WO2002065834A2 - Novel formulations of carvedilol - Google Patents

Novel formulations of carvedilol Download PDF

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Publication number
WO2002065834A2
WO2002065834A2 PCT/US2001/050872 US0150872W WO02065834A2 WO 2002065834 A2 WO2002065834 A2 WO 2002065834A2 US 0150872 W US0150872 W US 0150872W WO 02065834 A2 WO02065834 A2 WO 02065834A2
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WO
WIPO (PCT)
Prior art keywords
carvedilol
acid
pharmaceutically acceptable
organic acid
formulation
Prior art date
Application number
PCT/US2001/050872
Other languages
French (fr)
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WO2002065834A8 (en
WO2002065834A3 (en
Inventor
Vlassios Andronis
Kimberly A. Lamey
Choon K. Oh
Original Assignee
Smithkline Beecham Corporation
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Application filed by Smithkline Beecham Corporation filed Critical Smithkline Beecham Corporation
Priority to US10/415,671 priority Critical patent/US20040019096A1/en
Priority to CA002426811A priority patent/CA2426811A1/en
Priority to EP01273804A priority patent/EP1335707A4/en
Priority to JP2002565411A priority patent/JP2004518734A/en
Priority to AU2001297631A priority patent/AU2001297631A1/en
Publication of WO2002065834A2 publication Critical patent/WO2002065834A2/en
Publication of WO2002065834A3 publication Critical patent/WO2002065834A3/en
Publication of WO2002065834A8 publication Critical patent/WO2002065834A8/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/50Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals
    • A61K9/5073Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings
    • A61K9/5078Microcapsules having a gas, liquid or semi-solid filling; Solid microparticles or pellets surrounded by a distinct coating layer, e.g. coated microspheres, coated drug crystals having two or more different coatings optionally including drug-containing subcoatings with drug-free core
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2072Pills, tablets, discs, rods characterised by shape, structure or size; Tablets with holes, special break lines or identification marks; Partially coated tablets; Disintegrating flat shaped forms
    • A61K9/2077Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
    • A61K9/2081Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets with microcapsules or coated microparticles according to A61K9/50
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/04Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1617Organic compounds, e.g. phospholipids, fats
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1635Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1652Polysaccharides, e.g. alginate, cellulose derivatives; Cyclodextrin

