WO2013122554A1 - Formulations de pastilles comprenant de l'ésoméprazole - Google Patents
Formulations de pastilles comprenant de l'ésoméprazole Download PDFInfo
- Publication number
- WO2013122554A1 WO2013122554A1 PCT/TR2013/000060 TR2013000060W WO2013122554A1 WO 2013122554 A1 WO2013122554 A1 WO 2013122554A1 TR 2013000060 W TR2013000060 W TR 2013000060W WO 2013122554 A1 WO2013122554 A1 WO 2013122554A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- active agent
- esomeprazole
- pellet
- enterically coated
- formulations
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 89
- 238000009472 formulation Methods 0.000 title claims abstract description 68
- SUBDBMMJDZJVOS-DEOSSOPVSA-N esomeprazole Chemical compound C([S@](=O)C1=NC2=CC=C(C=C2N1)OC)C1=NC=C(C)C(OC)=C1C SUBDBMMJDZJVOS-DEOSSOPVSA-N 0.000 title claims abstract description 38
- 229960004770 esomeprazole Drugs 0.000 title claims abstract description 38
- 239000008188 pellet Substances 0.000 title claims description 47
- 238000004519 manufacturing process Methods 0.000 claims abstract description 7
- 239000013543 active substance Substances 0.000 claims description 57
- 239000011248 coating agent Substances 0.000 claims description 29
- 239000010410 layer Substances 0.000 claims description 28
- 238000000576 coating method Methods 0.000 claims description 26
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 claims description 24
- 229930195725 Mannitol Natural products 0.000 claims description 24
- 239000002702 enteric coating Substances 0.000 claims description 24
- 238000009505 enteric coating Methods 0.000 claims description 24
- 239000000594 mannitol Substances 0.000 claims description 24
- 235000010355 mannitol Nutrition 0.000 claims description 24
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 claims description 18
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- 239000005720 sucrose Substances 0.000 claims description 18
- 239000003795 chemical substances by application Substances 0.000 claims description 17
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 16
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- 229960003634 pimozide Drugs 0.000 claims description 2
- WIKYUJGCLQQFNW-UHFFFAOYSA-N prochlorperazine Chemical compound C1CN(C)CCN1CCCN1C2=CC(Cl)=CC=C2SC2=CC=CC=C21 WIKYUJGCLQQFNW-UHFFFAOYSA-N 0.000 claims description 2
- 229960003111 prochlorperazine Drugs 0.000 claims description 2
- 229960003598 promazine Drugs 0.000 claims description 2
- 229950001518 raclopride Drugs 0.000 claims description 2
- 229960003448 remoxipride Drugs 0.000 claims description 2
- RAPZEAPATHNIPO-UHFFFAOYSA-N risperidone Chemical compound FC1=CC=C2C(C3CCN(CC3)CCC=3C(=O)N4CCCCC4=NC=3C)=NOC2=C1 RAPZEAPATHNIPO-UHFFFAOYSA-N 0.000 claims description 2
- 229960001534 risperidone Drugs 0.000 claims description 2
- 150000003839 salts Chemical class 0.000 claims description 2
- 239000004208 shellac Substances 0.000 claims description 2
- 229940113147 shellac Drugs 0.000 claims description 2
- ZLGIYFNHBLSMPS-ATJNOEHPSA-N shellac Chemical compound OCCCCCC(O)C(O)CCCCCCCC(O)=O.C1C23[C@H](C(O)=O)CCC2[C@](C)(CO)[C@@H]1C(C(O)=O)=C[C@@H]3O ZLGIYFNHBLSMPS-ATJNOEHPSA-N 0.000 claims description 2
- 235000013874 shellac Nutrition 0.000 claims description 2
- 229940083037 simethicone Drugs 0.000 claims description 2
- 239000011780 sodium chloride Substances 0.000 claims description 2
- DKGZKTPJOSAWFA-UHFFFAOYSA-N spiperone Chemical compound C1=CC(F)=CC=C1C(=O)CCCN1CCC2(C(NCN2C=2C=CC=CC=2)=O)CC1 DKGZKTPJOSAWFA-UHFFFAOYSA-N 0.000 claims description 2
- 229950001675 spiperone Drugs 0.000 claims description 2
- 229950001330 spiroxatrine Drugs 0.000 claims description 2
- 229960004724 sultopride Drugs 0.000 claims description 2
- 239000000454 talc Substances 0.000 claims description 2
- 229910052623 talc Inorganic materials 0.000 claims description 2
- AEQDJSLRWYMAQI-KRWDZBQOSA-N tetrahydropalmatine Chemical compound C1CN2CC(C(=C(OC)C=C3)OC)=C3C[C@H]2C2=C1C=C(OC)C(OC)=C2 AEQDJSLRWYMAQI-KRWDZBQOSA-N 0.000 claims description 2
- XCTYLCDETUVOIP-UHFFFAOYSA-N thiethylperazine Chemical compound C12=CC(SCC)=CC=C2SC2=CC=CC=C2N1CCCN1CCN(C)CC1 XCTYLCDETUVOIP-UHFFFAOYSA-N 0.000 claims description 2
