ME01255B - Farmaceutski dozni oblici rezistentni na zloupotrebu koji sadrže opioidni analgetik - Google Patents
Farmaceutski dozni oblici rezistentni na zloupotrebu koji sadrže opioidni analgetikInfo
- Publication number
- ME01255B ME01255B MEP-2011-26A MEP2611A ME01255B ME 01255 B ME01255 B ME 01255B ME P2611 A MEP2611 A ME P2611A ME 01255 B ME01255 B ME 01255B
- Authority
- ME
- Montenegro
- Prior art keywords
- dosage form
- sustained
- tablet
- release
- formulation
- Prior art date
Links
- 239000002552 dosage form Substances 0.000 title claims 38
- 230000000202 analgesic effect Effects 0.000 title claims 2
- 229940127240 opiate Drugs 0.000 title claims 2
- 238000013268 sustained release Methods 0.000 claims 41
- 239000012730 sustained-release form Substances 0.000 claims 41
- 239000000203 mixture Substances 0.000 claims 21
- 239000013543 active substance Substances 0.000 claims 17
- 238000009472 formulation Methods 0.000 claims 16
- 239000008187 granular material Substances 0.000 claims 15
- 239000007787 solid Substances 0.000 claims 13
- -1 klonitazen Chemical compound 0.000 claims 11
- 239000011159 matrix material Substances 0.000 claims 10
- BQNSLJQRJAJITR-UHFFFAOYSA-N 1,1,2-trichloro-1,2-difluoroethane Chemical group FC(Cl)C(F)(Cl)Cl BQNSLJQRJAJITR-UHFFFAOYSA-N 0.000 claims 9
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims 9
- 229960003617 oxycodone hydrochloride Drugs 0.000 claims 9
- 239000000014 opioid analgesic Substances 0.000 claims 8
- 238000004090 dissolution Methods 0.000 claims 7
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims 6
- 239000012530 fluid Substances 0.000 claims 6
- 230000002496 gastric effect Effects 0.000 claims 6
- GLDOVTGHNKAZLK-UHFFFAOYSA-N octadecan-1-ol Chemical compound CCCCCCCCCCCCCCCCCCO GLDOVTGHNKAZLK-UHFFFAOYSA-N 0.000 claims 6
- 238000000338 in vitro Methods 0.000 claims 5
- 102000004190 Enzymes Human genes 0.000 claims 4
- 108090000790 Enzymes Proteins 0.000 claims 4
- OROGSEYTTFOCAN-UHFFFAOYSA-N hydrocodone Natural products C1C(N(CCC234)C)C2C=CC(O)C3OC2=C4C1=CC=C2OC OROGSEYTTFOCAN-UHFFFAOYSA-N 0.000 claims 4
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims 4
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 claims 4
- 238000003860 storage Methods 0.000 claims 4
- URAYPUMNDPQOKB-UHFFFAOYSA-N triacetin Chemical compound CC(=O)OCC(OC(C)=O)COC(C)=O URAYPUMNDPQOKB-UHFFFAOYSA-N 0.000 claims 4
- DYUTXEVRMPFGTH-UHFFFAOYSA-N 4-(2,5-dimethylphenyl)-5-methyl-1,3-thiazol-2-amine Chemical compound S1C(N)=NC(C=2C(=CC=C(C)C=2)C)=C1C DYUTXEVRMPFGTH-UHFFFAOYSA-N 0.000 claims 3
- BRUQQQPBMZOVGD-XFKAJCMBSA-N Oxycodone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(OC)C2=C5[C@@]13CCN4C BRUQQQPBMZOVGD-XFKAJCMBSA-N 0.000 claims 3
- BCGJBQBWUGVESK-KCTCKCTRSA-N Oxymorphone hydrochloride Chemical compound Cl.O([C@H]1C(CC[C@]23O)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BCGJBQBWUGVESK-KCTCKCTRSA-N 0.000 claims 3
- 238000005243 fluidization Methods 0.000 claims 3
- 229960002738 hydromorphone hydrochloride Drugs 0.000 claims 3
- 239000012729 immediate-release (IR) formulation Substances 0.000 claims 3
- GOQYKNQRPGWPLP-UHFFFAOYSA-N n-heptadecyl alcohol Natural products CCCCCCCCCCCCCCCCCO GOQYKNQRPGWPLP-UHFFFAOYSA-N 0.000 claims 3
- 229960002085 oxycodone Drugs 0.000 claims 3
- 229960005374 oxymorphone hydrochloride Drugs 0.000 claims 3
