WO2016038623A2 - Forme posologique pharmaceutique stable au goût masqué - Google Patents
Forme posologique pharmaceutique stable au goût masqué Download PDFInfo
- Publication number
- WO2016038623A2 WO2016038623A2 PCT/IN2015/000353 IN2015000353W WO2016038623A2 WO 2016038623 A2 WO2016038623 A2 WO 2016038623A2 IN 2015000353 W IN2015000353 W IN 2015000353W WO 2016038623 A2 WO2016038623 A2 WO 2016038623A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- drug
- pharmaceutical composition
- water
- solid phase
- bitter
- Prior art date
Links
- 235000019640 taste Nutrition 0.000 title claims abstract description 18
- 239000002552 dosage form Substances 0.000 title description 3
- 229940079593 drug Drugs 0.000 claims abstract description 105
- 239000003814 drug Substances 0.000 claims abstract description 105
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 68
- 239000000203 mixture Substances 0.000 claims abstract description 44
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 41
- 239000000725 suspension Substances 0.000 claims abstract description 36
- 235000019658 bitter taste Nutrition 0.000 claims abstract description 27
- 239000007790 solid phase Substances 0.000 claims abstract description 24
- 239000008187 granular material Substances 0.000 claims abstract description 20
- 239000008188 pellet Substances 0.000 claims abstract description 20
- 239000003826 tablet Substances 0.000 claims abstract description 18
- 239000000843 powder Substances 0.000 claims abstract description 14
- 239000003002 pH adjusting agent Substances 0.000 claims abstract description 13
- MYSWGUAQZAJSOK-UHFFFAOYSA-N ciprofloxacin Chemical compound C12=CC(N3CCNCC3)=C(F)C=C2C(=O)C(C(=O)O)=CN1C1CC1 MYSWGUAQZAJSOK-UHFFFAOYSA-N 0.000 claims description 16
- 238000000034 method Methods 0.000 claims description 16
- 238000010979 pH adjustment Methods 0.000 claims description 16
- 239000003463 adsorbent Substances 0.000 claims description 9
- 229960003405 ciprofloxacin Drugs 0.000 claims description 8
- 238000011065 in-situ storage Methods 0.000 claims description 8
- 229910052909 inorganic silicate Inorganic materials 0.000 claims description 7
- 239000000395 magnesium oxide Substances 0.000 claims description 7
- CPLXHLVBOLITMK-UHFFFAOYSA-N magnesium oxide Inorganic materials [Mg]=O CPLXHLVBOLITMK-UHFFFAOYSA-N 0.000 claims description 7
- AXZKOIWUVFPNLO-UHFFFAOYSA-N magnesium;oxygen(2-) Chemical compound [O-2].[Mg+2] AXZKOIWUVFPNLO-UHFFFAOYSA-N 0.000 claims description 7
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 7
- ODKSFYDXXFIFQN-BYPYZUCNSA-N L-arginine Chemical compound OC(=O)[C@@H](N)CCCN=C(N)N ODKSFYDXXFIFQN-BYPYZUCNSA-N 0.000 claims description 6
- 238000011068 loading method Methods 0.000 claims description 6
- 239000000796 flavoring agent Substances 0.000 claims description 5
- 235000019634 flavors Nutrition 0.000 claims description 5
- 238000001179 sorption measurement Methods 0.000 claims description 5
- GXGAKHNRMVGRPK-UHFFFAOYSA-N dimagnesium;dioxido-bis[[oxido(oxo)silyl]oxy]silane Chemical compound [Mg+2].[Mg+2].[O-][Si](=O)O[Si]([O-])([O-])O[Si]([O-])=O GXGAKHNRMVGRPK-UHFFFAOYSA-N 0.000 claims description 4
- 238000001035 drying Methods 0.000 claims description 4
- VTHJTEIRLNZDEV-UHFFFAOYSA-L magnesium dihydroxide Chemical compound [OH-].[OH-].[Mg+2] VTHJTEIRLNZDEV-UHFFFAOYSA-L 0.000 claims description 4
- 239000000391 magnesium silicate Substances 0.000 claims description 4
- 229910000386 magnesium trisilicate Inorganic materials 0.000 claims description 4
- 235000019793 magnesium trisilicate Nutrition 0.000 claims description 4
- 229940099273 magnesium trisilicate Drugs 0.000 claims description 4
- 238000004519 manufacturing process Methods 0.000 claims description 4
- CDBYLPFSWZWCQE-UHFFFAOYSA-L sodium carbonate Substances [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 claims description 4
- 239000001509 sodium citrate Substances 0.000 claims description 4