- 229960004869 thiethylperazine Drugs 0.000 claims description 2
- 229960002784 thioridazine Drugs 0.000 claims description 2
- 229960005344 tiapride Drugs 0.000 claims description 2
- 229960005013 tiotixene Drugs 0.000 claims description 2
- 235000019731 tricalcium phosphate Nutrition 0.000 claims description 2
- ZEWQUBUPAILYHI-UHFFFAOYSA-N trifluoperazine Chemical compound C1CN(C)CCN1CCCN1C2=CC(C(F)(F)F)=CC=C2SC2=CC=CC=C21 ZEWQUBUPAILYHI-UHFFFAOYSA-N 0.000 claims description 2
- 229960002324 trifluoperazine Drugs 0.000 claims description 2
- GPMXUUPHFNMNDH-UHFFFAOYSA-N trifluperidol Chemical compound C1CC(O)(C=2C=C(C=CC=2)C(F)(F)F)CCN1CCCC(=O)C1=CC=C(F)C=C1 GPMXUUPHFNMNDH-UHFFFAOYSA-N 0.000 claims description 2
- 229960002341 trifluperidol Drugs 0.000 claims description 2
- XSCGXQMFQXDFCW-UHFFFAOYSA-N triflupromazine Chemical compound C1=C(C(F)(F)F)C=C2N(CCCN(C)C)C3=CC=CC=C3SC2=C1 XSCGXQMFQXDFCW-UHFFFAOYSA-N 0.000 claims description 2
- 229960003904 triflupromazine Drugs 0.000 claims description 2
- MVWVFYHBGMAFLY-UHFFFAOYSA-N ziprasidone Chemical compound C1=CC=C2C(N3CCN(CC3)CCC3=CC=4CC(=O)NC=4C=C3Cl)=NSC2=C1 MVWVFYHBGMAFLY-UHFFFAOYSA-N 0.000 claims description 2
- 229960000607 ziprasidone Drugs 0.000 claims description 2
- WFPIAZLQTJBIFN-DVZOWYKESA-N zuclopenthixol Chemical compound C1CN(CCO)CCN1CC\C=C\1C2=CC(Cl)=CC=C2SC2=CC=CC=C2/1 WFPIAZLQTJBIFN-DVZOWYKESA-N 0.000 claims description 2
- BGRJTUBHPOOWDU-NSHDSACASA-N (S)-(-)-sulpiride Chemical compound CCN1CCC[C@H]1CNC(=O)C1=CC(S(N)(=O)=O)=CC=C1OC BGRJTUBHPOOWDU-NSHDSACASA-N 0.000 claims 1
- 239000000845 maltitol Substances 0.000 claims 1
- VQHSOMBJVWLPSR-WUJBLJFYSA-N maltitol Chemical compound OC[C@H](O)[C@@H](O)[C@@H]([C@H](O)CO)O[C@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O VQHSOMBJVWLPSR-WUJBLJFYSA-N 0.000 claims 1
- 235000010449 maltitol Nutrition 0.000 claims 1
- 229940035436 maltitol Drugs 0.000 claims 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 claims 1
- 229960004940 sulpiride Drugs 0.000 claims 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 4
- 201000010099 disease Diseases 0.000 abstract description 3
- 230000027119 gastric acid secretion Effects 0.000 abstract 1
- 239000008194 pharmaceutical composition Substances 0.000 abstract 1
- 208000021302 gastroesophageal reflux disease Diseases 0.000 description 19
- 238000011282 treatment Methods 0.000 description 17
- 229940021182 non-steroidal anti-inflammatory drug Drugs 0.000 description 12
- 230000002265 prevention Effects 0.000 description 7
- 241000590002 Helicobacter pylori Species 0.000 description 6
- 239000002552 dosage form Substances 0.000 description 6
- 229940037467 helicobacter pylori Drugs 0.000 description 6
- 108091006112 ATPases Proteins 0.000 description 5
- 102000057290 Adenosine Triphosphatases Human genes 0.000 description 5
- 208000008469 Peptic Ulcer Diseases 0.000 description 4
- 102100038280 Prostaglandin G/H synthase 2 Human genes 0.000 description 4
- 108050003267 Prostaglandin G/H synthase 2 Proteins 0.000 description 4
- 208000007107 Stomach Ulcer Diseases 0.000 description 4
- 230000002378 acidificating effect Effects 0.000 description 4
- 208000000718 duodenal ulcer Diseases 0.000 description 4
- 230000003628 erosive effect Effects 0.000 description 4
- HYZJCKYKOHLVJF-UHFFFAOYSA-N 1H-benzimidazole Chemical compound C1=CC=C2NC=NC2=C1 HYZJCKYKOHLVJF-UHFFFAOYSA-N 0.000 description 3
- 230000015556 catabolic process Effects 0.000 description 3
- 238000006731 degradation reaction Methods 0.000 description 3
- 230000007774 longterm Effects 0.000 description 3
- 238000011418 maintenance treatment Methods 0.000 description 3
- 229940126409 proton pump inhibitor Drugs 0.000 description 3
- 239000000612 proton pump inhibitor Substances 0.000 description 3
- 210000002784 stomach Anatomy 0.000 description 3
- 238000002636 symptomatic treatment Methods 0.000 description 3
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- 230000003115 biocidal effect Effects 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 239000007884 disintegrant Substances 0.000 description 2
