The said tablets may be employed in human medicine in the treatment of disozders of the central nervous system and in particular in the treatment of epileptic seizures. They may be administered one or more times per day, for example up to five times per day, at the discretion of the attendant physician and dependent upon the age and condition of the patient, the particular disorder being treated, the unit dose adopted and the total dose required. A suitable daily dose for the treatment of epileptic seizures will generally lie in the range of 5 to 500 mg., more often in the range of 25 to 400 mg., calculated as the base.
The physical size of the said tablets is desirably such as to permit their dispersion, prior to oral ingestion, in an acceptably small volume of water. Thus, for example, a tablet containing 5 mg.
(calculated as the base) of lamotrigine or a salt thereof, a dose especially suitable for paediatric use, is advantageously small enough to disperse in tine volume of water .held in a standard 5 ml. medicine spoon.
Tablets of the invention containing lamotrigine (or a salt thereof) advantageously include a magnesium aluminium silicate such as Veegum F
as the swellable clay together with further optional pharmaceutical _ carriers or excipients referred to above such as binders, lubricants, fillers, disintegrating agents etc.
In such tablets the ingredients are advantagously present in the following proportions: lamotrigine: 2% w/w to 90% w/w preferably 5%
w/w to 40% w/w; swellable clay: 0.25% w/w to 40% w/w preferably 0.25%
W/W t0 lO$ w/w.
A suitable formulation of a dispersible tablet containing 25 to 200mg lamotrigine wou7Ld be Lamotrigine 30% w/w to 50% w/w, preferably 35-45%
Calcium carbonate 26% w/w to 4b% w/w, preferably 31-41%
LHPC-LH11 5% w/w to 30% w/w, preferably 5-15%
or microcrys-talline cellulose (e. g.
Avicel PH101) Magnesium 0.2-'i% w/w to 30% w/w, preferably 0.25-10%
aluminium silicate Veegum F or bentonite Povidone 0.25% w/w to 5.0% w/w, preferably 0.5-2%
or pre-gelled starch 1.0% w/w to 8.0% w/w, preferably 2-5%
Sodium starch glycollate 0% w/w to 8% w/w, preferably 0-5%
Magnesium 0.25% w/w to 2% w/w, preferably 0.25-1%
stearate and if optionally film coated:
Opadry 0.1%-w/w to 2% w/w, preferably 0.25-1%
Polyethylene 0.1% w/w to 0.5% w/w, preferably 0.1-0.2%
glycol 8000 A suitable formulation of a dispersible tablet containing Smg to 50mg of lamotrigine would be as follows, (values being in $ w/w).
Lamotrigine 3-13 preferably S-11 Lactose or 50-60 preferably 53-59 calcium carbonate Microcrystalline 20-35 preferably 24-30 cellulose (e. g.
Avicel PH101) or LHPC-LH11 Sodium starch 0-8 preferably 0-5 glycollate Magnesium aluminium 0.25-30 preferably 0.25-10 silicate Veegum F or bentonite Povidone K30 0.25-5.0 preferably 0.5-2.0 or pregelled starch 1..0-8.0 preferably 2-5 Sodium docusate 0-0.5 preferably 0.5-0.15 Sodium saccharine 0-3 preferably 0.5-2.
Magnesium stearate0.25-2 preferably 0.25-1 ---and if optionally coated _ f.'ilm Opadry C1.1-2.0 preferably 0.25-1 Polyethylene glycolØ1-0.5 preferably 0.1-0.2 WO 92/1352 i PCT/GB92/00163 As referred to above, the present invention is particularly applicable to the formulation of water-dispersible tablets containing acyclovir as the active .compound.
Acyclovir is a compound which has been found to have potent activity against viruses of th.e herpes family, particularly herpes simplex and herpes varicella roster. Such activity has been demonstrated by the outstanding success of acyclovir in the therapeutic treatment of clinical conditions such as genital herpes caused by the herpes varicella roster virus.
In the treatment of certain conditions, it may be necessary to administer acyclovir to the patient in relatively large dosages to achieve the effective therapeutic levels of drug in the plasma, particularly when oral administration is desired. For example, in the treatment of shingles, it is recommended to administer acyclovir at a dosage regime of 800mg five times per day. A tablet formulation containing 800mg of acyclovir is currently available but its relatively large size sometimes renders it difficult to swallow by elderly patients, such patients being particularly susceptible to shingles. This problem is obviated by the water-dispersible tablets according to the invention which enable relatively high doses of acyclovir to be administered in a drinkable dispersion by the oral route.
The,advantageous water-dispersibility' of tablets according to the invention containing acyclovir as the active compound is especially surprising in view of the poor water-dispersibility demonstrated by tablets containing canventional disintegrating agents such as sodium starch glycollate, cross-linked povidone and cross-linked sodium carboxymethylcellulose.
Yet further aspects of the invention with respect to acyclovir are as follows:
_ 28 _ 1) A granulate comprising acyclovir together with a pharmaceutically acceptablE: magnesium aluminium silicate compound;
m) Use of a granulate according to e) above for the manufacture of a water-dispersible tablet formulation.
n) Use of magnesium aluminium silicate in the manufacture of a water-dispersible tablet formulation of acyclovir.
o) A water-d:Lspersible pharmaceutical.tablet formulation comprising acyclovir together with a pharmaceutically acceptable magnesium aluminium silicate compound.
p) A process for the preparation of a pharmaceutical tablet formulation which comprises admixing acyclovir with a magnesium aluminium silicate compound and optionally one or more further pharmaceur_ical carriers or excipients, granulating the resulting mixture with a pharmaceutically acceptable liquid, drying the resulting granulate, optionally mixing the dried granulate with one or more further pharmaceutical carriers or excipients, and subsequenvtly compressing the dried granulate to form tablets.
The liquid employed in the above granulation step is advantage~~usly aqueous, for example, an aqueous ethanol mixture.
The resulting tablets may be subsequently film coated for example with hydroxypropylmethyl cellulose, titanium dioxide or polyethylene glycol and, if desired, polished for example with polyethylene glycol 8000. , Tablets according to the invention containing acyclovir advantageously include a magnesium aluminium silicate such as Veegum F as the swellable clay optionally together with further pharmaceutical carriers or excipients referred to above such as disintegrating agents, binders, fillers, lubricants etc.
In such tablets the ingredients are advantageously present in the following proportions: acyclovir 40 to 98% w/w, preferably 75 to 85%
w/w, swellable clay 0.'_i to 40% w/w, preferably 0.5 to 10% w/w.
A suitable formulation of an acyclovir dispersible tablet containing from 200mg-800mg; acyclovir would be:
Acyclovir 70% w/w to 90% w/w, preferably 75-85% w/w Povidone 0.25% w/w to 5% w/w, preferably 0.5-2% w/w or pregelled starch Magnesium 0.5% w/w to 30% w/w, preferably 0.5-10% w/w aluminium silicate Veegum F or bentonite Microcrystalline: 5% w/w to 25% w/w, preferably 5-15% w/w cellulose Avicel PH101 or LHPC-LH1I
Sodium starch 0% w/w to 8% w/w, preferably 0-5% w/w glycollate Magnesium 0..?5% w/w to 2% w/w, preferably 0.25-1.0% w/w stearate and if optionally film coated:
Opadry O.:L% w/w to 2% w/w, preferably 0.25-1.0% w/w Polyethylene 0.1% w/w to 0.5% w/w, preferably 0.1-0.2% w/w glycol 8000 The following Examples illustrate the present invention.
Examples 1 to 6 and 2:9 are comparative examples while examples 7-28, 30 and 31 describe the preparation of tablets according to the invention in which the active comvound is acvclovir.
Example 1. 2 3 4 Number m ~tablet g/tabletmg/tabletme/tablet m Intra-granular,:
Acyclovir * 848.0 848.0 844.0 844.0 Avicel PH101 60.0 NIL 101 NIL
Lactose 1.20.0 NIL NIL NIL
Starch (maize) NIL NIL 50 NIL
Explotab NIL 75.0 50 NIL
Primogel NIL NIL NIL 75.0 Ac-Di-Sol 83.0 NIL 23 NIL
Kollidon CL starchNIL NIL NIL NIL
Saccharin sodium20.0 10.0 NIL NIL
Sodium lauryl 5.0 NIL 3.0 NIL
sulphate Sodium docusate NIL 1.0 NIL 0.5 Dicalc.phosph.dihyr. NIL NIL 200.0 NIL
Povidone K30 NIL 10.0 22 11.2 Extra-granular:
Ac-Di-Sol 40.0 NIL NIL NIL
Avicel PH102 60.0 94 NIL NIL
Amberlite 1RP88 NIL NIL NIL 50.0 Kollidon CL NIL NIL 60.I NIL
Mg'stearate _ 12.0 I0.0 10.1 11.0 Tablet weight 11:48.0 1048.0 163.2 1191.7 (mg) 1 * In the follo wing examples exceptexamplesI3, 14 and 15, the actual qv.anti ty of ovir is calculated so acycl used from a factor as to prawide 800mg acyclovirper tablet. for of (The factor acyclovi=' is typically105.5 100 acyclovir).In equivalent to examples I3, 14 and the actualquantityof acyclovir was 15, used adjusted from the factorso as provide per to 800mg of acyclovir tablet.
WO 92/13527 PC1"/GB92/00163 Example 5 6 7 8 9 Number mg/tablet mg/tabletmg/tabletmg/tablet mg/tablet Acyclovir 844 .0 848.0 844.0 848.0 848.0 Avicel PH 101 101.0 83.46 100.0 89.0 89.0 Veegum F NIL NIL 53.0 53.0 53.0 Sodium starch 90.0 39.37 42.0 42.0 42.0 glycollate (Explotab) Povidone K30 11.0 10.27 NIL 11.0 11.0 Magnesium 9..'~ 8.85 9.4 9.4 9.4 _-stearate Film coat composite 1:
Opadry NIL NIL NIL NIL 7,86 Film coat composite 2:
Polyethylene glycol 8000 NIL NIL NIL NIL 2.097 Tablet weight 1055.5 989.95 1048.4 1052.4 1062.4 (mg) In accordance With the invention, that the to illustrate disintegration time remains substantially constant at different tablet hardnesses, th,e formulation of Example was compressed 7 at app=oximately 8 kp (7a), 12 kp (7b) and 18 (7c) and kp the results noted hereafte=.
Examp 1 1.0 11 12 a Number mg/tablet mg/tablet mg/tablet Acyclovir 848.0 848.0 848.00 Avicel PH 101 118.5 71.1 86.8 Veegum F 26.5 * 53.0 53.0 Primojel 42.0 42.0 42.0 Povidone K30 NIL 20.9 5.2 Magnesium , 9.4 9.4 9.4 stearate Tablet weight 1044.4 1044.4 1044.4 (mg) * Veegiam added as a paste - example contains no PVP-K30 as a binder. ~ ' Examyles of Acyclovir formulations Example 13 14 15 Number mg/tablet mg/tablet mg/tablet Component (mg/tablet) Acyclovir 800.0 800.0 800.0 Avicel PH 101 100.0 89.0 89.0 Veegum F 53.0 53.0 110.0 Sodium starch 42.0 42.0 42.0 glycollate Povidone K30 NII. 11.0 11.0 Magnesium 9.4 9.4 9.9 stearate Tablet weight (mg) 1004.4 1004.4 1061.9 Example 16 17 18 19 Number $ w/~a mg/ 8 w/w mg/ $ w/w mg/ ~ w/w mg/
tablet tablet tablet tablet Acyclovir 79.95 848.0 75.54 795.00 65.47 689.00 55.00 583.00 Avicel PH101 8.8~5 89.0 8.86 89.00 8.86 89.00 8.86 89.00 Veegum F 5.28 53.0 10.00 106.00 20.00 212.00 30.00 318.00 Explotab 4.1~~ 42.0 4.18 42.00 4.18 42.00 4.18 42.00 Povidone 1.09 11.0 1.09 11.00 1.09 11.00 1.09 11.00 Magnesium 0.'94 9.4 0.94 9.40 0.94 9.40 0.94 9.40 stearate Tablet weight 100:3 1052.4 100.0 1052.4 100.0 1052.4 100.0 1052.4 ~mg) Example 20 21 22 Number % w/w mg/ % w/w mg/ % w/w mg/
tablet tablet tablet Acyclovir 45.32 477.00 84.3 890.00 44.93 848.00 Avicel PH1018.86 89.00 8.86 89.00 8.86 157.76 Veegum F 40.00 424.00 1.00 10.60 40.00 712.22 Explotab 4.18 42.00 4.18 42.00 4.18 74.43 Povidone 1.09 11.00 1.09 11.00 1.09 19.41 Magnesium 0.94 9.40 0.94 9.40 0.94 16.74 stearate Tablet weight (mg) 100.00 1052.4 100.00 1052.4 100.00 1828.56 WO 92/13527 PC1"/GB92/00163 Example 23 24 25 Number % w,/w mg/ % w/w mg/ % w/w mg/ % w/w mg/
tablet tablet tablet tablet Acyclovir 65.47 689.00 55.00 583.00 45.32 477,00 79,65 848.00 Avicel 8.fl6 89.00 8.86 89.00 8.86 89.00 8.86 89.0 Veegum F *20.C10 (106.00 *30.00 (159.00 *40.00 (212.00 5.28 53.0 (106..00 (159.00 (212.00 Explotab 4,1.8 42.00 4.18 42.00 4.18 42.00 4.18 42.0 Povidone 1.09 11.00 1.09 11.00 1.09 11.00 1.09 11.0 Magnesium 0.94 9.40 0.94 9.40 0.94 9.40 0.94 9.4 stearate Tablet weight 100.00 1052.4 100.00 1052.4 100.00 1052.4 100.00 1052.4 (mg) * In these examples the Veegum is distributed equally both intra-granularly and extra-granularly.