- WMGSQTMJHBYJMQ-UHFFFAOYSA-N aluminum;magnesium;silicate Chemical compound [Mg+2].[Al+3].[O-][Si]([O-])([O-])[O-] WMGSQTMJHBYJMQ-UHFFFAOYSA-N 0.000 claims description 3
- 235000003599 food sweetener Nutrition 0.000 claims description 3
- 238000005469 granulation Methods 0.000 claims description 3
- 230000003179 granulation Effects 0.000 claims description 3
- 239000000347 magnesium hydroxide Substances 0.000 claims description 3
- 229910001862 magnesium hydroxide Inorganic materials 0.000 claims description 3
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 claims description 3
- WPLOVIFNBMNBPD-ATHMIXSHSA-N subtilin Chemical compound CC1SCC(NC2=O)C(=O)NC(CC(N)=O)C(=O)NC(C(=O)NC(CCCCN)C(=O)NC(C(C)CC)C(=O)NC(=C)C(=O)NC(CCCCN)C(O)=O)CSC(C)C2NC(=O)C(CC(C)C)NC(=O)C1NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C1NC(=O)C(=C/C)/NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)CNC(=O)C(NC(=O)C(NC(=O)C2NC(=O)CNC(=O)C3CCCN3C(=O)C(NC(=O)C3NC(=O)C(CC(C)C)NC(=O)C(=C)NC(=O)C(CCC(O)=O)NC(=O)C(NC(=O)C(CCCCN)NC(=O)C(N)CC=4C5=CC=CC=C5NC=4)CSC3)C(C)SC2)C(C)C)C(C)SC1)CC1=CC=CC=C1 WPLOVIFNBMNBPD-ATHMIXSHSA-N 0.000 claims description 3
- 239000003765 sweetening agent Substances 0.000 claims description 3
- 239000000454 talc Substances 0.000 claims description 3
- 229910052623 talc Inorganic materials 0.000 claims description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 claims description 2
- 239000003086 colorant Substances 0.000 claims description 2
- 229910000029 sodium carbonate Inorganic materials 0.000 claims description 2
- 235000012222 talc Nutrition 0.000 claims description 2
- 239000007787 solid Substances 0.000 abstract description 5
- 238000009472 formulation Methods 0.000 description 14
- 239000004615 ingredient Substances 0.000 description 13
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 8
- 239000002245 particle Substances 0.000 description 7
- 210000001035 gastrointestinal tract Anatomy 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 229940100692 oral suspension Drugs 0.000 description 6
- DEIYFTQMQPDXOT-UHFFFAOYSA-N sildenafil citrate Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O.CCCC1=NN(C)C(C(N2)=O)=C1N=C2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(C)CC1 DEIYFTQMQPDXOT-UHFFFAOYSA-N 0.000 description 6
- 229960002639 sildenafil citrate Drugs 0.000 description 6
- 238000011049 filling Methods 0.000 description 5
- 230000000873 masking effect Effects 0.000 description 5
- 235000000346 sugar Nutrition 0.000 description 5
- 239000004376 Sucralose Substances 0.000 description 4
- 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 4
- 230000015572 biosynthetic process Effects 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 239000007910 chewable tablet Substances 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 239000003094 microcapsule Substances 0.000 description 4
- 238000002156 mixing Methods 0.000 description 4
- 210000000214 mouth Anatomy 0.000 description 4
- 239000000377 silicon dioxide Substances 0.000 description 4
- 235000012239 silicon dioxide Nutrition 0.000 description 4
- 210000002784 stomach Anatomy 0.000 description 4
- 239000000126 substance Substances 0.000 description 4
- BAQAVOSOZGMPRM-QBMZZYIRSA-N sucralose Chemical compound O[C@@H]1[C@@H](O)[C@@H](Cl)[C@@H](CO)O[C@@H]1O[C@@]1(CCl)[C@@H](O)[C@H](O)[C@@H](CCl)O1 BAQAVOSOZGMPRM-QBMZZYIRSA-N 0.000 description 4
- 235000019408 sucralose Nutrition 0.000 description 4
- 229930064664 L-arginine Natural products 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 3
- MVPICKVDHDWCJQ-UHFFFAOYSA-N ethyl 3-pyrrolidin-1-ylpropanoate Chemical compound CCOC(=O)CCN1CCCC1 MVPICKVDHDWCJQ-UHFFFAOYSA-N 0.000 description 3
- 239000000499 gel Substances 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 229940045902 sodium stearyl fumarate Drugs 0.000 description 3
- 239000008247 solid mixture Substances 0.000 description 3
- KEJCWVGMRLCZQQ-YJBYXUATSA-N Cefuroxime axetil Chemical compound N([C@@H]1C(N2C(=C(COC(N)=O)CS[C@@H]21)C(=O)OC(C)OC(C)=O)=O)C(=O)\C(=N/OC)C1=CC=CO1 KEJCWVGMRLCZQQ-YJBYXUATSA-N 0.000 description 2
