GB2281204A - Sustained release morphine compositions - Google Patents
Sustained release morphine compositions Download PDFInfo
- Publication number
- GB2281204A GB2281204A GB9315467A GB9315467A GB2281204A GB 2281204 A GB2281204 A GB 2281204A GB 9315467 A GB9315467 A GB 9315467A GB 9315467 A GB9315467 A GB 9315467A GB 2281204 A GB2281204 A GB 2281204A
- Authority
- GB
- United Kingdom
- Prior art keywords
- hours
- morphine
- test
- pharmaceutical composition
- active ingredient
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 title claims abstract description 54
- 229960005181 morphine Drugs 0.000 title claims abstract description 27
- 239000000203 mixture Substances 0.000 title claims abstract description 22
- 239000012730 sustained-release form Substances 0.000 title claims abstract description 11
- 238000013268 sustained release Methods 0.000 title claims abstract description 10
- 239000004480 active ingredient Substances 0.000 claims abstract description 15
- 239000008188 pellet Substances 0.000 claims abstract description 15
- 239000000463 material Substances 0.000 claims abstract description 13
- 150000003839 salts Chemical class 0.000 claims abstract description 13
- 230000036470 plasma concentration Effects 0.000 claims abstract description 8
- 230000002209 hydrophobic effect Effects 0.000 claims abstract description 6
- 239000002775 capsule Substances 0.000 claims abstract description 5
- 238000009472 formulation Methods 0.000 claims description 9
- 238000000034 method Methods 0.000 claims description 9
- GRVOTVYEFDAHCL-RTSZDRIGSA-N morphine sulfate pentahydrate Chemical compound O.O.O.O.O.OS(O)(=O)=O.O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O.O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O GRVOTVYEFDAHCL-RTSZDRIGSA-N 0.000 claims description 7
- 238000000338 in vitro Methods 0.000 claims description 4
- 238000005453 pelletization Methods 0.000 claims description 3
- 239000012062 aqueous buffer Substances 0.000 claims description 2
- 229910010272 inorganic material Inorganic materials 0.000 claims description 2
- 239000011147 inorganic material Substances 0.000 claims description 2
- 239000000155 melt Substances 0.000 claims description 2
- 239000011368 organic material Substances 0.000 claims description 2
- 239000008194 pharmaceutical composition Substances 0.000 claims 6
- 239000008172 hydrogenated vegetable oil Substances 0.000 abstract description 5
- 239000004359 castor oil Substances 0.000 abstract description 3
- 235000019438 castor oil Nutrition 0.000 abstract description 3
- ZEMPKEQAKRGZGQ-XOQCFJPHSA-N glycerol triricinoleate Natural products CCCCCC[C@@H](O)CC=CCCCCCCCC(=O)OC[C@@H](COC(=O)CCCCCCCC=CC[C@@H](O)CCCCCC)OC(=O)CCCCCCCC=CC[C@H](O)CCCCCC ZEMPKEQAKRGZGQ-XOQCFJPHSA-N 0.000 abstract description 3
- 239000002552 dosage form Substances 0.000 abstract description 2
- 239000003921 oil Substances 0.000 abstract description 2
- 235000019198 oils Nutrition 0.000 abstract description 2
- 239000011159 matrix material Substances 0.000 description 11
- 229920001515 polyalkylene glycol Polymers 0.000 description 8
- 239000004925 Acrylic resin Substances 0.000 description 5
- 229920000178 Acrylic resin Polymers 0.000 description 5
- 229920003086 cellulose ether Polymers 0.000 description 5
- 238000013270 controlled release Methods 0.000 description 5
- -1 gums Polymers 0.000 description 5
- 229930195733 hydrocarbon Natural products 0.000 description 4
- 150000002430 hydrocarbons Chemical class 0.000 description 4
- 238000002156 mixing Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 3
- 239000004615 ingredient Substances 0.000 description 3
- DNIAPMSPPWPWGF-GSVOUGTGSA-N (R)-(-)-Propylene glycol Chemical compound C[C@@H](O)CO DNIAPMSPPWPWGF-GSVOUGTGSA-N 0.000 description 2
- VBICKXHEKHSIBG-UHFFFAOYSA-N 1-monostearoylglycerol Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(O)CO VBICKXHEKHSIBG-UHFFFAOYSA-N 0.000 description 2
- 239000004215 Carbon black (E152) Substances 0.000 description 2
- 239000002202 Polyethylene glycol Substances 0.000 description 2
- 229920013820 alkyl cellulose Polymers 0.000 description 2
- 235000014113 dietary fatty acids Nutrition 0.000 description 2
- 239000003085 diluting agent Substances 0.000 description 2
- 238000007908 dry granulation Methods 0.000 description 2
- 239000000194 fatty acid Substances 0.000 description 2
- 229930195729 fatty acid Natural products 0.000 description 2
