MXPA05004999A - Oral dosage forms of delayed-release enteric coated risedronate - Google Patents

Oral dosage forms of delayed-release enteric coated risedronate

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Publication number
MXPA05004999A
MXPA05004999A MXPA/A/2005/004999A MXPA05004999A MXPA05004999A MX PA05004999 A MXPA05004999 A MX PA05004999A MX PA05004999 A MXPA05004999 A MX PA05004999A MX PA05004999 A MXPA05004999 A MX PA05004999A
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MX
Mexico
Prior art keywords
risedronate
dosage form
composition
active ingredient
form according
Prior art date
Application number
MXPA/A/2005/004999A
Other languages
Spanish (es)
Inventor
Javier Colin Sanchez Melquiades
Vera Meneses Hilda
Millan Zarco Roberto
Aranda Fuentes Joaquin
Original Assignee
Landsteiner Scientific Sa De Cv
Filing date
Publication date
Application filed by Landsteiner Scientific Sa De Cv filed Critical Landsteiner Scientific Sa De Cv
Publication of MXPA05004999A publication Critical patent/MXPA05004999A/en

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Abstract

The present invention refers to oral dosage forms containing risedronate as active ingredient, which has a novel enteric coat;the dosage form comprises a safe and effective amount of a pharmaceutical composition including risedronate as an active principle and pharmaceutically acceptable excipients. The present dosage form avoids the exposition of the risedronate active principle to the epithelial tissue as well as to the oral cavity mucosa tissue, the pharynx, oesophagus and stomach, thereby preventing said tissues from erosion, ulceration and further irritations. According to the aforesaid description, the dosage forms perform a release of the risedronate active principle in the lower intestinal tract of humans, or any other mammal, in an effective and safe amount, which will substantially relieve esophagitis or oesophagus irritation, said release being accompanied by the oral administration of the risedronate active principle ingredients.

Description

FORMS OF ORAL DOSAGE OF RISEDRONATE WITH ENTHRENE LAYER OF DELAYED DELAY TECHNICAL FIELD OF THE INVENTION.
The present invention is directed to oral dosage forms containing risedronate as an active ingredient with a new enteric layer, the dosage form comprising a safe and effective amount of a pharmaceutical composition including risedronate as an active ingredient and pharmaceutically acceptable excipients. Said dosage form avoids the exposure of the active ingredient of risedronate with the epithelial tissue and the mucosa of the oral cavity, the pharynx, esophagus and stomach and therefore protects said tissues from erosion, ulceration and other irritations. According to the above, the dosage forms carry out the release in the lower intestinal tract of the human or other mammals of a safe and effective amount of the risedronate active ingredient, which substantially alleviates esophagitis or irritation of the esophagus, which usually accompanies the oral administration of risedronate active ingredients.
BACKGROUND OF THE INVENTION.
Polyphosphonic acids and their pharmaceutically acceptable salts have been proposed for use in the treatment and prophylaxis of a number of pathological conditions that P05 / 028-LSC can affect humans and other mammals that involve the metabolism of calcium and phosphate. Such conditions can be divided into two broad categories: 1. Conditions that are characterized by abnormal mobilization of calcium and phosphate that lead to general or specific bone loss or to excessively high levels of calcium and phosphate in body fluids. Such conditions are associated with strongly pathological tissue demineralizations. 2. Conditions that cause or result in abnormal deposition in the body of calcium and phosphate. These conditions are often associated with pathological calcifications. The first category includes osteoporosis, a condition in which bone tissue is disproportionately lost by affecting the development of new bone tissue. Essential amounts of bone are lost, the marrow and spaces in the tissue become larger, resulting in a reduced force of the same. The bone also becomes less dense and more brittle. Osteoporosis can be subclassified as, senile, drug-induced (e.g., adrenocorticoid, as can occur with steroid therapy), induced disease (e.g., arthritic and tumor), etc., however, the manifestations are similar. Another condition in the first category is Paget's disease (osteitis deformans). In this disease, the dissolution of normal bone occurs that is replaced by soft, poorly mineralized tissue so that the bone is deformed by the pressure of body weight, particularly in the tibia and femur. Hyperparathyroidism, malignant hypercalcemia, and osteological bone metastasis are also included in the first category.
