WO2005004852A1 - Pharmaceutical formulations - Google Patents

Pharmaceutical formulations Download PDF

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Publication number
WO2005004852A1
WO2005004852A1 PCT/EP2004/007669 EP2004007669W WO2005004852A1 WO 2005004852 A1 WO2005004852 A1 WO 2005004852A1 EP 2004007669 W EP2004007669 W EP 2004007669W WO 2005004852 A1 WO2005004852 A1 WO 2005004852A1
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WO
WIPO (PCT)
Prior art keywords
carrier
active ingredient
solid pharmaceutical
ingredient substance
substance
Prior art date
Application number
PCT/EP2004/007669
Other languages
French (fr)
Inventor
Marian Thomas
Original Assignee
Glaxo Group Limited
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority claimed from GB0316338A external-priority patent/GB0316338D0/en
Priority claimed from GB0324912A external-priority patent/GB0324912D0/en
Application filed by Glaxo Group Limited filed Critical Glaxo Group Limited
Priority to EP04763174A priority Critical patent/EP1646370A1/en
Priority to US10/564,121 priority patent/US20060210485A1/en
Priority to JP2006518172A priority patent/JP2009514779A/en
Publication of WO2005004852A1 publication Critical patent/WO2005004852A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/0075Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy for inhalation via a dry powder inhaler [DPI], e.g. comprising micronized drug mixed with lactose carrier particles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/12Carboxylic acids; Salts or anhydrides thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/02Nasal agents, e.g. decongestants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/06Antiabortive agents; Labour repressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/04Antipruritics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/06Antipsoriatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P21/00Drugs for disorders of the muscular or neuromuscular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/04Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure

Definitions

  • the present invention relates to solid pharmaceutical formulations which comprise an active ingredient drug substance, a carrier and calcium stearate.
  • the invention also relates to the use of calcium stearate to inhibit or reduce chemical reaction or degradation of an active ingredient substance in the presence of a carrier.
  • the invention also relates to the use of calcium stearate for the stabilisation of an active ingredient drug substance in the presence of a carrier.
  • excipients which may be required as carriers, diluents, fillers, bulking agents, binders etc.
  • excipients are often used to give bulk to a pharmaceutical formulation where the active ingredient substance is present in very small quantities.
  • excipients are generally chemically inert. Over prolonged storage times, or under conditions of extreme heat or humidity, and in the presence of other materials, such inert substances can, however, undergo or participate in chemical degradation reactions.
  • Carrier substances that are commonly utilised in solid pharmaceutical formulations include reducing sugars, for example lactose, maltose and glucose. Lactose is particularly commonly used. It is generally regarded as an inert excipient.
  • Some inhalable dry powder pharmaceuticals are sensitive to moisture, as reported, for example in WO 00/28979 (SkyePharma AG).
  • the presence of moisture was found to interfere with the physical interaction between a carrier and a drug substance and thus with the effectiveness of drug delivery.
  • Such interference with physical interactions between a carrier and a drug substance is distinct from chemical instability resulting from degradation.
  • WO/0028979 proposes the use of magnesium stearate to improve moisture resistance of dry powder formulations; such use is said in particular to cause a reduction in the effect of penetrating moisture on the fine particle fraction (FPF) of the formulation.
  • FPF fine particle fraction
  • WO01/78694 (Vectura Limited) describes a powder for use in a dry powder inhaler including an active ingredient particles and carrier particles, wherein the carrier includes an additive which is able to promote release of the active particles from the carrier particles.
  • Possible additive materials include amino acids, phospholipids, fatty acids and derivatives of fatty acids such as salts and esters, including inter alia calcium stearate.
  • the present invention provides the use of calcium stearate to inhibit or reduce chemical interaction between an active ingredient substance and a carrier in a solid pharmaceutical formulation, wherein said active ingredient substance is susceptible to chemical interaction with said carrier.
  • the invention also provides the use of calcium stearate to inhibit or reduce chemical degradation of an active ingredient substance in a solid pharmaceutical formulation comprising the active ingredient substance and a carrier, wherein said active ingredient substance is susceptible to chemical interaction with said carrier.
  • the chemical stability of the active substance in the formulation during long term storage may thereby be improved.
  • the present invention provides a solid pharmaceutical formulation comprising (a) an active ingredient substance susceptible to chemical interaction with a carrier, (b) a carrier and (c) calcium stearate.
  • the present invention provides a method of reducing or inhibiting chemical interaction between an active ingredient substance and a carrier susceptible to chemical interaction, which comprises mixing said active ingredient substance and said carrier with calcium stearate.
  • the invention also provides a method of inhibiting chemical degradation of an active ingredient substance in a formulation comprising a carrier and an active ingredient substance, which method comprises mixing calcium stearate with said active ingredient substance and said carrier.
  • compositions that have been prepared according to the present invention have greater chemical stability than the corresponding formulations without calcium stearate.
  • calcium stearate may be referred to as a ternary agent.
  • 'Ternary agent' is used herein to mean a compound used in a formulation in addition to the active ingredient drug substance or substances (the 'primary' agent) and a bulk carrier material or materials (the 'secondary' agent). In some circumstances more than one ternary agent may be used. Optionally, further substances, possibly named 'quaternary agents', may also be present, for example as a lubricant. Any particular ternary or quaternary agent may have more than one effect.
  • the carrier is a reducing sugar, for example lactose, maltose or glucose (for example monohydrate glucose or anhydrate glucose).
  • the carrier is lactose.
  • Alternative carriers include maltodextrin.
  • the optimal amount of calcium stearate present in a particular composition varies depending on the identity of the active ingredient drug substance present, the sizes of the particles and various other factors.
  • calcium stearate is preferably present in an amount of from 0J to 20% w/w based on the total weight of the composition. More preferably the calcium stearate is present in an amount of from 0.2 to 10% w/w based on the total weight of the composition. Still more preferably, the calcium stearate is preferably present in an amount of from 0.3 to 6% w/w, for example from 0.5 to 4% w/w.
  • the active ingredient substance is typically present in an amount of from 0.01% to 50% w/w based on the total weight of the composition.
  • the active ingredient substance is present in an amount of from 0.02% to 10% w/w, more preferably in an amount of from 0.03 to 5%w/w, for example from 0.05% to 1 % w/w, for example 0.1% w/w.
  • the active ingredient drug substance is one which includes a primary or secondary amine group.