- 150000004665 fatty acids Chemical class 0.000 description 2
- 229920001477 hydrophilic polymer Polymers 0.000 description 2
- 229920001600 hydrophobic polymer Polymers 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 238000002844 melting Methods 0.000 description 2
- 230000008018 melting Effects 0.000 description 2
- 229920003145 methacrylic acid copolymer Polymers 0.000 description 2
- 229920001223 polyethylene glycol Polymers 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 238000005550 wet granulation Methods 0.000 description 2
- WCOXQTXVACYMLM-UHFFFAOYSA-N 2,3-bis(12-hydroxyoctadecanoyloxy)propyl 12-hydroxyoctadecanoate Chemical compound CCCCCCC(O)CCCCCCCCCCC(=O)OCC(OC(=O)CCCCCCCCCCC(O)CCCCCC)COC(=O)CCCCCCCCCCC(O)CCCCCC WCOXQTXVACYMLM-UHFFFAOYSA-N 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 229920000623 Cellulose acetate phthalate Polymers 0.000 description 1
- 241001440269 Cutina Species 0.000 description 1
- 235000019739 Dicalciumphosphate Nutrition 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 229920003148 Eudragit® E polymer Polymers 0.000 description 1
- 229920003135 Eudragit® L 100-55 Polymers 0.000 description 1
- 229920003136 Eudragit® L polymer Polymers 0.000 description 1
- 229920003163 Eudragit® NE 30 D Polymers 0.000 description 1
- 229920003151 Eudragit® RL polymer Polymers 0.000 description 1
- 229920003152 Eudragit® RS polymer Polymers 0.000 description 1
- 229920003137 Eudragit® S polymer Polymers 0.000 description 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 125000001931 aliphatic group Chemical group 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 235000013871 bee wax Nutrition 0.000 description 1
- 239000012166 beeswax Substances 0.000 description 1
- NEDGUIRITORSKL-UHFFFAOYSA-N butyl 2-methylprop-2-enoate;2-(dimethylamino)ethyl 2-methylprop-2-enoate;methyl 2-methylprop-2-enoate Chemical compound COC(=O)C(C)=C.CCCCOC(=O)C(C)=C.CN(C)CCOC(=O)C(C)=C NEDGUIRITORSKL-UHFFFAOYSA-N 0.000 description 1
- FUFJGUQYACFECW-UHFFFAOYSA-L calcium hydrogenphosphate Chemical compound [Ca+2].OP([O-])([O-])=O FUFJGUQYACFECW-UHFFFAOYSA-L 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 239000004203 carnauba wax Substances 0.000 description 1
- 235000013869 carnauba wax Nutrition 0.000 description 1
- 229940081734 cellulose acetate phthalate Drugs 0.000 description 1
- 229940082500 cetostearyl alcohol Drugs 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000000975 co-precipitation Methods 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- NEFBYIFKOOEVPA-UHFFFAOYSA-K dicalcium phosphate Chemical compound [Ca+2].[Ca+2].[O-]P([O-])([O-])=O NEFBYIFKOOEVPA-UHFFFAOYSA-K 0.000 description 1
- 229940038472 dicalcium phosphate Drugs 0.000 description 1
- 229910000390 dicalcium phosphate Inorganic materials 0.000 description 1
- 229940095079 dicalcium phosphate anhydrous Drugs 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 125000003438 dodecyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- GDCRSXZBSIRSFR-UHFFFAOYSA-N ethyl prop-2-enoate;2-methylprop-2-enoic acid Chemical compound CC(=C)C(O)=O.CCOC(=O)C=C GDCRSXZBSIRSFR-UHFFFAOYSA-N 0.000 description 1
- FSXVSUSRJXIJHB-UHFFFAOYSA-M ethyl prop-2-enoate;methyl 2-methylprop-2-enoate;trimethyl-[2-(2-methylprop-2-enoyloxy)ethyl]azanium;chloride Chemical compound [Cl-].CCOC(=O)C=C.COC(=O)C(C)=C.CC(=C)C(=O)OCC[N+](C)(C)C FSXVSUSRJXIJHB-UHFFFAOYSA-M 0.000 description 1
- 150000002191 fatty alcohols Chemical class 0.000 description 1
- 125000005908 glyceryl ester group Chemical group 0.000 description 1
- 229940075507 glyceryl monostearate Drugs 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- UBHWBODXJBSFLH-UHFFFAOYSA-N hexadecan-1-ol;octadecan-1-ol Chemical compound CCCCCCCCCCCCCCCCO.CCCCCCCCCCCCCCCCCCO UBHWBODXJBSFLH-UHFFFAOYSA-N 0.000 description 1
- 238000004128 high performance liquid chromatography Methods 0.000 description 1
- 229920013821 hydroxy alkyl cellulose Polymers 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 238000007909 melt granulation Methods 0.000 description 1
- 150000002734 metacrylic acid derivatives Chemical class 0.000 description 1
- 229940117841 methacrylic acid copolymer Drugs 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 239000002480 mineral oil Substances 0.000 description 1
- 239000012184 mineral wax Substances 0.000 description 1
