WO2007078110A1 - Pharmaceutical formulation containing amlodipine and aspirin - Google Patents

Pharmaceutical formulation containing amlodipine and aspirin Download PDF

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Publication number
WO2007078110A1
WO2007078110A1 PCT/KR2006/005820 KR2006005820W WO2007078110A1 WO 2007078110 A1 WO2007078110 A1 WO 2007078110A1 KR 2006005820 W KR2006005820 W KR 2006005820W WO 2007078110 A1 WO2007078110 A1 WO 2007078110A1
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WO
WIPO (PCT)
Prior art keywords
amlodipine
aspirin
ingredient
pharmaceutical formulation
tablet
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PCT/KR2006/005820
Other languages
French (fr)
Inventor
Kwang-Yong Jung
Hyun-Kwang Choo
Woo-Seok Oh
Hong-Ryeol Jeon
Bong-Sang Lee
Hyun Jung
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Neomedics Co., Ltd.
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Application filed by Neomedics Co., Ltd. filed Critical Neomedics Co., Ltd.
Publication of WO2007078110A1 publication Critical patent/WO2007078110A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/60Salicylic acid; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/60Salicylic acid; Derivatives thereof
    • A61K31/612Salicylic acid; Derivatives thereof having the hydroxy group in position 2 esterified, e.g. salicylsulfuric acid
    • A61K31/616Salicylic acid; Derivatives thereof having the hydroxy group in position 2 esterified, e.g. salicylsulfuric acid by carboxylic acids, e.g. acetylsalicylic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

Definitions

  • the present invention relates to a pharmaceutical formulation or kit comprising amlodipine and aspirin; and a pharmaceutical composition comprising amlodipine maleate.
  • Amlodipine a dihydropyridine calcium channel blocker, is a drug relaxing the smooth muscle in the coronary arteries, expanding the coronary arteries, and increasing oxygen supply to vasoconstriction-induced ischemic heart muscle by suppressing influx of calcium ion into calcium channel located in the smooth muscle and heart muscle.
  • Aspirin is a drug often used as an analgesic or antipyretic.
  • aspirin is discovered to be effective for decreasing risk of non-fatal myocardial infarction and ischemic attack, and preventing re-infarction after the outset of cardiac infarction in patient having instable angina pectoris by suppressing aggregation of platelet.
  • the object of the present invention is to provide a pharmaceutical formulation or kit comprising both amlodipine and aspirin.
  • Another object of the present invention is to provide an amlodipine maleate- containing pharmaceutical composition having improved stability.
  • the present invention is based on a surprising fact that if amlodipine and aspirin are mixed or in contact with each other, the amlodipine and aspirin do a bad effect on each other's stability.
  • the present invention is based on another surprising fact that if amlodipine maleate is used as the amlodipine, some ingredient can much increase the stability of amlodipine maleate.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the amlodipine and the aspirin are separated from each other to block contact between the amlodipine and the aspirin.
  • amlodipine and aspirin When amlodipine and aspirin are separated from each other, the stability of amlodipine and aspirin are improved about 5 times and 10 times, respectively, compared to when amlodipine and aspirin are mixed. It is expected for the specific molecular structure of amlodipine and aspirin to cause this difference of stability, and thus amlodipine and aspirin should be separated when a pharmaceutical formulation comprising both active ingredients together is developed.
  • the content of aspirin and amlodipine are 10-500 mg and 1-30 mg per formulation, respectively, but the scope of the present invention is not limited to this content range. More preferably, the content of aspirin and amlodipine are 20-400 mg and 2-30 mg per formulation, and most preferably, the content of aspirin and amlodipine are 30-300 mg and 3-10 mg per formulation.
  • the pharmaceutical formulation or kit according to the present invention can comprise amlodipine freebase or it's pharmaceutically acceptable salt as the amlodipine ingredient.
  • the pharmaceutically acceptable salt of amlodipine includes, but is not limited to, amlodipine maleate, amlodipine besylate, amlodipine camsylate, amlodipine adipate, amlodipine mesylate or amlodipine nicotinate.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the (a) ingredient or the (b) ingredient; or a granule comprising the (a) ingredient or the (b) ingredient is coated by polymer to block contact between the amlodipine and the aspirin.
  • the pharmaceutical formulation is a capsule comprising both the (a) ingredient (or the granule comprising the (a) ingredient) which is coated by polymer and the (b) ingredient (or the granule comprising the (b) ingredient).
  • the pharmaceutical formulation may be a capsule comprising both the (a) ingredient (or the granule comprising the (a) ingredient) and the (b) ingredient (or the granule comprising the (b) ingredient) which is coated by polymer.
  • any polymer can be used if the polymer forms a coating layer to physically block the contact between the (a) ingredient and the (b) ingredient by surrounding any one ingredient or a granule comprising any one ingredient.
  • the polymer include, but are not limited to, alkylcellulose, hydroxyalkylcellulose, carboxyalkylcellulose, polyvinylalcohol, polyvinylpyrrolidone, polyvinylacetate, polyalkeneoxide, polyalkeneglycol, polyethylene-polypropylene polymer, polyoxyethylene-polyoxypropylene polymer, zein, shellac, diethylaminoacetate, aminoalkylmethacrylate copolymer, sodium alginate, chitosan, gelatin, gum or poly-L-lysine.
  • At lease one polymer selected from the group consisting of hydroxypropylmethylcellulose, hydroxypropylmethylcellulose phthalate, hydroxypropylmethylcellulose acetate succinate, methacrylate copolymer, aminoalkylmethacrylate copolymer and ethylcellulose is more preferable when considering the easiness of manufacturing and the stability of amlodipine.