  • the drug substance may contain the group Ar- CH(OH)-CH 2 -NH-R.
  • the group Ar may for example be selected from a group of formula (a) (b) (c) or (d):
  • R 12 represents hydrogen, halogen, -(CH 2 ) q OR 16 , -NR 16 C(O)R 17 , -NR 16 SO 2 R 17 , SO 2 NR 16 R 17 , -NR 16 R 17 , -OC(O)R 18 or OC(O)NR 16 R 17
  • R 13 represents hydrogen, halogen or C- M alkyl
  • R 12 represents -NHR 19 and R 13 and -NHR 19 together form a 5- or 6- membered heterocyclic ring;
  • R 14 represents hydrogen, halogen, -OR 16 or -NR 16 R 17 ;
  • R 15 represents hydrogen, halogen, halod- 4 alkyl, -OR 16 , -NR 16 R 17 , -OC(O)R 18 or OC(O)NR 16 R 17 ;
  • R 16 and R 17 each independently represents hydrogen or C 1-4 alkyl, or in the groups -NR 16 R 17 , -SO 2 NR 16 R 17 and -OC(O)NR 16 R 17 , R 16 and R 17 independently represent hydrogen or C M alkyl or together with the nitrogen atom to which they are attached form a 5-, 6- or 7- membered nitrogen-containing ring,
  • R 18 represents an aryl (eg phenyl or naphthyl) group which may be unsubstituted or substituted by one or more substituents selected from halogen, C 1- alkyl, hydroxy, C-
  • q is zero or an integer from 1 to 4.
  • the group Ar is as defined above except that R 12 is not hydrogen.
  • preferred groups may be selected from the following groups (i) to (xxi):
  • Ar represents a group (i) as defined above.
  • Ar represents a group (iii) as defined above.
  • the group R preferably represents a moiety of formula: -A-B-C-D
  • A may represent (CH 2 ) m wherein m is an integer from 1 to 10; B may represent a heteroatom, e.g. oxygen; or a bond; C may represent (CH 2 ) n wherein n is an integer from 1 to 10; and
  • D may represent an aryl group, e.g. an optionally substituted phenyl or pyridyl group.
  • Drug substances which may be formulated in accordance with the present invention include those described in International Patent Applications WO 02/066422, WO 02/070490, WO 02/076933, WO 03/024439, WO 03/072539, WO 03/091204, WO
  • Specific drug substances which may be formulated in accordance with the present invention include: 3-(4- ⁇ [6-( ⁇ (2 ?)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl ⁇ amino)hexyl] oxy ⁇ butyl) benzenesulfonamide;
  • the active ingredient drug substance may be in the form of a free acid or base or may be present as a salt, a solvate or other physiologically functional derivative. Salts and solvates which are suitable for use in medicine are those wherein the counterion or associated solvent is pharmaceutically acceptable.
  • Suitable salts for use in the invention include those formed with both organic and inorganic acids or bases.
  • Pharmaceutically acceptable acid addition salts include those formed from hydrochloric, hydrobromic, sulphuric, citric, tartaric, phosphoric, lactic, pyruvic, acetic, trifluoroacetic, triphenylacetic, phenylacetic, substituted phenyl acetic eg.
  • Pharmaceutically acceptable base salts include ammonium salts, alkali metal salts such as those of sodium and potassium, alkaline earth metal salts such as those of calcium and magnesium and salts with organic bases such as dicyclohexyl amine and N-methyl-D-glucamine.
  • a physiologically functional derivative of a drug substance may also be used in the invention.
  • physiologically functional derivative is meant a chemical derivative of a compound of having the same physiological function as the free compound, for example, by being convertible in the body thereto.
  • examples of physiologically functional derivatives include esters, for example compounds in which a hydroxyl group has been converted to a C ⁇ alkyl, aryl, aryl C ⁇ - 6 alkyl, or amino acid ester.
  • the active ingredient drug substance is most preferably a selective long-acting ⁇ 2 - adrenoreceptor agonist.
  • Such compounds have use in the prophylaxis and treatment of a variety of clinical conditions, including diseases associated with reversible airways obstruction such as asthma, chronic obstructive pulmonary diseases (COPD) (e.g. chronic and whez bronchitis, emphysema), respiratory tract infection and upper respiratory tract disease (e.g. rhinitis, including seasonal and allergic rhinitis).
  • COPD chronic obstructive pulmonary diseases
  • rhinitis including seasonal and allergic rhinitis
  • Other conditions which may be treated include premature labour, depression, congestive heart failure, skin diseases (e.g. inflammatory, allergic, psoriatic, and proliferative skin diseases), conditions where lowering peptic acidity is desirable (e.g. peptic and gastric ulceration) and muscle wasting disease.
  • skin diseases e.g. inflammatory, allergic, psoriatic, and proliferative skin diseases
  • conditions where lowering peptic acidity is desirable e.g. peptic and gastric ulceration
  • muscle wasting disease e.g. peptic and gastric ulceration
  • Formulations to which the present invention may be applied include those suitable for oral, parenteral (including subcutaneous, intradermal, intramuscular, intravenous and intraarticular, inhalation (including fine particle dusts or mists which may be generated by means of various types of metered dose pressurised aerosols, nebulisers or insufflators), rectal and topical (including dermal, buccal, sublingual and intraocular) administration.
  • the formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active ingredient into association with the carrier and the calcium stearate ternary agent as well as any other accessory ingredients. In general the formulations are prepared by uniformly and intimately bringing into association the active ingredient, lactose, calcium stearate and any other accessory ingredients, and then, if necessary, shaping the product into the desired formulation.
  • Formulations of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules.
  • the active ingredient drug substance may also be presented as a bolus, electuary or paste.
  • a tablet may be made by compression or moulding, optionally with one or more accessory ingredients.
  • Compressed tablets may be prepared by compressing in a suitable machine the active ingredient in a free-flowing form such as a powder or granules, optionally mixed with a binder, lubricant, inert diluent, lubricating, surface active or dispersing agent.
  • Moulded tablets may be made by moulding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent.
  • the tablets may optionally be coated or scored and may be formulated so as to provide slow or controlled release of the active ingredient therein.
  • Formulations for parenteral administration include sterile powders, granules and tablets intended for dissolution immediately prior to administration.
  • the formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilised) condition requiring only the addition of the sterile liquid carrier, for example saline or water-for-injection, immediately prior to use.
