CA1312286C - Pharmaceutical preparation containing metoprolol - Google Patents
Pharmaceutical preparation containing metoprololInfo
- Publication number
- CA1312286C CA1312286C CA000579566A CA579566A CA1312286C CA 1312286 C CA1312286 C CA 1312286C CA 000579566 A CA000579566 A CA 000579566A CA 579566 A CA579566 A CA 579566A CA 1312286 C CA1312286 C CA 1312286C
- Authority
- CA
- Canada
- Prior art keywords
- metoprolol
- dihydropyridine
- preparation according
- castor oil
- preparation
- Prior art date
- Legal status (The legal status 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 status listed.)
- Expired - Lifetime
Links
- IUBSYMUCCVWXPE-UHFFFAOYSA-N metoprolol Chemical compound COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 IUBSYMUCCVWXPE-UHFFFAOYSA-N 0.000 title claims abstract description 64
- 229960002237 metoprolol Drugs 0.000 title claims abstract description 60
- 239000000825 pharmaceutical preparation Substances 0.000 title description 3
- YNGDWRXWKFWCJY-UHFFFAOYSA-N 1,4-Dihydropyridine Chemical compound C1C=CNC=C1 YNGDWRXWKFWCJY-UHFFFAOYSA-N 0.000 claims abstract description 35
- 238000002360 preparation method Methods 0.000 claims abstract description 35
- RZTAMFZIAATZDJ-HNNXBMFYSA-N 5-o-ethyl 3-o-methyl (4s)-4-(2,3-dichlorophenyl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate Chemical compound CCOC(=O)C1=C(C)NC(C)=C(C(=O)OC)[C@@H]1C1=CC=CC(Cl)=C1Cl RZTAMFZIAATZDJ-HNNXBMFYSA-N 0.000 claims abstract description 20
- 229960003580 felodipine Drugs 0.000 claims abstract description 20
- 238000000034 method Methods 0.000 claims abstract description 11
- 238000004519 manufacturing process Methods 0.000 claims abstract description 3
- 239000011324 bead Substances 0.000 claims description 24
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 23
- 239000002904 solvent Substances 0.000 claims description 19
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 claims description 18
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 claims description 18
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 claims description 18
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 claims description 18
- 239000011159 matrix material Substances 0.000 claims description 14
- 229960001597 nifedipine Drugs 0.000 claims description 13
- HYIMSNHJOBLJNT-UHFFFAOYSA-N nifedipine Chemical group COC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1[N+]([O-])=O HYIMSNHJOBLJNT-UHFFFAOYSA-N 0.000 claims description 13
- 150000003839 salts Chemical class 0.000 claims description 12
- RGHAZVBIOOEVQX-UHFFFAOYSA-N Metoprolol succinate Chemical class OC(=O)CCC(O)=O.COCCC1=CC=C(OCC(O)CNC(C)C)C=C1.COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 RGHAZVBIOOEVQX-UHFFFAOYSA-N 0.000 claims description 9
- 239000004359 castor oil Substances 0.000 claims description 9
- 235000019438 castor oil Nutrition 0.000 claims description 9
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 claims description 9
- 235000014113 dietary fatty acids Nutrition 0.000 claims description 8
- 239000000194 fatty acid Substances 0.000 claims description 8
- 229930195729 fatty acid Natural products 0.000 claims description 8
- 150000004665 fatty acids Chemical class 0.000 claims description 8
- 239000003405 delayed action preparation Substances 0.000 claims description 7
- 239000012528 membrane Substances 0.000 claims description 7
- 239000000480 calcium channel blocker Substances 0.000 claims description 6
- 230000008961 swelling Effects 0.000 claims description 6
- 229920002678 cellulose Polymers 0.000 claims description 5
- 239000001913 cellulose Substances 0.000 claims description 5
- 235000010980 cellulose Nutrition 0.000 claims description 5
- WSWCOQWTEOXDQX-MQQKCMAXSA-M (E,E)-sorbate Chemical compound C\C=C\C=C\C([O-])=O WSWCOQWTEOXDQX-MQQKCMAXSA-M 0.000 claims description 4
- 150000002148 esters Chemical group 0.000 claims description 3
- 239000008389 polyethoxylated castor oil Substances 0.000 claims description 3
- 230000008569 process Effects 0.000 claims description 3
- 229940075554 sorbate Drugs 0.000 claims description 3
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical class OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 2
- 239000007921 spray Substances 0.000 claims description 2
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 claims description 2
- 238000013270 controlled release Methods 0.000 abstract description 15
- 229940082496 Adrenoreceptor antagonist Drugs 0.000 abstract description 11
- 238000013265 extended release Methods 0.000 abstract description 7
- 239000003814 drug Substances 0.000 description 42
- 229940079593 drug Drugs 0.000 description 41
- 239000000203 mixture Substances 0.000 description 15
- 238000004090 dissolution Methods 0.000 description 13
- 125000004925 dihydropyridyl group Chemical class N1(CC=CC=C1)* 0.000 description 12
- 238000010521 absorption reaction Methods 0.000 description 9
- 230000000694 effects Effects 0.000 description 8
- 238000000338 in vitro Methods 0.000 description 8
- 229960000939 metoprolol succinate Drugs 0.000 description 8
- 230000036470 plasma concentration Effects 0.000 description 8
- 239000001856 Ethyl cellulose Substances 0.000 description 7
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 7
- 229920001249 ethyl cellulose Polymers 0.000 description 7
- 235000019325 ethyl cellulose Nutrition 0.000 description 7
- 239000000463 material Substances 0.000 description 7
- 239000005995 Aluminium silicate Substances 0.000 description 6
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 6
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 6
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 6
- 235000012211 aluminium silicate Nutrition 0.000 description 6
- PZZYQPZGQPZBDN-UHFFFAOYSA-N aluminium silicate Chemical compound O=[Al]O[Si](=O)O[Al]=O PZZYQPZGQPZBDN-UHFFFAOYSA-N 0.000 description 6
- 229910000323 aluminium silicate Inorganic materials 0.000 description 6
- 238000001727 in vivo Methods 0.000 description 6
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 5
- 239000002775 capsule Substances 0.000 description 5
- 239000003795 chemical substances by application Substances 0.000 description 5
- 150000001875 compounds Chemical class 0.000 description 5
- 239000002552 dosage form Substances 0.000 description 5
- 229920002690 Polyoxyl 40 HydrogenatedCastorOil Polymers 0.000 description 4
- RFVNOJDQRGSOEL-UHFFFAOYSA-N 2-hydroxyethyl octadecanoate Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCCO RFVNOJDQRGSOEL-UHFFFAOYSA-N 0.000 description 3
- 208000024172 Cardiovascular disease Diseases 0.000 description 3
- 229920002907 Guar gum Polymers 0.000 description 3
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 239000012876 carrier material Substances 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 230000001186 cumulative effect Effects 0.000 description 3
- 238000009472 formulation Methods 0.000 description 3
- 239000000665 guar gum Substances 0.000 description 3
- 235000010417 guar gum Nutrition 0.000 description 3
- 229960002154 guar gum Drugs 0.000 description 3
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 3
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 3
- 239000000314 lubricant Substances 0.000 description 3
- 239000008363 phosphate buffer Substances 0.000 description 3
- 229920000642 polymer Polymers 0.000 description 3
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 3
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 3
- 239000000377 silicon dioxide Substances 0.000 description 3
- 235000012239 silicon dioxide Nutrition 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 229920001285 xanthan gum Polymers 0.000 description 3
- PVHUJELLJLJGLN-INIZCTEOSA-N (S)-nitrendipine Chemical compound CCOC(=O)C1=C(C)NC(C)=C(C(=O)OC)[C@@H]1C1=CC=CC([N+]([O-])=O)=C1 PVHUJELLJLJGLN-INIZCTEOSA-N 0.000 description 2
- NIXOWILDQLNWCW-UHFFFAOYSA-N Acrylic acid Chemical group OC(=O)C=C NIXOWILDQLNWCW-UHFFFAOYSA-N 0.000 description 2
- PTHCMJGKKRQCBF-UHFFFAOYSA-N Cellulose, microcrystalline Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC)C(CO)O1 PTHCMJGKKRQCBF-UHFFFAOYSA-N 0.000 description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 229930195725 Mannitol Natural products 0.000 description 2
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 2