- 239000001788 mono and diglycerides of fatty acids Substances 0.000 description 1
- 125000001421 myristyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- DNKKLDKIFMDAPT-UHFFFAOYSA-N n,n-dimethylmethanamine;2-methylprop-2-enoic acid Chemical compound CN(C)C.CC(=C)C(O)=O.CC(=C)C(O)=O DNKKLDKIFMDAPT-UHFFFAOYSA-N 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 239000000014 opioid analgesic Substances 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- 125000000913 palmityl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 239000011236 particulate material Substances 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229940093429 polyethylene glycol 6000 Drugs 0.000 description 1
- 239000004626 polylactic acid Substances 0.000 description 1
- 229920000642 polymer Polymers 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- 229920000915 polyvinyl chloride Polymers 0.000 description 1
- 239000004800 polyvinyl chloride Substances 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 238000007873 sieving Methods 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 125000004079 stearyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 229910021653 sulphate ion Inorganic materials 0.000 description 1
- OULAJFUGPPVRBK-UHFFFAOYSA-N tetratriacontyl alcohol Natural products CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCO OULAJFUGPPVRBK-UHFFFAOYSA-N 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/47—Quinolines; Isoquinolines
- A61K31/485—Morphinan derivatives, e.g. morphine, codeine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1617—Organic compounds, e.g. phospholipids, fats
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
- A61K9/1629—Organic macromolecular compounds
- A61K9/1641—Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, poloxamers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2013—Organic compounds, e.g. phospholipids, fats
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2054—Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2072—Pills, 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
- A61K9/2077—Tablets comprising drug-containing microparticles in a substantial amount of supporting matrix; Multiparticulate tablets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2095—Tabletting processes; Dosage units made by direct compression of powders or specially processed granules, by eliminating solvents, by melt-extrusion, by injection molding, by 3D printing
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Emergency Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
An orally administered sustained release dosage unit form containing morphine, or a pharmaceutically acceptable salt thereof, as active ingredient, which composition gives a peak plasma level at from 1.0 to 3.5 hours after administration. The morphine dosage form is suitable for once-a-day administration. It is preferably in the form of a capsule filled with pellets comprising morphine and a hydrophobic release control material such as a natural or synthetic wax or oil e.g. hydrogenated vegetable or castor oil.
Description
SUSTAINED RELEASE COMPOSITIONS
This invention is concerned with improvements in and relating to sustained release compositions and, more particularly, is concerned with sustained release orally administerable dosage unit forms containing morphine, or a pharmaceutically acceptable salt thereof, as active ingredient.
Morphine is an opioid analgesic well established for use in the treatment of pain, especially moderate to severe pain. Morphine-containing compositions in sustained release form are currently commercially available as so-called "twice-a-day" formulations, that is formulations having a duration of activity of 12 hours or more and accordingly requiring to be administered twice a day.
It is an object of the present invention to provide a morphine-containing sustained release orally administrable dosage unit form which has an effective duration of activity of 24 hours or more and, hence, is suitable for administration on a once daily basis.
It has surprisingly been found, in accordance with the present invention, that effective therapeutic activity over a period of 24 hours or more may be obtained from a morphine-containing sustained release formulation which gives an in vivo peak plasma level relatively early after administration, that is from 1.0 to 3.5 hours after administration.