  • aspirin with enteric polymer or polymer for sustained-release compared to coating amlodipine because aspirin can cause stomach side effect.
  • amlodipine maleate is used as the (a) ingredient, it is preferable to coat amlodipine maleate because the coating layer can prevent amlodipine maleate from being contact with water as well as aspirin, which can improve the stability of amlodipine maleate.
  • Coating amlodipine, aspirin or granule comprising any one can be performed by any machine or apparatus if the machine or apparatus can spray a coating solution after fluidizing the ingredient powder or granule.
  • fluidized bed coater can be used for coating of the present invention.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation comprises a tablet or granule comprising any one between the (a) ingredient and the (b) ingredient; first coating layer surrounding the tablet or granule; and second coating layer surrounding the first coating layer and comprising the other ingredient.
  • only one tablet or granule comprises both drugs together. It can be achieved by making a tablet or granule comprising any one between amlodipine and aspirin, making a coating layer for separation with said polymer, and then again coating the tablet or granule having the first coating layer with the other active ingredient and a coating material. This method can make one tablet or granule having two different drugs together without contacting each other.
  • a dose of aspirin is much more than that of amlodipine
  • it is more preferable to make a tablet or granule comprising aspirin make a coating layer for separation, and then make another coating layer with coating solution comprising amlodipine.
  • Conventional tablet-coating machine used for making conventional film- coating tablet can be used for the coating of said tablet in the present invention.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a multilayered tablet comprising first layer comprising the (a) ingredient; and second layer comprising the (b) ingredient. More preferably, the present invention provides said multilayered tablet comprising a layer or membrane for separating between the first layer and the second layer.
  • Multilayered tablet means a tablet having, for example, two or three separate layers made by the following exemplary processes: tabletting granules having one active ingredient, adding another granules to the prepared tablet having and again tabletting the granules on the prepared tablet; or supplying one kind of granules and another kind of granules into punch hole of tabletting machine one after the other, and tabletting two kinds of granules at a time.
  • the contact between the amlodipine and the aspirin can be prevented because the active ingredients are contained in different layers, respectively.
  • the multilayered tablet it is more preferable for the multilayered tablet to comprise a layer or membrane for separating each layer from another layer to completely block the contact between the amlodipine and the aspirin.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a press-coated tablet comprising a core tablet comprising any one between the (a) ingredient and the (b) ingredient; and an exterior layer surrounding the core tablet and comprising the other ingredient. More preferably, the present invention provides said press-coated tablet, wherein the core tablet is coated by polymer.
  • Press-coated tablet means a tablet manufactured by preparing a small tablet (the core tablet) with conventional tabletting methods, putting the small tablet into punch hole having some amount of granules, filling punch hole with granules, and then tabletting them.
  • the core tablet In the press-coated tablet, there is little contact between amlodipine and aspirin because the amlodipine and the aspirin are separately contained in the core tablet or the layer surrounding the core tablet.
  • the core tablet it is more preferable for the core tablet to be coated with said polymer to completely block the contact.
  • the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a capsule comprising a small tablet comprising the (a) ingredient; and another small tablet comprising the (b) ingredient.
  • the present invention also provides a kit comprising (a) a formulation comprising amlodipine freebase or its pharmaceutical acceptable salt; and (b) another formulation comprising aspirin, wherein the formulations are separated from each other to block contact between the amlodipine and the aspirin.
  • the present invention provides the kit, wherein the formulation is capsule, microcapsule, tablet or granule.
  • the formulation according to the present invention can further comprise diluent, binder, disintegrant, lubricant and so on except amlodipine and aspirin.
  • Conventional diluent, binder, disintegrant and lubricant can be used if they have a bad effect on the stability of amlodipine and aspirin.
  • the ingredients said in the following "mode for carrying out the invention" are preferable.
  • the present invention also provides a pharmaceutical composition comprising amlodipine maleate and stabilizing ingredient. If amlodipine maleate is used as the amlodipine ingredient, amlodipine maleate is unstable because of creation of impurity D, Michael reaction, etc. This instability can be improved by addition of the stabilizing ingredient.
  • the stabilizing ingredient at least one selected from the group consisting of sodium citrate, butylated hydroxy toluene, succinic acid, fumaric acid, tartaric acid and ascorbic acid is preferable, and butylated hydroxy toluene is most preferable.
  • Aspirin (10 g), amlodipine maleate (0.642 g), and mixture of aspirin (10 g) and amlodipine maleate (0.642 g) were put in high-density polyethylene (HDPE) plastic bottle, respectively, and stored for stability test at an accelerated condition (40 ⁇ 2 ° C , 75+5% RH). After 90 days and 180 days, samples were analyzed with change of color and impurities using HPLC as follows.
  • HDPE high-density polyethylene
  • UV- Visible spectrophotometer detection wavelength: 237 nm
  • Impurity (%) (Peak area of impurity X 100) / Peak area of amlodipine (Percent value of impurity D was multiplied by adjustment factor (3.03)).
  • N.D. means 'not detected' in the used analysis condition.
  • Example 2 Mixing stability test of formulation additives Amlodipine maleate and usually used formulation additives were mixed as weight ratio shown in the below tables, and subject to stability test in the accelerated condition (40+2 ° C , 75+5% RH) like the method used in example 1. After 90 days and 180 days, samples were analyzed using change of color and impurities like the method of example 1.
  • N.C. means 'not changed.