- 229920002675 Polyoxyl Polymers 0.000 description 2
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 2
- 239000004480 active ingredient Substances 0.000 description 2
- 208000037849 arterial hypertension Diseases 0.000 description 2
- 229960000074 biopharmaceutical Drugs 0.000 description 2
- 239000002981 blocking agent Substances 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 229940096529 carboxypolymethylene Drugs 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 238000009792 diffusion process Methods 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 239000008187 granular material Substances 0.000 description 2
- 229960004592 isopropanol Drugs 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 229920000609 methyl cellulose Polymers 0.000 description 2
- 239000001923 methylcellulose Substances 0.000 description 2
- 235000010981 methylcellulose Nutrition 0.000 description 2
- 229960005425 nitrendipine Drugs 0.000 description 2
- 239000002245 particle Substances 0.000 description 2
- 239000008188 pellet Substances 0.000 description 2
- 229920001223 polyethylene glycol Polymers 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 230000002035 prolonged effect Effects 0.000 description 2
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 2
- 239000007909 solid dosage form Substances 0.000 description 2
- 238000005063 solubilization Methods 0.000 description 2
- 230000007928 solubilization Effects 0.000 description 2
- 239000004094 surface-active agent Substances 0.000 description 2
- 230000002195 synergetic effect Effects 0.000 description 2
- 239000000230 xanthan gum Substances 0.000 description 2
- 235000010493 xanthan gum Nutrition 0.000 description 2
- 229940082509 xanthan gum Drugs 0.000 description 2
- UIAGMCDKSXEBJQ-IBGZPJMESA-N 3-o-(2-methoxyethyl) 5-o-propan-2-yl (4s)-2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate Chemical compound COCCOC(=O)C1=C(C)NC(C)=C(C(=O)OC(C)C)[C@H]1C1=CC=CC([N+]([O-])=O)=C1 UIAGMCDKSXEBJQ-IBGZPJMESA-N 0.000 description 1
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 description 1
- GJCOSYZMQJWQCA-UHFFFAOYSA-N 9H-xanthene Chemical compound C1=CC=C2CC3=CC=CC=C3OC2=C1 GJCOSYZMQJWQCA-UHFFFAOYSA-N 0.000 description 1
- 239000004925 Acrylic resin Substances 0.000 description 1
- 229920000178 Acrylic resin Polymers 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 206010002383 Angina Pectoris Diseases 0.000 description 1
- VWGJRTCMKOXFHS-UHFFFAOYSA-N CC1=CC(=NC(=C1)C#CCN1CCN(CC1)C)N Chemical compound CC1=CC(=NC(=C1)C#CCN1CCN(CC1)C)N VWGJRTCMKOXFHS-UHFFFAOYSA-N 0.000 description 1
- 229940127291 Calcium channel antagonist Drugs 0.000 description 1
- 229920003151 Eudragit® RL polymer Polymers 0.000 description 1
- 229920003134 Eudragit® polymer Polymers 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 1
- 239000001828 Gelatine Substances 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- VVQNEPGJFQJSBK-UHFFFAOYSA-N Methyl methacrylate Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- ZBBHBTPTTSWHBA-UHFFFAOYSA-N Nicardipine Chemical class COC(=O)C1=C(C)NC(C)=C(C(=O)OCCN(C)CC=2C=CC=CC=2)C1C1=CC=CC([N+]([O-])=O)=C1 ZBBHBTPTTSWHBA-UHFFFAOYSA-N 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000002730 additional effect Effects 0.000 description 1
- 230000001800 adrenalinergic effect Effects 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 150000001735 carboxylic acids Chemical class 0.000 description 1
- 230000003293 cardioprotective effect Effects 0.000 description 1
- 229920003086 cellulose ether Polymers 0.000 description 1
- 238000011260 co-administration Methods 0.000 description 1
- 239000007931 coated granule Substances 0.000 description 1
- 229910052681 coesite Inorganic materials 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000011340 continuous therapy Methods 0.000 description 1
- 229910052906 cristobalite Inorganic materials 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 230000003628 erosive effect Effects 0.000 description 1
- 150000002170 ethers Chemical class 0.000 description 1
- 150000002191 fatty alcohols Chemical class 0.000 description 1
- RZTAMFZIAATZDJ-UHFFFAOYSA-N felodipine Chemical group CCOC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC(Cl)=C1Cl RZTAMFZIAATZDJ-UHFFFAOYSA-N 0.000 description 1
- 229940083649 felodipine 10 mg Drugs 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- -1 hydroxypropoxy Chemical group 0.000 description 1
- 230000001631 hypertensive effect Effects 0.000 description 1
- 239000012729 immediate-release (IR) formulation Substances 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000011031 large-scale manufacturing process Methods 0.000 description 1
- OJURWUUOVGOHJZ-UHFFFAOYSA-N methyl 2-[(2-acetyloxyphenyl)methyl-[2-[(2-acetyloxyphenyl)methyl-(2-methoxy-2-oxoethyl)amino]ethyl]amino]acetate Chemical compound C=1C=CC=C(OC(C)=O)C=1CN(CC(=O)OC)CCN(CC(=O)OC)CC1=CC=CC=C1OC(C)=O OJURWUUOVGOHJZ-UHFFFAOYSA-N 0.000 description 1
- VKQFCGNPDRICFG-UHFFFAOYSA-N methyl 2-methylpropyl 2,6-dimethyl-4-(2-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OCC(C)C)C1C1=CC=CC=C1[N+]([O-])=O VKQFCGNPDRICFG-UHFFFAOYSA-N 0.000 description 1
- 229960001300 metoprolol tartrate Drugs 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 208000010125 myocardial infarction Diseases 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- DNKKLDKIFMDAPT-UHFFFAOYSA-N n,n-dimethylmethanamine;2-methylprop-2-enoic acid Chemical compound CN(C)C.CC(=C)C(O)=O.CC(=C)C(O)=O DNKKLDKIFMDAPT-UHFFFAOYSA-N 0.000 description 1
- 229960001783 nicardipine Drugs 0.000 description 1
- 229960000715 nimodipine Drugs 0.000 description 1
- 229960000227 nisoldipine Drugs 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000036581 peripheral resistance Effects 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 229940127557 pharmaceutical product Drugs 0.000 description 1
- 239000002831 pharmacologic agent Substances 0.000 description 1
- 229940068917 polyethylene glycols Drugs 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 210000002460 smooth muscle Anatomy 0.000 description 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 229910052682 stishovite Inorganic materials 0.000 description 1
- 150000003890 succinate salts Chemical class 0.000 description 1
- WUBVEMGCQRSBBT-UHFFFAOYSA-N tert-butyl 4-(trifluoromethylsulfonyloxy)-3,6-dihydro-2h-pyridine-1-carboxylate Chemical compound CC(C)(C)OC(=O)N1CCC(OS(=O)(=O)C(F)(F)F)=CC1 WUBVEMGCQRSBBT-UHFFFAOYSA-N 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 1
- 229910052905 tridymite Inorganic materials 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000000304 vasodilatating effect Effects 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2072—Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
- A61K9/2077—Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
- A61K9/2081—Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets with microcapsules or coated microparticles according to A61K9/50
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/12—Drugs for disorders of the metabolism for electrolyte homeostasis
- A61P3/14—Drugs for disorders of the metabolism for electrolyte homeostasis for calcium homeostasis
Abstract
Abstract Preparation giving a controlled and extended release of both a dihydro-pyridine, e.g. felodipine and a .beta.-adrenoreceptor antagonist, namely metoprolol as well as a method for the manufacture of the new prepara-tion.
Description
131228~
New pharmaceutical preparation and a proces~ for i~s prepa~ation Field o~ the Invention The present invention is related to pharmaceutical extended-release preparations of two drugs of which one is a poorly water soluble compound, namely a calcium channel blocking agent of the dihydropyridine type, and the other is a salt of the ~-adrenoreceptor antagonist metoprolol, and to methods of preparing such preparations.
1~
The object of this invention is to obtain a solid preparation with a high extent o~ bioavailability of the two drugs in combination with an extended absorption from the gastrointestinal tract thus acheiving an even effect over 24 hours after once daily administration.
Background of the Invention The pharmacological agents calcium antagonists of the dihydropyridine type and ~-adrenoreceptor antagonists are widely used in the treatment 2n of cardiovascular disorders.
