WO2016052897A1 - Dry powder for inhalation formulation having improved stability of combined active ingredients - Google Patents

Dry powder for inhalation formulation having improved stability of combined active ingredients Download PDF

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Publication number
WO2016052897A1
WO2016052897A1 PCT/KR2015/009918 KR2015009918W WO2016052897A1 WO 2016052897 A1 WO2016052897 A1 WO 2016052897A1 KR 2015009918 W KR2015009918 W KR 2015009918W WO 2016052897 A1 WO2016052897 A1 WO 2016052897A1
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Prior art keywords
diluent
dry powder
inhalation formulation
active ingredients
micronized
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PCT/KR2015/009918
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French (fr)
Inventor
Hyuk Jun Cho
Young Min Yoon
Kyeong Soo Kim
Jae Hyun Park
Jong Soo Woo
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Hanmi Pharm. Co., Ltd.
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Publication of WO2016052897A1 publication Critical patent/WO2016052897A1/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
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • 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
    • A61K31/439Heterocyclic 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 the ring forming part of a bridged ring system, e.g. quinuclidine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/0075Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy for inhalation via a dry powder inhaler [DPI], e.g. comprising micronized drug mixed with lactose carrier particles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/141Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
    • A61K9/145Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics

Definitions

  • One or more exemplary embodiments relate to a dry powder for an inhalation formulation, the dry powder including at least two combined active ingredients selected from salmeterol, tiotropium, fluticasone, and pharmaceutically acceptable salts thereof, and more particularly, to a dry powder for an inhalation formulation, the dry powder having improved stability of combined active ingredients that may generally have poor stability because of being micronized and being combined, and to an inhalation formulation including the dry powder.
  • Various medicaments in the form of an inhalation formulation for the treatment of respiratory diseases for example, asthma and chronic obstructive pulmonary disease (COPD) are available in the market.
  • drugs such as short acting beta agonists (SABAs), long acting beta agonists (LABAs), inhaled corticosteroid (ICS), or long acting muscarinic antagonists (LAMAs) are in wide use for the prevention and treatment of respiratory diseases such as asthma or COPD.
  • SABAs, LABAs, and LAMAs may have a bronchial dilatation effect based on their pharmacological mechanism, and ICS may alleviate inflammation known as a cause of asthma.
  • SABAs, LABAs, LAMAs, and ICS may improve the level of forced expiratory volume in 1 second (FEV1), respiratory distress, and exacerbation of COPD.
  • SABAs are salbutamol and terbutaline.
  • LABAs are salmeterol, formoterol, and indacaterol.
  • ICS are fluticasone and budesonide.
  • LAMA are tiotropium and glycopyrronium.
  • the treatment guideline for COPD by Global Initiative for Chronic Obstructive Lung Disease suggests using a combination formulation for simultaneously inhalating drugs having different or complementary action mechanisms.
  • a LABA is mostly prescribed to COPD patients with a FEV1 level of less than 80%, and COPD patients with a FEV1 level of less than 50% or who experience frequent acute exacerbations are prescribed further with ICS, in addition to a LABA.
  • Expected improved therapeutic effects from such simultaneous inhalation of drugs having complementary action mechanisms are already proved based on various research results (Aaron, Shawn D., et al., Annals of internal medicine 146.8 (2007): 545-555; J.Y. Sohn et al., Tuberculosis and Respiratory Diseases 67.6 (2009): 536-544; Hanania, Nicola A., et al., CHEST Journal 124.3 (2003): 834-843).
  • Seretide ® including salmeterol and fluticasone.
  • Seretide ® provides an effective therapeutic effect in airway dilatation and inflammation treatment due to the simultaneous inhalation of LABA and ICS.
  • salmeterol although known as a LABA drug, has a half-life of about 5.5 hours and may not provide an airway dilatation effect for a sufficient duration of time.
  • WO13/187626 discloses an inhalation formulation for the treatment of respiratory disease comprising salmeterol xinafoate (LABA), fluticasone propionate (ICS), and tiotropium bromide (LAMA).
  • WO13/187626 discloses a dry powder inhalation formulation having an average particle size of about 30 ⁇ m to 120 ⁇ m to ensure reliable delivery of three active ingredients to a target site, with good content uniformity and small change in a dynamic particle size distribution that varies with a flow rate change.
  • WO13/187626 does not teach the development of a formulation with improved stability of the combined active ingredients.
  • a typical feature of inhalation formulations is that their active ingredient is micronized to a particle size of about 5 ⁇ m or less. Accordingly, the active ingredient of an inhalation formulation may have a large surface area due to the micronization. Consequently, the active ingredient may not have ensured stability against a diluent used together and/or external environments.
  • the stability of the active ingredient in an inhalation formulation is very crucial in medicinal quality control because the unit dose of the active ingredient is small.
  • the stability issue of the active ingredient is particularly important in an inhalation formulation containing a combination of at least two active ingredients as described above, since interaction of the active ingredients having a large surface area may accelerate generation of related compounds (impurities). Therefore, there is a need for pharmaceutical research to ensure the improved stability of individual active ingredients in an inhalation formulation for respiratory disease treatment including a combination of at least two active ingredients.
  • One or more exemplary embodiments include a dry powder for an inhalation formulation, the dry powder including at least two combined active ingredients effective for the treatment of a respiratory disease with improved stability.
  • One or more exemplary embodiments include an inhalation formulation including the dry powder.
  • One or more exemplary embodiments include a pharmaceutical method of preparing the dry powder for an inhalation formulation, the dry powder including active ingredients with improved stability.
