BACKGROUND OF THE INVENTION
[0001] Methylphenidate Hydrochloride, a scheduled II controlled substance, is currently
marketed as a mild central nervous system (CNS) stimulant and the drug of choice for
treatment of ADD and ADHA in children. The drug is well absorbed throughout the gastrointestinal
tract. However, it has an extremely short half-life, which necessitates a multi-dose
treatment regimen for conventional (immediate release) dosage forms such as currently
available 5, 10, and 20 mg tablets. Due to high C
max, oral administration of 10 and 20 mg Ritalin® is reported to result in notable side
effects such as anorexia, weight loss, dizziness, etc. Furthermore, it requires the
hyperactive children to be dosed in school thus causing hardship to school authorities
as well as parents. The drawback of Methylphenidate is that it also produces a euphoric
effect when administered intravenously or through inhalation, thus presenting a high
potential for substance abuse. Sustained release formulations for once-a-day dosing,
such as 20 mg Ritalin SR® tablets currently available from Novartis and Geneva (generic
version), were developed with the objective of providing efficacy for 8 hours, thereby
improving compliance and reducing the incidence of diversion. However, there are reports
which strongly suggest that the sustained release formulations exhibit a slower onset
of action/efficacy compared to the immediate release dosage forms (
W.E. Pelham et al., "Sustained Release And Standard Methylphenidate Effects On Cognitive
And Social Behavior In Children With Attention Deficit Disorder," Pediatrics, Vol.
80, pp 491-501 (1987).
[0002] Recently, OROS® (Methylphenidate HCl) has been approved by FDA. It is a new osmotic
controlled release once-a-day oral dosage form with a drug overcoat, that is designed
to deliver a portion of the dose for rapid onset of action and deliver the remainder
of the dose in a controlled manner for about 10 hours. The manufacturing cost of this
complicated dosage form is expected to be very high and hence resulting in a high
cost of treatment. Hence, there is a dire need to develop modified release dosage
forms with moderate cost of goods and having not only a rapid onset of action but
also with a significantly longer duration of action.
[0003] U.S. Patent No. 5,908,850 assigned to Celgene Corporation discloses a method for treating children with the
above disability to be treated using a sustained release dosage form containing d-threo-methylphenidate
or pharmaceutically acceptable salts thereof thus minimizing hyperactivity and side
effects. However, it does not address how it avoids dosing in school, thereby minimizing
potential drug abuse.
[0004] WO 00/35426 discloses an oral controlled release formulation of methylphenidate hydrochloride
based on a gelatine capsule containing multiple methylphenidate beads which have immediate
release and controlled release properties.
[0005] It has been amply demonstrated that by administering two-bead capsule dosage forms
manufactured in accordance with the present invention, therapeutically efficacious
plasma concentrations can be achieved for rapid onset of action and maintained for
over a 12-hour period, thus eliminating the need to dose children in the school.
SUMMARY OF THE INVENTION
[0006] The present invention provides a modified release methylphenidate hydrochloride capsule
drug delivery system comprising a multitude of IR (immediate release) and ER (extended
release) beads filled into capsules at a ratio of 10 IR/90 ER to 50 IR/50 ER beads
each of said IR and ER beads containing about 5 to 20% w/w methylphenidate hydrochloride,
wherein the IR bead is an inert sugar core particle layered with methylphenidate containing
a binder at a concentration of 0.5 to 5 weight %, said layered particle further being
coated with a seal coat in an amount up to 4% w/w, and wherein the ER bead comprises
an IR bead coated with a dissolution rate controlling polymeric coating in an amount
from 5 to 25% by weight based on the total weight of the coated particle, the ER bead
being seal coated in an amount up to 4% w/w, wherein the sealcoat is hydroxypropylmethylcellulose
(HPMC).
[0007] An object of the present invention is to provide a method for manufacturing pharmaceutically
elegant multi-particulate dosage forms based on the Difficaps® technology, having
two types of bead populations - one immediate release (IR) Bead and the other extended
release (ER) Bead. The IR Bead is designed to release all of the dose over a short
period of time, preferably within 30 minutes to act as a bolus dose for rapid onset
of action. In contrast, the ER Bead is designed to release the remainder of the total
dose as a desired profile over a 12-hour period when dissolution tested in water by
USP Apparatus 2 (Paddles @ 50 rpm). Testing to determine
in vitro/
in vivo correlations can be conducted to predict desirable profiles which can be expected
to maintain blood levels of the active agent within a desired therapeutic range over
an extended period of time. Another objective is to provide a novel multi-particulate
dosage form in order to minimize side effects and eliminate the need to dose children
with ADD and ADHD in the school, the release rates from ER Beads and the ratio of
IR to ER Beads being determined based on the
in vitro/
in vivo correlations and efficacy study results obtained.
