WO1996023500A1 - Nuevas formulaciones galenicas estables conteniendo un compuesto de bencimidazol acido-labil, y su proceso de obtencion - Google Patents
Nuevas formulaciones galenicas estables conteniendo un compuesto de bencimidazol acido-labil, y su proceso de obtencion Download PDFInfo
- Publication number
- WO1996023500A1 WO1996023500A1 PCT/ES1996/000013 ES9600013W WO9623500A1 WO 1996023500 A1 WO1996023500 A1 WO 1996023500A1 ES 9600013 W ES9600013 W ES 9600013W WO 9623500 A1 WO9623500 A1 WO 9623500A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- inert
- acid
- polymer
- labile
- compound
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5073—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5073—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings
- A61K9/5078—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings with drug-free core
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
Definitions
- the present invention relates to novel pharmaceutical preparations for oral administration containing a 2 [(2-pyridyl) methylsulfinyl] -benzimidazole derivative (hereinafter referred to as "benzimidazole compound”) of formula I:
- R- ⁇ is hydrogen, methoxy or difluoromethoxy
- R.2 is methyl or methoxy
- R3 is methoxy, 2,2,2-trifluoroethoxy or 3- methoxypropoxy
- R4 is hydrogen or methyl
- the invention is also related to a method for the manufacture of said preparations, and the ways of administration to patients with gastrointestinal diseases.
- the referred benzimidazole compounds are very effective medications for the treatment of gastric and duodenal ulcers, gastroesophageal reflux, severe erosive esophagitis, and in the eradication of H-pylori.
- these compounds are little stable In solid state they are sensitive to heat, humidity and light, and in aqueous solution or suspension stability decreases with decreasing pH. The degradation of these compounds is catalyzed by acid reaction compounds.
- compositions containing acid-labile compounds should be undercoated to avoid a reaction between the active ingredient and the external acidic enteric coating. Such a reaction, if any, would cause degradation, destabilization and consequently alteration of the color of the active ingredient.
- an alkaline salt of the benzimidazole compound or by incorporating an alkaline reaction compound in the enteric coated preparation (oxide, hydroxide or magnesium carbonate, aluminum hydroxide, carbonate, phosphate or citrate Aluminum, calcium, sodium or potassium, aluminum / magnesium composite material, sodium lauryl sulfate, amino acids, N-methyl-D-glucam; .na, etc.) as described in US-A- 4,786,505, US-A-5,232,706, EP-A-237200, EP-A-124495, the alkaline reaction compound being present within or on the surface of the core together with the benzimidazole compound.
- solid pharmaceutical preparations of high stability are obtained containing a benzimidazole compound of Formula I.
- the new galenic formulations do not contain alkaline reaction compounds, therefore, an alkaline compound is not present within the preparations. enterically coated.
- the new preparations described have great stability during storage over long periods of time, far superior to that of known formulations, avoiding loss of color and richness, thus being more suitable for pharmaceutical use.
- the new preparation is characterized by an inert spherical core of sugar and starch, on which a first coating layer containing a mixture of the benzimidazolic compound of Formula I is applied as active ingredient, an inert water soluble polymer and reaction excipients non - alkaline pharmaceutical acceptable ⁇ ; a second inert insulating layer formed by water soluble polymers and compatible excipients; and finally a third layer consisting of an enteric coating.
- the core, the process conditions and the excipients have been selected in order to obtain an effective coating, required in each layer.
- the new preparation obtained is resistant to dissolution in acidic medium being stable during the passage through gastric juice, and quickly dissolves in a neutral or alkaline medium, conditions of the proximal part of the small intestine.
- the acid resistance evaluated according to Farri.acopea USA, demonstrates that after 2 hours the amount of benzimidazole remains unchanged, and that by changing the pH to 6.8, after 30 minutes all the benzimidazole dissolves (analyzed according to Pharmacopoeia USA).
- inert spherical cores are coated with a first layer containing the benzimidazole acid-labile compound, an inert water soluble polymer such as hydroxypropyl methylcellulose or hydroxypropyl cellulose, and talc. It is then coated with a second layer consisting of a water soluble inert polymer such as hydroxypropylmethylcellulose or hydroxypropylcellulose, talc and a pigment such as titanium dioxide.
- a third, enteric layer is applied, consisting of a polymer resistant to gastric juice such as methacrylic acid / methyl ester of copolymerized methacrylic acid, a plasticizer such as triethyl citrate or the like, and talc.
- the layers are applied by conventional fluid bed coating techniques using aqueous solutions or dispersions.
- the active ingredients can be administered in the same doses and according to the same protocol as the corresponding already commercial forms.
- the final dose may be administered in the form of capsules containing the pellets or pellets formulated as tablets.