Definitions

  • This invention relates to novel formulations of carvedilol and to the use of such formulations in the treatment of hypertension, congestive heart failure and angina.
  • Carvedilol is useful in the treatment of hypertension, congestive heart failure and angina.
  • the current commercial formulation for carvedilol is immediate release, and it is administered twice daily.
  • the immediate release formulation of carvedilol is rapidly and extensively absorbed following oral administration, with the terminal elimination half-life ranging between 7-10 hours.
  • a once-daily dosing formulation for carvedilol is commercially desirable, would simplify a patient's dosing regimen and may improve compliance rates.
  • carvedilol can be formulated in novel formulations for once-daily dosing.
  • the present invention provides for the use of a pharmaceutically acceptable organic acid in formulations comprising carvedilol.
  • This invention also provides for the use of such formulations for the treatment of hypertension, congestive heart failure and angina. Description of the Invention
  • compositions of carvedilol are provided in spray-dried powder form or standard drug substance form.
  • the spray-dried powder compositions are prepared using a process that involves wet milling.
  • the suspension, thus produced, is spray dried using a spray dryer or granulated using a fluid bed granulator.
  • the composition may then be formulated, for example, in the form of tablets or capsules. Orally administrated formulations are preferred.
  • the present invention provides for a formulation comprising carvedilol, which further comprises of a pharmaceutically acceptable organic acid.
  • pharmaceutically acceptable organic acid refers to organic acids which are without pharmacological effect per se, have acceptable organoleptic properties, have acceptable density, do not have an extreme pH and are preferably solid.
  • Examples include mono-carboxylic acids and poly-carboxylic acids having from 2 to 25, preferably from 2 to 10, carbon atoms; monocyclic and polycyclic aryl acids, such as benzoic acid; as well as monohydrogen, dihydrogen and metal salts of multi-valent acids.
  • a single pharmaceutically acceptable organic acid may be used, or two or more of such may be used in combination.
  • the organic acid is a C(2-l ⁇ ) a lkyl- or alkenyl- carboxylic acid having from one, two or three carboxylic acid groups, and optionally with one or more hydroxy substituents or an additional CO group in the carbon chain, for instance malonic acid, succinic acid, fumaric acid, maleic acid, adipic acid, lactic acid, levulimc acid, sorbic acid, glutamic acid, aspartic acid, oleic acid, glutaric acid, glycine, arginine or a fruit acid, such as tartaric acid, malic acid, ascorbic acid or citric acid, most preferably citric acid.
  • malonic acid succinic acid, fumaric acid, maleic acid, adipic acid, lactic acid, levulimc acid, sorbic acid, glutamic acid, aspartic acid, oleic acid, glutaric acid, glycine, arginine or a fruit acid, such as tartaric acid, malic acid
  • Spray drying of milled compositions is carried out most suitably using a spray dryer, such as Yamato GA-32 Spray Dryer [Yarnato Scientific America Inc., Orangeburg, NY].
  • granulation of milled compositions is carried out most suitably using a fluid bed granulator, such as Glatt fluid bed granulator, or a high shear granulator.
  • the spray-dried powder, thus produced, is then used in tablets for oral administration in a unit dose.
  • These oral tablets comprise conventional controlled release formulations, such as tablets, having a sustained release or an enteric coating, or otherwise modified to control the release of the active compound, for example by the inclusion of gel forming polymers or matrix forming waxes.
  • carvedilol drug substance is mixed with an organic acid in either solution or suspension to form a drug medium to subsequently layer onto pellets or granules.
  • the drug layered pellets or granules are then coated to consist of a standard seal coat, enteric coat or a sustained release coat permeable to gastrointestinal juices.
  • the controlled release formulations are prepared, for example, as described in U. S. Patent No. 4,524,060, issued June 18, 1985, and U. S. Patent No. 4,983,401, issued January 8, 1991.
  • Other controlled release formulations are described in U. S. Patent No. 4,880,830, issued November 14, 1989, and U. S. Patent No. 5,068,112, issued November 26, 1991.
  • the controlled release formulations containing carvedilol and organic acid may also be in the form of a non-compressed drug layered pellet loaded into a standard capsule. This capsule is then enteric coated for delayed release and then subsequently coated with an immediate release portion of Carvedilol for a two burst system.
  • Tablets or capsules for oral administration are usually presented in a unit dose, and contain conventional excipients such as binding agents, fillers and diluents (tableting or compression aids), lubricants, disintegrants, colorants, flavourings, and wetting agents.
  • the tablets may be coated according to techniques well known in the art.
  • oral formulations may be prepared by conventional methods of blending, filling, tableting, or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. Such operations are, of course, well known in the art.
  • the present invention provides for the use of a pharmaceutically acceptable organic acid in the formulations comprising carvedilol.
  • the formulation is adapted for oral administration.
  • the formulation is presented as a unit dose. Such a formulation is taken once daily.
  • the preferred unit dosage forms include tablets or capsules comprising 25 mg or 50 mg of carvedilol; however, the present invention also includes doses from 6.25 mg to 100 mg.
  • Examples 1 & 2 - Carvedilol 50 mg Controlled Release Aqueous Film Coated Tablets The carvedilol 50 mg controlled release (CR) aqueous film coated (AFC) tablets were prepared from a carvedilol spray-dried powder which was blended with external excipients and a lubricant, compressed, and finally coated with a clear aqueous film coat followed by a Eudragit®-based coat.
  • Product CE tablets were made with fumaric acid, whereas Product CF tablets are made with citric acid.
  • Carvedilol Spray-Dried Powder consisting of: (78.06 1 )
  • Examples 3 & 4 - Carvedilol 50 mg Controlled Release Matrix Tablets The carvedilol controlled release (CR) matrix tablets (Products CG and CH) are prepared from a carvedilol granulation containing either a carvedilol spray-dried powder or standard carvedilol drug substance, respectively. A citric acid granulation is prepared separately. The desired carvedilol granulation and the citric acid granulation are blended together along with external excipients and finally a lubricant to produce the mix from which tablets are then compressed.
  • CR carvedilol controlled release
  • Carvedilol Spray-Dried Powder (78.21 4 ) consisting of:
  • Poloxamer 407 10.40 4
  • the carvedilol controlled release (CR) capsule is prepared from carvedilol drug layered pellets containing standard carvedilol drug substance, aspartic acid and Opadry Clear. The drug layered pellets are then coated with a sustained release coat, Aquacoat ECD-30, and filled into standard capsule shells for administration.
  • Carvedilol Drug Layered Pellets consisting of: (480.7)
  • the carvedilol controlled release (CR) capsule is prepared from carvedilol drug layered pellets containing standard carvedilol drug substance, aspartic acid and Opadry Clear.
  • 22.5 mg strength drug layered pellets are filled into standard capsule shells.
  • the capsules are enteric coated for the delayed release portion and a 2.5 mg strength immediate release top-coat is then applied for the initial burst effect.
  • Carvedilol Drug Layered Pellets consisting of: (432.7)
  • the bioavailability of the formulations according to the present invention are evaluated in healthy human volunteers.
  • the study is an open-label, single dose, randomized, four-period, incomplete block, crossover study. Each subject receives a single dose of the immediate release formulation in addition to single oral doses of 3 of the 4 controlled-release formulations according to a randomization schedule.
  • the regimens for the study are tabulated below:
  • Pharmacokinetic sampling for measurement of plasma carvedilol concentrations is conducted over a 48-hour period following administration of study medication in each study session. There is a washout period of at least 7 days between dosing in sessions. Female subjects return 7-10 days following dosing in the last study session for a follow-up pregnancy test. The total duration (from screening to end of the study) of each subject's participation will be five to eight weeks.
  • the primary endpoint is the AUC of carvedilol. Secondary endpoints include Cmax, Tmax, and Tl/2, as data permit.