BRIEF DESCRIPTION OF THE DRAWINGS
[0008]
Fig. 1 is a graph showing the mean plasma concentration profile for various dosage
forms described in example 2;
Fig. 2 is a graph showing the mean methylphenidate plasma concentrations versus time
profiles for the dosage forms described in example 4;
Fig. 3 is a graphical representation of the stability data for modified release methylphenidate
hydrochloride capsules, 20 mg (30 IR/70 ER Beads) at 30° C/60% RH; and
Fig. 4 is a graphical representation of the stability data for modified release methylphenidate
hydrochloride capsules, 20 mg (30 IR/70 ER Beads) at 40°C/75% RH.
DETAILED DESCRIPTION OF THE INVENTION
[0009] The active core of the novel dosage form of the present invention may be comprised
of an inert particle such as a commercially available non-pareil sugar sphere. Methylphenidate
is layered on the sugar spheres from an aqueous solution of the drug and a binder
such as polyvinylpyrrolidone (PVP). "Methylphenidate" as used herein includes all
optical isomers of the compound and all pharmaceutically acceptable salts thereof.
The drug layered beads are provided with up to 4%, preferably up to 2% w/w seal coat
using the film-former hydroxypropylmethylcellulose (HPMC) (e.g., Opadry Clear) to
produce IR Beads.
[0010] ER Beads are produced by coating IR Beads with a solution or an aqueous dispersion
of a dissolution rate controlling polymer thereby forming an extended release membrane
coating on the IR bead. Examples of dissolution rate controlling polymers include,
but are not limited to, ethylcellulose (e.g., Aquacoat® ECD-30), neutral copolymers
based on ethylacrylate and methylmethacrylate, and copolymers of acrylic and methacrylic
acid esters having quaternary ammonium groups. The membrane coated beads are also
typically seal coated with HPMC to produce Extended Release (ER) Beads. The IR and
ER Beads are filled into hard gelatin capsules at predetermined ratios to produce
modified release (MR) Beads. Ratios found to provide desirable release profiles ranges
from about 10IR/90ER to 50IR/50ER, preferably from 20IR/80ER to 40IR/60ER, and most
preferably at a ratio of 30IR/70ER.
[0011] The amount of drug layered on the core (sugar sphere) can be varied widely. A typical
dose is expected to be from about 10 to 40 mg of active drug. IR beads typically will
account for about 20 to 40% of the dose. Due to limitations in accurately dosing small
fill weights into capsules in a two-bead capsule filling equipment, the drug content
in the drug layered beads may range from 5 to 20% w/w. Those skilled in the art will
be able to select an appropriate amount of drug for coating onto the core to achieve
the desired dosage. Generally, the dissolution rate controlling polymeric coatings
on the active core particle vary from 5 to 25%, preferably from 5 to 20% and more
preferably from 5 to 10% by weight based on the total weight of the coated particle,
depending on the coating materials and solves selected.
[0012] The thickness of the membrane layer or the type of polymer selected depends on the
desired release profile, and is optimized for achieving a desired
in vitro release profile, which is predicted based on the
in vitro/
in vivo correlations and efficacy study results. Preferably, the release profile provides
an immediate bolus of drug and extended release of the drug at a relatively constant
rate for an extended period of time (over 12 hours or more). The unit dosage form
according to the present invention may comprise one bead population, which provides
only an extended release profile. Alternately, it may consist of an IR bead population
that provides a short-duration (sustained release) bolus component of the dose by
optionally coating IR Beads with a mixture of water insoluble and water soluble polymers
at a ratio of 95/5 to 70/30.
[0013] The invention also provides a method of manufacturing a modified release methylphenidate
dosage form having a mixture of two bead populations which comprises the steps of:
- 1. coating an inert particle such as a non-pareil seed with methylphenidate and a
polymeric binder and coating said drug layered core particle with a seal coat to form
IR beads, wherein the sealcoat is hydroxypropylmethylcellulose (HPMC), to form IR
Beads, which may be present in the unit dosage form to act as a bolus dose;
- 2. coating said particle with a plasticized solution or suspension of a water insoluble
polymer or a mixture of water soluble and water insoluble polymers, coating said beads
with a seal coat, wherein the sealcoat is hydroxypropylmethylcellulose (HPMC) and
curing at high temperatures (e.g., 50° - 70°C) for 4 to 12 hours, to form extended
release (ER) Beads; and
- 3. filling into hard gelatin capsules beads of (1) and/or (2) at a ratio of 20IR/80SR
to 40IR/60SR Beads, each capsule containing 10 to 40 mg methylphenidate hydrochloride.
