FAST DISSOLVING SOLID ORAL DOSAGE FORMS OF GALANTHAMINE
Technical Field of the Invention The present invention relates to fast-dissolving oral dosage forms of galanthamine for oral administration and processes for the preparation thereof.
Background of the Invention Alzheimer's disease is the most common form of dementia among older people. Dementia is a collective name for progressive degenerative brain syndromes which affect memory, thinking, behaviour and emotion. Alzheimer's disease involves the parts of the brain that control thought, memory, and language. The primary symptoms include memory loss, disorientation, confusion and problems with reasoning and thinking. These symptoms worsen as brain cells die and the connections between cells are lost. Galanthamine (or galantamine) is a tertiary alkaloid which is derived from the bulbs of the common snowdrop {Galanthus nivalis) and several Amaryllidaceae plants. Galanthamine belongs to the class of drugs called as acetylcholinesterase inhibitors. It directly inhibits the activity of acetylcholinesterase (an enzyme responsible for the breakdown of acetylchol ne). By virtue of this property, galanthamine has been approved in several countries for the symptomatic treatment of senile dementia of the Alzheimer's type. Prior to its use in patients with Alzheimer's, galantamine was available in Eastern Europe as a curare-reversal agent in anesthesia to reverse the neuromuscular paralysis induced by turbocurarine-like muscle relaxants and as a treatment for neurologic conditions, such as myasthenia gravis. U.S. Patent No 6,099,863 discloses a fast-dissolving tablet of galanthamine hydrobromide which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier. The carrier includes a spray- dried mixture of lactose monohydrate and microcrystalline cellulose (75:25) as a diluent, and an insoluble or poorly soluble cross-linked polymer disintegrant. We have now discovered that fast-dissolving tablets of galanthamine hydrobromide can be prepared without using either a spray-dried mixture of lactose
monohydrate and microcrystalline cellulose (75:25) as a diluent or an insoluble or poorly soluble cross-linked polymer as disintegrant.
Summary of the Invention In one general aspect there is provided a fast-dissolving tablet which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier includes a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25) as a diluent and a water-soluble disintegrant. The galanthamine hydrobromide may include from about 1 % to about 15 % w/w of the tablet. The carrier may include from about 50 % to about 95 % w/w of the tablet or it may include about 80 % to about 95 % w/w of the tablet. The water-soluble disintegrant may include one or more of pregelatinized starch, sodium carboxymethyl cellulose and sodium alginate. For example, the water soluble disintegrant may be pregelatinized starch. The tablet may further include a lubricant and a glidant. In another general aspect there is provided a fast-dissolving tablet which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier includes a simple blend of lactose monohydrate and microcrystalline cellulose as a diluent and a water-soluble disintegrant. In another general aspect there is provided a fast-dissolving tablet which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier includes a simple blend of lactose monohydrate and microcrystalline cellulose as a diluent and a poorly soluble or insoluble disintegrant. The poorly soluble or insoluble disintegrant may include one or more of cross- linked povidone, cross-linked carboxymethylcellulose, sodium starch glycolate and croscarmellose sodium. For example, the poorly soluble or insoluble disintegrant may be cross-linked povidone.
In yet another general aspect there is provided a fast-dissolving tablet which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier includes anhydrous lactose as a diluent and a water-soluble disintegrant. In another general aspect there is provided a fast-dissolving tablet which includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier includes anhydrous lactose as a diluent and an insoluble or poorly soluble cross-linked polymer as disintegrant. In another general aspect there is provided a process for preparing a fast dissolving tablet of galanthamine hydrobromide. The process includes blending galanthamine hydrobromide, a pharmaceutically acceptable carrier, and a disintegrant to form a mixture; and compressing the mixture into a tablet using appropriate tooling to form a tablet. The process may further include adding a glidant and a lubricant to the mixture of step (a). The tablet may also include a film coating. In another general aspect there is provided a method for treating Alzheimer's disease and related dementias in a patient in need thereof. The method includes administering a fast-dissolving tablet, wherein the tablet includes a therapeutically effective amount of galanthamine hydrobromide and a pharmaceutically acceptable carrier, wherein the carrier comprises a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25) as a diluent and a water-soluble disintegrant.