  • lactose, mannitol and pre-gelatinized starch were preferable when considering the stability of amlodipine maleate.
  • Binder and amlodipine maleate were mixed as ratio of 1 :1. Effect of each binder on the stability of amlodipine maleate was evaluated. Results were shown in table 3.
  • hydroxypropylcellulose and carbopol were preferable when considering the stability of amlodipine maleate.
  • sodium starch glycolate, cross-povidone and Crosscarmellose sodium were preferable when considering the stability of amlodipine maleate.
  • Lubricant and amlodipine maleate were mixed as ratio of 0.5 : 1. Effect of each lubricant on the stability of amlodipine maleate was evaluated. Results were shown in table 5. [Table 5]
  • colloidal silicon dioxide and talc had a bad effect on the stability of amlodipine maleate.
  • Stabilizing ingredient and amlodipine maleate were mixed as ratio of 0.05:1. Effect of each stabilizing ingredient on the stability of amlodipine maleate was evaluated. Results were shown in table 6. [Table 6]
  • polyvinylalcohol had a bad effect on the stability of amlodipine maleate.
  • Example 3 Manufacturing granules of amlodipine maleate Based on the effects of additives on the stability of amlodipine maleate, granules according to the below table 8 were manufactured. Butylated hydroxy toluene and hydroxypropylcellulose were dissolved in ethanol to make a binding solution. Amlodipine maleate, pre-gelatinized starch and mannitol were put in a mixer and mixed for about 10 minutes. Granules were manufactured with the binding solution and the mixture through conventional wet granulation method. [Table 8]
  • Enteric-coated granules of aspirin were manufactured like the below table 9.
  • Example 4 was manufactured as follows: First of all, (Sl) propylene glycol and hydroxypropylmethylcellulose 2910 were dissolved in mixture of methylene chloride and ethanol to make a sub-coating solution. After that, (S2) aspirin was put in a fluidized bed coater, and coated (and dried simultaneously) with the coating solution of (Sl) step on condition of 55-65 0 C of inlet air, 30-40 ° C of outlet air, 1.5-2.0 bar of spraying pressure and 20-30 ml/minute of spraying rate to prepare the sub-coated pellet of aspirin. (S3) Propylene glycol was dissolved in purified water, and then talc was added to the solution and suspended.
  • (S4) Methacrylic acid copolymer was added to the suspension of (S3) step and mixed well to make a coating solution.
  • (S5) The sub- coated pellet of aspirin was put in the fluidized bed coater, coated (and dried simultaneously) with the coating solution of (S4) step on condition of 60-70 ° C of inlet air, 35-45 "C of outlet air, 1.5-2.0 bar of spraying pressure and 15-25 ml/minute of spraying rate to make an enteric-coated pellets of aspirin.
  • Example 5 was manufactured as follows: First of all, (Sl) sub-coated pellets of aspirin were made like example 4. (S2) Fatty acid glycerin ester was dissolved in mixture of purified water and ethanol, and then talc was added to the solution and suspended. (S3) Hydroxypropylmethylcellulose phthalate was added to the suspension of (S2) step and mixed well to make a coating solution.
  • Example 6 was manufactured as follows: First of all, (Sl) sub-coated pellets of aspirin were made like example 4. (S2) Fatty acid glycerin ester was dissolved in mixture of purified water and ethanol, and then talc was added to the solution and suspended. (S3) Hydroxypropylmethylcellulose acetate succinate was added to the suspension of (S2) step and mixed well to make a coating solution.
  • Comparative example 1 combination capsule of amlodipine maleate/aspirin Amlodipine maleate and aspirin enteric pellets of example 4 were mixed and filled into empty hard capsule.
  • Comparative example 2 combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3 and aspirin were mixed and filled into empty hard capsule.
  • Formulation example 1 combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 4 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
  • Formulation example 2 combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 5 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
  • Formulation example 3 combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 6 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
  • Example 7 Manufacturing coating layer comprising amlodipine maleate
  • Example 8 Manufacturing coating layer comprising amlodipine maleate Coating layer comprising amlodipine maleate was manufactured like example 7 except that aspirin enteric pellets of example 5 were used as core instead of aspirin enteric pellets of example 4.
  • Example 9 Manufacturing coating layer comprising amlodipine maleate Coating layer comprising amlodipine maleate was manufactured like example 7 except that aspirin enteric pellets of example 6 were used as core instead of aspirin enteric pellets of example 4.
  • Formulation example 4 combination capsule of amlodipine maleate/aspirin Granules of example 7 were filled into empty hard capsule.
  • Formulation example 5 combination capsule of amlodipine maleate/aspirin Granules of example 8 were filled into empty hard capsule.
  • Formulation example 6 combination capsule of amlodipine maleate/aspirin Granules of example 9 were filled into empty hard capsule.
  • Example 10
  • Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 4 were filled into empty hard capsule.
  • Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 5 were filled into empty hard capsule.
  • Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 6 were filled into empty hard capsule.
  • amlodipine maleate granules of example 3 microcrystalline cellulose, pre-gelatinized starch and stearic acid were mixed for 15 minutes and tabletted.
  • the aspirin enteric-coated tablet of the comparative example 4 was coated with the coating solution comprising amlodipine maleate like example 9.
  • Amlodipine maleate granules of example 3 aspirin enteric-coated pellets of example 4, microcrystalline cellulose, pre-gelatinized starch, low-substituted hydroxypropylcellulose and stearic acid were mixed for 10 minutes and tabletted.
