AP658A - Cisapride extended release oral compositions. - Google Patents
Cisapride extended release oral compositions. Download PDFInfo
- Publication number
- AP658A AP658A APAP/P/1997/000969A AP9700969A AP658A AP 658 A AP658 A AP 658A AP 9700969 A AP9700969 A AP 9700969A AP 658 A AP658 A AP 658A
- Authority
- AP
- ARIPO
- Prior art keywords
- cisapride
- weight
- extended release
- mixture
- release formulation
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 75
- 238000013265 extended release Methods 0.000 title claims abstract description 18
- DCSUBABJRXZOMT-IRLDBZIGSA-N cisapride Chemical compound C([C@@H]([C@@H](CC1)NC(=O)C=2C(=CC(N)=C(Cl)C=2)OC)OC)N1CCCOC1=CC=C(F)C=C1 DCSUBABJRXZOMT-IRLDBZIGSA-N 0.000 title description 20
- 229960005132 cisapride Drugs 0.000 title description 20
- DCSUBABJRXZOMT-UHFFFAOYSA-N cisapride Natural products C1CC(NC(=O)C=2C(=CC(N)=C(Cl)C=2)OC)C(OC)CN1CCCOC1=CC=C(F)C=C1 DCSUBABJRXZOMT-UHFFFAOYSA-N 0.000 title description 19
- 238000009472 formulation Methods 0.000 claims abstract description 32
- 229940095064 tartrate Drugs 0.000 claims abstract description 24
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 claims description 14
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 claims description 14
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 claims description 14
- 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 12
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 claims description 11
- 239000004480 active ingredient Substances 0.000 claims description 11
- 239000001863 hydroxypropyl cellulose Substances 0.000 claims description 11
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 claims description 11
- 229920000642 polymer Polymers 0.000 claims description 9
- 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 claims description 8
- 229920002678 cellulose Polymers 0.000 claims description 8
- 239000001913 cellulose Substances 0.000 claims description 8
- 239000004615 ingredient Substances 0.000 claims description 8
- 239000008101 lactose Substances 0.000 claims description 8
- 239000000314 lubricant Substances 0.000 claims description 7
- 208000018522 Gastrointestinal disease Diseases 0.000 claims description 4
- 239000003814 drug Substances 0.000 claims description 3
- 238000000034 method Methods 0.000 claims 1
- 150000001875 compounds Chemical class 0.000 abstract description 2
- 230000002640 gastrokinetic effect Effects 0.000 abstract 1
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 14
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 10
- 239000000454 talc Substances 0.000 description 10
- 229910052623 talc Inorganic materials 0.000 description 10
- 235000012222 talc Nutrition 0.000 description 10
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 10
- 229910001868 water Inorganic materials 0.000 description 10
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 9
- 238000002360 preparation method Methods 0.000 description 9
- 150000003839 salts Chemical class 0.000 description 9
- 229920001477 hydrophilic polymer Polymers 0.000 description 7
- 229960001375 lactose Drugs 0.000 description 7
- 235000019359 magnesium stearate Nutrition 0.000 description 7
- 229910002012 Aerosil® Inorganic materials 0.000 description 6
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 6
- 239000000945 filler Substances 0.000 description 5
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 4
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 4
- 239000008187 granular material Substances 0.000 description 4
- 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 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 3
- 230000002378 acidificating effect Effects 0.000 description 3
- 239000008199 coating composition Substances 0.000 description 3
- 229920003130 hypromellose 2208 Polymers 0.000 description 3
- 229940031707 hypromellose 2208 Drugs 0.000 description 3
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 3
- 229960004063 propylene glycol Drugs 0.000 description 3
- 235000013772 propylene glycol Nutrition 0.000 description 3
- YXTDAZMTQFUZHK-ZVGUSBNCSA-L (2r,3r)-2,3-dihydroxybutanedioate;tin(2+) Chemical compound [Sn+2].[O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O YXTDAZMTQFUZHK-ZVGUSBNCSA-L 0.000 description 2
- 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 2
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 2
- 239000012736 aqueous medium Substances 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 230000005176 gastrointestinal motility Effects 0.000 description 2
- 229960003943 hypromellose Drugs 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000011159 matrix material Substances 0.000 description 2