- 238000000518 rheometry Methods 0.000 claims 3
- WRRSFOZOETZUPG-FFHNEAJVSA-N (4r,4ar,7s,7ar,12bs)-9-methoxy-3-methyl-2,4,4a,7,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-ol;hydrate Chemical compound O.C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC WRRSFOZOETZUPG-FFHNEAJVSA-N 0.000 claims 2
- 229920003161 Eudragit® RS 30 D Polymers 0.000 claims 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 claims 2
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims 2
- DEXMFYZAHXMZNM-UHFFFAOYSA-N Narceine Chemical compound OC(=O)C1=C(OC)C(OC)=CC=C1C(=O)CC1=C(CCN(C)C)C=C(OCO2)C2=C1OC DEXMFYZAHXMZNM-UHFFFAOYSA-N 0.000 claims 2
- 229960004126 codeine Drugs 0.000 claims 2
- OROGSEYTTFOCAN-DNJOTXNNSA-N codeine Natural products C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC OROGSEYTTFOCAN-DNJOTXNNSA-N 0.000 claims 2
- 230000000052 comparative effect Effects 0.000 claims 2
- 238000005336 cracking Methods 0.000 claims 2
- XYYVYLMBEZUESM-UHFFFAOYSA-N dihydrocodeine Natural products C1C(N(CCC234)C)C2C=CC(=O)C3OC2=C4C1=CC=C2OC XYYVYLMBEZUESM-UHFFFAOYSA-N 0.000 claims 2
- 239000001087 glyceryl triacetate Substances 0.000 claims 2
- 235000013773 glyceryl triacetate Nutrition 0.000 claims 2
- 150000004677 hydrates Chemical class 0.000 claims 2
- LLPOLZWFYMWNKH-CMKMFDCUSA-N hydrocodone Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)CC(=O)[C@@H]1OC1=C2C3=CC=C1OC LLPOLZWFYMWNKH-CMKMFDCUSA-N 0.000 claims 2
- 229960000240 hydrocodone Drugs 0.000 claims 2
- 239000008101 lactose Substances 0.000 claims 2
- 235000019359 magnesium stearate Nutrition 0.000 claims 2
- 238000004519 manufacturing process Methods 0.000 claims 2
- 229960005181 morphine Drugs 0.000 claims 2
- 239000006186 oral dosage form Substances 0.000 claims 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims 2
- 229940069328 povidone Drugs 0.000 claims 2
- 239000000843 powder Substances 0.000 claims 2
- 150000003839 salts Chemical class 0.000 claims 2
- 239000012453 solvate Substances 0.000 claims 2
- 239000000454 talc Substances 0.000 claims 2
- 229910052623 talc Inorganic materials 0.000 claims 2
- LLPOLZWFYMWNKH-UHFFFAOYSA-N trans-dihydrocodeinone Natural products C1C(N(CCC234)C)C2CCC(=O)C3OC2=C4C1=CC=C2OC LLPOLZWFYMWNKH-UHFFFAOYSA-N 0.000 claims 2
- 229960002622 triacetin Drugs 0.000 claims 2
- UVITTYOJFDLOGI-UHFFFAOYSA-N (1,2,5-trimethyl-4-phenylpiperidin-4-yl) propanoate Chemical compound C=1C=CC=CC=1C1(OC(=O)CC)CC(C)N(C)CC1C UVITTYOJFDLOGI-UHFFFAOYSA-N 0.000 claims 1
- LGFMXOTUSSVQJV-NEYUFSEYSA-N (4r,4ar,7s,7ar,12bs)-9-methoxy-3-methyl-2,4,4a,7,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-ol;(4r,4ar,7s,7ar,12bs)-3-methyl-2,4,4a,7,7a,13-hexahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7,9-diol;1-[(3,4-dimethoxyphenyl)methyl]-6 Chemical compound Cl.Cl.Cl.O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O.C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC.C1=C(OC)C(OC)=CC=C1CC1=NC=CC2=CC(OC)=C(OC)C=C12 LGFMXOTUSSVQJV-NEYUFSEYSA-N 0.000 claims 1
- YYCRAERBSFHMPL-XFKAJCMBSA-N (4r,4as,7ar,12bs)-4a-hydroxy-9-methoxy-3-methyl-2,4,7a,13-tetrahydro-1h-4,12-methanobenzofuro[3,2-e]isoquinoline-7-one Chemical compound O=C([C@@H]1O2)C=C[C@@]3(O)[C@]4([H])N(C)CC[C@]13C1=C2C(OC)=CC=C1C4 YYCRAERBSFHMPL-XFKAJCMBSA-N 0.000 claims 1
