KR20070110068A - Alfuzosin controlled-release formulations - Google Patents

Alfuzosin controlled-release formulations Download PDF

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KR20070110068A
KR20070110068A KR1020077020413A KR20077020413A KR20070110068A KR 20070110068 A KR20070110068 A KR 20070110068A KR 1020077020413 A KR1020077020413 A KR 1020077020413A KR 20077020413 A KR20077020413 A KR 20077020413A KR 20070110068 A KR20070110068 A KR 20070110068A
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hpmc
mixture
alfuzosin
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비토리노 라벨리
파브리지오 니콜라이
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피에이치앤드티 에스.피.에이.
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • 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
    • A61K31/495Heterocyclic 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
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/08Drugs for disorders of the urinary system of the prostate

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  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

A solid controlled-release pharmaceutical formulation containing alfuzosin hydrochloride and the use thereof in the treatment of prostate hypertrophy.

Description

알푸조신의 제어 방출 제형{ALFUZOSIN CONTROLLED-RELEASE FORMULATIONS}ALFUZOSIN CONTROLLED-RELEASE FORMULATIONS}

본 발명은 알푸조신을 포함하는 제어 방출(controlled-release) 정제 형태의 고체 제형과 이의 제조 방법 및 전립선 비대증(prostate hypertrophy) 치료 용도와 관련된다.The present invention relates to solid dosage forms in the form of controlled-release tablets comprising alfuzosin, methods for their preparation and the use of prostate hypertrophy.

알푸조신(염산염(hydrochloride))은 알파-아드레날린성 수축을 강하게 할 수 있는 분자이다. 특히 알푸조신과 이의 염은 알파-아드레날린 수용체의 강력한 차단제(blocker)이고, 요도관에 선택적으로 작용하는 것으로 알려져 있다. 알푸조신은 짧은 지속시간을 가지고 있기 때문에, 매일 한번씩 투여하여 24시간 이상 활성 성분이 유효한 혈장 농도를 유지할 수 있는 경구용 약제학적 형태가 제공되는 것이 바람직하다.Alfuzosin (hydrochloride) is a molecule that can intensify alpha-adrenergic contractions. Alfuzosin and its salts, in particular, are potent blockers of alpha-adrenergic receptors and are known to selectively act on the urethra. Since alfuzosin has a short duration, it is desirable to provide an oral pharmaceutical form in which the active ingredient can be administered once daily to maintain an effective plasma concentration for at least 24 hours.

이 문제를 해결하기 위해 다른 기술적 해결책이 제안되어 왔고, 이들 중 하나가 지오메트릭스(Geomatrix

Figure 112007064911439-PCT00001
) 기술인데, 이는 두 층에 알푸조신이 분산되어 있는 세개의 층으로 이루어진 정제로 구성된 것이다. 세 번째 층은 알푸조신 방출을 막는 장벽(barrier)의 역할을 하는 반면, 기성-방출층(ready-relaese layer)은 전체 알푸조신의 일부분을 포함하고, 두 번째 층은 지연된 방출을 할 수 있도록 잔류 약물을 포함한다(EP 938318). 이러한 기술은 동력학적인 방출을 유연하게 조절하는 것이지만, 높은 생산 비용과 방출 동력학을 재생성하는 과정에서의 어려움과 같은 문제점을 가지고 있고, 따라서 다른 메커니즘의 결과라고 볼 수 있는 약물 혈장 농도는 제형의 단일한 서브컴포넌트(sub-component)에 의해 결정된다.Other technical solutions have been proposed to solve this problem, and one of them is Geomatrix.
Figure 112007064911439-PCT00001
Technology, which consists of three layers of tablets with alfuzosin dispersed in two layers. The third layer acts as a barrier against alfuzosin release, while the ready-relaese layer contains part of the total alfuzosin, while the second layer allows for delayed release. Residual drug (EP 938318). While this technique flexibly regulates the dynamic release, there are problems such as high production costs and difficulties in regenerating the release kinetics, and thus drug plasma concentrations, which can be seen as a result of other mechanisms, are unique to the formulation. It is determined by sub-components.

