US20050267189A1 - Celecoxib compositions - Google Patents

Celecoxib compositions Download PDF

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Publication number
US20050267189A1
US20050267189A1 US10/776,869 US77686904A US2005267189A1 US 20050267189 A1 US20050267189 A1 US 20050267189A1 US 77686904 A US77686904 A US 77686904A US 2005267189 A1 US2005267189 A1 US 2005267189A1
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Prior art keywords
celecoxib
composition
compositions
dose
weight
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Abandoned
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US10/776,869
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English (en)
Inventor
Danchen Gao
Anthony Hlinak
Ahmad Mazhary
James Truelove
Margaret Vaughn
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GD Searle LLC
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GD Searle LLC
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Application filed by GD Searle LLC filed Critical GD Searle LLC
Priority to US10/776,869 priority Critical patent/US20050267189A1/en
Publication of US20050267189A1 publication Critical patent/US20050267189A1/en
Abandoned legal-status Critical Current

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    • A61K31/635—Compounds containing para-N-benzenesulfonyl-N-groups, e.g. sulfanilamide, p-nitrobenzenesulfonyl hydrazide having a heterocyclic ring, e.g. sulfadiazine
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Definitions

  • the present invention relates to orally deliverable pharmaceutical compositions containing celecoxib as an active ingredient, to processes for preparing such compositions, to methods of treatment of cyclooxygenase-2 mediated disorders comprising orally administering such compositions to a subject, and to the use of such compositions in the manufacture of medicaments.
  • the 1,5-diaryl pyrazole compounds reported in U.S. Pat. No. 5,466,823 are described therein as useful in treating inflammation and inflammation-related disorders.
  • U.S. Pat. No. 5,466,823 contains general references to formulations for the administration of these 1,5-diaryl pyrazoles, including orally deliverable dosage forms such as tablets and capsules.
  • Talley et al., U.S. Pat. No. 5,760,068 reports a class of 1,5-diaryl pyrazole compounds including celecoxib that are described as selective inhibitors of cyclooxygenase-2 and that can be administered to treat, among other conditions and disorders, pathological conditions associated with rheumatoid arthritis and osteoarthritis.
  • compositions comprising a cyclooxygenase-2 inhibitor, specifically 2-(3,5-difluorophenyl)-3-(4-methyl-sulfonyl)phenyl)-2-cyclopenten-1-one, in combination with excipient ingredients including microcrystalline cellulose, lactose monohydrate, hydroxypropyl cellulose, croscarmellose sodium and magnesium stearate.
  • excipient ingredients including microcrystalline cellulose, lactose monohydrate, hydroxypropyl cellulose, croscarmellose sodium and magnesium stearate.
  • celecoxib for effective oral administration to a subject has hitherto been complicated by the unique physical and chemical properties of the compound, particularly its low solubility and factors associated with its crystal structure, including cohesiveness, low bulk density and low compressibility.
  • Celecoxib is unusually insoluble in aqueous media. Unformulated celecoxib is not readily dissolved and dispersed for rapid absorption in the gastrointestinal tract when administered orally, for example in capsule form.
  • unformulated celecoxib which has a crystal morphology that tends to form long cohesive needles, typically fuses into a monolithic mass upon compression in a tableting die.
  • celecoxib treatment is indicated or potentially indicated in a very wide array of cyclooxygenase-2 mediated conditions and disorders. It would therefore be of great benefit to provide a range of formulations having bioavailability characteristics tailored to different indications. It would be of especial benefit to provide formulations exhibiting pharmacokinetics consistent with a more rapid onset effect than is possible with unformulated celecoxib.
  • composition comprising one or more orally deliverable dose units, each comprising particulate celecoxib in an amount of about 10 mg to about 1000 mg in intimate mixture with one or more pharmaceutically acceptable excipients.
  • a single dose unit upon oral administration to a fasting subject, provides a time course of blood serum concentration of celecoxib having at least one of the following:
  • the composition has a relative bioavailability not less than about 50% by comparison with an orally delivered solution containing an equivalent amount of celecoxib.
  • the composition has a distribution of celecoxib primary particle sizes such that D 90 is less than about 200 ⁇ m (90% of a sample of particles is smaller than the D 90 value) in the longest dimension of the particles.
  • the dose units comprising the composition can be in the form of discrete solid articles such as tablets, pills, hard or soft capsules, lozenges, sachets or pastilles; alternatively the composition can be in the form of a substantially homogeneous flowable mass, such as a particulate or granular solid or a liquid suspension, from which single dose units are measurably removable.
  • FIG. 1 is a flow diagram illustrating a representative method for the preparation of pharmaceutical compositions of the present invention in the form of capsules.
  • FIG. 2 is a flow diagram illustrating an alternative method for the preparation of pharmaceutical compositions of the present invention in the form of capsules.
  • Novel pharmaceutical compositions according to the present invention comprise one or more orally deliverable dose units, wherein each dose unit comprises particulate celecoxib in an amount from about 10 mg to about 1000 mg and are superior immediate release compositions capable of providing rapid relief from a cyclooxygenase-2 mediated disorder when orally administered to a subject suffering from such a disorder.
  • compositions result from improved bioavailability of celecoxib, in particular from surprisingly effective absorption of celecoxib in the gastrointestinal tract.
  • effective absorption can be verified by one of skill in the art by monitoring blood serum concentration of celecoxib in a treated subject for a period of time following administration. It is desired to reach, in as short a time as possible, a threshold of celecoxib concentration in the blood serum consistent with effective cyclooxygenase-2 inhibition, without having that concentration subsequently decrease too rapidly so that the beneficial effects of the celecoxib can be maintained for as long a time as possible.
  • each orally deliverable dose unit upon oral administration, provides a time course of blood serum concentration of celecoxib characterized by at least one of the following:
  • the amount of celecoxib in a dose unit effective to provide blood serum concentrations meeting any of criteria (a) to (e) immediately above is dependent on the body weight of the treated subject.
  • the subject is a child or a small animal (e.g., a dog)
  • an amount of celecoxib relatively low in the indicated range of about 10 mg to about 1000 mg is likely to provide blood serum concentrations consistent with at least one of criteria (a) to (e).
  • the subject is an adult human or a large animal (e.g., a horse)
  • the indicated blood serum concentrations of celecoxib are likely to require dose units containing a relatively greater amount of celecoxib.
  • a suitable amount of celecoxib per dose unit in a composition of the present invention to provide the indicated blood serum concentrations is typically about 75 mg to about 400 mg.
  • Bioavailability of orally delivered celecoxib in an absolute sense is difficult to measure, because intravenous delivery (normally the standard against which such bioavailability is determined) is highly problematical with a drug having very low solubility in water, as is the case with celecoxib.
  • Relative bioavailability is, however, determinable by comparison with an orally administered solution of celecoxib in a suitable solvent. It has been found that surprisingly high relative bioavailability is obtainable with orally delivered compositions of the present invention.
  • each orally deliverable dose unit upon oral administration, has a relative bioavailability of not less than about 50%, preferably not less than about 70%, by comparison with an orally delivered solution of celecoxib containing an equivalent amount of celecoxib.
  • bioavailability is derived from an integrated measure of blood serum concentration of celecoxib over a period of time following oral administration.
  • Compositions of the present invention contain celecoxib in particulate form.
  • Primary celecoxib particles generated for example by milling or grinding, or by precipitation from solution, can agglomerate to form secondary aggregate particles.
  • particle size refers to size, in the longest dimension, of primary particles, unless the context demands otherwise. Particle size is believed to be an important parameter affecting the clinical effectiveness of celecoxib.
  • compositions of the present invention have a distribution of celecoxib particle sizes such that D 90 of the particles, in their longest dimension, is less than about 200 ⁇ m, preferably less than about 100 ⁇ m, more preferably less than about 75 ⁇ m, even more preferably less than about 40 ⁇ m, and most preferably less than about 25 ⁇ m.
  • a decrease in particle size of celecoxib in accordance with this embodiment of the invention generally improves the bioavailability of the celecoxib.
  • celecoxib particles in a composition of the invention preferably have a mean particle size of about 1 ⁇ m to about 10 ⁇ m, most preferably about 5 ⁇ m to about 7 ⁇ m.
  • blend uniformity is further improved by wet granulating celecoxib with the carrier materials to prepare the pharmaceutical composition, particularly when the celecoxib starting material used has been impact milled. Impact milling the celecoxib starting material such that particle sizes are as described above, followed by wet granulation, is particularly desirable.
  • the novel pharmaceutical compositions of the invention comprise celecoxib together with one or more carrier materials or excipients selected from diluents, disintegrants, binding agents, wetting agents and lubricants.
  • at least one of the carrier materials is a water soluble diluent or wetting agent.
  • a water soluble diluent or wetting agent assists in the dispersion and dissolution of the celecoxib when the pharmaceutical composition is ingested.
  • both a water soluble diluent and a wetting agent are present.
  • a composition of the invention can be a substantially homogeneous flowable mass such as a particulate or granular solid or a liquid, or it can be in the form of discrete articles such as capsules or tablets each comprising a single dose unit.
  • Suitable flowable masses include, but are not limited to, powders and granules.
  • the flowable mass can be a suspension having the celecoxib in a solid particulate phase dispersed in a liquid phase, preferably an aqueous phase.
  • a wetting agent such as polysorbate 80 or the like is likely to be beneficial.
  • a suspension can be prepared by dispersing milled celecoxib in the liquid phase; alternatively the celecoxib can be precipitated from solution in a solvent such as an alcohol, preferably ethanol.