- 239000002609 medium Substances 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
- 239000000843 powder Substances 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 239000004408 titanium dioxide Substances 0.000 description 2
- FEWJPZIEWOKRBE-UHFFFAOYSA-L 2,3-dihydroxybutanedioate Chemical compound [O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-L 0.000 description 1
- MNWSGMTUGXNYHJ-UHFFFAOYSA-N 2-methoxybenzamide Chemical compound COC1=CC=CC=C1C(N)=O MNWSGMTUGXNYHJ-UHFFFAOYSA-N 0.000 description 1
- WSVLPVUVIUVCRA-KPKNDVKVSA-N Alpha-lactose monohydrate Chemical compound O.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 WSVLPVUVIUVCRA-KPKNDVKVSA-N 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- 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 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
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920001479 Hydroxyethyl methyl cellulose Polymers 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-L L-tartrate(2-) Chemical compound [O-]C(=O)[C@H](O)[C@@H](O)C([O-])=O FEWJPZIEWOKRBE-JCYAYHJZSA-L 0.000 description 1
- 235000019759 Maize starch Nutrition 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 235000021355 Stearic acid Nutrition 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- 239000002253 acid Substances 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000001090 anti-dopaminergic effect Effects 0.000 description 1
- 229940075614 colloidal silicon dioxide Drugs 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 239000003937 drug carrier Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- -1 for example Polymers 0.000 description 1
- 210000004051 gastric juice Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 239000008240 homogeneous mixture Substances 0.000 description 1
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- 229940031702 hydroxypropyl methylcellulose 2208 Drugs 0.000 description 1
- 229920003125 hypromellose 2910 Polymers 0.000 description 1
- 229940031672 hypromellose 2910 Drugs 0.000 description 1
- 229920003127 hypromellose 2910 (5 MPa.s) Polymers 0.000 description 1
- 229960003535 hypromellose 2910 (5 mpa.s) Drugs 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 229960001021 lactose monohydrate Drugs 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 239000003605 opacifier Substances 0.000 description 1
- 235000020825 overweight Nutrition 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 239000002325 prokinetic agent Substances 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000009897 systematic effect Effects 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
- A61K31/4468—Non condensed piperidines, e.g. piperocaine having a nitrogen directly attached in position 4, e.g. clebopride, fentanyl
-
- 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
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/08—Drugs for disorders of the alimentary tract or the digestive system for nausea, cinetosis or vertigo; Antiemetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
- A61P1/14—Prodigestives, e.g. acids, enzymes, appetite stimulants, antidyspeptics, tonics, antiflatulents
Landscapes
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Hospice & Palliative Care (AREA)
- Otolaryngology (AREA)
- Nutrition Science (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Cosmetics (AREA)
- Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
- Cereal-Derived Products (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
- Polysaccharides And Polysaccharide Derivatives (AREA)
Abstract
Compounds of the formula being extended release formulations comprising cisapride-(l)-tartrate, in particular an oral formulation, the use thereof as a medecine, especially in treating gastrokinetic disorders.
Description
Cisapride extended release oral compositions
The present invention concerns extended release formulations comprising cisapride-(L)tartrate, in particular for oral administration, the use thereof as a medicine, especially in treating gastro-intestinal disorders.
European Patent No. 0,076,530 discloses the gastroprokinetic agent cisapride and classic compositions thereof. Cisapride has the following structural formula :
The systematic chemical name of cisapride is cis-4-amino-5-chloro-N-i 1-13-(415 fluorophenoxy)propyl]-3-methoxy-4-piperidinyl]-2-methoxybenzamide. Cisapride is a racemic mixture of two enantiomers. Cisapride has excellent gastro-intestinal motility stimulating properties and is reported to be devoid of antidopaminergic activity. Its utility in a variety of gastro-intestinal disorders has already been reported extensively.