알푸조신의 "동요하는(fluctuating)" 특성을 나타내는 지연된 방출(protracted-release) 제형은 WO 02/06231에 보고된다.; 상기의 특성은 좀 더 긴 위장관 흡수와 생체 내에서 연장된 시간 동안 방출된 약물의 흡수를 가능하게 한다.Protracted-release formulations exhibiting the "fluctuating" nature of alfuzosin are reported in WO 02/06231; This property allows for longer gastrointestinal absorption and absorption of the released drug for an extended time in vivo.

이러한 시도는 일정 기간 알려져 왔으나, 이 약물의 유효성과 안정성에 대한 선입견을 배재할 정도의 혈장 농도의 재현성(reproducibility)을 확보하지는 않는다.이는 위 배출(gastric emptying)이 매우 특이하고, 동일한 환자 내에서 조차도 다양하게 변화될 수 있는 생리-병리학적인(physio-pathological) 조건에 의존하고 있다는 사실에 기인한다.These attempts have been known for some time, but they do not ensure the reproducibility of plasma concentrations to rule out preconceptions about the efficacy and stability of the drug, which is very specific for gastric emptying and within the same patient. It is due to the fact that even it depends on physio-pathological conditions that can be varied.

WO 2004/037228은 하나 이상의 층이 있고, 그 중 오직 하나만이 알푸조신을 함유한 제형의 알푸조신 지연-방출 제형과 관련된다.WO 2004/037228 relates to alfuzosin delayed-release formulations of formulations in which there are one or more layers, only one of which contains alfuzosin.

다른 특허 출원은 알푸조신 고체 제어 방출 제형을 다루는데, 이는 대부분의 경우, 다른 방출 양상을 보이면서 다양한 공간적 배치를 이루는 다수의 층을 포함하고 있다(예를 들어, EP 673650 및 HU 9903428 참조).Another patent application deals with alfuzosin solid controlled release formulations, which in most cases comprise a number of layers in various spatial arrangements with different release behaviors (see eg EP 673650 and HU 9903428).

발명의 개시Disclosure of the Invention

약리적으로 유효한 양으로 알푸조신을 매일 일정량 방출하는 것은 친수성 중합체, 폴리비닐피롤리돈(polyvinylpyrrolidone) 및 락토스의 혼합물과 함께하는 유효 성분을 포함하는 정제에 의해 가능하다.The daily release of alfuzosin in a pharmacologically effective amount is possible by tablets comprising the active ingredient in combination with a mixture of hydrophilic polymer, polyvinylpyrrolidone and lactose.

본 발명에 따른 친수성 중합체는 하이드록시프로필 메틸셀룰로스(hydroxypropyl methylcellulose)의 혼합물이다. 상기 화합물 형태는 물의 존재하에서, 점성이 증가함에 따라 붕해/침식(dissolution/erosion) 속도가 감소하는 겔을 형성한다. 다른 점성을 가지는 이들 중합체의 혼합물은 약물의 방출 속도를 조절하는 것을 가능하게 하고, 이는 수화된 매트릭스와 그 매트릭스의 발전된 붕해/침식의 확산 메커니즘에 의해 결정된다.The hydrophilic polymer according to the present invention is a mixture of hydroxypropyl methylcellulose. The compound form forms a gel in the presence of water, the rate of dissolution / erosion decreases with increasing viscosity. Mixtures of these polymers with different viscosities make it possible to control the release rate of the drug, which is determined by the diffusion mechanism of the hydrated matrix and the advanced disintegration / erosion of the matrix.