- 229920002785 Croscarmellose sodium Polymers 0.000 description 2
- 235000016623 Fragaria vesca Nutrition 0.000 description 2
- 235000011363 Fragaria x ananassa Nutrition 0.000 description 2
- 235000014852 L-arginine Nutrition 0.000 description 2
- 235000019596 Masking bitterness Nutrition 0.000 description 2
- DWAQJAXMDSEUJJ-UHFFFAOYSA-M Sodium bisulfite Chemical compound [Na+].OS([O-])=O DWAQJAXMDSEUJJ-UHFFFAOYSA-M 0.000 description 2
- 239000003963 antioxidant agent Substances 0.000 description 2
- 230000003078 antioxidant effect Effects 0.000 description 2
- 229960002620 cefuroxime axetil Drugs 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 229960001681 croscarmellose sodium Drugs 0.000 description 2
- 235000010947 crosslinked sodium carboxy methyl cellulose Nutrition 0.000 description 2
- 150000002632 lipids Chemical class 0.000 description 2
- 235000012254 magnesium hydroxide Nutrition 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 2
- BNRNXUUZRGQAQC-UHFFFAOYSA-N sildenafil Chemical compound CCCC1=NN(C)C(C(N2)=O)=C1N=C2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(C)CC1 BNRNXUUZRGQAQC-UHFFFAOYSA-N 0.000 description 2
- 235000011083 sodium citrates Nutrition 0.000 description 2
- 235000010267 sodium hydrogen sulphite Nutrition 0.000 description 2
- 239000007909 solid dosage form Substances 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- JKNCOURZONDCGV-UHFFFAOYSA-N 2-(dimethylamino)ethyl 2-methylprop-2-enoate Chemical compound CN(C)CCOC(=O)C(C)=C JKNCOURZONDCGV-UHFFFAOYSA-N 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 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
- 229920000623 Cellulose acetate phthalate Polymers 0.000 description 1
- 206010013911 Dysgeusia Diseases 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 241000220223 Fragaria Species 0.000 description 1
- 244000307700 Fragaria vesca Species 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 1
- 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 1
- VVQNEPGJFQJSBK-UHFFFAOYSA-N Methyl methacrylate Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 description 1
- ILRKKHJEINIICQ-OOFFSTKBSA-N Monoammonium glycyrrhizinate Chemical compound N.O([C@@H]1[C@@H](O)[C@H](O)[C@H](O[C@@H]1O[C@H]1CC[C@]2(C)[C@H]3C(=O)C=C4[C@@H]5C[C@](C)(CC[C@@]5(CC[C@@]4(C)[C@]3(C)CC[C@H]2C1(C)C)C)C(O)=O)C(O)=O)[C@@H]1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O ILRKKHJEINIICQ-OOFFSTKBSA-N 0.000 description 1
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 description 1
- UIIMBOGNXHQVGW-DEQYMQKBSA-M Sodium bicarbonate-14C Chemical compound [Na+].O[14C]([O-])=O UIIMBOGNXHQVGW-DEQYMQKBSA-M 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 235000009754 Vitis X bourquina Nutrition 0.000 description 1
- 235000012333 Vitis X labruscana Nutrition 0.000 description 1
- 240000006365 Vitis vinifera Species 0.000 description 1
- 235000014787 Vitis vinifera Nutrition 0.000 description 1
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 239000002535 acidifier Substances 0.000 description 1
- 150000007513 acids Chemical class 0.000 description 1
- 230000001476 alcoholic effect Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 239000012736 aqueous medium Substances 0.000 description 1
- 229940081734 cellulose acetate phthalate Drugs 0.000 description 1
- 229940068682 chewable tablet Drugs 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- ZPWVASYFFYYZEW-UHFFFAOYSA-L dipotassium hydrogen phosphate Chemical compound [K+].[K+].OP([O-])([O-])=O ZPWVASYFFYYZEW-UHFFFAOYSA-L 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- ZZUFCTLCJUWOSV-UHFFFAOYSA-N furosemide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC(C(O)=O)=C1NCC1=CC=CO1 ZZUFCTLCJUWOSV-UHFFFAOYSA-N 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 238000000227 grinding Methods 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- 229960002216 methylparaben Drugs 0.000 description 1
