Ulllted States Patent (10) Patent N0.: US 7,838,027 B2
Ulllted States Patent (10) Patent N0.: US 7,838,027 B2
Ulllted States Patent (10) Patent N0.: US 7,838,027 B2
US 7,838,027 B2
*Nov. 23, 2010
3/ 1999 Gray
8/1999 Sachs et al.
(75)
Inventors: Sripriya Venkata Ramana Rao, lselin, NJ (US) syed M- shah East Hanover N] Hanulnantharao Tatapudys Suffem, NY (US); Richard William Saunders, Palisades, NY (US); Mahdi Fawzi, MorristoWn, NJ (US); ArWinder
5,997,903 A
6,013,281 A
A 6,077,541 A 6,093,734 A 6,096,340 A
Sachs et al. 6/2000 Chen et a1~ 7/2000 Garst et a1. 8/2000 Chen et a1.
6,132,768 A
?rdoma?bggs); sumonA'Hasm
Onroe ( )
6,132,771 A
6,136,344 A
10/2000 Depuietal.
10/2000 Depui et al.
6,159,499 A
6,248,363 B1
12/2000 Seth
6/2001 Patel et a1.
6,274,173 B1
8/2001 Sachs et a1
6,277,412 B1
6,296,876 B1
8/2001 Otterbeck
10/2001 Odidi etal.
(21)
(22)
APP1~ N91
PCT Filed
'
10/5741210
sep 30 2004
'
6,379,705 B1
6,383,510 B1
6,391,342 B1
(86)
PCT No.:
PCT/US2004/033058
(Continued)
FOREIGN PATENT DOCUMENTS
AU 2005204242 AZ 90005
(65)
US 2007/0042033 A1
(Continued)
OTHER PUBLICATIONS I.C. Rodriguez, Sistemas de liberacin Bioadhesivos (Bioadhesive Release Systems, Bioadhesive delivery systems), Ars Pharmaceutica, 41(1):115-128, 2000.
_
Related US. Application Data (60) Provisional application No. 60/507,810, ?led on Oct. 1, 2003,
Int. Cl.
(51)
A61K 9/64
(52) (58)
(2006.01)
(Commued)
Primary ExamineriRoben Awax Assiszanz ExamineriBethany Barham
(57)
ABSTRACT
PantopraZole sodium multiparticulates are described Which avoid sticking to nasogastric and gastronomy tubes. The pan topraZole multiparticulates have a spheroid core of pantopra
Zole or an enantiomer thereof, or a salt thereof, a surfactant,
5,273,758
5,433,959 5,731,002
5,753,265
A A A A A A
12/1993 Royce
7/1995 Makino et a1. 3/1998 Olovson et al.
5,780,057 A 5,811,426 A
24 Claims, No Drawings
US 7,838,027 B2
Page 2
US. PATENT DOCUMENTS
6,479,075 6,489,346 6,531,152 6,551,620 6,559,167 6,569,453 6,569,463 6,602,522 6,605,303 6,607,742 6,610,323 6,617,338 6,623,759 6,645,988 6,699,885 6,730,685 6,749,867 6,780,436 6,780,882 6953.808 7,041,313 7,544,370 B1 B1 B1 B2 B1 B2 B2 B1 B1 B2 B1 B2 B2 11/2002 12/2002 3/2003 4/2003 5/2003 5/2003 5/2003 8/2003 8/2003 8/2003 8/2003 9/2003 9/2003 Odidi et a1. Phillips Lerner et al. Otterbeck Garst et al. Linder et al. Patel et al. Chen et al. Karehill et al. Linder et al. Lundberg et al. Mali et a1. Heese et al.
