WO2019108156A1 - A scored tablet formulation comprising deferasirox in a film tablet form - Google Patents

A scored tablet formulation comprising deferasirox in a film tablet form Download PDF

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Publication number
WO2019108156A1
WO2019108156A1 PCT/TR2018/050653 TR2018050653W WO2019108156A1 WO 2019108156 A1 WO2019108156 A1 WO 2019108156A1 TR 2018050653 W TR2018050653 W TR 2018050653W WO 2019108156 A1 WO2019108156 A1 WO 2019108156A1
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WO
WIPO (PCT)
Prior art keywords
deferasirox
oral formulation
formulation according
pharmaceutical oral
weight based
Prior art date
Application number
PCT/TR2018/050653
Other languages
French (fr)
Inventor
Umit Cifter
Urun Kandemirer
Gulnur YAZICI
Original Assignee
Biofarma Ilac Sanayi Ve Ticaret A.S.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
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Application filed by Biofarma Ilac Sanayi Ve Ticaret A.S. filed Critical Biofarma Ilac Sanayi Ve Ticaret A.S.
Publication of WO2019108156A1 publication Critical patent/WO2019108156A1/en

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Classifications

    • 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
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/41961,2,4-Triazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating

Definitions

  • the present invention is related to a scored tablet formulation in a film tablet form comprising deferasirox or a pharmaceutically acceptable salt of deferasirox.
  • Deferasirox is the first of a new group iron chelatagents in the form of tridentate, which is used by oral route in the treatment of chronic iron overload and which is named with 4- [3,5-Bis(2-hydroxyphenyl)-lH-l,2,4-triazole-l-yl]benzoic acid chemical formula; and characterized by the formula- 1 indicated below.
  • Deferasirox is disclosed firstly in the patent application having the number of US6465504. Deferasirox is the first medicine approved for iron overload treatment which is an approved molecule in 2005 by FDA (Food and Drug Administration).
  • Iron is important for formation of new red blood cells.
  • excessive iron by taken into the body with various reasons causes accumulation of iron in several tissues and this causes several health problems.
  • iron overload There are a lot of reasons which can result in iron overload in the body.
  • One of the reasons of excessive iron accumulation in the body is also hereditary hemochromatosis. It is known that this disease results from a mutation in gene which regulates how much iron the body needs for iron absorption.
  • hereditary anemia disease in patient, a high iron problem may occur due to the treatment. When anemia occurs in case of the body cannot produce enough amount of blood cell, the body starts to absorb high amount of iron and the problem of iron overload occurs.
  • deferasirox is indicated in the treatment of chronical iron loading (transfusional hemosiderosis) due to blood transfusion in children aged 2 and above and in grown-ups, also is indicated in the treatment of chronical iron loading in patients aged 10 and above who have thalassemia symptoms not dependent on transfusion.
  • Deferasirox is a molecule which is known as an alternative to deferoxamine which is a standard treatment option that is used via the parenteral route in the treatment of iron overload. It is found out that, chelation treatment is effective for removing iron quickly, reducing iron stores to a low level, inhibiting heart and other organ damage that results from iron overload and effective for prolonging survival in patients who have chronical iron poisoning. Deferasirox has been prepared in tablet form which is taken once a day. It is considered that it is a molecule which is more suitable for long-term use and thereby enhances to manage chronical iron poisoning. In addition to this, it may enhance significantly the life quality of patients who have to get iron chelation treatment during all their lifetimes.
  • EP1734924 is pertained to a formulation comprising deferasirox or pharmaceutically acceptable salt thereof in an amount of from 42% to 65% by weight based on the total tablet weight. It is mentioned that 125 mg and 1000 mg deferasirox dispersible tablet in the document. However, the amounts of some excipients (filler, disintegrant and lubricant) used in the document beside of deferasirox active agent are different from the amounts of excipients which used in the invention. Additionally, the pharmaceutical form is not a film tablet mentioned in said document. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in the said document.
  • EP1940360 is pertained to a dispersible tablet form wherein deferasirox or a pharmaceutically acceptable salt thereof in an amount of from 42% to 65% by weight based on the total tablet weight.
  • a dispersible tablet having a total weight of 2000 mg ⁇ 5%, comprising deferasirox in an amount of 1000 mg ⁇ 5%, is disclosed.
  • a dispersible tablet comprising 800 mg deferasirox.
  • the amounts of some excipients (filler, disintegrant and lubricant) used beside of deferasirox active agent are different from the amounts of excipients which used in the invention.
  • the pharmaceutical form is not a film tablet mentioned in said document. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
  • EP2964202 is related to an orally administrable pharmaceutical form which does not comprise sodium lauryl phosphate and lactose.
  • deferasirox or a pharmaceutically acceptable salt thereof present in an amount of from 45% to 60% by weight based on the total tablet weight. Release of said medicine has been reduced under gastric conditions and has been fast at near neutral pH or at neutral pH.
  • a pharmaceutical form which comprises deferasirox and at least one pharmaceutically acceptable excipient. It is seen in the document, deferasirox is present in an amount of from 45% to 60% by weight based on the total tablet weight.
  • the disclosed ratio of the deferasirox in the said document is different from used in the invention. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