The mentioned dihydropyridines, e.g. felodipine, nifedipine and nitrendipine, are commonly used in the treatment of cardiovascular disorders like arterial hypertension and ischemic heart disease. The dihydropyridines reduce vascular resistance and load of the heart through a direct effect on the smooth muscles of the blood vessels. The dihydropyridines are characterized by an extremely low solubility in water and for such drugs a low and variable extent of absorption is often seen as the dissolution o~ the drug in vivo may be rate-limiting.
Several ways to increase drug absorption have been described in the prior litterature. One way is described in DE-A-3024858, where a sparingly soluble substituted dihydropyridine, nicardipine, is used in its amorphous form in order to obtain increased absorption o~ the active compound from the intestine. Another way is described in EP-A-47899~
.~
where very small crystals of a practically insoluble dihydropyridine, nifedipine, have been used in order to increase the extent of the bioavailability. These methods and others are also described in "Techniques o$ solubilization of drugs"~ Ed S.H. Yalkowsky in Drugs and the pharmaceutical sciences, Vol 12. Of particular relevance to the present invention is that surfactant solubilizing agents may be employed in order to increase the bioava;lability of the drugs with very low solubility. It is stated that the improvement of absorption properties can be ascribed to three processes: 1~ increased wetting 2) increased permeability of membranes and 3) solubilization.
In vivo, the plasma concentration versus time profile af~er administration of dihydropyridine conventional tablets is characterized by high peak concentrations and comparatively low trough levels. The blood pressure response mirrors the plasma concentration curve, i.e.
there is a pronounced effect at the time of the peak and a much less effect after 24 hours. Accordingly, a conventional tablet is not optimal for once daily administration and the more even plasma concentrations produced by a controlled release preparation of high quality would be preferred.
Conventionally, controlled and extended release is achieved by controlling dissolution and/or diffusion of medicament from the dosage form. Several materials are employed for this purpose e.g waxes, fatty materials, polymers, natural, synthetic and semisynthetic gums. Among the gums,hydroxypropyl methylcellulose (HPMC) constitutes an important class because of its pH-independent properties as well as its semisynthetic origin. A review of cellulose ethers in hydrophilic matrices for oral controlled release dosage forms is given by Alderman D.A. Int.J.Pharm. Tech. & Prod. Mfr (1984), 5t3) 1-9. The chemical treatment of HPMC to generate a desired constitution and the use of these qualities are disclosed in US 3 087 790, US 4 226 849, US 4 357 469 and US 4 369 172. SE-A-8008646-5 describes a combination o~ HPMC and hydroxypropyl cellulose which is used to control the release rate of a pharmaceutically active compound.
~312286 Wh2n a hydrophilic matrix is used the soluble polymer forms a gelatinous layer around the tablet after exposure to gastro-intestinal fluids or saliva. The release of the drug i5 limited by the rate of water penetration into, and diffusion of drug through, the gel formed tBamba et al. Int.J.Pharm. (1979),2,307). Erosion of the gel structure is also an important release mechanism of a drug from the system. The polymers used havP to hydrate rapidly in order to protect the tablet from fast dissintegration ~Alderman 1984).
Drugs with a very low solubility in water may be poorly absorbed from the gastro-intestinal tract due to incomplete or slow dissolution.
Consequently it is difficult to increase the duration of effect through a controlled slow dissolution of such a drug without lowering the bioavailability (Bogentoft C and Sjogren J, Towards Better Safety of Drugs and Pharmaceutical Products, Editor D.D. Breimer, 1980 Elsevier/North Holland Biomedical Press~.
The ~-adrenoreceptor antagonists block the adrenergic stimulation of the heart and thus reduce the oxygen demand of the cardiac tissue.
Apparently, this explains their beneficial effects in angina pectoris and cardioprotective action in myocardial infarction. In addition, B-adrenoreceptor antagonists normalize blood pressure in a large proportion of patients with arterial hypertension which probably is due to an additional action on the control of peripheral resistance to blood-flow. For patients treated with B-adrenoreceptor antagonists for cardiovascular disorders it is advantageous to have a constant concentration of the administered drug in the blood. For dosage once a day the B-adrenoreceptor antagonist metoprolol has been incorporated in controlled release tablets of the insoluble matrix type, e.g. Durules~
However, the drug release from the matrix tablets is not satisfying as about 50 % of the dose is released within a few hours after administration. For a drug like metoprolol with a comparatively short half-life a slower release rate is required in order to obtain even plasma concentrations over 24 hours. A constant release of metoprolol over 20-24 hours would be preferred. A preparation of metoprolol with such properties is described in EP-A-220 143.
~3i22~6 It has been shown that a combination of a ~-adrenoreceptor antagonist and a vasodilating dihydropyridine is of advantage in many hypertensive patients since the two agents have synergistic effects (Hansson BG et al, Drugs 1985:29 (suppl 2); 131-135, Eggerston R and Hansson L Eur. J.
~lin. Pharmacol 1982:21;389-390). In addition to the synergistic e~fects, a co-administration offers advantages regarding decrease in unwanted reflex counteractions elicited by either drug when administered alone (Dean S and Kendall M J Eur. J. Clin. Pharmacol 19~3:24;1-5).
Immediate release solid dosage forms of the fixed combination of a dihydropyridine derivative and a ~-adrenoreceptor antagonist with improved bioavailability are described in EP-A-163984.
However, a fixed combination of the two drugs in a preparation producing reproducible and even plasma concentrations of both drugs over the dosage interval after once daily administration has not been available.
The large difference in physical-chemical properties between the two drugs makes it extremely difficult to obtain a suitable preparation based on conventional controlled release systems. A controlled release preparation of the two drugs would improve therapy through less frequent administration and improved patient compliance, (cf Hayes R.B. et al.
Clin.Pharm. Ther. (1977), 22, p. 125-130) may be obtained with controlled-release dosage forms. Although there has been a need for a controlled release preparation, expressed as far back as in 1977, for a once daily administration of the two drugs, such a preparation has not been ~vailable until the present inventors developed the preparation described in the following text.
Description of the Invention It is the object of the present invention to provide a preparation giving a high and reproducible extent of absorption as well as even plasma concentration during 24 hours after once daily administration of both a poorly water soluble calcium channel blocking agent of the dihydropyridine type, e.g. felodipine or nifedipine and a ~-adrenoreceptor antagonist, namely a salt of metoprolol. As a conventional controlled release preparation cannot give the desired ~12286 release properties of the two drugs simultaneously it has been necessary to develop a new type of controlled release preparatlon, which utili~es more than one mechanism for controlllng the r01ease of the active ingredients. The two drugs are because of that incorporated into one product utllizing two separate meehanisms ~or controlling the release of the two active ingredients, namely one for the dihydropyridine part and one for the ~-adrenoreceptor antagonist part.
Accordlngly it is an aspect of the present invention to provide a controlled xelease preparation for adminlstration once daily and containing a combination of metoprolol and a poorly water soluble calcium channel blocking agent of the dihydropyridine type, wherein metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol coated with a water insoluble polymeric membrane and the dihydropyridine is dispersed in a non-ionic solubilizer and whereby both the dispersed dihydropyridine and the beads containing metoprolol are incorporated into a matrix forming a swelling gel in contact with water.
It is also an aspect of the present invention to provlde a process for the manufacture of a cont.-olled release preparation containing a combination of metoprolol and poorly water soluble calcium channel blocking agent of the dihydropyridine type characterized in that metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol and said beads are spray-coated with a water insoluble polymeric membrane, containing derivatives o~ cellulose without protolysable groups and that said dihydropyridine is dispersed in 13122~6 5a 23940-613 a non-ionic solubli~er, whereafter both the beads and the dihydropyridine are incorporated into a matrix forming a swelling gel in contact with water.
The dihydropyridine compounds suitable for the controlled release preparations according to the invention are poorly soluble dihydropyridine compounds. The invention is especially advantageous for compounds with a solubility of less than 0.1 per cent by weight in water and which are solubilizable in a solubilizer of choice or in a combination of a solubilizer and water. Examples of drugs sui~able according to the invention are some substltuted dihydropyridines, such as nifedipine and felodiplne. Felodipine is 4-(2,3-dichlorophenyl)-1,4-dihydro-2,6-dimethyl-3,5-pyridinedicarboxylic acid ethyl methyl ester.