  • Formulations for topical administration in the mouth include lozenges comprising the active ingredient in a flavoured basis such as sucrose and acacia or tragacanth, and pastilles comprising the active ingredient in a basis such as gelatin and glycerin or sucrose and acacia.
  • the invention finds particular application in dry powder compositions, in particular in dry powder compositions for topical delivery to the lung by inhalation.
  • Dry powder compositions for topical delivery to the lung by inhalation may, for example, be presented in capsules and cartridges of for example gelatine, or blisters of for example laminated aluminium foil, for use in an inhaler or insufflator.
  • Packaging of the formulation may be suitable for unit dose or multi-dose delivery.
  • the formulation can be pre-metered (eg as in Diskus, see GB 2242134 or Diskhaler, see GB 2178965, 2129691 and 2169265) or metered in use (eg as in Turbuhaler, see EP 69715 or EP0237507).
  • An example of a unit-dose device is Rotahaler (see GB 2064336).
  • the Diskus inhalation device comprises an elongate strip formed from a base sheet having a plurality of recesses spaced along its length and a lid sheet hermetically but peelably sealed thereto to define a plurality of containers, each container having therein an inhalable formulation containing an active compound.
  • the strip is sufficiently flexible to be wound into a roll.
  • Medicaments for administration by inhalation desirably have a controlled particle size.
  • the optimum particle size for inhalation into the bronchial system is usually 1-1 O ⁇ m, preferably 2- 5 ⁇ m, measured as the mass mean diameter (MMD).
  • MMD mass mean diameter
  • Particles having a size above 20 ⁇ m are generally too large when inhaled to reach the small airways.
  • the particles of the active ingredient substance as produced may be size reduced by conventional means eg by micronisation.
  • the desired fraction may be separated out by air classification or sieving.
  • the particles will be crystalline.
  • the particle size of the carrier for example lactose, will be much greater than the drug substance within the present invention.
  • the carrier is lactose it will typically be present as milled lactose, for example with a mean mass diameter (MMD) of 60-90 ⁇ m and with not more than 15% having a particle diameter of less than 15 ⁇ m.
  • MMD mean mass diameter
  • the calcium stearate will typically have a particle size in the range 1 to 50 ⁇ m, and more particularly 1 - 20 ⁇ m, e.g. 1-1 O ⁇ m.
  • Preferred unit dosage formulations are those containing an effective dose, as hereinbefore recited, or an appropriate fraction thereof, of the active ingredient.
  • formulations of this invention may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavouring agents.
  • the compounds and pharmaceutical formulations according to the invention may be used in combination with or include one or more other therapeutic agents, for example a beta-agonist may be used in combination with one or more other therapeutic agents selected from anti- inflammatory agents (for example a corticosteroid, or an NSAID,) anticholinergic agents (particularly an M-,, M 2 , M ⁇ /M 2 or M 3 receptor antagonist), other ⁇ 2 -adrenoreceptor agonists, antiinfective agents (e.g. antibiotics, antivirals), or antihistamines.
  • anti- inflammatory agents for example a corticosteroid, or an NSAID,
  • anticholinergic agents particularly an M-,, M 2 , M ⁇ /M 2 or M 3 receptor antagonist
  • antiinfective agents e.g. antibiotics, antivirals
  • antihistamines e.g. antibiotics, antivirals
  • Suitable corticosleroids include methyl prednisolone, prednisolone, dexamethasone, fluticasone propionate, 6 ⁇ ,9 ⁇ -difluoro-17 ⁇ -[(2-furanylcarbonyl)oxy]-11 ⁇ -hydroxy-16 ⁇ -methyl- 3-oxo-androsta-1 ,4-diene-17 ⁇ -carbothioic acid S-fluoromethyl ester, 6 ⁇ ,9 ⁇ -difluoro-11 ⁇ - hydroxy-16 ⁇ -methyl-3-oxo-17 ⁇ -propionyloxy- androsta-1 ,4-diene-17 ⁇ -carbothioic acid S-(2- oxo-tetrahydro-furan-3S-yl) ester, beclomethasone esters (e.g.
  • the 17-propionate ester or the 17,21-dipropionate ester the 17-propionate ester or the 17,21-dipropionate ester
  • budesonide flunisolide
  • mometasone esters e.g. the furoate ester
  • triamcinolone acetonide e.g. the furoate ester
  • rofleponide triamcinolone acetonide
  • ciclesonide butixocort propionate
  • RPR-106541 the 17-propionate ester or the 17,21-dipropionate ester
  • ST-126 the 17-propionate ester or the 17,21-dipropionate ester
  • flunisolide e.g. the furoate ester
  • triamcinolone acetonide e.g. the furoate ester
  • rofleponide triamcinolone acetonide
  • ciclesonide butixocort propionate
  • Suitable NSAIDs include sodium cromoglycate, nedocromil sodium, phosphodiesterase (PDE) inhibitors (e.g. theophylline, PDE4 inhibitors or mixed PDE3/PDE4 inhibitors), leukotriene antagonists, inhibitors of leukotriene synthesis, iNOS inhibitors, tryptase and elastase inhibitors, beta-2 integrin antagonists and adenosine receptor agonists or antagonists (e.g. adenosine 2a agonists), cytokine antagonists (e.g. chemokine antagonists) or inhibitors of cytokine synthesis.
  • PDE phosphodiesterase
  • Suitable anticholinergic agents are those compounds that act as antagonists at the muscarinic receptor, in particular those compounds which are antagonists of the M-i and M 2 receptors.
  • exemplary compounds include the alkaloids of the belladonna plants as illustrated by the likes of atropine, scopolamine, homatropine, hyoscyamine; these compounds are normally administered as a salt, being tertiary amines.
  • Preferred anticholinergics include ipratropium (e.g. as the bromide), sold under the name Atrovent, oxitropium (e.g. as the bromide) and tiotropium (e.g. as the bromide) (CAS-139404- 48-1).
  • ipratropium e.g. as the bromide
  • oxitropium e.g. as the bromide
  • tiotropium e.g. as the bromide
  • Suitable antihistamines include any one or more of the numerous antagonists known which inhibit H-i-receptors, and are safe for human use. All are reversible, competitive inhibitors of the interaction of histamine with H receptors. Examples of preferred anti-histamines include methapyrilene and loratadine.