  • Example 11 Stability test of each formulation
  • Formulation examples and manufactured formulations were packed in HDPE bottle by 100 capsules or 100 tablets per bottle. Bottles were stored in an accelerated condition (40 ⁇ 2 ° C, 75 ⁇ 5%RH) for 90 days, and then impurities were evaluated. Analyzing methods of the example 1 were used in this test.
  • the stability of the comparative example 3 was worse than that of comparative example 2, which is thought to be caused by the difference (capsule vs. tablet) of type of formulation. Tablet, the comparative example 3, usually causes much contact between amlodipine and aspirin compared to capsule, which has a bad effect on the stability of each other.
  • formulation example 13 The stability of formulation example 13 was bad, which is thought to be caused by break of coating layer happening due to tabletting pressure. The break causes the contact between amlodipine and aspirin.
  • the present invention provides a pharmaceutical formulation or kit comprising amlodipine and aspirin, wherein the stabilities of both amlodipine and aspirin are improved.
  • the present invention also provides a pharmaceutical composition comprising amlodipine maleate and having an improved stability.

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Abstract

The present invention relates to a pharmaceutical formulation or kit comprising amlodipine or its pharmaceutically acceptable salt; and aspirin. The pharmaceutical formulation and kit according to the present invention have a good stability because the amlodipine and the aspirin are separated from each other. The amlodipine and aspirin exert a bad effect on each other's stability.

Description

PHARMACEUTICAL FORMULATION CONTAINING AMLODIPINE AND ASPIRIN
[Technical Field]
The present invention relates to a pharmaceutical formulation or kit comprising amlodipine and aspirin; and a pharmaceutical composition comprising amlodipine maleate.
[Background Art]
Amlodipine, a dihydropyridine calcium channel blocker, is a drug relaxing the smooth muscle in the coronary arteries, expanding the coronary arteries, and increasing oxygen supply to vasoconstriction-induced ischemic heart muscle by suppressing influx of calcium ion into calcium channel located in the smooth muscle and heart muscle.
Aspirin is a drug often used as an analgesic or antipyretic. In addition, aspirin is discovered to be effective for decreasing risk of non-fatal myocardial infarction and ischemic attack, and preventing re-infarction after the outset of cardiac infarction in patient having instable angina pectoris by suppressing aggregation of platelet.
Recently, combination therapy of the two drugs has been studied because it shows a synergic effect in suppressing activity of platelet (Inhibition of platelet activity in vivo by amlodipine alone and combined with aspirin, Int J Cardiol, 1997; 62: Sl I l- Sl 17 and End Organ Protection by Calcium-Channel Blockers, Clin. Cardiol., 2001; 24: 102-106).
However, a formulation comprising the two drugs has not been discovered until now.
[Disclosure of the Invention] [Technical Problem]
Therefore, the object of the present invention is to provide a pharmaceutical formulation or kit comprising both amlodipine and aspirin.
Another object of the present invention is to provide an amlodipine maleate- containing pharmaceutical composition having improved stability. [Technical Solution]
The present invention is based on a surprising fact that if amlodipine and aspirin are mixed or in contact with each other, the amlodipine and aspirin do a bad effect on each other's stability.
In addition, the present invention is based on another surprising fact that if amlodipine maleate is used as the amlodipine, some ingredient can much increase the stability of amlodipine maleate.
Therefore, to achieve the object, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the amlodipine and the aspirin are separated from each other to block contact between the amlodipine and the aspirin.
When amlodipine and aspirin are separated from each other, the stability of amlodipine and aspirin are improved about 5 times and 10 times, respectively, compared to when amlodipine and aspirin are mixed. It is expected for the specific molecular structure of amlodipine and aspirin to cause this difference of stability, and thus amlodipine and aspirin should be separated when a pharmaceutical formulation comprising both active ingredients together is developed.
It is conventional to mix both active ingredients in a formulation for combination therapy because of manufacturing cost, but the stability of amlodipine and aspirin is more important factor than the manufacturing cost.
In the pharmaceutical formulation according to the present invention, preferably, the content of aspirin and amlodipine are 10-500 mg and 1-30 mg per formulation, respectively, but the scope of the present invention is not limited to this content range. More preferably, the content of aspirin and amlodipine are 20-400 mg and 2-30 mg per formulation, and most preferably, the content of aspirin and amlodipine are 30-300 mg and 3-10 mg per formulation.
The pharmaceutical formulation or kit according to the present invention can comprise amlodipine freebase or it's pharmaceutically acceptable salt as the amlodipine ingredient. The pharmaceutically acceptable salt of amlodipine includes, but is not limited to, amlodipine maleate, amlodipine besylate, amlodipine camsylate, amlodipine adipate, amlodipine mesylate or amlodipine nicotinate.
More preferably, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the (a) ingredient or the (b) ingredient; or a granule comprising the (a) ingredient or the (b) ingredient is coated by polymer to block contact between the amlodipine and the aspirin. For example, the pharmaceutical formulation is a capsule comprising both the (a) ingredient (or the granule comprising the (a) ingredient) which is coated by polymer and the (b) ingredient (or the granule comprising the (b) ingredient). Similarly, the pharmaceutical formulation may be a capsule comprising both the (a) ingredient (or the granule comprising the (a) ingredient) and the (b) ingredient (or the granule comprising the (b) ingredient) which is coated by polymer.