- the dose for the benzimidazole compound is between 1 mg and 100 mg / kg / day, adjusted to the needs of each patient and for the clinically indicated time.
- a fluid bed apparatus 3010 g of uniform spherical inert sugar and starch nuclei (composition according to Pharmacopoeia USA) are introduced, onto which the previously obtained dispersion is sprayed. After spraying, and before applying the second layer, the spheres are dried.
- pellets thus obtained were stored in closed polyethylene bags inside a cardboard bottle as well as in closed glass jars, and were subjected to the so-called accelerated conditions, that is, 40 ⁇ C and 75% relative humidity.
- pellets extracted from Prilosec® capsules (trademark of Merck / Astra) were packed in identical containers and subjected to the same conditions.
- the test results in accelerated conditions are summarized in Tables 1, 2 and 3, demonstrating superior stability of the new pellets against the authorized products available in the market.
- Second layer 350 g of deionized water, 52 g of hydroxypropyl methylcellulose, 7 g of talc and 7 g of titanium dioxide.
- Enteric coating layer 280 g of deionized water, 290 g of methacrylic acid copolymer according to Pharmacopoeia USA - aqueous suspension type C-, 13 g of triethyl citrate and 13 g of talc.
- the pellets obtained were stable and showed a profile similar to those obtained in example 1.
- the purpose of the study was to investigate the bioavailability and pharmacokinetic profile of the new pharmaceutical formulation of omeprazole compared to the standard capsule formulation (Prilosec®; 20 mg).
- Hard gelatin capsules were filled with the new galenic form of omeprazole, prepared according to example 1, in an amount equivalent to 20 mg of omeprazole.
- the experimental design carried out in a single center, was an open, randomized, crossed study in 24 healthy volunteers, male and female.
- the medication was administered with 200 ml of tap water after fasting (solid and liquids), at least, during the previous 10 hours.
- the concentration of omeprazole in blood plasma was analyzed by a validated method of high pressure liquid chromatography with ultraviolet detector
- Teeth values for the geometric mean of the maximum plasma concentration C ma ⁇ were 249 (197) and 241 (174) ng / ml, and the AUC Q - ⁇ were 434 (440) and 486 (436) ng h / ml, respectively.
- the ratio of the geometric means (new / Prilo-sec®) of C ma ⁇ and AUC was 1.03 in both cases, and the 90% confidence intervals (CI) for these relationships were completely within the range 0 , 80 - 1.25. According to the CPMP directives for bioequivalence studies, the bioequivalence of the formulations (new formulation and Prilosec®) is accepted
- omeprazole capsules according to the present invention, a preparation is obtained with the same bioavailability as Prilosec® capsules containing the same amount of micronized active compound.
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- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Epidemiology (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Oncology (AREA)
- Communicable Diseases (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
- Plural Heterocyclic Compounds (AREA)
Priority Applications (12)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ES96901349T ES2148725T3 (es) | 1995-02-01 | 1996-01-26 | Nuevas formulaciones galenicas estables conteniendo un compuesto de bencimidazol acido-labil, y su proceso de obtencion. |
| DK96901349T DK0773025T3 (da) | 1995-02-01 | 1996-01-26 | Nye stabile galeniske formuleringer indeholdende en syrelabil benzimidazolforbindelser, og fremgangsmåde til fremstilling |
| EP96901349A EP0773025B1 (en) | 1995-02-01 | 1996-01-26 | New stable galenic formulations containing an acid-labile benzimidazol compound, and production process |
| KR1019960704702A KR100331290B1 (ko) | 1995-02-01 | 1996-01-26 | 산에불안정한벤즈이미다졸화합물을포함하는신규의안정화된갈레닉(Galenic)제제및그의제조방법 |
| JP52327896A JP4183746B2 (ja) | 1995-02-01 | 1996-01-26 | 酸不安定性ベンズイミダゾールを含有する新規安定型ガレニック製剤、及びその製造方法 |
| AU45403/96A AU4540396A (en) | 1995-02-01 | 1996-01-26 | New stable ganelic formulations containing an acid-labile benzimidazol compound, and production process |