P0S / 028-LSC The second category, implies conditions that are manifested by the anomalous deposition of calcium and phosphate, includes myositis ossificans progressiva. calcinosis universalis, and afflictions such as arthritis, neuritis, bursitis, tendonitis and other inflammatory conditions that predispose the tissue involved in the deposition of calcium phosphates. Particular diphosphonates, such as ethan-1-hydroxy-1,1-diphosphonic acid (EHDP), propan-3-amino-1-hydroxy-1, 1-diphosphonic acid (APD), and dichloromethane diphosphonic acid ( -2, MDP) have been the subject of considerable research efforts in this area. Paget's disease and heterotopic ossification are currently successfully treated with EHDP. Diphosphonates tend to inhibit the resorption of bone tissue, which is beneficial to patients suffering from excessive bone loss. However, EHDP, APD and many other diphosphonates of the prior art have the propensity to inhibit bone mineralization when administered at high dosage levels. Risedronate is the most potent biological compound of diphosphonate that can be administered at low dosage levels; These lower dosage levels have resulted in a wider margin of safety and cause little or no inhibition of mineralization. Low dosage levels are also desirable to avoid gastrointestinal discomfort, such as nausea, diarrhea, and abdominal pains, which are frequently associated with oral administration of disphosphonates. In spite of the low dosage level that is possible with risedronate, oral administration of the compound gives rise to complaints in patients shortly after dosing; complaints are usually characterized in patients with heartburn, burning in the esophagus, pain and / or difficulty in swallowing, and / or there is pain behind and / or in the middle of the sternum. It is believed that these complaints originate in esophagitis or irritation of the esophagus caused by erosion, P05 / 028-LSC ulceration, or other irritation of the epithelial tissues and mucosa of the upper gastrointestinal tract, usually through the mouth of the stomach, most likely in the esophagus. It is presumed that the irritation results from the active ingredient of risedronate that is in direct contact with these epithelial and mucosal tissues, resulting in topical irritation thereof. Accordingly, it is desirable to develop novel oral dosage forms of the risedronate compound that provide for the release of risedronate compound in the area of the small intestine. In the state of the art, various compositions of an active ingredient of risedronate are described, such as those found in U.S. Patent Nos. 5,935,602; 6,096,342; and 6,569,460, however none of them provides the advantages that characterize the composition of the present invention. On the other hand, in publication WO 93/09785 published on May 19, 1993, a first risedronate composition with a release layer that differs significantly from that described in the present invention is described given the abundance of components of said layer. US Pat. Nos. 5, 622, 721 and 6,596,710 also describe risedronate compositions coated with enteric layers of delayed release, however the components and manufacturing processes thereof are less efficient, safer and more expensive than described in the present invention. .
SUMMARY OF THE INVENTION.
P05 / Q28-LSC "The novel oral dosage forms of the present invention are enterically coated and delay the initiation of the release of risedronate until a certain point in the small intestine or large intestine is reached, so that provides protection to the tissues of the mouth, pharynx, esophagus and stomach The present invention is directed to compositions of oral dosage forms that are enteric coated that provide protection to the tissues and mucosa of the mouth, pharynx, esophagus and stomach, as well as an enteric layer composition dependent on the pH that dissolves to a certain point in the small or large intestine, and the process of manufacturing them.
