EP2240158A2 - Stabilized injectable formulation of pregabalin - Google Patents
Stabilized injectable formulation of pregabalinInfo
- Publication number
- EP2240158A2 EP2240158A2 EP08869815A EP08869815A EP2240158A2 EP 2240158 A2 EP2240158 A2 EP 2240158A2 EP 08869815 A EP08869815 A EP 08869815A EP 08869815 A EP08869815 A EP 08869815A EP 2240158 A2 EP2240158 A2 EP 2240158A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- formulation
- pregabalin
- injectable
- present
- agent
- 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.)
- Withdrawn
Links
- AYXYPKUFHZROOJ-ZETCQYMHSA-N pregabalin Chemical compound CC(C)C[C@H](CN)CC(O)=O AYXYPKUFHZROOJ-ZETCQYMHSA-N 0.000 title claims abstract description 43
- 229960001233 pregabalin Drugs 0.000 title claims abstract description 40
- 239000007972 injectable composition Substances 0.000 title claims abstract description 15
- 239000000203 mixture Substances 0.000 claims abstract description 42
- 238000009472 formulation Methods 0.000 claims abstract description 40
- 238000000034 method Methods 0.000 claims abstract description 10
- 230000008569 process Effects 0.000 claims abstract description 10
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 9
- 239000003963 antioxidant agent Substances 0.000 claims description 7
- 235000006708 antioxidants Nutrition 0.000 claims description 7
- 239000006172 buffering agent Substances 0.000 claims description 7
- 239000002253 acid Substances 0.000 claims description 6
- 238000002360 preparation method Methods 0.000 claims description 6
- 239000003002 pH adjusting agent Substances 0.000 claims description 5
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 5
- 239000003795 chemical substances by application Substances 0.000 claims description 4
- 150000007513 acids Chemical class 0.000 claims description 2
- 239000003352 sequestering agent Substances 0.000 claims description 2
- 239000002904 solvent Substances 0.000 claims description 2
- LSNNMFCWUKXFEE-UHFFFAOYSA-L sulfite Chemical class [O-]S([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-L 0.000 claims description 2
- 229940124531 pharmaceutical excipient Drugs 0.000 claims 1
- 239000012929 tonicity agent Substances 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 abstract description 4
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 26
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 18
- 239000002552 dosage form Substances 0.000 description 13
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 12
- 229910052757 nitrogen Inorganic materials 0.000 description 11
- 229940079593 drug Drugs 0.000 description 9
- 239000003814 drug Substances 0.000 description 9
- 239000000243 solution Substances 0.000 description 9
- BTCSSZJGUNDROE-UHFFFAOYSA-N gamma-aminobutyric acid Chemical compound NCCCC(O)=O BTCSSZJGUNDROE-UHFFFAOYSA-N 0.000 description 8
- 238000007254 oxidation reaction Methods 0.000 description 7
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 6
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 6
- 239000008215 water for injection Substances 0.000 description 6
- 230000003647 oxidation Effects 0.000 description 5
- OGNSCSPNOLGXSM-UHFFFAOYSA-N (+/-)-DABA Natural products NCCC(N)C(O)=O OGNSCSPNOLGXSM-UHFFFAOYSA-N 0.000 description 4
- 239000008364 bulk solution Substances 0.000 description 4
- 229910001873 dinitrogen Inorganic materials 0.000 description 4
- 229960003692 gamma aminobutyric acid Drugs 0.000 description 4
- 238000001990 intravenous administration Methods 0.000 description 4
- 239000003981 vehicle Substances 0.000 description 4
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 3
- YASYEJJMZJALEJ-UHFFFAOYSA-N Citric acid monohydrate Chemical group O.OC(=O)CC(O)(C(O)=O)CC(O)=O YASYEJJMZJALEJ-UHFFFAOYSA-N 0.000 description 3
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 3
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- 230000003078 antioxidant effect Effects 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 239000002585 base Substances 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 229960002303 citric acid monohydrate Drugs 0.000 description 3
- 239000011521 glass Substances 0.000 description 3
- 238000010253 intravenous injection Methods 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- 239000008181 tonicity modifier Substances 0.000 description 3
- 239000008136 water-miscible vehicle Substances 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 2
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 239000004480 active ingredient Substances 0.000 description 2
- 239000008135 aqueous vehicle Substances 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 150000004649 carbonic acid derivatives Chemical class 0.000 description 2
- 229960004106 citric acid Drugs 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000011010 flushing procedure Methods 0.000 description 2
