Classifications

• • 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
  • A61K9/20—Pills, tablets, discs, rods
  • A61K9/2004—Excipients; Inactive ingredients
  • A61K9/2013—Organic compounds, e.g. phospholipids, fats
  • A61K9/2018—Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/439—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom the ring forming part of a bridged ring system, e.g. quinuclidine
• • 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
  • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
  • A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
  • A61K9/1605—Excipients; Inactive ingredients
  • A61K9/1617—Organic compounds, e.g. phospholipids, fats
  • A61K9/1623—Sugars or sugar alcohols, e.g. lactose; Derivatives thereof; Homeopathic globules

Definitions

• the present invention relates to a solid pharmaceutical composition of cytisine for oral administration in the form of a granulate obtained by wet-granulation and a method for the preparation of the granulate.
• Cytisine is a known plant alkaloid that is used among others as an anti-smoking medicament for oral administration. Dosage strength of cytisine tablets and capsules for oral administration is 1.5 mg per single unit dose.
• Prior art discloses solid pharmaceutical cytisine compositions in the form of a simple blend that can be used for filling into capsules or preparation of tablets by direct compression, without granulation.
• EP1586320 describes cytisine solid compositions in the form of a blend that can be used for the preparation of tablets by direct compression.
• tablets comprise 0.5 to 9.0 percent of cytisine, lactose and microcrystalline cellulose at a ratio of 1 :2.0 to1 :2.5, total content of lactose and microcrystalline cellulose ranging from 87.0 to 97.0 percent by weight of the tablet mass.
• Average dimension of cytisine particles is 90 pm
• dimensions of lactose monohydrate particles is up to 500 pm
• average dimension of microcrystalline cellulose particles is 90 pm.
• WO2014076680 discloses cytisine hard capsule form, comprising a blend of micronized cytisine with 100% of particles having a diameter below 10 pm, and microcrystalline cellulose with 99% of particles having a diameter below 38 pm, prepared by stepwise blending of the components.
• the mixture is free of lactose that is described as deleterious for chemical stability of cytisine and deleterious for patients with lactose intolerance.
• EP2957280 discloses solid cytisine pharmaceutical composition in the form of tablets prepared by direct compression of a tableting mass, comprising 20 to 75% by weight of microcrystalline cellulose as a carrier, micronized cytisine, wherein at least 60% of cytisine particles have size from 10 pm to 200 pm, a diluent selected from mannitol, colloidal silicon dioxide and calcium hydrogen phosphate, a disintegrant, a binder, anti-adhesion agent and a glidant.
• US2010/247586 describes a rapidly dissolving tablet (lozenge) obtained by direct compression and comprising cytisine, crosspovidone, microcrystalline cellulose and dextrose monohydrate.
• Relatively low cytisine content in a unit dosage form causes problems with proper homogeneity of and uniform distribution of the active substance in the composition used for tableting or filling the capsules.
• geometric dilution should be used to ensure the uniform distribution of the active substance in the blend.
• there is a problem with maintaining uniformity of the blend in time because of the segregation in time of the blend, especially when particles sizes of the active substance and the carrier differ.
• Another problem is the influence of the size of the active substance on the dissolution and hence bioavailability.
• Known solid compositions rely on using micronized cytisine to achieve proper homogeneity of tableting mass and even distribution of cytisine, and proper cytisine dissolution. This involves the necessity of careful control of the particle size of cytisine or both cytisine and microcrystalline cellulose carrier. Micronization of cytisine is necessary, this making the process of preparation more complex and costly.
• the invention solves the problem of obtaining a stable, uniform and well-soluble cytisine solid composition problem by providing a solid pharmaceutical composition of cytisine in the form of a granulate comprising cytisine, a binder and a carrier that is obtained by wet-granulation.
• the invention provides also a process form of process for the preparation of solid pharmaceutical cytisine in the form of a granulate, the process comprising wet granulation with a solution of cytisine and a binder as a granulating liquid.
• a solid pharmaceutical composition in the form of a granulate comprising cytisine, a binder and a porous carrier free of lactose and microcrystalline cellulose (intragranular components).
• the granulate of the invention is obtained by wet-granulation.
• a single unit dosage form selected from the group consisting of a tablet, coated tablet, capsule and sachet, comprising the granulate of the invention and optionally further extragranular pharmaceutical excipients.