Accordingly, one embodiment of the invention provides an orally administrable sustained release dosage unit form containing morphine, or a pharmaceutically acceptable salt thereof, as active ingredient which formulation gives a peak plasma level at from 1.0 to 3.5 hours, preferably 2 to 3 hours, after administration.
When the morphine is administered as morphine sulphate and the method of plasma analysis is high performance liquid chromatography, the peak plasma level of morphine (per ml of plasma) is preferably from 0.5 x 10 7 to 7.5 x 10 7 times the amount of morphine sulphate orally administered. When morphine base or a salt other than the sulphate is administered, the preferred ratio of drug administered to peak plasma level should be adjusted according to the molecular weight of the base or salt.
The dosage unit form in accordance with the invention should contain sufficient morphine, or salt thereof, to give therapeutic activity over a period of at least 24 hours. The actual amount of morphine, or salt, in any particular dosage form will of course depend upon a number of variables including (i) the number of dosage unit forms intended to be administered at any one time and (ii) the intended dosage for any particular patient. Conveniently, however, dosage unit forms in accordance with the invention will contain from 10 to 500 mg of morphine (calculated as morphine sulphate) and thus, for example, typical dosage unit forms in accordance with the invention are those containing 20, 30, 60, 90, 120, 150 and 200 mg of morphine (calculated as above).
It has further been found, in accordance with the present invention, that in order to achieve the desired time of peak plasma level and to provide effective activity over a period of at least 24 hours, the in vitro release characteristics of the formulation [when measured by the modified Ph.Eur. Basket method at 100 rpm in 900 ml aqueous buffer (pH 6.5) at 37 C] are as set out below: hours after morphine (salt) released start of test suitable preferred
2 15-50 25-50
4 20-65 30-65
6 25-75 40-75
12 40-90 60-90
18 55-100 70-100
24 65-100 80-100
The compositions of the invention may be provided in a variety of forms, for example as tablets or capsules containing granules, spheroids or pellets.Commonly, the composition will comprise the active ingredient (morphine or salt thereof) together with a diluent which may serve to delay release of the active ingredient or which may be coated with a coating which serves to control the rate of release of the active ingredient. A preferred form of dosage unit form in accordance with the invention comprises a capsule filled with pellets essentially comprising the active ingredient and a hydrophobic release control material. In particular, the pellets are preferably prepared by a so-called "melt pelletisation" process.In essence, such process comprises forming a mixture of dry particulate active ingredient and fusible release control material and pelletising the mixture in a high speed mixer at a rate and energy input such that sufficient energy is supplied to the fusible material or melt or soften it whereby it forms pellets with the particulate active ingredient.
The resultant pellets, after cooling, are suitably sieved to give pellets having a particle size range from 0.1 to 3.0 mm, preferably 0.25 to 2.0 mm.
When using such a melt pelletisation technique it has been found that, in order to most readily achieve the desired release characteristics (.both in vivo and in vitro as discussed above) the composition to be pelleted should comprise two essential ingredients namely: (a) active ingredient (morphine or salt thereof); and (b) hydrophobic fusible carrier or diluent; optionally
together with (c) a release control component comprising a
water-soluble fusible material or a particulate
soluble or insoluble organic or inorganic material.
The hydrophobic fusible component (b) should be a hydrophobic material such as a natural or synthetic wax or oil, for example hydrogenated vegetable oil or hydrogenated castor oil, and suitably has a melting point of from 35 to 100by, preferably 45 to 900C.
The release modifying component (c), when a water soluble fusible material, is conveniently a polyethylene glycol and, when a particulate material, is conveniently a pharmaceutically acceptable material such as dicalcium phosphate or lactose.
Only a relatively small amount of component (c) is required to modify the release characteristics of the formulation and thus, for example, this component suitably forms from 0.01 to 20% by weight, more preferably 0.01 to 15% by weight of the total weight of the pellets. We have found that the total amount of active ingredient in the composition may vary within wide limits, for example from 10 to 60% by weight thereof.