Useful extended release formulations of cisapride for oral administration should release the active ingredient, i.e. cisapride, over a long period of 15 to 24 hours, that is through the whole gastro-intestinal tract with its varying pH values. However, the solubility of cisapride depends very much on the surrounding pH. The solubility of cisapride is the highest in a strongly acidic medium at pH 1 to 2, such as for example in gastric juice.
The solubility diminishes rapidly when the pH of the (physiological) medium increases, for example in the intestines. An effective sustained release formulation of cisapride should therefore function not only in highly acidic but also in less acidic or neutral media. Moreover an extended release formulation should release the active ingredient as soon as the formulation is administered and should release the active ingredient in a constant manner, preferably following zero order to first order kinetics. This profile is desired because it provides relief to the patient very soon after administration and overdosing is avoided when administering the formulation for a consecutive time.
A solution to this problem was found in the use of (+)-cis-4-amino-5-chloro-N-[l-[3-(435 fluorophenoxy)propyl]-3-methoxy-4-piperidinyl]-2-methoxybenzamide [R(R*,R*)]2,3-dihydroxybutanedioate (1:1) - referred to hereinunder as cisapride-(L)-tartrate - in
AP/P/ 9 7 / 0 0 9 6 9
AP . Ο Ο 6 5 8
-2a matrix formulation as described hereinafter. Cisapride-(L)-tartrate is the salt of racemic cisapride with (+)-L-tartaric acid and is exemplified in European Patent No. 0,076,530 as compound number 241.
An additional aspect of this invention is the fact that the production process for the present extended release formulations is very simple as is shown in the examples hereinunder. This is in contrast to the production processes known in the an for preparing extended release formulations.
In comparison with other salts of cisapride the salt form with [R(R*,R*)]-2,3dihydroxybutanedioic acid, i.e. (+)-L-tartaric acid (the natural form of tartaric acid) shows a remarkably good solubility in water. Cisapride being a racemic mixture and Ltartaric acid being one single enantiomer, the resulting salt form is in principle a mixture of two diastereomeric salts : (+)-cisapride-(L)-tartrate and (-)-cisapride-(L)-tartrate.
Unexpectedly, it was shown that the salt cisapride-(L)-tartrate is a mixture of the diastereomers [(3R4S)(2R3R)] and [(3S4R)(2R3R)], that crystallize as a double salt in a 1:1 ratio. (This is confirmed by X-ray.) The (3R4S) and (3S4R) refer to the respective enantiomers of cisapride and the (2R3R) refers to the optically pure L-tartrate.
Unexpectedly, it was found that formulations containing cisapride-(L)-tanrate released cisapride in a racemic form, i.e. equal amounts of (+)-cisapride and (-)-cisapride or in o±er words the diastereomeric salt forms (+)-cisapride-(L)-tartrate and (-)-cisapride-(L)tartrate unexpectedly have equal dissolution rates.
Moreover, it was also found that during the preparation of cisapride-(E)-tartrate no enrichment of one of the two diastereomeric salt forms could be detected.
Compositions according to the present invention comprise pharmaceutically acceptable carriers and excipients, such as fillers, e.g. lactose, sucrose, mannitol, maize starch, preferably lactose; lubricants e.g. stearic acid, magnesium stearate, talc or silica or mixtures thereof; preferably a mixture of magnesium stearate, talc and colloidal silicon dioxide (Aerosil ®). Also other pharmaceutically acceptable additives such as colorants or flavorings and the like may be present.