Detailed Description of the Invention The inventors have developed fast-dissolving tablets of galanthamine hydrobromide which are prepared by direct compression of a simple blend of lactose monohydrate and microcrystalline cellulose and a water soluble or poorly soluble disintegrant. The fast-dissolving tablets of galanthamine hydrobromide can also be prepared by direct compression of anhydrous lactose and a water-soluble or poorly soluble disintegrant.
The term fast-dissolving as used herein relates to tablets having a dissolution of at least 80 % in 30 minutes in a USP type II apparatus. The tablet is prepared by direct compression, although they can also be manufactured using conventional tabletting procedures. The choice of excipients in a direct compression process should be taken into consideration to prepare tablets of desired physical characteristics and dissolution profile. The excipients include fillers, including directly compressible fillers, lubricants, glidants and disintegrants. Suitable fillers/carriers include one or more of anhydrous lactose, lactose monohydrate, dicalcium phosphate dihydrate, microcrystalline cellulose, modified (spray processed) lactose, spray dried mixture of lactose and microcrystalline cellulose, modified starch, mannitol, sorbitol and the like. The filler may be used in a concentration of about 50 % to about 95 %, particularly about 80 % to about 95 % w/w of the tablet. Disintegrants have major role in the disintegration and the dissolution process of tablets. To ensure a high disintegration rate, choice of suitable type and an optimal amount of disintegrant should be taken into consideration. Suitable disintegrants include one or more of water-soluble disintegrants, such as pregelatinized starch, sodium carboxymethyl cellulose and sodium alginate, and water- insoluble cross-linked polymers, such as cross-linked carboxymehthylcellulose, croscarmellose sodium, sodium starch glycolate and cross-linked povidone. The concentration of the disintegrant may vary from about 0.5 % to about 15 % w/w, particularly from about 1 % to about 10 % w/w of the tablet. Suitable lubricants include one or more of talc, magnesium stearate, zinc stearate, calcium stearate, sodium stearyl fumarate and stearic acid. Suitable glidants include talc and colloidal silicon dioxide. The lubricant and glidant may be used in a concentration varying from about 0.1% to about 1.0 % w/w of the tablet. It would be appreciated that a person skilled in the art is cognizant of the fact that certain excipients in a direct compression process can be used both as a lubricant and glidant. The tablet of galanthamine hydrobromide may be prepared by: a. blending galanthamine hydrobromide with a filler, a disintegrant and glidants in a mixer;
b. mixing the lubricant with the above blend; c. compressing the mixture into a tablet using appropriate tooling. Tablets are additionally coated with coating compositions like Opadry® or Lustreclear®, sold by Colorcon, to impart aesthetic appeal. Such a coating may comprise up to 3% w/w of the uncoated tablet. The invention described herein is further illustrated by the following examples but these should not be construed as limiting the scope of the invention. EXAMPLE 1
Procedure: Galanthamine hydrobromide was blended with spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25), pregelatinized starch and colloidal silicon dioxide in a mixer. Magnesium stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling. EXAMPLE 2
Procedure: Galanthamine hydrobromide was blended with lactose (anhydrous), crospovidone and colloidal silicon dioxide in a mixer. Magnesium. stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling.
EXAMPLE 3
Procedure: Galanthamine hydrobromide was blended with lactose (anhydrous), pregelatinized starch and colloidal silicon dioxide in a mixer. Magnesium stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling. EXAMPLE 4
Procedure: Galanthamine hydrobromide was blended with lactose monohydrate, microcrystalline cellulose, crospovidone and colloidal silicon dioxide in a mixer. Magnesium stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling. EXAMPLE 5
Procedure: Galanthamine hydrobromide was blended with lactose monohydrate, microcrystalline cellulose, crospovidone and colloidal silicon dioxide in a mixer.
Magnesium stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling. EXAMPLE 6
Procedure: Galanthamine hydrobromide was blended with lactose monohydrate, microcrystalline cellulose, pregelatinized starch and colloidal silicon dioxide in a mixer. Magnesium stearate was added to the above blend and the mixture was compressed into tablets using appropriate tooling. The tablets of examples 1-4 were subjected to dissolution testing in a USP type II dissolution apparatus at 50 rpm in 500 ml of purified water at 37 °C. The dissolution profiles in comparison to Reminyl tablets (Galanthamine tablets sold by Janssen Pharma) are given in TABLE 1.
TABLE 1: Dissolution profile of tablets of Example 1-4 as compared to Reminyl tablets in a USP type II dissolution apparatus at 50 rpm in 500 ml of purified water at 37 °C