바람직한 실시예에 따른, 다른 점성 정도를 가지는 하이드록시프로필 메틸셀룰로스(HPMC) 혼합물은 정제의 최종 중량에 대해 5 내지 10 % (w/w) HPMC KlOO (USP 정의: 하이프로멜로스 유형(hypromellose type 2208); 명목 점성(nominal viscosity): 100,000 cP), 20 내지 35% HPMC K15M (USP 정의: 하이프로멜로스 유형 2208; 명목 점성: 15,000 cP) 및 15 내지 25% HPMC KlOOM (하이프로멜로스 유형 2910; 명목 점성: lOO cP)을 포함한다. 특히, 7.87 % HPMC KlOO, 19.68% HPMC KlOOM 및 27.56% HPMC K 15M를 포함하는 제형이 바람직하다. According to a preferred embodiment, hydroxypropyl methylcellulose (HPMC) mixtures with different degrees of viscosity are 5 to 10% (w / w) HPMC KlOO (USP definition: hypromellose type, based on the final weight of the tablet). 2208); nominal viscosity: 100,000 cP), 20 to 35% HPMC K15M (USP definition: Hypromellose type 2208; nominal viscosity: 15,000 cP) and 15 to 25% HPMC KlOOM (hypromellose type) 2910 nominal viscosity: 100 cP). In particular, formulations comprising 7.87% HPMC KlOO, 19.68% HPMC KlOOM and 27.56% HPMC K 15M are preferred.

하이드록시프로필 메틸셀룰로스 혼합물 및 알푸조신에 덧붙여 본 발명의 정제는 유효 성분 방출을 조절하는데 기여하는 성분들을 포함할 수 있고, 바람직하게는 전체 정제 중량에 대해, 1 내지 4%의 양으로 존재하는 폴리비닐피롤리돈과 15 내지 25 %의 양으로 존재하는 락토스를 예로 들 수 있다.In addition to the hydroxypropyl methylcellulose mixture and alfuzosin, the tablets of the present invention may include ingredients that contribute to controlling active ingredient release, and are preferably present in an amount of 1 to 4% by weight of the total tablet. Examples are polyvinylpyrrolidone and lactose present in an amount of 15 to 25%.

폴리비닐피롤리돈은 약물 농도가 수화된 매트릭스 안과 용액 사이에 높은 차이(gradient)를 유지하도록 한다. 락토스는 물에 대한 높은 용해도로 인해, 정제 안으로 물과 소화액이 급속도로 유입되는 것을 촉진하는데, 중앙부의 급속한 수화와 이로 인해 비수화 매트릭스, 수화 매트릭스 및 주변 환경 간의 약물 농도의 차이를 형성하게 된다.Polyvinylpyrrolidone allows drug concentrations to maintain a high gradient between the hydrated matrix and the solution. Lactose promotes the rapid influx of water and digestive fluid into the tablets due to its high solubility in water, which results in rapid hydration in the center and the difference in drug concentration between the non-hydrated matrix, the hydrated matrix and the surrounding environment.

게다가, 희석제(diluents), 윤활제(lubricants) 및 필름-형성제(film-forming agents)와 같은 제조 단계에서 효율을 증가시키는 성분들이 제형에 첨가될 수 있다.In addition, ingredients that increase efficiency at the manufacturing stage, such as diluents, lubricants and film-forming agents, may be added to the formulation.

본 발명의 다른 실시예에서, 정제는 물에-불용성인 필름-형성 중합체, 바람직하게는 정제 중량에 대해 0.5 내지 10 %의 양으로 존재하는 에틸셀룰로스(예를 들면, NlO 및 NlOO) 및 폴리-메틸메타크릴레이트(poly-methylmethacrylates)(예를 들면, Eudragit RS)로 코팅된다.In another embodiment of the invention, tablets are water-insoluble film-forming polymers, preferably ethylcellulose (e.g., NlO and NlOO) and poly- which are present in amounts of 0.5 to 10% by weight of the tablet. Coated with poly-methylmethacrylates (eg Eudragit RS).

본 발명에 따른 고체 제형은 바람직하게는, The solid dosage form according to the invention preferably

(a) 친수성 중합체, 알푸조신 및 폴리비닐피롤리돈을 포함하는 혼합물을 제조하는 단계;(a) preparing a mixture comprising a hydrophilic polymer, alfuzosin and polyvinylpyrrolidone;

(b) 14 와이어 메쉬 압출기(wire mesh extruder)를 통해, 상기 (a) 단계에서 얻은 혼합물을 습식 제립하는(wet-granulating) 단계;(b) wet-granulating the mixture obtained in step (a) through a 14 wire mesh extruder;