EP EP Ep
Ep Ep Ep Ep Ep Ep GB W0 W0 W0 W0 W0
B2 B2 B1 B2 B1 B2 B2 B1 B2
Phillips Phillips Brulls Robinson et al. Lopez-Cabrera Phillips Gray Dietrich et al. Venkata Ramana Rao
et al. ........................ .. 424/456
W0 W0 W0 W0 W0 W0 W0 W0 W0
W0
0 434 999 0 514 008 0 519 365 0 526 862 0 793 959 1 108 425 1 043 976 0 960 620 1652 514 2163347 W0 92/222821 WO 94/02140 W0 94/279gg WO 96/01623 WO 96/01624 WO 96/01625 WO 96/23500 WO 96/24338 WO 97/0202() WO 97/02021 W0 97/125g0 W0 97/25979 W0 97/217285 W0 97/218380
W0 gig/00115
A1 B1 A1 B1 A1 B1 B1 B1 A1 A
A1 A1 A1
2/1993 9/1997 6/2005 12/2005 1/2006 5/2006 3/19g6 12/1992 2/1994 12/1994 1/1996 1/1996
A1 A1 A1 A1
A1 A1
7,550,153 B2
W0
W0
WO 99/06027 A1
W0 99/1g93g A1
2/1999
4/1999
7,553,498 B2
2001/0053387 2002/0012676 2002/0039597 2002/0218293 2003/0118650 2004/0028737 2004/0146558 2004/0219211 2005/0003005 2005/0042277 2005/0042285 2005/0129761 2005/0220870 2005/0239844 2005/0245578 2005/0266075
2006/0057195
W0
W0
WO 99/27917
W0 ()0/09092
6/1999
2/2000
A1 A1 A1
A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1 A1
A1
12/2001 1/2002 4/2002 9/2002 6/2003 2/2004 7/2004 11/2004 1/2005 2/2005 2/2005 6/2005 10/2005 10/2005
Hamied et al. Lundberg et al. Ukai et al. Rampal et al. Lizcano Garcia et a1. Deshpande et a1. Hirata et al. Criere et al. Shimizu et a1. Srinivas et al. Ukai et al. Rao et al. Hepburn et al. Lee et a1. 11/2005 Allegrini et al. 12/2005 Chebli
3/2006 Nonomura et al.
W0 W0 W0 W0 W0 W0 W0 W0 W0 W0 W0 W0 W0 W0
W0 ()1/2g559 W0 2004/0046g2 W0 2004/00471g WO 2004/035052 W0 2004/0669g2 W0 2004/0g0439 W0 2004/0g9333 W0 2004/09g573 W0 2004/09g577 W0 2004/09g577 W0 2004/09g594 WO 2005/004921 WO 2005001637 WO 2005/107721
A1 A2 A1 A1 A1 A1 A2 A1 A2 A3 A3 A1 A1 A2
4/2001 1/2004 1/2004 4/2004 g/2004 9/2004 10/2004 11/2004 11/2004 11/2004 11/2004 1/2005 2/2005 11/2005
OTHER PUBLICATIONS
_ _ _ _
2006/0165797 A1
2006/0189590 A1
7/2006 Plachetka
8/2006 K0111 et al.
2006/0216346 A1
2006/0235053 A1
9/2006 Dietrich et a1
100006 Gebauer et a1
2006/0240l00 A1 2006/0257467 A1
2006/0263426 A1
M. Summers and M. Aulton, Chaper- 25 Granulat1on 1n Pharmaceutlcs: Sc1ence-of Dosage Form Des1gn by Aulton, M1chael
E., Second ed. (Churchlll L1v1ngston) p. 364, 365, 374, dated Oct.
2001.
Search Report dated Dec. 4, 2009. First Exam Report, Chilean Patent Application No. 2558-2004 in
English Language.
Of?cial Communication and Response in EPO Patent Application No. 04 789 540.4, dated Feb. 12, 2008.
* cited by examiner
US 7,838,027 B2
1
PANTOPRAZOLE MULTIPARTICULATE FORMULATIONS CROSS-REFERENCE TO RELATED APPLICATIONS
2
multiparticulates of the invention should have a shelf life of over 2 years. Typically, a multiparticulate formulation of the invention is considered stable if it retains 90% to 110% of its
potency during shelf life storage. This pantopraZole multiparticulate formulation of the
invention is less prone to adherence to the intestinal Walls,
PCT/U S04/ 033058, ?led Sep. 30, 2004, Which claims the bene?t under 35 U.S.C. 119(e) of the priority of US. Patent Application No. 60/507,810, ?led Oct. 1, 2003.
BACKGROUND OF THE INVENTION
PantopraZole, 5 - (di?uoromethoxy) -2 - [(3 ,4 -dimethoXy-2 -
nasogastric and gastromy tubes, and pouch material thereby giving predictable delivery of the drug product to the site of
drug release. It also provides for an early onset of action for relief of gastro-intestinal pain and has a prolonged duration of action. This formulation alloWs dosing to pediatric patients and patients Who have dif?culty sWalloWing solid foods. This formulation also alloWs for drug delivery via nasogastric and gastrostomy tubes.