  • a dry powder for an inhalation formulation includes: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent, wherein the diluent includes about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%.
  • a method of using a diluent including about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluent for preparing a dry powder for an inhalation formulation, the dry powder having higher stability of at least one active ingredients and including: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent.
  • an inhalation formulation includes the above-described dry powder.
  • a dry powder for an inhalation formulation and an inhalation formulation including the dry powder may have significantly improved stability of combined active ingredients due to the presence of about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluent used together with the combined active ingredients. Due to the improved stability of the active ingredients, the amount of related compounds of the active ingredients generated with time may be significantly reduced.
  • FIG. 1 is a graph of total amount of unknown related compounds of fluticasone propionate in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40°C and 75% relative humidity (RH) for 0, 1, 3, and 6 months;
  • FIGS. 2 to 4 are graphs of the amount of GR97980X as related compound of salmeterol in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40°C and 75% RH for 0, 1, 3, and 6 months; and
  • FIGS. 5 to 7 are graphs of the amount of BIIH27SE as related compound of tiotropium in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40°C and 75% RH for 0, 1, 3, and 6 months.
  • a dry powder for an inhalation formulation includes: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent,
  • the diluent comprises about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 m or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%.
  • the higher stability of at least one of the active ingredients may mean lower production of the related compounds of the at least one of the active ingredients.
  • average particle diameter(X 50 ) refers to a particle size corresponding to 50% in a cumulative particle size distribution graph, which means that 50% of a total number of particles is smaller than X 50 and the remaining 50% is larger than X 50 .
  • dry powder for an inhalation formulation includes an active ingredient that is micronized to a particle size of about 5 ⁇ m or less.
  • micronized particles have a high ratio of surface area to volume, and thus are thermodynamically unstable to generate excess surface energy and consequentially are likely to agglomerate.
  • Such agglomeration of the micronized particles may lead to adhering of the micronized particles to the inner wall of a capsule or inhalation device to interrupt the release of the micronized powder upon inhalation.
  • the active ingredient may be administered mixed with an appropriate carrier, i.e., diluent particles.
  • the diluent may have a particle size of about 30 ⁇ m to about 120 ⁇ m.
  • the diluent may be used mixed with a micronized diluent having a particle size of about 30 ⁇ m or less. This is known to lead to uniform adhesion of active ingredient particles to the particles of the diluent and to facilitate release of the active ingredient particles from the diluent particles. This is attributed to the lowered and uniform overall surface energy of the diluent resulting from primarily adhering a small amount of micronized particles of the diluent to a high-surface energy region of an irregular particle surface of the diluent to lower the surface energy of the diluent particles.
  • the diluent used together with the combined active ingredients may include about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluent to improve stability of the active ingredients compared to when the amount of the micronized powder of the diluent exceeds 50wt%.
  • Salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof in the dry powder for an inhalation formulation are known to generate a related compound with time by the influence of the diluent used together during preparation of the dry powder and/or an external environment.
  • the dry powder for an inhalation formulation according to an embodiment was found to produce a significantly reduced amount of related compounds compared to when the amount of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent exceeds about 50wt% of the total weight of the diluent.
  • the inventors of the present invention conducted a stability test on capsules of dry powder for an inhalation formulation that were prepared using salmeterol xinafoate, tiotropium bromide, fluticasone propionate, and a diluent by control of the amount of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent to various ratios in the range of about 50wt% or less of the total weight of the diluent, under an accelerated condition of about 40°C and about 75% relative humidity (RH).
  • X 50 average particle diameter
  • the capsules of dry powder for an inhalation formulation including about 50wt% or less of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent were found to produce a significantly low amount of related compounds compared to the capsules of dry powder including more than about 50wt% of the micronized powder in the diluents. It was also found that the smaller the amount of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent, the lower the amount of produced related compounds.
  • capsules of dry powder for an inhalation formulation including about 50wt% or less of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent were found to produce a significantly low amount of related compounds compared to currently commercially available Seretide ® and Spiriva (refer to Test Example 2).
  • the amount of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent may be in a range of about 10wt% to about 35wt%, and in some embodiments, about 10wt% to about 20wt%, and in some other embodiments, about 13wt% to about 18wt%, based on the total weight of the diluent.
  • the diluent may be any known diluent available in the art to prepare dry powder for an inhalation formulation for the treatment of respiratory disease.
  • the diluent may be selected from the group consisting of monosaccharides such as glucose or arabinose; disaccharides such as lactose, maltose, or sucrose; polysaccharides such as starch, dextrin, or dextran; polyalcohols such as sorbitol, mannitol, or xylitol; and hydrates thereof, but are not limited thereto.
  • the diluent may be a monosaccharide or a disaccharide.
  • the diluent may be lactose.
  • the diluents may have an average particle diameter of about 30 ⁇ m to about 120 m to effectively deliver the active ingredients in an inhalation formulation.
  • the active ingredients may be at least two selected from the group consisting of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate. In some other embodiments, the active ingredients may include all three of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate.
  • a method of using a diluent comprising about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluents, for preparing a dry powder for an inhalation formulation, the dry power having higher stability of at least one active ingredients and including: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent.
  • the diluent may include about 10wt% to about 35wt% of the micronized powder, and in some embodiments, about 10wt% to about 20wt%, and in some other embodiments, about 13wt% to about 18wt%, based on a total weight of the diluent.