- 230000008029 eradication Effects 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- VTHJTEIRLNZDEV-UHFFFAOYSA-L magnesium dihydroxide Chemical compound [OH-].[OH-].[Mg+2] VTHJTEIRLNZDEV-UHFFFAOYSA-L 0.000 description 2
- 239000000347 magnesium hydroxide Substances 0.000 description 2
- 229910001862 magnesium hydroxide Inorganic materials 0.000 description 2
- 235000012254 magnesium hydroxide Nutrition 0.000 description 2
- 238000012423 maintenance Methods 0.000 description 2
- OQZCJRJRGMMSGK-UHFFFAOYSA-M potassium metaphosphate Chemical compound [K+].[O-]P(=O)=O OQZCJRJRGMMSGK-UHFFFAOYSA-M 0.000 description 2
- 229940044551 receptor antagonist Drugs 0.000 description 2
- 239000002464 receptor antagonist Substances 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 2
- LWIHDJKSTIGBAC-UHFFFAOYSA-K tripotassium phosphate Chemical compound [K+].[K+].[K+].[O-]P([O-])([O-])=O LWIHDJKSTIGBAC-UHFFFAOYSA-K 0.000 description 2
- SUBDBMMJDZJVOS-UHFFFAOYSA-N 5-methoxy-2-{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl}-1H-benzimidazole Chemical compound N=1C2=CC(OC)=CC=C2NC=1S(=O)CC1=NC=C(C)C(OC)=C1C SUBDBMMJDZJVOS-UHFFFAOYSA-N 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 239000001736 Calcium glycerylphosphate Substances 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 206010017886 Gastroduodenal ulcer Diseases 0.000 description 1
- 206010061459 Gastrointestinal ulcer Diseases 0.000 description 1
- 239000001828 Gelatine Substances 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 description 1
- UIIMBOGNXHQVGW-DEQYMQKBSA-M Sodium bicarbonate-14C Chemical compound [Na+].O[14C]([O-])=O UIIMBOGNXHQVGW-DEQYMQKBSA-M 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 150000007513 acids Chemical class 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 239000000362 adenosine triphosphatase inhibitor Substances 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- WNROFYMDJYEPJX-UHFFFAOYSA-K aluminium hydroxide Chemical compound [OH-].[OH-].[OH-].[Al+3] WNROFYMDJYEPJX-UHFFFAOYSA-K 0.000 description 1
- 229910021502 aluminium hydroxide Inorganic materials 0.000 description 1
- VSGNNIFQASZAOI-UHFFFAOYSA-L calcium acetate Chemical compound [Ca+2].CC([O-])=O.CC([O-])=O VSGNNIFQASZAOI-UHFFFAOYSA-L 0.000 description 1
- 239000001639 calcium acetate Substances 0.000 description 1
- 235000011092 calcium acetate Nutrition 0.000 description 1
- 229960005147 calcium acetate Drugs 0.000 description 1
- 239000001110 calcium chloride Substances 0.000 description 1
- 229910001628 calcium chloride Inorganic materials 0.000 description 1
- AXCZMVOFGPJBDE-UHFFFAOYSA-L calcium dihydroxide Chemical compound [OH-].[OH-].[Ca+2] AXCZMVOFGPJBDE-UHFFFAOYSA-L 0.000 description 1
- UHHRFSOMMCWGSO-UHFFFAOYSA-L calcium glycerophosphate Chemical compound [Ca+2].OCC(CO)OP([O-])([O-])=O UHHRFSOMMCWGSO-UHFFFAOYSA-L 0.000 description 1
- 229940095618 calcium glycerophosphate Drugs 0.000 description 1
- 235000019299 calcium glycerylphosphate Nutrition 0.000 description 1
- 239000000920 calcium hydroxide Substances 0.000 description 1
- 229910001861 calcium hydroxide Inorganic materials 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 229910000389 calcium phosphate Inorganic materials 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 159000000007 calcium salts Chemical class 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 238000004040 coloring Methods 0.000 description 1
- 238000002648 combination therapy Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- ZPWVASYFFYYZEW-UHFFFAOYSA-L dipotassium hydrogen phosphate Chemical compound [K+].[K+].OP([O-])([O-])=O ZPWVASYFFYYZEW-UHFFFAOYSA-L 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 201000006549 dyspepsia Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000839 emulsion Substances 0.000 description 1
- 239000000796 flavoring agent Substances 0.000 description 1
- 235000013355 food flavoring agent Nutrition 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 210000004211 gastric acid Anatomy 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 239000001257 hydrogen Substances 0.000 description 1
- 229910052739 hydrogen Inorganic materials 0.000 description 1