  • the invention further provides the use of an inhalable solid pharmaceutical formulation according to the invention for the manufacture of a medicament for the treatment of diseases associated with reversible airways obstruction such as asthma, chronic obstructive pulmonary diseases (COPD) (e.g. chronic and whez bronchitis, emphysema), respiratory tract infection and upper respiratory tract disease (e.g. rhinitis, including seasonal and allergic rhinitis).
  • COPD chronic obstructive pulmonary diseases
  • rhinitis including seasonal and allergic rhinitis.
  • the invention also provides a method for treating asthma, chronic obstructive pulmonary diseases (COPD), chronic or whez bronchitis, emphysema, respiratory tract infection upper respiratory tract, or rhinitis, including seasonal and allergic rhinitis comprising administering to a patient in need thereof an inhalable solid pharmaceutical formulation according to the invention.
  • COPD chronic obstructive pulmonary diseases
  • emphysema emphysema
  • respiratory tract infection upper respiratory tract or rhinitis
  • rhinitis including seasonal and allergic rhinitis
  • the invention provides a method of preparing a solid pharmaceutical preparation comprising combining in one or more steps: (a) an active ingredient substance susceptible to interaction with a carrier, (b) a carrier and (c) calcium stearate.
  • Compound X was the cinnamate salt of 3- (4- ⁇ [6-( ⁇ (2R)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl ⁇ amino)hexyl]oxy ⁇ - butyl)benzene-sulfonamide.
  • the synthesis of compound X is described in Examples 45 and 46 in WO 02/066422.
  • Lactose monohydrate was obtained from Borculo Domo Ingredients as BP/USNF form. Before use, the Lactose Monohydrate was sieved through a coarse screen (mesh size 500 microns). Compound X was micronised before use in an APTM microniser to give a MMD (mean mass diameter) of from 2 to 5 microns.
  • Calcium stearate was obtained from Sigma-Aldrich and used as supplied (MMD ⁇ 10 microns).
  • the calcium stearate was combined with lactose monohydrate and blended using either a high shear mixer (a QMM, PMA or TRV series mixer) or a low shear tumbling blender (a Turbula mixer) to provide a ternary agent/drug premix, hereinafter referred to as blend A.
  • a high shear mixer a QMM, PMA or TRV series mixer
  • a low shear tumbling blender a Turbula mixer
  • Final blend B was obtained by first pre-mixing an appropriate quantity of blend A with compound X and then blending that blend A/compound X premix with further blend A in a weight ratio appropriate to provide blend B containing the calcium stearate in the required quantity, as indicated in Table 1 below.
  • the quantity of calcium stearate in Table 2 is the amount by weight of calcium stearate present as a percentage of the total composition.
  • the final concentration of compound X in the blends was 0.1% w/w calculated on the basis of the weight of free base drug present.
  • Decomposition conditions The blends prepared as described above were subjected to accelerated decomposition conditions in a controlled atmosphere stability cabinet.
  • the conditions to which the blends were subjected are given with reference to the temperature and the % relative humidity, for example 30/60 is 30°C and 60% relative humidity (RH). Samples were analysed for decomposition products after the time periods indicated in the tables.
  • Detection was carried out by UV at 220nm with a HP1100 series detector model G1314A- VWD.
  • the area under the LC trace curve for the total impurities was compared with the total area under the curve, to give the %area/area figures given in Table 2.
  • Example 1 Comparison of compound X / lactose blends comprising calcium stearate with controls

Abstract

The invention relates to the use of calcium stearate to inhibit or reduce chemical interaction between an active ingredient substance and a carrier in a solid pharmaceutical formulation, wherein the active ingredient substance is susceptible to chemical interaction with the carrier. An inhalable solid pharmaceutical formulation comprising (a) an active ingredient substance susceptible to chemical interaction with lactose, (b) a carrier and (c) calcium stearate is also provided together with uses thereof and methods related thereto.

Description

PHARMACEUTICAL FORMULATIONS
The present invention relates to solid pharmaceutical formulations which comprise an active ingredient drug substance, a carrier and calcium stearate. The invention also relates to the use of calcium stearate to inhibit or reduce chemical reaction or degradation of an active ingredient substance in the presence of a carrier. The invention also relates to the use of calcium stearate for the stabilisation of an active ingredient drug substance in the presence of a carrier.
An important requirement of pharmaceutical formulations is that they should be stable on storage in a range of different conditions. It is known that active ingredient substances can demonstrate instability to one or more of heat, light or moisture and various precautions must be taken in formulating and storing such substances to ensure that the pharmaceutical products remain in an acceptable condition for use over a reasonable period of time, such that they have an adequate shelf-life. Instability of a drug substance may also arise from contact with one or more other components present in a formulation, for example a component present as an excipient.
It is usual practice in the pharmaceutical art to formulate active ingredient substance with substances known as excipients which may be required as carriers, diluents, fillers, bulking agents, binders etc. Such excipients are often used to give bulk to a pharmaceutical formulation where the active ingredient substance is present in very small quantities. Such substances are generally chemically inert. Over prolonged storage times, or under conditions of extreme heat or humidity, and in the presence of other materials, such inert substances can, however, undergo or participate in chemical degradation reactions.
Carrier substances that are commonly utilised in solid pharmaceutical formulations include reducing sugars, for example lactose, maltose and glucose. Lactose is particularly commonly used. It is generally regarded as an inert excipient.
However, it has been observed that certain active ingredient substances may undergo a chemical reaction in the presence of lactose and other reducing sugars. For example, it was reported by Wirth et al. (J. Pharm. Sci., 1998, 87, 31-39) that fluoxetine hydrochloride (sold under the tradename Prozac®) undergoes degradation when present in solid tablets with a lactose excipient. The degradation was postulated to occur by formation of adducts via the Maillard reaction and a number of early Maillard reaction intermediates were identified. The authors conclude that drug substances which are secondary or primary amines undergo the Maillard reaction with lactose under pharmaceutically relevant conditions.
The present inventors have found that, under accelerated stability conditions, certain inhalable active ingredient substances also undergo degradation in the presence of lactose, possibly also via the Maillard reaction.
Some inhalable dry powder pharmaceuticals are sensitive to moisture, as reported, for example in WO 00/28979 (SkyePharma AG). The presence of moisture was found to interfere with the physical interaction between a carrier and a drug substance and thus with the effectiveness of drug delivery. Such interference with physical interactions between a carrier and a drug substance is distinct from chemical instability resulting from degradation.
