WO2015001489A1 - Compositions pharmaceutiques de ticagrélor - Google Patents
Compositions pharmaceutiques de ticagrélor Download PDFInfo
- Publication number
- WO2015001489A1 WO2015001489A1 PCT/IB2014/062773 IB2014062773W WO2015001489A1 WO 2015001489 A1 WO2015001489 A1 WO 2015001489A1 IB 2014062773 W IB2014062773 W IB 2014062773W WO 2015001489 A1 WO2015001489 A1 WO 2015001489A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- pharmaceutical composition
- ticagrelor
- composition according
- tablets
- pharmaceutically acceptable
- Prior art date
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- OEKWJQXRCDYSHL-FNOIDJSQSA-N ticagrelor Chemical compound C1([C@@H]2C[C@H]2NC=2N=C(N=C3N([C@H]4[C@@H]([C@H](O)[C@@H](OCCO)C4)O)N=NC3=2)SCCC)=CC=C(F)C(F)=C1 OEKWJQXRCDYSHL-FNOIDJSQSA-N 0.000 title claims abstract description 49
- 229960002528 ticagrelor Drugs 0.000 title claims abstract description 49
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- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical group [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 claims description 16
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- DOOTYTYQINUNNV-UHFFFAOYSA-N Triethyl citrate Chemical compound CCOC(=O)CC(O)(C(=O)OCC)CC(=O)OCC DOOTYTYQINUNNV-UHFFFAOYSA-N 0.000 description 1
- XTXRWKRVRITETP-UHFFFAOYSA-N Vinyl acetate Chemical compound CC(=O)OC=C XTXRWKRVRITETP-UHFFFAOYSA-N 0.000 description 1
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 239000008272 agar Substances 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- 150000001346 alkyl aryl ethers Chemical class 0.000 description 1
- 150000005215 alkyl ethers Chemical class 0.000 description 1
- 125000000217 alkyl group Chemical group 0.000 description 1
- BTBJBAZGXNKLQC-UHFFFAOYSA-N ammonium lauryl sulfate Chemical compound [NH4+].CCCCCCCCCCCCOS([O-])(=O)=O BTBJBAZGXNKLQC-UHFFFAOYSA-N 0.000 description 1
- 229940063953 ammonium lauryl sulfate Drugs 0.000 description 1
- 239000005557 antagonist Substances 0.000 description 1
- 229940127090 anticoagulant agent Drugs 0.000 description 1
- 229940127218 antiplatelet drug Drugs 0.000 description 1
- 235000019312 arabinogalactan Nutrition 0.000 description 1
- 229960000686 benzalkonium chloride Drugs 0.000 description 1
- CADWTSSKOVRVJC-UHFFFAOYSA-N benzyl(dimethyl)azanium;chloride Chemical compound [Cl-].C[NH+](C)CC1=CC=CC=C1 CADWTSSKOVRVJC-UHFFFAOYSA-N 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- BJQHLKABXJIVAM-UHFFFAOYSA-N bis(2-ethylhexyl) phthalate Chemical compound CCCCC(CC)COC(=O)C1=CC=CC=C1C(=O)OCC(CC)CCCC BJQHLKABXJIVAM-UHFFFAOYSA-N 0.000 description 1
- 229910000019 calcium carbonate Inorganic materials 0.000 description 1
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 1
- 235000013539 calcium stearate Nutrition 0.000 description 1
- 239000008116 calcium stearate Substances 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 125000002057 carboxymethyl group Chemical group [H]OC(=O)C([H])([H])[*] 0.000 description 1
- 229920001525 carrageenan Polymers 0.000 description 1
- 235000010418 carrageenan Nutrition 0.000 description 1
- 239000004359 castor oil Substances 0.000 description 1
- 235000019438 castor oil Nutrition 0.000 description 1
- 229920003086 cellulose ether Polymers 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 229960003009 clopidogrel Drugs 0.000 description 1
- GKTWGGQPFAXNFI-HNNXBMFYSA-N clopidogrel Chemical compound C1([C@H](N2CC=3C=CSC=3CC2)C(=O)OC)=CC=CC=C1Cl GKTWGGQPFAXNFI-HNNXBMFYSA-N 0.000 description 1
- 239000008199 coating composition Substances 0.000 description 1
- 239000008119 colloidal silica Substances 0.000 description 1
- 229940075614 colloidal silicon dioxide Drugs 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 230000008025 crystallization Effects 0.000 description 1
- 125000001559 cyclopropyl group Chemical group [H]C1([H])C([H])([H])C1([H])* 0.000 description 1
- 239000008121 dextrose Substances 0.000 description 1
- 229960002097 dibutylsuccinate Drugs 0.000 description 1