As said polymer according to the present invention, any polymer can be used if the polymer forms a coating layer to physically block the contact between the (a) ingredient and the (b) ingredient by surrounding any one ingredient or a granule comprising any one ingredient. Examples of the polymer include, but are not limited to, alkylcellulose, hydroxyalkylcellulose, carboxyalkylcellulose, polyvinylalcohol, polyvinylpyrrolidone, polyvinylacetate, polyalkeneoxide, polyalkeneglycol, polyethylene-polypropylene polymer, polyoxyethylene-polyoxypropylene polymer, zein, shellac, diethylaminoacetate, aminoalkylmethacrylate copolymer, sodium alginate, chitosan, gelatin, gum or poly-L-lysine. At lease one polymer selected from the group consisting of hydroxypropylmethylcellulose, hydroxypropylmethylcellulose phthalate, hydroxypropylmethylcellulose acetate succinate, methacrylate copolymer, aminoalkylmethacrylate copolymer and ethylcellulose is more preferable when considering the easiness of manufacturing and the stability of amlodipine.
In particular, it is preferable to coat aspirin with enteric polymer or polymer for sustained-release compared to coating amlodipine because aspirin can cause stomach side effect.
In addition, if amlodipine maleate is used as the (a) ingredient, it is preferable to coat amlodipine maleate because the coating layer can prevent amlodipine maleate from being contact with water as well as aspirin, which can improve the stability of amlodipine maleate.
Coating amlodipine, aspirin or granule comprising any one can be performed by any machine or apparatus if the machine or apparatus can spray a coating solution after fluidizing the ingredient powder or granule. For example, fluidized bed coater can be used for coating of the present invention.
More preferably, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation comprises a tablet or granule comprising any one between the (a) ingredient and the (b) ingredient; first coating layer surrounding the tablet or granule; and second coating layer surrounding the first coating layer and comprising the other ingredient.
When considering the compliance of patient taking two different drugs, it is preferred that only one tablet or granule comprises both drugs together. It can be achieved by making a tablet or granule comprising any one between amlodipine and aspirin, making a coating layer for separation with said polymer, and then again coating the tablet or granule having the first coating layer with the other active ingredient and a coating material. This method can make one tablet or granule having two different drugs together without contacting each other. When considering the fact that a dose of aspirin is much more than that of amlodipine, it is more preferable to make a tablet or granule comprising aspirin, make a coating layer for separation, and then make another coating layer with coating solution comprising amlodipine.
Conventional tablet-coating machine used for making conventional film- coating tablet can be used for the coating of said tablet in the present invention.
Preferably, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a multilayered tablet comprising first layer comprising the (a) ingredient; and second layer comprising the (b) ingredient. More preferably, the present invention provides said multilayered tablet comprising a layer or membrane for separating between the first layer and the second layer.
Multilayered tablet means a tablet having, for example, two or three separate layers made by the following exemplary processes: tabletting granules having one active ingredient, adding another granules to the prepared tablet having and again tabletting the granules on the prepared tablet; or supplying one kind of granules and another kind of granules into punch hole of tabletting machine one after the other, and tabletting two kinds of granules at a time. The contact between the amlodipine and the aspirin can be prevented because the active ingredients are contained in different layers, respectively. Furthermore, it is more preferable for the multilayered tablet to comprise a layer or membrane for separating each layer from another layer to completely block the contact between the amlodipine and the aspirin.
Preferably, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a press-coated tablet comprising a core tablet comprising any one between the (a) ingredient and the (b) ingredient; and an exterior layer surrounding the core tablet and comprising the other ingredient. More preferably, the present invention provides said press-coated tablet, wherein the core tablet is coated by polymer.
Press-coated tablet means a tablet manufactured by preparing a small tablet (the core tablet) with conventional tabletting methods, putting the small tablet into punch hole having some amount of granules, filling punch hole with granules, and then tabletting them. In the press-coated tablet, there is little contact between amlodipine and aspirin because the amlodipine and the aspirin are separately contained in the core tablet or the layer surrounding the core tablet. Furthermore, it is more preferable for the core tablet to be coated with said polymer to completely block the contact.
More preferably, the present invention provides a pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the pharmaceutical formulation is a capsule comprising a small tablet comprising the (a) ingredient; and another small tablet comprising the (b) ingredient.
The present invention also provides a kit comprising (a) a formulation comprising amlodipine freebase or its pharmaceutical acceptable salt; and (b) another formulation comprising aspirin, wherein the formulations are separated from each other to block contact between the amlodipine and the aspirin. Preferably, the present invention provides the kit, wherein the formulation is capsule, microcapsule, tablet or granule.
The formulation according to the present invention can further comprise diluent, binder, disintegrant, lubricant and so on except amlodipine and aspirin. Conventional diluent, binder, disintegrant and lubricant can be used if they have a bad effect on the stability of amlodipine and aspirin. For example, the ingredients said in the following "mode for carrying out the invention" are preferable.
The present invention also provides a pharmaceutical composition comprising amlodipine maleate and stabilizing ingredient. If amlodipine maleate is used as the amlodipine ingredient, amlodipine maleate is unstable because of creation of impurity D, Michael reaction, etc. This instability can be improved by addition of the stabilizing ingredient.
As the stabilizing ingredient, at least one selected from the group consisting of sodium citrate, butylated hydroxy toluene, succinic acid, fumaric acid, tartaric acid and ascorbic acid is preferable, and butylated hydroxy toluene is most preferable.
[Mode for carrying out the Invention]
Hereinafter, a preferred embodiment of the present invention will be described in detail. Prior to the description, it should be understood that various modifications are possible to the embodiments of the present invention, and it should be understood that the scope of the invention is not limited to the following embodiments.
