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CA2623560A1 - A process for preparing stable amorphous benzimidazole composition - Google Patents

A process for preparing stable amorphous benzimidazole composition Download PDF

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CA2623560A1
CA2623560A1 CA002623560A CA2623560A CA2623560A1 CA 2623560 A1 CA2623560 A1 CA 2623560A1 CA 002623560 A CA002623560 A CA 002623560A CA 2623560 A CA2623560 A CA 2623560A CA 2623560 A1 CA2623560 A1 CA 2623560A1
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process according
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cellulose
benzimidazole
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CA002623560A
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French (fr)
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Vivek Mahendrakumar Dubey
Romi Barat Singh
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Ranbaxy Laboratories Ltd
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Abstract

The present invention relates to stable amorphous compositions of benzimidazole compounds prepared using non-aqueous process. The process involves conversion of crystalline benzimidazole to amorphous form.

Description

A Process For Preparing Stable Amorphous Benzimidazole Composition The present invention relates to a process for preparing stable amorphous benzimidazole composition. The composition is useful against various gastrointestinal disorders.

Background of the Invention Benzimidazole compounds such as omeprazole, lansoprazole, pantoprazole, rabeprazole or single enantiomers thereof are strong inhibitors of proton pump and thus are widely used as therapeutic agents for stomach ulcer, duodenal ulcer, gastro esophageal reflux disorders etc. by inhibiting gastric acid secretion.

U.S. Patent No. 4,255,431 describes omeprazole and therapeutically acceptable salts thereof. The advantages of providing the salts of omeprazole and particularly the magnesium salt are disclosed in U.S. Patent No. 4,738,974.

U.S. Patent No. 5,900,424 describes omeprazole magnesium salt having a degree of crystallinity, which is higher than 70% as determined by X-ray powder diffraction. The patent teaches that the isolation and purification in full manufacturing scale of the magnesium omeprazole salt as per U.S. Patent No. 4,738,974 presents a major problem. The magnesium omeprazole salt crystals so obtained are very fragile. The patent further teaches that in order to use the magnesium salt of omeprazole in full manufacturing scale in preparing pharmaceutical formulations primarily for oral administration, such as tablets, it is necessary that said magnesium omeprazole possesses a combination of properties, which makes such full scale manufacturing feasible. These physical properties are degree of crystallinity, particle diameter, density, hygroscopicity, water content and content of other solvents. U.S. Patent No.
5,690,960 describes stable oral formulation comprising: a core containing a magnesium salt of omeprazole said salt having more than 70% crystallinity as determined by x-ray powder diffraction; a subcoating layer; and an enteric coating layer.

The efforts to stabilize benzimidazole compositions using amorphous form of benzimidazole compounds are reported in prior art.
U.S. Patent No. 6,713,495 describes Magnesium omeprazole having a degree of crystallinity of under 67% by weight and having a residual organic solvent content of less than 7% by'weight. The U.S. Patent Application No. 20030232861 describes Magnesium S-omeprazole having a degree of crystallinity of under 67%. Example 3 of U.S.
Patent No.
6,713,495 and U.S. Patent Application No. 20030232861 describes magnesium omeprazole and magnesium caomeprazole respectively, having a degree of crystallinity of under 25%.

PCT AApplication W006087613 describes a stable oral amorphous benzimidazole composition prepared by non-aqueous layering process. The process involves dispersing amorphous benzhi Idazole compound and one or more pharmaceutically acceptable additives in one or more ofnon:aqueous solvents to obtain a dispersion and spraying the dispersion on a pharmaceutically acceptable inert carrier.

PCT Application W006069159 describes processes for the preparation of pharmaceutical compositions comprising the amorphous form of benzimidazoles.
The process involves providing a solution of a substituted benzimidazole in an organic solvent, optionally, dissolving or dispersing one or more hydrophilic excipients in the solution;
and removing solvent. The process desccribes, coating the inert core with the solution of a substituted benzimidazole in an orgarnc solvent.

PCT Application. W005051362 describes stable oral benzimidazole composition comprising a core comprising amorphous or crystalline benzimidazole compound, a substantially Water-Insoluble and substantially non-disintegrating separating layer and an enteric coating. The =f r r ulation process involves dispersing drug in aqueous medium and spray drying to obtain granules.