The retard-effect or extended release effect is due to the fact that the cisapride-(L)tartrate is embedded in a mixture of two viscous polymers. Hence, the formulation
AP/P/ 97/00969
AP . Ο Ο 6 5 8
-3comprises a mixture of a highly viscous hydrophilic polymer and a viscous hydrophilic polymer, which releases the active ingredient gradually from the formulation. For the present active ingredient, cisapride-(L)-tartrate, this can conveniently be achieved using a mixture of hydroxypropyl methylcellulose and another viscous cellulose derivative such as, hydroxypropylcellulose, ethylcellulose, hydroxyethylcellulose, hydroxyethyl methylcellulose, methylcellulose, preferably hydroxypropylcellulose.
These two hydrophilic polymers swell when in contact with water, thus creating a porous matrix from which the cisapride can gradually be released. The said polymers themselves also dissolve slowly in the aqueous medium. Consequently, the surface of the formulation is also constantly dissolving and so the aqueous medium can reach the more inward mixture of polymers, that in turn begins swelling and releasing active ingredient thus providing for a continous release of active ingredient following a zero order to first order kinetics.
The hydroxypropyl methylcellulose used in the above mentioned mixture preferably has a viscosity of about 15,000 mPa.s, e.g. hypromellose 2208.
The hydroxypropylcellulose used in the above mentioned mixture should preferably have a viscosity ranging from 150 to 700 mPa.s, preferably from 200 to 600 mPa.s, e.g. Klucel EF ®.
The relative amount of said mixture of viscous hydrophilic cellulose polymers in a formulation ranges preferably between 15 % and 35 % of the total composition weight.
The relative amount of mixture of viscous hydrophilic cellulose polymers correlates with the period during which the active ingredient is released. The lowest limit, i.e. 15 %, gives a reasonably extended release period of about 900 minutes. The highest limit, i.e.
% leads to longer release periods yet still releasing all of the active ingredient present in the formulation. At relative amounts higher than 35 % there is expected to be an incomplete release of the active ingredient.
The ratio of the weight hydroxypropyl methylcellulose over weight of the other cellulose polymer ranges from 0.33 to 3. In particular the ratio of the weight of hydroxypropyl methylcellulose over the weight hydroxypropyl cellulose ranges from 0.33 to 3. The preferred ratio is 1, i.e. equal amounts of hvdroxypropyl methyl cellulose and hydroxypropylcellulose are present.
The preferred oral formulation of the present invention is a tablet.
AP/P/ 97/00969
AP.00658
-4Said tablets may have different kinds of shapes, e.g. oblong or right circular. The shape of the tablet influences the release period, because of the fact that different shapes have a different ratio of surface over volume.
A person skilled in the art will appreciate that the volume of the tablet is function of other parameters such as, the actual composition, shape, intended period of release and the intended dose. The exemplified compositions are given for right circular tablets with a diameter of about 11.5 mm diameter and a height of about 5.2 mm.
Said tablets may have lines or break-marks and may bear a symbol or other markings.
Said tablets can optionally be coated with art-known coating compositions. Coated tablets are the preferred formulation in this invention. The above ingredients and ratios apply for the formulation-core in general, the tablet-core in particular, the compositions of these formulation-cores willed be called core-compositions hereinafter.
Suitable coating formulations comprise a filmforming polymer such as, for example, hydroxypropyl methylcellulose, e.g. hypromellose 2910 (5 mPa.s); a plasticizer such as, for example, a glycol, e.g. propylene glycol; an opacifier, such as titanium dioxide; a film smoothener, such as talc. Water is added as a solvent.