<Example 1> Contact stability test of aspirin and amlodipine maleate
Aspirin (10 g), amlodipine maleate (0.642 g), and mixture of aspirin (10 g) and amlodipine maleate (0.642 g) were put in high-density polyethylene (HDPE) plastic bottle, respectively, and stored for stability test at an accelerated condition (40±2°C , 75+5% RH). After 90 days and 180 days, samples were analyzed with change of color and impurities using HPLC as follows.
HPLC measuring condition for impurities of amlodipine maleate
50 mg of amlodipine was accurately weighed and put in a flask. The below mobile phase was added in the flask to make 50 ml.
Detector: UV- Visible spectrophotometer (detection wavelength: 237 nm)
Column: Capcellpak™ C18 4.5X150 mm, 5 urn
Mobile phase: pH 3.0 buffered solution:acetonitrile:methanol = 60:20:20 (pH 3.0 buffered solution: 7.0 ml of triethylamine was added in some amount of water, and water was added to make volume 1 liter, and then pH of the prepared solution was adjusted to 3.0 with phosphoric acid.)
Flow rate: 2.0 ml/minute
Injection volume: 20 ul
Calculation method: Impurity (%) = (Peak area of impurity X 100) / Peak area of amlodipine (Percent value of impurity D was multiplied by adjustment factor (3.03)).
Measuring condition of free salicylic acid in aspirin
100 mg of aspirin was accurately weighed and put in a flask. After that, samples were tested according to the U.S. Pharmacopeia guidelines for measuring free salicylic acid in enteric coating tablet of aspirin.
Results were shown in the below table 1. [Table 1]
In the above table 1 and the below tables, N.D. means 'not detected' in the used analysis condition.
As shown in table 1 , mixing of amlodipine, especially amlodipine maleate, and aspirin accelerated degradation of each other and increased the amounts of impurities. This means the two active ingredients have a bad effect on the stability of each other.
<Example 2> Mixing stability test of formulation additives Amlodipine maleate and usually used formulation additives were mixed as weight ratio shown in the below tables, and subject to stability test in the accelerated condition (40+2 °C , 75+5% RH) like the method used in example 1. After 90 days and 180 days, samples were analyzed using change of color and impurities like the method of example 1.
Diluent and amlodipine maleate were mixed as ratio of 9:1. Effect of each diluent on the stability of amlodipine maleate was evaluated. Results were shown in table 2. [Table 2]
Figure imgf000009_0001
In the above table 2 and the below tables, N.C. means 'not changed.'
As shown in the above table 2, lactose, mannitol and pre-gelatinized starch were preferable when considering the stability of amlodipine maleate.
Binder and amlodipine maleate were mixed as ratio of 1 :1. Effect of each binder on the stability of amlodipine maleate was evaluated. Results were shown in table 3.
[Table 3]
Figure imgf000009_0002
Figure imgf000010_0001
As shown in the above table 3, hydroxypropylcellulose and carbopol were preferable when considering the stability of amlodipine maleate.
Disintegrant and amlodipine maleate were mixed as ratio of 1 :1. Effect of each disintegrator on the stability of amlodipine maleate was evaluated. Results were shown in table 4. [Table 4]
Figure imgf000010_0002
As shown in the above table 4, sodium starch glycolate, cross-povidone and Crosscarmellose sodium were preferable when considering the stability of amlodipine maleate.
Lubricant and amlodipine maleate were mixed as ratio of 0.5 : 1. Effect of each lubricant on the stability of amlodipine maleate was evaluated. Results were shown in table 5. [Table 5]
Figure imgf000011_0001
As shown in the above table 5, colloidal silicon dioxide and talc had a bad effect on the stability of amlodipine maleate.
Stabilizing ingredient and amlodipine maleate were mixed as ratio of 0.05:1. Effect of each stabilizing ingredient on the stability of amlodipine maleate was evaluated. Results were shown in table 6. [Table 6]
Figure imgf000011_0002
As shown in the above table 6, propyl gallate and sodium metabisulfite had a bad effect on the stability of amlodipine maleate.
Film-coating material and amlodipine maleate were mixed as ratio of 3:1. Effect of each film-coating material on the stability of amlodipine maleate was evaluated. Results were shown in table 7. [Table 7]
Figure imgf000012_0001
As shown in the above table 7, polyvinylalcohol had a bad effect on the stability of amlodipine maleate.
<Stability test according to formulation>
Based on the results of the stability tests of the example 2, capsules and tablets were manufactured according to the below components and manufacturing method. A. Aspirin/amlodipine maleate capsule Example 3 : Manufacturing granules of amlodipine maleate Based on the effects of additives on the stability of amlodipine maleate, granules according to the below table 8 were manufactured. Butylated hydroxy toluene and hydroxypropylcellulose were dissolved in ethanol to make a binding solution. Amlodipine maleate, pre-gelatinized starch and mannitol were put in a mixer and mixed for about 10 minutes. Granules were manufactured with the binding solution and the mixture through conventional wet granulation method. [Table 8]
Figure imgf000013_0001
Examples 4-6: Manufacturing enteric-coated granules of aspirin
Enteric-coated granules of aspirin were manufactured like the below table 9.