WO 92/13527 PCZ'/GB92/00163 Example 27 28 29 30 31 Number % w/w mg/ % w/w mg/ % w/w mg/ mg/ mg/
tablet tablet tablet tablettablet Acyclovir 84.43 848.00 84.68 848.00 84.93 848.00 848.0 840.0 Avicel 8.86 83.95 8.86 83.70 8.86 83.46 89.0 89.0 Veegum F 0.50 4.74 0.25 2.36 0.00 0.00 - -Bentonite - - - - - - 53.0 NIL
Attapulgite - - - - - - NIL 53.0 Explotab 4.18 39.60 4.18 39.49 4.18 39.37 42.0 42.0 Povidone 1.09 10.32 1.09 10.30 1.09 10.27 11.0 ~ 11.0 Magnesium 0.94 8.91 0.94 8.88 0.94 8.85 9.1 9.1 stearate Tablet weight 100.00 995.53 100.00 992.73 100.00 989.95 1052.1 1044.1 (mg) Examples 32-40 describe the preparation of tablets according to the invention in which the active compound is lamotrigine.
Example 32 33 34 35 36 37 38 Number mg/ mg/ mg/ mg/ mg/ mg/ mg/
tablettablettablet tablet tablettablet tablet Lamotrigine 100 5.0 5.0 100 100 100 100 Calcium carbonate 95 NIL NIL NIL 95 NIL NIL
Lactose NIL 34 35.0 15 NIL 98.1 84 _ Veegum F 12 3.0 3.0 7.5 12.0 16.0 12 Povidone K30 3.0 0.6 0.6 1.5 3.0 3.2 3 Explotab 10.0 2.0 1.2 6.0 NIL 12.8 10.0 Sodium Saccharin 2.5 0.5 0.5 NIL NIL NIL NIL
Aspartame NIL NIL NIL 4.0 7.5 NIL 7.5 Microcrys talline cellulose (Avicel PH101)NIL 17 17 15 NIL 89.6 23 Sodium docusateNIL 0.05 NIL NIL NIL 0.26 0.2 Magnesium stearate 2.5 0.4 0.4 1.5 2.5 3.2 2.5 Tablet weight " (mg) 250 62.55 62'.70 150.5 245 323.16 242.2 Example Number 39 40 Lamotrigine 100.0 100.0 Calcium carbonate 95.0 90.0 Lactose L HPC-LH11 25.0 25.0 Veegum F 12.0 12.0 Povidone K30 3.0 3.0 Explotab - 10.0 Sodium Saccharin - -Aspartame 7.5 7.5 Microcrys talline:
cellulose (Avicel PH101)- -Sodium docusate- -Magnesium stearate 2.5 2.5 Flavour - 1.24 Tablet weight (mgs) 245.0 251.24 Examples of Tablet Formulations containing other Active Compounds Examp 1 a Number 41 42 43 44 45 Active compound (mg) 200.0 300.0 758.0 500.0 5.0 Avicel PH101 50.0 64.0 83.0 - 17.0 Explotab 12.3 21.0 40.0 27.0 2.5 L-HPC-LH11 50.0 - 41.0 87.0 -Lactose - 110.0 - - 34.0 Veegum F 16.7 27.0 50.0 71.0 3.0 Citric acid monohydrats; - - 0 , 8 -Na docusatc: - - Q,8 - -Saccharin sodium - - 0.5 - -Povidone K:30 3.3 10.8 20.0 20.0 0.7 Magnesium 1.0 2.7 5.0 2.0 0.4 Stearate Flavour (P:ineapple) - - 2.0 -Tablet Weight 333.3 535.5 1001.1 707.0 62.6 (mg) * The active compound for Example as follows:-each is Example 41 - 1-(~-D-arabinofuranosyl)-5-propynyluracil Example 42 - Allopurinol Example 43 - 2-(4-(4-chlorophenyl)cyclohexyl]-3-hydroxy-1,4,nap-thoquinone Example 44 - Paracetamol Example 45 - Diazepam Iiethod of Preoarat on The tablets described in Examples 1-45 above Were prepared according to the following general method:
(a) A dry mixture was made of all components except Povidone/PVP K30, sodium do~:usate (if present) and magnesium stearate;
(b) The Povid~~ne/PVP K30 and sodium docusate (if present) were dissolved in 50% aqueous alcohol to form a granulation solution;
(c) The granulation solution was added to the dry mixture to form granules;
(d) The wet granules were dried in a fluid bed dryer;
(e) The granules were then sifted through a 1000~sm diameter mesh sieve; and (f) The dried granules were blended with the magnesium stearate and compressed to form tablets.
Flavouring agents where present were added at blending step (f) above.
This general method is illustrated with respect to the following specific examples.
example 8 : Uncoated ab ets (a) A dry mixture was made of all components except Povi-done/PVP K30 and magnesium stearate using a Diosna P100 (high shear mixer -granulator) for 3 minutes.
(b) The Povid.one/PVP K30 was dissolved in 50% aqueous alcohol to form a granulation solution.
(c) The granulation solution was added to an approximate quantity of 300m1 per k,g dry weight to the dry mixture to form granules. Wet mixing was .carried out for approximately 5 minutes.
(d) The wet gravnules were dried in an Aeromatic T3 fluid bed drier at a temperature of 70°C for approximately 3 0 minutes. The moisture content of the granules was approximately 4%.
(e) The granules were then sifted through a 1000um diameter mesh sieve using a Jackson Crockatt No.7 sifter.
(f) The dried granules were blended with the magnesium stearate using a collette mixer for approximately 10 minutes and compressed to form tablets using a Manesty D3 Rotary tablet press fitted with caplet shaped punches of approximately 19.3mm length and 9.Omm breadth. Tablets were compressed to a weight of 1052mg ~ 2%.
This granule can be used to make other strengths of acyclovir dispersible tablets, e.g. 200mg and 400mg, compressing the dried granules to a weight of respectively 263mg and 526mg, using round punches with diameters of respectively ll.Omm and 8.6mm.
Examvle 9 : Film Coated Tablets Steps (a) to (f) described in Example 8 were repeated to form an uncoated tablet which was then film-coated by the following procedure.
The film-coating; apparatus used was a Manesty Accellacota 10. The coating suspension was; sprayed onto the tablet cores to a target weight increase of between 0.5 - 1.0% using suitable parameters of:
pan rotation speed (8.5 rpm) spray (appl.ication rate (-20g per min) inlet temperature (-75°C) exhaust temperature (-53°C).
A polish coat of PEG8000 was then applied to the film-coated tablets, to a further. weight gain of 0.1 - 0.2%.
Examvles 13 to 15 In Example 13, Acyclovir, Avicel PH101, Sodium starch glycollate and Veegum F are dry mixed in a mixer. The mixture is then granulated after adding a sufficient volume of 50% aqueous alcohol (IMS). The resulting granules are: dried, blended With the magnesium stearate and then compressec! to form tablets.
Example 14 The procedure described in Example 13 for the preparation of the granules and formation of the tablets is employed except that granulation of the dry mixture is effected with the Povidone in a 50%
aqueous alcohol. solution. Film coating of the resulting tablets can be optionally effected by treating the tablets with a dispersion of Opadry white dispersion in purified water and drying the coated tablets which are subsequently polished with a solution of polyethylene glycol 8000, USNF in 50% aqueous alcohol (IMS).
For Example 1_°°~, the procedure described in Example 13 for the preparation of the granules and formation of the. tablets is employed except that granulation of the dry mixture was effected with the Povidone in a .'~0% aqueous alcohol solution.
Examvle 33 (a) A dry mixture was made of all components except Povidone/PVP K30 and magnesium stearate using a Z-blade Morton Mixer, mixing for minute~~ at a slow speed.
(b) The Povidone/PVP K30 was dissolved in 50% aqueous alcohol to form a granulation solution;
(c) The granulation solution was added to an approximate quantity of 350m1 per kg dry weight to the dry mixture to form granules;
(d) Wet mixing was carried out for approximately 10 minutes. The wet granules were sieved through a 2000~m mesh sieve;
(e) The wet granules were dried in an Aeromatic fluid bed drier at a temperature of 70°C for approximately 25 minutes;
(f) The granules were then sifted through a 1000~cm diameter mesh sieve;
(g) The dried. granules were blended with the magnesium stearate using a Rotomix.er rotary blender for 5 minutes and compressed to form tablets Using a~ Manesty D3 Rotary press fitted with 5.6mm diameter round (normal curvature) punches and dies. Tablets were compressed to a weight of 62.55mg ~ 2%.
Flavouring agents may be added at blending step (g) above. .
For a 50mg tat~let,.the same procedure was used, except that a die of ll.Smm diameter was used and the tablets were compressed to a weight of 625 . 5mg ~ 2 % .
The lamotrigine tablets could be optionally film coated using the same procedure as described for Example 9.
The tablets prepared in accordance with the above Examples were then tested as follows.
Tablet Evaluation Methods 1. Avera~,e~~ tablet weig h. Twenty tablets were weighed on an analytical balance and the average tablet weight calculated.
2. Tablet breaking, strength (kilo pond-ktl, 5 tablets were individually tested using a Schleuniger crushing strength tester, and the average breaking strength calculated.
3. Friabilitv (~s loss). 10 tablets, accurately weighed, were subjected to 10 minutes friability testing using a Roche Friabilato:r. The tablets were dedusted, reweighed, and the weight loss due to the friability was calculated as a percentage of the initial weight.
4. Dispersion Disintegration time DT (BP 1988). 6 tablets were tested in .accordance to the above-defined BP test (without discs) for dispersible tablets. This utilises water at a temperature of 19-2I°C.
5. Dispersion ualit~v. In accordance with the BP uniformity of dispersion test for dispersible tablets (BP 1988 Volume II page 895), two tablets were placed in 100m1 of water at 19-21°C and allowed to disperse. A smooth dispersion was produced which passed through a '710~m mesh sieve.
~anule Evaluation Methods 1. Loss on D~.-ving (LOD). The residual moisture content of the granule (LOD) was determined on a 3-4g sample using a Computrac moisture analyser set to 90°C operated in accordance with the ~- manufacturer's procedure.
2. Weight Median Diameter (WMD). A lOg sample of granule was sifted for 2 minutes at suitable pulse and sift amplitudes in an Allen Bradley sonic sifter in accordance with manufacturer's instructio~zs. Sieves of 710~m, SOOUm, 355~cm, 250~cm, 150~m, 106~m and 53~cm were used. The WMD was calculated from the cumulative percentage undersize size distribution using a computer programme.
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z A particle size analysis was carried out on the dispersion of a tablet of Example 9 in ac:cordance with the following method.
The particle size distribution was determined using a Malvern 2600 particle analyser as follows. The instrument was set to analyse particles in liquid with magnetic stirrer fitted. A 300mm focal length lens was used.
1. Disperse tablet in 'LOOml of de-ionised water.
2. Agitate solution for approximately 2 hours.
3. Filter or centrifuge solution to obtain liquor which should be saturated with all ingredients present in the tablet.
4. Disperse second tab'Let in 50m1 of saturated liquor allowing 3 minutes to i=ully disperse. Agitate vigorously and remove a sample of the dispersion within 5 minutes adding sufficient Quantity to ~=he Malvern PIL cell containing the liquor to obtain an observation valu~a of 0.15-0.30. Analyse sample.
The particle size distribution was as follows:
Particle size: (as equivalent spherical volume) <710~m - 100%
<300~m - 98.7%
<200~cm - 86.7% -<130~m - 50% (med:Lan particle size).
his Apps ; ~~; ~ is a Divi~irnal of Canadian Patent Application, S-N-2,098,108, filed Januazy 2!~, 1992.
Therapeutically active compounds or drugs are frequently administered to patients. in tablet farm where the drug is intended for oral administration since tablets are an :especially convenient pharmaceutical form for manufacture, storage .and generally usage.