- IEPRKVQEAMIZSS-AATRIKPKSA-N diethyl fumarate Chemical compound CCOC(=O)\C=C\C(=O)OCC IEPRKVQEAMIZSS-AATRIKPKSA-N 0.000 description 1
- VKNUORWMCINMRB-UHFFFAOYSA-N diethyl malate Chemical compound CCOC(=O)CC(O)C(=O)OCC VKNUORWMCINMRB-UHFFFAOYSA-N 0.000 description 1
- WYACBZDAHNBPPB-UHFFFAOYSA-N diethyl oxalate Chemical compound CCOC(=O)C(=O)OCC WYACBZDAHNBPPB-UHFFFAOYSA-N 0.000 description 1
- 238000003618 dip coating Methods 0.000 description 1
- IZEKFCXSFNUWAM-UHFFFAOYSA-N dipyridamole Chemical compound C=12N=C(N(CCO)CCO)N=C(N3CCCCC3)C2=NC(N(CCO)CCO)=NC=1N1CCCCC1 IZEKFCXSFNUWAM-UHFFFAOYSA-N 0.000 description 1
- 229960002768 dipyridamole Drugs 0.000 description 1
- 229940088679 drug related substance Drugs 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 235000019414 erythritol Nutrition 0.000 description 1
- UNXHWFMMPAWVPI-ZXZARUISSA-N erythritol Chemical compound OC[C@H](O)[C@H](O)CO UNXHWFMMPAWVPI-ZXZARUISSA-N 0.000 description 1
- 229940009714 erythritol Drugs 0.000 description 1
- 229960004667 ethyl cellulose Drugs 0.000 description 1
- LYCAIKOWRPUZTN-UHFFFAOYSA-N ethylene glycol Natural products OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 150000002191 fatty alcohols Chemical class 0.000 description 1
- 239000003527 fibrinolytic agent Substances 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 235000019634 flavors Nutrition 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- YQEMORVAKMFKLG-UHFFFAOYSA-N glycerine monostearate Natural products CCCCCCCCCCCCCCCCCC(=O)OC(CO)CO YQEMORVAKMFKLG-UHFFFAOYSA-N 0.000 description 1
- SVUQHVRAGMNPLW-UHFFFAOYSA-N glycerol monostearate Natural products CCCCCCCCCCCCCCCCC(=O)OCC(O)CO SVUQHVRAGMNPLW-UHFFFAOYSA-N 0.000 description 1
- 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 description 1
- 239000001087 glyceryl triacetate Substances 0.000 description 1
- 235000013773 glyceryl triacetate Nutrition 0.000 description 1
- 229920000578 graft copolymer Polymers 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 229920001519 homopolymer Polymers 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 description 1
- 229920003063 hydroxymethyl cellulose Polymers 0.000 description 1
- 229940031574 hydroxymethyl cellulose Drugs 0.000 description 1
- 229920003132 hydroxypropyl methylcellulose phthalate Polymers 0.000 description 1
- 229940031704 hydroxypropyl methylcellulose phthalate Drugs 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 229960001375 lactose Drugs 0.000 description 1
- 229960001021 lactose monohydrate Drugs 0.000 description 1
- 229940057948 magnesium stearate Drugs 0.000 description 1
- 238000007909 melt granulation Methods 0.000 description 1
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 description 1
- 150000002734 metacrylic acid derivatives Chemical class 0.000 description 1
- 230000002906 microbiologic effect Effects 0.000 description 1
- 239000008185 minitablet Substances 0.000 description 1
- 235000019426 modified starch Nutrition 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- 239000004006 olive oil Substances 0.000 description 1
- 235000008390 olive oil Nutrition 0.000 description 1
- 229940019331 other antithrombotic agent in atc Drugs 0.000 description 1
- 235000010987 pectin Nutrition 0.000 description 1
- 239000001814 pectin Substances 0.000 description 1
- 229920001277 pectin Polymers 0.000 description 1
- 239000008188 pellet Substances 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 239000000106 platelet aggregation inhibitor Substances 0.000 description 1
- 229920001987 poloxamine Polymers 0.000 description 1
- 229920000233 poly(alkylene oxides) Polymers 0.000 description 1
- 229920000193 polymethacrylate Polymers 0.000 description 1
- 229920000136 polysorbate Polymers 0.000 description 1
- 229940068965 polysorbates Drugs 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 229920003124 powdered cellulose Polymers 0.000 description 1
- 235000019814 powdered cellulose Nutrition 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- 235000019423 pullulan Nutrition 0.000 description 1