Nifedipine is 1,4-dihydro-2,6-dimethyl-4-(2-nitrophenyl)-3,5-pyridinecarboxylic acid dimethyl ester. Other examples are nimodipine, nisoldipine and nitrendipine.
The dihydropyridine is mixed with a hydrophilic swelling agent, e.g. hydroxypropyl methylcellulose (HPMC). From this mixture solid dosage forms such as tablets or capsules are prepared. When such a preparation comes in contact with water it forms a swollen gel matrix, out of which the drug is slowly released.
Among different hydrophilic materials tested, HPMC is a suitable gel-forming material. Other suitable examples of hydrophilic substances are guar gum, xanthan gumt car~oxymethylen and different cellulosic materials e.g. sodium carboxymethylcellulose and hydroxypropyl cellulose.
It is preferable to mainly use HPMC having a ~l3~ 2286 5b 23940-613 hydroxypropoxy con~ent of 4-12 weight-~, especially about 8,5 weight-% and a viscosity lower than 100 cps. HPMC of hlgher viscosity may be added to achieve the optimal rate o~ drug release. The viscosity is measured by a standardized method described e.g. in United States Pharmacopoeia X~I, 1985, p 672.
13~2286 The dihydropyridine is preferably dispersed in a non-ionic solubilizer before incorporation into the matrix. The solub;lizer permits dilution with water or intestinal fluids without the dihydropyr;dine being transformed into a poorly absorbable form. The cho;ce of solubilizer is critical. With some commonly used solubilizers or co-solvents dilution may cause precipitation of the drug. The mixture of the dihydropyridine and the solubilizer is incorporated ;nto a hydrophilic gel matrix, which gives a prolonged and controlled release of the drug.
The solubilizers 5uitable for the controlled-release of dihydropyridines according to the invention are non-ionic surface-active agents, especially such containing polyethyleneglycols as esters or ethers, They are preferably chosen from polyethoxylated fatty acids, hydroxylated fatty acids and fatty alcohols. It is especially preferred to choose the solubilizer from the group polyethoxylated castor oil, polyethoxylated hydrogenated castor oil, polyethoxylated fatty acid from castor oil or polyethoxylated fatty acid from hydrogenated castor oil. Particularly preferred solubilizers are esters of hydrogenated castor oil fatty acids with oxyethylated glycerine, e.g. polyoxyl 40 hydrogenated castor oil.
Commercially available solubilizers, which can be used are known under trade names Cremophor* Myrj* Polyoxyl*40 stearate~ Emerest*2675 and Lipal*395.
In the preparation according to the invention the proportion between the solubilizer and the dihydropyridine wil~ be 10:1 or lower, preferably 6:1 or lower.
The B-adrenoreceptor blocking agent is incorporated into the gel system described above in the form of coated beads of active component having a controlled release of the ~-adrenoreceptor blocking agent metoprolol during at least 15 hours. This is achieved by preparing a large number of small, pre~erably compact, particles all comprising a salt of metoprolol as the main soluble component and coated with a water insoluble polymeric membrane. The preferred coating contains non protolysable derivatives of cellulose groups as the main constituent.
* Trade -mark /~ '`
7 131~28~
The small particles, beads, containing metoprolol have a si~e of 0.25-2mm, preferably 0.35-1.0 mm. The beads may consist of the metropolol salt alone or mixed with insoluble excipients or insoluble cores coated with the metoprolol salt.
Metoprolol in the preparatîon is in the ~orm of the racemate or one of the enantiomers, preferably the S-isomer. Suitable soluble salts of metoprolol have a solubility of less than 600 m~/ml in water at 25C, preferably 30-600 mg/ml in water at 25QC. Examples of suitable salts are salts formed of organic carboxylic acids, preferably of low molecular weight. Especially preferred are the succinate, fumarate or bensoate of racemic metoprolol and the bensoate or sorbate of the S-enantiomer of metoprolol.
Examples of suitable polymeric materials for coating of the beads are soluble or insoluble derivatives of cellulose without protolysable groups or acrylic resins like Eudragit RL~ Eudragit R ~ alone or in combination. Especially preferred are ethylcellulose in combination with hydroxypropyl methylcellulose or hydroxypropyl cellulose.
The coated beads containing metoprolol described above and which according to the present invention are incorporated into the gel system containing a dihydropyridine are earlier described in ~P-A-220143. In EP-A-220143 it is also described that said beads are a suitable way of preparing a long-acting preparation of metoprolol.
The final prepara$ion is preferably in the form of a tablet, which in the gel-forming matrix contains both the dihydropyridine as well as the metoprolol beads. The metoprolol beads constitute 10-60 weight-%, and the gel forming agents constitute 20-80 weight-% of the preparation. The technical properties Gf the described controlled release system are excellent, making it very suitable for large scale production. The tablets may optionally be filmcoated to improve appearance and stability.
In vivo, the degree of drug absorption is both high and reproducible.
The concentration of drug in plasma and effect over tîme are governed by 8 13~2286 the rate of drug release from the sys~em. The release of the dihydropyridine is determined by the properties of the gel formlng agents and can be extended over periods up to 24 hours. The rate of release is easily changed to suit a certain dihydropyridine by the use of different types and amounts of gel forming agents of ~arying properties e.g. viscosity, and gel-strength. The rate of release of metoprolol from the metoprolol beads is modified mainly by the composition and thickness of the polymeric membrane. The release of metoprolol is generally extended over 16-24 hours.
By a careful choice of fillers and binders as well as gel forming material the preparation is manufactured into a commercia11y acceptable form, e.g. a tablet that shows unexpectedly good absorption of both active compounds as well as a prolonged duration of action.
In the examples below preparations according to the present invention contain 10-20 mg of the dihydropyridine and 95 mg metoprolol succinate.
However, depending on the dihydropyridine used and the condition to be treated, the amounts will generally be between 2.5 mg and 80 mg for the dihydropyridine and between 40 and 200 mg for metoprolol racemate as the succinate salt. When the S-enantiomer of metoprolol as the sorbate salt is included the corresponding amounts are between 25 to 120 mg. ~Jith other metoprolol salts the amounts will differ in relation to the molecular weight of the salt.
EXAMPLES
Example 1 Felodipine 10 Polyoxyl 40 hydrogenated castor oil 25 Polyvidon K90 24 35 Hydroxypropyl methylcellulose 230 Aluminium silicate 94 Lactose 56 Cellulose, microcrystalline 6 , Metoprolol succinate 95 ~i2 24 Ethylcellulose 32 Hydroxypropyl methylcellulose 8 The composition according to Example 1 was formed to a tablet containing 10 mg of felodipine and 95 mg metoprolol succinate per tablet. The tablets were prepared in the ~oll~wing way:
I. Felodipine was dissolved in polyoxyl 40 hydrogenated castor oil andthe solution obtained was carefully mixed with the carrier materials, HPMC, polyvidone K90, aluminium silicate, lactose and microcrystalline cellulose. The mixture was granulated with ethanol and dried.
II. Metoprolol was sprayed on~o cores of silicon dioxide to form beads of 0.5 mm diameter. The beads were coated with a polymeric film by spraying a solution of ethylcellulose and ~PMC in methylene chloride and isopropanol onto the beads in a fluidized bed.
I and II were mixed, a lubricant was added and tablets were made by compression in a tablet machine. 'f The dissolution of both felodipine and metoprolol from the tablet is given in Table 1.
Table 1.
Cumulative in vitro dissolution of felodipine and metoprolol in a phosphate buffer of pH 6.5 with 1~ sodium dodecylsulphate.
Method: USP dissolution apparatus No. 2, 50 rpm.
131228~
Per cent released over time (h) felod;p;ne 0 14 32 64 88 96 98 metoprolol 0 5 16 39 65 86 95 Example 2 Nifedipine 20 Myrj 51 50 Hydroxypropyl methylcellulose 200 15 Xanthan gum 15 Guar gum 15 Carboxypolymethylene 4 Aluminium silicate 100 Metoprolol succinate 95 SiO2 24 Ethylcellulose 23 The composition according to Example 2 was formed to a tablet containing 20 mg of nifedipine and 95 mg of metoprolol succinate. The tablets were prepared as follows:
I. Nifedipine was dissolved in Myrj 51 and the solution obtained was carefully mixed with the carrier materials, HPMC, xanthan gum, guar gum, carboxypolymethylene and aluminium silicate. The mixture was granulated with ethanol and dried.