AP/P/ 9 7 / 0 0 9 6 9
Suitable core compositions are : 25 cisapride-(L)-tartrate ; filler:
hydrophilic polymer mixture ;
lubricants:
Interesting core compositions are :
cisapride-(L)-tartrate : filler:
hydrophilic polymer mixture : lubricants :
from 2 to 15 % by weight from 50 to 70 % by weight from 15 to 35 % by weight from 0.5 % to 10 % by weight from 5 to 15 % by weight from 50 to 70 % by weight from 15 to 35 % by weight from 0.5 % to 10 % by weight
More interesting core compositions are :
AP.00658
-5cisapride-(L)-tartrate : filler :
hydrophilic polymer mixture : lubricants :
Particular core compositions are :
from 8 to 12 % by weight from 55 to 65 % by weight from 20 to 25 % by weight from 2.5 % to 8 % by weight cisapride-(L)-tartrate: filler:
hydrophilic polymer mixture : lubricants :
about 9 % by weight about 61 % by weight about 23.5 % by weight about 6.5 % by weight
Preferred core compositions are :
cisapride-(L)-tartrate : about 9 % by weight lactose : about 61 % by weight hydroxypropyl methylcellulose: from 5.5 % to 18 % (*) hydroxypropyl cellulose from 5.5 % to 18 % (*) lubricants: about 6.5 % by weight (*) the total amount of cellulose derivatives in weight percent being about 23.5 %
In view of the gastro-intestinal motility stimulating properties of cisapride, the present invention provides the use of the present formulation as a medicine, in particular in treating gastro-intestinal disorders.
Experimental part
Example 1
To a stirred solution of cis-4-amino-5-chloro-N-[l-[3-(4-fluorophenoxy)propyl]3-methoxy-4-piperidinyl]-2-methoxybenzamide (4 g) in ethanol (81 ml) was added a solution of [R(R*,R*)]-2,3-dihydroxybutanedioic acid (1.4 g) in ethanol (20 ml) and the product was allowed to crystallize. It was filtered off and dried, yielding 4.8 g (89%) of
5 (+) -cis-4-amino- 5 -chloro-N- [ 1 - [ 3-(4-fluorophenoxy)propy 1] - 3- methoxy-4-piperidiny 1] 2-methoxybenzamide [R(R*,R*)]-2,3-dihydroxybutanedioate (1:1), i.e. cisapride-(L)20 tatrate. Melting point is 197.1 *C and [α]β is 6.7 (c = 0.1 % methanol).
AP/P/ 9 7 / 0 0 969
AP.00658
-6Example 2
Ingredients for the preparation of 1000 tablets (570 mg) of formulation 1 :
5 | Ingredient | amount | % of tablet weight |
cisapride-(L)-tartrate | 52.92 g | 9.3 % | |
Lactose | 346.08 g | 60.7 % | |
10 | Hydroxypropylmethylcellulose 2208 | 66 g | 11.6 % |
Klucel EF ® | 67.95 g | 11.9 % | |
water (*) | 60 g | ||
isopropanol (*) | 140 g | ||
magnesium stearate | 2.85 g | 0.5 % | |
15 | Aerosil ® | 5.7 g | 1.0 % |
talc | 28.5 g | 5.0 % |
(*) these ingredients are not comprised in the final composition of the tablet.
Preparation :
The above mentioned amounts of cisapride-(L)-tartrate, lactose, hvdroxypropylmethylcellulose, Klucel EF® were sieved over a stainless-steel frame sieve (mesh 0.95 mm) and were mixed in a planetary powder mixer during 5 minutes. The mixture was wetted with isopropanol and water. The wetted mixture was again sieved over a frame sieve (mesh : 1.8 mm). The mixture was dried overnight at a temperature of 45 °C. The dried granulate was sieved over a frame sieve (mesh : 0.95 mm). The dried and sieved granulate was mixed with sieved magnesium stearate, Aerosil ® and talc in a planetary powder mixer during 5 minutes.
Preparation of tablets:
Using the above described mixture 1000 tablets were compressed.
Example 3
AP/P/ 97/00969
AP.00658
-7Ingredients for the preparation of 1000 tablets (tablets of 570 mg) of formulation 2 :
Ingredient | amount | % of tablet weight | |
cisapride-(L)-tartrate | 52.92 | g | 9.3 % |
lactose | 346.08 | g | 60.7 % |
Hypromellose 2208 | 40 | g | 7.0 % |
Klucel EF ® | 93.95 | g | 16.5 % |
water (*) | 45 | g | |
isopropanol (*) | 105 | g | |
magnesium stearate | 2.85 | g | 0.5 % |
Aerosil ® | 5.7 | g | ' 1.0 % |
talc | 28.5 | g | 5.0 % |
(*) these ingredients are not comprised in the final composition of the tablet.