[0014] An aqueous or a pharmaceutically acceptable solvent medium may be used for preparing
drug containing core particles. The type of film forming binder that is used to bind
the water soluble drug to the inert sugar sphere is not critical but usually water
soluble, alcohol soluble or acetone/water soluble binders are used. Binders such as
polyvinylpyrrolidone (PVP), polyethylene oxide, hydroxypropyl methylcellulose (HPMC),
hydroxypropyl cellulose (HPC), polysaccharides such as dextran, corn starch may be
used at concentrations of 0.5 to 5 weight %. The drug substance may be present in
this coating formulation up to 55 weight %, preferably up to about 40% weight %, and
most preferably up to about 20% weight, depending on the viscosity of the coating
formulation.
[0015] Dissolution rate controlling polymers suitable for incorporating in the formulation
for producing ER Beads are selected from the group consisting of ethylcellulose (or
e.g., Aquacoat® ECD-30), neutral copolymers based on ethylacrylate and methylmethacrylate,
copolymers of acrylic and methacrylic acid esters having quaternary ammonium groups,
polyvinyl acetate/crotonic acid copolymer and combinations thereof.
[0016] Dissolution rate controlling polymers used in forming the membranes are usually plasticized.
Representative examples of plasticizers that may be used to plasticize the membranes
include triacetin, tributyl citrate, trimethyl citrate, acetyl tri-n-butyl citrate
diethyl phthalate, castor oil, dibutyl sebacate, acetylated monoglycerides and the
like or mixtures thereof. The plasticizer may comprise about 3 to 30 wt. % and more
typically about 10 to 25 wt% based on the polymer. The plasticizer is selected based
on the total solids in the coating system (dissolved or dispersed) and depends on
the polymer or polymers and the nature of the coating medium. Generally, this will
be between 5 and 40 weight percent based on the total weight of the coating system.
[0017] The release characteristics of the IR Beads can optionally be further modified to
provide a short duration (sustained release) bolus dose. The IR Beads in this embodiment
are coated with a mixture of a water insoluble polymer such as ethylcellulose and
a water soluble polymer such as low molecular weight HPMC, HPC, methylcellulose, polyethylene
glycol (PEG) at a thickness of from 1 weight % up to 5 weight % depending on the solvent
or latex dispersion based coating formulation used. The water insoluble polymer to
water soluble polymer ratio may typically vary from 95:5 to 70:30.
[0018] The following non-limiting examples illustrate the dosage formulations in accordance
with the invention.
Examples
[0019] Modified Release (MR) Capsules of Methylphenidate Hydrochloride, a ADD or ADHD drug,
consist of a mixture of two sets of beads: The first set is referred to as immediate
release (IR) Beads. IR Beads are designed to provide a loading or bolus dose by releasing
all of the methylphenidate hydrochloride within the first hour, preferably within
the first 30 minutes. The second set is referred to as the Extended Release (ER) Beads.
ER Beads are designed to release methylphenidate slowly over a period of 10-12 hours.
[0020] In a preferred embodiment, IR Beads are prepared by adding Methylphenidate HCl to
an aqueous binder solution, preferably a PVP solution. Sugar spheres are coated with
the drug solution and then dried. The drug containing particles are coated with a
sealcoat of HPMC (Opadry Clear) to form IR Beads in accordance with the invention.
Release characteristics of the IR Beads can be modified by optionally coating IR Beads
with a blend of a water soluble polymer such as HPMC and a water insoluble polymer
such as ethylcellulose.
[0021] The ER Beads are produced by applying a layer of extended release membrane coating
(with a dissolution rate controlling polymer such as ethylcellulose) and then a seal
coat on IR Beads. The two sets of beads when filled into capsule shells at an appropriate
ratio will produce the target
in vitro release profile which in turn will result in plasma concentrations required to provide
rapid onset of action and efficacy over several hours in school going children with
ADD or ADHD.
Example 1:
[0022] Methylphenidate HCl (200 g) was slowly added to an aqueous solution (about 15 % solids)
of polyvinylpyrrolidone (10 g Providone K-30) and mixed well. 25-30 mesh sugar spheres
(770 g) were coated with the drug solution in a Versa Glatt fluid bed granulator.
The drug containing pellets were dried, and a sealcoat of Opadry Clear (20 g) was
first applied to produce IR Beads. ER Beads are produced by taking IR Beads and coating
with the dissolution rate controlling polymer. A plasticized ethylcellulose coating
was applied to the methylphenidate particles (893 g) by spraying Aquacoat® ECD-30(233
g) and dibutyl sebacate (16.8 g). An outer seal coating formulation (20 g) of Opadry
was sprayed onto the coated active particles. The coated particles were cured at 60°C
for 12 hours so that polymer particles coalesce to form a smooth membrane on ER Beads.