Abstract

This invention relates to a novel formulations comprising carvedilol and methods of using these formulations to treat hypertension, congestive heart failure and angina.

Description

NOVEL FORMULATIONS OF CARVEDILOL
Field of the Invention This invention relates to novel formulations of carvedilol and to the use of such formulations in the treatment of hypertension, congestive heart failure and angina.
Background of the Invention The compound, l-(carbazol-4-yloxy-3-[[2-(o-methoxyphenoxy)ethyl]amino]-2- propanol, is known by the name " carvedilol" and is the subject of U.S. Patent No. 4,503,067 (the '067 patent), issued March 5, 1985. This compound has the following structure:
Figure imgf000002_0001
Carvedilol is useful in the treatment of hypertension, congestive heart failure and angina. The current commercial formulation for carvedilol is immediate release, and it is administered twice daily. The immediate release formulation of carvedilol is rapidly and extensively absorbed following oral administration, with the terminal elimination half-life ranging between 7-10 hours. A once-daily dosing formulation for carvedilol is commercially desirable, would simplify a patient's dosing regimen and may improve compliance rates. Thus, it is an object of the instant invention to develop a once-daily dosing formulation for carvedilol.
According to the instant invention, it has been found that carvedilol can be formulated in novel formulations for once-daily dosing.
Summary of the Invention
The present invention provides for the use of a pharmaceutically acceptable organic acid in formulations comprising carvedilol.
This invention also provides for the use of such formulations for the treatment of hypertension, congestive heart failure and angina. Description of the Invention
According to the present invention, compositions of carvedilol are provided in spray-dried powder form or standard drug substance form. The spray-dried powder compositions are prepared using a process that involves wet milling. The suspension, thus produced, is spray dried using a spray dryer or granulated using a fluid bed granulator. The composition may then be formulated, for example, in the form of tablets or capsules. Orally administrated formulations are preferred.
Importantly, the present invention provides for a formulation comprising carvedilol, which further comprises of a pharmaceutically acceptable organic acid. As used herein, the term "pharmaceutically acceptable organic acid" refers to organic acids which are without pharmacological effect per se, have acceptable organoleptic properties, have acceptable density, do not have an extreme pH and are preferably solid.
Examples include mono-carboxylic acids and poly-carboxylic acids having from 2 to 25, preferably from 2 to 10, carbon atoms; monocyclic and polycyclic aryl acids, such as benzoic acid; as well as monohydrogen, dihydrogen and metal salts of multi-valent acids. A single pharmaceutically acceptable organic acid may be used, or two or more of such may be used in combination. Preferably, the organic acid is a C(2-lθ)alkyl- or alkenyl- carboxylic acid having from one, two or three carboxylic acid groups, and optionally with one or more hydroxy substituents or an additional CO group in the carbon chain, for instance malonic acid, succinic acid, fumaric acid, maleic acid, adipic acid, lactic acid, levulimc acid, sorbic acid, glutamic acid, aspartic acid, oleic acid, glutaric acid, glycine, arginine or a fruit acid, such as tartaric acid, malic acid, ascorbic acid or citric acid, most preferably citric acid.
The wet milling process of the present invention is well known to those skilled in the art and is described in: J. A. Herbst and J. L. Sepulveda "Fundamentals of Fine and Ultrafine Grinding in a
Stirred Ball Mill" International Powder and Bulk Solids Handling and Processing, 452, May 1978 and
L. Y. Sadler III, D. A. Stanley, and D. R. Brooks "Attrition Mill Operational Characteristics" Powder Technology 12 (1975) 19-28. Spray drying of milled compositions is carried out most suitably using a spray dryer, such as Yamato GA-32 Spray Dryer [Yarnato Scientific America Inc., Orangeburg, NY]. Alternately, granulation of milled compositions is carried out most suitably using a fluid bed granulator, such as Glatt fluid bed granulator, or a high shear granulator.