U.S. PatentApplication No. 20020128293 describes stable oral pharmaceutical composition comprising omeprazole and a stabilizing exeipient, wherein the composition is free of alkaline compounds. Example 7 of the patent application describes a process of wet drug layering of an iner carrier using a wurster fluid bed apparatus.

U.S. Patent N6, 6-.576,258 describes method for stabilizing active substances comprising benzimidazole derivatives, by mean. of anhydrous granulation of active substances. The patent involves non aqueous granulation process, wherein non-aqueous solvent comprising 'a surfactant is used for granulating active substance and dried pharmaceutically acceptable excipients for the preparation of pellet, cores or granules.

U.S. Patent Na. $,639,478 describes enteric coated anti-ulcer compositions, which uses granulation, technique for making the core, the core is then enteric coated.

U.S. Patent No. 5,294,439 describes a stabilized physiologically active benzimidazole derivative comprising amorphous benzimidazole, wherein the crystalline form is converted to amorphous form using frame drying technique.

However, there is still a need for the development of pharmaceutical compositions of benzimidazole compounds having enhanced stability. Further, it was observed that there are few prior art references with an attempt to prepare stable oral compositions containing amorphous benainfidazola.

It was observed that by following a non-aqueous process a stable amorphous benzimidazole composition could be prepared. The process involves the conversion of the crystalline form of benzimidazole compound to the amorphous form. The final amorphous composition was observed to be stable in terms of the conversion to the crystalline form, even after storage at arccleratied conditions.

The present invention' thus relates to the process for preparing stable amorphous benzimidazole compositions involving non-aqueous process.

Summ o f , - rtien According to one embodiment there is provided a process for preparing a stable amorphous benzimidazole composition, the process comprising the steps of. a) dispersing crystalline benritttidazole compound in one or more non-aqueous solvents to obtain a dispersion, and spraying the dispersion on ond or more pharmaceutically acceptable excipients to obtain granules; b) compressing the granules obtained in step (a) to obtain a core; c) coating the core with a separating layer; and d) coating the product of step (c) with an enteric coating.

According to another .embodiment there is provided a process for preparing a stable Amorphous benzimidazole composition, the process: comprising the steps of. a) dispersing crystalline benzimidazole compound in a non-aqueous solvent comprising methanol and methylene chloride in a proportion of 50:50 to obtain a dispersion, and spraying the dispersion on one or more pharmaceutically acceptable excipients to obtain granules; b) compressing the grantics obtained in step (a) to obtain'a core; c) coating the core with a separating layer, and d) coating the product of step (c) with an enteric coating.

Detailed description o the I nvention The term `ben2imidazole compound'used herein refers to any of the compounds belonging to the categoiry of benzimidazole used for gastrointestinal disorders and may be selected from omeprazole, lansoprazole, rabeprazote, pantoprazole, leminoprazole and pariprazole, including their single enantiomcrs, pharmaceutically accepted salts, solvates &
mixtures. For example; the benzimidazole compound may be omeprazole in the form of a pharmaceutically acceptable alkaline salt, such as, omeprazole magnesium.
Preferably, the benzimidazole compound is in crystalline form.

The term `stable amorphous benzimidazole composition' as used herein refers to the oral compositions. of'amorphous benzimidazole compounds, which are free from crystalline benzimidazole. For example, the stable amorphous benzimidazole composition contains not more than 5% crystalline beazinxidazole. In another example, crystalline benzimidazole in the stable amorphous. bettzirnidazole composition is below the limit of detection.
The suitable method of determining the conversion of the crystalline- form to the amorphous form is any method with substantial precision, for eg. X-ray diffraction spectroscopy.

The core may be in the form of tablet or minitablet. The core is prepared using non-aqueous process wherein the crystalline benzimidazole compound is converted to amorphous benzimidazole.'fhe non-aqueous process uses non-aqueous solvents or mixtures thereof for the preparation of the dispersion of benzimdazole compound. This dispersion is then used for the preparationof granules.

The non-aqueous solvents may be selected from one or more of methanol, ethanol, isopropanot, methylene chloride and acetone. For example, the non-aqueous solvent may be a mixture of methanol and methylene chloride in a proportion of 50:50.