[0023] The IR and ER Beads were then filled into hard gelatin capsules using an MG Capsule
Filling Machine with dual bead filling hoppers Three clinical batches, Methylphenidate
HCl MR Capsules, 25 mg (20 IR/80 ER Beads), 25 mg (30 IR/70 ER Beads) and 25 mg (40
IR/60 ER Beads), were manufactured, tested, and released for pilot biostudies. The
dissolution profiles of these capsules are presented in Table 1 showing increasing
release rates with increasing IR Bead fraction in the finished capsule.
Table 1: Dissolution Data for Example 1
Time, Hours |
(20 IR/80 ER Beads) |
(30 IR/70ER Beads) |
(40 IR/60 ER Beads) |
0.0 |
0.0 |
0.0 |
0.0 |
1.0 |
24.5% |
31.6% |
42.1% |
2.0 |
29.8% |
37.4% |
48.3% |
4.0 |
57.8% |
59.0% |
66.3% |
8.0 |
79.2% |
76.3% |
83.5% |
12.0 |
89.1% |
84.6% |
88.2% |
Example 2:
[0024] In order to evaluate the bioavailability of the pilot clinical supplies manufactured
as described in Example 1 and to establish
in vitro/
in vivo correlations, a randomized, open-labelled, six-period crossover biostudy was conducted
in 24 healthy subjects, of which 18 subjects completed the study. Treatment regimens
included a single oral dose of (A) one 10 mg Ritalin® IR tablet, (B) one 10 mg Ritalin
IR tablet at 0 and 4 hours, (C) one 20 mg Ritalin® SR tablet, (D) one 25 mg MR Capsule
(20 IR/80 ER Beads), (E) one 25 mg MR Capsule (30 IR/70 ER Beads), and (F) one 25
mg MR Capsule (40 IR/60 ER Beads). Pharmacokinetic assessments were made by measuring
serial plasma methylphenidate concentrations after administration of each formulation.
Each of the treatments administered resulted in a unique mean plasma concentration
profile (Figure 1). Treatments A, B, and C appeared to have similar elimination rate
processes. In contrast, treatments D, E, and F appeared to have similar but slower
elimination rate processes, implying that the methylphenidate elimination following
the administration of Treatments D, E, and F is limited by the release rate from the
MR capsule. Based on the study results, the Treatment F met the bioequivalence confidence
interval requirements with Treatment C, the 20 mg methylphenidate SR formulation,
suggesting the need for a faster release rate from the dosage form manufactured in
accordance with the present invention.
Example 3:
[0025] Methylphenidate HCl (1,168.4 g) was slowly added to a solution of polyvinylpyrrolidone
(58.4 g Providone K-30) in 7,536 g of purified water and mixed well. 25-30 mesh sugar
spheres (4,500 g) were coated with the drug solution in a Glatt fluid bed granulator
GPCG 5. The drug containing pellets were dried, and a sealcoat of Opadry Clear (121.7
g) in 1,400 g purified water was first applied. The dissolution rate controlling polymer
coating was applied to the active particles (4,500 g) by spraying a dispersion of
Aquacoat ECD (1,187.4 g) and dibutyl sebacate (85.5 g) in 199.5 purified water. An
outer seal coating formulation (Opadry)(101.8 g) in 1,170.7 g purified water was sprayed
onto the coated active particles. The coated particles were cured at 60°C for 12 hours
so that the polymers were coalesced to produce ER Beads.
[0026] An IR Bead batch (Batchsize: 5,535.6 g) at 10% drug load was also prepared by following
the above procedure. Methylphenidate MR Capsules, 20 mg (30 IR/70 ER) Batch (6000
size #3 capsules), containing 6.0 mg of IR Beads and 14 mg of ER Beads were manufactured
using MG2 Futura capsule filling equipment. Similarly, Methylphenidate HCl MR Capsules,
20 mg (40 IR/60 ER Beads) Batch, were manufactured.