| CA002184842A CA2184842C (en) | 1995-02-01 | 1996-01-26 | New stabilized galenic formulations comprising an acid labile benzimidazole compound and its preparation |
| AT96901349T ATE193649T1 (de) | 1995-02-01 | 1996-01-26 | Neue stabile galenische formulierungen, die eine säurelabile benzimidazolverbindung enthalten, und herstellungsverfahren |
| HU9603014A HU229219B1 (en) | 1995-02-01 | 1996-01-26 | Stabilized galenic compositions containing benzimidazol derivatives decomposing in acidic medium, and process for producing them |
| SI9630226T SI0773025T1 (en) | 1995-02-01 | 1996-01-26 | New stable galenic formulations containing an acid-labile benzimidazol compound, and production process |
| DE69608767T DE69608767D1 (de) | 1995-02-01 | 1996-01-26 | Neue stabile galenische formulierungen, die eine säurelabile benzimidazolverbindung enthalten, und herstellungsverfahren |
| FI963916A FI121730B (fi) | 1995-02-01 | 1996-09-30 | Uudet stabiloidut galeeniset formulaatiot, jotka sisältävät happolabiilia bentsimidatsoliyhdistettä, ja niiden valmistus |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ESP9500181 | 1995-02-01 | ||
| ES09500181A ES2094694B1 (es) | 1995-02-01 | 1995-02-01 | Nueva formulacion farmaceuticamente estable de un compuesto de bencimidazol y su proceso de obtencion. |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1996023500A1 true WO1996023500A1 (es) | 1996-08-08 |
Family
ID=8289322
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/ES1996/000013 Ceased WO1996023500A1 (es) | 1995-02-01 | 1996-01-26 | Nuevas formulaciones galenicas estables conteniendo un compuesto de bencimidazol acido-labil, y su proceso de obtencion |
Country Status (20)
| Country | Link |
|---|---|
| US (1) | US5626875A (https=) |
| EP (2) | EP0773025B1 (https=) |
| JP (1) | JP4183746B2 (https=) |
| KR (1) | KR100331290B1 (https=) |
| AR (1) | AR002702A1 (https=) |
| AT (2) | ATE193649T1 (https=) |
| AU (1) | AU4540396A (https=) |
| CA (1) | CA2184842C (https=) |
| DE (3) | DE69608767D1 (https=) |
| DK (2) | DK0773025T3 (https=) |
| ES (3) | ES2094694B1 (https=) |
| FI (1) | FI121730B (https=) |
| HU (1) | HU229219B1 (https=) |
| IL (1) | IL116673A (https=) |
| IN (1) | IN186596B (https=) |
| PT (2) | PT993830E (https=) |
| SI (2) | SI0993830T1 (https=) |
| TW (1) | TW503115B (https=) |
| WO (1) | WO1996023500A1 (https=) |
| ZA (1) | ZA96683B (https=) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1999053918A1 (en) | 1998-04-20 | 1999-10-28 | Eisai Co., Ltd. | Stabilized compositions containing benzimidazole-type compounds |
| US6391342B1 (en) | 1998-03-20 | 2002-05-21 | A/S Gea Farmaceutisk Fabrik | Pharmaceutical formulation comprising a 2- [(2-pyridinyl) methyl] sulfinyl benzimidazole having anti-ulcer activity and a process for the preparation of such formulation |
| US6576258B1 (en) | 1997-07-14 | 2003-06-10 | Lek, Tovarna Farmacevtskih In Kemicnih Izdelkov, D.D. | Pharmaceutical formulation with controlled release of active substances |
| US7402321B2 (en) | 1998-08-12 | 2008-07-22 | Nycomed Gmbh | Oral administration form for pyridin-2-ylmethylsulfinyl-1H-benzimidazoles |
| US7544370B2 (en) | 2003-10-01 | 2009-06-09 | Wyeth | Pantoprazole multiparticulate formulations |
| EP3292862A1 (en) | 2016-09-07 | 2018-03-14 | Sandoz Ag | Omeprazole formulations |
Families Citing this family (75)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| SE9500478D0 (sv) * | 1995-02-09 | 1995-02-09 | Astra Ab | New pharmaceutical formulation and process |
| ATE286394T1 (de) | 1995-09-21 | 2005-01-15 | Pharma Pass Ii Llc | Ein säurelabile omeprazol enthaltende arzneizusammensetzung und verfahren zu deren herstellung |
| ES2137862B1 (es) * | 1997-07-31 | 2000-09-16 | Intexim S A | Preparacion farmaceutica oral que comprende un compuesto de actividad antiulcerosa y procedimiento para su obtencion. |
| US6274591B1 (en) | 1997-11-03 | 2001-08-14 | Joseph F. Foss | Use of methylnaltrexone and related compounds |
| US6559158B1 (en) | 1997-11-03 | 2003-05-06 | Ur Labs, Inc. | Use of methylnaltrexone and related compounds to treat chronic opioid use side affects |