- 239000008368 mint flavor Substances 0.000 description 1
- 239000000041 non-steroidal anti-inflammatory agent Substances 0.000 description 1
- 229940021182 non-steroidal anti-inflammatory drug Drugs 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920005597 polymer membrane Polymers 0.000 description 1
- 239000011118 polyvinyl acetate Substances 0.000 description 1
- 229920002689 polyvinyl acetate Polymers 0.000 description 1
- 239000004800 polyvinyl chloride Substances 0.000 description 1
- 229920000915 polyvinyl chloride Polymers 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 229960003310 sildenafil Drugs 0.000 description 1
- 229940084421 sildenafil oral suspension Drugs 0.000 description 1
- 235000017550 sodium carbonate Nutrition 0.000 description 1
- 239000004289 sodium hydrogen sulphite Substances 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- -1 taic Chemical compound 0.000 description 1
- 210000001779 taste bud Anatomy 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- HRXKRNGNAMMEHJ-UHFFFAOYSA-K trisodium citrate Chemical compound [Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O HRXKRNGNAMMEHJ-UHFFFAOYSA-K 0.000 description 1
- 229940038773 trisodium citrate Drugs 0.000 description 1
- 229920003176 water-insoluble polymer Polymers 0.000 description 1
- 239000000811 xylitol Substances 0.000 description 1
- 235000010447 xylitol Nutrition 0.000 description 1
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 1
- 229960002675 xylitol Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0087—Galenical forms not covered by A61K9/02 - A61K9/7023
- A61K9/0095—Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
-
- 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
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/496—Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
-
- 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
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/0056—Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1611—Inorganic compounds
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1617—Organic compounds, e.g. phospholipids, fats
-
- 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
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2009—Inorganic compounds
-
- 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
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2013—Organic compounds, e.g. phospholipids, fats
Definitions
- the invention relates to taste masked stable pharmaceutical dosage forms and methods of making the same. Particularly, this invention relates to masking bitterness of drugs. This invention particularly illustrates masking bitterness of Ciprofloxacin and Sildenafil citrate as example.
- Taste masking of bitter drugs is a problem persisting since a long time.
- Des-quinolone group of medicines are one such group of medicines for which de-bittering is desired.
- Many approached are used to achieve taste masking of bitter drugs.
- Ismat et a! disclose a pharmaceutical composition in the form of a dry powder comprising particles of a readily water soluble drug which when solubilized has a bitter taste and which particles are treated so that upon addition of water thereto, the particles are rendered less soluble or form an in-situ precipitate suspended in the water and are essentially free of bitter taste, wherein said drug is rendered free of bitter taste without use or need for polymer or wax coating or microencapsulation.
- the reduction in solubility of drug or precipitation of drug is achieved by including one or more pH modifying agents in the pharmaceutical composition which generate a required pH environment in water.
- the said pH modifying agent is an alkaline agent and provides a pH of the suspension greater than the drug-pH in water or the pH modifying agent is an acidifying agent and provides a pH of the suspension lower than the drug-pH in water.