Preparation is completely analogous to the preparation as described for formulation 1.
Example 4
AP/P/ 97/00969
Ingredients for the preparation of 1000 tablets of fonmulation | ||
cisapride-(L)-tartrate | 52.92 | mg |
25 lactose monohydrate | 346.08 | mg |
Hypromellose 2208 15000mPa.s | 66 | mg |
Hydroxypropylcellulose | 67.95 | mg |
water (*) | ||
isopropanol (*) | ||
30 magnesium stearate | 2.85 | mg |
Aerosil® | 5.7 | mg |
Talc | 28.5 | mg |
Coating composition
Hypromellose 2910 5mPa.s propylene glycol mg 3 mg
AP.00658
-8titanium dioxide talc water (*) mg 2 ms
120 ms
Preparation
Cisapride-(L)-tartrate, lactose, Hypromellose and Klucel® are mixed in a high shear mixture- granulator and wetted with a mixture of isopropanol and water. The granulate thus formed is dried by heating in vacuo. After calibrating the dried granulate aerosil, talc and magnesium stearate are added and mixed till a homogeneous mixture is obtained. Biconvex tablets with a diameter of 11.5 mm weighing about 570 mg are compressed.
The tablets are coated in a suitable coating vessel with a coating suspension consisting of hypromellose (5 mPa.s), propyleneglycol, titanium dioxide, talc and water.
AP/P/ 9 7 / 0 0 969
Claims (9)
1. An extended release formulation comprising cisapride-(L)-tartrate suitable for oral administration.
2. An extended release formulation as claimed in claim 1 comprising a mixture of hydroxypropyl methylcellulose and another viscous cellulose polymer.
3. An extended release formulation as claimed in claim 2 comprising a mixture of
10 hydroxypropyl methylcellulose and hydroxypropyl cellulose.
4. An extended release formulation as claimed in claim 2 wherein the core of the formulation comprises from 15 % to 35 % of the mixture of hydroxypropyl methylcellulose and another viscous cellulose polymer.
5. An extended release formulation as claimed in claim 4 wherein the ratio of the weight of hydroxypropyl methylcellulose over the weight of hydroxypropylcellulose ranges from about 0.33 to about 3.
20
6. An extended release formulation as claimed in claim 5 wherein the ratio of the weight of hydroxypropyl methylcellulose over the weight of hydroxypropylcellulose is about 1.
7. An extended release formulation as claimed in any of claims 1 to 4 comprising :
25 cisapride-(L)-tartrate : about 9 % by weight lactose : about 61 % by weight hydroxypropyl methylcellulose: from 5.5 % to 18 % hydroxypropyl cellulose from 5.5 % to 18 % lubricants : about 6.5 % by weight,
30 the total weight percent of cellulose derivatives being about 23.5 %.
8 · Process of preparing an extended release formulation as claimed in any of the claims 1 to 7 characterized in that the active ingredient is intimately mixed with the other pharmaceutically acceptable ingredients.