WO/0028979 proposes the use of magnesium stearate to improve moisture resistance of dry powder formulations; such use is said in particular to cause a reduction in the effect of penetrating moisture on the fine particle fraction (FPF) of the formulation.
WO01/78694 (Vectura Limited) describes a powder for use in a dry powder inhaler including an active ingredient particles and carrier particles, wherein the carrier includes an additive which is able to promote release of the active particles from the carrier particles. Possible additive materials include amino acids, phospholipids, fatty acids and derivatives of fatty acids such as salts and esters, including inter alia calcium stearate.
We have now surprisingly found that chemical interaction of active ingredient substance and carrier may be inhibited or reduced by the presence of calcium stearate.
In a first aspect therefore the present invention provides the use of calcium stearate to inhibit or reduce chemical interaction between an active ingredient substance and a carrier in a solid pharmaceutical formulation, wherein said active ingredient substance is susceptible to chemical interaction with said carrier.
The invention also provides the use of calcium stearate to inhibit or reduce chemical degradation of an active ingredient substance in a solid pharmaceutical formulation comprising the active ingredient substance and a carrier, wherein said active ingredient substance is susceptible to chemical interaction with said carrier. The chemical stability of the active substance in the formulation during long term storage may thereby be improved.
In a second aspect the present invention provides a solid pharmaceutical formulation comprising (a) an active ingredient substance susceptible to chemical interaction with a carrier, (b) a carrier and (c) calcium stearate.
In a third aspect the present invention provides a method of reducing or inhibiting chemical interaction between an active ingredient substance and a carrier susceptible to chemical interaction, which comprises mixing said active ingredient substance and said carrier with calcium stearate. The invention also provides a method of inhibiting chemical degradation of an active ingredient substance in a formulation comprising a carrier and an active ingredient substance, which method comprises mixing calcium stearate with said active ingredient substance and said carrier.
Pharmaceutical formulations that have been prepared according to the present invention have greater chemical stability than the corresponding formulations without calcium stearate.
In the context of the present invention calcium stearate may be referred to as a ternary agent. 'Ternary agent' is used herein to mean a compound used in a formulation in addition to the active ingredient drug substance or substances (the 'primary' agent) and a bulk carrier material or materials (the 'secondary' agent). In some circumstances more than one ternary agent may be used. Optionally, further substances, possibly named 'quaternary agents', may also be present, for example as a lubricant. Any particular ternary or quaternary agent may have more than one effect.
The invention finds particular application in formulations in which the carrier is a reducing sugar, for example lactose, maltose or glucose (for example monohydrate glucose or anhydrate glucose). In a preferred embodiment, the carrier is lactose. Alternative carriers include maltodextrin.
The optimal amount of calcium stearate present in a particular composition varies depending on the identity of the active ingredient drug substance present, the sizes of the particles and various other factors. In general, calcium stearate is preferably present in an amount of from 0J to 20% w/w based on the total weight of the composition. More preferably the calcium stearate is present in an amount of from 0.2 to 10% w/w based on the total weight of the composition. Still more preferably, the calcium stearate is preferably present in an amount of from 0.3 to 6% w/w, for example from 0.5 to 4% w/w.
The active ingredient substance is typically present in an amount of from 0.01% to 50% w/w based on the total weight of the composition. Preferably, the active ingredient substance is present in an amount of from 0.02% to 10% w/w, more preferably in an amount of from 0.03 to 5%w/w, for example from 0.05% to 1 % w/w, for example 0.1% w/w.
Preferably, the active ingredient drug substance is one which includes a primary or secondary amine group. Thus for example the drug substance may contain the group Ar- CH(OH)-CH2-NH-R.
The group Ar may for example be selected from a group of formula (a) (b) (c) or (d):
Figure imgf000005_0001
and
Figure imgf000005_0002
(d)
wherein R12 represents hydrogen, halogen, -(CH2)qOR16, -NR16C(O)R17, -NR16SO2R17, SO2NR16R17, -NR16R17, -OC(O)R18 or OC(O)NR16R17, and R13 represents hydrogen, halogen or C-M alkyl; or R12 represents -NHR19 and R13 and -NHR19 together form a 5- or 6- membered heterocyclic ring;
R14 represents hydrogen, halogen, -OR16 or -NR16R17;
R15 represents hydrogen, halogen, halod-4 alkyl, -OR16, -NR16 R17, -OC(O)R18 or OC(O)NR16R17;
R16 and R17 each independently represents hydrogen or C1-4 alkyl, or in the groups -NR16R17, -SO2NR16R17 and -OC(O)NR16R17, R16 and R17 independently represent hydrogen or CM alkyl or together with the nitrogen atom to which they are attached form a 5-, 6- or 7- membered nitrogen-containing ring,
R18 represents an aryl (eg phenyl or naphthyl) group which may be unsubstituted or substituted by one or more substituents selected from halogen, C1- alkyl, hydroxy, C-|.4 alkoxy or halo C14 alkyl; and
q is zero or an integer from 1 to 4.
In a particular embodiment, the group Ar is as defined above except that R12 is not hydrogen.
Within the definitions of (a) and (b) above, preferred groups may be selected from the following groups (i) to (xxi):
Figure imgf000006_0001
(i) (ϋ) (iii) (iv)
Figure imgf000007_0001
(V) (vi) (vϋ) (viii)
Figure imgf000008_0001
(ix) (X) (xi) (xii)
Figure imgf000008_0002
(xiii) (xiv) (xv)
Figure imgf000008_0003
(xvi) (xvii) (xviii)
Figure imgf000008_0004
(xix) (xx) (xxi) wherein the dotted line in (xvi) and (xix) denotes an optional double bond.
In a particular embodiment Ar represents a group (i) as defined above.
In another embodiment Ar represents a group (iii) as defined above.
The group R preferably represents a moiety of formula: -A-B-C-D
wherein:
A may represent (CH2)m wherein m is an integer from 1 to 10; B may represent a heteroatom, e.g. oxygen; or a bond; C may represent (CH2)n wherein n is an integer from 1 to 10; and
D may represent an aryl group, e.g. an optionally substituted phenyl or pyridyl group.
Drug substances which may be formulated in accordance with the present invention include those described in International Patent Applications WO 02/066422, WO 02/070490, WO 02/076933, WO 03/024439, WO 03/072539, WO 03/091204, WO
04/016578, WO2004/022547, WO 2004/037807, WO 2004/037773, WO 2004/037768, WO 2004/039762, and WO 2004/039766.