Alternatively the morphine (or salt thereof) may be formulated (e.g. by dry or wet granulation or by blending) in a controlled release mixture formed of components other than fusible components. Suitable materials for inclusion in a controlled release matrix include, for example (a) Hydrophilic or hydrophobic polymers, such as gums,
cellulose ethers, protein derived materials, nylon,
acrylic resins, polylactic acid, polyvinylchloride,
starches, polyvinylpyrrolidones, cellulose acetate
phthalate. Of these polymers,
cellulose ethers especially substituted cellulose
ethers such as alkylcelluloses (such as
ethylcellulose), C1-C6 hydroxyalkylcelluloses
(such as hydroxypropylcellulose and especially
hydroxyethyl cellulose) and acrylic resins (for
example methacrylates such as methacrylic acid
copolymers) are preferred.The controlled release
matrix may conveniently contain between 1k and 80%
(by weight) of hydrophilic or hydrophobic polymer.
(b) Digestible, long chain (C8-C50, especially
C8-C40), substituted or unsubstituted
hydrocarbons, such as fatty acids, hydrogenated
vegetable oils such as Cutina (Trade Mark), fatty
alcohols (such as lauryl, myristyl, stearyl, cetyl
or preferably cetostearyl alcohol), glyceryl esters
of fatty acids for example glyceryl monostearate
mineral oils and waxes (such as beeswax, glycowax,
castor wax or carnauba wax). Hydrocarbons having a
melting point of between 250C and 900C are
preferred. Of these long chain hydrocarbon
materials, fatty (aliphatic) alcohols are
preferred. The matrix may contain up to 60% (by
weight) of at least one digestible, long chain
hydrocarbon.
(c) Polyalkylene glycols. The matrix may contain up to 60% (by weight) of at least one polyalkylene glycol.
A suitable matrix comprises one or more cellulose ethers or acrylic resins, one or more C12-C36 preferably C14-C22, aliphatic alcohols and/or one or more hydrogenated vegetable oils.
A particularly suitable matrix comprises one or more alkylcelluloses, one or more C12-C36, (preferably C14-C22) aliphatic alcohols and optionally one or more polyalkylene glycols.
Preferably the matrix contains between 0.5 and 60S, especially between 1% and 50% (by weight) of the cellulose ether.
The acrylic resin is preferably a methacylate such as methacrylic acid copolymer USNF Type A (Eudragit L,
Trade Mark), Type B (Eudragit S, Trade Mark), Type C (Eudragit L 100-55, Trade Mark), Eudragit NE 30D,
Eudragit E, Eudragit RL and Eudragit RS. Preferably the matrix contains between 0.5 and 60% by weight, preferably between 1% and 50% by weight of the acrylic resin.
In the absence of polyalkylene glycol, the matrix preferably contains between 1% and 40%, especially between 2% and 36% (by weight) of the aliphatic alcohol When polyalkylene glycol is present in the oral dosage form, then the combined weight of the aliphatic alcohol and the polyalkylene glycol preferably constitutes between 2% and 40%, especially between 2 and 36% (by weight) of the matrix.
The polyalkylene glycol may be, for example, polypropylene glycol or, which is preferred, polyethylene glycol. The number average molecular weight of the at least one polyalkylene glycol is preferably between 200 and 15000 especially between 400 and 12000.
The morphine-containing controlled release matrix can readily be prepared by dispersing the active ingredient in the controlled release system using conventional pharmaceutical techniques such as melt granulation, wet granulation, dry blending, dry granulation or coprecipitation.
Another form of sustained release formulation comprises spheroids obtained by spheronizing the morphine (or salt thereof) with a spheronizing agent such as microcrystalline cellulose.
In order that the invention may be well understood the following examples are given by way of illustration only.
EXAMPLES
Pellets, having the formulations given in Table I below, were prepared by the steps of: (i) placing the ingredients, in a total amount by
weight of 10 kg, in the bowl of a 70 litre
capacity. Collette Gral mixer (or equivalent),
equipped with variable speed mixing and granulating
blades; (ii) mixing the ingredients while applying heat until
the contents of the bowl are pelletised; (iii) discharging the pellets from the mixer and
sieving them to separate out the pellets
collected between 0.5 and 2 mm aperture sieves.
Table I
Example No. 1 2 3 4 5 6 7 8
Morphine Sulphate 15 15 15 23 55 55 55 55 (wt.%)
Hydrogenated castor oil U.S.N.F. (wt.%) 77 76 75 70 - - -
Hydrogenated vegetable oil U.S.N.F. (wt.%) - - - - 42.8 45 44.95 42.0
Polyethylene glycol 6000 U.S.N.F. (wt.%) 8 9 10 7 0.2 - 0.05
Dicalcium phosphate anhydrous USP (wt.6) - - - - 2 - - 3
The in vitro release rates of the products of
Examples 1, 2, 3 and 5 were assessed by the modified
Ph.Eur. Basket method as noted above. For each of the products, six samples of the pellets, each sample containing a total of 30 mg of morphine sulphate, were tested. The results set out in Table II below give the mean values for each of the six samples tested.