Table 2: Dissolution Data for Example 3
Time, Hours |
(30 IR/70ER Beads) |
(40 IR/60 ER Beads) |
0.0 |
0.0 |
0.0 |
1.0 |
33.4% |
41.3% |
2.0 |
44.9% |
50.9% |
4.0 |
66.2% |
69.6% |
8.0 |
87.1% |
89.2% |
12.0 |
97.1% |
98.0% |
Example 4:
[0027] A randomized six-way crossover study in 24 healthy children with ADHD (Protocol MAI
1001-02) was performed using 20 mg MR Capsules (30 IR/70 ER Beads and 40 IR/60 ER
Beads of Example 3) and 2 x 20 mg dosed to children in the fed condition in comparison
with Ritalin IR 10 mg dosed twice. The plasma profiles were obtained in a randomized,
two-double-blind, crossover comparison of IR bid and placebo in stage 1 and two doses
of two MR capsules in stage 2 in 24 healthy children. Children received MR capsules
(30 IR/70 ER and 40 IR/60 ER Beads of Example 3, single and double doses) and one
dosing regimen of Ritalin IR tablets (10 mg bid). Mean methylphenidate Plasma concentrations
versus Time profiles are presented in Figure 2. A level A correlation was established
between the
in vitro release and
in vivo absorption with a correlation coefficient of r
2 = 0.98 and a slope of almost 1, as per the FDA guidelines, Guidance for Industry:
Extended Release Oral Dosage Forms.
Example 5:
[0028] Methylphenidate HCl (11.7 kg) was slowly added to an aqueous solution of polyvinylpyrrolidone
(500 g Providone K-30) and mixed well. 25-30 mesh sugar spheres (38.5 kg) were coated
with the drug solution in a fluid bed equipment, Fluid Air FA 0300. The drug containing
pellets were dried, and a sealcoat of Opadry Clear (2% w/w) in purified water was
first applied. The dissolution rate controlling polymer coating was applied to the
active particles (8.6% w/w) by spraying a dispersion of Aquacoat ECD and dibutyl sebacate.
An outer seal coat of Opadry Clear (2% w/w) was applied onto the coated active particles.
The coated particles were cured at 60°C for 12 hours so that the polymers were coalesced
to produce ER Beads. An IR Bead batch (Batchsize:50.4 kg) at about 10% drug load was
also prepared by following the above procedure. Methylphenidate MR Capsules, 20 mg
in size #3 capsules, containing 6.0 mg of IR Beads and 14 mg of ER Beads were manufactured
using an MG Futura capsule filling equipment. Similarly, Methylphenidate HCl MR Capsules,
10 mg (30 IR/70 ER Beads) and 30 mg (30 IR/70 ER Beads), were also manufactured. The
initial and up to 18-month stability data at 30°C/60% RH and up to 6-month stability
data at 40°C/75% RH for MR Capsules, 20 mg, are presented, respectively, in Figures
3 and 4. Both 10 and 30 mg capsule products at the ratio of 30 IR/70 ER Beads have
also demonstrated to be physically and chemically stable.
Example 6:
[0029] Methylphenidate HCl (2,336.8 g) was slowly added to an aqueous solution of polyvinylpyrrolidone
(116.8 g Povidone K-30) in 14,072 g of purified water and mixed well. 25-30 mesh sugar
spheres (9,000 g) were coated with the drug solution in a Glatt fluid bed granulator
GPCG 5. The drug containing pellets were dried, and a sealcoat of Opadry Clear (243.4
g) in 2,800 g purified water was first applied. The dissolution rate coutrolling polymer
coating was applied to the active particles (9,500 g) by spraying a solution of ethylcellulose
and diethyl phthalate in 98/2 acetone/water. The coated ER Beads were cured at 60°C
for 4 hours. IR Beads were prepared by following above procedure. The IR and ER Beads
were filled into capsules at a ratio of 30 IR/70 ER Beads.
1. Modified release methylphenidate hydrochloride capsule drug delivery system comprising
a multitude of IR (immediate release) and ER (extended release) beads filled into
capsules at a ratio of 10 IR/90 ER to 50 IR/50 ER beads each of said IR and ER beads
containing about 5 to 20% w/w methylphenidate hydrochloride, wherein the IR bead is
an inert sugar core particle layered with methylphenidate containing a binder at a
concentration of 0.5 to 5 weight %, said layered particle further being coated with
a seal coat in an amount up to 4% w/w, and wherein the ER bead comprises an IR bead
coated with a dissolution rate controlling polymeric coating in an amount from 5 to
25% by weight based on the total weight of the coated particle, the ER bead being
seal coated in an amount up to 4% w/w, wherein the sealcoat is hydroxypropylmethylcellulose
(HPMC).
2. The drug delivery system according to claim 1, wherein the dissolution rate controlling
polymeric coating on the ER bead is in an amount from 5 to 10% w/w.
3. The drug delivery system of claim 1 or 2, wherein the dissolution rate controlling
polymer on the ER bead is selected from the group consisting of ethylcellulose, neutral
copolymers based on ethylacrylate and methylmethacrylate, and copolymers of acrylic
and methacylic acid esters having quaternary ammonium groups.