- 150000004679 hydroxides Chemical class 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 229940009697 lyrica Drugs 0.000 description 2
- 239000002687 nonaqueous vehicle Substances 0.000 description 2
- 239000006186 oral dosage form Substances 0.000 description 2
- 238000010979 pH adjustment Methods 0.000 description 2
- 150000003254 radicals Chemical class 0.000 description 2
- GEHJYWRUCIMESM-UHFFFAOYSA-L sodium sulfite Chemical compound [Na+].[Na+].[O-]S([O-])=O GEHJYWRUCIMESM-UHFFFAOYSA-L 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- UMGDCJDMYOKAJW-UHFFFAOYSA-N thiourea Chemical compound NC(N)=S UMGDCJDMYOKAJW-UHFFFAOYSA-N 0.000 description 2
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 description 1
- 208000007848 Alcoholism Diseases 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical class OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 208000020925 Bipolar disease Diseases 0.000 description 1
- 206010010904 Convulsion Diseases 0.000 description 1
- 208000032131 Diabetic Neuropathies Diseases 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010026749 Mania Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 239000002033 PVDF binder Substances 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 206010036376 Postherpetic Neuralgia Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 208000013738 Sleep Initiation and Maintenance disease Diseases 0.000 description 1
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical class [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 1
- DWAQJAXMDSEUJJ-UHFFFAOYSA-M Sodium bisulfite Chemical compound [Na+].OS([O-])=O DWAQJAXMDSEUJJ-UHFFFAOYSA-M 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- 208000003443 Unconsciousness Diseases 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Natural products NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 150000001242 acetic acid derivatives Chemical class 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 201000007930 alcohol dependence Diseases 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 150000001342 alkaline earth metals Chemical class 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N alpha-hydroxysuccinic acid Natural products OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 239000003708 ampul Substances 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000033228 biological regulation Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- AXCZMVOFGPJBDE-UHFFFAOYSA-L calcium dihydroxide Chemical compound [OH-].[OH-].[Ca+2] AXCZMVOFGPJBDE-UHFFFAOYSA-L 0.000 description 1
- 239000000920 calcium hydroxide Substances 0.000 description 1
- 229910001861 calcium hydroxide Inorganic materials 0.000 description 1
- BRPQOXSCLDDYGP-UHFFFAOYSA-N calcium oxide Chemical compound [O-2].[Ca+2] BRPQOXSCLDDYGP-UHFFFAOYSA-N 0.000 description 1
- 239000000292 calcium oxide Substances 0.000 description 1
- ODINCKMPIJJUCX-UHFFFAOYSA-N calcium oxide Inorganic materials [Ca]=O ODINCKMPIJJUCX-UHFFFAOYSA-N 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 238000002144 chemical decomposition reaction Methods 0.000 description 1
- 150000001860 citric acid derivatives Chemical class 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 206010015037 epilepsy Diseases 0.000 description 1
- 235000019441 ethanol Nutrition 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 239000012729 immediate-release (IR) formulation Substances 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 206010022437 insomnia Diseases 0.000 description 1
- 239000000543 intermediate Substances 0.000 description 1
- 230000031891 intestinal absorption Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 239000000395 magnesium oxide Substances 0.000 description 1
- CPLXHLVBOLITMK-UHFFFAOYSA-N magnesium oxide Inorganic materials [Mg]=O CPLXHLVBOLITMK-UHFFFAOYSA-N 0.000 description 1
- AXZKOIWUVFPNLO-UHFFFAOYSA-N magnesium;oxygen(2-) Chemical compound [O-2].[Mg+2] AXZKOIWUVFPNLO-UHFFFAOYSA-N 0.000 description 1
- 239000001630 malic acid Substances 0.000 description 1
- 235000011090 malic acid Nutrition 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 229910044991 metal oxide Inorganic materials 0.000 description 1
- 150000004706 metal oxides Chemical class 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 235000010755 mineral Nutrition 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 230000002981 neuropathic effect Effects 0.000 description 1
- 239000002858 neurotransmitter agent Substances 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 239000000346 nonvolatile oil Substances 0.000 description 1
- 150000007524 organic acids Chemical class 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 239000007800 oxidant agent Substances 0.000 description 1