The spray-dried powder, thus produced, is then used in tablets for oral administration in a unit dose. These oral tablets comprise conventional controlled release formulations, such as tablets, having a sustained release or an enteric coating, or otherwise modified to control the release of the active compound, for example by the inclusion of gel forming polymers or matrix forming waxes.
Additionally, carvedilol drug substance is mixed with an organic acid in either solution or suspension to form a drug medium to subsequently layer onto pellets or granules. The drug layered pellets or granules are then coated to consist of a standard seal coat, enteric coat or a sustained release coat permeable to gastrointestinal juices. The controlled release formulations are prepared, for example, as described in U. S. Patent No. 4,524,060, issued June 18, 1985, and U. S. Patent No. 4,983,401, issued January 8, 1991. Other controlled release formulations are described in U. S. Patent No. 4,880,830, issued November 14, 1989, and U. S. Patent No. 5,068,112, issued November 26, 1991.
The controlled release formulations containing carvedilol and organic acid may also be in the form of a non-compressed drug layered pellet loaded into a standard capsule. This capsule is then enteric coated for delayed release and then subsequently coated with an immediate release portion of Carvedilol for a two burst system. Tablets or capsules for oral administration are usually presented in a unit dose, and contain conventional excipients such as binding agents, fillers and diluents (tableting or compression aids), lubricants, disintegrants, colorants, flavourings, and wetting agents. The tablets may be coated according to techniques well known in the art.
These oral formulations may be prepared by conventional methods of blending, filling, tableting, or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. Such operations are, of course, well known in the art.
Thus, the present invention provides for the use of a pharmaceutically acceptable organic acid in the formulations comprising carvedilol. The formulation is adapted for oral administration. The formulation is presented as a unit dose. Such a formulation is taken once daily. The preferred unit dosage forms include tablets or capsules comprising 25 mg or 50 mg of carvedilol; however, the present invention also includes doses from 6.25 mg to 100 mg.
No unacceptable toxicological effects are expected when carvedilol is administered in accordance with the present invention. The following examples are illustrative of the instant invention. These examples are not intended to limit the scope of this invention as defined herein above and as claimed herein below.
Examples 1 & 2 - Carvedilol 50 mg Controlled Release Aqueous Film Coated Tablets The carvedilol 50 mg controlled release (CR) aqueous film coated (AFC) tablets were prepared from a carvedilol spray-dried powder which was blended with external excipients and a lubricant, compressed, and finally coated with a clear aqueous film coat followed by a Eudragit®-based coat. Product CE tablets were made with fumaric acid, whereas Product CF tablets are made with citric acid.
Table 1 Unit Formulas for Carvedilol 50 mg CR AFC Tablet, Products CE and CF
Quantity
Ingredients ( g/Tablet)
"Carvedilol Spray-Dried Powder" consisting of: (78.061)
Carvedilol 52.071
Poloxamer 407 10.381
Povidone 5.231
Hydroxyethyl Cellulose 10.381
Purified Water q.s.
Fumaric Acid for Product CE 120.00 or Citric Acid (monohydrate) for Product CF
Dibasic Calcium Phosphate Dihydrate 155.941
Microcrystalline Cellulose 174.00
Crospovidone 60.00
Silicon Dioxide Colloidal 6.00
Magnesium Stearate 6.00
Total Weight Tablet Core 600.00
Clear Opadry YS-1-19025-A 12.00
Aqueous Dispersion of Methacrylic Acid 45.58
Copolymer, Type C (Eudragit® L30 D-55)
Triethyl Citrate 5.83
Sodium Lauryl Sulfate 1.06
Glyceryl Stearate (Imwitor 900 Powder) 0.53
Purified Water q.s.3
Total Weight Coated Tablet 665.00
Iβased on 96% label claim for the "Carvedilol Spray-Dried Powder." These levels will change based upon the % label claim achieved during the spray drying process and are adjusted during the blending step.
^Removed during spray drying process. ^Removed during drying.
Examples 3 & 4 - Carvedilol 50 mg Controlled Release Matrix Tablets The carvedilol controlled release (CR) matrix tablets (Products CG and CH) are prepared from a carvedilol granulation containing either a carvedilol spray-dried powder or standard carvedilol drug substance, respectively. A citric acid granulation is prepared separately. The desired carvedilol granulation and the citric acid granulation are blended together along with external excipients and finally a lubricant to produce the mix from which tablets are then compressed.