SPECIFICATION OF THE INVENTION The present invention is directed to a novel enterally coated oral dosage form of an active ingredient of risedronate comprising a safe and effective amount of a pharmaceutical composition that includes an active ingredient of rise'dronate and pharmaceutically acceptable excipients. Dosage forms prevent the release of the active ingredient risedronate in the oral cavity, pharynx, esophagus, and stomach in such a way that it protects the epithelial tissues and the mucosa thereof against erosion, ulceration or other irritation. Accordingly, the novel dosage forms disclosed effect the delivery to the lower gastrointestinal tract of the human or other mammal of a safe and effective amount of the risedronate active ingredient, and substantially alleviate esophagitis or P05 / 028-LSC irritation of the esophagus that usually accompanies the oral administration of risedronate active ingredients. The invention further comprises the use of said dosage forms in the treatment of diseases characterized by abnormal metabolism of calcium and phosphate which comprises administering to a human or other mammal afflicted with such a disease a novel oral dosage form as described below . The present invention is directed to a novel enterally coated oral dosage form of a risedronate active ingredient comprising a safe and effective amount of a pharmaceutical composition comprising a risedronate active ingredient and pharmaceutically acceptable excipients. In addition, the dosage forms inhibit the release of the risedronate active ingredient into the stomach and the anterior duodenum. Therefore, the dosage forms effect the delivery to the lower gastrointestinal tract of the human or other mammal of a safe and effective amount of the risedronate active ingredient, and substantially alleviate the esophagitis or irritation of the esophagus that usually accompany oral administration of the active ingredients of risedronate. The term "risedronate", as used herein, denotes 3-pyridyl-1-hydroxyethylidene-1, 1-bisphosphomachic acid and has the following structure: P05 / 028-LSC The risedronate compound is described in greater detail in the following publication, incorporated by reference: EPO patent application 0186405 by Benedict et al., Assigned to Procter & Gamble Co., published July 2, 1986. The term "risedronate active ingredient" includes risedronate, risedronate salts, and risedronate esters, or any mixture thereof. Any pharmaceutically acceptable, non-toxic salt or ester of risedronate can be used as the active ingredient of risedronate in the novel oral dosage forms of the present invention. The risedronate salts can be addition salts of the acid, in particular hydrochloride, also the pharmaceutically acceptable, non-toxic organic or inorganic acid salt can be used. In addition, the alkaline salts (Ca, magnesium), the Ca and Na-salts are preferred. Particularly, other esters of risedronate which are suitable for use as an active ingredient in the disclosed invention are straight or branched chain alkyl esters Cj-C? 8, including, but not limited to, methyl, ethyl, propyl, isopropyl, butyl , isobutyl, amyl, hexyl, heptyl, octyl, nonyl, decyl, laurel, myristyl, cetyl, and stearyl; straight or branched chain C2-C? 8 alkenyl esters, including, but not limited to, vinyl, alkyl, undecenyl, and linolenyl; cycloalkyl esters of C3-Cs, including, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl; aryl esters, including, but not limited to, phenyl, toluyl, xylyl, and naphthyl; alicyclic esters, including, but not limited to, menthyl; and aralkyl esters, including, but not limited to, benzyl, and phenethyl. Generally speaking, the appropriate selection of the risedronate active ingredient depends on the type of formulation selected, the disease pattern, especially the site and type of disease, and the desired degree of release of the active ingredient. In addition, physical characteristics and P05 / 028-LSC active ingredient chemicals should be considered when selecting pharmaceutically acceptable excipients and suitable for use in dosage forms containing the risedronate active ingredient. Pharmaceutically acceptable excipients usually include polymers, resins, plasticizers, fillers, lubricants, solvents, surfactants, preservatives, sweetening agents, flavoring agents, buffers, dyes and pharmaceutical grade pigments and viscosity agents. Notwithstanding the foregoing, in the present invention it is demonstrated that only filling agents of the microcrystalline or lactose cellulose type are required; of viscosity agents such as povidone and crospovidone; of magnesium stearate as a lubricant and sweetening agents such as croscarmellose sodium, to obtain a composition with better dissolution characteristics. The effective oral dose of the risedronate active ingredient depends on the extent of the disease and for adults it is generally from about 20 mg to about 40 mg daily, preferably from about 30 mg to about 35 mg daily. When the dose is to be administered continuously, the preferred dose is from 30 to 35 mg / day, preferably 35 mg / day.