However, problems., may arise with tre administration of such tablets to patients who have d~.fficulty in swallowing the tablets (for example, children or morE: seriously ill patients),especially if the tablets are large in size arising from the amount of drug required in each tablet. A solution ~:o such problems is to formulate the tablets in a form whereby they can be dispersed in water to form a dispersion containing the dnig which can then be drunk by the patient.
Known water-dispa_rsible tablets include effervescent formulations which rely on the formation of a gas to quickly break up the tablet, but these involve expensive methods of manufacture and strict regulations for such manufacture. Other known water-dispersible tablets use disintegratin~~ agents such as microcrystalline cellulose used in Feldene ;Et dispezsible tablets. We have tested well-known disintegrating agents (in~:orporated both.internally and externally to the preformed granules) such as sodium starch glycollate (e. g.
Explotab), cross-linked p widone (e. g. Kollidon CL) and a cross-linked sodium carboxymethylcell~~lose (e.g. Starch, Avicel PH102, and Ac-Di-Sol) in an acyclovir tablet, but found that they did not provide a satisfactory water-dispersible formulation. We furthermore' tested an ion exchange resin (Amberlite 1RP88) as a disintegrating agent and incorporated surface active agents (e.g. sodium lauryl sulphate and sodium docusate) in an attempt to improve tablet wetting and penetrating of water during dispersion, but in all cases the disintegration time was high.
Explotab, Rollidon, Avicel, Ac-Di-Sol and Amberlite are Trade-marks-WO 92/13527 PCT/GB92/00163 , _ 2 _ After considerable research and investigation, we have now suprisingly found that the use of a swellable clay within the granulate of a tablet formulation provides a tablet which has good dispersibility in water to provide a dispersion which can be drunk by a patient.
Swellable clays such as VeegumR and other magnesium aluminium silicates have previously been studied and proposed for use as disintegrating agents, binders and lubricants in the manufacture of tablets, but such studies and proposals were exclusively with respect to tablets intended for swallowing and not for water-dispersible tablets (Rubenstein, Pharmaceutics - The Science of Dosage Form Design (1990) for disintegrants see p 312 and 314), Moreover, there has -_ never been any su;~gestion that a clay would be suitable to meet the more stringent r~squirements for dispersible tablets. Tablets for swallowing need only have a disintegration time in water of less 15 minutes and be able to form particles on disintegration in water that can pass through a 2.OOmm mesh aperture (British Pharmacopia test for swallowable tablets). Such long disintegration times and large particle sizes arE: entirely unsuitable for a dispersible tablet.
Even when swellab:Le clays have been proposed as disintegrating agents for swallowable tablets, they are not regarded as very suitable for such use because their off-white appearance can often discolour the tablet and becausE: they are not as effective as other disintegrating agents (Banker and Anderson - Theory and Practice of Industrial Pharmacy p 328 1;1986) and Bhargava et a~ - Drug Development and Industrial Pharmacy, 17(:L5), 2093-2102(1991)). In fact, bentonite is identified in Mar:;hall and Rudnic, Modern Pharmaceutics (1990) p 374, as the least swell.able of the ten disintegrants listed. There is no mention in the above text-book references of how the swellable clay should be incorporated - i.e. by intra-granular addition or by extra-granular addition. In the former case, the clay would be included in the mixture from which the granulate is formed; in the latter case the clay would be added to the pre-formed granulate.
:w.~
WO 92/13527 PCf/GB92/00163 In J. Pharm. Sci, 55, 1244 (1966), Wai et ~1, reviewed the following papers relating to swellable clays such as Veegum and bentonite as disintegrating agents: Wai et a~., J.Pharm.Sci, 55, 1215(1966);
Granberg et al., J.Am.Pharm.Assoc.Sci, 38, 648(1949); Gross et al., J.Am.Pharm.Assoc.:~ci, 41, 157(1952); Firouzabadian et al., J.Am.Pharm.Assoc.Sci, 43, 248(1954); Ward et al., Drug Cosmetic Ind, 91, 35(1962); Nair et a_~,., J.Am.Pharm.Assoc.Sci, 46, 131(1957); and Patel et a~., Indian J.Pharm., 19, Jan.1957. Wai et al., then compared three grades of: Veegum evalulating both extra-granular and intra-granular addition and concluded that "the clays were not good disintegrating a~;ents when wet granulated" (i.e. intra-granular addition), and then went on to recommend extra-granular addition.
Furthermore R.T.Vanderbilt and Co. (Manufacturers of Veegum) in their publication "Veegum - 'The Versatile Ingredient for Pharmaceutical Formulations" at F~ 19 describe a tablet formulation in which Veegum is added after granulation (tablet No.2). There is no reference in the publication to a formulation of a tablet in Which Veegum is added during granulation.
In contrast to t:he above recommendations, we have found that a swellable clay such as Veegum must be added during granulation to meet the British Phannacopoeia (B. P.) standard for dispersible tablets (presently set at a dispersion time of 3 minutes or less). If the swellable clay is added only after granulation the dispersion time is too high to meet the above standard.
By using Veegum and other swellable clays in the manner described above, we have been able to prepare water-dispersible tablets containing a variety of therapeutically active compounds. The resulting tablets can readily be dispersed in water to form a dispersion which can be drunk by a patient.
According to the present invention there is provided a water-dispersi-ble tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, an anti-viral nucleoside derivative (f~~r example acyclovir), an anti-protozoal naphthoquinone, allopurinol, oxopurinol, anti-convulsant 1,2,4 triazine derivative (for example lamotrigine) and trimethoprim (optionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay to provide a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 ~tm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia, 1988, Volume II, page 895.
The afore-mentioned published test requires that the tablet be capable of a) dispensing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 ~,m; b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page 895; said apparatus consisting of: (I) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to E30.0 mm long, 21.5 mm in internal diameter and with a wall thickness. of about 2 mm; (ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65'mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are ~~.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square - 4a -(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter a.s the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stain:Less steel wire 0.635 mm in diameter and having nominal mesh apertures of 2.00 mm attached to the underside of the lower plate; (iv) said plastic plates being held rigidly in position and. 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable: the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes; (v) said assembly being suspended in water at 19° to 21"C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
- 4b -The above-defined therapeutically active compound employed in the tablet according to the invention is hereinafter referred to as "the active compound".
The present inventic>n further provides a process for the preparation of: a water-dispersible tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, an anti-viral nucleoside derivative, an anti-protozoal naphthoquinone, allopurinol oxopurinol, anti-convulsant 1,2,4 triazine derivative and _ trimethoprim (opt:ionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay which comprises bringing the said active compound into association with the said swellable clay to provide a water-dispersible.table which is capable of d.ispers.ing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 ~m in accordance with the test for dispei:sible tablets defined in the British Pharmacopoeia, 1988, ~lolume II, page 895.
Preferably said process comprises the steps of:
- S -a) admixing in dry, finely-divided form the active compound with an effective amount o.f a pharmaceutically acceptable swellable clay, optionally with the addition of one or more other pharmaceutical carriers or excipients;
b) addition of a quantity of a pharmaceutically acceptable liquid sufficient t:o moisten the dry mixture;
c) granulation of the resulting moist mixture to form granules;
d) drying the granules and optionally blending the granules with other optional carriers or excipients such as lubricants, glidants, flavouring agents and disintegrating agents; and e) compression of the granules to form a tablet which is capable of dispersing i.n water within a period of 3 minutes to provide a dispersion ~rhich is capable of passing through a sieve screen with a mesh aperture of 710~m in accordance with the above defined British Pharmacopoeia test for dispersible tablets.
A tablet according to the invention, as well as being quickly dispersible in water, has the added advantage that it meets the British Pharmacopoeia (B. P.) test for dispersible tablets in respect of dispersion times and dispersion quality (i.e. passage through a 710um sieve).
Preferably the dispersion time of a tablet according to the invention is less than 2 minutes, more preferably less than 1.50 minutes and _ most preferably less than 1 minute.
A further advantage of the tablets according to invention is that because a relati~~ely fine dispersion is formed.the tablet will have a lower dissolution time and thus the drug may be absorbed into the blood stream much faster. Furthermore the fast dispersion times and relatively fine dispersions obtained with tablets according to the ~%O 92/13527 PCT/GB92/00163 invention are also advantageous for swallowable tablets. Thus tablets-according to the invention can be presented both for dispersion in water and also for directly swallowing. Those tablets according to the invention that are intended for swelling are preferably film-coated to aid swallowing. Such film-coating however increases the dispersion time up to 5 minutes determined in accordance with the above-mentioned B.P. test.
According to a further feature of the present invention therefore we provide a water-dispersible film-coated tablet comprising a therapeutically active compound selected from the group consisting of an analgesic propionic acid derivative, a tranquillising benzodiazepine, as antiviral nucleoside derivative, an anti-protozoal napthoquinone, allopurinol, oxopurinol, an anti-convulsant 1,2,4-triazine derivative and trimethoprim (optionally in combination with sulphamethoxazole), together with an effective amount of a pharmaceutically acceptable swellable clay to provide a film-coated tablet which is capable of dispersing in Water within a period of 5 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710~m in accordance with the above-defined British Pharmacopoeia test for dispersible tablets subject to the variation of the said period specified in the test from 3 minutes to S minutes. The references herein to tablets according to the invention include bath film-coated and non-film-coated tablets.
After the dispersion has passed through the 710~cm mesh screen, there should be substantially no residue, except fragments of undissolved tablet coating or shell, remaining on the screen or adhering to the lower surface of the disc, if a disc optionally has been used; and if any residue remains, it: should consist of a soft mass having no palpably firm, unmoistened core.
The particle size distribution of the dispersion particularly when the active compound is acyclovir are set out in the following table with the increasingly preferred values being quoted from left to right.
Particle BP More Most Size (~m)* Standard Preferably Preferably Preferably <710 <100% 100% 100% 100%
<300 - >50% >70% >80%
<200 - - >50% >70%
<150 - - - >50%
* (equivalent spherical volume diameter) Examples of active compounds which have been employed in the tablets according to the invention are listed below together with respective patent publications, (in s~ppropriate instances) which teach how to make them and infecaions ot~ medical conditions which can be treated by them acyclovir (UR Nu= 1523865), Lamotrigine -(EP Nos: 021 1.21 and 247 829) diazepam, paracetamol, -(both commercially available), 1-(~-D-arabinofuranosyl)-5-propy-1-ynyl-uracil (EP No. 0272 065), 2-[4-(4-chlorophenyl)cyclohexylJ-3-hydroxy- 1,4-naphthoquinone: (EP No. 0123 238), allopurinol (G.B. No.
1445 983).
Examples of other active compounds include: 3'-azido-3'-deoxythymidine (EP No. 0196 185), S-prop-1.-ynyl-1-(5-trimethylacetyl-~-D-arabinofura-nosyl)uracil (EP No. 0375 7.64), 2-(2-amino-1,6-dihydro-6-oxo-9H(purin-9-yl)methoxy)ethyl-valinatE: (EP No. 0308 065), 2',3'-dideoxy-5-ethyn- ..
yl-3'-fluorouridine (EP No. 0356 166), 5-chloro-1-(2,3-dideoxy-3-fluo-ro-~-erythropeatofuranosyl;uracil (EP No. 0305 117 and EP No. 0317 128), penciclovir, i.e. 9-[4-hydroxy-3-(hydroxymethyl)butylJguanine (EP No. 141927), famciclovi.r, i.e. 2-amino-9-[4-acetoxy-3-(acetoxyme-thyl)butylJ purine (EP No. 0182024) and E-5-(2-bromovinyl)-1-~-arabi-nofuranosyluracil ~; EP No. (1031 128), dextromethorphan, pseudophedrine, acrivastine, triprolidine, guaiphenesine, dihydrocodeine, codeine phosphate and ascorbic acid.
_ g _ Preferably the active compound is lamotrigine, i.e.(3,5-diamino-6-(2,3-dichlorophenyl)-1,2,4-triazine, more preferably acyclovir or pharmaceutically acceptable salts of these compounds which have acceptable dispersibilit:y in water. Thus, for example, a suitable salt of lamotrigine is the isethionate salt (i.e. 2-hydroxymethanesul-phonate).
It will be appreciated that reference to any active compound also includes any pha=maceuti.cally acceptable salts thereof.
The term "swellable clay" as used herein includes layered clays (such as smectites), porous fibrous clay minerals, and synthetic clay '_ materials related. in structure to layered clays and porous fibrous clays.
The term "layered clays" as used herein includes substantially homogeneous layered~clays and mixtures thereof, and interstratified or mixed layered clays. Substantially homogeneous layered clays includes the smectite group for example dioctahedral and trioctahedral types.