Table 2 Unit Formulas for Carvedilol 50 mg CR Matrix Tablets, Products CG and CH
Quantity (mg/Tablet)
Ingredients CG CH
Carvedilol Granulation
"Carvedilol Spray-Dried Powder" (78.214) consisting of:
Carvedilol 52.174
Poloxamer 407 10.404
Povidone 5.244
Hydroxyethyl Cellulose 10.404
Purified Water q.s.5 —
Carvedilol — 50.00
Hydroxypropyl Methylcellulose 77.01 95.96 Carboxymethylcellulose Sodium 38.30 47.57 Povidone 8.07 8.06
Purified Water q.s.5 q.s.->
Citric Acid Granulation
Citric Acid 104.98 104.98
Hydroxypropyl Methylcellulose 54.43 54.43 Carboxymethylcellulose Sodium 27.22 27.22 Povidone 7.78 7.78
Purified Water q.s.-> q.s.
Final Blend
Microcrystalline Cellulose 192.00 192.00 4 4
Silicon Dioxide Colloidal 6.00 6.00
Magnesium Stearate 6.00 6.00
Total Tablet Weight 600.00 600.00
4Based on 96% label claim for the "Carvedilol Spray-Dried Powder." These levels will change based upon the % label claim achieved during, the spray drying process and are adjusted during the blending step. ^Removed during processing. Example 5 - Carvedilol 25 mg Controlled Release Capsule
The carvedilol controlled release (CR) capsule is prepared from carvedilol drug layered pellets containing standard carvedilol drug substance, aspartic acid and Opadry Clear. The drug layered pellets are then coated with a sustained release coat, Aquacoat ECD-30, and filled into standard capsule shells for administration.
Ingredients (mg/Capsule)
"Carvedilol Drug Layered Pellets" consisting of: (480.7)
Carvedilol 25.0
L- Aspartic Acid 31.2
Opadry Clear 25.0
Purified Water q.s.l
Microcrystalline Cellulose Spheres 399.5
Ethylcellulose Aqueous Dispersion (Aquacoat ECD-30) 113.9
Dibutyl Sebacate 36.1
Purified Water q.s.l
Opadry Clear 1.9
Purified Water q.s.l
Size 00 Capsule Shell 118.0
Total Weight Capsule 750.6
1 Removed during drug layering or coating process.
Example 6 - Carvedilol 25 mg Controlled Release Capsule
The carvedilol controlled release (CR) capsule is prepared from carvedilol drug layered pellets containing standard carvedilol drug substance, aspartic acid and Opadry Clear.
22.5 mg strength drug layered pellets are filled into standard capsule shells. The capsules are enteric coated for the delayed release portion and a 2.5 mg strength immediate release top-coat is then applied for the initial burst effect.
Ingredients (mg/Capsule)
"Carvedilol Drug Layered Pellets" consisting of: (432.7)
Carvedilol 22.5
L- Aspartic Acid 28.1
Opadry Clear 22.5
Purified Water q s 1
Microcrystalline Cellulose Spheres 359.6
Aqueous Dispersion of Methacrylic Acid Copolymer, Type 49.7 C (Eudragit® L30 D-55)
Triethyl Citrate 5.8 Silicon Dioxide Colloidal 4.2 Sodium Lauryl Sulfate 0.4 Purified Water q.s.l
Carvedilol 2.5 L-Aspartic Acid 0.2 Opadry Clear 2.5 Purified Water q.sJ Size 1 Capsule Shell 76.0
Total Weight Capsule 574.0
1 Removed during drug layering or coating process.
in vivo Pharmacokinetic evaluation of formulations
The bioavailability of the formulations according to the present invention are evaluated in healthy human volunteers. The study is an open-label, single dose, randomized, four-period, incomplete block, crossover study. Each subject receives a single dose of the immediate release formulation in addition to single oral doses of 3 of the 4 controlled-release formulations according to a randomization schedule. The regimens for the study are tabulated below:
Figure imgf000008_0001
Pharmacokinetic sampling for measurement of plasma carvedilol concentrations is conducted over a 48-hour period following administration of study medication in each study session. There is a washout period of at least 7 days between dosing in sessions. Female subjects return 7-10 days following dosing in the last study session for a follow-up pregnancy test. The total duration (from screening to end of the study) of each subject's participation will be five to eight weeks.
The primary endpoint is the AUC of carvedilol. Secondary endpoints include Cmax, Tmax, and Tl/2, as data permit.
It is to be understood that the invention is not limited to the embodiments illustrated hereinabove and the right is reserved to the illustrated embodiments and all modifications coming within the scope of the following claims. The various references to journals, patents and other publications which are cited herein comprise the state of the art and are incorporated herein by reference as though fully set forth.