TABLE II
Hours Product of Example after start of test 1 2 3 5
(% morphine released)
2 19 25 33 44
4 27 36 49 57
6 34 45 62 66
8 41 52 72 72
12 53 64 86 81
18 66 77 96 89
24 76 86 101 92
Pharmacokinetic studies in healthy human volunteers have indicated peak plasma levels of from 2.5 to 21.6 ng/ml of morphine at times between 1.0 and 3.5 hours following administration of a single capsule containing pellets of Examples 1,2, 3 or 5 in an amount sufficient to provide a morphine sulphate dose of 30 mg.
Claims (7)
1. An orally administrable sustained release dosage unit form containing morphine, or a pharmaceutically salt thereof, as active ingredient, which composition gives a peak plasma level at 1.0 to 3.5 hours after administration.
2. A pharmaceutical composition as claimed in claim 1 containing from 10 to 500 mg of morphine (calculated as morphine sulphate).
3. A pharmaceutical composition as claimed in claim 1 or claim 2 having in vitro release characteristics such that the formulation (when assessed by the modified
Ph.Eur. Basket Method at 100 rpm in 900 ml aqueous buffer, pH 6.5, at 370C), releases from 15 to 50% of active ingredient two hours after start of test, 20 to 65% at 4 hours after start of test; 25 to 75 at 6 hours after start of test; 40 to 90% at 12 hours after start of test, from 55 to 100% at 18 hours after start test and 65 to 100% at 24 hours after start of test.
4. A pharmaceutical composition as claimed in any one of the preceding claims comprising a capsule filled with pellets essentially comprising the active ingredient and a hydrophobic release control material.
5. A pharmaceutical composition as claimed in claim 4 which has been prepared by a melt pelletisation process.
6. A pharmaceutical composition as claimed in claim 4 or claim 5 also containing from 00.1 to 20% by weight, based on the total weight of the pellets, of a release control component comprising a water-soluble fusible material or a particulate soluble or insoluble organic or inorganic material.
7. A pharmaceutical composition as claimed in claim 1 substantially as hereinbefore described with reference to the Examples.
Priority Applications (23)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB9315467A GB2281204A (en) | 1993-07-27 | 1993-07-27 | Sustained release morphine compositions |
| IL10994494A IL109944A (en) | 1993-07-01 | 1994-06-08 | Sustained release dosage unit forms containing morphine and a method of preparing these sustained release dosage unit forms |
| SG1996009186A SG50706A1 (en) | 1993-07-01 | 1994-06-09 | Sustained release compositions and a method of preparing pharmaceutical compositions |
| DK94304144T DK0636370T4 (en) | 1993-07-01 | 1994-06-09 | Deposits containing morphine |
| AT94304144T ATE172376T1 (en) | 1993-07-01 | 1994-06-09 | MORPHINE-CONTAINING MEDICINAL COMPOSITIONS WITH DELAYED RELEASE |
| EP94304144A EP0636370B2 (en) | 1993-07-01 | 1994-06-09 | Sustained release compositions containing morphine |
| DE69414046T DE69414046T3 (en) | 1993-07-01 | 1994-06-09 | Morphine-containing medicinal compositions with delayed drug delivery |
| ES94304144T ES2124372T5 (en) | 1993-07-01 | 1994-06-09 | SUSTAINED RELEASE COMPOSITIONS CONTAINING MORPHINE. |
| CZ19941550A CZ287918B6 (en) | 1993-07-01 | 1994-06-23 | Orally administered unit dosage form with controlled release and process for preparing thereof |
| SK763-94A SK280534B6 (en) | 1993-07-01 | 1994-06-23 | MEANS OF RELEASE RELEASE AND METHOD |
| IN571MA1994 IN183742B (en) | 1993-07-27 | 1994-06-29 | |
| NZ260883A NZ260883A (en) | 1993-07-01 | 1994-06-29 | Oral sustained-release medicaments containing morphine |
| FI943141A FI114285B (en) | 1993-07-01 | 1994-06-30 | Process for preparing sustained release pharmaceutical dosage unit form |
| AU66105/94A AU6610594A (en) | 1991-12-24 | 1994-06-30 | Sustained release compositions and a method of preparing pharmaceutical compositions |