  • the aqueous phase preferably comprises a palatable vehicle such as water, syrup or fruit juice, for example apple juice.
  • compositions of the present invention are useful in treatment and prevention of a very wide range of disorders mediated by cyclooxygenase-2.
  • Presently contemplated compositions are useful for, but not limited to, the treatment of inflammation in a subject, as an analgesic for example in the treatment of pain and headaches, and as an antipyretic in the treatment of fever.
  • such compositions are useful to treat arthritic disorders, including but not limited to rheumatoid arthritis, spondyloarthropathies, gouty arthritis, osteoarthritis, systemic lupus erythematosus and juvenile arthritis.
  • compositions are also useful in the treatment of asthma, bronchitis, menstrual cramps, preterm labor, tendinitis, bursitis, allergic neuritis, cytomegalovirus infectivity, apoptosis including HIV-induced apoptosis, lumbago, liver disease including hepatitis, skin-related conditions such as psoriasis, eczema, acne, UV damage, burns and dermatitis, and post-operative inflammation including that following ophthalmic surgery such as cataract surgery or refractive surgery.
  • Contemplated compositions are useful to treat gastrointestinal conditions such as inflammatory bowel disease, Crohn's disease, gastritis, irritable bowel syndrome and ulcerative colitis.
  • Contemplated compositions are useful in treating inflammation in such diseases as migraine headaches, periarteritis nodosa, thyroiditis, aplastic anemia, Hodgkin's disease, sclerodoma, rheumatic fever, type I diabetes, neuromuscular junction disease including myasthenia gravis, white matter disease including multiple sclerosis, sarcoidosis, nephrotic syndrome, Behcet's syndrome, polymyositis, gingivitis, nephritis, hypersensitivity, swelling occurring after injury including brain edema, myocardial ischemia, and the like.
  • diseases as migraine headaches, periarteritis nodosa, thyroiditis, aplastic anemia, Hodgkin's disease, sclerodoma, rheumatic fever, type I diabetes, neuromuscular junction disease including myasthenia gravis, white matter disease including multiple sclerosis, sarcoidosis, nephrotic syndrome, Behcet
  • Contemplated compositions are useful in the treatment of ophthalmic diseases, such as retinitis, conjunctivitis, retinopathies, uveitis, ocular photophobia, and of acute injury to the eye tissue.
  • Contemplated compositions are useful in the treatment of pulmonary inflammation, such as that associated with viral infections and cystic fibrosis, and in bone resorption such as that associated with osteoporosis.
  • Contemplated compositions are useful for the treatment of certain central nervous system disorders, such as cortical dementias including Alzheimer's disease, neurodegeneration, and central nervous system damage resulting from stroke, ischemia and trauma.
  • the term “treatment” in the present context includes partial or total inhibition of dementias, including Alzheimer's disease, vascular dementia, multi-infarct dementia, pre-senile dementia, alcoholic dementia, and senile dementia.
  • compositions of the invention are especially useful as anti-inflammatory agents, such as for the treatment of arthritis, with the additional benefit of having significantly less harmful side effects than compositions of conventional nonsteroidal anti-inflammatory drugs (NSAIDs).
  • NSAIDs nonsteroidal anti-inflammatory drugs
  • Contemplated compositions are useful in the treatment of allergic rhinitis, respiratory distress syndrome, endotoxin shock syndrome, and liver disease. Contemplated compositions are useful in the treatment of pain, including but not limited to postoperative pain, dental pain, muscular pain, and pain resulting from cancer.
  • compositions are useful for, but not limited to, treating and preventing inflammation-related cardiovascular disorders in a subject.
  • Such compositions are useful for treatment and prevention of vascular diseases, coronary artery disease, aneurysm, vascular rejection, arteriosclerosis, atherosclerosis including cardiac transplant atherosclerosis, myocardial infarction, embolism, stroke, thrombosis including venous thrombosis, angina including unstable angina, coronary plaque inflammation, bacterial-induced inflammation including Chlamydia-induced inflammation, viral induced inflammation, and inflammation associated with surgical procedures such as vascular grafting including coronary artery bypass surgery, revascularization procedures including angioplasty, stent placement, endarterectomy, or other invasive procedures involving arteries, veins and capillaries.
  • compositions of the invention are useful for, but not limited to, the treatment of angiogenesis-related disorders in a subject.
  • Compositions of the invention can be administered to a subject in need of angiogenesis inhibition.
  • Such compositions are useful for the treatment of neoplasia, including metastasis; ophthalmological conditions such as corneal graft rejection, ocular neovascularization, retinal neovascularization including neovascularization following injury or infection, diabetic retinopathy, macular degeneration, retrolental fibroplasia and neovascular glaucoma; ulcerative diseases such as gastric ulcer; pathological, but non-malignant, conditions such as hemangiomas, including infantile hemaginomas, angiofibroma of the nasopharynx and avascular necrosis of bone; and disorders of the female reproductive system such as endometriosis.
  • Contemplated compositions are useful for the prevention or treatment of benign and malignant tumors/neoplasia including cancer, such as colorectal cancer, brain cancer, bone cancer, epithelial cell-derived neoplasia (epithelial carcinoma) such as basal cell carcinoma, adenocarcinoma, gastrointestinal cancer such as lip cancer, mouth cancer, esophogeal cancer, small bowel cancer and stomach cancer, colon cancer, liver cancer, bladder cancer, pancreas cancer, ovary cancer, cervical cancer, lung cancer, breast cancer and skin cancer, such as squamous cell and basal cell cancers, prostate cancer, renal cell carcinoma, and other known cancers that effect epithelial cells throughout the body.
  • cancer such as colorectal cancer, brain cancer, bone cancer, epithelial cell-derived neoplasia (epithelial carcinoma) such as basal cell carcinoma, adenocarcinoma, gastrointestinal cancer such as lip cancer, mouth cancer, esophogeal cancer, small
  • Neoplasias for which compositions of the invention are contemplated to be particularly useful are gastrointestinal cancer, Barrett's esophagus, liver cancer, bladder cancer, pancreas cancer, ovary cancer, prostate cancer, cervical cancer, lung cancer, breast cancer and skin cancer, such as squamous cell and basal cell cancers.
  • Compositions of the invention can also be used to treat the fibrosis which occurs with radiation therapy.
  • Such compositions can be used to treat subjects having adenomatous polyps, including those with familial adenomatous polyposis (FAP). Additionally, such compositions can be used to prevent polyps from forming in patients at risk of FAP.
  • FAP familial adenomatous polyposis
  • compositions of the present invention possess anti-inflammatory, antipyretic and analgesic properties similar or superior to those of compositions of conventional nonsteroidal anti-inflammatory drugs.
  • Contemplated compositions also inhibit hormone-induced uterine contractions and have potential anti-cancer effects, but with a diminished ability to induce some of the mechanism-based side effects of conventional NSAIDs.
  • compositions of the invention have reduced potential for gastrointestinal toxicity and gastrointestinal irritation including upper gastrointestinal ulceration and bleeding, reduced potential for renal side effects such as reduction in renal function leading to fluid retention and exacerbation of hypertension, reduced effect on bleeding times including inhibition of platelet function, and possibly a lessened ability to induce asthma attacks in aspirin-sensitive asthmatic subjects, by comparison with compositions of conventional NSAIDs.
  • Contemplated compositions are useful for the relief of pain, fever and inflammation of a variety of conditions including rheumatic fever, symptoms associated with influenza or other viral infections, common cold, low back and neck pain, dysmenorrhea, headache, toothache, sprains and strains, myositis, neuralgia, synovitis, arthritis, including rheumatoid arthritis, degenerative joint diseases (osteoarthritis), gout and ankylosing spondylitis, bursitis, bums, and injuries following surgical and dental procedures.
  • contemplated compositions inhibit cellular neoplastic transformations and metastic tumor growth and hence can be used in the treatment of cancer, such as cancer of the colon.
  • Contemplated compositions are also of use in the treatment and/or prevention of cyclooxygenase-mediated proliferative disorders such as may occur in diabetic retinopathy and tumor angiogenesis.
  • Contemplated compositions inhibit prostanoid-induced smooth muscle contraction by preventing the synthesis of contractile prostanoids and hence can be of use in the treatment of dysmenorrhea, premature labour, asthma and eosinophil-related disorders. They also can be of use in the treatment of Alzheimer's disease, for decreasing bone loss particularly in postmenopausal women (i.e., treatment of osteoporosis), and for treatment of glaucoma.
  • compositions of the invention are useful as an alternative to conventional NSAIDs, particularly where such NSAIDs are contraindicated, for example in patients with peptic ulcers, gastritis, regional enteritis, ulcerative colitis, diverticulitis or with a recurrent history of gastrointestinal lesions; gastrointestinal bleeding, coagulation disorders including anemia such as hypoprothrombinemia, hemophilia or other bleeding problems; kidney disease; or in patients prior to surgery or patients taking anticoagulants.
  • COX-2 cyclooxygenase-2
  • COX-1 cyclooxygenase-1
  • Preferred uses for the pharmaceutical compositions of the present invention are for the treatment of rheumatoid arthritis and osteoarthritis, for pain management generally (particularly post-oral surgery pain, post-general surgery pain, post-orthopedic surgery pain, and acute flares of osteoarthritis), the treatment of Alzheimer's disease, and colon cancer chemoprevention.
  • compositions of the invention are also useful for veterinary treatment of companion animals, exotic animals and farm animals, and the like, particularly mammals including rodents. More particularly, compositions of the invention are useful for veterinary treatment of cyclooxygenase-2 mediated disorders in horses, dogs, and cats.