The human being or another mammal suffering from diseases or disorders involving the metabolism of calcium and phosphate can be successfully treated by delivery of the active ingredient of risedronate to the lower gastrointestinal tract, preferably to the small intestine. The enteric novel coated oral dosage forms of the present invention deliver to the lower gastrointestinal tract; at the same time that prevents the unwanted release of risedronate in the mouth, pharynx and / or P05 / 028-LSC the esophagus, as well as inhibits the release of the risedronate active ingredient in the stomach, thereby preventing the erosion, ulceration or irritation of the epithelial or mucosal layers of these tissues. Although delivery to the small intestine is generally only preferred, in some cases, however, it may be desired to deliver the risedronate active ingredient to the entire lower gastrointestinal tract, beginning with delivery to the small intestine and continuing with delivery to the large intestine.; in other cases, it is desired that the delivery of the active ingredient of risedronate be made only to the large intestine. When using the enteric novel coated oral dosage forms described, the pharmaceutically acceptable excipients, the coating methods, the formulations, and / or the thickness of the layer can be easily varied by a person skilled in the art. The novel oral dosage forms are formulated for formulations that delay delivery of the active ingredient. Accordingly, the tissues of the upper gastrointestinal tract, especially epithelial and mucosal layers of the oral cavity, pharynx, esophagus and stomach do not come into direct contact with the risedronate active ingredient. The oral dosage form, therefore, substantially relieves esophagitis or irritation of the esophagus which usually occurs when orally administering pharmaceutical compositions containing a risedronate active ingredient. The pharmaceutical compositions described below comprise from 1 to 25%, preferably from 19 to 20% of an active ingredient of risedronate and from 85 to 75%, preferably from 79 to 81% of pharmaceutically acceptable excipients.
P05 / 028-LSC The term "oral dosage form" as used herein means any pharmaceutical composition intended to be administered to the gastrointestinal tract of an individual via the mouth of the individual, and for the purposes of the present invention, the form of delivery may be in the form of a tablet, (preferably enteric coated) containing the granules or the particles of the risedronate active ingredient. The "enteric coated oral dosage form" as used below relates to an oral dosage form containing a pharmaceutical composition as described below that uses an enteric layer to effect the release of the risedronate active ingredient in the gastrointestinal tract. low. The term "enteric coated" as used below relates to a mixture of pharmaceutically acceptable excipients to which the risedronate active ingredient is applied, combined, mixed or added.
TABLETS COVERED ENTELICALLY FROM RISEDRONATE The enteric coated risedronate tablets are made by preparing a compressed layer and tablet composition containing the risedronate active ingredient separately, and then applying the layer composition to the tablets.
A. Sodium risedronate compressed tablets The composition containing the active ingredient is prepared from the following excipients: P05 / 028-LSC Active ingredient Risedronate sodium 35 mg Excipients Cellulose Microcrystalline PH 200 45 mg udipress * 92.8 mg Croscamellose sodium 5.5 mg Magnesium stearate 1.7 mg * Ludipress: Lactose; crospovidone; povidone: 93%, 3.5%, 3.5% The tablets are prepared by mixing the risedronate ingredient with microcrystalline cellulose PH 200, croscamellose sodium and Ludipress ® for 30 minutes in a "V" mixer, which have been previously screened in a No. 20 mesh. The stearate is added. magnesium and is mixed with the other ingredients until adequate lubrication is achieved. The tablets are obtained by compressing the mixture in a tabletting machine.
B. Suspension of Enteric Layer The enteric layer composition is prepared from the following excipients: P05 / 028-LSC Excipients Euragit® L30 D 55 42 mg (manufactured by Rohm Pharma GmbH, Weiterstadt, West Germany) Eudragit ® blue 040 22.72 mg Purified Water 60.30 mg The enteric layer is prepared using the following method: The Eudragit L-30-D-55 is added to a convenient container and Ql N sodium hydroxide is added until a pH of 5.0 to 5.2 is obtained and diluted with a portion of the purified water , homogenizing the mixture. The Eudracolor 040 is added with agitation to the diluted Eudragit solution and mixed until homogenized. In a container of suitable capacity, the risedronate sodium tablets prepared as described above are loaded, heated to about 30 ° to 35 ° C. The enteric suspension is sprayed onto the tablets at approximately 4 -8 mg / minute. When the spray cycle is completed, the temperature is reduced and the tablets are removed from the container. The applied layer is about 18 to 21 mg, that is, about 18 to 21 microns thick.