4. The drug delivery system of claim 3, wherein the dissolution rate controlling polymer
is ethylcellulose.
5. The drug delivery system of any one of claims 1 to 4, wherein the dissolution rate
controlling polymer is plasticized.
6. The drug delivery system of claim 5, wherein the dissolution rate controlling polymer
comprises about 3 to 30 wt % plasticizer based on the polymer.
7. The drug delivery system of any preceding claim, wherein the binder is selected from
the group comprising: polyvinylpyrrolidone (PVP), polyethylene oxide, hydroxypropyl
methylcellulose (HPMC), hydroxypropyl cellulose (HPC), dextran and corn starch.
8. The drug delivery system of claim 5 or 6, wherein the ER beads are manufactured by
membrane coating methylphenidate containing IR beads with a plasticized dissolution
rate controlling water insoluble ethylcellulose formulation as a solution or an aqueous
dispersion for a weight gain of not more than 10% w/w.
9. The drug delivery system of any one of claims 5 to 8, wherein the plasticizer is selected
from the group consisting of dibutyl sebacate, trimethyl citrate, diethyl phthalate,
tributyl citrate, triacetin and mixtures thereof.
10. The drug delivery system of any of claims 1 to 9, wherein said capsule comprises 10
to 40 mg methylphenidate as a hydrochloride salt consisting of IR and ER beads at
a ratio of 20/80 to 40/60.
11. The drug delivery system of claim 10, wherein the IR and ER beads are at a ratio of
30/70.
12. A method of making a drug delivery system for methylphenidate hydrochloride as defined
in claim 1 which comprises:
a. preparing a drug layered core particle comprising a water soluble methylphenidate
containing film forming composition;
b. coating said drug layered core particle with a seal coat to form IR beads, wherein
the sealcoat is hydroxypropylmethylcellulose (HPMC);
c. coating IR beads with a water insoluble dissolution rate controlling polymer from
an aqueous dispersion or a solution in acetone/water to form ER beads;
d. coating ER beads with a seal coat, wherein the sealcoat is hydroxypropylmethylcellulose
(HPMC); wherein the weight of dissolution rate controlling polymer coating is from
5 to 25% by weight based on the total weight of the ER beads; and
e. producing MR capsules by filling capsules at a ratio from about 20 IR/80 ER to
40 IR/60 ER to provide a dose per MR capsule of from about 10 mg to 40 mg.
13. The method of claim 12 wherein said dissolution rate controlling polymer is a plasticized
ethylcellulose formulation.
14. The method of any one of claims 12 to 13 wherein said ratio is about 30 IR/70 ER.
1. Methylphenidathydrochloridkapsel-Arzneimittelabgabesystem mit modifizierter Freisetzung,
umfassend eine Vielzahl von IR- (sofortige Freisetzung) und ER- (verlängerte Freisetzung)
Kügelchen, die mit einem Verhältnis von 10 IR-/90 ER- bis 50 IR-/50 ER-Kügelchen in
Kapseln gefüllt werden, wobei jedes der IR- und ER-Kügelchen ungefähr 5 bis 20 Gew.-%
Methylphenidathydrochlorid enthält, wobei das IR-Kügelchen ein inertes Teilchen mit
Zuckerkern ist, das mit Methylphenidat geschichtet ist, enthaltend ein Bindemittel
mit einer Konzentration von 0,5 bis 5 Gew.-%, wobei das Schichtteilchen ferner mit
einer Versiegelungsbeschichtung in einer Menge von bis zu 4 Gew.-% beschichtet ist
und wobei das ER-Kügelchen ein IR-Kügelchen umfasst, das mit einer die Auflösungsrate
regulierenden polymeren Beschichtung in einer Menge von 5 bis 25 Gew.-% auf Grundlage
des Gesamtgewichts des beschichteten Teilchens beschichtet ist, wobei das ER-Kügelchen
in einer Menge von bis zu 4 Gew.-% versiegelungsbeschichtet ist, wobei die Versiegelungsbeschichtung
Hydroxypropylmethylcellulose (HPMC) ist.
2. Arzneimittelabgabesystem nach Anspruch 1, wobei die die Auflösungsrate regulierende
polymere Beschichtung an dem ER-Kügelchen in einer Menge von 5 bis 10 Gew.-% vorliegt.
3. Arzneimittelabgabesystem nach Anspruch 1 oder 2, wobei das die Auflösungsrate regulierende
Polymer an dem ER-Kügelchen aus der Gruppe ausgewählt wird, bestehend aus: Ethylcellulose,
neutralen Copolymeren auf der Grundlage von Ethylacrylat und Methylmethacrylat und
Copolymeren von Acryl- und Methacrylsäureestern, aufweisend quaternäre Ammoniumgruppen.