Examples of dioctahedral smectites are .the montmorillonite group (montmorillonoids); magnesium and other (e. g. calcium) aluminium silicates such as Veegum in its various grades e.g. Veegum, Veegum HV, Veegum F, and Veegum W'G); almasilate; fullers earth (e. g. Surrey finest); American fullers earth; bentoni.te; beidellite; cheto montmorillonite, Wyoming montmorillonite, Utah montmorillonite;
Tatalia and Chambers montm:orillonites; and iron rich smectites such as nontrite (e. g. Garfield nontronite) and ferrian smectites.
Examples of triocatahedral smectites (also known as saponites) are Swinefordite, hectorite, stevensite. Examples of smectites containing more unusual elements are Volkhonsite, Medmontite, Sauconite, nickel smectites and vanadium smectites. As well as the monimiorillonite group, related smectites such as vermiculites may also have application.
The term "interstratified or mixed layer clays", as used herein includes clays involving different layers arranged in a regular or irregular structure. The most common examples of such clays have generally two comyponents in substantially equal proportions and have been given mineral names such as rectorite (mica-smectite), hydrobiotite (bi~tite-vermiculite), corrensiten (chlorite-smectite) allettite (talc-saponite). More irregular arrangements include illite-smectite, chlorite-smectite, and kaolinite-smectite. Further examples of interstratified clays are tosudite, tarasovite, allevardite, Japanese bentonite ("acid clays"), AWAZU acid clay, and kaolinite-smectite. Other mixed layer clays may include one or more of the following minerals: clinchlore, chamosite, nimite, thuringite, -_ sudoite, and~cookeite. Mixed layer smectities are also known e.g.
interdispersed montmorillonite and beidellite layers. The layers of mixed layer clays may be homogeneous or non-homogeneous.
The term "porous fibrous clays" includes palygorskite and sepiolite such as, for example attapulgite and American fuller's earth.
The term "synthetic clay materials" as used herein includes materials related in structure to layered clays and porous fibrous clays such as synthetic hectorite (lithium magnesium sodium silicate) for example laponite R.
It will be appreciated that within the scope of the invention the following classes of clays have application alone or in combination and in mixed layer clays: kaolinites, serpentines, pyrophyllites, talc, micas and brittle micas, chlorites, smectites and vermiculites, palygorskites and. sepiolites. Other phyllosilicates (clay minerals) which may be employed i.n the tablets according to the invention are allophane and imogolite.
The following references describe the characterisation of clays of the above types: Chemistry of Clay and Clay Minerals. Edited by A.C.D.
Newman. Mineralogical Society Monograph No. 6, 1987, Chapter 1; S.W.
WO 92/13527 ' PCT/GB92J00163 Bailey; Summary of recommendations of AIPEA Nomenclature Committee, Clay Minerals 15, 85-93; and A Handbook of Determinative Methods in Mineralogy, 1987, Chapter 1 by P.L. Hall.
Suitably the swellable: clay is a pharmaceutically acceptable crystalline mineral clay having a lattice structure which expands upon hydration, preferably a pharmaceutically acceptable smectite or attapulgite clay, especially a montmorillonoid, more preferably yet a montmorillonoid chosen from the group consisting of montmorillonite, sauconite, vermiculite, bentonite and hectorite, still more preferably an aluminium ma esium silicate and most R
gn preferably Veegum .
The term "smectite" as used herein in relation to tablets of the present invention includes the smectites as exemplified herein and with reference to 0'Brian P, and Williamson C.J., in "Clays and Clay Minerals vol. 38 No. 3 pp322-326, 1990" and the other clay nomenclature references set out hereinbefore.
The term "magnesium aluminium silicate" as used herein in relation to tablets of the present invention should be understood to include the Aluminium Magnesium Silicate defined in the British Pharmacovoeia, volume I, pages 27-28, 1988 and the Magnesium Aluminium Silicate defined in the United States Pharmacopoeia, National Formularv XVI', pages 1943-1944, 1990. Advantageously, said silicate is in the form of a microfine powder having a No. 325 US Standard mesh particle size, a viscosity of 250 cps (~ 25%) for a 5.5% (w/v) aqueous dispersion and an acid demand (the volume in ml. of O.1N hydrochloric acid required to reduce the pH of one gram to 4) of 6-8: such a material is available as VEEGUM F (R.T. Vanderbilt Co., New York, N.Y., U.S.A.; K
& K-Greeff Chemicals Ltd., Croydon, Surrey CR9 3QL, England).
The amount of swellable clay employed in the tablet according to the invention generally depends on the weight of the tablet. Experiments with acyclovir indicate for a 100mg tablet, amounts as low as 0.25%
w/w of tablet ca.n be used whereas for tablets of about 1000mg to 1200mg up to 60% w/w, advantageously up to 50% w/w preferably up to 40% w/w could bE~ used to give a satisfactory dispersible tablet in accordance with t:he invention. Other practical considerations such as poor flow and cocnpression properties may, however, limit the maximum percentage weight. of clay which can be incorporated within any given weight of tablet.. In our experiments up to 40% w/w of swellable clay was used for a t<iblet having a total weight of Il00mg and gave fine dispersions and past dispersion times.
Thus for a dispersible tablet containing an active compound defined hereinbefore such as acyclovir or lamotrigine, the intra-granular amount of swellable clay such as a crystalline mineral clay for example, magnesium aluminium silicate is suitably present in the following genera:L ranges 0.25 to 60% w/w, preferably 0.25 to 50% w/w, more preferably 0.5 to 50% w/w, more preferably still 1 to 50% w/w, more preferably ;still 1 to 40% w/w, more preferably still 2 to 20%
w/w, more preferably still 2.5 to 20% w/w, still more preferably 3 to 10% w/w, and most preferably 5 to 10%, most desirably about 5% w/w.
The tablets according to the invention will generally contain a pre-determined amount of the active compound, depending on the identity of the compound, the desired dosage and the total weight of the tablet.
When the active compound is acyclovir, the tablets generally contain 100 to 1000mg, preferably 200 to 800mg, such as 400 to 800mg of the compound. Such dosage units may be administered one or more times, for example up to five times, per day, at the discretion of the physician, according to the age and condition of the patient and the particular condition being treated. For an acyclovir tablet having a total weight about 1000 to 1200mg and containing about 750 to 850mg of acyclovir, the swellable clay e.g. Veegum F, is preferably present in an amount of 40 to 120 mg it;itragranularly.
When the active compound is lamotrigine or a pharmaceutically acceptable salt thereof the tablets according to the invention conveniently contain 2.5 to 500 mg. desirably 5 to 250 mg. of lamotrigine calculated as Iamotrigine base. Preferred said unit doses include 5 mg., 12.5 mg., 25 mg., 50 mg., 100 mg., 150 mg., 200 mg. and 250 mg., calculated as the base. For tablets having a total weight of about 55 to 65mg and containing about 5mg lamotrigine, the swellable clay, e.g. Veegu;m F, is preferably present in an amount of 2 to 4mg, especially about 3mg. Similarly for a tablet having a weight of about 220 to 350mg and containing about 80 to 120mg, preferably 100mg of lamotrigine, the swellable clay, e.g. Veegum F, is preferably present in amount of 5 to 20mg, especially about l2mg. -In general the tablets according to the invention contain the active compound in the following percentage proportions:-Acyclovir - 20 to 90% w/w, preferably 45 to 85% w/w Lamotrigine - 3 to 90% w/w, preferably 5 to 40% w/w 1-(~-D-arabinofuranosyl)-5-propynyl-1-ynyluracil - 10 to 90% w/w, preferably 65 to 80% w/w Paracetamol - 50 to 90% w/w, preferably 60 to 75% w/w 2-[4-(4-chlorophenyl)cyclohexylJ-3-hydroxy-1,4-naphthoquinone - 50 to 85% w/w, preferably 60 to 75% w/w Allopurinol - 25 to 80% w/w, preferably 45 to 65% w/w Diazepam - 4 to 30% w/w, preferably 8 to 16% w/w Pseudoephedrine - 5 to 50% w/w, preferably 15 to 30% w/w Dextromethorphan - 2 to 20% w/w, preferably 5 to 15% w/w Triprolidine - 10 to 50% w/w, preferably 20 to 30% w/w Codeine phosphate Dihydrocodeine Ascorbic Acid Acrivastine - 1 to 10% w/w, preferably 2 to 5% w/w Guaiphenesine - 10 to 40% w/w, preferably 15 to 30% w/w Ibuprofen - 20 to 5~0% w/w" preferably 65 to 85% w/w When the active compound I;such as acyclovir) is present in an amount of at least 60% wfw in tablets according to the invention, we have suprisingly found that the dispersion time remains substantially constant over a range of tablet hardnesses. This is a considerable quality control advantages since in industrial manufacture it is essential to maintain a constant tablet hardness. Tablets according to the invention c:an thus be produced with sufficient hardness and friability so that they can easily be film-coated. A tablet according to the invention should desirably have a friability of . about 2% or less, preferably 0.5% or less.
Based on experiments that we have carried out, it has been found that in addition to tree amount of swellable clay present within the granules of the tablet, a further amount of swellable clay may be present outside the granules. At very low intra-granular amounts (such as 1% w/w or below), higher extra-granular amounts (such as about 10% w/w or more) may decrease the dispersion time, but in general extra-granular addition has little or no effect on the dispersion time. 7.'he maximum percentages) of the clay present within the granules and, optionally outside the granules, may be limited by other practical considerations such as poor flow and compression properties.
Other excipients suitable for inclusion in the tablets according to the invention include the following:
a) Binders and Adhesives: we have found e.g. with acyclovir tablet formulations that i.f there is sufficient amount of swellable clay such as Veegum F present within the granules, then a separate binder is not required (i.e. the clay also acts as a binder).
Preferably however a separate binder is present in a sufficient amount to provide a tablet having a satisfactory tablet hardness and satisfactory dispersion characterstics. The amount of binder will vary depending on the overall tablet formulation and type of binder used but general functional limits for most tablets of the invention are 0 to 25% w/w. The following binders and amounts are suitable for inclusion in a tablet according to the invention. The concentration. of the binder in the granulation fluid (% w/v) is given (% w/w in tablet will vary according to the volume of granulating solution used to form a satisfactory tablet): Examples of binders are: acacia mucilage 0 to 25% w/v, preferably 1 to 5% w/v, alginic acid 0 to 20.0% w/v, preferably 1 to 5% w/v, polyvinylpyrrolidone (povidone) 0 to 15.0% w/v, preferably 0.5 to 5% w/v, gelatin 0 to 20.0% w/v, preferably 1 to 5.0% w/v, su.crose 0 to 70.0% w/v, preferably 2.0 to 20.0% w/v, starch mucilage 0 to 10.0% w/v, preferably 0.5 to 5.0% w/v, pregelatinised starch 0 to 10.0% w/v, preferably 0.5 to 5.0% w/v, starch paste 0 to 10.0% w/v, preferably 5.0 to 10.0% w/v, sodium alginate 0 t.o 5.0% w/v, preferably 1.0 to 3.0% w/v, sorbitol 0 to 10.0% w/v, preferably 3.0 to 10.0% w/v, tragacanth 0 to 20% w/v, preferably 5.0 to 1Ø0% w/v, glucose 0 to 50%, preferably 5 to 25% w/v, hydroxypropylmethyl cellulose (HPMC) 0 to 10% w/v, preferably 1..0 to 5.0% w/v, magnesium aluminium silicate 0 to 40%
w/v, preferably 2 to 10% w/v, starch paste 0 to 25% w/v, preferably 5 to 15% w/v, polyvinylpyrrolidone 0 to 15% w/v, preferably 3 to 10% w/v, carboxymethylcellulose sodium 0 to 10%
w/v, prefera.bly 1 to 6% w/v, dextrin 0 to 50% w/v, preferably 5 to 25% w/v, ethyl cellulose 0 to 10% w/v, preferably 1 to 6% w/v, polyethylene glycol 0 to 5% w/v, guar gum 0 to 10% w/v, preferably 1 t~o 5% w/v, zein 0 to 30% w/v, preferably 1 to 10%
w/v, hydroxyethyl cellulose 0 to 5% w/v, preferably 2 to 4% w/v, hydroxypropyl cellulos~a up to 5% w/v, preferably 2 to 4% w/v, methyl cellulose up 'to 20% w/v, preferably 1 to 10% w/v, polymethacrylates up ~to 25% w/v, preferably 5 to 10% w/v, carboxymethylcellulose calcium 0 to 20% w/v, preferably 5 to 10%
w/v.
b) Disintegrating agents: Tablets according to the invention can be formulated in the absence of separate disintegrating agents although their incl°ision may be advantageous for their -disintegration in water as an adjunct to the dispersion afforded by the clay above. E~Kamples of suitable disintegrating agents Which can optionally be incorporated into a tablet according to the invention are: microcrystalline cellulose (e.g. Avicel R) 0 to 30% w/w, preferably 5 to 10% w/w, Sodium carboxymethyl cellulose (e. g. Nymcel R) 0 to 5% w/w, preferably 1 to 2% w/w, calcium carboxymethyl cellulose 0 to 20% w/w, preferably 1 to 5%
w/w, modified cellulose gWm (e. g. Ac-Di-Sol R) 0 to 10% w/w, preferably 1 to 5% w/w, cross-linked povidone 0 to 10% w/w, .
preferably 2 to 6% w/w, alginic acid and alginates 0 to 10% w/w, 2 to 5% w/w, pregelatinised starch 0 to 10% w/w, preferably 0.5 to 5% w/w, sodium starch glycollate (e.g. Explotab R, Primojbl R) 0 to 10% w/w, preferably 0.5 to 5% w/w, modified corn starch (e. g. starch 1500 R) 0 to 20% w/w, preferably 1 to 10% w/w, starch (e.g. potato/maize starch ) 0 to 15% w/w, preferably 0.2 to 10% w/w, ion exchange resin such as polacrin potassium (e. g.