S
The `pharmaceutically acceptable excipients' may be selected f om one or more of binders, diluents, disintegrants, lubricants/glidants and solubilizers/wetting agents.
Suitable binder ma' be: selected from one or more of cellulose derivatives such as hydroxypropylrmethyl cellulose, hydroxypropyl cellulose and methylcellulose;
gums such as xanthan gum, gum acacia and tragacanth; water-soluble vinylpynulidone polymers such as polyvinylpynolidone and copolymer of vinylpyrrolidone vinyl acetate; sugars such as sorbitol and mannitol.

Suitable diluents may be selected from one or more of sugars such as dextrose, glucose and lactose;, sugar alcohols such as sorbitol, xylitol and mannitol;
cellulose derivatives such as powdered cellulose and mierocrystalline cellulose;
starches such as corn starch, pregelatinized starch and maize starch.

Suitable disintegrants may be selected fiom one or more of sodium starch glycolate, croscarmellose sodium, craspovidone and corn starch.

The lubticant/glidants may be selected from one or more of magnesium stearate, talc, sodium stearyl fumaipte .and colloidal silicon dioxide.

The solubilizC S/wetting agents may be selected from one or more of sodium lauryl sulphate and polysorbate. 80.

In the process for preparing a stable amorphous benzimidazole composition, crystalline berizimidazole compound and optionally one or more pharmaceutically acceptable excipients may be dispersed in a non-aqueous solvent or mixtures thereof to obtain a dispersion. The resulting dispersion may be sprayed on one or more pharmaceutically acceptable excipionts in a fluidized bed granulator to obtain granules. 't'hex granules may be compressed into tablets or minitablets. The tablets or minitablcts are coated with a separating layer.

The separating: layer as used herein refers to the layer that separates the core from the enteric coating. Separating layer is made up of water soluble material, which is capable of dissolving or forming a gel in contact with water.- Such material may includee, a water-soluble polymer. The water-soluble polymers may be selected from hydroxypropylmethylcellulose, hydroxypropyl cellulose, polyvinylpyrrolidone, sodium alginate, sodium carboxymethyl cellulose, copolymer of vinylpyrrolidone and vinyl acetate. For example, such polymers may be hydroxypropylmethylcellulose, hydroxypropyl cellulose or polyvinylpyrrolidone.

The core coated with the separating layer is further coated with an enteric coating. The enteric coating may include polymers such as cellulose acetate phthalate, hydroxypropylmethyl cellulose phthalate, polyvinyl acetate phthalate, carboxymethylethylcellulose, methacrylic acid copolymers, such as, compounds known under the tradenames of Eudragit NE30D, Eudragit L, Eudragit S, Eudragit L 100 55 and mixtures thereof. The enteric coating may also contain plasticizers such as triacetin, triethyl citrate, tributyl sebecate, diethyl phthalate, polyethylene glycol and inert excipients such as talc, titanium dioxide, colloidal silicon dioxide, hydroxypropyl methylcellulose, crospovidone and mixtures thereof The compositions of the present invention show substantial absence of crystalline benzimidazole even after storage at 40 C and 75% humidity conditions for a period of at least 1 month, preferably 6 months, as determined by X-ray diffraction method.

The following non-limiting examples illustrate the process for preparing stable amorphous benzimidazole compositions disclosed in various embodiments of the specification:

Example 1 Ingredients Quantity (mg) per tablet Core Intragranular Omeprazole Magnesium (Crystalline) 20.6 (Equivalent to 20 mg omeprazole) Methylene chloride: Methanol To make 10% solution of Omeprazole (50:50) Magnesium Microcrystalline Cellulose 40 Extra granular Sodium starch glycolate 5.4 Colloidal Silicon dioxide 1.5 Sodium stearyl fumarate 4.8 Talc 1.0 Mannitol Qs to 120 Separating Layer Hydroxypropyl methylcellulose 5.0 Polyethylene glycol 0.5 Purified water Qs to make 10% solution Enteric Coat Methacrylic acid copolymer 12.09 Polyethylene glycol 1.51 Titanium dioxide 1.35 Ferric oxide red 0.15 Polysorbate -80 0.015 Purified water Qs to make 20 % dispersion Procedure:
1. Omeprazole magnesium crystalline was dissolved in methylene chloride:
Methanol (50:50) mixture to get 10% solution.
2. Microcrystalline Cellulose was taken in the lower chamber of fluid bed granulator (FBG).
3. Solution obtained in step 1 was sprayed on the microcrystalline cellulose using top spray mode in fluid bed granulator to get uniform size granules. The granules obtained were dried in fluid bed granulator, followed by vacuum tray dryer for sufficient time.
4. Granules obtained in step (4) were passed through 710 micron mesh and the oversize were separated.
5. Extra granular Mannitol, Sodium starch glycollate & Colloidal silicon dioxide were sifted through 355 micron mesh; and blended with granules obtained in step 4 in a double cone blender (DCB) to obtain a blend.
6. Sodium stearyl fumarate and talc was sifted through 150 micron mesh and added to blend obtained in step 5 to obtain a mixture.
7. The mixture obtained in step 6 was compressed using 7.0 mm shallow concave round tooling to obtain tablets.