| CA002127166A CA2127166C (en) | 1993-07-01 | 1994-06-30 | Sustained release morphine compositions and a method of preparation |
| NO942470A NO306449B1 (en) | 1993-07-01 | 1994-06-30 | Orally administered morphine preparation for sustained release as well as preparation of multiparticulates for use in the preparation |
| PL94304062A PL179282B1 (en) | 1993-07-01 | 1994-06-30 | Oral slow-release formulation of morphine and method for producing slow-release morphine multiparticulates PL PL PL PL |
| KR1019940015740A KR100365572B1 (en) | 1993-07-01 | 1994-07-01 | Sustained-release and pharmaceutical compositions |
| JP15121994A JP3647897B2 (en) | 1993-07-01 | 1994-07-01 | Sustained release unit dosage form |
| HU9402007A HU220075B (en) | 1993-07-01 | 1994-07-01 | Long-term release morphine-containing pharmaceutical compositions and methods for their preparation |
| US08/843,571 US5879705A (en) | 1993-07-27 | 1997-04-18 | Sustained release compositions of morphine and a method of preparing pharmaceutical compositions |
| AU52995/98A AU722358B2 (en) | 1991-12-24 | 1998-02-06 | Sustained release compositions and a method of preparing pharmaceutical compositions |
| US09/264,399 US6143328A (en) | 1993-07-27 | 1999-03-08 | Sustained release compositions and a method of preparing pharmaceutical compositions |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB9315467A GB2281204A (en) | 1993-07-27 | 1993-07-27 | Sustained release morphine compositions |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| GB9315467D0 GB9315467D0 (en) | 1993-09-08 |
| GB2281204A true GB2281204A (en) | 1995-03-01 |
Family
ID=10739462
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB9315467A Withdrawn GB2281204A (en) | 1991-12-24 | 1993-07-27 | Sustained release morphine compositions |
Country Status (2)
| Country | Link |
|---|---|
| GB (1) | GB2281204A (en) |
| IN (1) | IN183742B (en) |
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2284760B (en) * | 1993-11-23 | 1998-06-24 | Euro Celtique Sa | A method of preparing pharmaceutical compositions by melt pelletisation |
| US5843480A (en) | 1994-03-14 | 1998-12-01 | Euro-Celtique, S.A. | Controlled release diamorphine formulation |
| US5849240A (en) | 1993-11-23 | 1998-12-15 | Euro-Celtique, S.A. | Method of preparing sustained release pharmaceutical compositions |
| US5891471A (en) | 1993-11-23 | 1999-04-06 | Euro-Celtique, S.A. | Pharmaceutical multiparticulates |
| US5958452A (en) | 1994-11-04 | 1999-09-28 | Euro-Celtique, S.A. | Extruded orally administrable opioid formulations |
| US6068855A (en) | 1994-11-03 | 2000-05-30 | Euro-Celtique S. A. | Pharmaceutical composition containing a fusible carrier and method for producing the same |
| WO2004045551A3 (en) * | 2002-11-15 | 2004-12-09 | Branded Products For The Futur | Pharmaceutical composition |
| US8557286B1 (en) | 1999-04-22 | 2013-10-15 | Euroceltique, S.A. | Method for producing a water-insoluble amorphous or partially amorphous controlled release matrix |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3634584A (en) * | 1969-02-13 | 1972-01-11 | American Home Prod | Sustained action dosage form |
| EP0108218A2 (en) * | 1982-10-08 | 1984-05-16 | Verex Laboratories, Inc. | Constant release rate solid oral dosage formulation of pharmaceutical compounds having a high degree of water solubility |
| EP0271193A2 (en) * | 1986-10-31 | 1988-06-15 | Euroceltique S.A. | Controlled release hydromorphone composition |
| EP0377518A2 (en) * | 1989-01-06 | 1990-07-11 | F.H. FAULDING & CO. LIMITED | Sustained release pharmaceutical composition |
| WO1992001446A1 (en) * | 1990-07-20 | 1992-02-06 | Aps Research Limited | Sustained-release formulations |
| WO1992002209A1 (en) * | 1990-07-31 | 1992-02-20 | Aiache Jean Marc | Method for preparing a bioadhesive galenical and galenical thereby obtained |
-
1993
- 1993-07-27 GB GB9315467A patent/GB2281204A/en not_active Withdrawn