II. Metoprolol was sprayed onto cores of silicon dioxide to form beads of 0.5 mm in diameter and coated with a polymeric film of ethylcellulose as described in Example 1.
I and II were mixed, a lubricant was added and tablets made by compression in a tablet machine.
i312286 The in vitro dissolution of both nifedipine and metoprolol from the tablet was extended, see Table 2.
Table 2.
s Cumulative in vitro dissolution of nifedipine and metoprolol in a phosphate buffer of pH 6.5 ~ith 1~ sodium dodecylsulphate.
Method: USP dissolution apparatus No. 2, 100 rpm.
Per cent released over time (h) nifedipine 0 12 26 44 72 90 98 metoprolol 0 6 16 34 50 62 75 At present both Example 1 and Example 2 are considered to be equally good modes of carrying out the invention.
The following reference examples describe different preparations used in the biopharmaceutical studies. Reference example A illustrates conventional tablets. Reference example B illustrates a preparation, wherein metoprolol has been incorporated into a formulation especially suitable for dihydropyridines and Reference example C il1ustrates a preparation, wherein feiodipine has been incorporated into a controlled release pellet preparation.
Reference example A
Felodipine 10 mg conventional tablets and Metoprolol 100 mg conventional tablets (100 mg metoprolol tartrate corresponds to 95 mg metoprolol succinate) 12 131228~
Reference example B
Metoprolol succinate 95 Polyoxyl 40 hydrogenated 5 castor oil 25 Hydroxypropyl methylcellulose 230 Aluminium silicate 94 The composition according to Reference example B was formed to hydrophilic matrix tablets containing 95 mg metoprolol succinate per tablet. The tablets were prepared in the following way:
Metoprolol was mixed with polyoxyl 40 hydrogenated castor oil and then carefully mixed with the carrier materials, HPMC and aluminium silicate.
The mixture was granulated with ethanol and dried. A lubricant was added and tablets were made by compression in a tablet machine.
The dissolution rate in vitro from this tablet is shown in Table 3.
Table 3.
Cumulative in vitro dissolution of metoprolol in a phosphate buffer pH 6.8.
Method: USP dissolution apparatus No. 2, 50 rpm.
Per cent released over time (h) 0 23 59 86 99 lQ0 Reference example C
Felodipine 66 35 Methylcellulose 13 Mannitol 870 Polyvinylpyrrolidone 30 Cellulose, microcrystalline 40 Ethylcellulose 34 Polyethyleneglycol 41.8 The composition according to Reference example C was formed to controlled release capsules containing 10 mg of felodipine per capsule.
The capsules were prepared in the following way:
Felodipine was micronized and carefully mixed with the carrier, mannitol, methylcellulose, polyvinylpyrrolidone and cellulose. The mixture was moistened with water and spheronized. The granules obtained were dried and sieved, the fraction 0.71-1.12 was used. The fraction was coated with ethylcellulose and polyethylenglycol dissolved in a mixture of methylene chloride and isopropylalcohol. The coated granules were filled into hard gelatine capsules. In vitro, the release of felodipine from the granules was similar to that of the tablet of Example 1.
Biopharmaceutical studies The extended-release preparation (ER) according to Example 1 was given as a single dose to 12 healthy subjects. In Fig. 1 and 2 the mean plasma curves produced for felodipine and metoprolol as the fixed combination tablet (E~) are shown. The obtained concentration of both drugs in plasma will result in an even effect over 24 hours during continuous therapy.
In Fig. 1 and 2 also the average concentrations of felodipine and metoprolol in plasma after administration of single doses of the conventional tablets, Reference example A, are compared with those after administration of the preparation in Example 1. The metoprolol conventional tablet was given to 10 volunteers and the felodipine conventional tablet to 12 volunteers.
The pellets of ~eference example C were given to 6 healthy subjects as a single dose. Plasma samples were taken after 9.5, 1, 2, 3, 4, 6~ 8 and 10 hours. In none of the samples could any felodipine be detected.
~, ~
13~2286 Discussion I
The preparation according to the invention gives a virtually constant and extended release of both felodipine and metoprolol in vitro, Table 1. The corresponding in vivo data shows that the product also gives a controlled and even concentration of both drugs in plasma, Fig. 1 and 2. The advantage of the formulation according to the invention is obvious when comparing the mentioned in vivo data with those after administration of conventional tablets, Fig. 1 and 2. With conventional tablets the concentration of drug plasma is very low 24 hours after administration and in consequence little or no effect may be anticipated. Also the fixed combination of nifedipine and metoprolol in a formulation according to the invention gives the desired extended release of both drugs, cf. Table 2.
As demonstrated by the fast in vitro release of metoprolol from the dosage form of Reference example B, cf. Table 3, it is not possible to achieve the desired release profile over a 20 hour period by just incorporating a metoprolol salt in the hydrophilic swelling matrix used for the dihydropyridine part of the invention. In parallel, it has not been possible to obtain acceptable dihydropyridine plasma levels from a product where the drug without solubilizer is incorporated into coated beads. An in vivo study in healthy subjects of Reference example C gave no detectable levels of felodipine in plasma, cf. above.
To decrease the fluctuation of plasma levels, and to permit once daily dosing of a dihydropyridine der;vative and metoprolol an extended release of both drugs is required. This cannot be achieved by use of one single kind of controlled release system according to the prior art.
Thus, the presen~ invention which makes use of two separate kinds of controlled release systems incorporated into one unique and new dosage form provides both good absorption and long-effect duration of the two drugs.
.
. . .
.
New pharmaceutical preparation and a proces~ for i~s prepa~ation Field o~ the Invention The present invention is related to pharmaceutical extended-release preparations of two drugs of which one is a poorly water soluble compound, namely a calcium channel blocking agent of the dihydropyridine type, and the other is a salt of the ~-adrenoreceptor antagonist metoprolol, and to methods of preparing such preparations.
1~
The object of this invention is to obtain a solid preparation with a high extent o~ bioavailability of the two drugs in combination with an extended absorption from the gastrointestinal tract thus acheiving an even effect over 24 hours after once daily administration.
Background of the Invention The pharmacological agents calcium antagonists of the dihydropyridine type and ~-adrenoreceptor antagonists are widely used in the treatment 2n of cardiovascular disorders.
The mentioned dihydropyridines, e.g. felodipine, nifedipine and nitrendipine, are commonly used in the treatment of cardiovascular disorders like arterial hypertension and ischemic heart disease. The dihydropyridines reduce vascular resistance and load of the heart through a direct effect on the smooth muscles of the blood vessels. The dihydropyridines are characterized by an extremely low solubility in water and for such drugs a low and variable extent of absorption is often seen as the dissolution o~ the drug in vivo may be rate-limiting.
Several ways to increase drug absorption have been described in the prior litterature. One way is described in DE-A-3024858, where a sparingly soluble substituted dihydropyridine, nicardipine, is used in its amorphous form in order to obtain increased absorption o~ the active compound from the intestine. Another way is described in EP-A-47899~
.~
where very small crystals of a practically insoluble dihydropyridine, nifedipine, have been used in order to increase the extent of the bioavailability. These methods and others are also described in "Techniques o$ solubilization of drugs"~ Ed S.H. Yalkowsky in Drugs and the pharmaceutical sciences, Vol 12. Of particular relevance to the present invention is that surfactant solubilizing agents may be employed in order to increase the bioava;lability of the drugs with very low solubility. It is stated that the improvement of absorption properties can be ascribed to three processes: 1~ increased wetting 2) increased permeability of membranes and 3) solubilization.
In vivo, the plasma concentration versus time profile af~er administration of dihydropyridine conventional tablets is characterized by high peak concentrations and comparatively low trough levels. The blood pressure response mirrors the plasma concentration curve, i.e.
there is a pronounced effect at the time of the peak and a much less effect after 24 hours. Accordingly, a conventional tablet is not optimal for once daily administration and the more even plasma concentrations produced by a controlled release preparation of high quality would be preferred.