- TVYLLZQTGLZFBW-ZBFHGGJFSA-N (R,R)-tramadol Chemical compound COC1=CC=CC([C@]2(O)[C@H](CCCC2)CN(C)C)=C1 TVYLLZQTGLZFBW-ZBFHGGJFSA-N 0.000 claims 1
- YYCRAERBSFHMPL-UHFFFAOYSA-N 14beta-Hydroxycodeinone Natural products O1C2C(=O)C=CC3(O)C4CC5=CC=C(OC)C1=C5C23CCN4C YYCRAERBSFHMPL-UHFFFAOYSA-N 0.000 claims 1
- IYNWSQDZXMGGGI-NUEKZKHPSA-N 3-hydroxymorphinan Chemical compound C1CCC[C@H]2[C@H]3CC4=CC=C(O)C=C4[C@]21CCN3 IYNWSQDZXMGGGI-NUEKZKHPSA-N 0.000 claims 1
- XMIIGOLPHOKFCH-UHFFFAOYSA-N 3-phenylpropionic acid Chemical compound OC(=O)CCC1=CC=CC=C1 XMIIGOLPHOKFCH-UHFFFAOYSA-N 0.000 claims 1
- USSIQXCVUWKGNF-UHFFFAOYSA-N 6-(dimethylamino)-4,4-diphenylheptan-3-one Chemical compound C=1C=CC=CC=1C(CC(C)N(C)C)(C(=O)CC)C1=CC=CC=C1 USSIQXCVUWKGNF-UHFFFAOYSA-N 0.000 claims 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 claims 1
- FERIUCNNQQJTOY-UHFFFAOYSA-M Butyrate Chemical compound CCCC([O-])=O FERIUCNNQQJTOY-UHFFFAOYSA-M 0.000 claims 1
- FERIUCNNQQJTOY-UHFFFAOYSA-N Butyric acid Natural products CCCC(O)=O FERIUCNNQQJTOY-UHFFFAOYSA-N 0.000 claims 1
- IJVCSMSMFSCRME-KBQPJGBKSA-N Dihydromorphine Chemical compound O([C@H]1[C@H](CC[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O IJVCSMSMFSCRME-KBQPJGBKSA-N 0.000 claims 1
- 239000004705 High-molecular-weight polyethylene Substances 0.000 claims 1
- JAQUASYNZVUNQP-USXIJHARSA-N Levorphanol Chemical compound C1C2=CC=C(O)C=C2[C@]23CCN(C)[C@H]1[C@@H]2CCCC3 JAQUASYNZVUNQP-USXIJHARSA-N 0.000 claims 1
- IDBPHNDTYPBSNI-UHFFFAOYSA-N N-(1-(2-(4-Ethyl-5-oxo-2-tetrazolin-1-yl)ethyl)-4-(methoxymethyl)-4-piperidyl)propionanilide Chemical compound C1CN(CCN2C(N(CC)N=N2)=O)CCC1(COC)N(C(=O)CC)C1=CC=CC=C1 IDBPHNDTYPBSNI-UHFFFAOYSA-N 0.000 claims 1
- 239000008896 Opium Substances 0.000 claims 1
- UQCNKQCJZOAFTQ-ISWURRPUSA-N Oxymorphone Chemical compound O([C@H]1C(CC[C@]23O)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O UQCNKQCJZOAFTQ-ISWURRPUSA-N 0.000 claims 1
- 229960001391 alfentanil Drugs 0.000 claims 1
- 239000011324 bead Substances 0.000 claims 1
- RMRJXGBAOAMLHD-IHFGGWKQSA-N buprenorphine Chemical compound C([C@]12[C@H]3OC=4C(O)=CC=C(C2=4)C[C@@H]2[C@]11CC[C@]3([C@H](C1)[C@](C)(O)C(C)(C)C)OC)CN2CC1CC1 RMRJXGBAOAMLHD-IHFGGWKQSA-N 0.000 claims 1
- 229960001736 buprenorphine Drugs 0.000 claims 1
- IFKLAQQSCNILHL-QHAWAJNXSA-N butorphanol Chemical compound N1([C@@H]2CC3=CC=C(C=C3[C@@]3([C@]2(CCCC3)O)CC1)O)CC1CCC1 IFKLAQQSCNILHL-QHAWAJNXSA-N 0.000 claims 1
- 229960001113 butorphanol Drugs 0.000 claims 1
- 239000003795 chemical substances by application Substances 0.000 claims 1
- 239000013065 commercial product Substances 0.000 claims 1
- 239000002131 composite material Substances 0.000 claims 1
- 238000012669 compression test Methods 0.000 claims 1
- WDEFBBTXULIOBB-WBVHZDCISA-N dextilidine Chemical compound C=1C=CC=CC=1[C@@]1(C(=O)OCC)CCC=C[C@H]1N(C)C WDEFBBTXULIOBB-WBVHZDCISA-N 0.000 claims 1
- RXTHKWVSXOIHJS-UHFFFAOYSA-N diampromide Chemical compound C=1C=CC=CC=1N(C(=O)CC)CC(C)N(C)CCC1=CC=CC=C1 RXTHKWVSXOIHJS-UHFFFAOYSA-N 0.000 claims 1
- 229950001059 diampromide Drugs 0.000 claims 1
- RHUWRJWFHUKVED-UHFFFAOYSA-N dimenoxadol Chemical compound C=1C=CC=CC=1C(C(=O)OCCN(C)C)(OCC)C1=CC=CC=C1 RHUWRJWFHUKVED-UHFFFAOYSA-N 0.000 claims 1
- 229950011187 dimenoxadol Drugs 0.000 claims 1
- QIRAYNIFEOXSPW-UHFFFAOYSA-N dimepheptanol Chemical compound C=1C=CC=CC=1C(CC(C)N(C)C)(C(O)CC)C1=CC=CC=C1 QIRAYNIFEOXSPW-UHFFFAOYSA-N 0.000 claims 1