DETAILED DESCRIPTION OF THE INVENTION
pyridyl)methylsulphinyl]-1H-benZimidaZole, is a H+/K+-ad
the gastric parietal cells. It is believed that these drugs are metaboliZed in the parietal cells to active sulfenamide metabolites that inactivate the sulfhydryl group of the proton pump, thus reducing the hydrogen ion secretion. PPIs are
The present invention provides a multiparticulate formu lation of pantopraZole having a unique combination of excipi
20
ents and a surfactant (e.g., polysorbate 80) that are compatible With pantopraZole sodium in the presence of an alkaline pH environment. Further, the invention provides a process that
topraZole are single unit coated tablets. See, e.g., US. Pat. No. 5,997,903, Which describes oral forms of pantopraZole
that consist of a core, an intermediate layer and an outer layer. The current coating has a tendency to cause undesirable stick
30
particulates of the invention. In one aspect, the invention provides multiparticulate for mulations of pantopraZole having reduced release under gas tric conditions and fast release at neutral pH, i.e., in the loWer gastrointestinal tract. The multi particulate formulation of sodium pantopraZole of the invention provides an enhanced system for the delivery of pantopraZole to patients. The current marketed formulation
is a single monolithic tablet. The present formulation of mul tiparticulate spheroids, Which is adaptable for use in a capsule or a foil packet, can be prepared by eXtrusion/spheroniZation
[1996] 229-235).
Several unsuccessful attempts have been made in the past to develop a multiparticulate formulation of pantopraZole. HoWever, these attempts yielded multiparticulates that Were not bioequivalent to tablets, only 70% relative bioavailability Was found. Another attempt using different technologiesi
40
lithic tablet based on the results from dog data indicates faster onset of action of multiparticulate formulation. The use of a multi particulate formulation facilitates do sing
to pediatric patients and patients Who have trouble sWalloW ing, by dispersing the spheroids in a suspending liquid or
The invention provides a stable multiparticulate pantopra Zole formulation that provides reduced inter and intra subject
variability.
In one embodiment, the pantopraZole multiparticulates of the invention is composed of a spheroid core comprising
pantopraZole or an enantiomer thereof, or a salt or hydrate
55
said enteric coat comprising a copolymer of methacrylic acid and methacrylates in the range of about 15 to about 45% W/W of the spheroid core; Wherein said multiparticulates have an
average siZe of about 1 mm in diameter.
I. Multiparticulates of the Invention Suitably, the multiparticles are in the range of about 0.1 to
2mm, or0.5 mmto 1.5 mm, or0.7mmto 1.25 mm, or0.8mm
to 1 mm. In one embodiment, the multiparticulates in a com
position of the invention average about 1 mm in diameter. Typically, the multiparticles of the invention are no greater than about 1 mm in siZe in order to facilitate passage through
400 C./ 75% relative humidity (RH) data available to date, the
nasogastric tubes
US 7,838,027 B2
3
The multiparticulates of the invention are composed, at a
minimum, of a spheroid core With an enteric coat over the core. In betWeen the core and enteric coat an initial seal coat
4
In one embodiment, the spheroid core contains, W/W based on the dry uncoated core, about 45% pantopraZole sodium
may be applied, e. g., comprising a coating of hydroxylpropyl methylcellulose (hypromellose). Also, over the enteric coat a ?nal seal coat may be applied, e.g., a coating of hydroxylpro
sesquihydrate (about 40% free pantopraZole), about 25 to 30%, and preferably about 27% microcrystalline cellulose,
about 4 to 6%, and preferably about 5% polysorbate 80, about 14 to 16%, and preferably about 15% crospovidone, about 0.5 to 2%, and preferably about 1% hypromellose 2208, about 5
to 8%, and preferably about 6.5% sodium carbonate. In one embodiment, the spheroid core contains:
As used herein unless the context requires otherwise, the term pantopraZole refers to 5-(di?uoromethoxy)-2-[(3,4
dimethoxy-2-pyridyl)methylsulphinyl]-1 H-benZimidaZole
and enantiomers thereof and the term pantopraZole com
pound includes pantopraZole and enantiomers and salts and hydrates thereof. The active compound, pantopraZole is
described in European Patent 166 287, Which describes the
% W/W, based on
Amount/
total Weight
Ingredients
Pantoprazole Sodium Sesquihydrate Microcrystalline Cellulose, NF/EP
Capsule
45.11 27.39
5.00
15.00
1.00 6.50
multiparticulate
21.911 13.304
2.429
7.286
0.486 3.157 q.s. to make Wet mass*
48.573
(Avicel PH 101)
Polysorbate 80, NP
Vegetable source
30 Crospovidone, NF
HoWever, particularly desirable are sodium lauryl sulfate, polysorbates, including, e.g., polysorbate 80, and mixtures of these components. Typically, the surfactant is present in the
core in an amount of about 2 to about 7% W/W, and desirably, about 5% W/W of the core. In another embodiment, the sur
(Polyplasdone XL)
Total
100.00 mg
enhance the Wettability and, thus, the speed and extent of release and absorption of the sodium pantopraZole, from the multi particulate formulation of the invention.