  • compositions can be used in combination therapies with opioids and other analgesics, including narcotic analgesics, Mu receptor antagonists, Kappa receptor antagonists, non-narcotic (i.e. non-addictive) analgesics, monamine uptake inhibitors, adenosine regulating agents, cannabinoid derivatives, Substance P antagonists, neurokinin-1 receptor antagonists and sodium channel blockers, among others.
  • opioids and other analgesics including narcotic analgesics, Mu receptor antagonists, Kappa receptor antagonists, non-narcotic (i.e. non-addictive) analgesics, monamine uptake inhibitors, adenosine regulating agents, cannabinoid derivatives, Substance P antagonists, neurokinin-1 receptor antagonists and sodium channel blockers, among others.
  • Preferred combination therapies comprise use of a composition of the invention with compounds selected from morphine, meperidine, codeine, pentazocine, buprenorphine, butorphanol, dezocine, meptazinol, hydrocodone, oxycodone, methadone, DuP-747, Dynorphine A, Enadoline, RP-60180, HN-11608, E-2078, ICI-204448, acetaminophen (paracetamol), propoxyphene, nalbuphine, E-4018, filenadol, mirfentanil, amitriptyline, DuP-631, GP-531, acadesine, AKI-1, AKI-2, GP-1683, GP-3269, 4030W92, tramadol racemate and isolated (+) and ( ⁇ ) enantiomers, AXC-3742, SNX-111, ADL2-1294, CT-3, and CP-99994.
  • active ingredient herein means celecoxib unless the context demands otherwise.
  • excipient herein includes any substance used as a vehicle for delivery of the active ingredient to a subject, and any substance added to the active ingredient, for example to improve its handling properties or to permit the resulting composition to be formed into an orally deliverable unit dose having the desired shape and consistency.
  • Excipients can include, by way of illustration and not by limitation, diluents, disintegrants, binding agents, adhesives, wetting agents, lubricants, glidants, substances added to mask or counteract a bad taste or odor, flavors, dyes, substances added to improve appearance of a dosage form, and any other substance other than the active ingredient conventionally used in the preparation of oral dosage forms.
  • adjuvant herein means a substance that, when present in or added to a pharmaceutical composition comprising an active ingredient, increases or otherwise improves the action of the active ingredient.
  • unit dose herein refers to an amount of active ingredient intended for a single oral administration to a subject for treatment or prevention of a cyclooxygenase-2 mediated condition or disorder.
  • Treatment of a cyclooxygenase-2 mediated disorder may require periodic administration of unit doses of celecoxib, for example one unit dose two or more times a day, one unit dose with each meal, one unit dose every four hours or other interval, or only one unit dose per day.
  • dose unit herein means a portion of a pharmaceutical composition that contains a single unit dose of the active ingredient.
  • a dose unit can be in the form of a discrete article such as a tablet or capsule, or can be a measurable volume of a solution, suspension or the like containing a unit dose of the active ingredient.
  • orally deliverable herein means intended to be administered to the gastrointestinal tract of a subject via the mouth of said subject.
  • substantially homogeneous when used herein to describe a pharmaceutical composition that contains a combination of components, means that the components are fully mixed so that the individual components are neither separated into discrete layers nor form concentration gradients within the composition.
  • bioavailability herein relates to a measure of the amount of active ingredient that is absorbed via the gastrointestinal tract into the bloodstream. More specifically, “bioavailability” is used herein to denote AUC (0- ⁇ ) for a specific orally administered composition expressed as a percentage of AUC (0- ⁇ ) for the active ingredient delivered intravenously at the same dosage rate.
  • relative bioavailability herein denotes AUC (0- ⁇ ) for a specific orally administered composition expressed as a percentage of AUC (0- ⁇ ) for an orally administered solution of the active ingredient at the same dosage rate.
  • AUC (0-24) ”, “AUC (0-48) ” and “AUC (0-72) ” herein mean the area under the curve relating blood serum concentration to time after administration from 0 to 24 hours, 48 hours or 72 hours respectively, as determined using the linear trapezoidal rule, and are expressed in units of (ng/ml)h.
  • AUC (0-LQC) herein means the area under the curve relating blood serum concentration to time after administration from 0 hours to the time of last quantifiable concentration (“LQC”), as determined using the linear trapezoidal rule, and is expressed in units of (ng/ml)h.
  • AUC (0- ⁇ ) herein is calculated as AUC (0-LQC) +LQC/( ⁇ b), where LQC is the last quantifiable blood serum concentration and b is the slope from the calculation of T 1/2 , and is expressed in units of (ng/ml)h.
  • C max herein means the maximum observed blood serum concentration or the maximum blood serum concentration calculated or estimated from a concentration/time curve, and is expressed in units of ng/ml.
  • T max means the time after administration at which C max occurs, and is expressed in units of hours (h).
  • T 1/2 herein means the terminal half-life of blood serum concentration, determined via simple linear regression of natural log (ln) concentration vs. time for data points in the terminal phase of the concentration-time curve. T 1/2 , is computed as ⁇ ln(2)/( ⁇ b) and is expressed in units of hours (h).
  • rate of absorption herein means C max /AUC (0-LQC) .
  • compositions of the present invention are suitable for administration of celecoxib in a daily dosage amount from about 10 mg to about 1000 mg.
  • Each dose unit of a composition of the invention typically comprises an amount of celecoxib from about one-tenth of the daily dosage amount to the whole of a daily dosage amount.
  • Compositions of the invention comprise celecoxib in an amount of about 10 mg to about 1000 mg, preferably about 50 mg to about 800 mg, more preferably about 75 mg to about 400 mg, and most preferably about 100 mg to about 200 mg, per dose unit.
  • each such article comprises about 10 mg to about 1000 mg, preferably about 56 mg to about 800 mg, more preferably about 75 mg to about 400 mg, and most preferably about 100 mg to about 200 mg, of celecoxib.
  • Dose units of compositions of the invention typically contain, for example, a 10, 20, 25, 37.5, 50, 75, 100, 125, 150, 175, 200, 250, 300, 350 or 400 mg dose of celecoxib.
  • Preferred compositions have dose units containing about 100 mg or about 200 mg of celecoxib.
  • the particular dose unit can be selected to accommodate the desired frequency of administration used to achieve a desired daily dosage.
  • the daily dosage and frequency of administration, and therefore the selection of appropriate dose unit depends on a variety of factors, including the age, weight, sex and medical condition of the subject, and the nature and severity of the condition or disorder, and thus may vary widely.
  • a once-a-day or twice-a-day administration regimen to provide the required daily dosage of celecoxib exhibits improved efficacy relative to other administration regimens, for compositions illustrated herein. Accordingly, once-a-day or twice-a-day oral administration of a composition of the invention is preferred for providing therapeutically or prophylatically effective inhibition of cyclooxygenase-2 mediated disorders.
  • compositions of the present invention are useful where administration of a cyclooxygenase-2 inhibitor is indicated. It has been found that these compositions are particularly effective in the treatment of, for example, rheumatoid arthritis and osteoarthritis, and for pain management generally (particularly post-oral surgery pain, post-general surgery pain, post-orthopedic surgery pain, and acute flares of osteoarthritis), the treatment of Alzheimer's disease, and colon cancer chemoprevention.
  • compositions of the invention can be used to provide a daily dosage of celecoxib of about 50 mg to about 1000 mg, preferably about 100 mg to about 600 mg, more preferably about 150 mg to about 500 mg, and still more preferably about 175 to about 400, for example about 200 mg.
  • the daily dose can be administered in one to four doses per day, preferably one or two doses per day.
  • Administration of a composition of the invention at the rate of one 100 mg dose unit twice a day is preferred for most patients, but some patients may benefit from administration of one 200 mg dose unit or two 100 mg dose units twice a day.
  • compositions of the invention can be used to provide a daily dosage of celecoxib of about 50 mg to about 1000 mg, preferably about 100 mg to about 600 mg, more preferably about 150 mg to about 500 mg, and still more preferably about 175 to about 400, for example about 200 mg.
  • the daily dose can be administered in one to four doses per day, preferably one or two doses per day.
  • Administration of a composition of the invention at the rate of one 100 mg dose unit twice a day or of one 200 mg dose unit or two 100 mg dose units once a day is preferred.
  • compositions of the invention can be used to provide a daily dosage of celecoxib of about 50 mg to about 1000 mg, preferably about 100 mg to about 800 mg, more preferably about 150 mg to about 600 mg, and still more preferably about 175 to about 400, for example about 400 mg.
  • the daily dose can be administered in one to four doses per day, preferably one or two doses per day. Administration of a composition of the invention at the rate of one 200 mg dose unit or two 100 mg dose units twice a day is preferred for most patients.
  • compositions of the invention can be used to provide a daily dosage of celecoxib of about 50 mg to about 1000 mg, preferably about 100 mg to about 800 mg, more preferably about 150 mg to about 600 mg, and still more preferably about 175 to about 400, for example about 400 mg.
  • the daily dose can be administered in one to four doses per day, preferably two doses per day. Administration of a composition of the invention at the rate of one 200 mg dose unit or two 100 mg dose units twice a day is preferred for most patients.
  • composition of the invention is preferably administered at a dose suitable to provide an average blood serum concentration of celecoxib of at least about 100 ng/ml in a subject over a period of about 24 hours after administration.
  • compositions of the present invention provide a therapeutic effect as cyclooxygenase-2 inhibitors over an interval of about 12 to about 24 hours after oral administration.