- SVDHSZFEQYXRDC-UHFFFAOYSA-N dipipanone Chemical compound C=1C=CC=CC=1C(C=1C=CC=CC=1)(C(=O)CC)CC(C)N1CCCCC1 SVDHSZFEQYXRDC-UHFFFAOYSA-N 0.000 claims 1
- 229960002500 dipipanone Drugs 0.000 claims 1
- 238000007907 direct compression Methods 0.000 claims 1
- 239000006185 dispersion Substances 0.000 claims 1
- 229940079593 drug Drugs 0.000 claims 1
- 239000003814 drug Substances 0.000 claims 1
- 238000000605 extraction Methods 0.000 claims 1
- 229960002428 fentanyl Drugs 0.000 claims 1
- PJMPHNIQZUBGLI-UHFFFAOYSA-N fentanyl Chemical compound C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 PJMPHNIQZUBGLI-UHFFFAOYSA-N 0.000 claims 1
- WTJBNMUWRKPFRS-UHFFFAOYSA-N hydroxypethidine Chemical compound C=1C=CC(O)=CC=1C1(C(=O)OCC)CCN(C)CC1 WTJBNMUWRKPFRS-UHFFFAOYSA-N 0.000 claims 1
- 229950008496 hydroxypethidine Drugs 0.000 claims 1
- 238000007373 indentation Methods 0.000 claims 1
- IFKPLJWIEQBPGG-UHFFFAOYSA-N isomethadone Chemical compound C=1C=CC=CC=1C(C(C)CN(C)C)(C(=O)CC)C1=CC=CC=C1 IFKPLJWIEQBPGG-UHFFFAOYSA-N 0.000 claims 1
- 229950009272 isomethadone Drugs 0.000 claims 1
- 229960003406 levorphanol Drugs 0.000 claims 1
- IMYHGORQCPYVBZ-NLFFAJNJSA-N lofentanil Chemical compound CCC(=O)N([C@@]1([C@@H](CN(CCC=2C=CC=CC=2)CC1)C)C(=O)OC)C1=CC=CC=C1 IMYHGORQCPYVBZ-NLFFAJNJSA-N 0.000 claims 1
- 229950010274 lofentanil Drugs 0.000 claims 1
- 239000000463 material Substances 0.000 claims 1
- JLICHNCFTLFZJN-HNNXBMFYSA-N meptazinol Chemical compound C=1C=CC(O)=CC=1[C@@]1(CC)CCCCN(C)C1 JLICHNCFTLFZJN-HNNXBMFYSA-N 0.000 claims 1
- 229960000365 meptazinol Drugs 0.000 claims 1
- 229960001797 methadone Drugs 0.000 claims 1
- 229950006080 metopon Drugs 0.000 claims 1
- NPZXCTIHHUUEEJ-CMKMFDCUSA-N metopon Chemical compound O([C@@]1(C)C(=O)CC[C@@H]23)C4=C5[C@@]13CCN(C)[C@@H]2CC5=CC=C4O NPZXCTIHHUUEEJ-CMKMFDCUSA-N 0.000 claims 1
- 229940121367 non-opioid analgesics Drugs 0.000 claims 1
- 229950011519 norlevorphanol Drugs 0.000 claims 1
- WCDSHELZWCOTMI-UHFFFAOYSA-N norpipanone Chemical compound C=1C=CC=CC=1C(C=1C=CC=CC=1)(C(=O)CC)CCN1CCCCC1 WCDSHELZWCOTMI-UHFFFAOYSA-N 0.000 claims 1
- 229940005483 opioid analgesics Drugs 0.000 claims 1
- 229960001027 opium Drugs 0.000 claims 1
- 229960005118 oxymorphone Drugs 0.000 claims 1
- 229960003294 papaveretum Drugs 0.000 claims 1
- 230000035515 penetration Effects 0.000 claims 1
- VOKSWYLNZZRQPF-GDIGMMSISA-N pentazocine Chemical compound C1C2=CC=C(O)C=C2[C@@]2(C)[C@@H](C)[C@@H]1N(CC=C(C)C)CC2 VOKSWYLNZZRQPF-GDIGMMSISA-N 0.000 claims 1
- 229960005301 pentazocine Drugs 0.000 claims 1
- WCNLCIJMFAJCPX-UHFFFAOYSA-N pethidine hydrochloride Chemical compound Cl.C=1C=CC=CC=1C1(C(=O)OCC)CCN(C)CC1 WCNLCIJMFAJCPX-UHFFFAOYSA-N 0.000 claims 1
- LOXCOAXRHYDLOW-UHFFFAOYSA-N phenadoxone Chemical compound C=1C=CC=CC=1C(C=1C=CC=CC=1)(C(=O)CC)CC(C)N1CCOCC1 LOXCOAXRHYDLOW-UHFFFAOYSA-N 0.000 claims 1
- 229950004540 phenadoxone Drugs 0.000 claims 1
- 229960004315 phenoperidine Drugs 0.000 claims 1
- IPOPQVVNCFQFRK-UHFFFAOYSA-N phenoperidine Chemical compound C1CC(C(=O)OCC)(C=2C=CC=CC=2)CCN1CCC(O)C1=CC=CC=C1 IPOPQVVNCFQFRK-UHFFFAOYSA-N 0.000 claims 1
- PXXKIYPSXYFATG-UHFFFAOYSA-N piminodine Chemical compound C1CC(C(=O)OCC)(C=2C=CC=CC=2)CCN1CCCNC1=CC=CC=C1 PXXKIYPSXYFATG-UHFFFAOYSA-N 0.000 claims 1