The spheroid core can further contain a disintegrant, a pH
Although moisture is removed from the core during the drying process Which is described beloW, the core preferably
40
be bound by theory, the inventors believe that this Water content contributes the stability of this multiparticulate as compared to the failed prior art attempts at forming a multi
particulate pantopraZole.
Optionally, an initial seal coat (or subcoat) can be applied directly to the core prior to coating With the enteric coat. Although the components of this seal coat can be modi?ed by one of skill in the art, a particularly suitable initial seal coat is
about 20% W/W to about 70% W/W, or about 25% W/W to about 45% W/W, or about 30% W/W to about 42% W/W. In one
embodiment, the total amount of drug to binder is represented by a ratio of from about 50:1 to about 40:1 by Weight drug: binder. The total amount of a pH adjuster in the formulation
can range from about 0.1% W/W to about 10% W/W of the multiparticulate, or about 1% W/W to about 8% W/W, or about 3% W/W to about 7% W/W. HoWever, these percentages can be adjusted as needed or desired by one of skill in the art.
coated multiparticulate.
55
tains:
% W/W, based
on total
Amount/
Weight
Capsule
4.00 mg
multiparticulate
1.943
100.00 mg
48.573
pellets)
US 7,838,027 B2
5
-continued
% w/w, based
on total
6
ratio of test/reference of 62 to 66 with a 90% con?dence interval of 56 to 74 for the ratio or an in-vitro dissolution pro?le as shown below:
weight
m
Amount/
Ingredients
Hydroxypropylmethyl cellulose 2910, USP, 6 cps Puri?ed water, USP/BP/EP
Capsule
4.00 mg
multiparticulate
% Drug Release
1.943
6 Months @
9.33 mg*
Media
104.00 mg 50.516 Acid 2 hrs
3 min
6 min 9 min
6 Months @
40 C./ 75% RH
0.6
0.85
1.83 16.45
Time
Initial
0.33
i
i i
25 C./ 60% RH
0.45
0.91
3.61 52.25
Target
NMT 10%
i
i i
(pH 1.0)
The enteric coat is applied over the initial seal coat, if present, or directly to the uncoated spheroid core. Suitably, the enteric coat is applied such that it coats the core in an amount of about 15 to 45% w/w, or about 20% w/w to about 30% w/w, or about 25% W/W to 30% w/w of the multipar ticulate. In one embodiment, the enteric coat is about 27.5 to
Followed by
Alkaline Buffer
(pH 6.8)
i 101.58 105.29
i i i
45 min
60 min
105.29
105.06
100.57
100.52
99.14
99.07
NLT 75%
i
32.5% w/w of the multiparticulate. Suitably, the enteric coat contains a product which is a copolymer of methacrylic acid and methacrylates, such as the commercially available
Eudragit L 30D-55. In one embodiment, the enteric coat is
20
composed of a Eudragit L 30D-55 copolymer, talc, triethyl citrate, sodium hydroxide and water. More particularly, the enteric coating may contain about 30% w/w of multiparticu
late (applied as a 30 wt % dispersion) of Eudragit L 30D-55
% Drug Release*
Acid
Batch
Initial 6 Months @40 C./75% RH 12 Months @25 C./60% RH
Buffer min
15
101.77 95.44 96.11
2 hrs
0.08 0.73 0.30
30
107.44 101.12 101.92
45
107.38 101.21 102.20
follows:
35
% w/w, based on
total weight
pro?les.
Without wishing to be bound by theory, it is believed that ?nal seal coat layer of hydroxypropyl methylcellulose pro
vides a physical barrier for reduced contact between the
Ingredients
Core + Subcoat
Amount/capsule
100.20 mg
multiparticulate
48.67
Eudragit L30D-55
208.00 mg
30.309
62.40 (solids)
Talc, USP, Altalc 500V Sodium Hydroxide, NF 1 N solution Triethyl Citrate, PG/NF 31.20 9.30 0.36 6.24 mg mg (solids) mg 15.155 0.175
45
mucoadhesive Eudragit layer and the upper GI tract, and thereby allows the reliable transit of the multiparticulates to
the proper pH environment in the GI tract for effective release
3.031
99.186
50
183.38 mg*
204.20 mg
In one embodiment, the enteric-coated multiparticulate is further coated with a ?nal seal coat. Suitably, this ?nal seal
administration via the nasogastric tube and via food vehicles, particularly acidic food vehicles.