-
1994
- 1994-06-29 IN IN571MA1994 patent/IN183742B/en unknown
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3634584A (en) * | 1969-02-13 | 1972-01-11 | American Home Prod | Sustained action dosage form |
| EP0108218A2 (en) * | 1982-10-08 | 1984-05-16 | Verex Laboratories, Inc. | Constant release rate solid oral dosage formulation of pharmaceutical compounds having a high degree of water solubility |
| EP0271193A2 (en) * | 1986-10-31 | 1988-06-15 | Euroceltique S.A. | Controlled release hydromorphone composition |
| EP0377518A2 (en) * | 1989-01-06 | 1990-07-11 | F.H. FAULDING & CO. LIMITED | Sustained release pharmaceutical composition |
| WO1992001446A1 (en) * | 1990-07-20 | 1992-02-06 | Aps Research Limited | Sustained-release formulations |
| WO1992002209A1 (en) * | 1990-07-31 | 1992-02-20 | Aiache Jean Marc | Method for preparing a bioadhesive galenical and galenical thereby obtained |
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| Title |
|---|
| British National Formulary No.25 (March 1993) page 181-see MST Continus * |
| Curr.Ther.Res.47 pages 869-878 (1990) * |
Cited By (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5849240A (en) | 1993-11-23 | 1998-12-15 | Euro-Celtique, S.A. | Method of preparing sustained release pharmaceutical compositions |
| US5891471A (en) | 1993-11-23 | 1999-04-06 | Euro-Celtique, S.A. | Pharmaceutical multiparticulates |
| GB2284760B (en) * | 1993-11-23 | 1998-06-24 | Euro Celtique Sa | A method of preparing pharmaceutical compositions by melt pelletisation |
| US5965163A (en) | 1993-11-23 | 1999-10-12 | Euro-Celtique, S.A. | Substained release compositions and a method of preparing pharmaceutical compositions |
| US6162467A (en) | 1993-11-23 | 2000-12-19 | Euro-Celtique, S.A. | Sustained release compositions and a method of preparing pharmaceutical compositions |
| US5843480A (en) | 1994-03-14 | 1998-12-01 | Euro-Celtique, S.A. | Controlled release diamorphine formulation |
| US6068855A (en) | 1994-11-03 | 2000-05-30 | Euro-Celtique S. A. | Pharmaceutical composition containing a fusible carrier and method for producing the same |
| US6335033B2 (en) | 1994-11-04 | 2002-01-01 | Euro-Celtique, S.A. | Melt-extrusion multiparticulates |
| US5965161A (en) | 1994-11-04 | 1999-10-12 | Euro-Celtique, S.A. | Extruded multi-particulates |
| US6261599B1 (en) | 1994-11-04 | 2001-07-17 | Euro-Celtique, S.A. | Melt-extruded orally administrable opioid formulations |
| US5958452A (en) | 1994-11-04 | 1999-09-28 | Euro-Celtique, S.A. | Extruded orally administrable opioid formulations |
| US6706281B2 (en) | 1994-11-04 | 2004-03-16 | Euro-Celtique, S.A. | Melt-extrusion multiparticulates |
| US6743442B2 (en) | 1994-11-04 | 2004-06-01 | Euro-Celtique, S.A. | Melt-extruded orally administrable opioid formulations |
| US7510727B2 (en) | 1994-11-04 | 2009-03-31 | Purdue Pharma L.P. | Melt-extrusion multiparticulates |
| US8557286B1 (en) | 1999-04-22 | 2013-10-15 | Euroceltique, S.A. | Method for producing a water-insoluble amorphous or partially amorphous controlled release matrix |
| WO2004045551A3 (en) * | 2002-11-15 | 2004-12-09 | Branded Products For The Futur | Pharmaceutical composition |
| US7192966B2 (en) | 2002-11-15 | 2007-03-20 | Branded Products For The Future | Pharmaceutical composition |
| US7652026B2 (en) | 2002-11-15 | 2010-01-26 | Branded Products For The Future | Pharmaceutical composition |
| US7973048B2 (en) | 2002-11-15 | 2011-07-05 | Branded Products For The Future | Pharmaceutical composition |
| US8188108B2 (en) | 2002-11-15 | 2012-05-29 | Branded Products For The Future | Pharmaceutical composition |
Also Published As
| Publication number | Publication date |
|---|---|
| IN183742B (en) | 2000-04-01 |
| GB9315467D0 (en) | 1993-09-08 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| WAP | Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1) |