  • Preferred compositions provide such therapeutic effect over about 24 hours, enabling once-a-day oral administration.
  • compositions of the invention preferably is in a range disclosed herein, the compositions also may be useful for the administration of an amount of celecoxib falling outside the disclosed dosage ranges.
  • the celecoxib used in the novel pharmaceutical compositions of the present invention can be prepared in the manner set forth in Talley et al., U.S. Pat. No. 5,466,823, or in Zhi et al., WO 96/37476.
  • compositions of the present invention comprise celecoxib in association with one or more preferably non-toxic, pharmaceutically acceptable carriers, excipients and adjuvants (collectively referred to herein as “carrier materials” or “excipients”) suitable for oral administration.
  • carrier materials must be acceptable in the sense of being compatible with the other ingredients of the composition and must not be deleterious to the recipient.
  • Compositions of the present invention can be adapted for administration by any suitable oral route by selection of appropriate carrier materials and a dosage of celecoxib effective for the treatment intended.
  • any carrier materials employed can be solids or liquids, or both, and the composition preferably contains about 1% to about 95%, preferably about 10% to about 90%, more preferably about 25% to about 85%, and still more preferably about 30% to about 80%, by weight of celecoxib.
  • Such pharmaceutical compositions of the invention can be prepared by any of the well known techniques of pharmacy, comprising admixing the components.
  • a composition of the invention contains a desired amount of celecoxib per dose unit and can be in the form of, for example, a tablet, a pill, a hard or soft capsule, a lozenge, a cachet, a dispensable powder, granules, a suspension, an elixir, a liquid, or any other form reasonably adapted for oral administration.
  • a composition is preferably made in the form of discrete dose units each containing a predetermined amount of celecoxib, such as tablets or capsules.
  • These oral dosage forms may further comprise, for example, buffering agents. Tablets, pills and the like additionally can be prepared with or without coatings.
  • compositions of the invention suitable for buccal or sublingual administration include, for example, lozenges comprising celecoxib in a flavored base, such as sucrose, and acacia or tragacanth, and pastilles comprising celecoxib in an inert base such as gelatin and glycerin or sucrose and acacia.
  • Liquid dosage forms for oral administration include pharmaceutically acceptable suspensions, syrups, and elixirs containing inert diluents commonly used in the art, such as water. Such compositions may also comprise, for example, wetting agents, emulsifying and suspending agents, and sweetening, flavoring, and perfuming agents.
  • compositions of the invention can be prepared by any suitable method of pharmacy which includes the step of bringing into association the celecoxib and the carrier material or carrier materials.
  • the compositions are prepared by uniformly and intimately admixing celecoxib with a liquid or finely divided solid carrier, or both, and then, if necessary, encapsulating or shaping the product.
  • a tablet can be prepared by compressing or molding a powder or granules of the compound, together with one or more excipients.
  • Compressed tablets can be prepared by compressing, in a suitable machine, a free-flowing composition, such as a powder or granules, comprising celecoxib optionally mixed with one or more binding agent(s), lubricant(s), inert diluent(s), wetting agent(s) and/or dispersing agent(s). Molded tablets can be made by molding, in a suitable machine, the powdered compound moistened with an inert liquid diluent.
  • a free-flowing composition such as a powder or granules, comprising celecoxib optionally mixed with one or more binding agent(s), lubricant(s), inert diluent(s), wetting agent(s) and/or dispersing agent(s).
  • Molded tablets can be made by molding, in a suitable machine, the powdered compound moistened with an inert liquid diluent.
  • compositions of the present invention comprise celecoxib in a therapeutically or prophylactically effective amount per dose unit in combination with one or more pharmaceutically acceptable carrier materials appropriate for oral administration.
  • Compositions of the present invention preferably comprise celecoxib in a desired amount admixed with one or more carrier materials selected from the group consisting of pharmaceutically acceptable diluents, disintegrants, binding agents, adhesives, wetting agents, lubricants, and anti-adherent agents. More preferably, such compositions are tableted or encapsulated for convenient administration in the form of immediate release capsules or tablets.
  • compositions can be provided exhibiting improved performance with respect to, among other properties, efficacy, bioavailability, clearance time, stability, compatibility of celecoxib and carrier materials, safety, dissolution profile, disintegration profile and/or other pharmacokinetic, chemical and/or physical properties.
  • the carrier materials preferably are water soluble or water dispersible and have wetting properties to offset the low aqueous solubility and hydrophobicity of celecoxib.
  • the combination of carrier materials selected provides tablets that can exhibit improvement, among other properties, in dissolution and disintegration profiles, hardness, crushing strength, and/or friability.
  • compositions of the present invention optionally comprise one or more pharmaceutically acceptable diluents as a carrier material.
  • suitable diluents include, either individually or in combination, lactose USP; lactose USP, anyhydrous; lactose USP, spray dried; starch USP; directly compressible starch; mannitol USP; sorbitol; dextrose monohydrate; microcrystalline cellulose NF; dibasic calcium phosphate dihydrate NF; sucrose-based diluents; confectioner's sugar; monobasic calcium sulfate monohydrate; calcium sulfate dihydrate NF; calcium lactate trihydrate granular NF; dextrates, NF (e.g., Emdex); Celutab; dextrose (e.g., Cerelose); inositol; hydrolyzed cereal solids such as the Maltrons and Mor-Rex; amylose; Rexcel; powdered cellulose (e.g.,
  • Such diluents constitute in total about 5% to about 99%, preferably about 10% to about 85%, and more preferably about 20% to about 80%, of the total weight of the composition.
  • the diluent or diluents selected preferably exhibit suitable flow properties and, where tablets are desired, compressibility.
  • Lactose and microcrystalline cellulose are preferred diluents. Both diluents are chemically compatible with celecoxib.
  • the use of extragranular microcrystalline cellulose that is, microcrystalline cellulose added to a wet granulated composition after the drying step) can be used to improve hardness (for tablets) and/or disintegration time.
  • Lactose, especially lactose monohydrate is particularly preferred.
  • Lactose typically provides pharmaceutical compositions having suitable celecoxib release rates, stability, pre-compression flowability, and/or drying properties at a relatively low diluent cost. It provides a high density substrate that aids densification during granulation (where wet granulation is employed) and therefore improves blend flow properties.
  • compositions of the present invention optionally comprise one or more pharmaceutically acceptable disintegrants as a carrier material, particularly for tablet formulations.
  • suitable disintegrants include, either individually or in combination, starches; sodium starch glycolate; clays (such as Veegum HV); celluloses (such as purified cellulose, methylcellulose, sodium carboxymethylcellulose and carboxymethylcellulose); alginates; pregelatinized corn starches (such as National 1551 and National 1550); crospovidone USP NF; and gums (such as agar, guar, locust bean, Karaya, pectin, and tragacanth).
  • Disintegrants may be added at any suitable step during the preparation of the pharmaceutical composition, particularly prior to granulation or during the lubrication step prior to compression. Such disintegrants, if present, constitute in total about 0.2% to about 30%, preferably about 0.2% to about 10%, and more preferably about 0.2% to about 5%, of the total weight of the composition.
  • Croscarmellose sodium is a preferred disintegrant for tablet or capsule disintegration, and, if present, preferably constitutes about 0.2% to about 10%, more preferably about 0.2% to about 6%, and still more preferably about 0.2% to about 5%, of the total weight of the composition. Croscarmellose sodium confers superior intragranular disintegration capabilities to compositions of the present invention.
  • compositions of the present invention optionally comprise one or more pharmaceutically-acceptable binding agents or adhesives as a carrier material, particularly for tablet formulations.
  • binding agents and adhesives preferably impart sufficient cohesion to the powder being tableted to allow for normal processing operations such as sizing, lubrication, compression and packaging, but still allow the tablet to disintegrate and the composition to be absorbed upon ingestion.
  • Suitable binding agents and adhesives include, either individually or in combination, acacia; tragacanth; sucrose; gelatin; glucose; starch; cellulose materials such as, but not limited to, methylcellulose and sodium carboxymethylcellulose (e.g., Tylose); alginic acid and salts of alginic acid; magnesium aluminum silicate; polyethylene glycol; guar gum; polysaccharide acids; bentonites; polyvinylpyrrolidone; polymethacrylates; hydroxypropylmethylcellulose (HPMC); hydroxypropylcellulose (Klucel); ethylcellulose (Ethocel); pregelatinized starch (such as National 1511 and Starch 1500).
  • Such binding agents and/or adhesives if present, constitute in total about 0.5% to about 25%, preferably about 0.75% to about 15%, and more preferably about 1% to about 10%, of the total weight of the composition.
  • Polyvinylpyrrolidone is a preferred binding agent used to impart cohesive properties to a powder blend of celecoxib and other excipients for granulation of a celecoxib formulation.
  • Polyvinylpyrrolidone if present, preferably constitutes about 0.5% to about 10%, more preferably about 0.5% to about 7%, and still more preferably about 0.5% to about 5% of the total weight of the composition.
  • Polyvinylpyrrolidone viscosities up to about 20 cPs may be used although viscosities of about 6 cPs or lower are preferred, particularly about 3 cPs or lower.
  • Polyvinylpyrrolidone provides cohesiveness to the powder blend and facilitates the necessary binding to form granules during wet granulation.
  • compositions of the present invention comprising polyvinylpyrrolidone, particularly compositions prepared by wet granulation, have been found to exhibit improved bioavailability relative to other compositions.