ducing the multiparticulate formulations of the invention. Typically, the uncoated pantopraZole compounds are pre pared are follows. The dry components, including, at least the
pantopraZole compound and the binder are dry blended in a suitable mixer under low shear conditions. Suitable low shear conditions can be readily achieved using, c. g., a Hobart mixer,
at a range of about 25 rpm to 35 rpm, and most desirably, 32 rpm. However, one of skill in the art will be able to achieve
US 7,838,027 B2
7
With the rpm adjusted to the appropriate loW shear settings for
8
or over a longer period, e. g., over 6 months, or longer. These compositions can be delivered alone or in combination With an antacid or other suitable composition.
able package and is suitable for mixing into a food product (e.g., applesauce and other acidic food vehicles) or into a
drink for consumption by the patient. The pantopraZole multiparticulate formulations of the
invention are useful for treatment of gastroesophageal re?ux
Zollinger-Ellison Syndrome.
In another embodiment, the pantopraZole multiparticulates
20
liquid.
In yet another embodiment, the pantopraZole multiparticu
lates are ?lled in capsules, caplets or the like for oral delivery. In still a further embodiment, the invention provides
25
(LOD) of 3.4% to 4.3%. As used herein, loW temperature drying refers to a temperature not exceeding about 400 C. for a period of 1 0 to 12 hours. When the drying conditions exceed this temperature and time period, impurities are ob served that contribute to instability. In one embodiment, drying of the core is performed in the range of35o C. to 400 C., or about 370 C. to 39 C. for about 8 to 72 hours. In another embodiment, the core is dryed at about 400 C. for 10 to 12 hours. Suitably,
Example 1
When coating layers are applied as described, the drying temperature for the various coating layers is also in this range.
Optionally, an initial seal coat of a hydrophilic polymer can
35
spraying.
The enteric coat can be applied directly to the uncoated spheroid core, i.e., the uncoated multiparticulate, or may be
applied over an initial seal coat. The enteric coat as described
release pro?le similar to or faster than the pantopraZole sodium uncoated tablet, currently available as Protonix (20
mg and 40 mg) tablets. Levels of the disintegrant crospovi done from 5 to 28.5% and the binder hydroxypropyl methyl
cellulose from 0.5 to 1% Were evaluated during preparation of uncoated multiparticulates over four batches.
above, is typically applied on a ?uid bed Wurster coater. In one embodiment, a ?nal seal coat is applied over the
45
enteric coat and, optionally, talc is utiliZed in the ?nal step prior to ?lling the multiparticulates into a suitable packaging unit. The multiparticulate of the invention may be in any suitable
particulates
More particularly, pantopraZole sodium sesquihydrate,
sphelules, beadlets, microcapsules, millispheres, nonocap sules, microspheres, platelets, tablets, and capsules, depend
ing upon the desired route of delivery.
are dry blended in a Hobart mixer. Thereafter, polysorbate 80, NF (vegetable source) and puri?ed Water, USP, are added to
III. Formulations, Kits and Methods of Delivery In another embodiment, the present invention provides
55
amount of the pantopraZole, e.g., 5 mg to 200 mg, about 10 mg to about 100 mg, or about 40 mg (measured based upon
totype With similar release pro?le. The sieve cut of the uncoated spheroids from this batch Was betWeen 500-1000 microns.
free pantopraZole). Preferably, the formulations are such that a suitable dose is delivered in a single dosage unit. These doses may be administered daily for a suitable period of time,
e.g., 4 Weeks to 8 Weeks, but can be delivered for a shorter
particulates.
US 7,838,027 B2
10
During coating for this batch, the level of hydroxypropyl
methyl cellulose (HPMC) initial seal coat Was 4% of the Weight of the uncoated multiparticulates. The % W/W of the dry polymer Eudragit L30D-55 used Was 22.16%. In the coating batch, talc Was introduced as dry poWder in the coat ing chamber instead of being a part of the suspension. This Was due to the small noZZle siZe (0.5 mm) used for coating the 100 g batch, Which could potentially be clogged. The percent
of talc and triethyl citrate used for the lab batch Was less as compared to the clinical batches Which Were subsequently
high (9.0%) and very close to the limit of 10%. This Batch (B)
did not meet the stability and dissolution criteria When tested
prepared. The multiparticulates Were hand ?lled into siZe #2 HPMC capsules at a ?ll Weight of 206 mg. The capsules Were tested in vitro in 0.1 N HCl and pH 6.8 phosphate buffer. Less than 1% Was released in acid media in 2 hours and greater than
80% Was released in basic media in 45 minutes as desired.