Separating layer 8. Hydroxypropylmethyl cellulose was dissolved in purified water under mechanical stirring followed by addition of polyethylene glycol to obtain a coating dispersion.
9. The tablets obtained in step 7 were coated with the coating dispersion of step 8.
Enteric coating 10. Methacrylic acid copolymer, polyethylene glycol, titanium dioxide, ferric oxide red and polysorbate 80 were all dissolved in water under mechanical stirring to obtain an enteric coating dispersion.
11. To the product obtained in step 9 coating was applied using the enteric coating dispersion of step 10 to obtain enteric coated tablets.

Example 2 Ingredients Quantity (mg) per tablet Core Intragranular Omeprazole Magnesium (Crystalline) 20.6 (Equivalent to 20 mg omeprazole) Hydroxypropyl Methyl Cellulose 3.0 Methylene chloride: Methanol (50:50) To make 12% solution of Omeprazole Magn slum Microcrystalline Cellulose 25 Mannitol 50.7 Sodium starch glycolate 3.0 Extra granular Sodium stearyl fumarate 5.0 Talc 2.5 Mannitol Qs to 125 Separating layer Hydroxypropyl methylcellulose 5.0 Purified water Qs to 10 % solution Enteric Coat Methacrylic acid copolymer Type-C 12.09 Polyethylene glycol 1.51 Titanium dioxide 1.35 Ferric oxide red 0.15 Polysorbate -80 0.015 Purified water Qs to make 20% dispersion Procedure:

1. Omeprazole magnesium crystalline and hydroxypropyl methylcellulose were dissolved in methylene chloride: methanol (50:50) mixture to get 12 %
solution.

2. Microcrystalline Cellulose, Sodium starch glycollate and mannitol were taken in the lower chamber of fluid bed granulator.

3. Solution obtained in step (1) was sprayed on the mixture of Microcrystalline Cellulose, Sodium starch glycollate and Mannitol bed using top spray mode in fluid bed granulator to get uniform size granules.

4. The granules were finally dried in a vacuum tray dryer.

5. Granules obtained in step 4 were passed through 710 micron mesh and oversize were separated.

6. Extra granular portion Mannitol was sifted through 355 micron mesh; and blended with the granules of step 5 in double cone blender to obtain a blend.

5 7. Sodium stearyl fumarate and talc was sifted through 150 micron mesh and added to the blend obtained in step 6 and mixed to obtain a mixture.

8. The mixture of step 7 was compressed using 7.0 mm shallow concave round tooling to obtain tablet.

Separating Layer 10 9. Hydroxypropyl methylcellulose was dissolved in water to obtain a coating dispersion.
10. The tablet obtained in step 8 was coated using coating dispersion of step 9 in perforated coating pan.

Enteric coating 11. Methacrylic acid copolymer, polyethylene glycol, titanium dioxide, ferric oxide red &
polysorbate 80 were all dissolved in water to obtain the enteric coating dispersion.
12. The product obtained in step 10 was coated using enteric coating dispersion of step 11 in Perforated coating pan to obtain the enteric coated tablet.

Example 3 Ingredient Quantity (mg) per tablet Core Intragranular Omeprazole Magnesium (Crystalline) 22.8 Hydroxypropyl Methyl Cellulose 3.0 Methylene chloride: Methanol (50:50) To make 12% solution of Omeprazole Magnesium Microcrystalline Cellulose 25.0 Mannitol 20.0 Extra granular Sodium stearyl fumarate 5.0 Talc 2.5 Mannitol Qs to 120 Sodium starch glycolate 3.0 Separating Layer Hydroxypropyl methylcellulose 5.0 Polyethylene glycol 0.5 Talc 0.5 Purified water To make 8% dispersion Enteric Coat Methacrylic acid copolymer Type-C 12.09 Polyethylene glycol 1.51 Titanium dioxide 1.36 Ferric oxide red 0.15 Polysorbate -80 0.01 Purified water To make 5% dispersion Procedure:

1. Omeprazole magnesium crystalline and hydroxypropyl methylcellulose were dissolved in methylene chloride: methanol (50:50) mixture to get 12% solution.