9. Use of a composition as claimed in any of claims 1 to 7 for use as a medicine, especially for treating gastro-intestinal disorders.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP94203184 | 1994-11-02 | ||
PCT/EP1995/004198 WO1996014070A1 (en) | 1994-11-02 | 1995-10-25 | Cisapride extended release oral compositions |
Publications (2)
Publication Number | Publication Date |
---|---|
AP9700969A0 AP9700969A0 (en) | 1997-04-30 |
AP658A true AP658A (en) | 1998-08-17 |
Family
ID=8217338
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
APAP/P/1997/000969A AP658A (en) | 1994-11-02 | 1995-10-25 | Cisapride extended release oral compositions. |
Country Status (29)
Country | Link |
---|---|
US (2) | US6153623A (en) |
EP (1) | EP0789572A1 (en) |
JP (1) | JP3182423B2 (en) |
KR (1) | KR100255521B1 (en) |
AP (1) | AP658A (en) |
AR (1) | AR001765A1 (en) |
AU (1) | AU704284B2 (en) |
BG (1) | BG63244B1 (en) |
BR (1) | BR9509565A (en) |
CA (1) | CA2203663C (en) |
CZ (1) | CZ287844B6 (en) |
EE (1) | EE03510B1 (en) |
FI (1) | FI971856A0 (en) |
HR (1) | HRP950539A2 (en) |
HU (1) | HUT77887A (en) |
IL (1) | IL115843A0 (en) |
MY (1) | MY113092A (en) |
NO (1) | NO312538B1 (en) |
NZ (1) | NZ295166A (en) |
OA (1) | OA10419A (en) |
PL (1) | PL181470B1 (en) |
RO (1) | RO116042B1 (en) |
RU (1) | RU2143890C1 (en) |
SK (1) | SK54297A3 (en) |
TR (1) | TR199501351A2 (en) |
TW (1) | TW466114B (en) |
UA (1) | UA50721C2 (en) |
WO (1) | WO1996014070A1 (en) |
ZA (1) | ZA959221B (en) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ZA959221B (en) * | 1994-11-02 | 1997-04-30 | Janssen Pharmaceutica Nv | Cisapride extended release |
WO1997020562A1 (en) * | 1995-12-01 | 1997-06-12 | Janssen Pharmaceutica N.V. | Cisapride sustained release |
ATE220543T1 (en) * | 1996-04-23 | 2002-08-15 | Janssen Pharmaceutica Nv | RAPID-RELEASE PH-INDEPENDENT SOLID DOSE FORMS CONTAINING CISAPRIDE |
CA2275604A1 (en) * | 1997-01-03 | 1998-07-09 | Kenneth Iain Cumming | Sustained release cisapride mini-tablet formulation |
WO1998056364A1 (en) * | 1997-06-11 | 1998-12-17 | Janssen Pharmaceutica N.V. | IMMEDIATE RELEASE pH-INDEPENDENT SOLID DOSAGE FORM OF (+)- OR (-)-CISAPRIDE |
TW407058B (en) * | 1998-07-17 | 2000-10-01 | Dev Center Biotechnology | Oral cisapride dosage forms with an extended duration |
PL198797B1 (en) * | 1999-03-31 | 2008-07-31 | Janssen Pharmaceutica Nv | Pregelatinized starch in a controlled release formulation |
EP1060743A1 (en) * | 1999-06-17 | 2000-12-20 | Development Center For Biotechnology | Oral cisapride dosage forms with an extended duration |
PT1345595E (en) * | 2000-09-29 | 2007-08-13 | Solvay Pharm Bv | Ion-strength independent sustained release pharmaceutical formulation |
DE60228939D1 (en) * | 2002-05-21 | 2008-10-30 | Watson Lab Inc | Pharmaceutical composition with delayed release |
WO2007123021A1 (en) | 2006-04-12 | 2007-11-01 | Nippon Soda Co., Ltd. | Method for producing extended release tablet |
RU2356532C2 (en) * | 2007-06-01 | 2009-05-27 | Открытое Акционерное Общество "Отечественные Лекарства" | Controlled-release pharmaceutical proxodolol composition |
US20120065221A1 (en) | 2009-02-26 | 2012-03-15 | Theraquest Biosciences, Inc. | Extended Release Oral Pharmaceutical Compositions of 3-Hydroxy-N-Methylmorphinan and Method of Use |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0076530A2 (en) * | 1981-10-01 | 1983-04-13 | Janssen Pharmaceutica N.V. | Novel N-(3-hydroxy-4-piperidinyl)benzamide derivatives |