- HNJBEVLQSNELDL-UHFFFAOYSA-N pyrrolidin-2-one Chemical compound O=C1CCCN1 HNJBEVLQSNELDL-UHFFFAOYSA-N 0.000 description 1
- 239000008159 sesame oil Substances 0.000 description 1
- 235000011803 sesame oil Nutrition 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- 235000012239 silicon dioxide Nutrition 0.000 description 1
- 235000010413 sodium alginate Nutrition 0.000 description 1
- 239000000661 sodium alginate Substances 0.000 description 1
- 229940005550 sodium alginate Drugs 0.000 description 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 1
- 229940083575 sodium dodecyl sulfate Drugs 0.000 description 1
- 239000007909 solid dosage form Substances 0.000 description 1
- 239000012265 solid product Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 238000000935 solvent evaporation Methods 0.000 description 1
- 229960002920 sorbitol Drugs 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- 229960005202 streptokinase Drugs 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 229960000216 tenecteplase Drugs 0.000 description 1
- 239000003868 thrombin inhibitor Substances 0.000 description 1
- 229960005001 ticlopidine Drugs 0.000 description 1
- PHWBOXQYWZNQIN-UHFFFAOYSA-N ticlopidine Chemical compound ClC1=CC=CC=C1CN1CC(C=CS2)=C2CC1 PHWBOXQYWZNQIN-UHFFFAOYSA-N 0.000 description 1
- 239000004408 titanium dioxide Substances 0.000 description 1
- 229960002622 triacetin Drugs 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 235000019731 tricalcium phosphate Nutrition 0.000 description 1
- WEAPVABOECTMGR-UHFFFAOYSA-N triethyl 2-acetyloxypropane-1,2,3-tricarboxylate Chemical compound CCOC(=O)CC(C(=O)OCC)(OC(C)=O)CC(=O)OCC WEAPVABOECTMGR-UHFFFAOYSA-N 0.000 description 1
- 239000001069 triethyl citrate Substances 0.000 description 1
- VMYFZRTXGLUXMZ-UHFFFAOYSA-N triethyl citrate Natural products CCOC(=O)C(O)(C(=O)OCC)C(=O)OCC VMYFZRTXGLUXMZ-UHFFFAOYSA-N 0.000 description 1
- 235000013769 triethyl citrate Nutrition 0.000 description 1
- 229960005080 warfarin Drugs 0.000 description 1
- PJVWKTKQMONHTI-UHFFFAOYSA-N warfarin Chemical compound OC=1C2=CC=CC=C2OC(=O)C=1C(CC(=O)C)C1=CC=CC=C1 PJVWKTKQMONHTI-UHFFFAOYSA-N 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 235000010447 xylitol Nutrition 0.000 description 1
- 239000000811 xylitol Substances 0.000 description 1
- 229960002675 xylitol Drugs 0.000 description 1
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 description 1
- XOOUIPVCVHRTMJ-UHFFFAOYSA-L zinc stearate Chemical compound [Zn+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O XOOUIPVCVHRTMJ-UHFFFAOYSA-L 0.000 description 1
Classifications
-
- 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
-
- 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
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- 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
- A61K9/141—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers
- A61K9/146—Intimate drug-carrier mixtures characterised by the carrier, e.g. ordered mixtures, adsorbates, solid solutions, eutectica, co-dried, co-solubilised, co-kneaded, co-milled, co-ground products, co-precipitates, co-evaporates, co-extrudates, co-melts; Drug nanoparticles with adsorbed surface modifiers with organic macromolecular compounds
-
- 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
- A61K9/1682—Processes
-
- 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
- A61K9/2027—Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
-
- 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
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2009—Inorganic compounds
-
- 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
- A61K9/2018—Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
Definitions
- the present invention relates to oral pharmaceutical compositions comprising amorphous ticagrelor and processes for their preparation. It further relates to a method of treating cardiovascular diseases using said pharmaceutical compositions.