  • the diluent may be selected from the group consisting of monosaccharides such as glucose or arabinose; disaccharides such as lactose, maltose, or sucrose; polysaccharides such as starch, dextrin, or dextran; polyalcohols such as sorbitol, mannitol, or xylitol; and hydrates thereof, but are not limited thereto.
  • the diluent may be a monosaccharide or a disaccharide.
  • the diluent may be lactose.
  • an inhalation formulation including the dry powder according to any of the above-described embodiments.
  • the inhalation formulation may include about 5 mg to about 25 mg of the diluent per unit dose, and in some other embodiments, about 15 mg to about 25 mg of the diluent per unit dose.
  • the amount of the diluent is high to exceed the upper limit, a patient may be reluctant to take the inhalation formulation due to an unpleasant feeling occurring during inhalation, and also the diluent as an external material may cause asthma.
  • the amount of the diluent is small to exceed the lower limit, uniformity between the diluent and the active ingredients may not be ensured, and it may be hard to fill a unit dose of the dry powder into a capsule or blister.
  • the diluent may be filled into a capsule or blister by a general production method, and the inhalation formulation may be prepared using general pharmaceutical production facilities for producing capsules or blisters without need for specific equipment for producing the inhalation formulation.
  • the inhalation formulation including the dry powder according to any of the above-described embodiments may be prepared using a conventional known method of preparing an inhalation formulation.
  • a method of preparing an inhalation formulation including the dry powder according to any of the above-described embodiments may include: weighing and sieving appropriate amounts of the active ingredients, a diluent, and a microsized diluent, and mixing the sieved active ingredients, diluent, and micronized diluent to obtain a mixture; stabilizing the mixture; filling, for example, a capsule, with the stabilized mixture.
  • the stabilizing of the mixture may include leaving the mixture at room temperature for about 10 hours to about 20 hours.
  • the inhalation formulation including the dry power according to any of the above-described embodiments may be in the form of a capsule, a cartridge, or a blister.
  • the dry powder for an inhalation formulation according to any of the above-described embodiments may be filled into a capsule or cartridge made of gelatin or hypromellose, or the like or a blister made of aluminum thin layers or the like for use in dry powder inhalers (DPIs).
  • DPIs dry powder inhalers
  • an inhalation formulation including the dry powder according to any of the above-described embodiments may be in the form of a capsule.
  • the capsule size may be, for example, No. 1 to No. 4.
  • the capsule size may be No. 3.
  • Preparing the inhalation formulation according to an embodiment in the form of a capsule needs no specific device for filling the capsule with the dry powder.
  • a capsule to be filled with the dry powder may be transparent. Using a transparent capsule allows patients to see immediately after inhalation whether the dry powder in the capsule was inhaled and to visually inspect stability deterioration or product defects, such as agglomeration or discoloration, of the dry powder before inhalation.
  • the inhalation formulation may be administered to a patient by using any conventional known dry powder inhaler (DPI).
  • DPI dry powder inhaler
  • a DPI may include a device which breaks or punches the capsules, or uses any other method to open the capsule to allow delivery of weighed dry powder in the capsule to the lungs of the patient.
  • the DPI may further include an air inlet which creates an air flow to supply air into the device, an air outlet via which the active ingredients are discharged upon patient's inhalation of the inhalation formulation, and a filter for filtering out any impurities.
  • ROTAHALER ® available from GSK
  • HANDIHALER ® available from Boehringer Ingelheim
  • AEROLIZER ® available from PLASTIAPE
  • the device may be AEROLIZER ® (available from PLASTIAPE).
  • the AEROLIZER ® includes a hole in a cap thereof to receive a capsule, wherein pins come out from opposite sides of the hole when a button is pressed, to punch the capsule.
  • the device is small and portable.
  • the amounts of the active ingredients may vary depending on the race, gender, age, weight, and respiratory disease condition of a patient.
  • the inhalation formulation may include about 25 ⁇ g to about 100 ⁇ g of salmeterol xinafoate, about 5 ⁇ g to about 50 ⁇ g of tiotropium bromide, and about 25 ⁇ g to about 500 ⁇ g of fluticasone propionate as a free base per unit dose.
  • the inhalation formulation according to any of the above-described embodiments may be used to treat or relieve any respiratory diseases that the combined active ingredients are known to be effective.
  • the inhalation formulation may effectively control bronchoconstriction, inflammation, and mucus discharge in the respiratory tract, and thus may be widely useful in the treatment of respiratory diseases.
  • the inhalation formulation may be useful in the treatment of asthma or chronic obstructive pulmonary disease (COPD).
  • COPD chronic obstructive pulmonary disease
  • Salmeterol xinafoate, fluticasone propionate, tiotropium bromide, lactose, and micronized lactose (Respitose ML006, available from DMV) having an average particle diameter (X 50 ) of about 17 ⁇ m were weighed according to the compositions of Table 1, sieved, and then mixed in a mixer for about 30 minutes. The resulting mixtures were each stabilized for about 12 hours or longer, and filled into a transparent capsule of No. 3 by using a capsule filling device.
  • Dry powder inhalation formulations were prepared according to the compositions of Table 2 in the same manner as in Examples 1 to 3.
  • Comparative Examples 1 to 3 Preparation of dry powder inhalation formulation including a diluent with about 50wt% of micronized lactose
  • Dry powder inhalation formulations were prepared according to the compositions of Table 3 in the same manner as in Examples 1 to 3.
  • Seretide Diskus ® including salmeterol xinafoate and fluticasone propionate as active ingredients was used.