Example 4 was manufactured as follows: First of all, (Sl) propylene glycol and hydroxypropylmethylcellulose 2910 were dissolved in mixture of methylene chloride and ethanol to make a sub-coating solution. After that, (S2) aspirin was put in a fluidized bed coater, and coated (and dried simultaneously) with the coating solution of (Sl) step on condition of 55-650C of inlet air, 30-40 °C of outlet air, 1.5-2.0 bar of spraying pressure and 20-30 ml/minute of spraying rate to prepare the sub-coated pellet of aspirin. (S3) Propylene glycol was dissolved in purified water, and then talc was added to the solution and suspended. (S4) Methacrylic acid copolymer was added to the suspension of (S3) step and mixed well to make a coating solution. (S5) The sub- coated pellet of aspirin was put in the fluidized bed coater, coated (and dried simultaneously) with the coating solution of (S4) step on condition of 60-70 °C of inlet air, 35-45 "C of outlet air, 1.5-2.0 bar of spraying pressure and 15-25 ml/minute of spraying rate to make an enteric-coated pellets of aspirin.
Example 5 was manufactured as follows: First of all, (Sl) sub-coated pellets of aspirin were made like example 4. (S2) Fatty acid glycerin ester was dissolved in mixture of purified water and ethanol, and then talc was added to the solution and suspended. (S3) Hydroxypropylmethylcellulose phthalate was added to the suspension of (S2) step and mixed well to make a coating solution. (S4) The sub-coated pellet of aspirin was put in the fluidized bed coater, coated (and dried simultaneously) with the coating solution of (S3) step on condition of 55-65 °C of inlet air, 30-40 °C of outlet air, 1.5-2.0 bar of spraying pressure and 20-30 ml/minute of spraying rate to make an enteric-coated pellets of aspirin.
Example 6 was manufactured as follows: First of all, (Sl) sub-coated pellets of aspirin were made like example 4. (S2) Fatty acid glycerin ester was dissolved in mixture of purified water and ethanol, and then talc was added to the solution and suspended. (S3) Hydroxypropylmethylcellulose acetate succinate was added to the suspension of (S2) step and mixed well to make a coating solution. (S4) The sub- coated pellet of aspirin was put in the fluidized bed coater, coated (and dried simultaneously) with the coating solution of (S3) step on condition of 55-65 °C of inlet air, 30-40 °C of outlet air, 1.5-2.0 bar of spraying pressure and 20-30 ml/minute of spraying rate to make an enteric-coated pellets of aspirin. [Table 9]
Figure imgf000014_0001
Comparative example 1 : combination capsule of amlodipine maleate/aspirin Amlodipine maleate and aspirin enteric pellets of example 4 were mixed and filled into empty hard capsule.
Comparative example 2: combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3 and aspirin were mixed and filled into empty hard capsule.
Formulation example 1 : combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 4 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
Formulation example 2: combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 5 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
Formulation example 3 : combination capsule of amlodipine maleate/aspirin Amlodipine maleate granules of example 3, aspirin enteric pellets of example 6 and magnesium stearate were mixed for 10 minutes, and filled into empty hard capsule for one capsule to have 185 mg of mixture.
Example 7: Manufacturing coating layer comprising amlodipine maleate
(Sl) Butylated hydroxy toluene, propylene glycol and hydroxypropylmethylcellulose 2910 were dissolved in mixture of ethanol and methylene chloride. (S2) Amlodipine maleate was dissolved in ethanol, and mixed with the solution of (Sl) step to make a coating solution. (S3) Aspirin enteric granules of example 4 were coated with the coating solution comprising amlodipine maleate according to the coating condition of example 6.
Example 8: Manufacturing coating layer comprising amlodipine maleate Coating layer comprising amlodipine maleate was manufactured like example 7 except that aspirin enteric pellets of example 5 were used as core instead of aspirin enteric pellets of example 4.
Example 9: Manufacturing coating layer comprising amlodipine maleate Coating layer comprising amlodipine maleate was manufactured like example 7 except that aspirin enteric pellets of example 6 were used as core instead of aspirin enteric pellets of example 4.
The ingredients and contents of the examples 7-9 were collectively shown in table 10.
[Table 10]
Figure imgf000016_0001
Formulation example 4: combination capsule of amlodipine maleate/aspirin Granules of example 7 were filled into empty hard capsule. Formulation example 5: combination capsule of amlodipine maleate/aspirin Granules of example 8 were filled into empty hard capsule. Formulation example 6: combination capsule of amlodipine maleate/aspirin Granules of example 9 were filled into empty hard capsule. Example 10:
As shown in the below table 11, granules of example 3, microcrystalline cellulose, croscarmellose sodium, fumaric acid and low-substituted hydroxypropylcellulose were mixed for 10 minutes, and magnesium stearate was add to the mixture as lubricant and mixed for 5 minutes. The final mixture was tabletted. [Table 11]
Figure imgf000016_0002
Formulation example 7
Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 4 were filled into empty hard capsule.
Formulation example 8
Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 5 were filled into empty hard capsule.
Formulation example 9
Amlodipine maleate tablet of example 10 and aspirin enteric-coated pellets of example 6 were filled into empty hard capsule.
B. Combination tablet of aspirin/amlodipine maleate
Comparative example 3
Aspirin, amlodipine maleate granules of example 3, microcrystalline cellulose, pre-gelatinized starch and stearic acid were mixed for 15 minutes and tabletted.
Comparative example 4
(Sl) Aspirin, microcrystalline cellulose, pre-gelatinized starch and stearic acid were mixed for 15 minutes and tabletted. (S2) The tablet made in the (Sl) step was coated with the coating solution comprising methacrylic acid copolymer like example 4 to make an aspirin enteric-coated tablet.
Formulation example 10
The aspirin enteric-coated tablet of the comparative example 4 was coated with the coating solution comprising amlodipine maleate like example 9.