(c) 상기 (b) 단계에서 얻은 과립의 혼합물에 부형제(excipient), 특히 희석제 및 윤활제를 첨가하는 단계;(c) adding an excipient, in particular a diluent and a lubricant, to the mixture of granules obtained in step (b);

(d) 상기 (c) 단계에서 얻은 산물을 압축하는 단계 및 선택적으로, (d) compressing the product obtained in step (c) and optionally

(e) 정제에 대하여 0.5 내지 10 중량 %의 범위의 양으로, 물에 불용성(water-insoluble)인 중합체로 상기 얻어진 정제를 필름 코팅하는 단계를 포함하는 제조 방법에 의해 제조된다.(e) film-coating the obtained tablet with a polymer that is water-insoluble in water in an amount ranging from 0.5 to 10% by weight relative to the tablet.

눈금을 정확히 조절하여 측정한(calibrated) 사이즈의 과립 사용은 삼투압의 차이가 붕해 과정 전체 기간 동안 발생하는 것에 의해, 매트릭스 내의 알푸조신 농도 차이를 발생시킨다.The use of granules of the size calibrated with precisely calibrated scales causes differences in alfuzosin concentrations in the matrix, as the osmotic pressure difference occurs throughout the disintegration process.

알푸조신 염산염의 용해도는 pH 의존적이지만, 본 발명의 정제는 붕해 배지의 pH에는 의존적이지 않는 붕해 프로파일을 나타낸다.While the solubility of alfuzosin hydrochloride is pH dependent, the tablets of the present invention exhibit a disintegration profile that is not dependent on the pH of the disintegration medium.

게다가, 본 발명의 정제는 쉽게 얻을 수 있고, 비싸지 않은 설비에 의해 제조하기가 쉽다.In addition, the tablets of the present invention are readily obtainable and easy to manufacture by inexpensive equipment.

본 발명의 다른 측면은, 악성 전립선 비대증의 치료에 사용되는 상기 정제의 용도와 관련된다.Another aspect of the invention relates to the use of said tablet for use in the treatment of malignant prostate hyperplasia.

알푸조신 염산염 100 g을 하이드록시프로필 메틸셀룰로스 K100 200g, 하이드록시프로필 메틸셀룰로스 K15M 700g 및 하이드록시프로필 메틸셀룰로스 K100M 500g과 혼합하였다.100 g of alfuzosin hydrochloride were mixed with 200 g of hydroxypropyl methylcellulose K100, 700 g of hydroxypropyl methylcellulose K15M and 500 g of hydroxypropyl methylcellulose K100M.

결과 혼합물을 포비돈 용액으로 개어서(kneaded), 눈금을 정확히 조정한(calibrated) 와이어 압출기로 과립화하고, 건조시켰다.The resulting mixture was kneaded with povidone solution, granulated with a calibrated wire extruder and dried.

결과 과립을 500g의 락토스 모노하이드레이트(lactose monohydrate), 500g 마이크로크리스탈라인 셀룰로스(microcrystalline cellulose), 4g의 콜로이드 실리카(colloidal silica) 및 6g의 마그네슘 스테아레이트(magnesium stearate)로 혼합 했다.The resulting granules were mixed with 500 g lactose monohydrate, 500 g microcrystalline cellulose, 4 g colloidal silica and 6 g magnesium stearate.

결과 혼합물을 10 mm지름의 라운드 다이에서 압축하여, 각각 알푸조신 염산염 10 mg을 포함하는 정제를 만들었다.The resulting mixture was compressed in a round die of 10 mm diameter to make tablets each containing 10 mg of alfuzosin hydrochloride.

정제는 선택적으로 다양한 형태의 필름-형성제(film-forming agent)로 코팅하여, 깨지기 쉬운 성질(friability) 및 유동성(flowability)을 개선시켰다.Tablets were optionally coated with various types of film-forming agents to improve friability and flowability.

정제는 선택적으로 정제에 대해 0.5 내지 10 중량 %의 범위의 양으로 불용성 중합체로 코팅시켜, 생체 외 붕해 패턴을 잘 조절할 수 있다. Tablets may optionally be coated with an insoluble polymer in an amount in the range of 0.5 to 10% by weight relative to the tablet, to better control the ex vivo disintegration pattern.