  • EP3124018A1 is a divisional application of the cited patent above.
  • the tablets comprise deferasirox is disclosed present in an amount of from 45% to 60% by weight based on the total tablet weight.
  • tablets comprise 90 mg, 180 mg or 360 mg deferasirox and excipients in various ratios in said document.
  • the disclosed ratio of the deferasirox in the said document is different from used in the invention.
  • the ratios of disintegrant and lubricant used as excipients are different from the amount of excipients which used in the invention. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
  • WO2017158559 A1 tablets comprising deferasirox molecule in the ratio of less than 45% and more than 60%. Moreover, the composition is disclosed in said document, having a reduced release under gastric conditions and fast release at near neutral pH or at neutral pH. However, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
  • the dose of the deferasirox to be administered to the patient is dependent on several factors like patient’s age, weight, the level of iron accumulation, interaction with the other used drugs if any.
  • the doses to be administered (as mg/kg) are calculated by checking the clinical monitoring indications and applied by adapting them to the closest tablet dose.
  • Recommended initial dose in treatment is 20 mg/kg; it is 30 mg/kg in the grownups who gets erythrocyte transfusion and whose iron load is aimed to be reduced, and 10 mg/kg in the grownups who gets erythrocyte suspension and whose iron load is aimed to be continued at the same level.
  • Said this drugs comprising deferasirox in the prior art are substantially expensive.
  • the present drug dose alternatives checked there is no option in the market for using the individual’s required dose in a single package.
  • the dose of the drug may desired to reduce by the doctor.
  • the doctor may not know the side effects of the pharmaceutical product on the patient. Therefore, he may prescribe the drug having the lowest dose initially.
  • the doctor may desire to increase this dose. This also causes difficulties in writing prescriptions.
  • all of the solid dosage pharmaceutical products manufactured in the state of the art comprise at least one active ingredient.
  • the active ingredient or components must be produced with at least one excipient.
  • the excipients which are indispensable to many solid dosage forms and provide a functionality to the product can be binders, diluents, disintegrants, coloring agents (or colourants), coaters; but not limited to these listed in pharmaceutical products.
  • the appropriate selection of excipients to be used in addition to the active ingredient is very important in order to increase the patient's comfort of solid dosage form pharmaceutical product.
  • deferasirox formulations need to be developed to increase the effectiveness, bioavailability, properties and efficiency of the deferasirox molecule used for deferasirox formulations. Therefore, for improving deferasirox oral tablet formulations, it is necessary to select appropriate excipient to be used in addition to deferasirox. In addition, similarly, the amount of excipients must also be appropriate.
  • the aim of the invention is to provide a formulation comprising deferasirox or a pharmaceutically acceptable salt of deferasirox in the form of a tablet, preferably film tablet.
  • the tablet manufactured by disclosed formulation is non-scored or preferably scored film tablet.
  • the scored film tablet form product may be divided at least into two.
  • the number of dose is at least one; preferably two for a scored film tablet formulation.
  • these doses in the invention are 90 mg, 180 mg, 360 mg in a scored film tablet.
  • the user is able to supply the different dose recommended by the doctor without purchasing another commercial dose form. Thereby, the user can take any one of these three doses as recommended by the doctor. Therefore, with the disclosed scored pharmaceutical product, also patient comfort is going to increase.
  • At least one excipient is used in a proper amount with deferasirox in the invention.
  • a pharmaceutical product is developed in a form which is easier to produce than the state of the art, using the different ratio of deferasirox and /or at least one suitable selected excipient according to this ratio.
  • the producibility and production efficiency of deferasirox formulations have been enhanced by the formulation of the present invention.
  • Figure 1 Schematic top view of pharmaceutical product subject to the invention.
  • Figure 2 Schematic side view of pharmaceutical product subject to the invention.
  • the present invention is related to a formulation in a tablet form, preferably a film tablet form, comprising deferasirox which is known that 4-[3,5-Bis(2- hydroxyphenyl )-lH- 1,2, 4-triazole- l-yl]benzoic acid as chemical name or a pharmaceutically acceptable salt of deferasirox for the treatment of situations occurring with excessive amounts of iron accumulation in the body.
  • deferasirox which is known that 4-[3,5-Bis(2- hydroxyphenyl )-lH- 1,2, 4-triazole- l-yl]benzoic acid as chemical name or a pharmaceutically acceptable salt of deferasirox for the treatment of situations occurring with excessive amounts of iron accumulation in the body.
  • dividable scored (11) tablet forms are disclosed for doses of 90 mg, 180 mg and 360 mg; and also 125 mg, 250 mg ve 500 mg of deferasirox or a pharmaceutically acceptable salt of deferasirox.
  • Deferasirox or a pharmaceutically acceptable salt of deferasirox used as the active agent (active ingredient or active substance) in the invention is an iron chelating agent.
  • the disclosed pharmaceutical formulation comprises one active agent and at least one excipient.
  • the excipients to be used in the disclosed formulation and amounts thereof are selected in accordance with the active substance.
  • the active agent in the invention is deferasirox or a pharmaceutically acceptable salt of deferasirox.
  • the pharmaceutical formulation comprises excipients; at least one filler and/or at least one disintegrant and/or at least one binder and/or at least one surfactant and/or at least one glidant and/or at least one lubricant and/or at least one granulation solvent and/or at least one coating agent and/or at least one coating solvent, but are not limited to the described herein.