  • a particle size distribution of a mixture of lactose and micronized lactose, except for the active ingredients, in each of the dry powder inhalation formulations of Examples 1 to 6 and Comparative Examples 1 to 3 was measured using a particle size analyzer (HELOS laser diffraction sensor, available from Sympatec) under the following analytical conditions to obtain a percentage of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less in the diluent. The results are shown in Tables 4 and 5.
  • a stability test was performed using 30 capsules of each of the inhalation formulations of Examples 1 to 6 and Comparative Examples 1 to 5 by measuring the amounts of related compounds of the active ingredients under the following conditions. 20 capsules of Seretide Diskus ® of Comparative Example 4, and 10 capsules of Spiriva HandiHaler ® of Comparative Example 5 were used. The stability test on each inhalation formulation was repeated three times to obtain an average amount.
  • UV-absorption detector (absorbance at 228 nm)
  • Mobile phase A 0.05M aqueous ammonium dihydrogen phosphate solution adjusted to pH 2.9 with 10% (v/v) phosphoric acid
  • UV-absorption detector (absorbance at 240 nm)
  • Mobile phase A Solution obtained by dissolving 1.0 g of sodium methanesulfonate and 5.0 g of potassium dihydrogen phosphate in 980 mL of deionized water, adjusting pH to 3.0 with dilute phosphoric acid, and adding water to a volume of 1000 mL.
  • FIG. 1 is a graph of total amount of unknown related compounds of fluticasone propionate. Referring to FIG. 1, the amount of the unknown related compound was found to be significantly increased in the inhalation formulations of Comparative Examples 1 and 2 with time, but no significant increase in the inhalation formulations of Examples 1 to 6, indicating that the inhalation formulations according to embodiments of the present invention have significantly high stability of fluticasone propionate.
  • FIGS. 2 to 4 are graphs of the amount of GR97980X as related compound of salmeterol. Referring the results in FIGS. 2 to 4, the amount of the related compound of salmeterol was found to become significantly lower in the inhalation formulations of Examples 1 to 6 with time compared to the inhalation formulations of Comparative Examples 1 to 3, and much lower when compared to the commercially available product of Comparative Example 4.
  • FIGS. 5 to 7 are graphs of the amount of BIIH27SE as related compound of tiotropium. Referring to the results in FIGS. 5 to 7, the amount of the related compound of tiotropium was found to become significantly lower in the inhalation formulations of Examples 1 to 6 with time compared to the inhalation formulations of Comparative Examples 1 to 3, and much lower when compared to the commercially available product of Comparative Example 5.
  • an inhalation formulation according to an embodiment of the present invention including about 50wt% or less of the micronized powder having an average particle diameter (X 50 ) of about 30 ⁇ m or less based on a total weight of the diluent is found to have significantly improved stability of the active ingredients with time, even when compared to commercially available products.

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Abstract

A dry powder for an inhalation formulation and an inhalation formulation including the dry powder. The dry powder includes: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent, wherein the diluent includes about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%.

Description

DRY POWDER FOR INHALATION FORMULATION HAVING IMPROVED STABILITY OF COMBINED ACTIVE INGREDIENTS
One or more exemplary embodiments relate to a dry powder for an inhalation formulation, the dry powder including at least two combined active ingredients selected from salmeterol, tiotropium, fluticasone, and pharmaceutically acceptable salts thereof, and more particularly, to a dry powder for an inhalation formulation, the dry powder having improved stability of combined active ingredients that may generally have poor stability because of being micronized and being combined, and to an inhalation formulation including the dry powder.
Various medicaments in the form of an inhalation formulation for the treatment of respiratory diseases, for example, asthma and chronic obstructive pulmonary disease (COPD), are available in the market. In particular, drugs such as short acting beta agonists (SABAs), long acting beta agonists (LABAs), inhaled corticosteroid (ICS), or long acting muscarinic antagonists (LAMAs) are in wide use for the prevention and treatment of respiratory diseases such as asthma or COPD. SABAs, LABAs, and LAMAs may have a bronchial dilatation effect based on their pharmacological mechanism, and ICS may alleviate inflammation known as a cause of asthma. Due to these effects, SABAs, LABAs, LAMAs, and ICS may improve the level of forced expiratory volume in 1 second (FEV1), respiratory distress, and exacerbation of COPD. Frequently used examples of SABAs are salbutamol and terbutaline. Examples of LABAs are salmeterol, formoterol, and indacaterol. Examples of ICS are fluticasone and budesonide. Examples of LAMA are tiotropium and glycopyrronium.
The treatment guideline for COPD by Global Initiative for Chronic Obstructive Lung Disease (GOLD) suggests using a combination formulation for simultaneously inhalating drugs having different or complementary action mechanisms. For example, a LABA is mostly prescribed to COPD patients with a FEV1 level of less than 80%, and COPD patients with a FEV1 level of less than 50% or who experience frequent acute exacerbations are prescribed further with ICS, in addition to a LABA. Expected improved therapeutic effects from such simultaneous inhalation of drugs having complementary action mechanisms are already proved based on various research results (Aaron, Shawn D., et al., Annals of internal medicine 146.8 (2007): 545-555; J.Y. Sohn et al., Tuberculosis and Respiratory Diseases 67.6 (2009): 536-544; Hanania, Nicola A., et al., CHEST Journal 124.3 (2003): 834-843).