- IHEHEFLXQFOQJO-UHFFFAOYSA-N piritramide Chemical compound C1CC(C(=O)N)(N2CCCCC2)CCN1CCC(C#N)(C=1C=CC=CC=1)C1=CC=CC=C1 IHEHEFLXQFOQJO-UHFFFAOYSA-N 0.000 claims 1
- 230000002035 prolonged effect Effects 0.000 claims 1
- XJKQCILVUHXVIQ-UHFFFAOYSA-N properidine Chemical compound C=1C=CC=CC=1C1(C(=O)OC(C)C)CCN(C)CC1 XJKQCILVUHXVIQ-UHFFFAOYSA-N 0.000 claims 1
- 238000007711 solidification Methods 0.000 claims 1
- 230000008023 solidification Effects 0.000 claims 1
- 239000007921 spray Substances 0.000 claims 1
- 238000005507 spraying Methods 0.000 claims 1
- 238000003756 stirring Methods 0.000 claims 1
- 229960004739 sufentanil Drugs 0.000 claims 1
- GGCSSNBKKAUURC-UHFFFAOYSA-N sufentanil Chemical compound C1CN(CCC=2SC=CC=2)CCC1(COC)N(C(=O)CC)C1=CC=CC=C1 GGCSSNBKKAUURC-UHFFFAOYSA-N 0.000 claims 1
- 239000000725 suspension Substances 0.000 claims 1
- 229960004380 tramadol Drugs 0.000 claims 1
- TVYLLZQTGLZFBW-GOEBONIOSA-N tramadol Natural products COC1=CC=CC([C@@]2(O)[C@@H](CCCC2)CN(C)C)=C1 TVYLLZQTGLZFBW-GOEBONIOSA-N 0.000 claims 1
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
- A61K9/2072—Pills, 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
- A61K9/2086—Layered tablets, e.g. bilayer tablets; Tablets of the type inert core-active coat
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
- A61J3/005—Coating of tablets or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
- A61J3/06—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms into the form of pills, lozenges or dragees
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
- A61J3/10—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms into the form of compressed tablets
-
- 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
- A61K31/47—Quinolines; Isoquinolines
- A61K31/485—Morphinan derivatives, e.g. morphine, codeine
-
- A—HUMAN NECESSITIES
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- Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
Claims (32)
1. Čvrst oralni farmaceutski dozni oblik sa produženim oslobađanjem, koji sadrži formulaciju matrice sa produženim oslobađanjem, a formulcija matrice sa produženim oslobađanjem sadrži kompoziciju koja sadrži bar jedan aktivan agens i bar jedan polietilen oksid koji na osnovu reoloških merenja ima približnu molekulsku težinu od najmanje 1,000,000; gde je formulacija matrice sa produženim oslobađanjem očvršćavana na oko 60°C u toku vremenskog perioda od oko 1 minut u obliku tablete ili zrnaca, pri čemu ova tableta ili pojedinačno znce može da se zgnječi bez kidanja, naznačen time, što debljina tablete ili pojedinačnog zrnca posle ovog gnječenja, nije veća od oko 60% debljine te tablete ili pojedinačnog zrnca pre nego što su zgnječeni, pri čemu ova zgnječena ili nezgnječena tableta ili zgnječena ili nezgnječena zrnca imaju brzinu rastvaranja in vitro, merenu u aparatu USP Apparatus 1 (sa korpom), pri 100 o/min, u 900 ml simuliranog želudačnog fluida bez enzima (SŽF), koji sadrži 40% etanola, na 37° C, naznačen time, što procenat oslobođene aktivne supstance tokom 0,5 sati rastvaranja, ne odstupa više od oko 20% od odgovarajuće brzine oslobađanja in vitro, merene u aparatu USP Apparatus 1 (sa korpom), pri 100, o/min, u 900 mL simuliranog želudačnog fluida bez enzima (SŽF), na 37° C, bez etanola, ako se koriste zgnječena ili nezgnječena referentna tableta ili zgnječna ili nezgnječena referentna zrnca, respektivno.
2. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde tableta ili zrnca mogu biti bar zgnječeni bez kidanja, naznačen time, što debiljna tablete ili pojedinačnog zrnca posle gnječenja nije veća od oko 60%, ili nije veća od oko 50%. ili nije veća od oko 40%, ili nije veće od oko 30%. ili nije veća od oko 20%, ili nije veća od oko 16% debljine te tablete ili pojedinačnog zrnca pre nego što su zgnječeni i gde zgnječena i nezgnječena tableta ili pojedinačno zrno imaju brzinu rastvaranja in vitro merenu u aparatu USP Apparatus 1 (sa korpom), pri 100 o/min, u 900 mL simuliranog želudačnog fluida bez enzima (SŽF), koji sadrži 40% etanola, na 37° C, naznačen time, što procenat oslobođene aktivne supstance tokom 0,5 sati rastvaranja, ne odstupa više od oko 20% ili ne više od oko 15% od odgovarajuće brzine oslobađanja in vitro, merene u aparatu USP Apparatus 1 (sa korpom), pri 100 o/min, u 900 mL simuliranog želudačnog fluida bez enzima (SŽF), na 37° C, bez etanola, ako se koriste zgnječena ili nezgnječena referentna tableta ili zrnca, respektivno.
3. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1 ili 2, gde je gustina formulacije matrice sa produženim oslobađanjem jednaka ili manja od oko 1.20 g/cm3, poželjno jednaka ili manja od oko 1.19 g/cm3.
4. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde formulacija matrice sa produženim oslobađanjem posle skladištenja na 25°C i 60% relativne vlažnosti (RH) u toku bar 1 meseca ima brzinu rastvaranja merenu u aparatu USP Apparatus 1 (sa korpom), pri 100 o/min, u 900 mL simuliranog želudačnog fluida bez enzima (SŽF), na 37° C, naznačen time, što procenat oslobođene aktivne supstance tokom 1, 4 i 12 sati rastvaranja, ne odstupa više od oko 15% od odgovarajuće brzine oslobađanja in vitro, referentne formulacije pre skladištenja.
5. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 4, gde je formulacija matrice sa produženim oslobađanjem čuvana na 40°C i 75% relativne vlažnosti (RH).
6. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde formulacija matrice sa produženim oslobađanjem posle skladištenja na 25°C i 60% relativne vlažnosti (RH) u toku bar 1 meseca ima količinu bar jednog aktivnog agensa u % (tež.) u odnosu na obeleženu količinu aktivnog agensa za formulaciju matrice sa produženim oslobađanjem koja odstupa ne više od oko 10% od odgovarajuće količine aktivnog agensa u % (tež.) u odnosu na obeleženu količinu aktivnog agensa za formulaciju matrice sa produženim oslobađanjem referentne formulacije pre skladištenja.
7. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 6, gde je formualcija sa produženim oslobađanjem bila skladištena na 40°C i 75% relativne vlažnosti (RH).
8. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde dozni oblik ima brzinu rastvaranja merenu u aparatu USP Apparatus 1 (sa korpom), pri 100 o/min, u 900 ml_ simuliranog želudačnog fluida bez enzima (SŽF), na 37° C, koja je između 12.5% i 55% (tež.) oslobođenog aktivnog agensa posle 1 sata, između 25 i 65% (tež.) oslobođenog aktivnog agensa posle 2 sata, između 45 i 85% (tež.) oslobađenog aktivnog agensa posle 4 sata i između 55 i 95% (tež.) oslobađenog aktivnog agensa posle 6 sati.
9. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde je aktivni agens oksikodon hidrohlorid i gde je dozni oblik kada se testira u komparativnom kliničkom ispitivanju bioekvivalentan komercijalnom proizvodu OxyCotin™
10. Čvrsti oralni faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 1, gde je aktivni agens oksikodon hidrohlorid i gde dozni oblik koji sadrži 10 mg oksikodon hidrohlorida kada je testiran u komparativnom kliničkom ispitivanju je bioekvilaentan sa referentnom tabletom koja sadrži 10 mg oksikodon hidrohlorida u formulaciji matrice koja sadrži: a) oksikodon hidrohlorid : 10.0 mg/tableti b) Laktozu (sušenu raspršivanjem): 69.25 mg/ml c) Povidon: 5.0 mg/tableti d) Eudragit® RS 30 D (čvrst): 10.0 mg/tableti e) Triacetin®: 2.0 mg/tableti f) stearil alkohol: 25.0 mg/tableti g) talk: 2.5 mg/tableti h) magnezijum stearat: 1.25 mg/tableti; i gde je referentna tableta pripremljena sledećim stupnjevima: 1. . Eudragit® RS 30D i Triacetin® se kombinuju prilikom propuštanja kroz sito od 60 mesa, pa 5 min mešaju uz nisko smicanje, ili dok se ne dobije uniformna disperzija 2. . Oksikodon HCI, laktoza i povidon se stave u fluidizacionu kolonu koja je granulator/sušnica (FBD), pa se ova suspenzija rasprši u prah u fluidizacionoj koloni 3. . Posle raspršivanja, granulat se propušta kroz sito #12, ukoliko je potrebno da se smanje grudvice 4. . Ovaj suvi granulat se prebaci u mikser 5. . U međuvremenu, otopi se potrebna količina stearil alkohola, na temperaturi od približno 70°C 6. . Istopljeni stearil alkohol se uz mešanje doda u granulat 7. . Ovako voskiran granulat se prebaci u fluidizacionu kolonu, koja je istovremeno granulator/sušnica, ili na tacne, pa se ostavi da se ohladi na sobnu ili nižu temperaturu 8. Ovako ohlađeni granulat se propusti kroz sito #12 9. Ovaj voskirani granulat se prebaci u mikser/blender, i približno 3 min podmazuje sa potrebnom količinom talka i magnezijum-stearata 10. Ovaj granulat se komprimuje u tablete od 125 mg, u pogodnoj mašini za tabletiranje.
11. Dozni oblik sa produženim oslobađanjem prema bilo kom zahtevu 1 do 10, gde kompozicija sadrži bar oko 80% (tež.) polietilen oksida.
12. Dozni oblik sa produženim oslobađanjem prema zahtevu 11, gde kompozicija sadrži bar oko 80% (tež.) polietilen oksida, koji na osnovu reoloških merenja ima približnu molekulsku težinu od najmanje 1,000,000.
13. Faramceutski dozni oblik sa produženim oslobađanjem prema bilo kom od zahteva 1 do 8, gde je aktivni agens opioidini analgetik.
14. Faramceutski dozni oblik sa produženim oslobađanjem prema zahtevu 13, što se opijatni analgetik bira iz grupe koju čine alfentanil, alilprodin, alfaorodin, anileridin, benzilmorfin, bezitramid, buprenorfin, butorfanol, klonitazen, kodein, dezomorfin, dekstromoramid, dezocin, diampromid, diamorfon, dihidrokodein, dihidromorfin, dimenoksadol, dimefeptanol, dimetiltiambuten, dioksafetil butirat, dipipanon, eptazocin, etoheptazin, etilmetiltiambuten, etilmorfin, etonitazen, etorfin, dihidroetorfin, fentanil i derivati, hidrokodon, hidrmorfon, hidroksipethidine, izometadon, ketobemidon, levorfanol, levofenancilmorfan, lofentanil, meperidin, meptazinol, metazocin, metadon, metopon, morfin, mirofin, narcein, nikomorfin, norlevorfanol, normetadon, nalorfin, nalbufen, normorfin, norpipanon, opium, oksikodon, oksimorfon, papaveretum, pentazocin, phenadoksone, fenomorfan, fenezocin, fenoperidin, piminodin, piritramid, propheptazin, promedol, properidin, propoksifen, sufentanil, tilidin, tramadol, njihove farmaceutski prihvatljive soli, hidrati i solvati, smeše navedenih.
15. Dozni oblik sa produženim oslobađanjem prema zahtevu 13, gde je opioidni analgetik izabran iz grupe koju čine kodein, morfin, oksikodon, hidrokodon, hidromoron ili oksimorfon ili njihove faramaceutski prihvatljive soli, hidrati i solvati, smeše bilo koga od pomenutih.