Formulation example 11
(Sl) An aspirin enteric-coated tablet was manufactured like formulation example 10 with a coating solution comprising hydroxypropylmethylcellulose phthalate described in example 5. (S2) The aspirin enteric-coated tablet of the (Sl) step was coated with the coating solution comprising amlodipine maleate like example 9.
Formulation example 12
(Sl) An aspirin enteric-coated tablet was manufactured like formulation example 10 with a coating solution comprising hydroxypropylmethylcellulose acetate succinate described in example 6. (S2) The aspirin enteric-coated tablet of the (Sl) step was coated with the coating solution comprising amlodipine maleate like example 9.
Formulation example 13
Amlodipine maleate granules of example 3, aspirin enteric-coated pellets of example 4, microcrystalline cellulose, pre-gelatinized starch, low-substituted hydroxypropylcellulose and stearic acid were mixed for 10 minutes and tabletted.
C. Stability test of each formulation
Example 11 : Stability test of each formulation
Formulation examples and manufactured formulations were packed in HDPE bottle by 100 capsules or 100 tablets per bottle. Bottles were stored in an accelerated condition (40±2°C, 75±5%RH) for 90 days, and then impurities were evaluated. Analyzing methods of the example 1 were used in this test.
1) Stability test of capsules
Results were shown in the below table 12. [Table 12]
Figure imgf000018_0001
As shown in comparative example 2 of the table 12, the stabilities of both amlodipine maleate and aspirin were bad when aspirin was contacted with amlodipine maleate. However, comparative example 1 and all formulation examples had good stabilities compared to the comparative example 2 because the contact between amlodipine and aspirin was blocked.
2) Stability test of tablets
Results were shown in the below table 13. [Table 13]
Figure imgf000019_0001
As shown in comparative example 3 of the table 13, the stabilities of both amlodipine maleate and aspirin were bad when aspirin was contacted with amlodipine maleate. However, all formulation examples had good stabilities compared to the comparative example 3 because the contact between amlodipine and aspirin was blocked.
In addition, the stability of the comparative example 3 was worse than that of comparative example 2, which is thought to be caused by the difference (capsule vs. tablet) of type of formulation. Tablet, the comparative example 3, usually causes much contact between amlodipine and aspirin compared to capsule, which has a bad effect on the stability of each other.
The stability of formulation example 13 was bad, which is thought to be caused by break of coating layer happening due to tabletting pressure. The break causes the contact between amlodipine and aspirin.
[Advantageous Effects]
The present invention provides a pharmaceutical formulation or kit comprising amlodipine and aspirin, wherein the stabilities of both amlodipine and aspirin are improved. The present invention also provides a pharmaceutical composition comprising amlodipine maleate and having an improved stability.

Claims

[CLAIMS]
1. A pharmaceutical formulation comprising (a) amlodipine freebase or its pharmaceutically acceptable salt; and (b) aspirin, wherein the amlodipine and the aspirin are separated from each other to block contact between the amlodipine and the aspirin.
2. The pharmaceutical formulation of claim 1, wherein the pharmaceutically acceptable salt of amlodipine is amlodipine maleate.
3. The pharmaceutical formulation of claim 1 or 2, wherein the (a) ingredient or the (b) ingredient; or a granule comprising the (a) ingredient or the (b) ingredient is coated by polymer to block contact between the amlodipine and the aspirin.
4. The pharmaceutical formulation of claim 3, wherein the pharmaceutical formulation is a capsule.
5. The pharmaceutical formulation of claim 1 or 2, wherein the pharmaceutical formulation comprises a tablet or granule comprising any one between the (a) ingredient and the (b) ingredient; first coating layer surrounding the tablet or granule; and second coating layer surrounding the first coating layer and comprising the other ingredient.
6. The pharmaceutical formulation of claim 1 or 2, wherein the pharmaceutical formulation is a multilayered tablet comprising first layer comprising the (a) ingredient; and second layer comprising the (b) ingredient.
7. The pharmaceutical formulation of claim 6, wherein the multilayered tablet comprises a layer or membrane for separating between the first layer and the second layer.
8. The pharmaceutical formulation of claim 1 or 2, wherein the pharmaceutical formulation is a press-coated tablet comprising a core tablet comprising any one between the (a) ingredient and the (b) ingredient; and an exterior layer surrounding the core tablet and comprising the other ingredient.
9. The pharmaceutical formulation of claim 8, wherein the core tablet is coated by polymer.
10. The pharmaceutical formulation of claim 1 or 2, wherein the pharmaceutical formulation is a capsule comprising a small tablet comprising the (a) ingredient; and another small tablet comprising the (b) ingredient.
11. A kit comprising (a) a formulation comprising amlodipine freebase or its pharmaceutically acceptable salt; and (b) a formulation comprising aspirin, wherein the formulations are separated from each other to block contact between the amlodipine and the aspirin.
12. The kit of claim 11, wherein the formulation is capsule, microcapsule, tablet or granule.
13. A pharmaceutical composition comprising amlodipine maleate and stabilizing ingredient.
14. The pharmaceutical composition of claim 13, wherein the stabilizing ingredient is at least one selected from the group consisting of sodium citrate, butylated hydroxy toluene, succinic acid, fumaric acid, tartaric acid and ascorbic acid.
15. The pharmaceutical composition of claim 14, wherein the stabilizing ingredient is butylated hydroxy toluene.
PCT/KR2006/005820 2006-01-03 2006-12-28 Pharmaceutical formulation containing amlodipine and aspirin WO2007078110A1 (en)

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