Amberlite IRP-88) up to 5% w/w, preferably 0.5 to 2.0% w/w. The "R" following the brand names above indicates a Trade- , mark; Amberlite is also a Trade-mark:
Work with lamotrigine and other active compounds is sup-portive of the view that if LHPC is used a suitable dis-persion can 'be obtained without the need for a separate wetting agent/surfactant:
c) Fillers: These serve the purpose of bulking up the tablet to a suitable size and aiding compressibility especially in lower dosage tablets. The amount of filler depends on its type, size of tablet and amount of active compound. When the concentration of active compound is below 60% w/w, more preferably 45% w/w and most preferably below 30% w/w, an inorganic water-insoluble filler is advantageously used. Examples of Water-soluble fillers (which can he used in general quantities of 0 to 95% w/w) are:
soluble lactose, compressible sugar, confectioners sugar, dextrose, m;annitol, sodium chloride, sorbitol, xylitol, sodium chloride F. Examples of water-insoluble fillers (Which can be used in general quantities of 0 to 93% w/w) are: calcium carbonate, magnesium carbonate, calcium phosphate (e.g. di and tri basic calcium phosphate), calcium sulphate, kaolin, microcrysta:Lline cellulose, powdered cellulose, pregelatinized starch S to 75%, starch, barium sulphate, magnesium trisilicate, aluminium h:~rdroxide .
Inclusion o:E a filler having a negative heat of solution in water, for example mannitol, sorbitol and xylitol, provides tablets which, in addition to being water-dispersible, are especially auitable for chewing in the mouth, the dissolving of such an excipient in the saliva producing a cool, pleasant sensation.
d) Lubricants: Generally lubricants are used in as low an amount as .possible. Examples of lubricants with percentage weights which are suitable for a tablet are: stearates (e.g. magnesium or calcium ste,arate) 0.2 to 5% w/w, preferably 0.25 to 1% w/w, talc 0.19 to 5% w/w, preferably 1 to 2% w/w, polyethylene glycol 0.19 to 5% w/w, preferably 2 to S% w/w, liquid paraffin 0.18 to 5%
w/w, preferably 2 to 5% w/w, sodium lauryl sulphate 0.19 to 5%
w/w, preferably 0.5 to 2% w/w, magnesium lauryl sulphate 0.12 to 5% w/w, preferably 1 to 2% w/w, colloidal silicon dioxide 0.1 to 5% w/w, preferably 0.1 to 1.0% w/w, palmitostearate 0.01 to 5%
w/w, preferably 1 to 3% w/w, stearic acid 0.01 to 5% w/w, preferably 1'to 3% wfw, zinc stearate 0.01 to 2% w/w, 0.5 to 1.5%
w/w, hydrogenated vegetable oil 0.5 to 5% w/w, preferably 1 to 3%
w/w. More suitably the lower value is 0.25%.
e) Wetting agents/surfactants: examples with suitable amounts are:
sodium dodecyl sulphate 0 to 10% w/w, preferably 0.5 to 2% w/w, sodium lauryl sulphate 0 to 10% w/w, preferably 0.1 to 3.0% w/w, polyoxyethylen.e sorbitan fatty acid esters (Tweens) 0 to 3% w/w, preferably 0.05 to 1.~~% w/w, polyoxyethylene stearates 0 to 2%
w/w, preferably 0.05 to 1.0% w/w, sorbitan fatty acid esters (Spans) 0 to 3% w/w, preferably 0.05 to 1.0% w/w.
f) Glidants: for example, talc 0 to 5% w/w, preferably 1 to 2% w/w, starch 0 to 15% w/w, preferably 2 to 10% w/w, magnesium stearate up to 5%, preferably 0 - 2.0% w/w, silica derivatives generally 0 to 1% w/w, preferably ~7.2 to 0.5% w/w, such as colloidal silica (e. g. Aerosil) 0 to 0-5% w/w, preferably 0.25 to 3% w/w, pyrogenic silica 0 to 2% w/w, preferably 0.25 to 1% w/w, hydrated sodium silicoaluminate 0 to 2% w/w, preferably 0.5 to 1% w/w, colloidal silicon dioxide 0 to 0.5% w/w.
g) Flavouring agents: are used in for example approximate quantities of 0 to 5% wfw, preferably 0.25 to 2% w/w, orange, cherry and strawberry, raspberry, grape and passion fruit.
h) Sweetening agents: far example sodium saccharin 0 to 10% w/w, preferably, 0.5 to 5.0% w/w, aspartame 0 to 10% w/w, preferably 0.25 to 5.0% w/w, confectioners sugar 0 to 30% w/w, preferably 5 to 20% w/w, sorbitol 25 to 90% w/w, preferably 0.5 to 10% w/w, sucrose 0 to 85% w/w, preferably 0.5 to 20% w/w, xylitol 0 - 20%
w/w, preferabl.y 0.5 to 10% w/w.
Tween, Aerosil and Span are Trade-marks:
- 18. -Such materials may be incorporated at the appropriate stages) of the manufacturing process together with any other agents (e. g.
colourants).
Based on the teachings and principles set out herein, the following general formulations are illustrative of tablets of the invention, and the skilled man given these teachings and principles will be able to make specific tablet formulations in accordance with the invention.
INGREDIEN'.f CONCENTRATION (% w/w) in Tablet Active compound 5 to 90 Swellable clay 0.25 to 60 (preferably 0.25 to 50) Binder 0 to 25 Disintegrating af;ent 0 to 20 Water-soluble filler 0 to 95 Water-insoluble :Filler 0 to 95 Wetting agent 0 to 5 Lubricant 0.1 to 5 Colours, flavours, sweeteners0 to 10 Approximate Tablet weight: 50-2000mg WO 92/13527 PCf/GB92/00163 Other aspects of the tablet preparation will now be discussed.
Suitably the dry mixing is effected with a mixing time of 5 minutes to 25 minutes preferably about 10 minutes.
The swellable clay can be dry mixed with the active compound and other excipients and then granulating solution added, or the clay and other excipients can be dispersed firstly in the granulating solution and then added to the active compound and any other excipients prior to granulation.
The liquid employed to moisten the dry mixture, prior to the granulation step, is preferably aqueous, for example water or a mixture of water and a suitable alcohol such as ethanol or isopropanol.
Wet mixing or granulating times which are suitable (depending on the type of mixer used) are 5 to 20 minutes.
Suitable granule drying times and conditions (which will vary according to the type of equipment used and batch size of granules) are about 50 to 8'0°C, (using a dryer such as with a tray or fluid bed dryer) to obtain a moisture content generally below about 4~.
Generally suitable compression weights and final table hardness will vary according to the size of tablet, but generally suitable values are as follows:
Approximate Approximate Approximate Tablet weight Tablet Target tablet (mg) diameter hardness (KP) 60 5.6 1-2 80 6.4 3-4 125 . 7.4 4-5 _ 250 8.6 S-6 330 9.4 6-g 500 11.0 10-12 600 11.8 10-14.
1000 14.0 12-16 The tablets may optionally be film-coated, for example with hydroxypropylmethyl cellulose, polyethylene glycol or titanium dioxide, and/or may be scored and/or may be polished, for example with polyethylene glycol 8000. If the tablets are film-coated, this .makes them easier to swallow or chew (i.e. the tablets are suitable for either dispersion in water or for direct swallowing or chewing), but the dispersion time is increased.
The present invention also provides:
. - 21 -a) Granules containing an active compound and a pharmaceutically acceptable swellable clay, suitable for use in the preparation of a Water-dispersible tablet according to the invention.
b) Use of granules as defined above in the preparation of a water-disper~~ible tablet according to the invention. Optionally, a further amount of swellable clay may be added after granulation and before compression;
c) Use of a pharmaceutically acceptable swellable clay as a dispersing agent in the preparation of a water-dispersible tablet containing an active compound (as defined above);
d) Use in human medicinal therapy of a water-dispersible tablet comprising an active compound (as defined above), together with an effective amount of pharmaceutically acceptable swellable clay within the granules of the tablet.
Suitably the swell.able clay of the invention is a pharmaceutically acceptable crystalline minezal compound, such as aluminium magnesium silicate (e.g. Vee:gum).
The therapeutic c4se of a tablet of the invention includes both treatment and prophylaxis.
The invention ha~~ been found to have particular application with lamotrigine becaur~e of t:he long term instability of lamotrigine in aqueous media. Furthermare dispersible tablets containing lamotrigine have been found t:o give a finer dispersion than tablets using more common disintegrating agents such as Explotab.
Further aspects of the invention illustrated with respect of lamotrigine are:
e) Granules, suitable for use in the preparation of a water-dispersible compressed tablet, comprising lamotrigine or a pharmaceuti<:ally acceptable salt thereof together with a pharmaceutically acceptable crystalline mineral clay as dispersing agent;
f) Use of granules as defined above in the preparation of a water-dispersible compressed tablet which may involve the addition of a further amount of crystalline mineral clay compound after granu:Lation and before compression; and g) Use of a pharmaceutically acceptable crystalline mineral clay as dispersing agent in the preparation of a water-dispersible compressed tablet containing lamotrigine or a pharmaceutically acceptable ::alt thereof.
h) A water-dispersible tablet comprising lamotrigine or a pharmaceutically acceptable salt thereof together with a pharmaceutically acceptable crystalline mineral clay having a lattice stricture which expands upon hydration as dispersing agent. The lamotrigine or a pharmaceutically acceptable salt thereof togeaher with the mineral' clay are comprised within the tablet in granulated form. .
i) A method for the preparation of a lamotrigine water-dispersible tablet which comprises the steps of admixture :in dry, finely-divided form of lamotrigine or a . pharmaceutically acceptable salt thereof and the pharmaceutically acceptable crystalline mineral clay which may be chosen from the group consisting of attapulg:ite, smectite and mont~orillonoid clays or magnesium aluminium silicate, optional addition of other pharmaceutical ingredients such as fillers (~ lactose, av:icel or mannitol), disintegrants, binders, etc.
WO 92/1352 i PCf/GB92/00163 addition of a quantity of a pharmaceutically acceptable liquid sufficient to moisten the mixture, granulation of the resulting moist mass, drying of the granules and blending of the granules with optional lubricants, glid;ant, flavours, disintegrants etc., and formation o:f the blend into a tablet.
j) Use in human medicine of a water-dispersible compressed tablet comprising Lamotrigine or a pharmaceutically acceptable salt _ thereof together with a pharmaceutically acceptable crystalline mineral clay as dispersing agent, and k) A method four the treatment in a human being of a disorder of the central nervous system which comprises administration of a water-dispersible compressed tablet comprising lamotrigine or a pharmaceuti~~ally acceptable salt thereof together with a pharmaceuti~~ally acceptable crystalline mineral clay as dispersing .agent.
Especially preferred tablets are those wherein the lamotrigine is present as the base.
The said tablets may be employed in human medicine in the treatment of disozders of the central nervous system and in particular in the treatment of epileptic seizures. They may be administered one or more times per day, for example up to five times per day, at the discretion of the attendant physician and dependent upon the age and condition of the patient, the particular disorder being treated, the unit dose adopted and the total dose required. A suitable daily dose for the treatment of epileptic seizures will generally lie in the range of 5 to 500 mg., more often in the range of 25 to 400 mg., calculated as the base.
The physical size of the said tablets is desirably such as to permit their dispersion, prior to oral ingestion, in an acceptably small volume of water. Thus, for example, a tablet containing 5 mg.
(calculated as the base) of lamotrigine or a salt thereof, a dose especially suitable for paediatric use, is advantageously small enough to disperse in tine volume of water .held in a standard 5 ml. medicine spoon.
Tablets of the invention containing lamotrigine (or a salt thereof) advantageously include a magnesium aluminium silicate such as Veegum F
as the swellable clay together with further optional pharmaceutical _ carriers or excipients referred to above such as binders, lubricants, fillers, disintegrating agents etc.