- Ticagrelor is a P2Yn platelet inhibitor. Chemically it is (l ⁇ S i ⁇ -S-f?- ⁇ [(li?,25)-2-(3,4-difluorophenyl)cyclopropyl]amino ⁇ -5-(propylthio)-3H-[l,2,3]- triazolo[4,5-£/]pyrimidin-3-yl]-5-(2-hydroxyethoxy)cyclopentane-l,2-diol.
- Ticagrelor is a crystalline powder with an aqueous solubility of approximately 10 ⁇ g/mL at room temperature.
- PCT Publication No. WO 00/34283 discloses ticagrelor as a compound and U.S. Patent No. 7,265, 124 discloses various polymorphs of ticagrelor.
- U.S. Patent No. 8,425,934 discloses a pharmaceutical composition
- a pharmaceutical composition comprising ticagrelor, a filler consisting essentially of a mixture of mannitol and dibasic calcium phosphate dihydrate, a binder consisting essentially of hydroxypropyl cellulose, a disintegrant consisting essentially of sodium starch glycolate, and one or more lubricants.
- the compositions are prepared by using a wet granulation process.
- U.S. Publication No. 2008/0045548 discloses a pharmaceutical composition of ticagrelor suitable for oral administration that releases substantially all of the drug substance.
- WO 2011/076749 discloses solid dosage forms comprising ticagrelor, characterized in that at least 90% by volume of ticagrelor particles have a particle size in the range of 1 ⁇ to 150 ⁇ . It further discloses that ticagrelor, being poorly soluble, presents a significant problem in the design of pharmaceutical compositions. Further, in order to exhibit good bioavailability, it is desirable to formulate dosage forms showing fast dissolution of the drug. This can be achieved by reducing the particle size of the drug and by the use of hydrophilic polymers/emulsifiers in the dosage form. According to the Biopharmaceutics Classification System (BCS), ticagrelor is classified as a class IV compound, exhibiting low solubility and low permeability. This property leads to an undesirable dissolution profile and hence poor bioavailability. It also leads to high intra-subject and inter-subject variability following oral administration.
- BCS Biopharmaceutics Classification System
- the amorphous form of a drug has higher solubility as compared to the crystalline form.
- the use of the amorphous form poses many challenges during formulation of the dosage form as the amorphous form is generally more hygroscopic and less stable than the crystalline form.
- the present application discloses that the dissolution of ticagrelor can be improved by using the drug in its amorphous form.
- the present invention provides an alternate pharmaceutical composition comprising ticagrelor in a stable and readily bioavailable form.
- the present invention relates to a pharmaceutical composition
- a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients, wherein the pharmaceutical composition provides a desirable dissolution profile and enhanced bioavailability.
- the pharmaceutically acceptable excipients further comprise diluents, binders, disintegrants, and lubricants.
- the present invention also includes different processes for the preparation of said pharmaceutical composition and a method of treating cardiovascular diseases by administering said pharmaceutical composition.
- pharmaceutically acceptable excipients includes diluents, binders, disintegrants, lubricants, glidants, stabilizers, surfactants, solubility enhancers, coloring agents, flavoring agents, plasticizers, opacifiers, or mixtures thereof.
- solid dispersion refers to a group of solid products consisting of at least two different components, generally a hydrophilic matrix or a carrier/stabilizer and a hydrophobic drug.