• the amount of cytisine in the granulate of the invention is in the range from 0.5 to 10% by weight with respect to the weight of the granulate.
• the amount of the porous carrier in the granulate of the invention is in the range from 10 to 92% by weight with respect to the total weight of the granulate.
• the balance of the weight of the granulate to total 100% is the binder.
• the carrier is preferably a porous carrier having high adsorbent capacity.
• PSD mean particle size distribution
• PSD Mean particle size distribution
• Specific surface area can be determined using the test of specific surface area by gas adsorption, Ph.Eur. 9.0, Method 2.9.26.
• Bulk density can be determined using the test of Bulk density and tapped density of powders, Ph.Eur. 9.0, Method 2.9.34, or the test of Pycnometric density of solids, Ph.Eur. 9.0, Method 2.9.23.
• the porous carrier can be an inorganic one, such as for example magnesium aluminum silicate, silica, such as colloidal silica, such as mesoporous colloidal silica, titanium dioxide, such as nanoporous titanium dioxide.
• silica such as colloidal silica, such as mesoporous colloidal silica
• titanium dioxide such as nanoporous titanium dioxide.
• a preferred inorganic porous carrier is magnesium aluminum silicate.
• the porous carrier can be also an organic one, such as for example ethylene vinyl acetate copolymer (macroporous) or polypropylene foam powder (microporous).
• the granulate of the invention can comprise further carrier, such as for example mannitol, maize (corn) starch, pregelatinized starch, calcium hydrogen phosphate and their mixtures.
• further carrier such as for example mannitol, maize (corn) starch, pregelatinized starch, calcium hydrogen phosphate and their mixtures.
• the binder for the granulate can be selected from hydroxypropylmethylcellulose (hypromellose), methylcellulose, polyvinyl alcohol, hydroxyethylcellulose, macrogole.
• a preferred binder for the granulate is hydroxypropylmethylcellulose (hypromellose).
• Another preferred binder for the granulate is polyvinyl alcohol Polyvinylpyrrolidone and arabic gum cannot be used according to negative impact on Cytisine stability.
• the excipients for extragranular phase comprise carriers, binders, disintegrants, lubricants, and glidants and their mixtures.
• Carrier for extragranular phase may be selected from mannitol, sorbitol, xylitol, maltitol, erythritol, isomalt, lactitol, calcium phospate, dibasic calcium phosphate, tribasic calcium phosphate, starch, modified starch, magnesium carbonate, magnesium oxide, calcium carbonate.
• Binders for extragranular phase may be selected from hypromellose, methylcellulose, polyvinyl alcohol, hydroxyethylcellulose, macrogole.
• Disintegrants for extragranular phase may be selected from carboxymethyl cellulose, sodium starch glycolate, crospovidone, L- hydroxypropylcellulose (low substituted).
• Lubricants for extragranular phase may be selected from magnesium stearate, stearic acid, calcium stearate, zinc stearate, glyceryl behenate.
• Glidants for extragranular phase may be selected from talk, silica collloidal anhydrous and starch.
• the step b) of preparing the granulate can include conventional processing steps known in the art of wet granulation, that is drying and sieving of the granulate.
• extragranular excipients are added to and mixed with the granulate to obtain a blend.
• the solvent is water.
• Cytisine is very well soluble in water (43.9 g / 100 g of water at 16°C).
• the solvent is an organic solvent wherein cytisine easily dissolves and having low boiling point, preferably below 100°C, such as acetone (solubility 7.7 g /100 g at 20°C), ethyl acetate (10 g/ 100 g at 20°C), or ethanol (28.6 g/100 g at 20°C).
• organic solvent is ethanol.
• a skilled person will be able to easy determine the amount of the solvent needed for dissolution of cytisine to prepare the granulating liquid.
• the granulating liquid comprising cytisine and the binder is fed, especially sprayed, onto the carrier particles as they are agitated in a closed container with blending tools and a chopper, usually in a high-shear mixer or fluidized bed. Dense granules are formed through the liquid and solid bridges that result in the granulate having compact structure and high bulk density.
• the granulating liquid can be simply poured into the carrier. For improved dose uniformity and obtain a more even granulate, the granulating liquid can be fed by spraying onto the carrier using a spray nozzle.
• the granulation can be performed by high-shear granulation.
• high-shear granulation wherein dry powder of the carrier is placed in a mixing bowl usually containing an impeller, which revolves on a horizontal plane, and a chopper, which rotates either in the vertical or horizontal plane.
• the dry powders are mixed by the rotating impeller before the granulating liquid binder is sprayed onto the top of the bed of powder. Agitation is maintained by the rotating impeller until a predetermined optimum endpoint is reached.
• the granules are then usually sieved, transferred to another piece of equipment, such as for example a fluidized-bed dryer, for drying, and finally sieved.