Combined formulations of two drugs as mentioned above are already in wide clinical use. A typical example of such combinations is Seretide® including salmeterol and fluticasone. Seretide® provides an effective therapeutic effect in airway dilatation and inflammation treatment due to the simultaneous inhalation of LABA and ICS. However, salmeterol, although known as a LABA drug, has a half-life of about 5.5 hours and may not provide an airway dilatation effect for a sufficient duration of time.
Based on the reported research results that simultaneous administration of LABA, ICS, and LAMA may provide a further improved therapeutic effect, research into such triple combined formulations has been conducted (Singh, Dave et al., Thorax 63.7 (2008): 592-598). For example, WO13/187626 discloses an inhalation formulation for the treatment of respiratory disease comprising salmeterol xinafoate (LABA), fluticasone propionate (ICS), and tiotropium bromide (LAMA). WO13/187626 discloses a dry powder inhalation formulation having an average particle size of about 30 ㎛ to 120 ㎛ to ensure reliable delivery of three active ingredients to a target site, with good content uniformity and small change in a dynamic particle size distribution that varies with a flow rate change. However, WO13/187626 does not teach the development of a formulation with improved stability of the combined active ingredients.
A typical feature of inhalation formulations is that their active ingredient is micronized to a particle size of about 5 ㎛ or less. Accordingly, the active ingredient of an inhalation formulation may have a large surface area due to the micronization. Consequently, the active ingredient may not have ensured stability against a diluent used together and/or external environments. The stability of the active ingredient in an inhalation formulation is very crucial in medicinal quality control because the unit dose of the active ingredient is small. The stability issue of the active ingredient is particularly important in an inhalation formulation containing a combination of at least two active ingredients as described above, since interaction of the active ingredients having a large surface area may accelerate generation of related compounds (impurities). Therefore, there is a need for pharmaceutical research to ensure the improved stability of individual active ingredients in an inhalation formulation for respiratory disease treatment including a combination of at least two active ingredients.
One or more exemplary embodiments include a dry powder for an inhalation formulation, the dry powder including at least two combined active ingredients effective for the treatment of a respiratory disease with improved stability.
One or more exemplary embodiments include an inhalation formulation including the dry powder.
One or more exemplary embodiments include a pharmaceutical method of preparing the dry powder for an inhalation formulation, the dry powder including active ingredients with improved stability.
According to one or more exemplary embodiments, a dry powder for an inhalation formulation includes: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent, wherein the diluent includes about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%.
According to one or more exemplary embodiments, there is provided a method of using a diluent including about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent for preparing a dry powder for an inhalation formulation, the dry powder having higher stability of at least one active ingredients and including: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent.
According to one or more exemplary embodiments, an inhalation formulation includes the above-described dry powder.
As described above, according to the one or more embodiments of the present disclosure, a dry powder for an inhalation formulation and an inhalation formulation including the dry powder may have significantly improved stability of combined active ingredients due to the presence of about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent used together with the combined active ingredients. Due to the improved stability of the active ingredients, the amount of related compounds of the active ingredients generated with time may be significantly reduced.
These and/or other aspects will become apparent and more readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings in which:
FIG. 1 is a graph of total amount of unknown related compounds of fluticasone propionate in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40℃ and 75% relative humidity (RH) for 0, 1, 3, and 6 months;
FIGS. 2 to 4 are graphs of the amount of GR97980X as related compound of salmeterol in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40℃ and 75% RH for 0, 1, 3, and 6 months; and
FIGS. 5 to 7 are graphs of the amount of BⅡH27SE as related compound of tiotropium in each of the inhalation formulations according examples of the present invention and comparative examples after storage at 40℃ and 75% RH for 0, 1, 3, and 6 months.
Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although exemplary methods or materials are listed herein, other similar or equivalent ones are also within the scope of the present invention. All publications disclosed as references herein are incorporated in their entirety by reference.
According to an aspect of the present disclosure, a dry powder for an inhalation formulation includes: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent,
wherein the diluent comprises about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 m or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%. According to an aspect of the present invention, the higher stability of at least one of the active ingredients may mean lower production of the related compounds of the at least one of the active ingredients.
As used herein, the term "average particle diameter(X50)" refers to a particle size corresponding to 50% in a cumulative particle size distribution graph, which means that 50% of a total number of particles is smaller than X50 and the remaining 50% is larger than X50.
In general, for effective delivery of active ingredients to the lungs, dry powder for an inhalation formulation includes an active ingredient that is micronized to a particle size of about 5 ㎛ or less. However, such micronized particles have a high ratio of surface area to volume, and thus are thermodynamically unstable to generate excess surface energy and consequentially are likely to agglomerate. Such agglomeration of the micronized particles may lead to adhering of the micronized particles to the inner wall of a capsule or inhalation device to interrupt the release of the micronized powder upon inhalation. To address this drawback, the active ingredient may be administered mixed with an appropriate carrier, i.e., diluent particles. For example, the diluent may have a particle size of about 30 ㎛ to about 120 ㎛. The diluent may be used mixed with a micronized diluent having a particle size of about 30 ㎛ or less. This is known to lead to uniform adhesion of active ingredient particles to the particles of the diluent and to facilitate release of the active ingredient particles from the diluent particles. This is attributed to the lowered and uniform overall surface energy of the diluent resulting from primarily adhering a small amount of micronized particles of the diluent to a high-surface energy region of an irregular particle surface of the diluent to lower the surface energy of the diluent particles. Although such preparation of a dry powder for an inhalation formulation by combination of a diluent and a micronized diluent to effectively delivery of active ingredients is known in the art, there has been no attempt to improve the stability of active ingredients by controlling the percentage of the micronized diluent.