2. Microcrystalline Cellulose and mannitol were taken in the lower chamber of fluid bed granulator.

3. Solution obtained in step (1) was sprayed on the mixture of Microcrystalline Cellulose and Mannitol bed using top spray mode in fluid bed granulator to get uniform size granules.

4. The granules were finally dried in a vacuum tray dryer.

5.Granules obtained in step 4 were passed through 710 micron mesh and oversizes were separated.

6. Extra granular portion Mannitol was sifted through 355 micron mesh; and blended with granules obtained in step 5 in double cone blender to obtain a blend.

7. Sodium stearyl fumarate, sodium starch glycollate and talc were sifted through 150 micron mesh and added to blend obtained in step 6 to obtain a mixture.

8. The mixture obtained in step 7 was compressed using 7.0 mm shallow concave round tooling to obtain tablets.

Separating Layer 9. Hydroxypropyl methylcellulose was dissolved in water followed by addition of polyethylene glycol and talc to obtain coating dispersion.

10. To the tablet obtained in step 8 coating was applied using coating dispersion of step 9 in Perforated coating pan.

Enteric coating 11. Methacrylic acid copolymer, polyethylene glycol, titanium dioxide, ferric oxide red and polysorbate-80 were all dissolved in water to obtain an enteric coating dispersion.
12. To the product obtained in step 10 coating was applied using the enteric coating dispersion of step 11 in Perforated coating pan to obtain enteric coated tablet.
Example 4 Ingredient Quantity (mg) per tablet Intragranular Ome razole Magnesium (Crystalline) 22.8 Hydroxypropyl Methyl Cellulose 3.0 Methylene chloride: Methanol (50:50) To make 12% solution of Omeprazole Magnesium Microcrystalline Cellulose 25.0 Mannitol 20.0 Extra granular Sodium stearyl fumarate 5.0 Talc 2.5 Mannitol Qs to 120 Sodium starch glycolate 3.0 Separating layers Hydroxypropyl methylcellulose 6.0 Purified water To make 8% dispersion Enteric Coat Methacrylic acid copolymer Type-C 12.97 Polyethylene glycol 1.62 Titanium dioxide 1.46 Ferric oxide red 0.16 Polysorbate -80 0.016 Purified water To make 5% dispersion Procedure:
1. Omeprazole magnesium crystalline and hydroxypropyl methylcellulose were dissolved in methylene chloride: methanol (50:50) mixture to get 12% solution.
2. Microcrystalline Cellulose and mannitol were taken in the lower chamber of fluid bed granulator.
3. Solution obtained in step (1) was sprayed on the mixture of Microcrystalline Cellulose and Mannitol bed using top spray mode in fluid bed granulator to get uniform size granules.
4. The granules were finally dried in a vacuum tray dryer.
5. Granules obtained in step 4 were passed through 710 micron mesh and oversizes were separated.
6. Extra granular portion Mannitol was sifted through 355 micron mesh; and blended with granules obtained in step 5 in double cone blender to obtain a blend.
7. Sodium stearyl fumarate, sodium starch glycollate and talc were sifted through 150 micron mesh and added to blend obtained in step 6 to obtain a mixture.

8. The mixture obtained in step 7 was compressed using 7.0 mm shallow concave round tooling to obtain tablets.

Separating Layer 9. Hydroxypropyl methylcellulose was dissolved in water to obtain coating dispersion.
10. To the tablet obtained in step 8 coating was applied using coating dispersion of step 9 in Perforated coating pan.
Enteric coating 11. Methacrylic acid copolymer, polyethylene glycol, titanium dioxide, ferric oxide red and polysorbate-80 were all dissolved in water to obtain an enteric coating dispersion.
12. To the product obtained in step 10 coating was applied using the enteric coating dispersion of step 11 in Perforated coating pan to obtain enteric coated tablet.
The compositions were stored at accelerated conditions and the percentage of crystallinity determined by X-ray diffraction method at various time points.
The data is provided in Table 1 below.
Table 1: Percentage of crystallinity, of the compositions stored in cold form blister, at 40 C and 75%
RH at various time points S Example % Crystallinity NO. No.
Initial 1 month 2 Months 6 Months 1 Example 1 - <5% <5% -2 Example 2 - - < 5% -3 Example 3 <5% <5% - <5%
4 Example 4 <5% <5% - <5%

The XRD data indicated that the compositions prepared according to the process of this invention contained less than 5% crystalline benzimidazole compound, even after storage at accelerated conditions for a period up to 6 months.