- Sjoovist et al. disclose a method for preparing a dry powder for use as a pharmaceutical preparation which comprises mixing a pharmaceutically acceptable basic substance selected from the group consisting of sodium bicarbonate, disodium mono hydrogen phosphate, Dipotassium hydrogen phosphate, Trisodium citrate, magnesium dihydroxide and trizma with a bad tasting drug, said drug being in a form insoluble at high pH, and said basic substance being present in a mole ratio of basic substance to drug of 0.2-10, and.
- a pharmaceutically acceptable basic substance selected from the group consisting of sodium bicarbonate, disodium mono hydrogen phosphate, Dipotassium hydrogen phosphate, Trisodium citrate, magnesium dihydroxide and trizma
- encapsulating the mixture in a material consisting essentially of a water insoluble polymer selected from the group consisting of ethyl cellulose, polyvinyl acetate, polyvinyl chloride and a copolymer of dimethylaminoethyl methacrylate and methyl methacrylate, wherein the encapsulated material is present in an amount that allows bioavailability and which in combination with the basic substance is sufficient to mask the taste of the drug.
- James et al disclose a composition comprising cefuroxime axetil in particulate form, the particles being provided with integral coatings of a lipid or a mixture of lipids which are insoluble in water and which serve to mask the bitter taste of cefuroxime axetil upon oral administration but which disperse or dissolve on contact with gastro-intestinal fluid.
- Nishii et al discloses a coating method for spray-coating the surfaces of solid particles with a thermally melted wax for preparations for masking materials of unpleasant and bitter tastes.
- Mapelli et al disclose a pharmaceutical formulation for oral administration comprising a core consisting essentially of a drug, said core being coated with a polymeric membrane which is soluble only at a pH of 5 or greater and an acidic compound mixed with the coated core for reducing or preventing the dissolution of the membrane in the oral cavity. The drug will be released only when the coated cores have passed through the stomach and reached the intestine where there is a pH equal to or greater than 5.
- the polymer membrane provides taste masking qualities.
- Ghanta et al (US 5,653,993) disclosed a taste masked, microencapsulated, nonsteroidal, anti-inflammatory, water-insoluble SAID drug material comprising individual microcapsules consisting essentially of NSAID drug particles and simultaneously coacervated cellulose acetate phthalate and gelatin microencapsulating wall materials having a high payload of active drug and characterized as free flowing, individual, taste-masked microcapsules in the substantial absence of microcapsule agglomerates and having a microcapsule particle size distribution ranging from about 25 to about 600 microns.
- the invention comprises a solid phase pharmaceutical composition of a drug that tastes bitter when it is at its drug-pH, wherein the solid phase pharmaceutical composition comprises the drug the drug-pH of which is modified to a different pH to render it bitter-less or to render its bitterness substantially reduced to make its oral consumption bearable; the pH modified drug being obtained by exposing the drug to a pH modifier under conditions required for modifying the drug-pH to the different pH, and thereafter solidifying the composition containing the pH modified drug; the "drug-pH" being defined as the pH of water when the active form of the water soluble or partly water soluble drug is, respectively, dissolved or party dissolved in water.
- the invention also comprises a method of making the same.
- the invention also comprises a pharmaceutical composition constituted as suspension of the above mentioned solid phase pharmaceutical composition.
- the solid phase pharmaceutical composition described above may be in the form of tablets, powder, granules or pellets.
- the pH modifier may selected, one or more, from the group consisting of Magnesium Oxide. L- Arginine, L-Lysine, Sodium Citrate, sodium carbonate and magnesium hydroxide.
- the process of making a composition also includes in-situ pH adjustment that is done in-situ during the step of granulation and drying of granules.
- the pH adjusted drug is further adsorbed on an inert carrier/adsorbent.
- the iinert adsorbent comprise selected from the group inorganic silicates and non-peril seeds.
- Inorganic silicates on which adsorption is done may be selected one or more from the group consisting of Aluminium Magnesium Silicate, talc, Magnesium Tri-silicate. Any other equivalent adsorbents that provide the same function may also be used.
- Adsorption on the inert carrier is made by layering or loading.