WO1993018755A1 (en) * | 1992-03-25 | 1993-09-30 | Depomed Systems, Incorporated | Alkyl-substituted cellulose-based sustained-release oral drug dosage forms |
WO1996014070A1 (en) * | 1994-11-02 | 1996-05-17 | Janssen Pharmaceutica N.V. | Cisapride extended release oral compositions |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5057525A (en) * | 1981-10-01 | 1991-10-15 | Janssen Pharmaceutica N.V. | Novel N-(3-hydroxy-4-piperidinyl) benzamide derivatives |
WO1994001112A1 (en) * | 1992-07-07 | 1994-01-20 | Sepracor Inc. | Methods of using (-) cisapride for the treatment of gastro-esophageal reflux disease and other disorders |
-
1995
- 1995-10-13 ZA ZA959221A patent/ZA959221B/en unknown
- 1995-10-24 TW TW084111217A patent/TW466114B/en not_active IP Right Cessation
- 1995-10-25 HU HU9702100A patent/HUT77887A/en unknown
- 1995-10-25 EE EE9700105A patent/EE03510B1/en not_active IP Right Cessation
- 1995-10-25 SK SK542-97A patent/SK54297A3/en unknown
- 1995-10-25 AU AU38447/95A patent/AU704284B2/en not_active Ceased
- 1995-10-25 BR BR9509565A patent/BR9509565A/en not_active Application Discontinuation
- 1995-10-25 RU RU97108687/14A patent/RU2143890C1/en not_active IP Right Cessation
- 1995-10-25 RO RO97-00825A patent/RO116042B1/en unknown
- 1995-10-25 AP APAP/P/1997/000969A patent/AP658A/en active
- 1995-10-25 NZ NZ295166A patent/NZ295166A/en unknown
- 1995-10-25 CZ CZ19971244A patent/CZ287844B6/en not_active IP Right Cessation
- 1995-10-25 CA CA002203663A patent/CA2203663C/en not_active Expired - Fee Related
- 1995-10-25 UA UA97052122A patent/UA50721C2/en unknown
- 1995-10-25 EP EP95936551A patent/EP0789572A1/en not_active Withdrawn
- 1995-10-25 JP JP51501196A patent/JP3182423B2/en not_active Expired - Fee Related
- 1995-10-25 US US08/817,739 patent/US6153623A/en not_active Expired - Fee Related
- 1995-10-25 PL PL95319948A patent/PL181470B1/en not_active IP Right Cessation
- 1995-10-25 KR KR1019970702799A patent/KR100255521B1/en not_active IP Right Cessation
- 1995-10-25 WO PCT/EP1995/004198 patent/WO1996014070A1/en not_active Application Discontinuation
- 1995-10-31 HR HR94.203.184.0A patent/HRP950539A2/en not_active Application Discontinuation
- 1995-11-01 AR AR33407595A patent/AR001765A1/en not_active Application Discontinuation
- 1995-11-01 IL IL11584395A patent/IL115843A0/en unknown
- 1995-11-02 MY MYPI95003313A patent/MY113092A/en unknown
- 1995-11-02 TR TR95/01351A patent/TR199501351A2/en unknown
-
1997
- 1997-04-10 BG BG101401A patent/BG63244B1/en unknown
- 1997-04-21 NO NO19971832A patent/NO312538B1/en not_active IP Right Cessation
- 1997-04-30 FI FI971856A patent/FI971856A0/en not_active IP Right Cessation
- 1997-05-02 OA OA70001A patent/OA10419A/en unknown
-
1999
- 1999-10-18 US US09/419,590 patent/US6274599B1/en not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0076530A2 (en) * | 1981-10-01 | 1983-04-13 | Janssen Pharmaceutica N.V. | Novel N-(3-hydroxy-4-piperidinyl)benzamide derivatives |
WO1993018755A1 (en) * | 1992-03-25 | 1993-09-30 | Depomed Systems, Incorporated | Alkyl-substituted cellulose-based sustained-release oral drug dosage forms |
WO1996014070A1 (en) * | 1994-11-02 | 1996-05-17 | Janssen Pharmaceutica N.V. | Cisapride extended release oral compositions |
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