In such tablets the ingredients are advantagously present in the following proportions: lamotrigine: 2% w/w to 90% w/w preferably 5%
w/w to 40% w/w; swellable clay: 0.25% w/w to 40% w/w preferably 0.25%
W/W t0 lO$ w/w.
A suitable formulation of a dispersible tablet containing 25 to 200mg lamotrigine wou7Ld be Lamotrigine 30% w/w to 50% w/w, preferably 35-45%
Calcium carbonate 26% w/w to 4b% w/w, preferably 31-41%
LHPC-LH11 5% w/w to 30% w/w, preferably 5-15%
or microcrys-talline cellulose (e. g.
Avicel PH101) Magnesium 0.2-'i% w/w to 30% w/w, preferably 0.25-10%
aluminium silicate Veegum F or bentonite Povidone 0.25% w/w to 5.0% w/w, preferably 0.5-2%
or pre-gelled starch 1.0% w/w to 8.0% w/w, preferably 2-5%
Sodium starch glycollate 0% w/w to 8% w/w, preferably 0-5%
Magnesium 0.25% w/w to 2% w/w, preferably 0.25-1%
stearate and if optionally film coated:
Opadry 0.1%-w/w to 2% w/w, preferably 0.25-1%
Polyethylene 0.1% w/w to 0.5% w/w, preferably 0.1-0.2%
glycol 8000 A suitable formulation of a dispersible tablet containing Smg to 50mg of lamotrigine would be as follows, (values being in $ w/w).
Lamotrigine 3-13 preferably S-11 Lactose or 50-60 preferably 53-59 calcium carbonate Microcrystalline 20-35 preferably 24-30 cellulose (e. g.
Avicel PH101) or LHPC-LH11 Sodium starch 0-8 preferably 0-5 glycollate Magnesium aluminium 0.25-30 preferably 0.25-10 silicate Veegum F or bentonite Povidone K30 0.25-5.0 preferably 0.5-2.0 or pregelled starch 1..0-8.0 preferably 2-5 Sodium docusate 0-0.5 preferably 0.5-0.15 Sodium saccharine 0-3 preferably 0.5-2.
Magnesium stearate0.25-2 preferably 0.25-1 ---and if optionally coated _ f.'ilm Opadry C1.1-2.0 preferably 0.25-1 Polyethylene glycolØ1-0.5 preferably 0.1-0.2 WO 92/1352 i PCT/GB92/00163 As referred to above, the present invention is particularly applicable to the formulation of water-dispersible tablets containing acyclovir as the active .compound.
Acyclovir is a compound which has been found to have potent activity against viruses of th.e herpes family, particularly herpes simplex and herpes varicella roster. Such activity has been demonstrated by the outstanding success of acyclovir in the therapeutic treatment of clinical conditions such as genital herpes caused by the herpes varicella roster virus.
In the treatment of certain conditions, it may be necessary to administer acyclovir to the patient in relatively large dosages to achieve the effective therapeutic levels of drug in the plasma, particularly when oral administration is desired. For example, in the treatment of shingles, it is recommended to administer acyclovir at a dosage regime of 800mg five times per day. A tablet formulation containing 800mg of acyclovir is currently available but its relatively large size sometimes renders it difficult to swallow by elderly patients, such patients being particularly susceptible to shingles. This problem is obviated by the water-dispersible tablets according to the invention which enable relatively high doses of acyclovir to be administered in a drinkable dispersion by the oral route.
The,advantageous water-dispersibility' of tablets according to the invention containing acyclovir as the active compound is especially surprising in view of the poor water-dispersibility demonstrated by tablets containing canventional disintegrating agents such as sodium starch glycollate, cross-linked povidone and cross-linked sodium carboxymethylcellulose.
Yet further aspects of the invention with respect to acyclovir are as follows:
_ 28 _ 1) A granulate comprising acyclovir together with a pharmaceutically acceptablE: magnesium aluminium silicate compound;
m) Use of a granulate according to e) above for the manufacture of a water-dispersible tablet formulation.
n) Use of magnesium aluminium silicate in the manufacture of a water-dispersible tablet formulation of acyclovir.
o) A water-d:Lspersible pharmaceutical.tablet formulation comprising acyclovir together with a pharmaceutically acceptable magnesium aluminium silicate compound.
p) A process for the preparation of a pharmaceutical tablet formulation which comprises admixing acyclovir with a magnesium aluminium silicate compound and optionally one or more further pharmaceur_ical carriers or excipients, granulating the resulting mixture with a pharmaceutically acceptable liquid, drying the resulting granulate, optionally mixing the dried granulate with one or more further pharmaceutical carriers or excipients, and subsequenvtly compressing the dried granulate to form tablets.
The liquid employed in the above granulation step is advantage~~usly aqueous, for example, an aqueous ethanol mixture.
The resulting tablets may be subsequently film coated for example with hydroxypropylmethyl cellulose, titanium dioxide or polyethylene glycol and, if desired, polished for example with polyethylene glycol 8000. , Tablets according to the invention containing acyclovir advantageously include a magnesium aluminium silicate such as Veegum F as the swellable clay optionally together with further pharmaceutical carriers or excipients referred to above such as disintegrating agents, binders, fillers, lubricants etc.
In such tablets the ingredients are advantageously present in the following proportions: acyclovir 40 to 98% w/w, preferably 75 to 85%
w/w, swellable clay 0.'_i to 40% w/w, preferably 0.5 to 10% w/w.
A suitable formulation of an acyclovir dispersible tablet containing from 200mg-800mg; acyclovir would be:
Acyclovir 70% w/w to 90% w/w, preferably 75-85% w/w Povidone 0.25% w/w to 5% w/w, preferably 0.5-2% w/w or pregelled starch Magnesium 0.5% w/w to 30% w/w, preferably 0.5-10% w/w aluminium silicate Veegum F or bentonite Microcrystalline: 5% w/w to 25% w/w, preferably 5-15% w/w cellulose Avicel PH101 or LHPC-LH1I
Sodium starch 0% w/w to 8% w/w, preferably 0-5% w/w glycollate Magnesium 0..?5% w/w to 2% w/w, preferably 0.25-1.0% w/w stearate and if optionally film coated:
Opadry O.:L% w/w to 2% w/w, preferably 0.25-1.0% w/w Polyethylene 0.1% w/w to 0.5% w/w, preferably 0.1-0.2% w/w glycol 8000 The following Examples illustrate the present invention.
Examples 1 to 6 and 2:9 are comparative examples while examples 7-28, 30 and 31 describe the preparation of tablets according to the invention in which the active comvound is acvclovir.
Example 1. 2 3 4 Number m ~tablet g/tabletmg/tabletme/tablet m Intra-granular,:
Acyclovir * 848.0 848.0 844.0 844.0 Avicel PH101 60.0 NIL 101 NIL
Lactose 1.20.0 NIL NIL NIL
Starch (maize) NIL NIL 50 NIL
Explotab NIL 75.0 50 NIL
Primogel NIL NIL NIL 75.0 Ac-Di-Sol 83.0 NIL 23 NIL
Kollidon CL starchNIL NIL NIL NIL
Saccharin sodium20.0 10.0 NIL NIL
Sodium lauryl 5.0 NIL 3.0 NIL
sulphate Sodium docusate NIL 1.0 NIL 0.5 Dicalc.phosph.dihyr. NIL NIL 200.0 NIL
Povidone K30 NIL 10.0 22 11.2 Extra-granular:
Ac-Di-Sol 40.0 NIL NIL NIL
Avicel PH102 60.0 94 NIL NIL
Amberlite 1RP88 NIL NIL NIL 50.0 Kollidon CL NIL NIL 60.I NIL
Mg'stearate _ 12.0 I0.0 10.1 11.0 Tablet weight 11:48.0 1048.0 163.2 1191.7 (mg) 1 * In the follo wing examples exceptexamplesI3, 14 and 15, the actual qv.anti ty of ovir is calculated so acycl used from a factor as to prawide 800mg acyclovirper tablet. for of (The factor acyclovi=' is typically105.5 100 acyclovir).In equivalent to examples I3, 14 and the actualquantityof acyclovir was 15, used adjusted from the factorso as provide per to 800mg of acyclovir tablet.
WO 92/13527 PC1"/GB92/00163 Example 5 6 7 8 9 Number mg/tablet mg/tabletmg/tabletmg/tablet mg/tablet Acyclovir 844 .0 848.0 844.0 848.0 848.0 Avicel PH 101 101.0 83.46 100.0 89.0 89.0 Veegum F NIL NIL 53.0 53.0 53.0 Sodium starch 90.0 39.37 42.0 42.0 42.0 glycollate (Explotab) Povidone K30 11.0 10.27 NIL 11.0 11.0 Magnesium 9..'~ 8.85 9.4 9.4 9.4 _-stearate Film coat composite 1:
Opadry NIL NIL NIL NIL 7,86 Film coat composite 2:
Polyethylene glycol 8000 NIL NIL NIL NIL 2.097 Tablet weight 1055.5 989.95 1048.4 1052.4 1062.4 (mg) In accordance With the invention, that the to illustrate disintegration time remains substantially constant at different tablet hardnesses, th,e formulation of Example was compressed 7 at app=oximately 8 kp (7a), 12 kp (7b) and 18 (7c) and kp the results noted hereafte=.
Examp 1 1.0 11 12 a Number mg/tablet mg/tablet mg/tablet Acyclovir 848.0 848.0 848.00 Avicel PH 101 118.5 71.1 86.8 Veegum F 26.5 * 53.0 53.0 Primojel 42.0 42.0 42.0 Povidone K30 NIL 20.9 5.2 Magnesium , 9.4 9.4 9.4 stearate Tablet weight 1044.4 1044.4 1044.4 (mg) * Veegiam added as a paste - example contains no PVP-K30 as a binder. ~ ' Examyles of Acyclovir formulations Example 13 14 15 Number mg/tablet mg/tablet mg/tablet Component (mg/tablet) Acyclovir 800.0 800.0 800.0 Avicel PH 101 100.0 89.0 89.0 Veegum F 53.0 53.0 110.0 Sodium starch 42.0 42.0 42.0 glycollate Povidone K30 NII. 11.0 11.0 Magnesium 9.4 9.4 9.9 stearate Tablet weight (mg) 1004.4 1004.4 1061.9 Example 16 17 18 19 Number $ w/~a mg/ 8 w/w mg/ $ w/w mg/ ~ w/w mg/
tablet tablet tablet tablet Acyclovir 79.95 848.0 75.54 795.00 65.47 689.00 55.00 583.00 Avicel PH101 8.8~5 89.0 8.86 89.00 8.86 89.00 8.86 89.00 Veegum F 5.28 53.0 10.00 106.00 20.00 212.00 30.00 318.00 Explotab 4.1~~ 42.0 4.18 42.00 4.18 42.00 4.18 42.00 Povidone 1.09 11.0 1.09 11.00 1.09 11.00 1.09 11.00 Magnesium 0.'94 9.4 0.94 9.40 0.94 9.40 0.94 9.40 stearate Tablet weight 100:3 1052.4 100.0 1052.4 100.0 1052.4 100.0 1052.4 ~mg) Example 20 21 22 Number % w/w mg/ % w/w mg/ % w/w mg/
tablet tablet tablet Acyclovir 45.32 477.00 84.3 890.00 44.93 848.00 Avicel PH1018.86 89.00 8.86 89.00 8.86 157.76 Veegum F 40.00 424.00 1.00 10.60 40.00 712.22 Explotab 4.18 42.00 4.18 42.00 4.18 74.43 Povidone 1.09 11.00 1.09 11.00 1.09 19.41 Magnesium 0.94 9.40 0.94 9.40 0.94 16.74 stearate Tablet weight (mg) 100.00 1052.4 100.00 1052.4 100.00 1828.56 WO 92/13527 PC1"/GB92/00163 Example 23 24 25 Number % w,/w mg/ % w/w mg/ % w/w mg/ % w/w mg/
tablet tablet tablet tablet Acyclovir 65.47 689.00 55.00 583.00 45.32 477,00 79,65 848.00 Avicel 8.fl6 89.00 8.86 89.00 8.86 89.00 8.86 89.0 Veegum F *20.C10 (106.00 *30.00 (159.00 *40.00 (212.00 5.28 53.0 (106..00 (159.00 (212.00 Explotab 4,1.8 42.00 4.18 42.00 4.18 42.00 4.18 42.0 Povidone 1.09 11.00 1.09 11.00 1.09 11.00 1.09 11.0 Magnesium 0.94 9.40 0.94 9.40 0.94 9.40 0.94 9.4 stearate Tablet weight 100.00 1052.4 100.00 1052.4 100.00 1052.4 100.00 1052.4 (mg) * In these examples the Veegum is distributed equally both intra-granularly and extra-granularly.