  • the disclosed formulation comprises preferably microcrystalline cellulose (Type 101) and/or preferably microcrystalline cellulose (Type 102) as filler and/or preferably crospovidone as disintegrant and/or preferably povidone K30 as binder and/or preferably poloxamer 188 as surfactant and/or preferably colloidal silicon dioxide as glidant and/or preferably magnesium stearate as lubricant and/or preferably pure water as granulation solvent and/or preferably hydroxypropyl methylcellulose (HPMC) as coating agent based on coating mixture and/or pure water as coating solvent but are not limited to the described in the invention.
  • HPMC hydroxypropyl methylcellulose
  • the pharmaceutical product (1) having disclosed formulation is in tablet form.
  • the pharmaceutical product (1) comprises at least one dividable unit dose (10) and at least one score (11) that provides divisibility.
  • pharmaceutical product (1) may be in a tablet form or preferably in a film tablet form.
  • the tablet is the pharmaceutical product (1) preferably in a film tablet form and with non- scored or preferably scored(l 1).
  • pharmaceutical product (1) is in the form of Figure- 1 and it preferably comprises 4 pieces of unit dose (10) but not limited to this.
  • a unit dose (10) comprises deferasirox or a pharmaceutically acceptable salt of deferasirox.
  • Said score (11) is in the form of“+” but not limited to this and when the patient holds a part of the product (1) and applies force to one of the unit doses (10) in another part of the product (1), unit dose (10) can be broken easily from the score (11).
  • the product (1) can be divided into two from the score (11).
  • the product (1) when a patient applies a force on the product (1), the product (1) can be divided into two or three or four parts from the score (11) easily. Thereby, different unit doses (10) can be provided from one product (1) by score (11). Therefore, dose flexibility can be provided with the invention.
  • said score (11) is positioned so as to allow for equal dosing of the pharmaceutical product (1) and to allow for the cross-section of the pharmaceutical product (1).
  • Every dividable unit dose (10) is equivalent to each other as amount of dose and in one embodiment the amount of deferasirox or a pharmaceutically acceptable salt thereof at each unit dose (10) is minimum 90 mg.
  • Pharmaceutical product (1) may be in a large variety of tablet forms. The product (1) obtained from the pharmaceutical formulation is in a pharmaceutical form which the user can use quite easily.
  • the formulation preferably in the form of scored (11) film tablet comprises from 5 % to 95 % by weight based on the total tablet weight of deferasirox or a pharmaceutically acceptable salt thereof.
  • the amount of the deferasirox or a pharmaceutically acceptable salt thereof is from 20 % to 60 %.
  • the amount of the deferasirox or a pharmaceutically acceptable salt thereof is from 39.9 % to 44.1 % and more preferably 42 % by weight based on the total tablet weight, deferasirox or a pharmaceutically acceptable salt thereof.
  • it comprises from 20 % to 90 %, preferably 42.5 % by weight based on the total tablet weight microcrystalline cellulose as filler and / or from 2 % to 20 %, preferably 7.0 % by weight based on the total tablet weight, crospovidone as disintegrant, and / or from 1 % to 5 %, preferably 2.3 % by weight based on the total tablet weight, povidone K30 as binder and / or from 0.1% to 5 %, preferably 0.1 % by weight based on the total tablet weight, poloxamer 188 as surfactant and / or from 0.01 % to 5 %, preferably 0.5 % by weight based on the total tablet weight, colloidal silicon dioxide as glidant and / or from 2.3 % to 5 %, preferably 2.4 % by weight based on the total tablet weight, magnesium stearate as lubricant and / or from 2 % to 10 %, preferably 2.8 %
  • the lubricants used in the formulation are used to prevent the mixture of the tablet from sticking to the staples during the tablet press process.
  • the tablet printing is greatly easy during the production stage.
  • the binders used in the formulation are used to hold the components together in the formulation. The binders directly affect the rate of dissolution of the active agent, the hardness, brittleness and dispersion of the tablets.
  • povidone K30 is used as the binder. The filler is used to bring the tablets to suitable size for using easily and to press the tablets easily.
  • the tablets can be compressed very easily.
  • the disintegrants allow the tablets to disperse in the stomach or intestinal environment.
  • crospovidone is used as the disintegrant.
  • the surfactants are used to accelerate the dissolution of the active agent.
  • poloxamer 188 is used as the surfactant.
  • the glidants facilitate the flow of powders and granules.
  • colloidal silicon dioxide is used as the glidant.
  • pure water is used as the granulation solvent in the invention.
  • the total amount of deferasirox or a pharmaceutically acceptable salt thereof in the pharmaceutical product (1) is 360 mg.
  • the doctor can easily adjust the dose according to the need of patient at the initial and continuation of the treatment.
  • a patient who uses a dose form of 360 mg can take the dose recommended by the doctor from the same package, without purchasing a commercial dose comprising another dose form.
  • the user can reach 180 mg of active agent dose via dividing the 360 mg pharmaceutical product (1) into two unit dose (10).
  • the user starting from a high dose for example 360 mg
  • a low dose for example 180 mg
  • the most important factor that provides divisibility of the product (1) in a unit dose (10) is the score (11).
  • Another physical factor that provides the divisibility of the scored product (1) in a unit dose (10) is hardness.
  • the pharmaceutical product (1) is compressed with the predetermined pressure force (for instance in the hardness of 10 to 20 kp).
  • the product (1) can be divided easily by the user by applying pressure to the score (11).