4. Arzneimittelabgabesystem nach Anspruch 3, wobei das die Auflösungsrate regulierende
Polymer Ethylcellulose ist.
5. Arzneimittelabgabesystem nach einem der Ansprüche 1 bis 4, wobei das die Auflösungsrate
regulierende Polymer plastifiziert ist.
6. Arzneimittelabgabesystem nach Anspruch 5, wobei das die Auflösungsrate regulierende
Polymer auf Grundlage des Polymers ungefähr 3 bis 30 Gew.-% Weichmacher umfasst.
7. Arzneimittelabgabesystem nach einem der vorhergehenden Ansprüche, wobei das Bindemittel
aus der Gruppe ausgewählt wird, umfassend: Polyvinylpyrrolidon (PVP), Polyethylenoxid,
Hydroxypropylmethylcellulose (HPMC), Hydroxypropylcellulose (HPC), Dextran und Maisstärke.
8. Arzneimittelabgabesystem nach Anspruch 5 oder 6, wobei die ER-Kügelchen durch eine
Membranbeschichtung von Methylphenidat enthaltenden IR-Kügelchen mit einer plastifizierten
die Auflösungsrate regulierenden wasserunlöslichen Ethylcelluloseformulierung als
eine Lösung oder eine wässrige Dispersion für eine Gewichtszunahme von nicht mehr
als 10 Gew.-% hergestellt werden.
9. Arzneimittelabgabesystem nach einem der Ansprüche 5 bis 8, wobei der Weichmacher aus
der Gruppe ausgewählt wird, bestehend aus Dibutylsebacat, Trimethylcitrat, Diethylphthalat,
Tributylcitrat, Triacetin und Gemischen davon.
10. Arzneimittelabgabesystem nach einem der Ansprüche 1 bis 9, wobei die Kapsel 10 bis
40 mg Methylphenidat als ein Hydrochloridsalz umfasst, bestehend aus IR- und ER-Kügelchen
mit einem Verhältnis von 20/80 bis 40/60.
11. Arzneimittelabgabesystem nach Anspruch 10, wobei die IR- und ER-Kügelchen mit einem
Verhältnis von 30/70 vorliegen.
12. Verfahren zur Herstellung eines Arzneimittelabgabesystems für Methylphenidathydrochlorid
nach Anspruch 1, das Folgendes umfasst:
a. Präparieren eines Teilchens mit einem Kern aus geschichtetem Arzneimittel, umfassend
eine wasserlösliche Methylphenidat enthaltende filmbildende Zusammensetzung;
b. Beschichten des Teilchens mit einem Kern aus geschichtetem Arzneimittel mit einer
Versiegelungsbeschichtung, um IR-Kügelchen zu bilden, wobei die Versiegelungsbeschichtung
Hydroxypropylmethylcellulose (HPMC) ist;
c. Beschichten von IR-Kügelchen mit einem wasserunlöslichen die Auflösungsrate regulierenden
Polymer aus einer wässrigen Dispersion oder einer Lösung in Aceton/Wasser, um ER-Kügelchen
zu bilden;
d. Beschichten von ER-Kügelchen mit einer Versiegelungsbeschichtung, wobei die Versiegelungsbeschichtung
Hydroxypropylmethylcellulose (HPMC) ist; wobei das Gewicht der die Auflösungsrate
regulierenden Polymerbeschichtung auf Grundlage des Gesamtgewichts der ER-Kügelchen
von 5 bis 25 Gew.-% reicht; und
e. Herstellen von MR-Kapseln durch das Befüllen von Kapseln mit einem Verhältnis von
ungefähr 20 IR/80 ER bis 40 IR/60 ER, um pro MR-Kapsel eine Dosis von ungefähr 10
mg bis 40 mg bereitzustellen.
13. Verfahren nach Anspruch 12, wobei das die Auflösungsrate regulierende Polymer eine
plastifizierte Ethylcelluloseformulierung ist.
14. Verfahren nach einem der Ansprüche 12 bis 13, wobei das Verhältnis ungefähr 30 IR/70
ER entspricht.