- 125000004435 hydrogen atom Chemical class [H]* 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 235000001055 magnesium Nutrition 0.000 description 1
- 229960000816 magnesium hydroxide Drugs 0.000 description 1
- OVGXLJDWSLQDRT-UHFFFAOYSA-L magnesium lactate Chemical compound [Mg+2].CC(O)C([O-])=O.CC(O)C([O-])=O OVGXLJDWSLQDRT-UHFFFAOYSA-L 0.000 description 1
- 239000000626 magnesium lactate Substances 0.000 description 1
- 235000015229 magnesium lactate Nutrition 0.000 description 1
- 229960004658 magnesium lactate Drugs 0.000 description 1
- HCWCAKKEBCNQJP-UHFFFAOYSA-N magnesium orthosilicate Chemical compound [Mg+2].[Mg+2].[O-][Si]([O-])([O-])[O-] HCWCAKKEBCNQJP-UHFFFAOYSA-N 0.000 description 1
- 239000000391 magnesium silicate Substances 0.000 description 1
- 229910052919 magnesium silicate Inorganic materials 0.000 description 1
- 235000019792 magnesium silicate Nutrition 0.000 description 1
- 229940091250 magnesium supplement Drugs 0.000 description 1
- 229960001855 mannitol Drugs 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 150000002739 metals Chemical class 0.000 description 1
- 229960000381 omeprazole Drugs 0.000 description 1
- 208000011906 peptic ulcer disease Diseases 0.000 description 1
- 230000010399 physical interaction Effects 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 235000015497 potassium bicarbonate Nutrition 0.000 description 1
- 239000011736 potassium bicarbonate Substances 0.000 description 1
- 229910000028 potassium bicarbonate Inorganic materials 0.000 description 1
- 229940094025 potassium bicarbonate Drugs 0.000 description 1
- TYJJADVDDVDEDZ-UHFFFAOYSA-M potassium hydrogencarbonate Chemical compound [K+].OC([O-])=O TYJJADVDDVDEDZ-UHFFFAOYSA-M 0.000 description 1
- 229940099402 potassium metaphosphate Drugs 0.000 description 1
- 235000019828 potassium polyphosphate Nutrition 0.000 description 1
- 229920001592 potato starch Polymers 0.000 description 1
- 229940069328 povidone Drugs 0.000 description 1
- 230000019491 signal transduction Effects 0.000 description 1
- HELHAJAZNSDZJO-OLXYHTOASA-L sodium L-tartrate Chemical compound [Na+].[Na+].[O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O HELHAJAZNSDZJO-OLXYHTOASA-L 0.000 description 1
- 239000001632 sodium acetate Substances 0.000 description 1
- 235000017281 sodium acetate Nutrition 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 235000017550 sodium carbonate Nutrition 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 1
- 235000011083 sodium citrates Nutrition 0.000 description 1
- FQENQNTWSFEDLI-UHFFFAOYSA-J sodium diphosphate Chemical compound [Na+].[Na+].[Na+].[Na+].[O-]P([O-])(=O)OP([O-])([O-])=O FQENQNTWSFEDLI-UHFFFAOYSA-J 0.000 description 1
- 239000001488 sodium phosphate Substances 0.000 description 1
- 235000019830 sodium polyphosphate Nutrition 0.000 description 1
- 229940048086 sodium pyrophosphate Drugs 0.000 description 1
- 239000001433 sodium tartrate Substances 0.000 description 1
- 229960002167 sodium tartrate Drugs 0.000 description 1
- 235000011004 sodium tartrates Nutrition 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 229960002920 sorbitol Drugs 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- RYCLIXPGLDDLTM-UHFFFAOYSA-J tetrapotassium;phosphonato phosphate Chemical compound [K+].[K+].[K+].[K+].[O-]P([O-])(=O)OP([O-])([O-])=O RYCLIXPGLDDLTM-UHFFFAOYSA-J 0.000 description 1
- 235000019818 tetrasodium diphosphate Nutrition 0.000 description 1
- 239000001577 tetrasodium phosphonato phosphate Substances 0.000 description 1
- 229910000404 tripotassium phosphate Inorganic materials 0.000 description 1
- 235000019798 tripotassium phosphate Nutrition 0.000 description 1
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 1
- 229910000406 trisodium phosphate Inorganic materials 0.000 description 1
- 235000019801 trisodium phosphate Nutrition 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 229940100445 wheat starch Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5073—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings
- A61K9/5078—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings with drug-free core
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5015—Organic compounds, e.g. fats, sugars