Claims (12)

알푸조신 염산염, 친수성 중합체, 폴리비닐피롤리돈 및 락토스를 포함하는 정제 형태의 고체 약제학적 조성물.A solid pharmaceutical composition in the form of a tablet comprising alfuzosin hydrochloride, a hydrophilic polymer, polyvinylpyrrolidone and lactose. 제1 항에 있어서,According to claim 1, 상기 정제는 불용성인 필름-형성 중합체로 코팅된 약제학적 조성물.Wherein said tablet is coated with a film-forming polymer that is insoluble. 제2 항에 있어서,The method of claim 2, 상기 불용성인 필름-형성 중합체는 정제 중량에 대하여 0.5 내지 10 중량 %의 범위로 존재하는 조성물.The insoluble film-forming polymer is present in the range of 0.5 to 10% by weight, based on the weight of the tablet. 제1 항에 있어서, According to claim 1, 상기 친수성 중합체는 다른 점성 정도를 가진 하이드록시프로필 메틸셀룰로스(HPMC)인 조성물.Wherein said hydrophilic polymer is hydroxypropyl methylcellulose (HPMC) with a different degree of viscosity. 제4 항에 있어서,The method of claim 4, wherein HPMC KlOO, HPMC KlOOM 및 HPMC K15M의 혼합물을 포함하는 조성물.A composition comprising a mixture of HPMC KlOO, HPMC KlOOM, and HPMC K15M. 제5 항에 있어서,The method of claim 5, 상기 혼합물은 5 내지 10 % HPMC KlOO, 15 내지 25 % HPMC KlOOM 및 20 내지 35% HPMC K15M를 포함하는 조성물.The mixture comprises 5 to 10% HPMC KlOO, 15 to 25% HPMC KlOOM and 20 to 35% HPMC K15M. 제6 항에 있어서,The method of claim 6, 상기 혼합물은 7.87% HPMC KlOO, 19.68% HPMC KlOOM 및 27.56% HPMC K15M를 포함하는 조성물.Said mixture comprising 7.87% HPMC KlOO, 19.68% HPMC KlOOM and 27.56% HPMC K15M. 제1 항에 있어서,According to claim 1, 1 내지 4 % 폴리비닐피롤리돈을 포함하는 조성물.A composition comprising 1 to 4% polyvinylpyrrolidone. 제1 항에 있어서,According to claim 1, 15 내지 25 % 락토스를 포함하는 조성물.A composition comprising 15 to 25% lactose. 제1 항에 있어서,According to claim 1, 희석제, 윤활제 및 필름-형성제에서 선택된 부형제를 더 포함하는 조성물.A composition further comprising an excipient selected from diluents, lubricants and film-forming agents. (a) 친수성 중합체, 알푸조신 및 폴리비닐피롤리돈을 포함하는 혼합물을 제조하는 단계;(a) preparing a mixture comprising a hydrophilic polymer, alfuzosin and polyvinylpyrrolidone; (b) 14 와이어 메쉬 압출기를 통해, 상기 (a) 단계에서 얻은 혼합물을 습십 제립하는 단계;(b) wet granulating the mixture obtained in step (a) through a 14 wire mesh extruder; (c) 상기 (b) 단계에서 얻은 과립의 혼합물에 부형제, 특히 희석제 및 윤활제를 첨가하는 단계;(c) adding an excipient, in particular a diluent and a lubricant, to the mixture of granules obtained in step (b); (d) 상기 (c) 단계에서 얻은 산물을 압축하는 단계 및 선택적으로, (d) compressing the product obtained in step (c) and optionally (e) 물에 불용성이고, 물에 투과가능한 중합체로 상기 얻어진 정제를 필름 코팅하는 단계를 포함하는 고체 조성물의 제조 방법.(e) film coating the obtained tablet with a polymer that is insoluble in water and permeable to water. 전립선 비대증의 치료를 위한 약물의 제조를 위한 청구항 제1 항 내지 제10 항에 따른 고체 제형의 용도.Use of a solid dosage form according to claims 1 to 10 for the manufacture of a medicament for the treatment of enlarged prostate.
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