- the matrix can be either crystalline or amorphous.
- the drug can be dispersed molecularly, in amorphous particles (clusters), or in crystalline particles,
- a first aspect of the present invention provides a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients selected from one or more diluents, binders, disintegrants, lubricants, glidants, stabilizers, surfactants, solubility enhancers, coloring agents, flavoring agents, plasticizers, opacifiers, or mixtures thereof.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients selected from diluents, binders, disintegrants, lubricants, or mixtures thereof.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the diluent is not mannitol and/or dibasic calcium phosphate dihydrate.
- the composition is free of mannitol and/or dibasic calcium phosphate dihydrate.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the binder is not hydroxypropyl cellulose.
- the composition is free of hydroxypropyl cellulose.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the disintegrant is not sodium starch glycolate.
- the composition is free of sodium starch glycolate.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the diluent is not mannitol and/or dibasic calcium phosphate dihydrate, the binder is not hydroxypropyl cellulose, and the disintegrant is not sodium starch glycolate.
- the composition is free of mannitol, dibasic calcium phosphate dehydrate, hydroxypropyl cellulose and sodium starch glycolate.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the binder is povidone and the disintegrant is croscarmellose sodium.
- a pharmaceutical composition comprising a solid dispersion of amorphous ticagrelor, one or more hydrophilic polymers, and optionally one or more pharmaceutically acceptable excipients.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients, wherein the composition further comprises one or more other anti -thrombotic agents.
- the water content of the final composition of the present invention is not more than 5.0% w/w.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the composition is prepared by direct compression or dry granulation.
- a pharmaceutical composition comprising amorphous ticagrelor and one or more diluents, binders, disintegrants, and lubricants, wherein the composition is prepared by hot melt extrusion.
- a second aspect of the present invention provides a process for the preparation of a pharmaceutical composition of the present invention, wherein the process comprises the steps of:
- a third aspect of the present invention provides a process for the preparation of the pharmaceutical composition of the present invention, wherein the process comprises the steps of:
- diluents binders, disintegrants, and/or lubricants can also be added extragranularly.
- a fourth aspect of the present invention provides a process for the preparation of a pharmaceutical composition of the present invention, wherein the process comprises the steps of:
- a surfactant in a rapid mixer granulator optionally a surfactant in a rapid mixer granulator
- step (b) loading the granules obtained in step (a) into a hot melt extruder to form a solid dispersion in the form of extrudates;
- a fifth aspect of the present invention provides a method of treating cardiovascular diseases by administering a pharmaceutical composition comprising amorphous ticagrelor and one or more pharmaceutically acceptable excipients.
- cardiovascular diseases refers to thrombotic cardiovascular events selected from unstable angina, myocardial infarction, stroke, transient ischaemic attacks, or peripheral vascular disease.
- ACS acute coronary syndrome
- the method of treatment further comprises administration of an additional anti-thrombotic agent.
- Suitable diluents are selected from the group consisting of lactose, microcrystalline cellulose, co-processed microcrystalline cellulose, powdered cellulose, crospovidone, co- povidone, mannitol, sorbitol, xylitol, erythritol, dibasic calcium phosphate, dibasic calcium phosphate anhydrate, dibasic calcium phosphate dihydrate, tribasic calcium phosphate, calcium sulfate, calcium carbonate, pregelatinized starch, maize starch, corn starch, or mixtures thereof.
- the present invention comprises one or more diluents in an amount of from about 5% to about 90% by weight of the composition.
- Suitable binders are selected from the group consisting of povidone, co-povidone, hydroxypropylmethyl cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, methyl cellulose, ethyl cellulose, carboxymethyl cellulose sodium, xanthan gum, gum acacia, gum arabic, tragacanth, sorbitol, dextrose, sucrose, mannitol, gelatin, pullulan, sodium alginate, propylene glycol, polyvinyl alcohol, corn starch, maize starch, pregelatinized starch, methacrylates, carboxyvinyl polymers like carbomers, or mixtures thereof.
- the present invention comprises one or more binders in an amount of from about 0.5% to about 30% by weight of the composition.