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/50—Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
- A61K9/5005—Wall or coating material
- A61K9/5021—Organic macromolecular compounds
- A61K9/5036—Polysaccharides, e.g. gums, alginate; Cyclodextrin
- A61K9/5042—Cellulose; Cellulose derivatives, e.g. phthalate or acetate succinate esters of hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/04—Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
Definitions
- the present invention relates to highly stable, new esomeprazole pellet formulations.
- the present invention further relates to enterically coated pellet formulation of esomeprazole.
- Hydrogen potassium ATPase (H + /K + ATPase) enzymes provide stomach acidity.
- the activity of H7K + ATPase enzymes should be blocked in order to regularize acidity in the stomach in the diseases such as dyspepsia, peptic ulcer and gastroesophageal reflux (GERD).
- H 2 - receptor antagonists or proton pump inhibitors (PPIs) are used for this blockage.
- H 2 - receptor antagonists prevent signal pathway activating ATPase and proton pump inhibitors block ATPase.
- Esomeprazole one of the most used PPIs, is not durable to acidic medium and it degrades immediately. However, it is stable in alkaline mediums. Esomeprazole is indicated for treatment of gastroesophageal reflux disease (GERD), erosive reflux oesophagitis; for prevention of relapses, for long-term maintenance treatment of healed reflux oesophagitis and for symptomatic treatment of gastroesophageal reflux disease. Together with a suitable antibiotic combination, it is indicated for helicobacter pylori eradication and for treatment of helicobacter pylori induced duodenal ulcers and for prevention of relapses in helicobacter pylori induced peptic ulcers.
- GSD gastroesophageal reflux disease
- erosive reflux oesophagitis erosive reflux oesophagitis
- helicobacter pylori eradication and for treatment of helicobacter pylori induced du
- NSAIDs non-steroidal anti-inflammatory drugs
- Dose amount of esomeprazole in a tablet or a pellet is generally in the range of 20 to 40 mg. In the case that the treatment cannot be implemented by the oral route, parenteral treatment is implemented.
- the basic problem concerning esomeprazole is that the active agent has low stability and it is not durable to acidic mediums such as stomach.
- the prior art suggests various methods and formulations in order to solve this problem. These are generally to use acidic enteric coatings or inert intermediate layers or to mix them with the alkaline compounds.
- the active agent is mixed with more than one alkaline metals in order to increase stability in the patent numbered WO0078293 Al .
- an enteric coating is not used on purpose and buffer agents are used in order to provide stability.
- the enteric coating used in the enterically coated formulations in order for the active agent not to degrade due to gastric acid induces degradation of the active agent since it is acidic.
- the active agent layer is general ly separated from the enteric coating by using at least one intermediate coating in the enterically coated formulations and degradation of the active agent is prevented.
- the active agent is applied to an inert core and said core is coated with an isolating layer comprising mannitol in the patent application numbered WO2012/017074. This intermediate layer prevents degradation of the active agent due to the interaction between the agents comprised in the enteric coating.
- the patent application numbered EP1235555 discloses pellet formulations comprising a benzimidazole (particularly omeprazole) which is susceptible to acids.
- the pellets of the invention are composed of a) an inert core, b) a benzimidazole layer coating said core, c) one or more inert coatings and d) an enteric coating layer.
- the benzimidazole layer (b) comprised in the formulation given in said patent comprises hydroxypropyl methylcellulose.
- the inventors have achieved to solve this problem with the new pellet formulations and by the production method developed in the scope of the present invention.