- the pharmaceutical composition may further comprise pharmaceutically permitted excipients.
- the excipients comprise, pharmaceutically permitted excipients including, without limitation, selected from a group comprising, one or more of sweeteners, flavors, colors and disintegrators.
- the drugs selected for this invention includes any drug that is bitter tasting, is water soluble or partly water soluble and becomes bitter-less or with significantly reduced bitterness so that oral consumption becomes bearable when its drug-pH is altered. The alteration may either be towards acidic side or to basic side.
- the invention is illustrated by using the Des-quinolone group of medicines, particularly Ciprofloxacin HCI and also by using Sidanafil Citrate.
- the pharmaceutical composition of this invention is consumed orally either by direct oral administration or after constituting in a suspension by adding water before oral consumption.
- compositions of Ismat et al that the composition was that each solid composition when constituted with appropriate amount of water produced a palatable suspension of the drug. However, it gelled upon standing for more than few hours. Hence, it was not possible to envisage making multi-dose bottles that can be used for more than one day for a reasonable number of days. Normally, a multi-dose bottle is considered as convenient from the view of cost as well as convenience. Hence, this defect needed to be overcome.
- the solid composition is made by intimate mixing of the bitter drug and the pH modifier as powders and they should be allowed to come in contact with each other for a pH adjustment by addition of water only just prior to the use to get bitter-less suspension or substantially reduced bitterness suspension for oral consumption, making the drug and the pH modifier to react with each other to change the pH of the drug in the mixture and drying the same to make solid composition for filling up in bottles provided a composition which upon constituting a suspension by addition of water to the same provided a suspension that did not gel for up to at least 14 days.
- This one single step provided a very practical method of getting bitter-less or substantially reduced bitterness compositions of bitter drugs that are normally bitter at the pH of their activity (drug-pH) when dissolved or partly dissolved in water.
- the taste masked formulations of this invention are simple and less expensive because commonly available equipments can be used to make them, and special purpose equipment required for very fine grinding and intimate blending are not required.
- the pH modified drug (Ciprofloxacin as illustrated here)
- it is not soluble in water, hence it does not also taste bitter when orally consumed.
- the drug is readily available for absorption in gastrointestinal tract because stomach has pH of about 1.2, at which pH of suspension, after oral administration, the pH of stomach brings back the drug to its "drug- pH” to make the drug soluble, hence, readily available for absorption in gastrointestinal tract.
- drug-pH is used here for the purpose of this specification to mean the pH of water when the active form of the water soluble or partly soluble drug is, respectively, dissolved or partly dissolved in water.
- This invention comprises a solid phase pharmaceutical composition of a drug that tastes bitter when it is at its drug-pH, wherein the solid phase pharmaceutical composition comprises the drug the drug-pH of which is modified to a different pH to render it bitter-less or to render its bitterness substantially reduced to make its oral consumption bearable; the pH modified drug being obtained by exposing the drug to a pH modifier under conditions required for modifying the drug-pH to the different pH, and thereafter solidifying the composition containing the pH modified drug; the "drug-pH" being defined as the pH of water when the active form of the water soluble or partly soluble drug is, respectively, dissolved or partly dissolved in water.
- This invention also comprises a pharmaceutical composition constituted as suspension of a solid phase pharmaceutical composition in water wherein the solid phase pharmaceutical composition comprises of a drug that tastes bitter when it is at its drug-pH, and wherein the drug-pH of the drug is modified to a different pH to render it bitter-less or to render its bitterness substantially reduced to make its oral consumption bearable; the pH modified drug being obtained by exposing the drug to a pH modifier under conditions required for modifying the drug-pH to the different pH, and thereafter solidifying the omposition containing the pH modified drug; the "drug-pH" being defined as the pH of water when the active form of the water soluble or partly soluble drug is, respectively, dissolved or partly dissolved in water.
- This invention also comprises a method of making the pharmaceutical composition of this invention.
- the above said pharmaceutical composition is in the form of tablets, powder, granules or pellets meant for oral consumption or a suspension reconstituted from the tablets, powder, granules or pellets.
- the pH adjusted drug in above described pharmaceutical compositions may be adsorbed on inert adsorbent.
