DK3096737T3 - Stabil tryksat aerosolopløsningssammensætning af glycopyrroniumbromid og formoterolkombination - Google Patents

Stabil tryksat aerosolopløsningssammensætning af glycopyrroniumbromid og formoterolkombination Download PDF

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DK3096737T3
DK3096737T3 DK14827449.1T DK14827449T DK3096737T3 DK 3096737 T3 DK3096737 T3 DK 3096737T3 DK 14827449 T DK14827449 T DK 14827449T DK 3096737 T3 DK3096737 T3 DK 3096737T3
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formoterol
solution composition
aerosol solution
activation
composition according
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Sauro Bonelli
Diego Copelli
Alberi Massimiliano Dagli
Francesca Usberti
Enrico Zambelli
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Chiesi Farm Spa
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
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    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/008Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy comprising drug dissolved or suspended in liquid propellant for inhalation via a pressurized metered dose inhaler [MDI]
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/165Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A61K31/167Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • A61K31/573Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/58Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
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    • A61M15/0065Inhalators with dosage or measuring devices
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    • A61M15/00Inhalators
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    • AHUMAN NECESSITIES
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    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00Inhalators
    • A61M15/009Inhalators using medicine packages with incorporated spraying means, e.g. aerosol cans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • A61P11/08Bronchodilators
    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B65CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65DCONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D83/00Containers or packages with special means for dispensing contents
    • B65D83/14Containers or packages with special means for dispensing contents for delivery of liquid or semi-liquid contents by internal gaseous pressure, i.e. aerosol containers comprising propellant for a product delivered by a propellant
    • B65D83/44Valves specially adapted therefor; Regulating devices
    • B65D83/52Valves specially adapted therefor; Regulating devices for metering
    • B65D83/54Metering valves ; Metering valve assemblies
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B65CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65DCONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D83/00Containers or packages with special means for dispensing contents
    • B65D83/14Containers or packages with special means for dispensing contents for delivery of liquid or semi-liquid contents by internal gaseous pressure, i.e. aerosol containers comprising propellant for a product delivered by a propellant
    • B65D83/75Aerosol containers not provided for in groups B65D83/16 - B65D83/74
    • B65D83/752Aerosol containers not provided for in groups B65D83/16 - B65D83/74 characterised by the use of specific products or propellants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M2039/226Spindles or actuating means

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  • Steroid Compounds (AREA)
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Claims (18)