Abstract

The invention is related to a pharmaceutical oral formulation comprising deferasirox or a pharmaceutically acceptable salt of deferasirox and a pharmaceutical product (1) in a scored (11) film tablet form manufactured from said formulation, for use in the treatment of situations occurring in the body with excessive accumulation of iron.

Description

A SCORED TABLET FORMULATION COMPRISING DEFERASIROX IN A
FILM TABLET FORM Technical Field
The present invention is related to a scored tablet formulation in a film tablet form comprising deferasirox or a pharmaceutically acceptable salt of deferasirox.
Prior Art
Deferasirox is the first of a new group iron chelatagents in the form of tridentate, which is used by oral route in the treatment of chronic iron overload and which is named with 4- [3,5-Bis(2-hydroxyphenyl)-lH-l,2,4-triazole-l-yl]benzoic acid chemical formula; and characterized by the formula- 1 indicated below.
Figure imgf000003_0001
Formula-1
Deferasirox is disclosed firstly in the patent application having the number of US6465504. Deferasirox is the first medicine approved for iron overload treatment which is an approved molecule in 2005 by FDA (Food and Drug Administration).
Iron is important for formation of new red blood cells. However, excessive iron by taken into the body with various reasons causes accumulation of iron in several tissues and this causes several health problems. There are a lot of reasons which can result in iron overload in the body. We can exemplify these like genetic reasons, excessive iron overload, inflammations in body. One of the reasons of excessive iron accumulation in the body is also hereditary hemochromatosis. It is known that this disease results from a mutation in gene which regulates how much iron the body needs for iron absorption. Furthermore, if there is hereditary anemia disease in patient, a high iron problem may occur due to the treatment. When anemia occurs in case of the body cannot produce enough amount of blood cell, the body starts to absorb high amount of iron and the problem of iron overload occurs. Once again, the cases like sideroblastic anemia, thalassemia major and absence of pyruvate kinase, also stand in the several diseases that can cause iron load. Consuming iron pills that are sold in pharmacies unconsciously also causes iron accumulation and therefore may lead to iron excess. Furthermore, intaking of blood via blood transfusion may also cause accumulation of iron in the body. Even though blood transfusion is lifesaving via providing erythrocyte to whom it requires, it is very rich by means of iron. In persons who frequently have blood transfusion, the body has difficulties to absorb excess of iron received and this may result in excessive accumulation of iron. Because of these situations, deferasirox is indicated in the treatment of chronical iron loading (transfusional hemosiderosis) due to blood transfusion in children aged 2 and above and in grown-ups, also is indicated in the treatment of chronical iron loading in patients aged 10 and above who have thalassemia symptoms not dependent on transfusion.
Deferasirox is a molecule which is known as an alternative to deferoxamine which is a standard treatment option that is used via the parenteral route in the treatment of iron overload. It is found out that, chelation treatment is effective for removing iron quickly, reducing iron stores to a low level, inhibiting heart and other organ damage that results from iron overload and effective for prolonging survival in patients who have chronical iron poisoning. Deferasirox has been prepared in tablet form which is taken once a day. It is considered that it is a molecule which is more suitable for long-term use and thereby enhances to manage chronical iron poisoning. In addition to this, it may enhance significantly the life quality of patients who have to get iron chelation treatment during all their lifetimes.
In the European Patent numbered EP0914118B1, deferasirox is being described wherein the usage of it is disclosed for treatment of diseases that cause iron overload. In this document, a tablet comprising 200 mg of active agent, a coated tablet comprising 400 mg of active agent, hard gelatin capsule comprising 500 mg of active agent, oral suspension powder comprising 300 mg of active agent is disclosed. Even though it is disclosed dispersible form of deferasirox in the said document, the amounts of excipients used in addition to the 500 mg of deferasirox active agent disclosed in the document are different from the amounts of excipients used in the invention. Furthermore, formulation of dividable scored tablet form of deferasirox is not disclosed in said document. Likewise, the pharmaceutical form is not a film tablet mentioned in the said document.
The European patent application numbered EP1734924 is pertained to a formulation comprising deferasirox or pharmaceutically acceptable salt thereof in an amount of from 42% to 65% by weight based on the total tablet weight. It is mentioned that 125 mg and 1000 mg deferasirox dispersible tablet in the document. However, the amounts of some excipients (filler, disintegrant and lubricant) used in the document beside of deferasirox active agent are different from the amounts of excipients which used in the invention. Additionally, the pharmaceutical form is not a film tablet mentioned in said document. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in the said document.
The European patent application numbered EP1940360 is pertained to a dispersible tablet form wherein deferasirox or a pharmaceutically acceptable salt thereof in an amount of from 42% to 65% by weight based on the total tablet weight. In this document a dispersible tablet, having a total weight of 2000 mg ± 5%, comprising deferasirox in an amount of 1000 mg ± 5%, is disclosed. Moreover, a dispersible tablet comprising 800 mg deferasirox, is disclosed. However, the amounts of some excipients (filler, disintegrant and lubricant) used beside of deferasirox active agent are different from the amounts of excipients which used in the invention. Additionally, the pharmaceutical form is not a film tablet mentioned in said document. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