Conventionally, controlled and extended release is achieved by controlling dissolution and/or diffusion of medicament from the dosage form. Several materials are employed for this purpose e.g waxes, fatty materials, polymers, natural, synthetic and semisynthetic gums. Among the gums,hydroxypropyl methylcellulose (HPMC) constitutes an important class because of its pH-independent properties as well as its semisynthetic origin. A review of cellulose ethers in hydrophilic matrices for oral controlled release dosage forms is given by Alderman D.A. Int.J.Pharm. Tech. & Prod. Mfr (1984), 5t3) 1-9. The chemical treatment of HPMC to generate a desired constitution and the use of these qualities are disclosed in US 3 087 790, US 4 226 849, US 4 357 469 and US 4 369 172. SE-A-8008646-5 describes a combination o~ HPMC and hydroxypropyl cellulose which is used to control the release rate of a pharmaceutically active compound.
~312286 Wh2n a hydrophilic matrix is used the soluble polymer forms a gelatinous layer around the tablet after exposure to gastro-intestinal fluids or saliva. The release of the drug i5 limited by the rate of water penetration into, and diffusion of drug through, the gel formed tBamba et al. Int.J.Pharm. (1979),2,307). Erosion of the gel structure is also an important release mechanism of a drug from the system. The polymers used havP to hydrate rapidly in order to protect the tablet from fast dissintegration ~Alderman 1984).
Drugs with a very low solubility in water may be poorly absorbed from the gastro-intestinal tract due to incomplete or slow dissolution.
Consequently it is difficult to increase the duration of effect through a controlled slow dissolution of such a drug without lowering the bioavailability (Bogentoft C and Sjogren J, Towards Better Safety of Drugs and Pharmaceutical Products, Editor D.D. Breimer, 1980 Elsevier/North Holland Biomedical Press~.
The ~-adrenoreceptor antagonists block the adrenergic stimulation of the heart and thus reduce the oxygen demand of the cardiac tissue.
Apparently, this explains their beneficial effects in angina pectoris and cardioprotective action in myocardial infarction. In addition, B-adrenoreceptor antagonists normalize blood pressure in a large proportion of patients with arterial hypertension which probably is due to an additional action on the control of peripheral resistance to blood-flow. For patients treated with B-adrenoreceptor antagonists for cardiovascular disorders it is advantageous to have a constant concentration of the administered drug in the blood. For dosage once a day the B-adrenoreceptor antagonist metoprolol has been incorporated in controlled release tablets of the insoluble matrix type, e.g. Durules~
However, the drug release from the matrix tablets is not satisfying as about 50 % of the dose is released within a few hours after administration. For a drug like metoprolol with a comparatively short half-life a slower release rate is required in order to obtain even plasma concentrations over 24 hours. A constant release of metoprolol over 20-24 hours would be preferred. A preparation of metoprolol with such properties is described in EP-A-220 143.
~3i22~6 It has been shown that a combination of a ~-adrenoreceptor antagonist and a vasodilating dihydropyridine is of advantage in many hypertensive patients since the two agents have synergistic effects (Hansson BG et al, Drugs 1985:29 (suppl 2); 131-135, Eggerston R and Hansson L Eur. J.
~lin. Pharmacol 1982:21;389-390). In addition to the synergistic e~fects, a co-administration offers advantages regarding decrease in unwanted reflex counteractions elicited by either drug when administered alone (Dean S and Kendall M J Eur. J. Clin. Pharmacol 19~3:24;1-5).
Immediate release solid dosage forms of the fixed combination of a dihydropyridine derivative and a ~-adrenoreceptor antagonist with improved bioavailability are described in EP-A-163984.
However, a fixed combination of the two drugs in a preparation producing reproducible and even plasma concentrations of both drugs over the dosage interval after once daily administration has not been available.
The large difference in physical-chemical properties between the two drugs makes it extremely difficult to obtain a suitable preparation based on conventional controlled release systems. A controlled release preparation of the two drugs would improve therapy through less frequent administration and improved patient compliance, (cf Hayes R.B. et al.
Clin.Pharm. Ther. (1977), 22, p. 125-130) may be obtained with controlled-release dosage forms. Although there has been a need for a controlled release preparation, expressed as far back as in 1977, for a once daily administration of the two drugs, such a preparation has not been ~vailable until the present inventors developed the preparation described in the following text.
Description of the Invention It is the object of the present invention to provide a preparation giving a high and reproducible extent of absorption as well as even plasma concentration during 24 hours after once daily administration of both a poorly water soluble calcium channel blocking agent of the dihydropyridine type, e.g. felodipine or nifedipine and a ~-adrenoreceptor antagonist, namely a salt of metoprolol. As a conventional controlled release preparation cannot give the desired ~12286 release properties of the two drugs simultaneously it has been necessary to develop a new type of controlled release preparatlon, which utili~es more than one mechanism for controlllng the r01ease of the active ingredients. The two drugs are because of that incorporated into one product utllizing two separate meehanisms ~or controlling the release of the two active ingredients, namely one for the dihydropyridine part and one for the ~-adrenoreceptor antagonist part.
Accordlngly it is an aspect of the present invention to provide a controlled xelease preparation for adminlstration once daily and containing a combination of metoprolol and a poorly water soluble calcium channel blocking agent of the dihydropyridine type, wherein metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol coated with a water insoluble polymeric membrane and the dihydropyridine is dispersed in a non-ionic solubilizer and whereby both the dispersed dihydropyridine and the beads containing metoprolol are incorporated into a matrix forming a swelling gel in contact with water.
It is also an aspect of the present invention to provlde a process for the manufacture of a cont.-olled release preparation containing a combination of metoprolol and poorly water soluble calcium channel blocking agent of the dihydropyridine type characterized in that metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol and said beads are spray-coated with a water insoluble polymeric membrane, containing derivatives o~ cellulose without protolysable groups and that said dihydropyridine is dispersed in 13122~6 5a 23940-613 a non-ionic solubli~er, whereafter both the beads and the dihydropyridine are incorporated into a matrix forming a swelling gel in contact with water.
The dihydropyridine compounds suitable for the controlled release preparations according to the invention are poorly soluble dihydropyridine compounds. The invention is especially advantageous for compounds with a solubility of less than 0.1 per cent by weight in water and which are solubilizable in a solubilizer of choice or in a combination of a solubilizer and water. Examples of drugs sui~able according to the invention are some substltuted dihydropyridines, such as nifedipine and felodiplne. Felodipine is 4-(2,3-dichlorophenyl)-1,4-dihydro-2,6-dimethyl-3,5-pyridinedicarboxylic acid ethyl methyl ester.
Nifedipine is 1,4-dihydro-2,6-dimethyl-4-(2-nitrophenyl)-3,5-pyridinecarboxylic acid dimethyl ester. Other examples are nimodipine, nisoldipine and nitrendipine.
The dihydropyridine is mixed with a hydrophilic swelling agent, e.g. hydroxypropyl methylcellulose (HPMC). From this mixture solid dosage forms such as tablets or capsules are prepared. When such a preparation comes in contact with water it forms a swollen gel matrix, out of which the drug is slowly released.
Among different hydrophilic materials tested, HPMC is a suitable gel-forming material. Other suitable examples of hydrophilic substances are guar gum, xanthan gumt car~oxymethylen and different cellulosic materials e.g. sodium carboxymethylcellulose and hydroxypropyl cellulose.
It is preferable to mainly use HPMC having a ~l3~ 2286 5b 23940-613 hydroxypropoxy con~ent of 4-12 weight-~, especially about 8,5 weight-% and a viscosity lower than 100 cps. HPMC of hlgher viscosity may be added to achieve the optimal rate o~ drug release. The viscosity is measured by a standardized method described e.g. in United States Pharmacopoeia X~I, 1985, p 672.
13~2286 The dihydropyridine is preferably dispersed in a non-ionic solubilizer before incorporation into the matrix. The solub;lizer permits dilution with water or intestinal fluids without the dihydropyr;dine being transformed into a poorly absorbable form. The cho;ce of solubilizer is critical. With some commonly used solubilizers or co-solvents dilution may cause precipitation of the drug. The mixture of the dihydropyridine and the solubilizer is incorporated ;nto a hydrophilic gel matrix, which gives a prolonged and controlled release of the drug.
The solubilizers 5uitable for the controlled-release of dihydropyridines according to the invention are non-ionic surface-active agents, especially such containing polyethyleneglycols as esters or ethers, They are preferably chosen from polyethoxylated fatty acids, hydroxylated fatty acids and fatty alcohols. It is especially preferred to choose the solubilizer from the group polyethoxylated castor oil, polyethoxylated hydrogenated castor oil, polyethoxylated fatty acid from castor oil or polyethoxylated fatty acid from hydrogenated castor oil. Particularly preferred solubilizers are esters of hydrogenated castor oil fatty acids with oxyethylated glycerine, e.g. polyoxyl 40 hydrogenated castor oil.