In the dry powder for an inhalation formulation, the diluent used together with the combined active ingredients may include about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent to improve stability of the active ingredients compared to when the amount of the micronized powder of the diluent exceeds 50wt%.
Salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof in the dry powder for an inhalation formulation are known to generate a related compound with time by the influence of the diluent used together during preparation of the dry powder and/or an external environment. According to a test result, the dry powder for an inhalation formulation according to an embodiment was found to produce a significantly reduced amount of related compounds compared to when the amount of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent exceeds about 50wt% of the total weight of the diluent.
In particular, the inventors of the present invention conducted a stability test on capsules of dry powder for an inhalation formulation that were prepared using salmeterol xinafoate, tiotropium bromide, fluticasone propionate, and a diluent by control of the amount of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent to various ratios in the range of about 50wt% or less of the total weight of the diluent, under an accelerated condition of about 40℃ and about 75% relative humidity (RH). As a result, the capsules of dry powder for an inhalation formulation including about 50wt% or less of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent were found to produce a significantly low amount of related compounds compared to the capsules of dry powder including more than about 50wt% of the micronized powder in the diluents. It was also found that the smaller the amount of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent, the lower the amount of produced related compounds. Furthermore, the capsules of dry powder for an inhalation formulation including about 50wt% or less of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent were found to produce a significantly low amount of related compounds compared to currently commercially available Seretide® and Spiriva (refer to Test Example 2).
For example, in the dry powder for an inhalation formulation according to an embodiment, the amount of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent may be in a range of about 10wt% to about 35wt%, and in some embodiments, about 10wt% to about 20wt%, and in some other embodiments, about 13wt% to about 18wt%, based on the total weight of the diluent.
In some embodiments, the diluent may be any known diluent available in the art to prepare dry powder for an inhalation formulation for the treatment of respiratory disease. For example, the diluent may be selected from the group consisting of monosaccharides such as glucose or arabinose; disaccharides such as lactose, maltose, or sucrose; polysaccharides such as starch, dextrin, or dextran; polyalcohols such as sorbitol, mannitol, or xylitol; and hydrates thereof, but are not limited thereto. In some embodiments, the diluent may be a monosaccharide or a disaccharide. For example, the diluent may be lactose. The diluents may have an average particle diameter of about 30 ㎛ to about 120 m to effectively deliver the active ingredients in an inhalation formulation.
In some embodiments, the active ingredients may be at least two selected from the group consisting of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate. In some other embodiments, the active ingredients may include all three of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate.
According to another aspect of the present disclosure, there is provided a method of using a diluent comprising about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluents, for preparing a dry powder for an inhalation formulation, the dry power having higher stability of at least one active ingredients and including: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent.
The above detailed description of embodiments of the dry powder for an inhalation formulation may also apply to embodiments of the method of using the diluents for preparing the dry powder.
For example, in the method of using the diluent for preparing the dry powder, the diluent may include about 10wt% to about 35wt% of the micronized powder, and in some embodiments, about 10wt% to about 20wt%, and in some other embodiments, about 13wt% to about 18wt%, based on a total weight of the diluent.
In some embodiments of the method of using the diluents for preparing the dry powder, the diluent may be selected from the group consisting of monosaccharides such as glucose or arabinose; disaccharides such as lactose, maltose, or sucrose; polysaccharides such as starch, dextrin, or dextran; polyalcohols such as sorbitol, mannitol, or xylitol; and hydrates thereof, but are not limited thereto. In some embodiments, the diluent may be a monosaccharide or a disaccharide. For example, the diluent may be lactose.
According to another aspect of the present disclosure, there is provided an inhalation formulation including the dry powder according to any of the above-described embodiments.
In some embodiments, the inhalation formulation may include about 5 mg to about 25 mg of the diluent per unit dose, and in some other embodiments, about 15 mg to about 25 mg of the diluent per unit dose. When the amount of the diluent is high to exceed the upper limit, a patient may be reluctant to take the inhalation formulation due to an unpleasant feeling occurring during inhalation, and also the diluent as an external material may cause asthma. On the other hand, when the amount of the diluent is small to exceed the lower limit, uniformity between the diluent and the active ingredients may not be ensured, and it may be hard to fill a unit dose of the dry powder into a capsule or blister. When the amount of the diluent is within the above ranges, the diluent may be filled into a capsule or blister by a general production method, and the inhalation formulation may be prepared using general pharmaceutical production facilities for producing capsules or blisters without need for specific equipment for producing the inhalation formulation.
The inhalation formulation including the dry powder according to any of the above-described embodiments may be prepared using a conventional known method of preparing an inhalation formulation. For example, a method of preparing an inhalation formulation including the dry powder according to any of the above-described embodiments may include: weighing and sieving appropriate amounts of the active ingredients, a diluent, and a microsized diluent, and mixing the sieved active ingredients, diluent, and micronized diluent to obtain a mixture; stabilizing the mixture; filling, for example, a capsule, with the stabilized mixture. The stabilizing of the mixture may include leaving the mixture at room temperature for about 10 hours to about 20 hours.
In some embodiments, the inhalation formulation including the dry power according to any of the above-described embodiments may be in the form of a capsule, a cartridge, or a blister. For example, the dry powder for an inhalation formulation according to any of the above-described embodiments may be filled into a capsule or cartridge made of gelatin or hypromellose, or the like or a blister made of aluminum thin layers or the like for use in dry powder inhalers (DPIs).