The European patent application numbered EP2964202 is related to an orally administrable pharmaceutical form which does not comprise sodium lauryl phosphate and lactose. In the document is disclosed deferasirox or a pharmaceutically acceptable salt thereof, present in an amount of from 45% to 60% by weight based on the total tablet weight. Release of said medicine has been reduced under gastric conditions and has been fast at near neutral pH or at neutral pH. In the document is disclosed a pharmaceutical form which comprises deferasirox and at least one pharmaceutically acceptable excipient. It is seen in the document, deferasirox is present in an amount of from 45% to 60% by weight based on the total tablet weight. The disclosed ratio of the deferasirox in the said document is different from used in the invention. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
The European patent application numbered EP3124018A1 is a divisional application of the cited patent above. In the patent application, the tablets comprise deferasirox is disclosed present in an amount of from 45% to 60% by weight based on the total tablet weight. Furthermore, tablets comprise 90 mg, 180 mg or 360 mg deferasirox and excipients in various ratios in said document. The disclosed ratio of the deferasirox in the said document is different from used in the invention. In addition to this, the ratios of disintegrant and lubricant used as excipients are different from the amount of excipients which used in the invention. Beside of this, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
The patent application numbered WO2017158559 A1 is mentioned tablets comprising deferasirox molecule in the ratio of less than 45% and more than 60%. Moreover, the composition is disclosed in said document, having a reduced release under gastric conditions and fast release at near neutral pH or at neutral pH. However, a dividable scored tablet formulation of deferasirox is not disclosed in said document.
The dose of the deferasirox to be administered to the patient is dependent on several factors like patient’s age, weight, the level of iron accumulation, interaction with the other used drugs if any. The doses to be administered (as mg/kg) are calculated by checking the clinical monitoring indications and applied by adapting them to the closest tablet dose. Recommended initial dose in treatment is 20 mg/kg; it is 30 mg/kg in the grownups who gets erythrocyte transfusion and whose iron load is aimed to be reduced, and 10 mg/kg in the grownups who gets erythrocyte suspension and whose iron load is aimed to be continued at the same level. It is required to watch the levels of serum ferritine monthly and according to the results of this follow-up, drug dosage must be adjusted in every 3-6 months if needed. Under these situations, if the patient is required to get a higher or lower dose of the drug than same level dose which he uses continuously when he wants to get a different dose, he is needed to buy the tablet comprising a different dose.
In the state of the art, commercial dose forms as three different dosages of 90 mg, 180 mg and 360 mg which are comprising deferasirox active agent are present which commercialized by Novartis. However, there is no pharmaceutical product in the form of a scored film tablet which provides at least one dosage, preferably allowing two dosages on the same tablet and no suitable formulation to obtain this product in the state of the art.
Said this drugs comprising deferasirox in the prior art are substantially expensive. Besides that, when the present drug dose alternatives checked, there is no option in the market for using the individual’s required dose in a single package. For example, if a 360 mg drug is prescripted by the doctor, according to the healing condition of the patient, the dose of the drug may desired to reduce by the doctor. Similarly, the doctor may not know the side effects of the pharmaceutical product on the patient. Therefore, he may prescribe the drug having the lowest dose initially. In addition, after a specific treatment period, the doctor may desire to increase this dose. This also causes difficulties in writing prescriptions. In the state of the art, there is no pharmaceutical product in the film tablet form comprising deferasirox, having different amount of doses in a single tablet which an individual may use a suitable dose in a single package. Moreover, when a patient takes the recommended dose of the doctor and starts treatment, in the case of a need of dose adjustment, he has to reach the doctor again and make the prescription in another dose form drug written. On the reason that this situation is tiring for the patient, he may not want to go to the doctor again. And this also causes, failure of treatment and decrease of patient comfort. Therefore, for this product comprising deferasirox active agent, the need of improving a pharmaceutical product occurred in a single tablet at least one dose, preferably two doses.
In addition, all of the solid dosage pharmaceutical products manufactured in the state of the art comprise at least one active ingredient. In order for this pharmaceutical product to be easy and convenient to use for the patient and to be produced successfully, the active ingredient or components must be produced with at least one excipient. The excipients which are indispensable to many solid dosage forms and provide a functionality to the product can be binders, diluents, disintegrants, coloring agents (or colourants), coaters; but not limited to these listed in pharmaceutical products. The appropriate selection of excipients to be used in addition to the active ingredient is very important in order to increase the patient's comfort of solid dosage form pharmaceutical product.
Similarly, deferasirox formulations need to be developed to increase the effectiveness, bioavailability, properties and efficiency of the deferasirox molecule used for deferasirox formulations. Therefore, for improving deferasirox oral tablet formulations, it is necessary to select appropriate excipient to be used in addition to deferasirox. In addition, similarly, the amount of excipients must also be appropriate.
On the other hand, it is a desired situation that the stability of pharmaceutical products to be high. Pharmaceutical products are exposed to a number of transformations in their structure over time when they are exposed to environmental impacts like temperature, moisture, light. To understand these transformations, several stability tests must be done. The aims of the stability tests are; to provide evidence of change occurring in the quality of an active agent or product by several environmental factors like temperature, moist and light over time; to determine the active agent retest period or to determine the shelf life and recommended storage conditions of the product. The changes in stability may be chemical, physical and microbiological. For the changes of stability to be minimum and for a high quality of the product, it is required to select the excipients to be used in the pharmaceutical product also appropriate.