• the granulation can be also performed by fluidized bed wet granulation, wherein granulating liquid is fed by spraying onto the carrier particles powder bed that is maintained in a fluidized state such as by a flow of air injected at the base of the granulator.
• the advantage of the fluidized bed wet granulation is that drying can be performed within the same apparatus.
• obtained granulate or the blend of the granulate with extragranular excipients can be further processed into a unit dosage tablet form by compression, or coated tablet by compression and coating.
• obtained granulate of the invention or the blend of the granulate with extragranular excipients can be also filled into a capsule or a sachet unit dosage form.
• the solvent used to prepare the granulating solution is water.
• the solvent used to prepare the granulating liquid is an organic solvent.
• Granulate of the invention and coated tablet of the invention were prepared.
• the composition of the granulate and the coated tablet is presented in Table 1 below. Table 1.
• Exemplary film coating can contain AquaPolish P green Project 16712, Menthol flavor powder (SC222873) and aspartame.
• Granulates were prepared by high-shear granulation using cytisine aqueous solution as a granulating liquid.
• Weighing and sieving of granulate components weigh specified amounts of intragranular components mannitol, corn starch and magnesium aluminium silicate into separate containers.
• Preparation of granulation liquid add a specified amount of a binder into a container with purified water while stirring, and stir until clear solution is obtained. Then add a specified amount of cytisine into the container while stirring, and stir until clear, transparent solution is obtained.
• Granulation liquid addition add granulation liquid into granulate components blend. 5.
• Wet massing mix wet granulate with high speed for additional period of time.
• wet granulate sieving pass wet granulate through a screen.
• Fluid bed drying load wet granules into fluid bed drier to remove water added in the granulation stage.
• Granulate screening pass dried granulate through a screen to calibrate the granulate.
• Granulate was then tableted according to the following procedure.
• Sieving I pass weighted amounts of additional components (except lubricant) through a screen into the container with a granulate.
• Blending blend all components to obtain uniform blend without a lubricant.
• Tableting adjust the machine and run the compression process to obtain tablet cores of the required characteristics having cytisine strength of 1.5 mg.
• Film-coating suspension preparation water purified is stirred to form a vortex. Then additional ingredients are added to the stirring container. All ingredients are stirred together until a homogeneous suspension is obtained.
• Film-coating spray initially preheated and dedusted tablet cores with film- coating suspension until desired weight gain is obtained.
• Acceptance values are within prescribed limits, even at the end of the tabletting process.
• Example 3 Further compositions of the invention were prepared according to the procedure described in Example 1.
• Example 3A Granulate and tablet Granulate was prepared in a manner described in Example 1 from intragranular ingredients specified in Table 3A. Then to the granulate extragranular ingredients were added and blended. The blend was tableted to obtain 60 mg tablets having having cytisine strength of 1.5 mg, or 120 mg tablets having cytisine strength of 3 mg.
• Granulate was prepared in a manner described in Example 1 from the following intragranular ingredients.
• Solvent is removed during the drying process and is not present in the finish product.
• Example 3C Granulate was prepared in a manner described in Example 1 from the following intragranular ingredients.
• Solvent is removed during the drying process and is not present in the finish product.
• Granulate was prepared in a manner described in Example 1 from the following intragranular ingredients.
• Solvent is removed during the drying process and is not present in the finish product.
• Granulate was prepared in a manner described in Example 1 from the following intragranular ingredients.
• Manufacturing process comprised the following steps:
• Geometric dilution technique as presented in Table 5 below was used for blending.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Epidemiology (AREA)
• Medicinal Chemistry (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Chemical & Material Sciences (AREA)
• Pharmacology & Pharmacy (AREA)
• Biophysics (AREA)
• Molecular Biology (AREA)
• Engineering & Computer Science (AREA)
• Bioinformatics & Cheminformatics (AREA)
• Medicinal Preparation (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Applications Claiming Priority (2)

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• 2018
  • 2018-07-23 EP EP18461589.6A patent/EP3598968A1/de not_active Withdrawn
• 2019
  • 2019-07-17 EP EP19742030.0A patent/EP3826618A2/de active Pending
  • 2019-07-17 WO PCT/EP2019/069189 patent/WO2020020711A2/en unknown

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