Specific drug substances which may be formulated in accordance with the present invention include: 3-(4-{[6-({(2 ?)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl}amino)hexyl] oxy}butyl) benzenesulfonamide;
3-(3-{[7-({(2R)-2-hydroxy-2-[4-hydroxy-3-hydroxymethyl)phenyl]ethyl}- amino)heptyl]oxy}propyl)benzenesulfonamide; 4-{(1 R)-2-[(6-{2-[(2,6-dichlorobenzyl)oxy]ethoxy}hexyl)amino]-1 -hydroxyethyl}-2-
(hydroxymethyl)phenol and
4-{(1R)-2-[(6-{4-[3-(cyclopentylsulfonyl)phenyl]butoxy}hexyl)amino]-1-hydroxyethyl}-2-
(hydroxymethyl)phenol, and salts, solvates and physiologically functional derivatives thereof. Other drug substances which may be formulated in accordance with the present invention include salmeterol, (R)-salmeterol, salbutamol, (R)-salbutamol, formoterol, (R,R)-formoterol, fenoterol, etanterol, naminterol, clenbuterol, pirbuterol, flerobuterol, reproterol, bambuterol and terbutaline and salts, solvates and physiologically acceptable derivatives thereof.
The active ingredient drug substance may be in the form of a free acid or base or may be present as a salt, a solvate or other physiologically functional derivative. Salts and solvates which are suitable for use in medicine are those wherein the counterion or associated solvent is pharmaceutically acceptable.
Suitable salts for use in the invention include those formed with both organic and inorganic acids or bases. Pharmaceutically acceptable acid addition salts include those formed from hydrochloric, hydrobromic, sulphuric, citric, tartaric, phosphoric, lactic, pyruvic, acetic, trifluoroacetic, triphenylacetic, phenylacetic, substituted phenyl acetic eg. methoxyphenyl acetic, sulphamic, suiphanilic, succinic, oxalic, fumaric, maleic, malic, glutamic, aspartic, oxaloacetic, methanesulphonic, ethanesulphonic, arylsulphonic (for example p- toluenesulphonic, benzenesulphonic, naphthalenesulphonic or naphthalenedisulphonic), salicylic, glutaric, gluconic, tricarballylic, mandelic, cinnamic, substituted cinnamic (for example, methyl, methoxy, halo or phenyl substituted cinnamic, including 4-methyl and 4- methoxycinnamic acid and α-phenyl cinnamic acid (E or Z isomers or a mixture of the two)), ascorbic, oleic, naphthoic, hydroxynaphthoic (for example 1- or 3-hydroxy-2-naphthoic), naphthaleneacrylic (for example naphthalene-2-acrylic), benzoic, 4-methoxybenzoic, 2- or 4- hydroxybenzoic, 4-chlorobenzoic, 4-phenylbenzoic, benzeneacrylic (for example 1 ,4- benzenediacrylic) and isethionic acids. Pharmaceutically acceptable base salts include ammonium salts, alkali metal salts such as those of sodium and potassium, alkaline earth metal salts such as those of calcium and magnesium and salts with organic bases such as dicyclohexyl amine and N-methyl-D-glucamine.
A physiologically functional derivative of a drug substance, may also be used in the invention. By the term "physiologically functional derivative" is meant a chemical derivative of a compound of having the same physiological function as the free compound, for example, by being convertible in the body thereto. According to the present invention, examples of physiologically functional derivatives include esters, for example compounds in which a hydroxyl group has been converted to a C^alkyl, aryl, aryl Cι-6 alkyl, or amino acid ester. The active ingredient drug substance is most preferably a selective long-acting β2- adrenoreceptor agonist. Such compounds have use in the prophylaxis and treatment of a variety of clinical conditions, including diseases associated with reversible airways obstruction such as asthma, chronic obstructive pulmonary diseases (COPD) (e.g. chronic and wheezy bronchitis, emphysema), respiratory tract infection and upper respiratory tract disease (e.g. rhinitis, including seasonal and allergic rhinitis).
Other conditions which may be treated include premature labour, depression, congestive heart failure, skin diseases (e.g. inflammatory, allergic, psoriatic, and proliferative skin diseases), conditions where lowering peptic acidity is desirable (e.g. peptic and gastric ulceration) and muscle wasting disease.
Formulations to which the present invention may be applied include those suitable for oral, parenteral (including subcutaneous, intradermal, intramuscular, intravenous and intraarticular, inhalation (including fine particle dusts or mists which may be generated by means of various types of metered dose pressurised aerosols, nebulisers or insufflators), rectal and topical (including dermal, buccal, sublingual and intraocular) administration. The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active ingredient into association with the carrier and the calcium stearate ternary agent as well as any other accessory ingredients. In general the formulations are prepared by uniformly and intimately bringing into association the active ingredient, lactose, calcium stearate and any other accessory ingredients, and then, if necessary, shaping the product into the desired formulation.
Formulations of the present invention suitable for oral administration may be presented as discrete units such as capsules, cachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules. The active ingredient drug substance may also be presented as a bolus, electuary or paste.
A tablet may be made by compression or moulding, optionally with one or more accessory ingredients. Compressed tablets may be prepared by compressing in a suitable machine the active ingredient in a free-flowing form such as a powder or granules, optionally mixed with a binder, lubricant, inert diluent, lubricating, surface active or dispersing agent. Moulded tablets may be made by moulding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent. The tablets may optionally be coated or scored and may be formulated so as to provide slow or controlled release of the active ingredient therein.
Formulations for parenteral administration include sterile powders, granules and tablets intended for dissolution immediately prior to administration. The formulations may be presented in unit-dose or multi-dose containers, for example sealed ampoules and vials, and may be stored in a freeze-dried (lyophilised) condition requiring only the addition of the sterile liquid carrier, for example saline or water-for-injection, immediately prior to use.
Formulations for topical administration in the mouth, for example buccally or sublingually, include lozenges comprising the active ingredient in a flavoured basis such as sucrose and acacia or tragacanth, and pastilles comprising the active ingredient in a basis such as gelatin and glycerin or sucrose and acacia.
The invention finds particular application in dry powder compositions, in particular in dry powder compositions for topical delivery to the lung by inhalation.