- 238000010525 oxidative degradation reaction Methods 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 235000021317 phosphate Nutrition 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 229920002981 polyvinylidene fluoride Polymers 0.000 description 1
- 235000015497 potassium bicarbonate Nutrition 0.000 description 1
- TYJJADVDDVDEDZ-UHFFFAOYSA-M potassium hydrogencarbonate Chemical class [K+].OC([O-])=O TYJJADVDDVDEDZ-UHFFFAOYSA-M 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- XWGJFPHUCFXLBL-UHFFFAOYSA-M rongalite Chemical compound [Na+].OCS([O-])=O XWGJFPHUCFXLBL-UHFFFAOYSA-M 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 235000017550 sodium carbonate Nutrition 0.000 description 1
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 description 1
- 235000010267 sodium hydrogen sulphite Nutrition 0.000 description 1
- 229940001584 sodium metabisulfite Drugs 0.000 description 1
- 235000010262 sodium metabisulphite Nutrition 0.000 description 1
- 235000010265 sodium sulphite Nutrition 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 239000000021 stimulant Substances 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- UEUXEKPTXMALOB-UHFFFAOYSA-J tetrasodium;2-[2-[bis(carboxylatomethyl)amino]ethyl-(carboxylatomethyl)amino]acetate Chemical compound [Na+].[Na+].[Na+].[Na+].[O-]C(=O)CN(CC([O-])=O)CCN(CC([O-])=O)CC([O-])=O UEUXEKPTXMALOB-UHFFFAOYSA-J 0.000 description 1
- 230000004797 therapeutic response Effects 0.000 description 1
- 239000003440 toxic substance Substances 0.000 description 1
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
- 102000038650 voltage-gated calcium channel activity Human genes 0.000 description 1
- 108091023044 voltage-gated calcium channel activity Proteins 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/325—Carbamic acids; Thiocarbamic acids; Anhydrides or salts thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
Definitions
- the present invention relates to stabilized injectable formulation of pregabalin and the process of preparing it.
- This injectable formulation is administered intravenously to the patient requiring Pregabalin treatment.
- Pregabalin was first disclosed in US patent no. 5,563,175 by Richard B. Silverman et al of the Northwestern University for the treatment of seizure disorder. Chemically Pregabalin is (S)-(+)-3-aminomethyl-5-methyl hexanoic acids.
- Pregabalin is a structural analogue of, but functionally unrelated to, the naturally occurring transmitter GABA (gamma-aminobutyric acid).
- GABA gamma-aminobutyric acid
- Pregabalin acts by binding to the al ⁇ ha-2-delta subunit of voltage-gated calcium channels and is related to the endogenous inhibitory neurotransmitter gamma-aminobutyric acid (GABA), which is involved in the regulation of brain neuronal activity.
- Pregabalin has been approved for the treatment of diabetic peripheral neuropathy, postherpetic neuralgia, and as an adjunctive treatment for partial onset seizures in adults.
- Pregabalin is claimed to be used for treating pain which can be related to any of inflammatory, neuropathic, cancer, postoperative pain etc.
- Pregabalin is thought to be useful for treating physiological conditions associated with psychomotor stimulants, inflammation, gastrointestinal damage, alcoholism, insomnia, and various psychiatric disorders, including mania and bipolar disorder.
- Pregabalin is marketed by Pfizer in United States of America under the brand name of Lyrica in capsule dosage form in various strengths from 25mg to 300mg. Lyrica capsules are immediate release formulation and are administered to the patients two or three times daily.
- PCT patent application no. WO2007052125 discloses matrix oral dosage form of pregabalin suitable for once a day administration whereas another PCT patent application no. WO2005063229 describes an oral liquid composition of Pregabalin.
- injectable dosage form of pregabalin is still not reported. Injectable dosage form has its own advantage compared to other dosage forms. Injectable dosage forms provides quick onset of drug action compared to those administered orally. Also the therapeutic response of a drug is more readily controlled by injectable administration since the irregularities of intestinal absorption after oral administration of drag are circumvented.
- Injectable dosage forms are normally administered by a professionally trained person, so it is expected that the dose is actually and accurately administered. Additionally when the patient is uncooperative or unconscious, it becomes difficult to administer the drug orally to the patient. In this case, an injectable dosage form is best suited for administration.
- the inventors of the present invention have prepared an injectable dosage form of Pregabalin which is stable and well suited for administration to a patient.