- the present invention relates to easily producible highly stable, new esomeprazole pellet formulations.
- the formulations according to present invention are composed of a) an inert core, b) an active agent layer coating the core, c) an intermediate coating comprising sucrose and at least one other intermediate coating layer and d) an enteric coating layer.
- a characteristic feature of the pellet formulations of the present invention is that said formulations comprise a) an inert core, b) an active agent layer coating the core and comprising minimum 5% mannitol by weight and at least one other excipient in addition to the active agent,
- a characteristic feature of the pellet formulations of the present invention is that said formulations are composed of a) an inert core,
- a characteristic feature of the pellet formulations of the present invention is that said formulations are composed of a) an inert core,
- an intermediate coating comprising sucrose and at least one other intermediate coating and d) an enteric coating layer.
- the formulations of the present invention can preserve their stability longer than the formulations usually comprising a cellulose derivative diluent (for instance hydroxypropyl cellulose) in the prior art thanks to the use of minimum 5% mannitol by weight in the active agent layer.
- a cellulose derivative diluent for instance hydroxypropyl cellulose
- the fluidity characteristics of the pellets formulated this way are affected positively.
- the final dosage form after pellet production can be easily prepared thanks to the improvement in the fluidity characteristics of the pellet formulations prepared this way.
- a characteristic feature of the esomeprazole pellet formulations of the present invention is that said formulations can comprise a non-cellulose derivative diluent, preferably mannitol. Esomeprazole formulations of the present invention can comprise at least one other diluent in addition to mannitol.
- the coating which covers the active agent layer and comprises sucrose has improved formulation stability in the formulations of the present invention.
- pellet formulations according to the present invention can optionally be compressed in tablet form or can be presented after filled into capsules.
- enterically coated esomeprazoie pellet formulations to be prepared according to the present invention comprise at least one other excipient in addition to the active agent and mannitol.
- the pharmaceutically acceptable excipients that can be used in the enterically coated esomeprazoie pellet formulations to be prepared in accordance with the production method of the present invention can be selected from a group comprising disintegrant, diluent, lubricant, glidant, binder, colouring agent, pH regulating agent, surfactant, sweetener and/or taste regulating agent and/or flavouring agent.
- excipients that can be comprised in the formulations of the present invention can be selected from a group comprising diluent, buffer agent, binder or combinations thereof.
- the inert core that can be used in the formulations of the present invention is used in order to carry the active agent and it is selected from a group comprising lactose, sugar, starch, modified starch, mannitol, sorbitol, inorganic salts, microcrystalline cellulose, cellulose, calcium sulphate, xylitol and lactitol.
- the other diluents that can be used in addition to mannitol in the enterically coated esomeprazoie pellet formulations of the present invention can be selected from a group comprising calcium carbonate, dibasic calcium phosphate, tribasic calcium phosphate, calcium sulphate, dextrose, fructose, lactitol, lactose, magnesium carbonate, magnesium oxide, mannitol, maltodextrin, maltose, simethicone, sorbitol, starch, sodium chloride, sucrose, talc.
- the other diluent preferred is sucrose.
- the binders that can be used in the enterically coated esomeprazoie pellet formulations of the present invention can be selected from starches such as potato starch, corn starch, wheat starch; sugars such as sucrose, glucose, dextrose, lactose, maltodextrin; natural and synthetic gums; gelatine; cellulose derivatives such as microcrystalline cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, hydroxypropyl methyl cellulose, carboxymethyl cellulose, methyl cellulose, ethyl cellulose; polyvinylpyrrolidone (povidone); polyethylene glycol (PEG); waxes; calcium carbonate; calcium phosphate; alcohols such as dibasic calcium phosphate, sorbitol, xylitol, mannitol and water or a combination thereof.
- starches such as potato starch, corn starch, wheat starch
- sugars such as sucrose, glucose, dextrose, lactose, mal
- sodium bicarbonate, potassium bicarbonate, magnesium hydroxide, magnesium lactate, magnesium glucomate, aluminium hydroxide, sodium citrate, sodium tartrate, sodium acetate, sodium carbonate, sodium polyphosphate, potassium polyphosphate, sodium pyrophosphate, potassium pyrophosphate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, trisodium phosphate, tripotassium phosphate, potassium metaphosphate, magnesium oxide, magnesium hydroxide, magnesium carbonate, magnesium silicate, calcium acetate, calcium glycerophosphate, calcium chloride, calcium carbonate, calcium hydroxide and other calcium salts or combinations thereof can be used in the enterically coated esomeprazole pellet formulations of the present invention.