Dry powder compositions for topical delivery to the lung by inhalation may, for example, be presented in capsules and cartridges of for example gelatine, or blisters of for example laminated aluminium foil, for use in an inhaler or insufflator. Packaging of the formulation may be suitable for unit dose or multi-dose delivery. In the case of multi-dose delivery, the formulation can be pre-metered (eg as in Diskus, see GB 2242134 or Diskhaler, see GB 2178965, 2129691 and 2169265) or metered in use (eg as in Turbuhaler, see EP 69715 or EP0237507). An example of a unit-dose device is Rotahaler (see GB 2064336). The Diskus inhalation device comprises an elongate strip formed from a base sheet having a plurality of recesses spaced along its length and a lid sheet hermetically but peelably sealed thereto to define a plurality of containers, each container having therein an inhalable formulation containing an active compound. Preferably, the strip is sufficiently flexible to be wound into a roll.
Medicaments for administration by inhalation desirably have a controlled particle size. The optimum particle size for inhalation into the bronchial system is usually 1-1 Oμm, preferably 2- 5μm, measured as the mass mean diameter (MMD). Particles having a size above 20μm are generally too large when inhaled to reach the small airways. To achieve these particle sizes the particles of the active ingredient substance as produced may be size reduced by conventional means eg by micronisation. The desired fraction may be separated out by air classification or sieving. Preferably, the particles will be crystalline. In general, the particle size of the carrier, for example lactose, will be much greater than the drug substance within the present invention. It may also be desirable for other agents other than the active drug substance to have a larger particle size than the active drug substance. When the carrier is lactose it will typically be present as milled lactose, for example with a mean mass diameter (MMD) of 60-90μm and with not more than 15% having a particle diameter of less than 15μm.
The calcium stearate will typically have a particle size in the range 1 to 50μm, and more particularly 1 - 20μm, e.g. 1-1 Oμm.
Preferred unit dosage formulations are those containing an effective dose, as hereinbefore recited, or an appropriate fraction thereof, of the active ingredient.
It should be understood that in addition to the ingredients particularly mentioned above, the formulations of this invention may include other agents conventional in the art having regard to the type of formulation in question, for example those suitable for oral administration may include flavouring agents.
The compounds and pharmaceutical formulations according to the invention may be used in combination with or include one or more other therapeutic agents, for example a beta-agonist may be used in combination with one or more other therapeutic agents selected from anti- inflammatory agents (for example a corticosteroid, or an NSAID,) anticholinergic agents (particularly an M-,, M2, Mι/M2 or M3 receptor antagonist), other β2-adrenoreceptor agonists, antiinfective agents (e.g. antibiotics, antivirals), or antihistamines.
Suitable corticosleroids include methyl prednisolone, prednisolone, dexamethasone, fluticasone propionate, 6α,9α-difluoro-17α-[(2-furanylcarbonyl)oxy]-11 β-hydroxy-16α-methyl- 3-oxo-androsta-1 ,4-diene-17β-carbothioic acid S-fluoromethyl ester, 6α,9α-difluoro-11β- hydroxy-16α-methyl-3-oxo-17α-propionyloxy- androsta-1 ,4-diene-17β-carbothioic acid S-(2- oxo-tetrahydro-furan-3S-yl) ester, beclomethasone esters (e.g. the 17-propionate ester or the 17,21-dipropionate ester), budesonide, flunisolide, mometasone esters (e.g. the furoate ester), triamcinolone acetonide, rofleponide, ciclesonide, butixocort propionate, RPR-106541 , and ST-126.
Suitable NSAIDs include sodium cromoglycate, nedocromil sodium, phosphodiesterase (PDE) inhibitors (e.g. theophylline, PDE4 inhibitors or mixed PDE3/PDE4 inhibitors), leukotriene antagonists, inhibitors of leukotriene synthesis, iNOS inhibitors, tryptase and elastase inhibitors, beta-2 integrin antagonists and adenosine receptor agonists or antagonists (e.g. adenosine 2a agonists), cytokine antagonists (e.g. chemokine antagonists) or inhibitors of cytokine synthesis.
Suitable anticholinergic agents are those compounds that act as antagonists at the muscarinic receptor, in particular those compounds which are antagonists of the M-i and M2 receptors. Exemplary compounds include the alkaloids of the belladonna plants as illustrated by the likes of atropine, scopolamine, homatropine, hyoscyamine; these compounds are normally administered as a salt, being tertiary amines.
Preferred anticholinergics include ipratropium (e.g. as the bromide), sold under the name Atrovent, oxitropium (e.g. as the bromide) and tiotropium (e.g. as the bromide) (CAS-139404- 48-1).
Suitable antihistamines (also referred to as Hrreceptor antagonists) include any one or more of the numerous antagonists known which inhibit H-i-receptors, and are safe for human use. All are reversible, competitive inhibitors of the interaction of histamine with H receptors. Examples of preferred anti-histamines include methapyrilene and loratadine.
The invention further provides the use of an inhalable solid pharmaceutical formulation according to the invention for the manufacture of a medicament for the treatment of diseases associated with reversible airways obstruction such as asthma, chronic obstructive pulmonary diseases (COPD) (e.g. chronic and wheezy bronchitis, emphysema), respiratory tract infection and upper respiratory tract disease (e.g. rhinitis, including seasonal and allergic rhinitis). The invention also provides a method for treating asthma, chronic obstructive pulmonary diseases (COPD), chronic or wheezy bronchitis, emphysema, respiratory tract infection upper respiratory tract, or rhinitis, including seasonal and allergic rhinitis comprising administering to a patient in need thereof an inhalable solid pharmaceutical formulation according to the invention. In a further aspect, the invention provides a method of preparing a solid pharmaceutical preparation comprising combining in one or more steps: (a) an active ingredient substance susceptible to interaction with a carrier, (b) a carrier and (c) calcium stearate.
Examples
Test compound
In the following examples, the drug compound, "Compound X" was the cinnamate salt of 3- (4-{[6-({(2R)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl}amino)hexyl]oxy}- butyl)benzene-sulfonamide. The synthesis of compound X is described in Examples 45 and 46 in WO 02/066422.
Method
Preparation of blends
Lactose monohydrate was obtained from Borculo Domo Ingredients as BP/USNF form. Before use, the Lactose Monohydrate was sieved through a coarse screen (mesh size 500 microns). Compound X was micronised before use in an APTM microniser to give a MMD (mean mass diameter) of from 2 to 5 microns.
Calcium stearate was obtained from Sigma-Aldrich and used as supplied (MMD < 10 microns).