- the injectable formulation is administered intravenously, so the drug directly reaches into the bloodstream via a vein. This causes quick onset of drug action and the therapeutic effect is achieved much quicker.
- the main object of the invention is to formulate an injectable dosage form of Pregabalin which is administered through intravenous, intramuscular, subcutaneous route or through infusion, preferably through intravenous route to a patient.
- Additional object of the invention is to formulate iso-osmotic injectable dosage form of pregabalin.
- One more object of the invention is to provide a process to formulate a stable injectable formulation of pregabalin using normal equipment for preparing injectable formulations.
- the present invention provides a stable injectable formulation of pregabalin. Further, the present invention describes a process for the preparation of the said stable injectable formulation of pregabalin.
- Formulating an injectable dosage form has many challenges compared to other dosage forms. As the drug is directly administered to blood circulation, it is essential that the formulation should be of high quality and should provide maximum safety to the patient. Choice of excipients and their quality is a critical factor in formulating an injectable dosage form.
- the drug for present invention (Pregabalin) is susceptible to oxidation. Other challenges are with respect to the stability of the formulation. By maintaining a suitable pH condition Pregabalin injectable formulation remains stable. Considering these, the inventor of the present invention has formulated an injectable formulation of pregabalin which is stable and well suited for intravenous administration to a patient. It may also be diluted in commonly used intravenous fluids for infusion administration thereby allowing the drug to be administered with greater regularity in order to obtain a more precise and safer effect.
- the injection prepared according to the present invention is a clear colourless solution. So any foreign particles, such as glass residues, fibers, undissolved substances and the like, inside the ampoule or vials is well controlled. This is particularly required while formulating an intravenous injection.
- the formulation of the present invention apart from the active pharmaceutical ingredient comprises of pharmaceutically acceptable excipients like vehicle, tonicity adjusting agent, buffering agent, anti-oxidants, pH adjusting agent and other excipients suitable to be used for an intravenous injection.
- Vehicles are inert and non-toxic substances having no therapeutic activity. These are administered to provide an effective dose of the active ingredient. They present to body tissues the form of the active ingredient for absorption.
- Vehicles used in the present formulation can be selected from aqueous vehicle, water miscible vehicle and nonaqueous vehicle.
- Aqueous vehicle can be water whereas water miscible vehicles are solvents miscible with water.
- the water miscible vehicles can be ethyl alcohol, polyethylene glycol, propylene glycol and the likes.
- Non-aqueous vehicles can be fixed oils.
- the preferred vehicle used in the formulation of present invention is water for injection (WFI).
- An intravenous injection is required to be isotonic with body fluids.
- isotonic means that the formulation has essentially the same osmotic pressure as human blood.
- tonicity adjusting agent or tonicity modifiers are used.
- Tonicity modifiers suitable for this invention include salts and amino acids.
- the preferred tonicity modifier used is sodium chloride. Desired tonicity of the formulation is between 200 to 400, more preferably the desired tonicity of the formulation is 300.
- Stability of the formulation of present invention is pH dependent. During the manufacturing process, the pH of the formulation of present invention is essentially maintained at a range of 5.8 to 6.2, preferably at pH 6.0. This enhances the stability of the injectable formulation.
- a pH adjusting agent is used which can be acid or base.
- the base can be oxides, hydroxides, carbonates, bicarbonates and the likes.
- the oxides can be metal oxides such as calcium oxide, magnesium oxide and the likes; hydroxides can be of alkali metals and alkaline earth metals such as sodium hydroxide, potassium hydroxide, calcium hydroxide and the likes and carbonates can be sodium carbonate, sodium bicarbonates, potassium bicarbonates and the likes.
- the acid can be mineral acid and organic acids such as hydrochloric acid, nitric acid, phosphoric acid, acetic acid, citric acid, fumaric acid, malic acid tartaric acid and the likes.
- the preferred base and acid used in the formulation of present invention for pH adjustment are sodium hydroxide and hydrochloric acid respectively.
- a buffering agent is also used in the formulation of present invention to stabilize the formulation against chemical degradation that might occur due to pH drift.
- the buffering agents used in the formulation of present invention can be citrates, acetates, phosphates other organic buffers and the likes.
- the preferred buffering agent used in present case is citric acid monohydrate.
- Pregabalin is susceptible to oxidation and to prevent this, an antioxidant is used in the formulation.