These capsules Were tested in dogs. The Cmax and AUC Were compared against the current marketed Protonix 20 mg tablet (and values Were extrapolated to the 40 mg strength). It
Was seen that these multiparticulates released drug at a much
faster rate than the current Protonix tablet in pH 6 .8 phosphate buffer as desired. The ?nal seal coat comprises hydroxypro
20
Example 3
A. Technical Batch Using a NICA extruder/spheroniZer, a 36 kg technical batch of uncoated multiparticulates Was prepared and 20 kg of
this batch Were enteric coated in a Glatt GPCG-15 machine to
capsule shells, and dissolving in 0.1 N HCl (target release at 2 hours: not more than (NMT) 10%), folloWed by dissolution in pH 6.8 phosphate buffer (target release at 45 min: not less than (NLT) 75%. The acceptance criteria further required a
strength of 90 to 110% of the label claim.
greater than the desired 10%. Based on this, taking into account scale-up effects, minor adjustments Were made to the formula and process for clinical batch. B. Clinical Batch
TWo 12 kg sub batches of a Wet granulated mass Were extruded and spheroniZed on a NICA extruder/spheroniZer
TABLE I
Stability of multiparticulates in clear glass vials.
Test
Dissolution
40
45
Strength
(HPLC)
Unit
Initial Ambient Room Temp 300 C./60% RH
Secondary
dissolution in
phosphate buffer
91.6% 88.5% 94.1% 83.4% NA 82.2% 86.11 NA 89.4%
50
Time
1 7 1 2 3 1 2 3 month month month month month month month month
40 C./75% RH
60
multiparticulates Were stable at 40 C./75% RH for one month. Currently, this batch is stable up to one year at room
Example 2
temperature and up to 6 months at 40 deg. C./75% RH. Stability study at room temperature condition beyond one year is ongoing. The one year room temperature stability results of this batch are shoWn in the folloWing Table II. The spheroid ?lled capsule had a faster in vitro release (dissolution) as compared to the Protonix 40 mg tablet in pH
US 7,838,027 B2
11
TABLE II
Stability of PantopraZole Sodium Spheroid-?lled Capsules 40 mg
Test
12
Appearance
and Description #2 Opaque white capsules
(cap and
Strength (HPLC)
Water (KF)
Purity Speci?cation
Largest Single Known
or Total
Dissolution
Dissolution in
Dissolution in
body) containing
white to off-white colored
spheroids
Initial Initial Conforms
Unknown Impurity
For Information 20.5 (RRT)
%
100.3
%
5 .1
%
BRL
%
0 0
%
105 107
(Spheroids only)
25 C./60% RH
1 No 99.5 101.4 101.2 101.3 5.2 4.6 4.5 4.5 0.17 0.17 0.23 0.17 0.24 1 0 0 0 0 103 101 100 100 1 12
Month
2
Change
No
(1.39)
0.15
Month
3
Change
No
(1.3 8)l7
0.17
Month
6
Change
No
(1.39)
0.18
Month
6
Change
(1.3 8)l7
Month
(Spheroids only)
9 Months No 99.2 5.1 0.21 0.33 0 101
Change
9 Months
(1.40%
0 108
(Spheroids only)
12 Months No 99.1 5.1 0.08 0.23 0 102
Change
12 Months
(0.14)
0 104
(Spheroids only)
BRL = Below Reporting Limit (0.05%).
NMT = Not more than.
Initial and revalidation dissolution results are provided for Pantoprazole Sodium Spheroids, 40 mg/206 mg, which is the ingoing batch of spheroids used for
50
Example 4
Evaluation of Batch A Formulation in Beagle Dogs
The in-vitro release data of the sodium pantopraZole multi
particulate formulation shows a faster release than the current
drug levels of sodium pantopraZole from multiparticulates as compared to the single monolithic tablets. Earlier onset of action provides faster relief from gastric pain and other gas trointestinal (GI) disorders.
PantopraZole sodium formulations have been evaluated in
60
mean concentration against protocol time. Cmax refers to the maximum observed concentration value in the blood sample after administration. Tmax refers to the time point when C max occurs. Tiag refers to the time following administration before effective amounts of the drug are observed in the circulation;
100%).
US 7,838,027 B2
13
A. Study Design
TABLE III
14
The study consists of two sets of samples. The ?rst set
contained drug and excipient. The second set contained drug, excipient and approximately 2 ul water. The reason for the
water along with the drug and the excipient is to see whether additional water present causes any incompatibility.