Commercially available solubilizers, which can be used are known under trade names Cremophor* Myrj* Polyoxyl*40 stearate~ Emerest*2675 and Lipal*395.
In the preparation according to the invention the proportion between the solubilizer and the dihydropyridine wil~ be 10:1 or lower, preferably 6:1 or lower.
The B-adrenoreceptor blocking agent is incorporated into the gel system described above in the form of coated beads of active component having a controlled release of the ~-adrenoreceptor blocking agent metoprolol during at least 15 hours. This is achieved by preparing a large number of small, pre~erably compact, particles all comprising a salt of metoprolol as the main soluble component and coated with a water insoluble polymeric membrane. The preferred coating contains non protolysable derivatives of cellulose groups as the main constituent.
* Trade -mark /~ '`
7 131~28~
The small particles, beads, containing metoprolol have a si~e of 0.25-2mm, preferably 0.35-1.0 mm. The beads may consist of the metropolol salt alone or mixed with insoluble excipients or insoluble cores coated with the metoprolol salt.
Metoprolol in the preparatîon is in the ~orm of the racemate or one of the enantiomers, preferably the S-isomer. Suitable soluble salts of metoprolol have a solubility of less than 600 m~/ml in water at 25C, preferably 30-600 mg/ml in water at 25QC. Examples of suitable salts are salts formed of organic carboxylic acids, preferably of low molecular weight. Especially preferred are the succinate, fumarate or bensoate of racemic metoprolol and the bensoate or sorbate of the S-enantiomer of metoprolol.
Examples of suitable polymeric materials for coating of the beads are soluble or insoluble derivatives of cellulose without protolysable groups or acrylic resins like Eudragit RL~ Eudragit R ~ alone or in combination. Especially preferred are ethylcellulose in combination with hydroxypropyl methylcellulose or hydroxypropyl cellulose.
The coated beads containing metoprolol described above and which according to the present invention are incorporated into the gel system containing a dihydropyridine are earlier described in ~P-A-220143. In EP-A-220143 it is also described that said beads are a suitable way of preparing a long-acting preparation of metoprolol.
The final prepara$ion is preferably in the form of a tablet, which in the gel-forming matrix contains both the dihydropyridine as well as the metoprolol beads. The metoprolol beads constitute 10-60 weight-%, and the gel forming agents constitute 20-80 weight-% of the preparation. The technical properties Gf the described controlled release system are excellent, making it very suitable for large scale production. The tablets may optionally be filmcoated to improve appearance and stability.
In vivo, the degree of drug absorption is both high and reproducible.
The concentration of drug in plasma and effect over tîme are governed by 8 13~2286 the rate of drug release from the sys~em. The release of the dihydropyridine is determined by the properties of the gel formlng agents and can be extended over periods up to 24 hours. The rate of release is easily changed to suit a certain dihydropyridine by the use of different types and amounts of gel forming agents of ~arying properties e.g. viscosity, and gel-strength. The rate of release of metoprolol from the metoprolol beads is modified mainly by the composition and thickness of the polymeric membrane. The release of metoprolol is generally extended over 16-24 hours.
By a careful choice of fillers and binders as well as gel forming material the preparation is manufactured into a commercia11y acceptable form, e.g. a tablet that shows unexpectedly good absorption of both active compounds as well as a prolonged duration of action.
In the examples below preparations according to the present invention contain 10-20 mg of the dihydropyridine and 95 mg metoprolol succinate.
However, depending on the dihydropyridine used and the condition to be treated, the amounts will generally be between 2.5 mg and 80 mg for the dihydropyridine and between 40 and 200 mg for metoprolol racemate as the succinate salt. When the S-enantiomer of metoprolol as the sorbate salt is included the corresponding amounts are between 25 to 120 mg. ~Jith other metoprolol salts the amounts will differ in relation to the molecular weight of the salt.
EXAMPLES
Example 1 Felodipine 10 Polyoxyl 40 hydrogenated castor oil 25 Polyvidon K90 24 35 Hydroxypropyl methylcellulose 230 Aluminium silicate 94 Lactose 56 Cellulose, microcrystalline 6 , Metoprolol succinate 95 ~i2 24 Ethylcellulose 32 Hydroxypropyl methylcellulose 8 The composition according to Example 1 was formed to a tablet containing 10 mg of felodipine and 95 mg metoprolol succinate per tablet. The tablets were prepared in the ~oll~wing way:
I. Felodipine was dissolved in polyoxyl 40 hydrogenated castor oil andthe solution obtained was carefully mixed with the carrier materials, HPMC, polyvidone K90, aluminium silicate, lactose and microcrystalline cellulose. The mixture was granulated with ethanol and dried.
II. Metoprolol was sprayed on~o cores of silicon dioxide to form beads of 0.5 mm diameter. The beads were coated with a polymeric film by spraying a solution of ethylcellulose and ~PMC in methylene chloride and isopropanol onto the beads in a fluidized bed.
I and II were mixed, a lubricant was added and tablets were made by compression in a tablet machine. 'f The dissolution of both felodipine and metoprolol from the tablet is given in Table 1.
Table 1.
Cumulative in vitro dissolution of felodipine and metoprolol in a phosphate buffer of pH 6.5 with 1~ sodium dodecylsulphate.
Method: USP dissolution apparatus No. 2, 50 rpm.
131228~
Per cent released over time (h) felod;p;ne 0 14 32 64 88 96 98 metoprolol 0 5 16 39 65 86 95 Example 2 Nifedipine 20 Myrj 51 50 Hydroxypropyl methylcellulose 200 15 Xanthan gum 15 Guar gum 15 Carboxypolymethylene 4 Aluminium silicate 100 Metoprolol succinate 95 SiO2 24 Ethylcellulose 23 The composition according to Example 2 was formed to a tablet containing 20 mg of nifedipine and 95 mg of metoprolol succinate. The tablets were prepared as follows:
I. Nifedipine was dissolved in Myrj 51 and the solution obtained was carefully mixed with the carrier materials, HPMC, xanthan gum, guar gum, carboxypolymethylene and aluminium silicate. The mixture was granulated with ethanol and dried.
II. Metoprolol was sprayed onto cores of silicon dioxide to form beads of 0.5 mm in diameter and coated with a polymeric film of ethylcellulose as described in Example 1.
I and II were mixed, a lubricant was added and tablets made by compression in a tablet machine.
i312286 The in vitro dissolution of both nifedipine and metoprolol from the tablet was extended, see Table 2.
Table 2.
s Cumulative in vitro dissolution of nifedipine and metoprolol in a phosphate buffer of pH 6.5 ~ith 1~ sodium dodecylsulphate.
Method: USP dissolution apparatus No. 2, 100 rpm.
Per cent released over time (h) nifedipine 0 12 26 44 72 90 98 metoprolol 0 6 16 34 50 62 75 At present both Example 1 and Example 2 are considered to be equally good modes of carrying out the invention.
The following reference examples describe different preparations used in the biopharmaceutical studies. Reference example A illustrates conventional tablets. Reference example B illustrates a preparation, wherein metoprolol has been incorporated into a formulation especially suitable for dihydropyridines and Reference example C il1ustrates a preparation, wherein feiodipine has been incorporated into a controlled release pellet preparation.
Reference example A
Felodipine 10 mg conventional tablets and Metoprolol 100 mg conventional tablets (100 mg metoprolol tartrate corresponds to 95 mg metoprolol succinate) 12 131228~
Reference example B
Metoprolol succinate 95 Polyoxyl 40 hydrogenated 5 castor oil 25 Hydroxypropyl methylcellulose 230 Aluminium silicate 94 The composition according to Reference example B was formed to hydrophilic matrix tablets containing 95 mg metoprolol succinate per tablet. The tablets were prepared in the following way:
Metoprolol was mixed with polyoxyl 40 hydrogenated castor oil and then carefully mixed with the carrier materials, HPMC and aluminium silicate.
The mixture was granulated with ethanol and dried. A lubricant was added and tablets were made by compression in a tablet machine.
The dissolution rate in vitro from this tablet is shown in Table 3.
Table 3.
Cumulative in vitro dissolution of metoprolol in a phosphate buffer pH 6.8.