- the base coating agents that can be used in the enterically coated esomeprazole pellet formulations of the present invention are selected from a group comprising hydroxypropyl methylcellulose (HPMC), hydroxypropyl cellulose (HPC), polyvinylpyrrolidone (PVP), polyethylene glycol, methylcellulose, amylopectin or hydroxymethyl cellulose (MHC) or a combination thereof.
- HPMC hydroxypropyl methylcellulose
- HPC hydroxypropyl cellulose
- PVP polyvinylpyrrolidone
- MHC hydroxymethyl cellulose
- the surfactants, binders and lubricants can be used in the base coating in the formulation in addition to the base coating agent.
- the enteric coating agents can be selected from cellulose derivatives such as hydroxypropyl methyl cellulose phthalate, hydroxypropyl methylcellulose acetate succinate, carboxymethyl ethyl cellulose, cellulose acetate phthalate; acrylic acid derivatives such as methacrylic acid copolymer L, methacrylic acid copolymer LD and methacrylic acid copolymer S and natural substances such as shellac or a combination thereof.
- the enteric coating used in the formulation can comprise at least one other pharmaceutically acceptable excipient such as surfactants, plasticisers, emulsion agents, colouring agents, binders, disintegrants, lubricants, solvents in addition to the enteric coating agent.
- excipients that can be comprised in the active agent layer of the enterically coated esomeprazole pellet formulations according to the present invention can preferably be at least one buffer agent, at least one diluent and at least one binder selected from the groups given above in addition to active agent and minimum 5% mannitol by weight.
- pellet formulations of the present invention are preferably produced by the method given below: I. esomeprazole, mannitol and at least one other excipient are mixed (active agent mixture), II. the inert cores are wetted with the granulation solution,
- the active agent mixture is added to wet inert cores in parts; it is continued to wet the mixture with the granulation solution during the adding process,
- the pellets prepared are coated firstly with the base coating and then with the enteric coating layer.
- the formulations of the present invention can optionally be used with another active agent or agents in combined form.
- the dosage forms can be can be administered separately, together or sequentially; though they can also be taken by combining esomeprazole with the other active agent or agents in a single dosage form for combined therapy.
- the other active agent or agents can be selected from dopamine antagonists such as acepromazine, amisulpride, amoxapine, azaperone, benperidol, bromopride, butaclamol, clomipramine, chlorpromazine, chlorprothixene, clopenthixol, domperidone, droperidol, eticlopride, flupentixol, fluspirilene, haloperidol, iodine benzamide, loxapine, mesoridazine, levomepromazine, metoclopramide, nafadotride, nemonapride, penfluridol, perazine, perphenazine, pimozide, prochlorperazine, promazine, raclopride, remoxipride, risperidone, spiperone, spiroxatrine, stepholidine, sulpride, sultop
- One or two of the other active agents can be combined with esomeprazole in combined treatment.
- the present invention comprises the binary and ternary combinations of esomeprazole with the other abovementioned active agents.
- the other active agent or agents that can be used in combined treatment can be produced with esomeprazole by using the same production method while they can also be in a treatment package form prepared by formulating the active agent formulations separately, storing them in different dosage forms and combining the dosage forms prepared in a single dosage form.
- the second active agent that can be used in the pellet formulations comprising esomeprazole to be used in treatment of gastroesophageal reflux disease (GERD), erosive reflux oesophagitis; for prevention of relapses, for long-term maintenance treatment of healed reflux oesophagitis and for symptomatic treatment of gastroesophageal reflux disease (GERD) and erosive reflux oesophagitis is preferably domperidone in the scope of the present invention.
- the enterically coated pellet formulations of the present invention comprising the proton pump inhibitor esomeprozole are indicated for treatment of gastroesophageal reflux disease (GERD), erosive reflux oesophagitis; for prevention of relapses, for long-term maintenance treatment of healed reflux oesophagitis and for symptomatic treatment of gastroesophageal reflux disease.
- GUD gastroesophageal reflux disease
- erosive reflux oesophagitis for prevention of relapses, for long-term maintenance treatment of healed reflux oesophagitis and for symptomatic treatment of gastroesophageal reflux disease.
- parenteral treatment is implemented.
- helicobacter pylori eradication and for treatment of helicobacter pylori induced duodenal ulcers and for prevention of relapses in helicobacter pylori induced peptic ulcers.
- NSAIDs non-steroidal anti-inflammatory drugs
- Esomeprazole is used for treatment of gastro-intestinal ulcer and duodenal ulcer in Chorn disease.