- An antioxidant is a molecule capable of slowing or preventing the oxidation of other molecules. Oxidation is a chemical reaction that transfers electrons from a substance to an oxidizing agent. Oxidation reactions can produce free radicals, which start chain reactions that can have adverse effect on the purity and stability of the formulation. Antioxidants terminate these chain reactions by removing free radical . intermediates, and inhibit other oxidation reactions by being oxidized themselves.
- Sulfites like sodium sulfite, sodium bisulfite, sodium metabisulfite, sodium formaldehyde sulfoxylate, thiourea, sequestering agents such as sodium salt of ethylenediaminetetraacetic acid (EDTA) and acids such as citric acid and the likes can be used as antioxidant.
- EDTA ethylenediaminetetraacetic acid
- the process for the preparation of injectable pregabalin formulation according to the present inventions comprises the steps of:
- Nitrogen sparging helps in removing dissolved oxygen from the solution and hence minimizes oxidative degradation of oxidation susceptible drugs.
- the injectable pregabalin formulation is stable at pH between 4.0 to 8.0, more preferably between pH 5.0 to 7.0.
- the process of preparation of formulation of the present invention does not require any particular or sophisticated apparatus. It is sufficient to use normal equipments to prepare the pharmaceutical formulations of present invention for injectable use.
- Process of preparation comprise of following steps:
- the pH was adjusted in the range of 5.8 - 6.2 preferably at 6.0 with IN sodium hydroxide solution and / or hydrochloric acid solution.
- Pregabalin was then added and dissolved with continuous nitrogen sparging. If required the pH was adjusted to 6.0 (in the range of range 5.8 - 6.2) with IN sodium hydroxide solution and / or hydrochloric acid.
- PVDF polyvinylfluoridine
- This formulation can be prepared by following the process mentioned in the earlier example.
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Abstract
The present invention relates to an injectable pregabalin formulation which is stable in between pH 4.0 to 8.0. Further, the present invention relates to a process for manufacturing the said injectable pregabalin formulation. The injectable formulation of pregabalin according to the present invention is administered intravenously to the patients requiring pregabalin treatment.
Description
Field of the invention:
The present invention relates to stabilized injectable formulation of pregabalin and the process of preparing it. This injectable formulation is administered intravenously to the patient requiring Pregabalin treatment.
Background and Prior Art:
Pregabalin was first disclosed in US patent no. 5,563,175 by Richard B. Silverman et al of the Northwestern University for the treatment of seizure disorder. Chemically Pregabalin is (S)-(+)-3-aminomethyl-5-methyl hexanoic acids.
Pregabalin is a structural analogue of, but functionally unrelated to, the naturally occurring transmitter GABA (gamma-aminobutyric acid). Pregabalin acts by binding to the alρha-2-delta subunit of voltage-gated calcium channels and is related to the endogenous inhibitory neurotransmitter gamma-aminobutyric acid (GABA), which is involved in the regulation of brain neuronal activity.
In the United States, Pregabalin has been approved for the treatment of diabetic peripheral neuropathy, postherpetic neuralgia, and as an adjunctive treatment for partial onset seizures in adults.
In US patent no. 6,001,876 Pregabalin is claimed to be used for treating pain which can be related to any of inflammatory, neuropathic, cancer, postoperative pain etc.
Pregabalin is thought to be useful for treating physiological conditions associated with psychomotor stimulants, inflammation, gastrointestinal damage, alcoholism, insomnia, and various psychiatric disorders, including mania and bipolar disorder.
Pregabalin is marketed by Pfizer in United States of America under the brand name of Lyrica in capsule dosage form in various strengths from 25mg to 300mg. Lyrica capsules are immediate release formulation and are administered to the patients two or three times daily.
PCT patent application no. WO2007052125 discloses matrix oral dosage form of pregabalin suitable for once a day administration whereas another PCT patent application no. WO2005063229 describes an oral liquid composition of Pregabalin.
Though solid oral and liquid oral dosage forms of pregabalin are known, injectable dosage form of pregabalin is still not reported. Injectable dosage form has its own advantage compared to other dosage forms. Injectable dosage forms provides quick onset of drug action compared to those administered orally. Also the therapeutic response of a drug is more readily controlled by injectable administration since the irregularities of intestinal absorption after oral administration of drag are circumvented.