Brief Description of the Invention
The aim of the invention is to provide a formulation comprising deferasirox or a pharmaceutically acceptable salt of deferasirox in the form of a tablet, preferably film tablet.
The tablet manufactured by disclosed formulation is non-scored or preferably scored film tablet. The scored film tablet form product may be divided at least into two. The number of dose is at least one; preferably two for a scored film tablet formulation. According to the pharmaceutical form, these doses in the invention are 90 mg, 180 mg, 360 mg in a scored film tablet. Thus, with the scored film tablet, the user is able to supply the different dose recommended by the doctor without purchasing another commercial dose form. Thereby, the user can take any one of these three doses as recommended by the doctor. Therefore, with the disclosed scored pharmaceutical product, also patient comfort is going to increase.
For improving film tablet forms comprising deferasirox, at least one excipient is used in a proper amount with deferasirox in the invention. By means of the invention, a pharmaceutical product is developed in a form which is easier to produce than the state of the art, using the different ratio of deferasirox and /or at least one suitable selected excipient according to this ratio. Similarly, the producibility and production efficiency of deferasirox formulations have been enhanced by the formulation of the present invention.
Once again, for the changes of stability to be minimum of the disclosed pharmaceutical product, excipients which are used in the formulation and their ratios are selected appropriately.
Detailed Description of the Invention:
Description of the Figures
Figure 1: Schematic top view of pharmaceutical product subject to the invention.
Figure 2: Schematic side view of pharmaceutical product subject to the invention.
Description of the References in the Figures:
The parts in the figures are numbered individually and the equivalents of these numbers are given below for understanding of the invention.
1- Product
10- Unit Dose
11- Score
The present invention is related to a formulation in a tablet form, preferably a film tablet form, comprising deferasirox which is known that 4-[3,5-Bis(2- hydroxyphenyl )-lH- 1,2, 4-triazole- l-yl]benzoic acid as chemical name or a pharmaceutically acceptable salt of deferasirox for the treatment of situations occurring with excessive amounts of iron accumulation in the body.
For the scored (1 1) form of the pharmaceutical product (1) manufactured by disclosed formulation, there is a national patent application with the application number of TR 2017/07764 filed on 29.05.2017. In the said application, dividable scored (11) tablet forms are disclosed for doses of 90 mg, 180 mg and 360 mg; and also 125 mg, 250 mg ve 500 mg of deferasirox or a pharmaceutically acceptable salt of deferasirox.
In the patent application with the application number of 2017/07764; a pharmaceutical product (1) with the scored (11) film tablet form comprising the doses of 90 mg, 180 mg ve 360 mg has been disclosed. In the present invention, a formulation for obtaining the said product (1) is mentioned.
Deferasirox or a pharmaceutically acceptable salt of deferasirox used as the active agent (active ingredient or active substance) in the invention is an iron chelating agent.
The disclosed pharmaceutical formulation comprises one active agent and at least one excipient. According to properties of the active agent such as flow, compressibility, dissolution, stability and bioavailability, the excipients to be used in the disclosed formulation and amounts thereof are selected in accordance with the active substance. The active agent in the invention is deferasirox or a pharmaceutically acceptable salt of deferasirox. The pharmaceutical formulation comprises excipients; at least one filler and/or at least one disintegrant and/or at least one binder and/or at least one surfactant and/or at least one glidant and/or at least one lubricant and/or at least one granulation solvent and/or at least one coating agent and/or at least one coating solvent, but are not limited to the described herein. The disclosed formulation comprises preferably microcrystalline cellulose (Type 101) and/or preferably microcrystalline cellulose (Type 102) as filler and/or preferably crospovidone as disintegrant and/or preferably povidone K30 as binder and/or preferably poloxamer 188 as surfactant and/or preferably colloidal silicon dioxide as glidant and/or preferably magnesium stearate as lubricant and/or preferably pure water as granulation solvent and/or preferably hydroxypropyl methylcellulose (HPMC) as coating agent based on coating mixture and/or pure water as coating solvent but are not limited to the described in the invention.
The pharmaceutical product (1) having disclosed formulation is in tablet form. In the preferred embodiment of the invention, the pharmaceutical product (1) comprises at least one dividable unit dose (10) and at least one score (11) that provides divisibility. In said this application, pharmaceutical product (1) may be in a tablet form or preferably in a film tablet form. The tablet is the pharmaceutical product (1) preferably in a film tablet form and with non- scored or preferably scored(l 1).
In the preferred embodiment of the invention, pharmaceutical product (1) is in the form of Figure- 1 and it preferably comprises 4 pieces of unit dose (10) but not limited to this. A unit dose (10) comprises deferasirox or a pharmaceutically acceptable salt of deferasirox. Said score (11) is in the form of“+” but not limited to this and when the patient holds a part of the product (1) and applies force to one of the unit doses (10) in another part of the product (1), unit dose (10) can be broken easily from the score (11). In one embodiment of the invention, the product (1) can be divided into two from the score (11). In said embodiment, the product (1) remaining in two-unit doses (10) after being divided into two parts, and when a force again is applied to one of this two-unit doses (10), the remained part can also be divided into two and totally it can be divided into four equal unit doses (10). In other words, when a patient applies a force on the product (1), the product (1) can be divided into two or three or four parts from the score (11) easily. Thereby, different unit doses (10) can be provided from one product (1) by score (11). Therefore, dose flexibility can be provided with the invention. In another embodiment of the present invention, said score (11) is positioned so as to allow for equal dosing of the pharmaceutical product (1) and to allow for the cross-section of the pharmaceutical product (1). Every dividable unit dose (10) is equivalent to each other as amount of dose and in one embodiment the amount of deferasirox or a pharmaceutically acceptable salt thereof at each unit dose (10) is minimum 90 mg. Pharmaceutical product (1) may be in a large variety of tablet forms. The product (1) obtained from the pharmaceutical formulation is in a pharmaceutical form which the user can use quite easily.