10 The excipients were mixed with the drug in the ratio indi cated in the following table. The excipients and the drug were
Market Tablet
Batch A
Capsule
Batch A with enteric coat
Parameter
PantopraZole Na PantopraZole Na
17.3 (2.33) 7.10 (1.76) 1.20 (0.27) 0.25 (0.18) 0.77 (0.21)
AUC: 106%! Cmax: 61%!7
weighed into a glass vial. Then the vials were vortexed for 15 seconds. Similarly, a second set of samples was prepared. 15 Approximately 2 ul (the smallest amount of water that can be added with the pipette in the lab) was added to these vials. Then the vials were vortexed for 5 seconds. Finally, the ?rst and second set of vials were capped and placed in stability chambers. The conditions tested were 40/75% RH and 51
20 C. for 3 weeks.
25
B. Results
tablet. Without wishing to be bound by theory, it is believed that the faster release and similar AUC of the multi particu lates is achieved by lowering the level of the disintegrating
TABLE IV
Drug: Excipient Comnatibilitv Results
% Recovery
Drug + Excipient
Ratio of 40 C./75% RH 51 C.
Excipient
Control (Drug alone)
Drug:Excipient
i
3 weeks
94.67
3 weeks
100.53
3 weeks
94.60
3 weeks
96.64
10:1
5:3
10:1 10:1
99.209
99.947
100.080 98.301
93.248
98.763
98.908 90.961
93.811
95.466
97.201 99.908
97.421
95.088
105.716 81.405
(SLS)
Crospovidone, NF Polysorbate-80, NF
BP/EP (vegetable
source)
From the results shown in the table, the following conclu agent crospovidone (as compared to the level in the tablet) and incorporating the functional excipient polysorbate 80 in 55 sions can be drawn. Hypermellose 2208, SLS, crospovidone the core of the spheroids. and polysorbate-80 are compatible with pantopraZole sodium
Example 5
sequihydrate at 40 C./75% RH for 3 weeks. Hypromellose 2208, SLS and crospovidone are compatible with pantopra
Zole sodium sequihydrate at 40 C./75% RH and 51 C. with
60 and without additional water for 3 weeks.
However, the pediatric clinical formulation, [pantopraZole sodium sesquihydrate 45.24% w/w; microcrystalline cellu
6.5% w/w; puri?ed water q.s.], was studied under accelerated
of pantopraZole sodium sesquihydrate with hypromellose 65 lose 27.25% w/w; polysorbate 80 5% w/w; crospovidone 15% w/w; hypromellose 2208 1% w/w; sodium carbonate 2208, sodium lauryl sulfate (SLS), crospovidone, and
polysorbate-80.
US 7,838,027 B2
15
conditions of 400 C./75% RH and is stable up to 6 months, providing a 2 year room temperature shelf life.
16
TABLE VI
Human PK study Results
The components of the pediatric formulation are provided in the following Table V.
Test/Reference GM ratio
90
Formulation:
Ingredients
Core:
Multiparticulates
AUC
Amount/Capsule
% W/W
AUCT
Cmax
89
62
84-95
56-70
45 .11 27.39
5.00
15.00
1.00 6.50
21.911 13.304
2.429
7.286
0.486 3.157 q.s. to make
Wet mass*
B. Spheroids in suspension:
PK parameter
AUC
(Avicel PH 101)
Polysorbate 80, NF
Vegetable source
Test/Reference GM ratio
94
Crospovidone, NF
(Polyplasdone XL)
HPMC USP/EP (Methocel) K3 Sodium Carbonate, NF Puri?ed Water, USP/BP/EP
20
AUCT
Cmax
94
66
88-100
60-74
The lag time in the absorption of the tablet Was higher compared to the sprinkle and suspension formulations. The
entire drug in the tablet is released over a small time interval
100.00 mg 100.20 mg
48.573 48.67
Eudragit L30D-55
208.00 mg
30.309
25
62.40 (solids)
Talc, USP, Altalc 500V Sodium Hydroxide, NF 1 N solution 31.20 mg 9.30 mg 15.155 0.175
0.36 (solids)
Triethyl Citrate, PG/NF Puri?ed Water, USP/BP/EP 6.24 mg 183 .3 8 mg* 3.031 *removed
and therefore a higher Cmax is obtained. With the spheroid formulations, drug from each spheroid is released over a longer time interval and therefore the Cmax is loWer than the tablet. HoWever, the period of time folloWing administration that pantopraZole remained in the circulation is similar for the
3 formulations.