- the inert adsorbent may include, one or more of, without limitation, inorganic silicates and non-peril seeds.
- the pharmaceutical composition of this is intended to be filled in bottles for reconstitution with water just before oral administration.
- the pH adjustment is made such that the drug is not soluble in aqueous medium soluble form when it is in the oral cavity, leading to absence or substantial reduction in expression of its bitter taste; and the drug achieves its pH required for its activity when it gets past the oral cavity and enters the digestive tract.
- the active form of the drug with drug-pH required for expression of its activity is never exposed to the taste buds and the bitterness is, thus, masked.
- pH adjusted drug is also adsorbed on inert carrier/s.
- Such pH adjusted drug adsorbed on inert carrier is in solid state, which is filled in bottles, or made into tablets or pellets into sachets for storage and transportation in market and is intended to be consumed by the user as chewable tablet, orodispersible tablet, as powder/pellets/granules filled in a sachet, or constituted as a suspension in water after opening the packing and contains one or several dosages. It is an embodiment of this invention that the reconstituted dosages of the pharmaceutical composition of this invention remain stable without gelling and also without loss of potency of the drug for a certain reasonable number of days after constitution as a suspension in water. After passing past the oral cavity, the drug consumed through the suspension gets adjusted to its active pH in the gastrointestinal tract depending on the location where it gets exposed to the contents of the gastro-intestinal tract to return to its drug- pH, gets absorbed and provides the intended activity.
- composition described above may be in the form of chewable pellets for direct oral administration or in the form of chewable tablets for oral administration.
- the method of making the pharmaceutical composition of this invention comprise use of one or more of commonly available less expensive equipment used widely in the art for drug layering or drug loading.
- the equipment may comprise, one or more of, without limitation, a Fluid bed coater, a conventional coating pan, a fluid bed processer, a centrifugal granulator or the like.
- adsorption of the pH adjusted drug on an inert carrier is made by layering or loading.
- the inert carrier may be non-peril seeds made up of sugars.
- the drugs loaded belong to des-quinolone group of medicines.
- the invention is not by any means limited to this illustration; and the scope of this invention and relevant claims extends to all instances wherein the claimed method leads to masking the bitter taste of the drugs.
- the pharmaceutical composition of this invention comprises pharmaceutically permitted excipients.
- the excipients used may include, without limitation, one or more of sweeteners, flavors, color, disintegrator and adsorbent.
- the adsorbents may include inorganic silicates.
- the inorganic silicates may include, one or more of, without limitation, Aluminium Magnesium Silicate, taic, Magnesium Tri-silicate etc.
- the pH modifier may include, without limitation, Magnesium Oxide. L- Arginine, L-Lysine, Sodium Citrate, magnesium hydroxide and the like.
- the process of making the composition comprises a step of in-situ pH adjustment by bringing the drug in contact with a pH modifier under conditions that would modify the drug- pH to make it bitter-less or for reducing the bitterness substantially and solidifying the composition thereafter.
- the pH adjusted drug may be layered by loading on an inert carrier.
- the inert carrier may be non-peril seeds or any equivalent alternative for them.
- the drug is pH adjusted and adsorbed prior to layering/loading on the pellets of the inert carrier which are then filled into bottles.
- the pellets filled in the bottle are intended to be constituted with water into a suspension by the consumer immediately before consumption/administration.
- the process of making a composition also includes in-situ pH adjustment via granulation and drying of granules.
- the pH adjusted drug in granule form is either filed in bottles or may be made as powder, granules, pellets, or compressed into tablets by tableting process known in the art, for making tablets.
- the tablets may be consumed orally as tablets or may be dissolved in water and the solution/suspension in water is consumed.
- the in situ pH adjustment is done prior to bottle filling and the material filled in the bottle is a solid form and not a liquid form.
- the material filled in the bottle is a solid form and not a liquid form.
- Solid dosage forms containing pH adjusted drug that is adsorbed on inert carrier prepared as per this inventive method is bitter-less and the drug remains stable.
- the solid dosage form may be granules, pellets, tablets. Pellets & Tablets for chewab!e & Orodispersible use are bitter-less and stable.
- composition(s)/preparation(s) of this invention is/are patient friendly.