In some embodiments, an inhalation formulation including the dry powder according to any of the above-described embodiments may be in the form of a capsule. The capsule size may be, for example, No. 1 to No. 4. For example, the capsule size may be No. 3. Preparing the inhalation formulation according to an embodiment in the form of a capsule needs no specific device for filling the capsule with the dry powder. For example, a capsule to be filled with the dry powder may be transparent. Using a transparent capsule allows patients to see immediately after inhalation whether the dry powder in the capsule was inhaled and to visually inspect stability deterioration or product defects, such as agglomeration or discoloration, of the dry powder before inhalation.
In some embodiments, the inhalation formulation may be administered to a patient by using any conventional known dry powder inhaler (DPI). For example, a DPI may include a device which breaks or punches the capsules, or uses any other method to open the capsule to allow delivery of weighed dry powder in the capsule to the lungs of the patient. The DPI may further include an air inlet which creates an air flow to supply air into the device, an air outlet via which the active ingredients are discharged upon patient's inhalation of the inhalation formulation, and a filter for filtering out any impurities. Examples of such devices currently available in the market are ROTAHALER® (available from GSK), HANDIHALER® (available from Boehringer Ingelheim), and AEROLIZER® (available from PLASTIAPE). For example, the device may be AEROLIZER® (available from PLASTIAPE). The AEROLIZER® includes a hole in a cap thereof to receive a capsule, wherein pins come out from opposite sides of the hole when a button is pressed, to punch the capsule. The device is small and portable.
In the inhalation formulation according to any of the above-described embodiments, the amounts of the active ingredients may vary depending on the race, gender, age, weight, and respiratory disease condition of a patient. In some embodiments, the inhalation formulation may include about 25 μg to about 100 μg of salmeterol xinafoate, about 5 μg to about 50 μg of tiotropium bromide, and about 25 μg to about 500 μg of fluticasone propionate as a free base per unit dose.
The inhalation formulation according to any of the above-described embodiments may be used to treat or relieve any respiratory diseases that the combined active ingredients are known to be effective. For example, the inhalation formulation may effectively control bronchoconstriction, inflammation, and mucus discharge in the respiratory tract, and thus may be widely useful in the treatment of respiratory diseases. For example, the inhalation formulation may be useful in the treatment of asthma or chronic obstructive pulmonary disease (COPD).
One or more embodiments of the present disclosure will now be described in detail with reference to the following examples. However, these examples are only for illustrative purposes and are not intended to limit the scope of the one or more embodiments of the present disclosure.
Examples 1 to 3: Preparation of dry powder inhalation formulation including a diluent with about 10wt% of micronized lactose
Salmeterol xinafoate, fluticasone propionate, tiotropium bromide, lactose, and micronized lactose (Respitose ML006, available from DMV) having an average particle diameter (X50) of about 17 ㎛ were weighed according to the compositions of Table 1, sieved, and then mixed in a mixer for about 30 minutes. The resulting mixtures were each stabilized for about 12 hours or longer, and filled into a transparent capsule of No. 3 by using a capsule filling device.
Table 1
Figure PCTKR2015009918-appb-T000001
Examples 4 to 6: Preparation of dry powder inhalation formulation including a diluent with about 30wt% of micronized lactose
Dry powder inhalation formulations were prepared according to the compositions of Table 2 in the same manner as in Examples 1 to 3.
Table 2
Figure PCTKR2015009918-appb-T000002
Comparative Examples 1 to 3: Preparation of dry powder inhalation formulation including a diluent with about 50wt% of micronized lactose
Dry powder inhalation formulations were prepared according to the compositions of Table 3 in the same manner as in Examples 1 to 3.
Table 3
Figure PCTKR2015009918-appb-T000003
Comparative Example 4
A currently commercially available product Seretide Diskus® including salmeterol xinafoate and fluticasone propionate as active ingredients was used.
Comparative Example 5
A currently commercially available product Spiriva HandiHaler® including tiotropium bromide as an active ingredient were used.
Test Example 1: Particle size analysis
A particle size distribution of a mixture of lactose and micronized lactose, except for the active ingredients, in each of the dry powder inhalation formulations of Examples 1 to 6 and Comparative Examples 1 to 3 was measured using a particle size analyzer (HELOS laser diffraction sensor, available from Sympatec) under the following analytical conditions to obtain a percentage of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less in the diluent. The results are shown in Tables 4 and 5.
- Analytical conditions -
Measuring lens : R5
Dispersion pressure: 2.5 bar
Feed rate: 65%
Table 4
Figure PCTKR2015009918-appb-T000004
Table 5
Figure PCTKR2015009918-appb-T000005
Test Example 2: Stability test
A stability test was performed using 30 capsules of each of the inhalation formulations of Examples 1 to 6 and Comparative Examples 1 to 5 by measuring the amounts of related compounds of the active ingredients under the following conditions. 20 capsules of Seretide Diskus® of Comparative Example 4, and 10 capsules of Spiriva HandiHaler® of Comparative Example 5 were used. The stability test on each inhalation formulation was repeated three times to obtain an average amount.