16. Dozni oblik sa produženim oslobađanjem prema zahtevu 9 ili 14, gde je opioidni analgetik oksikodon hidrohlorid i dozni oblik sadrži od oko 5 mg do oko 500 mg oksikodon hidrohlorida.
17. Dozni oblik sa produženim oslobađanjem prema zahtevu 16, gde dozni oblik obuhvata 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 45 mg, 60 mg ili 80 mg, 90 mg, 120 mg ili 160 mg oksikodon hidrohlorida.
18. Dozni oblik sa produženim oslobađanjem prema bilo kom od zahteva 9, 10 i 13, gde je opioidni analgetik oksikodon hidrohlorid koji ima nivo 14-hidroksikodeinona manji od oko 25 ppm, poželjno manji od oko 15 ppm, manji od oko 10 ppm ili manji od oko 5 ppm.
19. Dozni oblik sa produženim oslobađanjem prema zahtevu 13, gde je opioidini analgetik oksimorfon hidrohlorid i dozni oblik sadrži od oko 1 mg do oko 500 mg oksimorfon hidrohlorida.
20. Dozni oblik sa produženim oslobađanjem prema zahtevu 19, gde dozni oblik sadrži 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 45 mg, 60 mg ili 80 mg, 90 mg, 120 mg illi 160 mg oksimorfon hidrohlorida.
21. Dozni oblik sa produženim oslobađanjem prema zahtevu 13, gde je opioidni analgetik hidromorfon hidrohlorid i dozni oblik sadrži od oko 1 mg do oko 100 mg hidromorfon hidrohlorida.
22. Dozni oblik sa produženim oslobađanjem prema zahtevu 21, gde dozni oblik sadrži 2 mg, 4 mg, 8 mg, 12 mg, 16 mg, 24 mg, 32 mg, 48 mg ili 64 mg hidromorfon hidrohlorida.
23. Dozni oblik sa produženim oslobađanjem prema bilo kom od zahteva 1 do 22, koji je u obliku tablete obrazovane direktnim komprimovanjem i očvršćavanjem bar podvrgavanjem pomenute tablete na temperaturu od oko 60°C ili na bar oko 62°C u toku vremenskog perioda od oko 1 minut, poželjno od oko 5 minuta ili bar oko 15 minuta.
24. Dozni oblik sa produženim oslobađanjem prema bilo kom od zahteva 1 do 23, koji je u obliku tablete i koji je prevučen sa slojem polietilen oksida u prahu da bi se obrazovala tableta koja ima jezgro i sloj polietilen oksida koji okružuje jezgro tablete.
25. Dozni oblik sa produženim oslobađanjem prema bilo kom od zahteva 1 do 23, koji je u obliku složene dvoslojne ili višeslojene tablete, gde jedan od slojeva sadrži formulaciju sa produženim oslobađanjem, a jedan od ostalih slojeva sadrži formulaciju za trenutno oslobađanje.
26. Dozni oblik sa produženim oslobađanjem prema zahtevu 25, gde formulacija sa produženim oslobađanjem i formulacija za trenutno oslobađanje sadrže iste ili razičite aktivne agense.
27. Dozni oblik sa produženim oslobađanjem prema zahtevu 25, gde formulacija za produženo oslobađanje sadrži opioidni analgetik i formulaciju za trenutno oslobađanje koja sadrži neopioidni analgetik.
28. Upotreba doze prema bilo kom od zahteva 1 do 27 u proizvodnji leka za lečenje bola, gde dozni oblik sadrži opioidni analgetik.
29. Upotreba polietilen oksida visoke molekulske težine koja zasnovano na osnovu reoloških merenja ima molekulsku težinu bar 1,000,000, kao materijala za obrazovanje matrice u proizvodnji čvrstog oralnog doznog oblika sa produženim oslobađanjem koji sadrži aktivni agens izabran od opioida koji čine čvrsti oralni dozni oblik sa produženim oslobađanjem otpornim na ekstrakciju alkoholom.
30. Farmaceutska tableta prema prethodnim zahtevima, koja ima silu stvaranja naprsline od bar 11 ON, poželjno 120N, poželjnije 130N i čak još poželjnije 140N kada je podvrgnuta testu utiskivanja .
31. Farmaceutska tableta prema prethodnim zahtevima, koja ima rastojanje duž dubine prodiranja naprsline od bar 1.0 mm, poželjno 1.2 mm, poželjnije 1.4 mm i čak poželjnije 1.6 mm kada je podvrgnuta testu utiskivanja.
32. Farmaceutska tableta prema prethodnim zahtevima, što je otporna pri radu na bar 0.06 J bez pucanja.
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