Method: USP dissolution apparatus No. 2, 50 rpm.
Per cent released over time (h) 0 23 59 86 99 lQ0 Reference example C
Felodipine 66 35 Methylcellulose 13 Mannitol 870 Polyvinylpyrrolidone 30 Cellulose, microcrystalline 40 Ethylcellulose 34 Polyethyleneglycol 41.8 The composition according to Reference example C was formed to controlled release capsules containing 10 mg of felodipine per capsule.
The capsules were prepared in the following way:
Felodipine was micronized and carefully mixed with the carrier, mannitol, methylcellulose, polyvinylpyrrolidone and cellulose. The mixture was moistened with water and spheronized. The granules obtained were dried and sieved, the fraction 0.71-1.12 was used. The fraction was coated with ethylcellulose and polyethylenglycol dissolved in a mixture of methylene chloride and isopropylalcohol. The coated granules were filled into hard gelatine capsules. In vitro, the release of felodipine from the granules was similar to that of the tablet of Example 1.
Biopharmaceutical studies The extended-release preparation (ER) according to Example 1 was given as a single dose to 12 healthy subjects. In Fig. 1 and 2 the mean plasma curves produced for felodipine and metoprolol as the fixed combination tablet (E~) are shown. The obtained concentration of both drugs in plasma will result in an even effect over 24 hours during continuous therapy.
In Fig. 1 and 2 also the average concentrations of felodipine and metoprolol in plasma after administration of single doses of the conventional tablets, Reference example A, are compared with those after administration of the preparation in Example 1. The metoprolol conventional tablet was given to 10 volunteers and the felodipine conventional tablet to 12 volunteers.
The pellets of ~eference example C were given to 6 healthy subjects as a single dose. Plasma samples were taken after 9.5, 1, 2, 3, 4, 6~ 8 and 10 hours. In none of the samples could any felodipine be detected.
~, ~
13~2286 Discussion I
The preparation according to the invention gives a virtually constant and extended release of both felodipine and metoprolol in vitro, Table 1. The corresponding in vivo data shows that the product also gives a controlled and even concentration of both drugs in plasma, Fig. 1 and 2. The advantage of the formulation according to the invention is obvious when comparing the mentioned in vivo data with those after administration of conventional tablets, Fig. 1 and 2. With conventional tablets the concentration of drug plasma is very low 24 hours after administration and in consequence little or no effect may be anticipated. Also the fixed combination of nifedipine and metoprolol in a formulation according to the invention gives the desired extended release of both drugs, cf. Table 2.
As demonstrated by the fast in vitro release of metoprolol from the dosage form of Reference example B, cf. Table 3, it is not possible to achieve the desired release profile over a 20 hour period by just incorporating a metoprolol salt in the hydrophilic swelling matrix used for the dihydropyridine part of the invention. In parallel, it has not been possible to obtain acceptable dihydropyridine plasma levels from a product where the drug without solubilizer is incorporated into coated beads. An in vivo study in healthy subjects of Reference example C gave no detectable levels of felodipine in plasma, cf. above.
To decrease the fluctuation of plasma levels, and to permit once daily dosing of a dihydropyridine der;vative and metoprolol an extended release of both drugs is required. This cannot be achieved by use of one single kind of controlled release system according to the prior art.
Thus, the presen~ invention which makes use of two separate kinds of controlled release systems incorporated into one unique and new dosage form provides both good absorption and long-effect duration of the two drugs.
.
. . .
.
Claims (11)
1. A controlled release preparation for administration once daily and containing a combination of metoprolol and a poorly water soluble calcium channel blocking agent of the dihydropyridine type, wherein metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol coated with a waterinsoluble polymeric membrane and the dihydropyridine is dispersed in a non-ionic solubilizer and whereby both the dispersed dihydropyridine and the beads containing metoprolol are incorporated into a matrix forming a swelling gel in contact with water.
2. A preparation according to claim 1 wherein the non-ionic solubilizer is selected from the group polyethoxylated castor oil, polyethoxylated hydrogenated castor oil, polyethoxylated fatty acid from castor oil or polyethoxylated fatty acid from hydrogenated castor oil.
3. A preparation according to claim 1 wherein the non-ionic solubilizer is esters of hydrogenated castor oil fatty acids with oxyethylated glycerine.
4. A preparation according to claim 1 wherein the dihydropyridine is felodipine.
5. A preparation according to claim 1 wherein the dihydropyridine is nifedipine.
6. A preparation according to claim 1 wherein the gel-forming matrix contains hydroxypropyl methylcellulose.
7. A preparation according to claim 1 wherein metoprolol is in the form of its succinate.
8. A preparation according to claim 1 wherein the amount of the dihydropyridine varies between 2.5 mg and 80 mg and the amount of metoprolol succinate racemate between 40 mg and 200 mg.
9. A preparation according to claim 1 wherein metoprolol is in the form of the sorbate of the S-enantiomer and the amount varies between 25 mg and 120 mg.
10. A preparation according to claim 1 wherein metoprolol is in the form of the bensoate or sorbate of the S-enantiomer of metoprolol.
11. A process for the manufacture of a controlled release preparation containing a combination of metoprolol and a poorly water soluble calcium channel blocking agent of the dihydropyridine type characterized in that metoprolol is included in the form of small beads containing as the main soluble component a salt of metoprolol and said beads are spray-coated with a waterinsoluble polymeric membrane, containing derivatives of cellulose without protolysable groups and that said dihydropyridine is dispersed in a non-ionic solubilizer, whereafter both the beads and the dihydropyridine are incorporated into a matrix forming a swelling gel in contact with water.
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SE8703881A SE8703881D0 (en) | 1987-10-08 | 1987-10-08 | NEW PHARMACEUTICAL PREPARATION |
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1987
- 1987-10-08 SE SE8703881A patent/SE8703881D0/en unknown
-
1988
- 1988-09-16 AU AU22374/88A patent/AU615211B2/en not_active Expired
- 1988-09-20 NZ NZ226245A patent/NZ226245A/en unknown
- 1988-09-22 AT AT88850319T patent/ATE84412T1/en not_active IP Right Cessation
- 1988-09-22 EP EP88850319A patent/EP0311582B1/en not_active Expired - Lifetime
- 1988-09-22 ES ES88850319T patent/ES2053815T3/en not_active Expired - Lifetime
- 1988-09-22 DE DE8888850319T patent/DE3877492T2/en not_active Expired - Lifetime
- 1988-09-27 NO NO884269A patent/NO177375C/en not_active IP Right Cessation
- 1988-09-27 IE IE292188A patent/IE63084B1/en not_active IP Right Cessation
- 1988-09-29 US US07/250,945 patent/US4942040A/en not_active Expired - Lifetime
- 1988-09-29 PH PH37615A patent/PH25568A/en unknown
- 1988-10-05 IL IL87922A patent/IL87922A/en active Protection Beyond IP Right Term
- 1988-10-06 DK DK198805586A patent/DK175085B1/en active
- 1988-10-06 MX MX013316A patent/MX169243B/en unknown
- 1988-10-06 IS IS3398A patent/IS1584B/en unknown
- 1988-10-06 MY MYPI88001120A patent/MY104065A/en unknown
- 1988-10-07 JP JP63252209A patent/JP2619936B2/en not_active Expired - Lifetime
- 1988-10-07 FI FI884636A patent/FI92903C/en not_active IP Right Cessation
- 1988-10-07 KR KR88013076A patent/KR960009411B1/en not_active IP Right Cessation
- 1988-10-07 CA CA000579566A patent/CA1312286C/en not_active Expired - Lifetime
- 1988-10-07 PT PT88711A patent/PT88711B/en not_active IP Right Cessation
- 1988-10-08 CN CN88109129A patent/CN1029935C/en not_active Expired - Lifetime
-
1993
- 1993-01-14 GR GR930400002T patent/GR3006788T3/el unknown
-
1994
- 1994-12-15 HU HU94P/P00056P patent/HU210461A9/en unknown
-
1996
- 1996-01-11 HK HK6296A patent/HK6296A/en not_active IP Right Cessation
- 1996-09-27 CY CY189696A patent/CY1896A/en unknown
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2007048233A1 (en) * | 2005-10-24 | 2007-05-03 | Orbus Pharma Inc. | Stabilized extended release pharmaceutical compositions comprising a beta-adrenoreceptor antagonist |
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