Claims

What is claimed is:
1. A matrix formulation comprising carvedilol and a pharmaceutically acceptable organic acid.
2. The formulation according to claim 1 wherein the pharmaceutically acceptable organic acid is citric acid.
3. An enteric coated formulation comprising carvedilol and a pharmaceutically acceptable organic acid.
4. The formulation according to claim 3 wherein the pharmaceutically acceptable organic acid is citric acid.
5. A drug layered formulation comprising carvedilol and a pharmaceutically acceptable organic acid.
6. The formulation according to claim 5 wherein the pharmaceutically acceptable organic acid is aspartic acid.
7. A method of treating hypertension, congestive heart failure or angina which comprises administering to a subject in need thereof an effective amount of the formulation according to any one of claims 1-6.
PCT/US2001/050872 2000-10-24 2001-10-23 Novel formulations of carvedilol WO2002065834A2 (en)

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EP01273804A EP1335707A4 (en) 2000-10-24 2001-10-23 Novel formulations of carvedilol
JP2002565411A JP2004518734A (en) 2000-10-24 2001-10-23 A new formulation of carvedilol
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US8617605B2 (en) 2001-09-21 2013-12-31 Egalet Ltd. Polymer release system
US8609143B2 (en) 2001-09-21 2013-12-17 Egalet Ltd. Morphine polymer release system
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US8449914B2 (en) 2002-11-08 2013-05-28 Egalet Ltd. Controlled release carvedilol compositions
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US7846426B2 (en) 2005-02-25 2010-12-07 The Regents Of The University Of Michigan Compositions and methods for treating and preventing cardiomyopathy and heart disease
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US8580245B2 (en) 2005-02-25 2013-11-12 The Regents Of The University Of Michigan Compositions and methods for treating and preventing cardiomyopathy and heart disease
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US9155758B2 (en) 2006-08-01 2015-10-13 Phrixus Pharmaceuticals, Inc. Treatment of chronic progressive heart failure
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US8372387B2 (en) 2007-04-05 2013-02-12 Phrixus Pharmaceuticals, Inc. Compositions and methods for the treatment of heart failure
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