1. Farmaceutisk aerosoloplesningssammensastning beregnet til anvendelse i en tryksat doseringsinhalator omfattende: (a) glycopyrroniumbromid i en dosering i omradetfra 5 til 26 pg pr. aktivering; (b) formoterol eller et salt deraf eller et solvat af saltet i en dosering i omradet fra 1 til 25 pg pr. aktivering; (c) et HFA-drivmiddel; (d) et co-oplosningsmiddel; (e) en stabiliserende magngde af en mineralsyre; hvor sammensastningen er indeholdt i en aerosolbeholder forsynet med en doseringsventil, der har mindst en butylgummipakning.
2. Farmaceutisk aerosoloplesningssammensastning ifelge krav 1, kendeteg-net ved, at masngden af nedbrydningsproduktet N-(3-brom)-[2-hydroxy-5-[1-hydroxy-2-[1 -(4-methoxyphenyl)propan-2-ylamino]ethyl] phenyl]formamid er mindre end 0,10 vasgtprocent i forhold til det teoretiske formoterolfumaratind-hold pa 6 pg/aktivering, nar det lagres under accelererede betingelser ved 25°C og 60 % relativ luftfugtighed (RFI) i mindst 6 maneder.
3. Farmaceutisk aerosoloplesningssammensastning ifelge krav 1 eller 2, hvor den stabiliserende masngde af en mineralsyre er en masngde syre svarende til 1M saltsyre i omradetfra 0,15 til 0,28 pg/pl.
4. Farmaceutisk aerosoloplesningssammensastning ifelge krav 3, hvor en mineralsyre er en masngde syre svarende til 0,22 pg/pl af 1M saltsyre.
5. Farmaceutisk aerosoloplesningssammensastning ifelge et af kravene 1 til 4, hvor co-opl0sningsmidlet er ethanol.
6. Farmaceutisk aerosoloplesningssammensastning ifelge krav 1, hvorformo-terolsaltet er formoterolfumarat.
7. Farmaceutisk aerosoloplesningssammensastning if0lge krav 1, hvor solvat-formen af formoterolsaltet erformoterolfumaratdihydrat.
8. Farmaceutisk aerosoloplesningssammensastning if0lge krav 1, yderligere omfattende en eller fiere farmaceutisk aktive bestanddele valgt fra gruppen bestaende af beta-2-agonister, inhalationscorticosteroider, antimuscarinmidler og phosphodiesterase (4)-inhibitorer.
9. Farmaceutisk aerosoloplesningssammensastning ifelge krav 8, hvor inhala-tionscorticosteroidet er valgt fra gruppen af beclometasondipropionat, budeso-nid ellerdets 22R-epimer, ciclesonid, flunisolid, fluticasonpropionat, fluticason-furoat, mometasonfuroat, butixocort, triamcinolonacetonid, triamcinolon, methylprednisolon, prednison, loteprednol og rofleponid.
10. Farmaceutisk sammensastning af aerosoloplesning ifelge krav 9, hvor in-halationscorticosteroidet beclometasondipropionat er til stede i en masngde i omradet fra 50 til 250 pg pr. aktivering.
11. Farmaceutisk aerosoloplesningssammensastning ifelge krav 9, hvor inha-lationcorticosteroidet budesonid er til stede i en masngde i omradet fra 50 til 250 pg pr. aktivering.
12. Farmaceutisk aerosoloplesningssammensastning ifelge krav 1, hvor ni-veauet for formoterolnedbrydningsproduktet er lavere end 10 vasgtprocent i forhold til det teoretiske formoterolfumaratindhold pa 6pg/aktivering og det resterende niveau af formoterolfumarat er hejere end 90 vasgtprocent i forhold til dets oprindelige indhold.
13. Farmaceutisk aerosoloplesningssammensastning ifelge krav 12, hvor det samlede niveau forformoterolnedbrydningsproduktet er lavere end 2 vasgtpro-cent i forhold til det teoretiske formoterolfumaratindhold pa 6pg/aktivering, og det resterende niveau af formoterolfumarat er hejere end 95 vasgtprocent i forhold til dets oprindelige indhold.
14. Tryksat doseringsinhalator, herunder en aerosolbeholderforsynet med en doseringsventil med mindst en butylgummipakning, hvor beholderen indeholder en farmaceutisk aerosoloplesnngssammensastning omfattende: (a) glycopyrroniumbromid i en dosering i omradetfra 5 til 26 pg pr. aktivering; (b) formoterol eller et salt deraf eller et solvat af saltet i en dosering i omradet fra 1 til 25 pg pr. aktivering; (c) et HFA-drivmiddel; (d) et co-oplosningsmiddel; (e) en stabiliserende masngde mineralsyre; og eventuelt (f) et inhalationscorticosteroid.
15. Fremgangsmade til at sasnke masngden af nedbrydningsproduktet N-(3-brom)-[2-hydroxy-5-[1-hydroxy-2-[1-(4-methoxyphenyl)propan-2-ylamino] ethyl] phenyl]formamid (DP3) i holdbarhedsperioden for en farmaceutisk aero-soloplosningssammensastning beregnet til anvendelse i en tryksat doseringsinhalator omfattende: (a) glycopyrroniumbromid i en dosering i omradetfra 5 til 26 pg pr. aktivering; (b) formoterol eller et salt deraf eller et solvat af saltet i en dosering i omradet fra 1 til 25 pg pr. aktivering; (c) et FIFA-drivmiddel; (d) et co-oplosningsmiddel; (e) en stabiliserende masngde mineralsyre; og eventuelt (f) et inhalationscorticosteroid hvor fremgangsmaden er den ovenstaende sammensastning i en aerosolbe-holder forsynet med en doseringsventil, der mindst har en butylgummipakning.
16. Fremgangsmade ifelge krav 15, yderligere kendetegnet ved, at det sam-lede niveau for formoterolnedbrydningsproduktet er lavere end 10 vasgtpro-cent i forhold til det teoretiske formoterolfumaratindhold pa 6pg/aktivering, og det resterende formoterolfumarat er hejere end 90 vasgtprocent i forhold til dets oprindelige indhold.
17. Fremgangsmade ifelge krav 15 eller 16 yderligere kendetegnet ved, at det samlede niveau forformoterolnedbrydningsproduktet er lavere end 2 vasgt-procent i forhold til det teoretiske formoterolfumaratindhold pa 6pg/aktivering, og det resterende formoterolfumarat er hejere end 95 vasgtprocent i forhold til dets oprindelige indhold.
18. Farmaceutisk aerosoloplesningssammensastning if0lge et af kravene 1 til 13 til anvendelse ved forebyggelse og/eller behandling af en obstruktiv luft-vejslidelse valgt blandt astma og KOL.
DK14827449.1T 2013-12-30 2014-12-23 Stabil tryksat aerosolopløsningssammensætning af glycopyrroniumbromid og formoterolkombination DK3096737T3 (da)

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EP13199783 2013-12-30
PCT/EP2014/079258 WO2015101575A1 (en) 2013-12-30 2014-12-23 Stable pressurised aerosol solution composition of glycopyrronium bromide and formoterol combination

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SG181870A1 (en) 2009-12-23 2012-07-30 Chiesi Farma Spa Aerosol formulation for copd
BR112012015334A2 (pt) * 2009-12-23 2016-03-15 Chiesi Farma Spa terapia combinada para doença pulmonar obstrutiva crônica
WO2015101575A1 (en) * 2013-12-30 2015-07-09 Chiesi Farmaceutici S.P.A. Stable pressurised aerosol solution composition of glycopyrronium bromide and formoterol combination
PL3089735T3 (pl) * 2013-12-30 2018-12-31 Chiesi Farmaceutici S.P.A. Trwała ciśnieniowa kompozycja roztworu aerozolowego kombinacji bromku glikopironium i formoterolu
GB201520862D0 (en) * 2015-11-25 2016-01-13 Jagotec Ag Pharmaceutical composition
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US10098837B2 (en) * 2016-07-28 2018-10-16 Chiesi Farmaceutici S.P.A. Combination therapy for COPD
ES2968453T3 (es) 2016-09-19 2024-05-09 Mexichem Fluor Sa De Cv Composición farmacéutica que comprende glicopirrolato
EP3996681A1 (en) * 2019-07-12 2022-05-18 Kindeva Drug Delivery L.P. Aerosol formulation, canister and inhaler containing the formulation, and method of use
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