  • the pharmaceutical compositions of the present invention optionally but preferably comprise one or more pharmaceutically acceptable wetting agents as a carrier material.
  • Such wetting agents are preferably selected to maintain celecoxib in close association with water, a condition that is believed to improve the relative bioavailability of the pharmaceutical composition.
  • Suitable wetting agents include, either individually or in combination, oleic acid; glyceryl monostearate; sorbitan monooleate; sorbitan monolaurate; triethanolamine oleate; polyoxyethylene sorbitan monooleate; polyoxyethylene sorbitan monolaurate; sodium oleate; and sodium lauryl sulfate.
  • Wetting agents that are anionic surfactants are preferred.
  • Such wetting agents if present, constitute in total about 0.25% to about 15%, preferably about 0.4% to about 10%, and more preferably about 0.5% to about 5%, of the total weight of the composition.
  • Sodium lauryl sulfate is a preferred wetting agent. Sodium lauryl sulfate, if present, constitutes about 0.25% to about 7%, more preferably about 0.4% to about 6%, and still more preferably about 0.5 to about 5% of the total weight of the composition.
  • compositions of the present invention optionally comprise one or more pharmaceutically acceptable lubricants and/or glidants as a carrier material.
  • suitable lubricants and/or glidants include, either individually or in combination, glyceryl behapate (Compritol 888); stearates (magnesium, calcium, and sodium); stearic acid; hydrogenated vegetable oils (e.g., Sterotex); talc; waxes; Stearowet; boric acid; sodium benzoate; sodium acetate; sodium fumarate; sodium chloride; DL-leucine; polyethylene glycols (e.g., Carbowax 4000 and Carbowax 6000); sodium oleate; sodium lauryl sulfate; and magnesium lauryl sulfate.
  • Such lubricants if present, constitute in total about 0.1% to about 10%, preferably about 0.2% to about 8%, and more preferably about 0.25% to about 5%, of the total weight of the composition.
  • Magnesium stearate is a preferred lubricant used, for example, to reduce friction between the equipment and granulated mixture during compression of tablet formulations.
  • compositions of the present invention can be included in compositions of the present invention.
  • carrier materials such as anti-adherent agents, colorants, flavors, sweeteners and preservatives
  • iron oxide can be added to the composition to provide a yellow color.
  • the pharmaceutical composition is in the form of unit dose capsules or tablets and comprises celecoxib in a desired amount and a binding agent.
  • the composition preferably further comprises one or more carrier materials selected from the group consisting of pharmaceutically acceptable diluents, disintegrants, binding agents, wetting agents, and lubricants. More preferably, the composition comprises one or more carrier materials selected from the group consisting of lactose, sodium lauryl sulfate, polyvinylpyrrolidone, croscarmellose sodium, magnesium stearate, and microcrystalline cellulose. Still more preferably, the composition comprises lactose monohydrate and croscarmellose sodium. Still more preferably, the composition further comprises one or more of the carrier materials sodium lauryl sulfate, magnesium stearate, and microcrystalline cellulose.
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • weight percent means the weight percent of a specified ingredient based upon the total weight of all ingredients of the composition.
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage capsule.
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage capsule.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition more preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage capsule.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition more preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage tablet.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition more preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage capsule.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage capsule.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage tablet.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the pharmaceutical composition comprises:
  • composition optionally comprises:
  • composition of this embodiment preferably is in the form of a unit dosage tablet.
  • pharmaceutical composition preferably comprises:
  • composition optionally comprises:
  • the D 90 particle size of the celecoxib preferably is less than about 200 ⁇ m, more preferably less than about 100 ⁇ m, still more preferably less than about 75 ⁇ m, still more preferably less than about 40 ⁇ m, and most preferably less than about 25 ⁇ m.
  • the celecoxib preferably has a mean particle size in the range of about 1 ⁇ m to about 10 ⁇ m, more preferably about 5 ⁇ m to about 7 ⁇ m.
  • compositions of the present invention can be prepared, for example, by direct encapsulation or direct compression, they preferably are wet granulated prior to encapsulation or compression.
  • Wet granulation among other effects, densifies milled compositions resulting in improved flow properties, improved compression characteristics and easier metering or weight dispensing of the compositions for encapsulation or tableting.
  • the secondary particle size resulting from granulation i.e., granule size
  • the desired tap and bulk densities of the granules are normally about 0.3 g/ml to about 1.0 g/ml.
  • Capsule and tablet compositions of the present invention preferably are immediate release compositions that release at least about 50% of the celecoxib, as measured in vitro, within about 45 minutes of ingestion. More preferably, they release at least about 60% of the celecoxib within about 45 minutes of ingestion. Still more preferably, they release at least about 75% of the celecoxib within about 45 minutes of ingestion.
  • Especially preferred capsule and tablet compositions of the invention release at least about 50% of the celecoxib within about 15 minutes of ingestion, and/or at least about 60% of the celecoxib within about 30 minutes after ingestion.
  • Carrier materials for immediate release capsule and tablet compositions of the invention preferably are selected to provide a disintegration time of less than about 30 minutes, preferably about 25 minutes or less, more preferably about 20 minutes or less, and still more preferably about 15 minutes or less.
  • the complete mixture in an amount sufficient to make a uniform batch of tablets is subjected to tableting in a conventional production scale tableting machine at normal compression pressure (for example, applying a force of about 1 kN to about 50 kN in a typical tableting die).
  • Any tablet hardness convenient with respect to handling, manufacture, storage and ingestion may be employed.
  • hardness is preferably at least 4 kP, more preferably at least about 5 kP, and still more preferably at least about 6 kP.
  • hardness is preferably at least 7 kP, more preferably at least about 9 kP, and still more preferably at least about 11 kP.
  • the mixture is not to be compressed to such a degree that there is subsequent difficulty in achieving hydration when exposed to gastric fluid.
  • tablet friability preferably is less than about 1.0%, more preferably less than 0.8%, and still more preferably less than about 0.5% in a standard test.
  • the present invention also is directed to a therapeutic method of treating a condition or disorder where treatment with a cyclooxygenase-2 inhibitor is indicated, the method comprising oral administration of a pharmaceutical composition of the present invention to a patient in need thereof.
  • the dosage regimen to prevent, give relief from, or ameliorate the condition or disorder preferably corresponds to the once-a-day or twice-a-day treatments discussed above, but can be modified in accordance with a variety of factors. These include the type, age, weight, sex, diet, and medical condition of the patient and the nature and severity of the disorder. Thus, the dosage regimen actually employed can vary widely and can therefore deviate from the preferred dosage regimens set forth above.
  • Initial treatment of a patient suffering from a condition or disorder where treatment with a cyclooxygenase-2 inhibitor is indicated can begin with the dosages indicated above. Treatment is generally continued as necessary over a period of several weeks to several months or years until the condition or disorder has been controlled or eliminated. Patients undergoing treatment with a composition of the invention can be routinely monitored by any of the methods well known in the art to determine the effectiveness of therapy. Continuous analysis of such data permits modification of the treatment regimen during therapy so that optimally effective amounts of celecoxib are administered at any point in time, and so that the duration of treatment can be determined as well. In this way, the treatment regimen/dosing schedule can be rationally modified over the course of therapy so that the lowest amount of celecoxib exhibiting satisfactory effectiveness is administered, and so that administration is continued only so long as is necessary to successfully treat the condition or disorder.
  • the present invention also is directed to methods for the preparation of pharmaceutical compositions comprising celecoxib.
  • the invention is directed to methods for preparing pharmaceutical compositions comprising celecoxib in particulate form. More particularly, the invention is directed to methods for preparing celecoxib compositions in the form of discrete unit dose tablets or capsules, such that each tablet or capsule contains an amount of celecoxib sufficient to provide a therapeutic effect for about 12 to 24 hours.
  • Each dose unit preferably contains, for example, about 100 mg to about 200 mg of celecoxib.
  • wet granulation, dry granulation or direct compression or encapsulation methods can be employed to prepare tablet or capsule compositions of the invention.
  • wet granulation is a preferred method of preparing pharmaceutical compositions of the present invention.
  • celecoxib if desired, together with one or more carrier materials
  • impact milling such as pin milling of the celecoxib provides improved blend uniformity to the final composition relative to other types of milling.
  • Cooling of the celecoxib for example, using liquid nitrogen, may be necessary during milling to avoid heating the celecoxib to undesirable temperatures.
  • reduction of the D 90 particle size during this milling step to less than about 200 ⁇ m, preferably less than about 100 ⁇ m, more preferably less than about 75 ⁇ m, still more preferably less than about 40 ⁇ m, and most preferably less than about 25 ⁇ m, can materially increase the bioavailability of the celecoxib.
  • the milled or micronized celecoxib is then blended, for example in a high shear mixer/granulator, planetary mixer, twin-shell blender or sigma mixer, with one or more carrier materials, including carrier materials milled together with the celecoxib, to form a dry powder mixture.
  • the drug is blended with one or more diluent(s), disintegrant(s) and/or binding agent(s) and, optionally, one or more wetting agent(s) in this step, but alternatively all or a portion of one or more of the carrier materials can be added in a later step.
  • croscarmellose sodium for example, in tablet formulations where croscarmellose sodium is employed as a disintegrant, it has been discovered that addition of a portion of the croscarmellose sodium during the blending step (providing intragranular croscarmellose sodium) and addition of the remaining portion after the drying step discussed below (providing extragranular croscarmellose sodium) can improve disintegration of the tablets produced. In this situation, preferably about 60% to about 75% of the croscarmellose sodium is added intragranularly and about 25% to about 40% of the croscarmellose sodium is added extragranularly. Similarly, for tablet formulations it has been discovered that addition of microcrystalline cellulose after the drying step below (extragranular microcrystalline cellulose) can improve compressibility of the granules and hardness of the tablets prepared from the granules.