Injectable dosage forms are normally administered by a professionally trained person, so it is expected that the dose is actually and accurately administered. Additionally when the patient is uncooperative or unconscious, it becomes difficult to administer the drug orally to the patient. In this case, an injectable dosage form is best suited for administration.
The inventors of the present invention have prepared an injectable dosage form of Pregabalin which is stable and well suited for administration to a patient. The injectable formulation is administered intravenously, so the drug directly reaches into the bloodstream via a vein. This causes quick onset of drug action and the therapeutic effect is achieved much quicker.
Object of the Invention:
The main object of the invention is to formulate an injectable dosage form of Pregabalin which is administered through intravenous, intramuscular, subcutaneous route or through infusion, preferably through intravenous route to a patient.
Additional object of the invention is to formulate iso-osmotic injectable dosage form of pregabalin.
One more object of the invention is to provide a process to formulate a stable injectable formulation of pregabalin using normal equipment for preparing injectable formulations.
Summary of the Invention:
The present invention provides a stable injectable formulation of pregabalin. Further, the present invention describes a process for the preparation of the said stable injectable formulation of pregabalin.
Detail Description of the Invention:
Formulating an injectable dosage form has many challenges compared to other dosage forms. As the drug is directly administered to blood circulation, it is essential that the formulation should be of high quality and should provide maximum safety to the patient. Choice of excipients and their quality is a critical factor in formulating an injectable dosage form.
The drug for present invention (Pregabalin) is susceptible to oxidation. Other challenges are with respect to the stability of the formulation. By maintaining a suitable pH condition Pregabalin injectable formulation remains stable. Considering these, the inventor of the present invention has formulated an injectable formulation of pregabalin which is stable and well suited for intravenous administration to a patient. It may also be diluted in commonly used intravenous fluids for infusion administration thereby allowing the drug to be administered with greater regularity in order to obtain a more precise and safer effect.
The injection prepared according to the present invention is a clear colourless solution. So any foreign particles, such as glass residues, fibers, undissolved substances and the like, inside the ampoule or vials is well controlled. This is particularly required while formulating an intravenous injection.
The formulation of the present invention apart from the active pharmaceutical ingredient (Pregabalin) comprises of pharmaceutically acceptable excipients like vehicle, tonicity
adjusting agent, buffering agent, anti-oxidants, pH adjusting agent and other excipients suitable to be used for an intravenous injection.
Vehicles are inert and non-toxic substances having no therapeutic activity. These are administered to provide an effective dose of the active ingredient. They present to body tissues the form of the active ingredient for absorption. Vehicles used in the present formulation can be selected from aqueous vehicle, water miscible vehicle and nonaqueous vehicle. Aqueous vehicle can be water whereas water miscible vehicles are solvents miscible with water. The water miscible vehicles can be ethyl alcohol, polyethylene glycol, propylene glycol and the likes. Non-aqueous vehicles can be fixed oils. The preferred vehicle used in the formulation of present invention is water for injection (WFI).
An intravenous injection is required to be isotonic with body fluids. The term isotonic means that the formulation has essentially the same osmotic pressure as human blood. To make the formulation isotonic, tonicity adjusting agent or tonicity modifiers are used. Tonicity modifiers suitable for this invention include salts and amino acids. The preferred tonicity modifier used is sodium chloride. Desired tonicity of the formulation is between 200 to 400, more preferably the desired tonicity of the formulation is 300.
Stability of the formulation of present invention is pH dependent. During the manufacturing process, the pH of the formulation of present invention is essentially maintained at a range of 5.8 to 6.2, preferably at pH 6.0. This enhances the stability of the injectable formulation. For pH adjustment, a pH adjusting agent is used which can be acid or base. The base can be oxides, hydroxides, carbonates, bicarbonates and the likes. The oxides can be metal oxides such as calcium oxide, magnesium oxide and the likes; hydroxides can be of alkali metals and alkaline earth metals such as sodium hydroxide, potassium hydroxide, calcium hydroxide and the likes and carbonates can be sodium carbonate, sodium bicarbonates, potassium bicarbonates and the likes.
The acid can be mineral acid and organic acids such as hydrochloric acid, nitric acid, phosphoric acid, acetic acid, citric acid, fumaric acid, malic acid tartaric acid and the likes. The preferred base and acid used in the formulation of present invention for pH adjustment are sodium hydroxide and hydrochloric acid respectively.