The amounts by weight and its ratio according to the total tablet weight of the active ingredients and excipients of the formulation to which the invention is applied are given in Table- 1. In one embodiment of the invention, the formulation preferably in the form of scored (11) film tablet comprises from 5 % to 95 % by weight based on the total tablet weight of deferasirox or a pharmaceutically acceptable salt thereof. In another embodiment of the invention, the amount of the deferasirox or a pharmaceutically acceptable salt thereof is from 20 % to 60 %. In another embodiment of disclosed formulation comprises preferably from 39.9 % to 44.1 % and more preferably 42 % by weight based on the total tablet weight, deferasirox or a pharmaceutically acceptable salt thereof. In addition to deferasirox, it comprises from 20 % to 90 %, preferably 42.5 % by weight based on the total tablet weight microcrystalline cellulose as filler and / or from 2 % to 20 %, preferably 7.0 % by weight based on the total tablet weight, crospovidone as disintegrant, and / or from 1 % to 5 %, preferably 2.3 % by weight based on the total tablet weight, povidone K30 as binder and / or from 0.1% to 5 %, preferably 0.1 % by weight based on the total tablet weight, poloxamer 188 as surfactant and / or from 0.01 % to 5 %, preferably 0.5 % by weight based on the total tablet weight, colloidal silicon dioxide as glidant and / or from 2.3 % to 5 %, preferably 2.4 % by weight based on the total tablet weight, magnesium stearate as lubricant and / or from 2 % to 10 %, preferably 2.8 % by weight based on the total tablet weight , film coating agent.
Table-1
Figure imgf000012_0001
In order to increase the efficiency of deferasirox in the invention, not limited to the above mentioned rates, also other ratios may be used except ratios of said excipient.
The lubricants used in the formulation are used to prevent the mixture of the tablet from sticking to the staples during the tablet press process. In the preferred embodiment of the invention, when from 2.3 % to 5 % by weight of magnesium stearate is used as the lubricant, the tablet printing is greatly easy during the production stage. The binders used in the formulation are used to hold the components together in the formulation. The binders directly affect the rate of dissolution of the active agent, the hardness, brittleness and dispersion of the tablets. In the preferred embodiment of the invention, povidone K30 is used as the binder. The filler is used to bring the tablets to suitable size for using easily and to press the tablets easily. When 20 % to 90% of microcrystalline cellulose is used as the filler in the invention, the tablets can be compressed very easily. The disintegrants allow the tablets to disperse in the stomach or intestinal environment. In the preferred embodiment of the invention, crospovidone is used as the disintegrant. The surfactants are used to accelerate the dissolution of the active agent. In the preferred embodiment of the invention, poloxamer 188 is used as the surfactant. The glidants facilitate the flow of powders and granules. In the preferred embodiment of the invention colloidal silicon dioxide is used as the glidant. In addition, pure water is used as the granulation solvent in the invention.
Furthermore, the producibility and production efficiency of the pharmaceutical products (1) produced by the disclosed formulation were increased by using the appropriate excipients at the effective ratios beside of the deferasirox.
When the said excipients in the invention are used in specific proportions indicated in Table 1, the change in the physical and chemical stability of the pharmaceutical product (1) is also small.
In preferred embodiment of the invention, when the amount of deferasirox or a pharmaceutically acceptable salt thereof in each unit dose (10) is 90 mg, the total amount of deferasirox or a pharmaceutically acceptable salt thereof in the pharmaceutical product (1) is 360 mg.
On the reason that pharmaceutical product (1) has a dividable scored (11) form one embodiment of the invention, the doctor can easily adjust the dose according to the need of patient at the initial and continuation of the treatment. In this case, a patient who uses a dose form of 360 mg, can take the dose recommended by the doctor from the same package, without purchasing a commercial dose comprising another dose form. The user can reach 180 mg of active agent dose via dividing the 360 mg pharmaceutical product (1) into two unit dose (10). In this case, the user starting from a high dose (for example 360 mg) can achieve to a low dose (for example 180 mg) by dividing the pharmaceutical product (1) from its score (11). Thus, when the doctor desires to change the dose, the economical loss resulting from the disposal of the pharmaceutical product (1) which user does not use is minimized. The most important factor that provides divisibility of the product (1) in a unit dose (10) is the score (11). Another physical factor that provides the divisibility of the scored product (1) in a unit dose (10) is hardness. In order to obtain the desired amount of dose from the said pharmaceutical product (1) and to divide the product (1) into desired unit dose (10), the pharmaceutical product (1) is compressed with the predetermined pressure force (for instance in the hardness of 10 to 20 kp). Thus, the product (1) can be divided easily by the user by applying pressure to the score (11).
The invention is not limited to the disclosed embodiments above, a skilled person in the art can produce different embodiments of the invention easily. They should be evaluated within the scope of the invention protection demanded with claims.