  • This blending step of the process preferably comprises blending of celecoxib, lactose, polypyrrolidone and croscarmellose sodium. It has been discovered that blending times as short as three minutes can provide a dry powder mixture having a sufficiently uniform distribution of celecoxib.
  • the dry powder mixtures used in the preparation of 100 mg dose capsules (1080 kg total batch size) and 200 mg dose capsules (918 kg total batch size), respectively had celecoxib concentrations exhibiting measured relative standard deviation values of 3.6% or less and 1.1% or less, respectively.
  • Water preferably purified water
  • Water is then added to the dry powder mixture and the mixture is blended for an additional period of time, to form a wet granulated mixture.
  • a wetting agent is used, and this is preferably first added to the water and mixed for at least 15 minutes, preferably at least 20 minutes, prior to adding the water to the dry powder mixture.
  • the water can be added to the mixture at once, gradually over a period of time, or in several portions over a period of time. The water preferably is added gradually over a period of time.
  • the wetting agent can be added to the dry powder mixture and water then can be added to the resulting mixture.
  • water addition rates of about 5 to about 25 kg/minute, preferably about 7 to about 20 kg/minute, and still more preferably about 8 to about 18 kg/minute, provide suitable results.
  • An additional period of mixing after the water addition is complete is preferred to ensure the uniform distribution of the water in the mixture.
  • additional mixing times of about 2 to about 10 minutes, preferably about 3 to about 9 minutes, and more preferably about 3 to about 7 minutes, provide suitable results.
  • the wet granulated mixture of this batch preferably comprises about 2% to about 15%, more preferably about 4% to about 12%, and still more preferably about 6% to about 10%, water by weight.
  • water addition rates of about 5 to about 25 kg/minute, preferably about 7 to about 23 kg/minute, and still more preferably about 8 to about 21 kg/minute, provide suitable results.
  • An additional period of mixing after the water addition is complete is preferred to ensure the uniform distribution of the water in the mixture.
  • additional mixing times of about 2 to about 15 minutes, preferably about 3 to about 12 minutes, and more preferably about 3 to about 10 minutes, provide suitable results.
  • the wet granulated mixture of this batch preferably comprises about 2% to about 15%, more preferably about 6% to about 14%, and still more preferably about 8% to about 13%, water by weight.
  • the wet granulated mixture preferably is then wet milled, for example with a screening mill, to eliminate large agglomerations of material that form as a by-product of the wet granulation operation. If not removed, these agglomerations would prolong the subsequent fluidized bed drying operation and increase the variation with respect to moisture control.
  • suitable granulations can be obtained using feed rates up to about 50%, preferably about 2% to about 30%, and still more preferably about 5% to about 20%, of maximum feed rate.
  • the wet granulated or wet milled mixture is then dried, for example, in an oven or a fluidized bed dryer, preferably a fluidized bed drier, to form dry granules.
  • the wet granulated mixture can be extruded or spheronized prior to drying.
  • conditions such as inlet air temperature and drying time are adjusted to achieve the desired moisture content for the dry granules. It may be desirable to combine two or more granulation sections for this drying step and subsequent processing steps.
  • dryer inlet temperature can be fixed at 60° C. although other inlet temperatures can be used, preferably in the range of about 50° C. to about 70° C.
  • Air flow rate can be varied in the range of about 1000 to about 8000 cubic feet per minute, preferably about 2000 to about 7000 cubic feet per minute, and more preferably about 4000 to about 7000 cubic feet per minute, with a damper opening of about 10% to about 90%, preferably about 20% to about 80%, and still more preferably about 30% to about 70%.
  • Dryer loads of about 35% to about 100%, preferably about 50% to about 100%, and still more preferably about 90% to about 100%, can be used. Average loss on drying of dry granules prepared under these conditions is generally about 0.1% to about 2.0% by weight.
  • the dry granules are then reduced in size in preparation for compression or encapsulation.
  • Conventional particle size reduction equipment such as oscillators or impact mills (such as Fitz mills) can be employed.
  • suitable granule size reduction can be obtained using feed rates of about 20% to about 70%, preferably about 30% to about 60%; mill speeds of about 20% to about 70%, preferably about 40% to about 60%; and screen sizes of about 0.020 inch (0.5 mm) to about 0.070 inch (1.7 mm), preferably about 0.028 inch (0.7 mm) to about 0.040 inch (1.0 mm).
  • suitable granulations can be obtained using feed rates of about 10% to about 70%, preferably about 20% to about 60%; mill speeds of about 20% to about 60%, preferably about 30% to about 50%; and screen sizes of about 0.020 inch (0.5 mm) to about 0.080 inch (1.9 mm), preferably about 0.028 inch (0.7 mm) to about 0.063 inch (1.6 mm). Smaller screen sizes such as 0.028 inch (0.7 mm), however, were observed to result in lower throughput of product. Larger screen sizes such as 0.063 inch (1.6 mm) resulted in an increased population of granules larger in size than 850 ⁇ m. Screen sizes around about 0.040 inch (1.0 mm) appear to eliminate an excessive population of granules larger in size than 850 ⁇ m without significantly decreasing throughput.
  • Variation of the wet granulation and wet milling parameters discussed above can be employed to adjust granule size distributions. For example, a slight decrease in granule size has been observed as mixing time increases for mixtures containing lower water amounts. It is hypothesized that where the water concentration is too low to fully activate the binding agent employed, the cohesive forces between the primary particles within the granules are insufficient to survive the shearing forces generated by the mixing blades and granule size attrition rather than growth occurs. Conversely, increasing the amount of water to fully activate the binding agent allows cohesive forces between the primary particles to survive the shearing forces generated by the mixing blades and granule growth rather than attrition occurs with increased mixing time and/or water addition rate. Variation of the screen size of the wet mill tends to have a greater impact on the granule size than variation of the feed rate and/or mill speed.
  • a suitable blender such as a twin-shell blender
  • a lubricant such as magnesium stearate
  • any additional carrier materials such as extragranular microcrystalline cellulose and/or extragranular croscarmellose sodium in certain tablet formulations
  • Blending times depend in part upon the process equipment employed. For the 100 mg dose capsules and 200 mg dose capsules (1080 kg and 918 kg batches) discussed above, blending times of at least about 5 minutes at blender loads ranging from about 15% to about 60% and blender rotational speeds of at least about 10 revolutions per minute consistently provided a blended material that was extremely uniform with respect to celecoxib concentration.
  • the relative standard deviations measured for unit dose blend samples were 3.9% or less and 2.2% or less for the 100 mg and 200 mg dose capsules, respectively.
  • the diluents include microcrystalline cellulose
  • the addition of a portion of the microcrystalline cellulose during this step has been found to materially increase granule compressibility and tablet hardness.
  • increasing the amount of magnesium stearate above about 1% to about 2% was observed to decrease tablet hardness and increase friability and dissolution time.
  • This final blended mixture is then encapsulated (or, if tablets are to be prepared, compressed into tablets of the desired weight and hardness using appropriately sized tooling).
  • Conventional compression and encapsulation techniques known to those of ordinary skill in the art can be employed. Suitable results have been obtained for capsules by employing bed heights ranging from about 20 mm to about 60 mm, compaction settings ranging from about 0 to about 5 mm, and speeds from about 60,000 capsules per hour to about 130,000 capsules per hour. Weight control of the dose was observed to decrease with either (i) low speed and high compaction, or (ii) high speed and high bed heights. Accordingly, these combinations of parameters preferably are carefully controlled. It has also been discovered that slug formation can be minimized or eliminated by using the lowest compaction setting at which capsule weight control can be maintained. Where coated tablets are desired, conventional coating techniques known to those of ordinary skill in the art can be employed.
  • This combination of unit operations produces granules that are uniform in celecoxib content at the unit dose level, that readily disintegrate, that flow with sufficient ease so that weight variation can be reliably controlled during capsule filling or tableting, and that are dense enough in bulk so that the batch can be processed in the selected equipment and individual doses fit into the specified capsules or tablet dies.
  • the present invention also is directed to use of compositions of the present invention in preparation of medicaments useful in the treatment and/or prophylaxis of cyclooxygenase-2 mediated conditions and disorders.
  • a capsule was prepared having the following composition: TABLE 1 Weight Ingredient fraction (%) Amount (mg) Celecoxib 37.04 100 Lactose monohydrate (NF, Ph Eur) 55.46 149.75 Sodium lauryl sulfate (NF, Ph Eur) 3 8.1 Povidone (K29-32 USP) 2.5 6.75 Croscarmellose sodium (NF, Ph Eur) 1 2.7 Magnesium stearate (NF, Ph Eur) 1 2.7 Total capsule fill weight 100 270
  • the above unit dose composition was placed in a hard gelatin capsule (white opaque, size #2) comprising titanium dioxide (USP), gelatin (NF), and blue ink (SB-6018).
  • the lactose monohydrate used in each of the examples herein is commercially available from Formost Farms, Baraboo, Wis.
  • the Ac-Di-Sol brand of croscarmellose sodium used in each of the examples herein is commercially available from FMC Corporation, Chicago, Ill.
  • the sodium lauryl sulfate used in each of the examples herein is commercially available from Henkel Corporation, Cincinnati, Ohio.