The calcium stearate was combined with lactose monohydrate and blended using either a high shear mixer (a QMM, PMA or TRV series mixer) or a low shear tumbling blender (a Turbula mixer) to provide a ternary agent/drug premix, hereinafter referred to as blend A.
Final blend B was obtained by first pre-mixing an appropriate quantity of blend A with compound X and then blending that blend A/compound X premix with further blend A in a weight ratio appropriate to provide blend B containing the calcium stearate in the required quantity, as indicated in Table 1 below. The quantity of calcium stearate in Table 2 is the amount by weight of calcium stearate present as a percentage of the total composition. The final concentration of compound X in the blends was 0.1% w/w calculated on the basis of the weight of free base drug present.
The quantity of the various materials used in the various blends are shown in Table 1 : Table 1
Figure imgf000016_0001
Decomposition conditions The blends prepared as described above were subjected to accelerated decomposition conditions in a controlled atmosphere stability cabinet. In the tables below, the conditions to which the blends were subjected are given with reference to the temperature and the % relative humidity, for example 30/60 is 30°C and 60% relative humidity (RH). Samples were analysed for decomposition products after the time periods indicated in the tables.
Analysis of purity of blends after subjection to decomposition conditions LC analysis was conducted on a Supelcosil ABZ+PLUS column (150 x 4.6mm ID), 3 micron, eluting with water containing 0.05% trifluoroacetic acid (solvent A) and acetonitrile containing 0.05% v/v trifluroacetic acid (solvent B), using the following elution gradient: time 0 = 90% solvent A, 10% solvent B; 40 mins = 10% solvent A, 90% solvent B; 41-45 mins 90% solvent A, 10% solvent B, . Flow rate was 1ml/min and the column temperature was 40°C. Detection was carried out by UV at 220nm with a HP1100 series detector model G1314A- VWD. The area under the LC trace curve for the total impurities was compared with the total area under the curve, to give the %area/area figures given in Table 2.
Results
Example 1: Comparison of compound X / lactose blends comprising calcium stearate with controls
Table 2:
Figure imgf000017_0001
The data in Table 2 are shown graphically in Figure 1.

Claims

1. Use of calcium stearate to inhibit or reduce chemical interaction between an active ingredient substance and a carrier in a solid pharmaceutical formulation, wherein said active ingredient substance is susceptible to chemical interaction with said carrier.
2. Use of calcium stearate to inhibit or reduce chemical degradation of an active ingredient substance in a solid pharmaceutical formulation comprising the active ingredient substance and a carrier, wherein said active ingredient substance is susceptible to chemical interaction with said carrier.
3. Use as claimed in claim 1 or claim 2 wherein the carrier is a reducing sugar.
4. Use as claimed in claim 3 wherein the carrier is lactose.
5. Use as claimed in any one of claims 1 to 4 wherein the calcium stearate is present in an amount of from 0J to 20% w/w based on the total weight of the composition.
6. Use as claimed in any one of claims 1 to 5 wherein the active ingredient substance is present in an amount of from 0.01% to 50% w/w based on the total weight of the composition.
7. Use as claimed in any one of claims 1 to 6 wherein the drug substance is one which includes the group Ar-CH(OH)-CH2-NH-R.
8. Use according to claim 7 wherein said drug substance is selected from:
3-(4-{[6-({(2R)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl]amino)hexyl] oxy}butyl) benzenesulfonamide; 3-(3-{[7-({(2R)-2-hydroxy-2-[4-hydroxy-3-hydroxymethyl)phenyl]ethyl}- amino)heptyl]oxy}propyl)benzenesulfonamide;
4-{(1R)-2-[(6-{2-[(2,6-dichlorobenzyl)oxy]ethoxy}hexyl)amino]-1-hydroxyethyl}-2-
(hydroxymethyl)phenol and
4-{(1R)-2-[(6-{4-[3-(cyclopentylsulfonyl)phenyl]butoxy}hexyl)amino]-1-hydroxyethyl}-2- (hydroxymethyl)phenol, or a salt, solvate or physiologically acceptable derivative thereof.
9. Use as claimed in any one of claims 1 to 8 wherein the solid pharmaceutical formulation is for administration by inhalation.
10. Use as claimed in any one of claims 1 to 9 wherein the solid pharmaceutical formulation comprises two or more active drug substances.
11. An inhalable solid pharmaceutical formulation comprising (a) an active ingredient substance susceptible to chemical interaction with a carrier, (b) a carrier and (c) calcium stearate.
12. An inhalable solid pharmaceutical formulation as claimed in claim 11 further comprising one or more of the features described in any one or more of claims 3 to 10.
13. An inhalable solid pharmaceutical formulation as claimed in claim 11 or claim 12 wherein the active ingredient substance is 3-(4-{[6-({(2R)-2-hydroxy-2-[4-hydroxy-3- (hydroxymethyl)phenyl]ethyl}amino)hexyl] oxy}butyl) benzenesulfonamide; or a salt, solvate or physiologically acceptable derivative thereof, and the carrier is lactose.
14. A method of reducing or inhibiting chemical interaction between an active ingredient substance and a carrier susceptible to chemical interaction, which comprises mixing calcium stearate with said active ingredient substance and said carrier.
15. A method of inhibiting chemical degradation of an active ingredient substance in a formulation comprising a carrier and an active ingredient substance, which method comprises mixing calcium stearate with said active ingredient substance and said carrier.
16. A method as claimed in claim 14 or 15 further comprising one or more of the features described in any one or more of claims 3 to 10.
17. Use of an inhalable solid pharmaceutical formulation as claimed in any of claims 11 to 13 for the manufacture of a medicament for the treatment of asthma, chronic obstructive pulmonary disease (COPD), chronic or wheezy bronchitis, emphysema, respiratory tract infection, upper respiratory tract disease or rhinitis, including seasonal and allergic rhinitis.
18. A method for treating asthma, chronic obstructive pulmonary disease (COPD), chronic or wheezy bronchitis, emphysema, respiratory tract infection, upper respiratory tract disease, or rhinitis, comprising administering to a patient in need thereof an inhalable solid pharmaceutical formulation as claimed in any of claims 11 to 13.
19. A method of preparing a solid pharmaceutical preparation comprising combining in one or more steps: (a) an active ingredient substance susceptible to interaction with a carrier, (b) a carrier and (c) calcium stearate.
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