WO 92/13527 PCZ'/GB92/00163 Example 27 28 29 30 31 Number % w/w mg/ % w/w mg/ % w/w mg/ mg/ mg/
tablet tablet tablet tablettablet Acyclovir 84.43 848.00 84.68 848.00 84.93 848.00 848.0 840.0 Avicel 8.86 83.95 8.86 83.70 8.86 83.46 89.0 89.0 Veegum F 0.50 4.74 0.25 2.36 0.00 0.00 - -Bentonite - - - - - - 53.0 NIL
Attapulgite - - - - - - NIL 53.0 Explotab 4.18 39.60 4.18 39.49 4.18 39.37 42.0 42.0 Povidone 1.09 10.32 1.09 10.30 1.09 10.27 11.0 ~ 11.0 Magnesium 0.94 8.91 0.94 8.88 0.94 8.85 9.1 9.1 stearate Tablet weight 100.00 995.53 100.00 992.73 100.00 989.95 1052.1 1044.1 (mg) Examples 32-40 describe the preparation of tablets according to the invention in which the active compound is lamotrigine.
Example 32 33 34 35 36 37 38 Number mg/ mg/ mg/ mg/ mg/ mg/ mg/
tablettablettablet tablet tablettablet tablet Lamotrigine 100 5.0 5.0 100 100 100 100 Calcium carbonate 95 NIL NIL NIL 95 NIL NIL
Lactose NIL 34 35.0 15 NIL 98.1 84 _ Veegum F 12 3.0 3.0 7.5 12.0 16.0 12 Povidone K30 3.0 0.6 0.6 1.5 3.0 3.2 3 Explotab 10.0 2.0 1.2 6.0 NIL 12.8 10.0 Sodium Saccharin 2.5 0.5 0.5 NIL NIL NIL NIL
Aspartame NIL NIL NIL 4.0 7.5 NIL 7.5 Microcrys talline cellulose (Avicel PH101)NIL 17 17 15 NIL 89.6 23 Sodium docusateNIL 0.05 NIL NIL NIL 0.26 0.2 Magnesium stearate 2.5 0.4 0.4 1.5 2.5 3.2 2.5 Tablet weight " (mg) 250 62.55 62'.70 150.5 245 323.16 242.2 Example Number 39 40 Lamotrigine 100.0 100.0 Calcium carbonate 95.0 90.0 Lactose L HPC-LH11 25.0 25.0 Veegum F 12.0 12.0 Povidone K30 3.0 3.0 Explotab - 10.0 Sodium Saccharin - -Aspartame 7.5 7.5 Microcrys talline:
cellulose (Avicel PH101)- -Sodium docusate- -Magnesium stearate 2.5 2.5 Flavour - 1.24 Tablet weight (mgs) 245.0 251.24 Examples of Tablet Formulations containing other Active Compounds Examp 1 a Number 41 42 43 44 45 Active compound (mg) 200.0 300.0 758.0 500.0 5.0 Avicel PH101 50.0 64.0 83.0 - 17.0 Explotab 12.3 21.0 40.0 27.0 2.5 L-HPC-LH11 50.0 - 41.0 87.0 -Lactose - 110.0 - - 34.0 Veegum F 16.7 27.0 50.0 71.0 3.0 Citric acid monohydrats; - - 0 , 8 -Na docusatc: - - Q,8 - -Saccharin sodium - - 0.5 - -Povidone K:30 3.3 10.8 20.0 20.0 0.7 Magnesium 1.0 2.7 5.0 2.0 0.4 Stearate Flavour (P:ineapple) - - 2.0 -Tablet Weight 333.3 535.5 1001.1 707.0 62.6 (mg) * The active compound for Example as follows:-each is Example 41 - 1-(~-D-arabinofuranosyl)-5-propynyluracil Example 42 - Allopurinol Example 43 - 2-(4-(4-chlorophenyl)cyclohexyl]-3-hydroxy-1,4,nap-thoquinone Example 44 - Paracetamol Example 45 - Diazepam Iiethod of Preoarat on The tablets described in Examples 1-45 above Were prepared according to the following general method:
(a) A dry mixture was made of all components except Povidone/PVP K30, sodium do~:usate (if present) and magnesium stearate;
(b) The Povid~~ne/PVP K30 and sodium docusate (if present) were dissolved in 50% aqueous alcohol to form a granulation solution;
(c) The granulation solution was added to the dry mixture to form granules;
(d) The wet granules were dried in a fluid bed dryer;
(e) The granules were then sifted through a 1000~sm diameter mesh sieve; and (f) The dried granules were blended with the magnesium stearate and compressed to form tablets.
Flavouring agents where present were added at blending step (f) above.
This general method is illustrated with respect to the following specific examples.
example 8 : Uncoated ab ets (a) A dry mixture was made of all components except Povi-done/PVP K30 and magnesium stearate using a Diosna P100 (high shear mixer -granulator) for 3 minutes.
(b) The Povid.one/PVP K30 was dissolved in 50% aqueous alcohol to form a granulation solution.
(c) The granulation solution was added to an approximate quantity of 300m1 per k,g dry weight to the dry mixture to form granules. Wet mixing was .carried out for approximately 5 minutes.
(d) The wet gravnules were dried in an Aeromatic T3 fluid bed drier at a temperature of 70°C for approximately 3 0 minutes. The moisture content of the granules was approximately 4%.
(e) The granules were then sifted through a 1000um diameter mesh sieve using a Jackson Crockatt No.7 sifter.
(f) The dried granules were blended with the magnesium stearate using a collette mixer for approximately 10 minutes and compressed to form tablets using a Manesty D3 Rotary tablet press fitted with caplet shaped punches of approximately 19.3mm length and 9.Omm breadth. Tablets were compressed to a weight of 1052mg ~ 2%.
This granule can be used to make other strengths of acyclovir dispersible tablets, e.g. 200mg and 400mg, compressing the dried granules to a weight of respectively 263mg and 526mg, using round punches with diameters of respectively ll.Omm and 8.6mm.
Examvle 9 : Film Coated Tablets Steps (a) to (f) described in Example 8 were repeated to form an uncoated tablet which was then film-coated by the following procedure.
The film-coating; apparatus used was a Manesty Accellacota 10. The coating suspension was; sprayed onto the tablet cores to a target weight increase of between 0.5 - 1.0% using suitable parameters of:
pan rotation speed (8.5 rpm) spray (appl.ication rate (-20g per min) inlet temperature (-75°C) exhaust temperature (-53°C).
A polish coat of PEG8000 was then applied to the film-coated tablets, to a further. weight gain of 0.1 - 0.2%.
Examvles 13 to 15 In Example 13, Acyclovir, Avicel PH101, Sodium starch glycollate and Veegum F are dry mixed in a mixer. The mixture is then granulated after adding a sufficient volume of 50% aqueous alcohol (IMS). The resulting granules are: dried, blended With the magnesium stearate and then compressec! to form tablets.
Example 14 The procedure described in Example 13 for the preparation of the granules and formation of the tablets is employed except that granulation of the dry mixture is effected with the Povidone in a 50%
aqueous alcohol. solution. Film coating of the resulting tablets can be optionally effected by treating the tablets with a dispersion of Opadry white dispersion in purified water and drying the coated tablets which are subsequently polished with a solution of polyethylene glycol 8000, USNF in 50% aqueous alcohol (IMS).
For Example 1_°°~, the procedure described in Example 13 for the preparation of the granules and formation of the. tablets is employed except that granulation of the dry mixture was effected with the Povidone in a .'~0% aqueous alcohol solution.
Examvle 33 (a) A dry mixture was made of all components except Povidone/PVP K30 and magnesium stearate using a Z-blade Morton Mixer, mixing for minute~~ at a slow speed.
(b) The Povidone/PVP K30 was dissolved in 50% aqueous alcohol to form a granulation solution;
(c) The granulation solution was added to an approximate quantity of 350m1 per kg dry weight to the dry mixture to form granules;
(d) Wet mixing was carried out for approximately 10 minutes. The wet granules were sieved through a 2000~m mesh sieve;
(e) The wet granules were dried in an Aeromatic fluid bed drier at a temperature of 70°C for approximately 25 minutes;
(f) The granules were then sifted through a 1000~cm diameter mesh sieve;
(g) The dried. granules were blended with the magnesium stearate using a Rotomix.er rotary blender for 5 minutes and compressed to form tablets Using a~ Manesty D3 Rotary press fitted with 5.6mm diameter round (normal curvature) punches and dies. Tablets were compressed to a weight of 62.55mg ~ 2%.
Flavouring agents may be added at blending step (g) above. .
For a 50mg tat~let,.the same procedure was used, except that a die of ll.Smm diameter was used and the tablets were compressed to a weight of 625 . 5mg ~ 2 % .
The lamotrigine tablets could be optionally film coated using the same procedure as described for Example 9.
The tablets prepared in accordance with the above Examples were then tested as follows.
Tablet Evaluation Methods 1. Avera~,e~~ tablet weig h. Twenty tablets were weighed on an analytical balance and the average tablet weight calculated.
2. Tablet breaking, strength (kilo pond-ktl, 5 tablets were individually tested using a Schleuniger crushing strength tester, and the average breaking strength calculated.
3. Friabilitv (~s loss). 10 tablets, accurately weighed, were subjected to 10 minutes friability testing using a Roche Friabilato:r. The tablets were dedusted, reweighed, and the weight loss due to the friability was calculated as a percentage of the initial weight.
4. Dispersion Disintegration time DT (BP 1988). 6 tablets were tested in .accordance to the above-defined BP test (without discs) for dispersible tablets. This utilises water at a temperature of 19-2I°C.
5. Dispersion ualit~v. In accordance with the BP uniformity of dispersion test for dispersible tablets (BP 1988 Volume II page 895), two tablets were placed in 100m1 of water at 19-21°C and allowed to disperse. A smooth dispersion was produced which passed through a '710~m mesh sieve.
~anule Evaluation Methods 1. Loss on D~.-ving (LOD). The residual moisture content of the granule (LOD) was determined on a 3-4g sample using a Computrac moisture analyser set to 90°C operated in accordance with the ~- manufacturer's procedure.
2. Weight Median Diameter (WMD). A lOg sample of granule was sifted for 2 minutes at suitable pulse and sift amplitudes in an Allen Bradley sonic sifter in accordance with manufacturer's instructio~zs. Sieves of 710~m, SOOUm, 355~cm, 250~cm, 150~m, 106~m and 53~cm were used. The WMD was calculated from the cumulative percentage undersize size distribution using a computer programme.
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z A particle size analysis was carried out on the dispersion of a tablet of Example 9 in ac:cordance with the following method.
The particle size distribution was determined using a Malvern 2600 particle analyser as follows. The instrument was set to analyse particles in liquid with magnetic stirrer fitted. A 300mm focal length lens was used.
1. Disperse tablet in 'LOOml of de-ionised water.
2. Agitate solution for approximately 2 hours.
3. Filter or centrifuge solution to obtain liquor which should be saturated with all ingredients present in the tablet.
4. Disperse second tab'Let in 50m1 of saturated liquor allowing 3 minutes to i=ully disperse. Agitate vigorously and remove a sample of the dispersion within 5 minutes adding sufficient Quantity to ~=he Malvern PIL cell containing the liquor to obtain an observation valu~a of 0.15-0.30. Analyse sample.
The particle size distribution was as follows:
Particle size: (as equivalent spherical volume) <710~m - 100%
<300~m - 98.7%
<200~cm - 86.7% -<130~m - 50% (med:Lan particle size).
Claims (31)
1. A water-dispersible tablet comprising:
2% w/w to 90% w/w lamotrigine or a pharmaceutically acceptable salt thereof, and 0.25 to 40% w/w of a pharmaceutically acceptable swellable clay which is present within the granules of the tablet to provide a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 µm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia 1988, Volume II, page 895.
2% w/w to 90% w/w lamotrigine or a pharmaceutically acceptable salt thereof, and 0.25 to 40% w/w of a pharmaceutically acceptable swellable clay which is present within the granules of the tablet to provide a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 µm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia 1988, Volume II, page 895.
2. A tablet as claimed in claim 1, wherein the swellable clay is a smectite or attapulgite.
3. A tablet as claimed in claim 2, wherein the smectite is selected from the montmorillonoid group.
4. A tablet as claimed in claim 3, wherein the montmorillonoid group is selected from the group consisting of montmorillonite, seuconite, vermiculite, bentonite, hectorite and magnesium aluminium silicate.
5. A tablet as claimed in claim 4, wherein the montmorillonoid is magnesium aluminium silicate or bentonite.
6. A tablet as claimed in claim 5, wherein the magnesium aluminium silicate is Veegum F.
7. A tablet as claimed in any one of the claims 1 to 6, wherein the swelling clay is present within the granules of the tablet in an amount of 1 to 40% w/w.