  • the povidone (polyvinylpyrrolidone) used in each of the examples herein is commercially available from International Specialty Products.
  • the magnesium stearate used in each of the examples herein is commercially available from Mallinckrodt Inc., St. Louis, Mo.
  • the Opadry White YS-1-18027A used to prepare the coated tablets disclosed in the examples of this application is a ready-to-coat coating formulation commercially available from Colorcon, West Point, Pa.
  • Capsule doses of any desired strength from 25 mg to 225 mg can be accommodated by adjusting the weight of celecoxib and correspondingly increasing or decreasing the amount of lactose as necessary to provide a total fill weight of 270 mg.
  • a capsule was prepared having the following composition: TABLE 2 Ingredient Weight fraction (%) Amount (mg) Celecoxib 74.07 200 Lactose monohydrate (NF, Ph Eur) 18.43 49.75 Sodium lauryl sulfate(NF, Ph Eur) 3 8.10 Povidone (K29-32 USP) 2.5 6.75 Croscarmellose sodium 1 2.7 Magnesium stearate (NF, Ph Eur) 1 2.7 Total capsule fill weight 100 270
  • the above unit dose composition was placed in a hard gelatin capsule (white opaque, size #2) comprising titanium dioxide (USP), gelatin (NF), and blue ink (SB-6018).
  • the tablets prepared were 0.210 inch ⁇ 0.465 inch (5.0 mm ⁇ 11.2 mm) modified oval shaped tablets.
  • the Avicel brand of microcrystalline cellulose was used in the preparation of the tablets of Examples 3 and 4 and is commercially available from FMC Corporation, Philadelphia, Pa.
  • Tablet dose strengths between 25 mg to 225 mg can be accomodated by increasing or decreasing the amounts of celecoxib and each of the carrier materials described above so as to maintain the same weight fractions exemplified above.
  • the tablets prepared were 0.275 inch ⁇ 0.496 inch (6.6 mm ⁇ 11.9 mm) modified capsule shaped tablets.
  • Tablets were prepared as in Examples 3 and 4 except that they were left uncoated.
  • Six identical tablets were separately placed into one of six tubes having a wire mesh screen bottom in a disintegration basket.
  • a water bath was preheated to 37° C. ⁇ 2° C. and maintained at that temperature for the duration of the disintegration test.
  • a 1000 ml beaker was placed in the water bath.
  • the beaker was filled with a sufficient amount of water to ensure that the wire mesh screen of the tubes would remain at least 2.5 cm below the water surface during the test.
  • the disintegration basket was inserted in the water and repeatedly raised and lowered until the test was complete while maintaining the wire mesh screen of the tubes at least 2.5 cm below the water surface.
  • Disintegration time for each tablet was the time, measured from time of insertion of the basket, at which the very last portion of the tablet passed through the screen at the bottom of the tube.
  • the mean results for the uncoated tablets of Examples 3 and 4 are reported in Table 5.
  • TABLE 5 Tablet Disintegration time Example 3: 100 mg dose tablet (uncoated) 4 minutes 35 seconds
  • USP method 2 (with paddles) was used to determine the dissolution rate of the capsules of Examples 1 and 2 and the tablets of Examples 3 and 4, which for the purpose of these tests were left uncoated.
  • a 1% sodium lauryl sulfate/0.04M Na 3 PO 4 (pH 12) solution, 1000 ml, was used as the dissolution fluid.
  • the solution was maintained at a temperature of 37° C. ⁇ 5° C. and stirred at 50 rpm during the test. Twelve identical tablets or capsules were tested. The 12 tablets or capsules were each separately placed in one of 12 standard dissolution vessels, and at each of 15, 30, 45 and 60 minutes later, a 5 ml aliquot of solution was removed from each vessel.
  • Table 7A shows the results of a particle size sieve analysis of the wet granulated pharmaceutical compositions of Examples 1 and 2, respectively, prior to encapsulation. “Percent retained on screen” means the percentage by weight of the total batch having a particle size larger than the indicated sieve size. TABLE 7A Percent retained on screen Example 1: Example 2: 100 mg capsule 200 mg capsule Sieve size ( ⁇ m) Lower limit Upper limit Lower limit Upper limit 850 0 1.3 1.1 10.7 425 2.8 14.9 4.3 25.4 250 10.0 25.5 10.8 35.4 180 15.3 39.0 17.3 39.2 106 32.5 64.5 35.2 58.2 75 37.1 77.5 39.5 71.8 0 100 100 100 100 100 100 100 100 100 100 100
  • Table 7B shows the results of a particle size sieve analysis of the wet granulated pharmaceutical compositions of Examples 3 and 4, respectively, prior to compression into the tablets.
  • Percent of batch means the percentage by weight of the total batch having a particle size between the indicated sieve size and the next smaller sieve size indicated.
  • Cumulative percent of batch reports the percentage by weight of the total batch having a particle size larger than the indicated sieve size.
  • Example 4 100 mg tablet 200 mg tablet Percent Percent Cumulative of Cumulative of percent Sieve size ( ⁇ m) batch percent of batch batch of batch 840 1 1 0.79 0.79 (20 mesh screen) 420 24.6 25.6 24.85 25.64 (40 mesh screen) 250 18.4 44 19.13 44.77 (60 mesh screen) 177 9.6 53.6 11.05 55.82 (80 mesh screen) 149 6.6 60.2 6.9 62.72 (100 mesh screen) 105 11.6 71.8 11.44 74.16 (140 mesh screen) 74 8.8 80.6 8.28 82.45 (200 mesh screen) Fines 19.4 100 17.55 100
  • Table 8 shows the results of a bulk density analysis of the wet granulated pharmaceutical compositions of Examples 1, 2, 3 and 4 prior to encapsulation or compression into tablets. TABLE 8 Bulk density Tapped density Loss on drying Composition (g/ml) (g/ml) (%) Example 1: 100 mg capsule 0.77 1.02 0.6 Example 2: 200 mg capsule 0.61 0.96 0.5 Example 3: 100 mg tablet 0.73 0.87 1.37 Example 4: 200 mg tablet 0.72 0.86 1.4
  • Table 9 shows the results of a tablet analysis program (“TAP analysis”) for a sampling of 10 tablets having the composition of the tablets of each of Examples 3 and 4. TABLE 9 Average weight Average thickness Tablet (mg) (mm) Hardness (kP) Example 3: 100 mg tablet 248 3.85 8.2 Example 4: 200 mg tablet 500 5.22 14.6
  • Tablets collectively weighing 12 g were placed in a rotating drum. Extraneous dust was first removed from the drum and the tablets. The drum was started and rotation continued for ten minutes at a minimum of 25 rpm. The rotation of the drum was stopped and the tablets removed. Loose dust on the tablets as well as any broken tablets were removed and the intact tablets were weighed. The percent loss of the test samples from the tablets of Examples 3 and 4 was calculated and is reported below in Table 10. TABLE 10 Tablet Percent loss Example 3: 100 mg tablet 0.33
  • Example 4 200 mg tablet 0.16
  • the vehicle for the intravenous and oral solution doses was a mixture of polyethylene glycol having an average molecular weight of 400 (PEG-400) and water in a ratio of 2:1 by volume. Each intravenous infusion was given over a period of 1.5 minutes with 15 to 30 minutes separating the two infusions.
  • composition A The effect of such formulation parameters as celecoxib particle size, increased concentration of wetting agent, pH, and dispersion of celecoxib as a suspension was evaluated relative to an oral solution on bioavailability in a dog model.
  • the combined effect of micronization, added wetting agent (sodium lauryl sulfate), and increased micro-environmental pH (Na 3 PO 4 .12H 2 O) was tested in composition B.
  • the effect of bringing wetting agent (Tween 80) into intimate contact with celecoxib was tested in composition C.
  • composition D The effect of further reducing particle size (approximating 1 ⁇ m) and dispersing the particles in a suspension was tested in composition D.
  • composition F data from Example 11-1 for unmilled, unformulated celecoxib in a capsule (composition F) is also included as a reference.
  • Table 11-2A The specific compositions of formulations A, B, C, D, E and F are summarized in Table 11-2A.
  • compositions were administered to groups of three male and three female dogs.
  • Group 1 dogs were administered 5 mg per kg body weight celecoxib in solution E and in capsule formulations A and B in a nonrandomized crossover design.
  • Group 2 dogs were administered 5 mg per kg body weight celecoxib in capsule formulation C and in suspension D in a nonrandomized crossover design.
  • Plasma samples were collected over a 24-hour period and analyzed for celecoxib by HPLC.
  • the bioavailability from the suspension having approximately 1 ⁇ m particle size was similar to that from the solution and provided strong indication that celecoxib availability from wet granulated solid compositions can be improved by reduced celecoxib particle size (for example by pin milling of celecoxib prior to formulation), increased wetting of the celecoxib (for example by including sodium lauryl sulfate in the granulating fluid) and improved dispersibility (for example by including croscarmellose sodium in the granulation).
  • the bioavailability data contained in Tables 11-2C and 11-2D for each formulation represent the bioavailability of that formulation as a percent of the bioavailability experimentally measured for intravenous administration of celecoxib, using the solution (composition E) data as a bridge between the studies of Examples 11-1 and 11-2.
  • compositions containing sodium lauryl sulfate (0-5% by weight) and croscarmellose sodium (0-5% by weight) were screened for relative wettability and disintegration tendency.
  • Relative wettability was estimated by measuring the time required for water to penetrate a column of granulated material prepared from each formulation.