- Suitable disintegrants are selected from the group consisting of hydroxypropyl cellulose, crospovidone, croscarmellose sodium, carboxymethyl cellulose sodium, carboxymethyl cellulose calcium, sodium starch glycolate, gums, alginic acid or alginates, starch, corn starch, modified starch, carboxymethyl starch, polyacrylates, or mixtures thereof.
- the present invention comprises one or more disintegrants in an amount of from about 0.5% to about 30% by weight of the composition.
- Suitable lubricants are selected from the group consisting of stearic acid, polyethylene glycol, magnesium stearate, calcium stearate, talc, zinc stearate,
- Suitable glidants are selected from the group consisting of colloidal silicon dioxide, calcium silicate, magnesium silicate, silicon hydrogel, cornstarch, talc, or mixtures thereof.
- Suitable stabilizers are selected from the group consisting of cellulose derivatives such as hydroxypropyl methylcellulose, ethylcellulose, hydroxyethyl cellulose, hydroxypropyl methylcellulose phthalate, carboxymethylcellulose sodium, and carboxymethylcellulose calcium; polyvinylpyrrolidone and/or derivatives thereof, such as co-povidone; polyvinyl alcohol; polyethylene glycol; block copolymers of ethylene oxide and/or propylene oxide; gums such as xanthan gum, pectins, alginates, tragacanth and/or derivatives thereof, and gum arabic and/or derivatives thereof; carrageenans, agar and/or derivatives thereof; polysaccharides from microbiological sources; acacia; starch;
- the stabilizers may also act as crystallization inhibitors.
- Suitable surfactants are selected from the group consisting of sodium lauryl sulfate, sodium dodecyl sulfate, ammonium lauryl sulfate, benzalkonium chloride, alkyl poly (ethylene oxide), copolymers of poly (ethylene oxide) and poly (propylene oxide) commercially called as poloxamers or poloxamines, polyvinyl alcohol (PVA), fatty alcohols, polyoxyethylene alkyl ether, polyoxyethylene alkylaryl ether, polyethylene glycol fatty acid ester, alkylene glycol fatty acid mono ester, sucrose fatty acid ester, and sorbitan fatty acid mono ester, sorbitol monolaurate (Span ® 20 or Span ® 80),
- polysorbates polyoxyethylene sorbitan fatty acid ester (polysorbates), or mixtures thereof.
- Suitable solubility enhancers are selected from the group consisting of sodium lauryl sulfate, polyethylene glycol, propylene glycol, glycerol, glycerol monostearate, glycerol behenate, triglycerides, mono-alcohols, higher alcohols, dimethylsulfoxide, dimethylformamide, N,N-dimethylacetamide, N-methyl-2-pyrrolidone, N-(2- hydroxyethyl) pyrrolidone, 2-pyrrolidone, or mixtures thereof.
- Suitable coloring agents and flavoring agents are selected from any FDA approved colors and flavors for oral use.
- Suitable plasticizers are selected from the group consisting of triethyl citrate, dibutyl sebacate, acetylated triacetin, tributyl citrate, glyceryl tributyrate, sorbitol monolaurate (Span ® 20), monoglyceride, rapeseed oil, olive oil, sesame oil, acetyl tributyl citrate, acetyl triethyl citrate, glycerin sorbitol, diethyl oxalate, diethyl phthalate, diethyl malate, diethyl fumarate, dibutyl succinate, diethyl malonate, dioctyl phthalate, or mixtures thereof.
- Suitable opacifiers are selected from the group consisting of titanium dioxide, manganese dioxide, iron oxide, silicon dioxide, or mixtures thereof.
- Suitable hydrophilic polymers are selected from the group consisting of polyvinyl alcohol (PVA), polyvinylpyrrolidone, co-povidone, vinyl acetate polymer, polyalkylene oxide, polyoxyethylene stearates, polyacrylate, polymethacrylate, pluronics,
- polyacrylamide a polyvinyl alcohol-polyethylene glycol graft copolymer, a block copolymer of polyoxyethylene and polyoxypropylene, homopolymer of N-vinyl lactam, copolymer of N-vinyl lactam, oligosaccharide, polysaccharide, cellulose such as cellulose ester, cellulose ether, or mixtures thereof.