1. Système d'administration de médicament par capsule de chlorhydrate de méthylphénidate
à libération modifiée comprenant une multitude de billes IR (à libération immédiate)
et ER (à libération prolongée) remplies dans des capsules à un rapport de 10 billes
IR/90 billes ER à 50 billes IR/50 billes ER, chacune desdites billes IR et ER contenant
environ 5 à 20 % en p/p de chlorhydrate de méthylphénidate, ladite bille IR étant
une particule centrale inerte en sucre recouverte de méthylphénidate contenant un
liant à une concentration de 0,5 à 5 % en poids, ladite particule recouverte étant
en outre enrobée d'un revêtement étanche en une quantité représentant jusqu'à 4 %
en p/p, et ladite bille ER comportant une bille IR enrobée d'un enrobage polymère
contrôlant la vitesse de dissolution en une quantité allant de 5 à 25 % en poids par
rapport au poids total de la particule enrobée, la bille ER étant enrobée de manière
étanche en une quantité représentant jusqu'à 4 % en p/p, ledit revêtement étanche
étant de l'hydroxypropylméthylcellulose (HPMC).
2. Système d'administration de médicament selon la revendication 1, ledit enrobage polymère
régulant la vitesse de dissolution sur la bille ER étant présent en une quantité allant
de 5 à 10 % en p/p.
3. Système d'administration de médicament selon la revendication 1 ou 2, ledit polymère
régulant la vitesse de dissolution sur la bille ER étant choisi dans le groupe constitué
par l'éthylcellulose, les copolymères neutres à base d'acrylate d'éthyle et de méthacrylate
de méthyle, et les copolymères d'esters d'acides acrylique et méthacrylique comportant
des groupes ammonium quaternaires.
4. Système d'administration de médicament selon la revendication 3, ledit polymère régulant
la vitesse de dissolution étant l'éthylcellulose.
5. Système d'administration de médicament selon l'une quelconque des revendications 1
à 4, ledit polymère régulant la vitesse de dissolution étant plastifié.
6. Système d'administration de médicament selon la revendication 5, ledit polymère régulant
la vitesse de dissolution comprenant environ 3 à 30 % en poids sur la base du polymère.
7. Système d'administration de médicament selon l'une quelconque des revendications précédentes,
ledit liant étant choisi dans le groupe constitué par : la polyvinylpyrrolidone (PVP),
l'oxyde de polyéthylène, hydroxypropylméthylcellulose (HPMC), hydroxypropylcellulose
(HPC), le dextrane et l'amidon de maïs.
8. Système d'administration de médicament selon la revendication 5 ou 6, lesdits billes
ER étant fabriquées par enrobage à membrane des billes IR contenant du méthylphénidate
avec une formulation plastifiée d'éthylcellulose régulant la vitesse de dissolution
insoluble dans l'eau sous forme de solution ou de dispersion aqueuse pour un gain
de poids inférieur ou égal à 10 % en p/p.
9. Système d'administration de médicament selon l'une quelconque des revendications 5
à 8, ledit plastifiant étant choisi dans le groupe constitué par le sébacate de dibutyle,
le citrate de triméthyle, le phtalalte de diéthyle, le citrate de tributyle, la triacétine
et les mélanges de ceux-ci.
10. Système d'administration de médicament selon l'une quelconque des revendications 1
à 9, ladite capsule comprenant 10 à 40 mg de méthylphénidate sous forme de sel de
chlorhydrate consistant en des billes IR et ER dans un rapport de 20/80 à 40/60.
11. Système d'administration de médicament selon la revendication 10, lesdites billes
IR et ER étant dans un rapport de 30/70.
12. Procédé de fabrication d'un système d'administration de médicament pour chlorhydrate
de méthylphénidate tel que défini dans la revendication 1 qui comprend :
a. la préparation d'une particule centrale recouverte de médicament comprenant une
composition formant un film contenant du méthylphénidate soluble dans l'eau ;
b. l'enrobage de ladite particule centrale recouverte de médicament avec un revêtement
étanche pour former des billes IR, ledit revêtement étanche étant de l'hydroxypropylméthylcellulose
(HPMC) ;
c. l'enrobage des billes IR avec un polymère régulant la vitesse de dissolution insoluble
dans l'eau à partir d'une dispersion aqueuse ou d'une solution dans le mélange acétone/eau
pour former des billes ER ;
d. l'enrobage des billes ER avec un revêtement étanche, ledit revêtement étanche étant
de l'hydroxypropylméthylcellulose (HPMC) ; ledit poids de l'enrobage polymère régulant
la vitesse de dissolution représentant de 5 à 25 % en poids par rapport au poids total
des billes ER ; et
e. la production de capsules MR en remplissant les capsules dans un rapport d'environ
20 IR/80 ER à 40 IR/60 ER pour fournir une dose par capsule MR d'environ 10 mg à 40
mg.
13. Procédé selon la revendication 12, ledit polymère régulant la vitesse de dissolution
étant une formulation d'éthylcellulose plastifiée.
14. Procédé selon l'une quelconque des revendications 12 à 13, ledit rapport étant d'environ
30 IR/70 ER.