- Storage conditions: in Al-Al blister pack at 40℃ and 75% relative humidity
- Testing time: Initial stage, after 1 month, after 3 months, after 6 months
- Analysis subject:unknown related compound from fluticasone propionate
GR97980X from salmeterol
BⅡH27SE from tiotropium
- Analysis method of the unknown related compound and GR97980X
Detector: UV-absorption detector (absorbance at 228 nm)
Column: Inertsil ODS-2 (250 mm 4.6 mm, 3.5 ㎛)
Mobile phase A: 0.05M aqueous ammonium dihydrogen phosphate solution adjusted to pH 2.9 with 10% (v/v) phosphoric acid
Mobile phase B: acetonitrile
Flow rate: about 1.0 mL/min
Injection volume: 50 L
Column temperature: 35℃
Figure PCTKR2015009918-appb-I000001
- Analysis method of BⅡH27SE
Detector: UV-absorption detector (absorbance at 240 nm)
Column: Propylsiyl silica gel for chromatography R (150 mm x 3.0 mm, 3.5 ㎛)
Mobile phase A: Solution obtained by dissolving 1.0 g of sodium methanesulfonate and 5.0 g of potassium dihydrogen phosphate in 980 mL of deionized water, adjusting pH to 3.0 with dilute phosphoric acid, and adding water to a volume of 1000 mL.
Mobile phase B: methanol : acetonitrile : mobile phase A = 10:40:50 (v/v/v)
Flow rate: 1.2 mL/min
Injection volume: 15 L
Column temperature: 50℃
Figure PCTKR2015009918-appb-I000002
The test results are shown in FIGS. 1 to7.
FIG. 1 is a graph of total amount of unknown related compounds of fluticasone propionate. Referring to FIG. 1, the amount of the unknown related compound was found to be significantly increased in the inhalation formulations of Comparative Examples 1 and 2 with time, but no significant increase in the inhalation formulations of Examples 1 to 6, indicating that the inhalation formulations according to embodiments of the present invention have significantly high stability of fluticasone propionate.
FIGS. 2 to 4 are graphs of the amount of GR97980X as related compound of salmeterol. Referring the results in FIGS. 2 to 4, the amount of the related compound of salmeterol was found to become significantly lower in the inhalation formulations of Examples 1 to 6 with time compared to the inhalation formulations of Comparative Examples 1 to 3, and much lower when compared to the commercially available product of Comparative Example 4.
FIGS. 5 to 7 are graphs of the amount of BⅡH27SE as related compound of tiotropium. Referring to the results in FIGS. 5 to 7, the amount of the related compound of tiotropium was found to become significantly lower in the inhalation formulations of Examples 1 to 6 with time compared to the inhalation formulations of Comparative Examples 1 to 3, and much lower when compared to the commercially available product of Comparative Example 5.
Based on the results of FIGS. 1 to 7, an inhalation formulation according to an embodiment of the present invention including about 50wt% or less of the micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent is found to have significantly improved stability of the active ingredients with time, even when compared to commercially available products.
While this invention has been particularly shown and described with reference to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the invention as defined by the appended claims. The disclosed embodiments should be considered in descriptive sense only and not for purposes of limitation. Therefore, the scope of the invention is defined not by the detailed description of the invention but by the appended claims, and all differences within the scope will be construed as being included in the present invention.

Claims (13)

  1. A dry powder for an inhalation formulation, the dry powder comprising:
    at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and
    a diluent,
    wherein the diluent comprises about 0.1wt% to about 50wt% of micronized powder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent so that the stability of at least one of the active ingredients is higher than that of a dry powder having a micronized powder content exceeding 50wt%.
  2. The dry powder for an inhalation formulation of claim 1, wherein the amount of the micronized powder in the diluent is in a range of about 10wt% to about 35wt% based on the total weight of the diluent.
  3. The dry powder for an inhalation formulation of claim 1, wherein the diluent is selected from the group consisting of monosaccharides, disaccharides, polysaccharides, polyalcohols, and hydrates thereof.
  4. The dry powder for an inhalation formulation of claim 1, wherein the diluent is lactose.
  5. The dry powder for an inhalation formulation of claim 1, wherein the at least two combined active ingredients are selected from the group consisting of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate.
  6. A method of using a diluent comprising about 0.1wt% to about 50wt% of micronized poweder having an average particle diameter (X50) of about 30 ㎛ or less based on a total weight of the diluent for preparing a dry powder for an inhalation formulation, the dry powder having higher stability of at least one active ingredients and comprising: at least two combined active ingredients selected from the group consisting of salmeterol or a pharmaceutically acceptable salt thereof, tiotropium or a pharmaceutically acceptable salt thereof, and fluticasone or a pharmaceutically acceptable salt thereof; and a diluent.
  7. The method of claim 6, wherein the amount of the micronized powder in the diluent is in a range of about 10wt% to about 35wt% based on the total weight of the diluent.
  8. The method of claim 6, wherein the diluent is selected from the group consisting of monosaccharides, disaccharides, polysaccharides, polyalcohols, and hydrates thereof.
  9. The method of claim 8, wherein the diluent is lactose.
  10. The method of claim 6, wherein the at least two combined active ingredients are selected from the group consisting of salmeterol xinafoate, tiotropium bromide, and fluticasone propionate.
  11. An inhalation formulation comprising the dry powder of any one of claims 1 to 5.
  12. The inhalation formulation of claim 11, wherein the inhalation formulation comprises about 5 mg to about 25 mg of the diluent per unit dose.
  13. The inhalation formulation of claim 11, wherein the inhalation formulation comprises about 25 μg to about 100 μg of salmeterol xinafoate, about 5 μg to about 50 μg of tiotropium bromide, and about 25 μg to about 500 μg of fluticasone propionate as a free base per unit dose.
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TW201618759A (en) 2016-06-01

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