DISSOLUTION PROFILE OF RISEDRONATE. The dissolution profile of Risedronate sodium tablet with enteric layer of 35 mg was run, obtaining the following results: P05 / 029-LSC SODIUM RISEDRONATE TABLET WITH ENTÉRICA LAYER OF 35 mg: To verify the effectiveness of the enteric layer in the tablet, the product was submitted to the acid resistance test under the following conditions: CONDITIONS: Dissolution medium: 750 mL of hydrochloric acid 0.1 N Apparatus: Pallets at 100 rpm. Temperature of the dissolution medium: 37 ° C ± 0.5 ° C Time: 2 hours.
The results were the following: TABLE 1. RESULTS OBTAINED FROM THE ACID TEST RESISTANCE GRAGEA% DISSOLVED 1 6.9412 ~ 7.82? 0" With the above results, the effectiveness of the enteric layer is demonstrated since the specification indicates that no more than 10% should dissolve.
PQ5 / 029-LSC Once the effectiveness of the enteric layer was verified, the dissolution profile was carried out using buffer pH 6.8 as dissolution medium. To perform the quantification of the dissolved percent of Risedronate sodium, a standard curve was made with supplier standard, which has a purity of 99.95%. Table 3 shows the results obtained from the curve (to make the dilutions, we used a buffer with an HOP of 6.8): TABLE 2. RESULTS OBTAINED FROM THE PATTERN CURVE CONCENTRATION ABSORBANCES mcg / mL AVERAGE . 9920 0.1868 19.9900 0.2331 23.9880 0.2841 27.9860 0.3262 Tl "9840 ~ 0.3744 These results were graded as shown in Figure 1. Where the equation of the line is y = 0.0162x + 0.0017, with a linear correlation coefficient of 0.9998 P05 / 029-LSC The dissolution profile of Risedronate sodium tablet with enteric layer of 35 mg was carried out under the following conditions: CONDITIONS: Dissolution medium: 900 mL of Buffer pH 6.8 Apparatus: Paddles at 100 rpm. Temperature of the dissolution medium 37 ° C ± 0.5 ° C The results obtained were the following: TABLE 3. RESULTS OBTAINED FROM THE DISSOLUTION PROFILE OF SODIUM RISEDRONATE TABLETS WITH ENTÉRICA LAYER OF 35 mg These results were graded as shown in Figure 2.
P05 / 029-LSC

Claims (20)

1. A novel enteric-coated oral dosage form of an active ingredient of risedronate comprising from 15 to 25%, preferably from 19 to 20% of an active ingredient of risedronate and from 85 to 75%, preferably from 79 to 81% of pharmaceutically acceptable excipients.
2. A dosage form according to claim 1 wherein the pharmaceutical composition comprises from 19 to 20% of the risedronate active ingredient and from 80 to 81% of the pharmaceutically acceptable excipients.
3. A novel enteric-coated oral dosage form of an active ingredient of risedronate comprising from about 20 mg to about 40 mg, preferably from about 30 mg to about 35 mg, when the dose is to be administered continuously, the preferred dose is a from 30 to 35 mg, preferably 35 mg and the pharmaceutical excipients from 140 to 160 mg,.
4. A novel enteric-coated oral dosage form of an active ingredient of risedronate according to any of the preceding claims, wherein said dose is administered daily.
5. A dosage form according to any of the preceding claims wherein the active component of risedronate is selected from the group consisting of risedronate salts and esters, or any mixture thereof; the risedronate salts can be addition salts of the acid, in particular hydrochloride, the pharmaceutically acceptable, non-toxic organic or inorganic acid salt; the alkaline salts (Ca, magnesium), Na salt; Other esters of risedronate are the alkyl esters of P05 / 029- SC straight or branched chain C -C18, including, but not limited to, methyl, ethyl, propyl, isopropyl, butyl, isobutyl, amyl, hexyl, heptyl, octyl, nonyl, decyl, lauryl, myristyl, cetyl, and stearyl; straight or branched chain alkenyl esters C2-Clg, including, but not limited to vinyl, alkyl, undecenyl, and linolenyl; C3-C8 cycloalkyl esters, including, but not limited to, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and cyclooctyl; aryl esters, including, but not limited to, phenyl, toluyl, xylyl, and naphthyl; alicyclic esters, including, but not limited to, menthyl; and aralkyl esters, including, but not limited to, benzyl, and phenethyl.