A buffering agent is also used in the formulation of present invention to stabilize the formulation against chemical degradation that might occur due to pH drift. The buffering agents used in the formulation of present invention can be citrates, acetates, phosphates other organic buffers and the likes. The preferred buffering agent used in present case is citric acid monohydrate.
Pregabalin is susceptible to oxidation and to prevent this, an antioxidant is used in the formulation. An antioxidant is a molecule capable of slowing or preventing the oxidation of other molecules. Oxidation is a chemical reaction that transfers electrons from a substance to an oxidizing agent. Oxidation reactions can produce free radicals, which start chain reactions that can have adverse effect on the purity and stability of the formulation. Antioxidants terminate these chain reactions by removing free radical . intermediates, and inhibit other oxidation reactions by being oxidized themselves. Sulfites like sodium sulfite, sodium bisulfite, sodium metabisulfite, sodium formaldehyde sulfoxylate, thiourea, sequestering agents such as sodium salt of ethylenediaminetetraacetic acid (EDTA) and acids such as citric acid and the likes can be used as antioxidant.
The process for the preparation of injectable pregabalin formulation according to the present inventions comprises the steps of:
Take water for injection (90% of batch size) in SS container and sparge with 0.2μ filtered nitrogen until the levels of dissolved oxygen comes to less than lppm. Add and dissolve sodium chloride and citric acid monohydrate with continuous nitrogen sparging. Adjust pH to 6.0 (range 5.8 - 6.2) with IN sodium hydroxide solution and / or hydrochloric acid solution. Add and dissolve pregabalin with continuous nitrogen sparging. Adjust pH to 6.0 (range 5.8 — 6.2) if required with ITSf sodium hydroxide solution and / or hydrochloric
acid. Make up the volume to required batch size with nitrogen sparged water for injection. Continue nitrogen sparging for 30 minutes after batch manufacturing. Filter the bulk solution through 0.2μ polyvinylfluoridine filter by using nitrogen gas. Fill the filtered bulk solution (3.1 ml (range 3.2ml ± 0.1ml)) into 5ml clear glass USP type I ampoules pre and post nitrogen gas flushing.
Nitrogen sparging helps in removing dissolved oxygen from the solution and hence minimizes oxidative degradation of oxidation susceptible drugs.
According to the present invention, the injectable pregabalin formulation is stable at pH between 4.0 to 8.0, more preferably between pH 5.0 to 7.0.
Throughout this specification it is to be understood that the words "comprise" and "include" and variations such as "comprises", "comprising", "includes", "including" are to be interpreted inclusively, unless the context requires otherwise. That is, the use of these words may imply the inclusion of an element or elements not specifically recited.
Example:
The present invention has been described by way of example only, and it is to be recognized that modifications thereto falling within the scope and spirit of the description, and which would be obvious to a person skilled in the art based upon the disclosure herein, are also considered to be included within the scope of this invention. The formulation according to present invention can be illustrated by but not limited to following example(s).
Following example mentions about the formulation with excipients and its amount range which can be used in the formulation:
Process of Preparation:
The process of preparation of formulation of the present invention does not require any particular or sophisticated apparatus. It is sufficient to use normal equipments to prepare the pharmaceutical formulations of present invention for injectable use.
Process of preparation comprise of following steps:
1. Water for injection (90% of batch size) was taken in stainless steel container. It was sparged with 0.2 micron filtered nitrogen until dissolved oxygen level comes to less than lppm.
2. After this, sodium chloride and citric acid monohydrate was added and dissolved with continuous nitrogen sparging.
3. The pH was adjusted in the range of 5.8 - 6.2 preferably at 6.0 with IN sodium hydroxide solution and / or hydrochloric acid solution.
4. Pregabalin was then added and dissolved with continuous nitrogen sparging. If required the pH was adjusted to 6.0 (in the range of range 5.8 - 6.2) with IN sodium hydroxide solution and / or hydrochloric acid.
5. The volume was made-up to require batch size with nitrogen sparged water for injection. Nitrogen sparging was continued for 30 minutes after batch manufacturing.
6. The bulk solution was then filtered through 0.2 micron polyvinylfluoridine (PVDF) filter by using nitrogen gas.
7. The filtered bulk solution was finally filled in manner as described below:
3.1 mL (Range 3.2mL ± O.lmL) into 5mL clear glass USP Type I ampoules pre and post nitrogen gas flushing.
Formulation:
The following example mentions about stable injectable pregabalin formulation with stability data.