  • Disintegration tendency was determined by measuring the weight of granulated material retained on a 20 mesh (850 mm) screen after soaking the material in 37° C. water for 5 minutes.
  • the specific compositions of compositions A through H evaluated are summarized in Table 11-3A.
  • Results are summarized-in Table 11-3B. Penetration tests were done in triplicate. Disintegration tests were done in duplicate. Results of the penetration study indicated that wet application of sodium lauryl sulfate (Composition B) was superior to dry application (Composition A) and that formulations containing 3% to 5% sodium lauryl sulfate (Compositions B, G and H) were superior to those with lesser amounts of sodium lauryl sulfate (Compositions C through F). Formulations containing 3% sodium lauryl sulfate (Compositions B and G) were similar to those containing 5% sodium lauryl sulfate (Composition H).
  • the 5% celecoxib blends exhibited better blend homogeneity than the 60% celecoxib blends.
  • the measured relative standard deviations for the 5% celecoxib blends ranged from 0.4% to 3.5% while the measured relative standard deviations for the 60% celecoxib blends ranged from 4.7% to 6.3%.
  • the 60% celecoxib blends contained relatively large granules (greater than 420 ⁇ m) that were superpotent (containing 124% to 132% higher concentrations of celecoxib relative to other granules).
  • Capsules having the following formulations were prepared and evaluated: TABLE 13A Amount (mg) Ingredient 5 mg capsule 20 mg capsule 100 mg capsule Celecoxib 5 20 100 Lactose 92 77 61.9 Povidone (K29-32) 2.5 2.5 4 Magnesium stearate 0.5 0.5 0.8 Total 100 100 166.7 Capsule shell 1 1 1 Capsule size #3 #3 #3
  • the celecoxib was milled by multiple passes through an oscillating mill fitted with successively smaller screen sizes (#14, #20, #40).
  • the D 90 particle size of the celecoxib particles added to this mixture was less than about 37 ⁇ m.
  • Celecoxib, lactose and polyvinylpyrrolidone were mixed in a planetary mixer bowl and wet-granulated with water. The granulation was then tray dried at 60° C., milled through a 40 mesh screen, lubricated with magnesium stearate in a V-blender and encapsulated on a dosator-type encapsulator.
  • the in vitro dissolution profile of the capsules was determined using USP method 2 and a 15 mM phosphate buffer at pH 10 as dissolution medium. About 50% in vitro dissolution was achieved after about 15 minutes with greater than 95% in vitro dissolution after about 30 minutes.
  • the absorption, distribution, metabolism and elimination profile of this 100 mg unit dose capsule was compared to the profile of a suspension of 14 C-celecoxib.
  • the study was an open-label, randomized crossover study carried out in ten healthy male subjects.
  • the suspension was prepared by dissolving celecoxib in ethanol containing 5% polysorbate 80 and adding that mixture to apple juice prior to administration.
  • Subjects receiving the suspension ingested a 300 mg dose of celecoxib.
  • Subjects receiving capsule-form celecoxib received three 100 mg unit dose capsules for a total dose of 300 mg of celecoxib.
  • the rate of absorption from the capsule was slower than from the suspension, but was equivalent to the suspension when measured by AUC 0-48 .
  • Mean results are reported in Table 13B below.
  • Celecoxib was largely metabolized with only about 2.56% of the radioactive dose in either urine or feces.
  • Capsules having the following compositions were prepared and evaluated: TABLE 14 Amount (mg) Ingredient 100 mg capsule 200 mg capsule Celecoxib 100 200 Lactose 223.4 120.1 Povidone (K29-32) 8.3 8.3 Magnesium stearate 1.7 5 Total 333.4 333.4 Capsule size #1 #1
  • Capsules providing a 100 mg or 200 mg dose of celecoxib, and having the composition shown in Examples 1 or 2 respectively, can be prepared in accordance with acceptable pharmaceutical manufacturing practices in the manner illustrated by FIG. 1 or FIG. 2 .
  • Tablets provising a 100 mg or 200 mg dose of celecoxib, and having the composition shown in Examples 3 or 4 respectively, can be prepared by appropriately modifying the process of FIG. 1 or FIG. 2 to account for the extragranular addition of croscarmellose sodium and microcrystalline cellulose, and tableting instead of encapsulating the composition.
  • a typical batch consists of four identical granulation sections, although the number of granulation sections is not narrowly critical and depends largely upon equipment handling capacity and batch size needed.
  • FIG. 2 is a flow diagram showing a preferred embodiment wherein the celecoxib starting material is impact milled, preferably with a pin mill, prior to blending with the carrier materials.
  • Sodium lauryl sulfate (8.1 kg) was dissolved in purified USP water (23.7 kg). The resulting solution was progressively added to the granulator at a rate of about 14 kg/minute. Total granulation time was about 6.5 minutes. During this granulation, the main blade and chopper blade of the granulator were placed on the fast speed setting. The wet granulated mixture contained about 8.1% water by weight.
  • the sodium lauryl sulfate can be mixed with the celecoxib, lactose, polyvinylpyrrolidone and croscarmellose sodium in the dry mixing step and purified USP water can be added to this dry mixture comprising sodium lauryl sulfate.
  • the product of the wet granulation operation was delumped using a Quadro Comil Model 198 S screening mill equipped with rotating impeller and a coarse screen. Wet milling was used to eliminate large material lumps that formed as a by-product of the wet granulation operation. If not removed, these lumps would have prolonged the subsequent fluidized bed drying operation and increased the variation with respect to moisture control.
  • the delumped granules were transferred to an Aeromatic Fluid Bed Dryer T-8.
  • the inlet air temperature and flow rate were adjusted to about 60° C. and about 5000 to 6000 ft 3 /minute (about 140 to 170 m 3 /minute).
  • the granules were dried in the fluidized bed dryer to reduce the moisture content to 0.5% to 2.5%. Moisture content was monitored using a Computrac Moisture Analyzer. Drying continued until the loss on drying of the granulation was not more than 1.0%. It may be desirable to combine two or more granulation sections for this drying step and subsequent processing steps.
  • Dry milling The dry granules were passed through a Fluid Air Mill Model 007 impact (conventional hammer) mill equipped with a 0.028 inch to 0.063 inch (0.7 mm to 1.5 mm) screen, knives forward, and operated at 2400 rpm speed. Dry milling was used in combination with the wet granulation step to control the final size distribution of the granules.
  • Fluid Air Mill Model 007 impact (conventional hammer) mill equipped with a 0.028 inch to 0.063 inch (0.7 mm to 1.5 mm) screen, knives forward, and operated at 2400 rpm speed. Dry milling was used in combination with the wet granulation step to control the final size distribution of the granules.
  • Blending and lubrication The milled granules were then placed in a PK Cross-Flow Blender 75 Cubic Foot diffusion mixer/V-blender. The magnesium stearate was added and the mixture blended for about 5 minutes. The blending time provided blended material that was uniform with respect to the concentration of celecoxib. Blender rotational speed was 10.6 revolutions per minute. The final blend was used to combine materials from multiple granulation sections into a single uniform mixture and to evenly distribute lubricant into the material prior to encapsulation.
  • the granulated powderblend was encapsulated using an MG2 G100 or G120 encapsulator.
  • the capsules were polished.
  • the above sequence of unit operations produced granules that were highly uniform in celecoxib content at the unit dose level, that readily dissolved in vitro, that flowed with sufficient ease so that weight variation could be reliably controlled during capsule filling, and that were dense enough in bulk so that the batch could be processed in the selected equipment and individual doses fit into the specified capsules.
  • the bioequivalency and safety of 200 mg doses of celecoxib were evaluated in an open-label, randomized, single dose, three-way crossover study of a group of 46 healthy adult humans.
  • the subjects received three single 200 mg doses of celecoxib administered as (A) one 200 mg dose capsule, (B) two 100 mg dose capsules, or (C) two 100 mg dose capsules (from a different batch run). Treatments were separated by seven days.
  • the specific pharmaceutical compositions of the 100 mg dose capsule and the 200 mg dose capsules are disclosed in Examples 1 and 2, respectively.
  • the subjects, who had fasted overnight, received single oral doses of the study medication together with about 180 ml of water at 0800 hours. The subjects continued to fast and remained in an upright position for four hours after dose administration.
  • Example 1 The specific composition of the 100 mg dose capsule is disclosed in Example 1.
  • the specific composition of the 50 mg dose capsule is disclosed in Table 17A below: TABLE 17A Ingredient Amount (mg) Celecoxib 50.00 Lactose monohydrate 199.8 Sodium lauryl sulfate 8.1 Povidone (K29-32) 6.8 Croscarmellose sodium 2.7 Magnesium stearate 2.7 Total capsule fill weight 270.0
  • the above unit dose composition was placed in a hard gelatin capsule (white opaque, size #2).
  • the pharmaceutical composition used in the 100 mg dose capsules was prepared by passing the celecoxib starting material through a 40 mesh oscillating screen (no other milling was performed), wet granulating the celecoxib, lactose and povidone in a low shear planetary mixer, tray drying and milling the granulated mixture, adding magnesium stearate to the granulated mixture and blending to form the final pharmaceutical composition.
  • the oral fine suspension was prepared by dissolving celecoxib in ethanol containing 5% polysorbate 80 and adding that mixture to apple juice prior to administration.
  • the rate of celecoxib absorption (higher C max and shorter T max ) was greater for the oral fine suspension than for the capsules.
  • the overall extent of celecoxib absorption for the oral fine suspension was similar to the overall extent of celecoxib absorption for the capsules.

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