| US20030158220A1 (en) * | 1997-11-03 | 2003-08-21 | Foss Joseph F. | Use of methylnaltrexone and related compounds to treat chronic opioid use side effects |
| FR2774288B1 (fr) † | 1998-01-30 | 2001-09-07 | Ethypharm Sa | Microgranules d'omeprazole gastroproteges, procede d'obtention et preparations pharmaceutiques |
| ZA9810765B (en) * | 1998-05-28 | 1999-08-06 | Ranbaxy Lab Ltd | Stable oral pharmaceutical composition containing a substituted pyridylsulfinyl benzimidazole. |
| FR2793688B1 (fr) * | 1999-05-21 | 2003-06-13 | Ethypharm Lab Prod Ethiques | Microgranules gastroproteges, procede d'obtention et preparations pharmaceutiques |
| ES2168043B1 (es) * | 1999-09-13 | 2003-04-01 | Esteve Labor Dr | Forma farmaceutica solida oral de liberacion modificada que contiene un compuesto de bencimidazol labil en medio acido. |
| AU782538B2 (en) | 1999-10-20 | 2005-08-04 | Eisai Co. Ltd. | Method for stabilizing benzimidazole compounds |
| DE19959419A1 (de) * | 1999-12-09 | 2001-06-21 | Ratiopharm Gmbh | Stabile galenische Zubereitungen umfassend ein Benzimidazol und Verfahren zu ihrer Herstellung |
| EP1108425B1 (en) * | 1999-12-16 | 2005-06-08 | Laboratorio Medinfar-Produtos Farmaceuticos, S.A. | New stable multi-unitary pharmaceutical preparations containing substituted benzimidazoles |
| US6419956B1 (en) * | 1999-12-30 | 2002-07-16 | Ancile Pharmaceuticals | Odor-masking coating for a pharmaceutical preparation |
| WO2002026210A2 (en) * | 2000-09-29 | 2002-04-04 | Geneva Pharmaceuticals Inc. | Proton pump inhibitor formulation |
| WO2002038133A2 (en) * | 2000-11-10 | 2002-05-16 | F. Hoffman-La Roche Ag | Compositions containing hydrolytically unstable compounds |
| US20030022909A1 (en) * | 2001-06-05 | 2003-01-30 | University Of Chicago | Use of methylnaltrexone to treat immune suppression |
| AU2002321204B2 (en) | 2001-07-16 | 2008-05-08 | Janssen Pharmaceutica N.V. | Improved process for preparing benzimidazole-type compounds |
| NZ532096A (en) * | 2001-09-28 | 2006-10-27 | Mcneil Ppc Inc | Dosage forms having an inner core and outer shell with different shapes |
| US20040170689A1 (en) * | 2001-11-09 | 2004-09-02 | Odink Debra Alida | Stabilized formulations comprising hydrolytically unstable compositions |
| ES2198195B1 (es) | 2001-12-18 | 2004-10-01 | Laboratorios Del Dr. Esteve, S.A. | Forma de dosificacion farmaceutica oral comprimida, con recubrimiento enterico, que contiene un compuesto de bencimidazol labil en medio acido. |
| RU2332237C2 (ru) * | 2002-08-02 | 2008-08-27 | Рациофарм Гмбх | Фармацевтический препарат, содержащий производное бензимидазола, смешанное с микрокристаллической целлюлозой, и способ его изготовления |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US6576258B1 (en) | 1997-07-14 | 2003-06-10 | Lek, Tovarna Farmacevtskih In Kemicnih Izdelkov, D.D. | Pharmaceutical formulation with controlled release of active substances |
| US6391342B1 (en) | 1998-03-20 | 2002-05-21 | A/S Gea Farmaceutisk Fabrik | Pharmaceutical formulation comprising a 2- [(2-pyridinyl) methyl] sulfinyl benzimidazole having anti-ulcer activity and a process for the preparation of such formulation |
| WO1999053918A1 (en) | 1998-04-20 | 1999-10-28 | Eisai Co., Ltd. | Stabilized compositions containing benzimidazole-type compounds |
| US7402321B2 (en) | 1998-08-12 | 2008-07-22 | Nycomed Gmbh | Oral administration form for pyridin-2-ylmethylsulfinyl-1H-benzimidazoles |
| US8465767B2 (en) | 1998-08-12 | 2013-06-18 | Takeda Gmbh | Oral administration form for pyridin-2-ylmethylsulfinyl-1H benzimidazoles |
| US7544370B2 (en) | 2003-10-01 | 2009-06-09 | Wyeth | Pantoprazole multiparticulate formulations |
| US7550153B2 (en) | 2003-10-01 | 2009-06-23 | Wyeth | Pantoprazole multiparticulate formulations |
| US7553498B2 (en) | 2003-10-01 | 2009-06-30 | Wyeth | Pantoprazole multiparticulate formulations |
| US7838027B2 (en) | 2003-10-01 | 2010-11-23 | Wyeth Llc | Pantoprazole multiparticulate formulations |
| EP3292862A1 (en) | 2016-09-07 | 2018-03-14 | Sandoz Ag | Omeprazole formulations |
| WO2018046498A1 (en) | 2016-09-07 | 2018-03-15 | Sandoz Ag | Omeprazole formulations |
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