during processing
Total Final Seal Coat: 204.20 mg 1.54 mg 99.186 0.748
ence. One of skill in the art Will recogniZe that minor modi ?cations to the conditions and techniques described in the speci?c embodiments described herein can be varied Without
Hydroxypropyl Methylcellulose,
USP 2910, 6 cps Puri?ed Water, USP/BP/EP
1.54 mg
18.99 mg*
0.748
*removed
35
during processing
Total 205.74 mg 99.934
0.14 mg
205.88 mg
0.068
40
under gastric conditions and fast release at neutral pH, Wherein each of said multiparticulates comprises: a spheroid
core comprising about 20% W/W to about 45% W/W of a pantopraZole salt or a hydrate thereof, as the sole active com
100.002
Example 6
Evaluation of PantopraZole Sodium Formulation in Human Adult Subjects
In this study, 40 mg pantopraZole sodium, formulated as described, clinical pediatric formulation, Was administered to
45
ponent in the multiparticulate and about 25% to about 30% W/W microcrystalline cellulose, about 4% to about 6% W/W polysorbate 80, about 14% to about 16% W/W crospovidone, about 0.5 to about 2% W/W hydroxypropyl methylcellulose, about 5% to about 8% W/W sodium carbonate, and about 1 to about 2% W/W Water; an initial seal coat comprising hydroxypropylmethyl cel
lulose on the spheroid core; and
an enteric coat on the initial seal coat,
50
inactive poWder blend and Water (8 in each group). In the folloWing Table VI, column 1 provides the pharma cokinetic (PK) parameters, AUC (area under the concentra
tion curve), AUCT is the area under the concentration time curve, and Cmax, maximum concentration. The second col umn provides the test/reference geometric mean (GM) ratio. The third column provides the con?dence interval for the GM ratio. [The FDA considers a test product to be bioequivalent to a reference product if the 90% con?dence interval (CI) of the geometric mean ratio of AUC and Cmax betWeen the test and reference fall Within 80-125%]. -The con?dence interval is
2. The multiparticulates according to claim 1, Wherein the pantopraZole salt is selected from pantopraZole sodium and
pantopraZole magnesium.
3. The multiparticulates according to claim 1, Wherein the hydrate is a sesquihydrate. 4. The multiparticulates according to claim 1, Wherein the
60
6. The multiparticulates according to claim 1, Wherein said enteric coat comprises about 48% W/W of the particulate. 7. The multiparticulates according to claim 1, further com
prising a ?nal seal coat on the enteric coat.
US 7,838,027 B2
17
8. The multiparticulates according to claim 7, wherein the
?nal seal coat comprises about 0.1 to 10 Wt % of the multi
18
16. The product according to claim 14, Wherein said plu
rality of multiparticulates are in an aqueous suspension.
particulates.
9. The multiparticulates according to claim 7, Wherein the
(hypromellose).
10. The multiparticulates according to claim 1, Wherein
said initial seal coat is in the range of about 2 to about 4% W/W of the Weight of the uncoated core.
11. The multiparticulates according to claim 1, Wherein the enteric coating comprises about 30% W/W of methacrylic acid and methyacrylate copolymer, about 15% W/W talc, about 3% triethyl citrate and a pH adjuster; said amounts being by
sole active component in the multiparticulate and about 25% to about 30% W/W microcrystalline cellulose, about 4% to about 6% W/W polysorbate 80, about 14% to about 16% W/W crospovidone, about 0.5 to about 2% W/W hydroxypropyl methylcellulose, about 5% to about 8% W/W sodium carbon ate, and about 1 to about 2% W/W Water, via extrusion and spheroniZation; applying an initial seal coat comprising
active component in the multiparticulate and about 25% to about 30% W/W microcrystalline cellulose, about 4% to about 6% W/W polysorbate 80, about 14% to about 16% W/W crospovidone, about 0.5 to about 2% W/W hydroxypropyl methylcellulose, about 5% to about 8% W/W sodium carbon
ate, and about 1 to about 2% W/W Water; an initial seal coat
said enteric coating comprising a copolymer of methacrylic acid and methacrylates; and optionally applying a ?nal seal
coat to the enteric-coated spheroid core, said ?nal seal coat
19. The method according to claim 18, Wherein the spher oid core is prepared by mixing the ingredients in a loW shear
mixer at loW shear conditions at a range of about 25 rpm to 35 rpm.
drying (LOD) of 3.4% to 4.3%. 22. The method according to claim 18, further comprising
the step of applying a layer of talc in an amount of 0.05% W/W to 0.1% W/W of the multiparticulates. 23. The method according to claim 18, Wherein the enteric coating is sprayed as a suspension onto the spheroid core. 24. A method of treating ulcers of the stomach and duode num, gastroesophageal re?ux disease (GERD), or Zollinger
40
Ellison Syndrome in a mammalian subject, comprising the step of administering to the subject a plurality of pantopraZole multiparticulates according to claim 1 comprising about 10 mg to about 100 mg pantopraZole, based upon the Weight of free pantopraZole base.
* * * * *