- Example 1 Granules, ready to fill into bottles for constituting as oral suspension in water just before use.
- Ciprofloxacin HCI & Magnesium Oxide were put in a granulator, mixed thoroughly and granulated with water. Further, rest of the ingredients were added one by one and thoroughly mixed, water was added as per requirement to achieve pH adjustment of the drug to make it bitter-less or with significantly reduced bitterness, the granules were dried at 50°C for 12 Hours and 20g of granules were filled per bottle. The formulation was in the form of dry syrup. During use, this is directed to be constituted into a suspension with water to get 60ml oral palatable suspension. The reconstituted suspension contains 12 dosages and the suspension remains stable for consumption up to 14 days at least.
- Example 2 Example 2
- Pellets Ready to fill into bottles for constituting as oral suspension in water just before use
- Ciprofloxacin HCI was dissolved in sufficient water, further Sucralose & color was dissolved, and thereafter all other ingredients were dispersed one after another while stirring in suitable vessel to achieve pH adjustment of the drug to make it bitter-less or with significantly reduced bitterness.
- This suspension so prepared was layered on globules of sugar in fluid bed coater at 60°C inlet air temperature with suitable velocity of air to fluidize the sugar globules, pellets so prepared were filled into bottle. Oral suspension is made just before consumption.
- Example 3 Example 3:
- Pellets prepared in experiment no. 2 were also suitable to fill into sachets to use as Oro- dispersible pellets.
- Formulation was prepared by dry blending the ingredients mentioned in following table with the proportions as mentioned below in the table (Example 5 of Ismat et al (WO2003077842A2).
- Each tablet contains ingredients given in table 7 below.
- Sildenafil citrate and magnesium oxide granulate with water so as to change the pH of Sildenafil citrate to make it bitter-less or substantially free from bitterness and dry the granules at 45°C.
- Sildenafil Citrate was partly dissolved by dispersing in sufficient water, further dispersed magnesium oxide in it so as to change the pH of Sildenafil citrate to make it bitter-less or substantially free from bitterness. Further add sucralose, silicon dioxide, croscarmellose sodium, dry at 60°C. Further dried granules add silicon dioxide and strawberry flavor and mix sugar. In this preparation pH is adjusted by magnesium oxide to make Sildenafil Citrate bitter-less.
- Bottles are constituted as suspension with water.
- the suspension had substantially reduced bitterness; was only slightly bitter. However, within 24 hours there is a gel formation in the bottle which clearly shows the pH adjustment of the suspension outside the bottle and solidification thereafter prior to filling in the bottle is necessary to avoid gelling after constituting the contents of the bottle into a suspension by adding water.
- Example No. 9 The below formulation is as per example 5 of Ismat et al, however, process of making the same is as per example 2 given above for this invention
- Ciprofloxacin and L-arginin were dissolved in water separately and mixed together for pH adjustment. After Keeping as such for next 8Hours, then suspended / dissolved Sodium bisulphite, silicon dioxide, spartum / Sodium CMC, Methyl Paraben and other ingredients. The mass was dried at 50", the dried mass was passed through 14# sieve ' and filled into bottles. After constitution of the bottled solids into a suspension by addition of water, no gel formation observed within 24 hours.
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Abstract
La présente invention comprend une composition pharmaceutique en phase solide d'un médicament qui possède un goût amer lorsqu'il est à son pH de médicament, ladite composition pharmaceutique en phase solide comprenant le médicament dont le pH de médicament est modifié en un pH différent pour le rendre non amer ou réduire sensiblement son amertume afin de rendre sa consommation par voie orale supportable. Le médicament à pH modifié est obtenu par exposition à un modificateur de pH dans les conditions requises pour modifier le pH de médicament au pH différent, puis solidification de la composition contenant le médicament au pH modifié. Le "pH de médicament" est défini comme le pH de l'eau lorsque la forme active du médicament soluble dans l'eau ou partiellement soluble est respectivement dissous ou partiellement dissous dans l'eau. La composition pharmaceutique en phase solide décrite ci-dessus peut être sous forme de comprimés, de poudre, de granules ou de pastilles, qui sont consommées par voie orale en tant que solides ou après constitution dans une suspension par addition d'eau.
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