Claims (15)

1. A process for preparing a stable amorphous benzimidazole composition, the process comprising the steps of: a) dispersing crystalline benzimidazole compound in one or more non-aqueous solvents to obtain a dispersion, and spraying the dispersion on one or more pharmaceutically acceptable excipients to obtain granules; b) compressing the granules obtained in step (a) to obtain a core; c) coating the core with a separating layer; and d) coating the product of step (c) with an enteric coating.
2. The process according to claim 1, wherein the benzimidazole compound is selected from the group consisting of omeprazole, lansoprazole, rabeprazole, pantoprazole, leminoprazole, pariprazole and their single enantiomers, pharmaceutically accepted salts, solvates and their mixtures.
3. The process according to claim 2, wherein the benzimidazole compound is omeprazole magnesium.
4. The process according to claim 1, wherein the stable amorphous benzimidazole composition comprises not more than 5% by weight of crystalline benzimidazole compound.
5. The process according to claim 1, wherein the non-aqueous solvent is selected from the group consisting of methanol, ethanol, isopropanol, methylene chloride, acetone, and mixtures thereof.
6. The process according to claim 5, wherein the non-aqueous solvent comprises a mixture of methanol and methylene chloride in a proportion of 50:50.
7. The process according to claim 1, wherein the dispersion of step (a) further comprises one or more pharmaceutically acceptable excipients.
8. The process according to any of claims 1 or 7, wherein the pharmaceutically acceptable excipient is selected from the group consisting of binders, diluents, disintegrants, lubricants, wetting agents, and mixtures thereof.
9. The process according to claim 8, wherein the binder is selected from the group consisting of cellulose derivatives selected from hydroxypropylmethyl cellulose, hydroxypropyl cellulose or methylcellulose; gums selected from xanthan gum, gum acacia or tragacanth; water-soluble vinylpyrrolidone polymers selected from polyvinylpyrrolidone or copolymer of vinylpyrrolidone vinyl acetate, sugars selected from sorbitol or mannitol; and mixtures thereof.
10. The process according to claim 8, wherein the diluent is selected from the group consisting of sugars selected from dextrose, glucose or lactose; sugar alcohols selected from sorbitol, xylitol or mannitol; cellulose derivatives selected from powdered cellulose or microcrystalline cellulose; starches selected from corn starch, pregelatinized starch or maize starch; and mixtures thereof.
11. The process according to claim 8, wherein the disintegrant is selected from the group consisting of sodium starch glycolate, croscarmellose sodium, crospovidone, corn starch, and mixtures thereof.
12. The process according to claim 8, wherein the lubricant is selected from the group consisting of magnesium stearate, talc, sodium stearyl fumarate, colloidal silicon dioxide, and mixtures thereof.
13. The process according to claim 8, wherein the wetting agent is selected from one or more of sodium lauryl sulphate and polysorbate 80.
14. The process according to claim 1, wherein the separating layer comprises a water-soluble polymer.
15. The process according to claim 14, wherein the water-soluble polymer is selected from the group consisting of hydroxypropyl methylcellulose, hydroxypropyl cellulose, polyvinylpyrrolidone, sodium alginate, sodium carboxymethyl cellulose, copolymer of vinylpyrrolidone and vinyl acetate, and mixtures thereof.
CA002623560A 2007-02-28 2008-02-28 A process for preparing stable amorphous benzimidazole composition Abandoned CA2623560A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9050267B2 (en) 2011-02-04 2015-06-09 Novartis Ag Dry powder formulations of particles that contain two or more active ingredients for treating obstructive or inflammatory airways diseases

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9050267B2 (en) 2011-02-04 2015-06-09 Novartis Ag Dry powder formulations of particles that contain two or more active ingredients for treating obstructive or inflammatory airways diseases

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