- Esomeparazole, mannitol and at least one other excipient are mixed (active agent mixture), b) The inert core is wetted with the granulation solution, c) The active agent mixture is added to wet inert cores in parts; it is continued to wet the mixture with the granulation solution during the adding process, d) After all the active agent mixture is added, the mixture is coated with sucrose and pelleting process is completed, e) The pellets prepared are coated firstly with the base coating and then the enteric coating layer.
- Esomeprazole, mannitol and at least one other excipient are mixed (active agent mixture), b) The inert core is wetted with the granulation solution, c) The active agent mixture is added to wet inert cores in parts; it is continued to wet the mixture with the granulation solution during the adding process, d) After all the active agent mixture is added, the mixture prepared is coated with sucrose and pelleting process is completed, e) The pellets prepared are coated firstly with the base coating and then with the enteric coating layer.
Abstract
La présente invention se rapporte à des formulations pharmaceutiques stables comprenant de l'ésoméprazole et à leur procédé de production, ces formulations étant destinées à être utilisées dans le traitement de maladies induites par la sécrétion de l'acide gastrique.
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
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TR2012/01599 | 2012-02-14 | ||
TR201201599 | 2012-02-14 | ||
TR2012/04301 | 2012-04-13 | ||
TR201204301 | 2012-04-13 |
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WO2013122554A1 true WO2013122554A1 (fr) | 2013-08-22 |
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PCT/TR2013/000060 WO2013122554A1 (fr) | 2012-02-14 | 2013-02-14 | Formulations de pastilles comprenant de l'ésoméprazole |
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Cited By (4)
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US10800738B2 (en) | 2017-12-05 | 2020-10-13 | Sunovion Pharmaceuticals Inc. | Crystal forms and production methods thereof |
US10874639B2 (en) | 2017-12-05 | 2020-12-29 | Sunovion Pharmaceuticals Inc. | Nonracemic mixtures and uses thereof |
US10946002B2 (en) * | 2016-10-06 | 2021-03-16 | Jubilant Generics Limited | Pharmaceutical suspension dosage form of benzimidazole compounds and process of preparation thereof |
US11160758B2 (en) | 2019-06-04 | 2021-11-02 | Sunovion Pharmaceuticals Inc. | Modified release formulations and uses thereof |
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EP1235555A2 (fr) | 1999-12-09 | 2002-09-04 | Ratiopharm GmbH | Preparations galeniques stables contenant un benzimidazole, et son procede de production |
WO2005034924A1 (fr) * | 2003-10-14 | 2005-04-21 | Natco Pharma Limited | Pastilles a enrobage enterique comprenant de l'esomeprazole, capsule de gelatine dure renfermant celles-ci et procede de preparation associe |
EP1246622B1 (fr) | 2000-01-11 | 2006-09-27 | The Curators Of The University Of Missouri | Nouvelles formes posologiques de benzimidazoles substitues |
WO2012017074A1 (fr) | 2010-08-06 | 2012-02-09 | Valpharma S.P.A. | Formulations pharmaceutiques orales d'ésoméprazole sous la forme de comprimés mups (multi unit pellets system) |
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WO2000078293A1 (fr) | 1999-06-22 | 2000-12-28 | Astrazeneca Ab | Nouvelle formulation |
EP1235555A2 (fr) | 1999-12-09 | 2002-09-04 | Ratiopharm GmbH | Preparations galeniques stables contenant un benzimidazole, et son procede de production |
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US10946002B2 (en) * | 2016-10-06 | 2021-03-16 | Jubilant Generics Limited | Pharmaceutical suspension dosage form of benzimidazole compounds and process of preparation thereof |
US10800738B2 (en) | 2017-12-05 | 2020-10-13 | Sunovion Pharmaceuticals Inc. | Crystal forms and production methods thereof |
US10874639B2 (en) | 2017-12-05 | 2020-12-29 | Sunovion Pharmaceuticals Inc. | Nonracemic mixtures and uses thereof |
US11370753B2 (en) | 2017-12-05 | 2022-06-28 | Sunovion Pharmaceuticals Inc. | Crystal forms and production methods thereof |
US11517558B2 (en) | 2017-12-05 | 2022-12-06 | Sunovion Pharmaceuticals Inc. | Nonracemic mixtures and uses thereof |
US11767293B2 (en) | 2017-12-05 | 2023-09-26 | Sunovion Pharmaceuticals Inc. | Crystal forms and production methods thereof |
US11160758B2 (en) | 2019-06-04 | 2021-11-02 | Sunovion Pharmaceuticals Inc. | Modified release formulations and uses thereof |
US11654113B2 (en) | 2019-06-04 | 2023-05-23 | Sunovion Pharmaceuticals Inc. | Modified release formulations and uses thereof |
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