8. A tablet as claim 7, wherein the swellable clay is present in an amount of 1 to 10% w/w.
9. A tablet as claimed in claim 8, wherein the swellable clay is present in an amount of 5 to 10% w/w.
10. A tablet as claimed in any one of claims 1 to 9, which further comprises a disintegrating agent.
11. A tablet as claimed in claim 10, wherein said disintegrating agent is sodium starch glycollate or lowhydroxypropylcellulose.
12. A tablet as claimed in any one of claims 1 to 11, which further comprises a binder.
13. A tablet as claimed in claim 12, wherein the binder is povidone k30.
14. A tablet as claimed in any one of claims 1 to 13, which further comprises a filler.
15. A tablet as claimed in any one of claims 1 to 14, which is capable of dispersing in water within a period of 2 minutes.
16. A tablet as claimed in any one of claims 1 to 15, wherein the amount of lamotrigine is 5 to 250 mg.
17. A tablet as claimed in any one of claims 1 to 16, wherein the dispersion contains particles having a particle size distribution of 100% less than 710 µm, and more than 50%
less than 300 µm.
less than 300 µm.
18. A tablet as claimed in claim 17, wherein the dispersion contains particles having a particle size distribution of 100% less than 710 µm, more than 70% less than 300 µm, and more than 50% less than 200 µm.
19. A tablet as claimed in any one of claims 1 to 18 , wherein the tablet contains 25 to 200 mg lamotrigine or a salt thereof and comprises a formulation of 30% w/w to 50% w/w lamotrigine or a salt thereof, 26% w/w to 46% w/w calcium carbonate, 5 to 30% w/w lowhydroxypropylcellulose-LH11 or microcrystalline cellulose, 0.25% w/w to 30% w/w magnesium aluminium silicate or bentonite, 0.25 to 5% w/w povidone or 1 to 8% w/w pregelled starch, 0 to 8% w/w sodium starch glycollate and 0.25% w/w to 2% w/w magnesium stearate.
20. A tablet as claimed in claim 19, further including a film coating composite of 0.1% w/w to 2% w/w opadry and 0.1%
w/w to 0.5% w/w polyethylene glycol.
w/w to 0.5% w/w polyethylene glycol.
21. A tablet as claimed in claim 19, wherein the formulation is 35% w/w to 45% w/w lamotrigine or a salt thereof, 31% w/w to 41% w/w calcium carbonate, 5 to 15% w/w lowhydroxypropylcellulose or microcrystalline cellulose, 0.25%
w/w to 10% w/w magnesium aluminium silicate or bentonite, 0.5 to 2% w/w povidone or 2 to 5% w/w pregelled starch, 0 to 5%
w/w sodium starch glycollate and 0.25% w/w to 1% w/w magnesium stearate.
w/w to 10% w/w magnesium aluminium silicate or bentonite, 0.5 to 2% w/w povidone or 2 to 5% w/w pregelled starch, 0 to 5%
w/w sodium starch glycollate and 0.25% w/w to 1% w/w magnesium stearate.
22. A tablet as claimed in claim 21, further including a film coating composite of 0.25% w/w to 1% w/w opadry and 0.1%
w/w to 0.2% w/w polyethylene glycol.
w/w to 0.2% w/w polyethylene glycol.
23. A tablet as claimed in any one of claims 1 to 17, wherein the tablet contains 5 mg to 50 mg lamotrigine or a salt thereof and the formulation comprises 3% w/w to 13% w/w lamotrigine or a salt thereof, 50% w/w to 60% w/w lactose or calcium carbonate, 20% w/w to 35% w/w lowhydroxypropylcellulose or microcrystalline cellulose, 0 to 8% w/w sodium starch glycollate, 0.25% w/w povidone or magnesium aluminium silicate or bentonite, 0.25% w/w to 5% w/w povidone or 1% w/w to 8% w/w pregelled starch, 0 to 5% w/w sodium docusate, 0 to 3% sodium saccharine and 0.25% w/w to 2%
w/w magnesium stearate.
w/w magnesium stearate.
24. A tablet as claimed in claim 23, further including a film coating composite of 0.1% w/w to 2% w/w opadry, and 0.1%
w/w to 0.5% w/w polyethylene glycol.
w/w to 0.5% w/w polyethylene glycol.
25. A tablet as claimed in claim 23, wherein the formulation is 5% w/w to 11% w/w lamotrigine or a salt thereof, 53% w/w to 59% w/w lactose or calcium carbonate , 24%
w/w to 30% w/w lowhydroxypropylcellulose or microcrystalline cellulose, 0 to 5% w/w sodium starch glycollate, 0.25% w/w to 10% w/w magnesium aluminium silicate or bentonite, 0.5% w/w to 2% w/w povidone or 2% w/w to 5% w/w pregelled starch, 0.15%
w/w to 0.5% w/w sodium docusate, 0.5% w/w to 2% sodium saccharine and 0.25% w/w to 1% w/w magnesium stearate.
w/w to 30% w/w lowhydroxypropylcellulose or microcrystalline cellulose, 0 to 5% w/w sodium starch glycollate, 0.25% w/w to 10% w/w magnesium aluminium silicate or bentonite, 0.5% w/w to 2% w/w povidone or 2% w/w to 5% w/w pregelled starch, 0.15%
w/w to 0.5% w/w sodium docusate, 0.5% w/w to 2% sodium saccharine and 0.25% w/w to 1% w/w magnesium stearate.
26. A tablet as claimed in claim 25, further including a film coating composite of 0.25% w/w to 1% w/w opadry, and 0.1%
w/w to 0.2% w/w polyethylene glycol.
w/w to 0.2% w/w polyethylene glycol.
27. A tablet as claimed in any one of claims 1 to 26, comprising lamotrigine.
28. A tablet as claimed in any one of claims 1 to 26, comprising a pharmaceutically acceptable salt of lamotrigine.
29. A tablet according to any one of claims 1 to 28, wherein said tablet is capable of:
a) dispersing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 µm;
b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page: 895; said apparatus consisting of:
(i) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to 80.0 mm long, 21.5 mm in internal diameter and with a wall thickness of about 2 mm;
(ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65 mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are 9.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square;
(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter as the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stainless steel wire 0.635 mm in diameter and hawing nominal mesh apertures of 2.00 mm attached to the underside of the lower plate;
(iv) said plastic plates being held rigidly in position and 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes;
(v) said assembly being suspended in water at 19° to 21°C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
a) dispersing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 µm;
b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page: 895; said apparatus consisting of:
(i) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to 80.0 mm long, 21.5 mm in internal diameter and with a wall thickness of about 2 mm;
(ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65 mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are 9.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square;
(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter as the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stainless steel wire 0.635 mm in diameter and hawing nominal mesh apertures of 2.00 mm attached to the underside of the lower plate;
(iv) said plastic plates being held rigidly in position and 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes;
(v) said assembly being suspended in water at 19° to 21°C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
30. A process for the preparation of a water-dispersible tablet or a pharmaceutically acceptable salt comprising 2% to 90% w/w lamotrigine or a pharmaceutically acceptable salt thereof and 0.25 to 40% w/w of a pharmaceutically acceptable swellable clay; said process comprising bringing lamotrigine into association with said swellable clay to form granules, and then compressing the granules to form a tablet which is capable of dispersing in water within a period of 3 minutes to provide a dispersion which is capable of passing through a sieve screen with a mesh aperture of 710 µm in accordance with the test for dispersible tablets defined in the British Pharmacopoeia, 1988, Volume II, page 895.
31. A process according to claim 30, wherein said tablet is capable of:
a) dispersing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 µm;
b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page: 895; said apparatus consisting of:
(i) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to 80.0 mm long, 21.5 mm in internal diameter and with a wall thickness of about 2 mm;
(ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65 mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are 9.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square;
(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter as the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stainless steel wire 0.635 mm in diameter and having nominal mesh apertures of 2.00 mm attached to the underside of the lower plate;
(iv) said plastic plates being held rigidly in position and 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes;
(v) said assembly being suspended in water at 19° to 21°C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
a) dispersing in water to provide a dispersion which passes through a sieve screen with a mesh aperture of 710 µm;
b) disintegrating within three minutes when examined by the following apparatus and method in accordance with the test for dispersible tablets of the British Pharmacopoeia, 1988, Volume II, page: 895; said apparatus consisting of:
(i) a rigid basket-rack assembly supporting six cylindrical glass tubes 75.0 to 80.0 mm long, 21.5 mm in internal diameter and with a wall thickness of about 2 mm;
(ii) a cylindrical disc for each tube, each 20.55 to 20.85 mm in diameter and 9.35 to 9.65 mm thick, made of transparent plastic with a relative density of 1.18 to 1.20, pierced with five holes, each 2 mm in diameter, one in the center and the other four spaced equally on a circle of radius 6 mm from the center of the disc, there being four equally spaced grooves cut in the lateral surface of the disc in such a way that at the upper surface of the disc they are 9.5 mm wide and 2.55 mm deep and at the lower surface 1.6 mm square;
(iii) two superimposed transparent plastic plates 90 mm in diameter and 6 mm thick, perforated by six holes having the same diameter as the tubes and holding the tubes vertically, the holes being equidistant from the center of the plate and equally spaced from one another, and a piece of woven gauze made from stainless steel wire 0.635 mm in diameter and having nominal mesh apertures of 2.00 mm attached to the underside of the lower plate;
(iv) said plastic plates being held rigidly in position and 77.5 mm apart by vertical metal rods at the periphery and a metal rod fixed to the center of the upper plate to enable the assembly to be attached to a mechanical device capable of raising and lowering it smoothly through a distance of 50 to 60 mm at a constant frequency of between 28 and 32 cycles per minutes;
(v) said assembly being suspended in water at 19° to 21°C. held in a 1000 ml beaker, the volume of water being such that when the assembly is in the highest position the wire mesh is at least 15 mm below the surface of the water and when the assembly is in the lowest position the wire mesh is at least 25 mm above the bottom of the beaker and the upper open ends of the tubes remain above the surface of the water; said method consisting of introducing one tablet into each of the six tubes, suspending said assembly in the beaker containing the water and operating the apparatus for a maximum period of three minutes so that all six of the tables disperse.
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB9124807.0 | 1991-11-22 | ||
| GB919124803A GB9124803D0 (en) | 1991-11-22 | 1991-11-22 | Pharmaceutical formulations |
| GB9125005.0 | 1991-11-22 | ||
| GB9124803.9 | 1991-11-22 | ||
| GB919124807A GB9124807D0 (en) | 1991-11-22 | 1991-11-22 | Pharmaceutical formulations |
| GB919125005A GB9125005D0 (en) | 1991-11-25 | 1991-11-25 | Pharmaceutical formulations |
| CA002098108A CA2098108C (en) | 1991-01-30 | 1992-01-29 | Water dispersible tablets |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002098108A Division CA2098108C (en) | 1991-01-30 | 1992-01-29 | Water dispersible tablets |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2277722A1 CA2277722A1 (en) | 1992-07-31 |
| CA2277722C true CA2277722C (en) | 2001-03-27 |
Family
ID=27427049
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA002277722A Expired - Lifetime CA2277722C (en) | 1991-11-22 | 1992-01-29 | Water dispersible tablets |
Country Status (2)
| Country | Link |
|---|---|
| CA (1) | CA2277722C (en) |
| GB (1) | GB2278057B (en) |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB9424766D0 (en) * | 1994-12-07 | 1995-02-08 | Wellcome Found | Pharmaceutical composition |
| GB2349390A (en) * | 1999-04-30 | 2000-11-01 | Procter & Gamble | Cleaning compositions comprising compressed clay |
| US9198862B2 (en) | 2005-07-22 | 2015-12-01 | Rubicon Research Private Limited | Dispersible tablet composition |
| US11006629B2 (en) | 2008-11-20 | 2021-05-18 | Armis Biopharma, Inc. | Antimicrobial, disinfecting, and wound healing compositions and methods for producing and using the same |
| JP2019530727A (en) | 2016-10-11 | 2019-10-24 | オクタ ファーマシューティカルズ | Powder for oral suspension containing lamotrigine |
| US20210077438A1 (en) | 2017-07-07 | 2021-03-18 | Armis Biopharma, Inc. | Compositions and methods for remediating chemical warfare agent exposure and surface decontamination |
| GB2641294A (en) * | 2024-05-24 | 2025-11-26 | Novumgen Ltd | An orodispersible tablet of Lamotrigine and its process of preparation |
-
1992
- 1992-01-29 GB GB9412897A patent/GB2278057B/en not_active Revoked
- 1992-01-29 CA CA002277722A patent/CA2277722C/en not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| GB2278057B (en) | 1995-02-01 |
| CA2277722A1 (en) | 1992-07-31 |
| GB9412897D0 (en) | 1994-08-17 |
| GB2278057A (en) | 1994-11-23 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKEX | Expiry |