* _ Target pH range is in between 5.8 to 6.2
This formulation can be prepared by following the process mentioned in the earlier example.
Below mentioned table mentions about the data for stability studies conducted for the exemplified formulation. Stability study data:
CCS - clear colourless solution
Claims
1. An injectable formulation of pregabalin.
2. The formulation as claimed in claim 1, wherein the pH of the formulation is between 4.0 to 8.0, more preferable pH of the formulation is between 5.0 to 7.0.
3. The formulation as claimed in claim 1, wherein the vehicle of formulation can be aqueous, water miscible or non-aqueous.
4. The formulation as claimed in claim 1, further comprises of atleast one of pharmaceutical excipients; either tonicity adjusting agent, buffering agent, anti-oxidants, pH adjusting agent or mixtures thereof.
5. The formulation as claimed in claim 4, wherein the anti-oxidants can be sulfites, acids or sequestering agents.
6. The formulation as claimed in claim 1, wherein the amount of pregabalin is in the range of 5 to 35 mg/ml of the formulation.
7. A process for preparation of an injectable formulation of pregabalin stable at a pH in between 4.0 - 8.0 comprises the steps of: a) Dissolving tonicity adjusting agent and buffering agent in formulation solvent, b) Adjusting the pH in between 5.8 to 6.2 using pH adjusting agent, c) Adding and dissolving pregabalin, d) Adjusting the pH in between 5.8 to 6.2, if required, e) Making up the required volume.
8. An injectable formulation of pregabalin stable at a pH between 4.0 to 8.0 comprises of:
Fregabalin — 5 - 35mg
Tonicity agent - q.s to adjust to desired tonicity
Buffering agent - 0 - lOmg pH adjusting agent - q.s to pH
Formulation vehicle — q.s ImI
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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IN2596MU2007 | 2007-12-28 | ||
PCT/IN2008/000869 WO2009087682A2 (en) | 2007-12-28 | 2008-12-26 | Stabilized injectable formulation of pregabalin |
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CN109498611B (en) * | 2019-01-15 | 2020-09-01 | 张惊宇 | Medicine for treating diabetic peripheral neuralgia and application thereof |
US20220175707A1 (en) | 2019-03-26 | 2022-06-09 | Orion Corporation | Pregabalin formulations and use thereof |
EP4138818B1 (en) * | 2020-08-28 | 2024-08-21 | Cybin UK Ltd | Injectable formulation |
CN112353767A (en) * | 2020-11-16 | 2021-02-12 | 海南锦瑞制药有限公司 | Diltiazem hydrochloride and pregabalin composition, and preparation method and application thereof |
CN113069411B (en) * | 2021-04-02 | 2022-08-09 | 石家庄四药有限公司 | Pentoxifylline injection and preparation method thereof |
WO2022256545A1 (en) * | 2021-06-04 | 2022-12-08 | Nevakar Injectables Inc. | Injectable pregabalin formulations |
GB2624861A (en) | 2022-11-28 | 2024-06-05 | Orbit Pharma Ltd | Sustained release pharmaceutical compositions comprising pregabalin or pharmaceutically acceptable salts thereof |
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HRP980342A2 (en) * | 1997-06-25 | 1999-02-28 | Warner Lambert Co | Anti-inflammatory method |
JP2002541198A (en) * | 1999-04-08 | 2002-12-03 | ワーナー−ランバート・カンパニー | Treatment of incontinence |
US8048917B2 (en) * | 2005-04-06 | 2011-11-01 | Xenoport, Inc. | Prodrugs of GABA analogs, compositions and uses thereof |
AU2003210486B2 (en) * | 2002-01-16 | 2007-06-28 | Endo Pharmaceuticals Inc. | Pharmaceutical composition and method for treating disorders of the central nervous system |
CA2537837A1 (en) * | 2003-09-11 | 2005-03-24 | Xenoport, Inc. | Treating and/or preventing urinary incontinence using prodrugs of gaba analogs |
US7488846B2 (en) * | 2005-04-11 | 2009-02-10 | Teva Pharmaceuical Industries Ltd. | Pregabalin free of lactam and a process for preparation thereof |
EP1992609A1 (en) * | 2007-05-14 | 2008-11-19 | Dipharma Francis S.r.l. | A process for the preparation of a (S)(+)-3-(aminomethyl)-5-methylhexanoic acid |
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