6. A dosage form according to any of the preceding claims wherein the active component is sodium risedronate.
7. A dosage form according to any of the preceding claims wherein the pharmaceutically acceptable excipients include fillers, viscosity agents, sweetening agents and lubricants.
8. A dosage form according to any of the preceding claims wherein the filler is PH 200 microcrystalline cellulose, the viscosity agents are crospovidone, povidone and lactose; the lubricating agent is magnesium stearate and the sweetening agent is croscarmellose sodium.
9. A dosage form according to any of the preceding claims wherein the viscosity agent has 93% lactose, 3.5% crsopovidone and 3.5% povidone.
10. A dosage form according to any of the preceding claims wherein the risedronate active ingredient is present between 15% and 25% by weight of the P05 / 029-LSC composition, preferably between 19 and 20% by weight of the composition; the filling agent between 28% and 35% by weight of the composition, preferably between 30% and 32% by weight of the composition; the viscosity agent between 2.5% and 4.5% by weight of the composition, preferably between 3% and 4%; and the lubricating agent between 0.5% and 1.5%, by weight of the composition.
11. A dosage form according to any of the preceding claims wherein the enteric layer is a pH dependent layer and the dosage form is a delayed release pharmaceutical composition.
12. A dosage form according to any of the preceding claims wherein the enteric layer is insoluble at a pH below 5 but soluble at a pH of 6 or higher.
13. A dosage form according to any of the preceding claims wherein the enteric layer is insoluble in the oral cavity, the pharynx, esophagus and stomach, but soluble in the small and / or large intestine.
14. A dosage form according to any of the preceding claims wherein the enteric layer comprises an anionic carboxylic polymer.
15. A dosage form according to any of the preceding claims wherein the anionic carboxylic polymer of the enteric layer is a methacrylic acid polymer partially esterified with methyl wherein the ratio of free carboxylic groups to ester groups is about 1: 2.
16. A dosage form according to any of the preceding claims wherein the enteric layer comprises from 30 to 35% by weight of the composition of the anionic carboxylic polymer; from 16% to 20% by weight of the composition of a colorant Pharmaceutically acceptable P05 / 029-LSC and from 46% to 50% by weight of the purified water composition, preferably from 33 to 34% by weight of the composition of the anionic carboxylic polymer; 18% to 19% by weight of the composition of a pharmaceutically acceptable dye and 48% to 49%) by weight of the purified water composition
17. A dosage form according to any of the preceding claims wherein the enteric layer has a thickness between approximately 150 and 300 microns thick.
18. A manufacturing process of a tablet of a dosage form containing an active ingredient of risedronate sodium, said process comprises the steps of: - screening in a number 20 mesh, the risedronate ingredient with PH 200 microcrystalline cellulose, croscarmellose sodium and ludipress; - mixing the above components in a mixer "V" for 30 minutes; - add magnesium stearate and mix with the other ingredients until adequate lubrication is achieved. - transport the previous mixture to compression tablet machine.
19. A process for manufacturing an enteric layer composition for a dosage form containing as a composition an active ingredient of risedronate, said process comprising the steps of: - adding anionic carboxylic polymer in a convenient vessel sodium hydroxide 0.1 N until obtaining a pH of 5.0 to 5.2 dilute with a portion of the purified water and homogenize the mixture; P05 / 029-LSC add with stirring the dye 040 to the diluted suspension of the anionic carboxylic polymer and mix until homogenizing.
20. A process for the manufacture of an enteric-dose dosage form containing an active ingredient of risedronate, said process comprising the steps of - in a convenient layer container, loading the risedronate sodium tablets prepared as described in claim 18; cayenating said container with the tablets to about 30 ° to 35 ° C; spraying the enteric layer suspension obtained according to the process described in claim 19 on the tablets at approximately 4 to 8 milligrams per minute; - once the aerosol cycle is completed, the temperature is reduced and the tablets are removed from the container; - the applied layer is about 18 to 21 mg, that is, about 150 to 300 microns thick. P0S / 029-LSC
MXPA/A/2005/004999A 2005-05-10 Oral dosage forms of delayed-release enteric coated risedronate MXPA05004999A (en)

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