Claims

1. A pharmaceutical oral formulation comprising deferasirox which is an iron chelat agent or a pharmaceutically acceptable salt of deferasirox and at least one pharmaceutically acceptable excipient; characterized in that, deferasirox or a pharmaceutically acceptable salt thereof from 5 % to 95 % by weight based on the total tablet weight, in the form of a scored (11) film tablet.
2. The pharmaceutical oral formulation according to Claim 1, characterized in that, it comprises deferasirox or a pharmaceutically acceptable salt thereof from 20 % to 60 % by weight based on the total tablet weight.
3. The pharmaceutical oral formulation according to Claim 2, characterized in that, it comprises deferasirox or a pharmaceutically acceptable salt thereof from 39.9 % to 44.1 %; preferably 42 % by weight based on the total tablet weight.
4. The pharmaceutical oral formulation according to Claim 3, characterized in that, it comprises at least one filler and/or at least one disintegrant and/or at least one binder and/or at least one surfactant and/or at least one glidant and/or at least one lubricant and/or at least one film coating agent.
5. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 20 % to 90 % by weight based on the total tablet weight of filler.
6. The pharmaceutical oral formulation according to Claim 5, characterized in that, it comprises from 42.5 % by weight based on the total tablet weight of filler.
7. The pharmaceutical oral formulation according to Claim 6, characterized in that, it comprises microcrystalline cellulose as filler.
8. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 2.3 % to 5 % by weight based on the total tablet weight of lubricant.
9. The pharmaceutical oral formulation according to Claim 8, characterized in that, it comprises 2.4 % by weight based on the total tablet weight of lubricant.
10. The pharmaceutical oral formulation according to Claim 9, characterized in that, it comprises magnesium stearate as lubricant.
11. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 2 % to 20 % by weight based on the total tablet weight of disintegrant.
12. The pharmaceutical oral formulation according to Claim 11, characterized in that, it comprises 7.0 % by weight based on the total tablet weight of disintegrant.
13. The pharmaceutical oral formulation according to Claim 12, characterized in that, it comprises crospovidone as disintegrant.
14. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 1 % to 5 % by weight based on the total tablet weight of binder.
15. The pharmaceutical oral formulation according to Claim 14, characterized in that, it comprises 2.3 % by weight based on the total tablet weight of binder.
16. The pharmaceutical oral formulation according to Claim 15, characterized in that, it comprises povidone K30 as binder.
17. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 0.1 % to 5 % by weight based on the total tablet weight of surfactant.
18. The pharmaceutical oral formulation according to Claim 17, characterized in that, it comprises 0.1 % by weight based on the total tablet weight of surfactant.
19. The pharmaceutical oral formulation according to Claim 18, characterized in that, it comprises poloxamer 188 as surfactant.
20. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 0.01 % to 5 % by weight based on the total tablet weight of glidant.
21. The pharmaceutical oral formulation according to Claim 20, characterized in that, it comprises 0.5 % by weight based on the total tablet weight of glidant.
22. The pharmaceutical oral formulation according to Claim 21, characterized in that, it comprises colloidal silicon dioxide as glidant.
23. The pharmaceutical oral formulation according to Claim 4, characterized in that, it comprises from 2 % to 10 % by weight based on the total tablet weight of film coating agent.
24. The pharmaceutical oral formulation according to Claim 23, characterized in that, it comprises 2.8 % by weight based on the total tablet weight of film coating agent.
PCT/TR2018/050653 2017-11-28 2018-11-05 A scored tablet formulation comprising deferasirox in a film tablet form WO2019108156A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4052698A1 (en) * 2021-03-05 2022-09-07 Sanovel Ilac Sanayi Ve Ticaret A.S. Film coated tablet comprising deferasirox

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1556013A1 (en) * 2002-10-15 2005-07-27 Novartis AG Deferacirox dispersible tablets
US20140147503A1 (en) * 2010-10-01 2014-05-29 Cipla Limited Pharmaceutical Composition Comprising Deferasirox
EP2964202A1 (en) * 2013-03-08 2016-01-13 Novartis AG Oral formulations of deferasirox

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1556013A1 (en) * 2002-10-15 2005-07-27 Novartis AG Deferacirox dispersible tablets
US20140147503A1 (en) * 2010-10-01 2014-05-29 Cipla Limited Pharmaceutical Composition Comprising Deferasirox
EP2964202A1 (en) * 2013-03-08 2016-01-13 Novartis AG Oral formulations of deferasirox

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4052698A1 (en) * 2021-03-05 2022-09-07 Sanovel Ilac Sanayi Ve Ticaret A.S. Film coated tablet comprising deferasirox

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