- the pharmaceutical composition of the present invention can be obtained by using known conventional methods, i.e., granulation or direct compression.
- the granulation process includes, but is not limited to, wet granulation, dry granulation, hot melt granulation, hot melt extrusion, or solvent evaporation.
- composition of the present invention may be in the form of minitablets, granules, pellets, tablets, or capsules.
- the pharmaceutical composition of the present invention may further be film-coated using techniques well known in the art such as spray coating in a conventional coating pan or a fluidized bed processor or dip coating.
- coating may also be performed using the hot melt technique.
- the film coat comprises film-forming polymers and one or more pharmaceutically acceptable excipients.
- film-forming agents include, but are not limited to, cellulose derivatives such as methylcellulose, hydroxymethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxymethyl ethylcellulose, hydroxypropyl methylcellulose, sodium carboxymethyl cellulose, and ethyl cellulose; waxes; fat substances; or mixtures thereof.
- commercially available coating compositions comprising film forming polymers marketed under various trade names, such as Opadry ® , may be used for coating.
- solvents used for preparing the coating solution are selected from methyl alcohol, ethyl alcohol, isopropyl alcohol, n-butyl alcohol, acetone, acetonitrile, chloroform, methylene chloride, water, or mixtures thereof.
- the pharmaceutical composition of the present invention is useful for the treatment of cardiovascular diseases such as thrombotic cardiovascular events selected from unstable angina, myocardial infarction, stroke, transient ischaemic attacks, or peripheral vascular disease in patients with acute coronary syndrome (ACS).
- cardiovascular diseases such as thrombotic cardiovascular events selected from unstable angina, myocardial infarction, stroke, transient ischaemic attacks, or peripheral vascular disease in patients with acute coronary syndrome (ACS).
- ACS acute coronary syndrome
- the pharmaceutical composition of the present invention may be administered along with an additional anti-thrombotic agent.
- the other anti-thrombotic agent is selected from anti-platelet agents such as ASA (acetylsalicylic acid), clopidogrel, ticlopidine, dipyridamole, and GPIIb/llla antagonists; anticoagulant agents such as thrombin inhibitors, warfarin, factor Xa inhibitors, and heparin; and fibrinolytic agent such as streptokinase and tenecteplase.
- anti-platelet agents such as ASA (acetylsalicylic acid), clopidogrel, ticlopidine, dipyridamole, and GPIIb/llla antagonists
- anticoagulant agents such as thrombin inhibitors, warfarin, factor Xa inhibitors, and heparin
- fibrinolytic agent such as streptokinase and tenecteplase.
- Ticagrelor, crospovidone, povidone, and croscarmellose sodium are blended in a blender.
- step 1 The blend of step 1 is lubricated with magnesium stearate and compressed into tablets.
- step 2 The tablets of step 2 are coated with an Opadry ® dispersion.
- Example 2
- Ticagrelor, lactose monohydrate, povidone, and croscarmellose sodium are blended in a blender.
- step 1 The blend of step 1 is lubricated with magnesium stearate and compressed into tablets.
- step 2 The tablets of step 2 are coated with an Opadry ® dispersion.
- Ticagrelor, microcrystalline cellulose, povidone, and croscarmellose sodium are blended in a blender.
- step 1 The blend of step 1 is lubricated with magnesium stearate and compressed into tablets.
- step 2 The tablets of step 2 are coated with an Opadry ® dispersion.
- Example 4
- Ticagrelor, mannitol, dibasic calcium phosphate dihydrate, sodium starch glycolate, hydroxypropyl methylcellulose, and a part of magnesium stearate are blended in a blender.
- step 1 The blend of step 1 is dry granulated by compaction to obtain a 60:40 ratio of granules: fines.
- step 2 The blend of step 2 is lubricated with the remaining part of magnesium stearate and compressed into tablets.
- step 3 The tablets of step 3 are coated with an Opadry ® dispersion.
- Ticagrelor, mannitol, dibasic calcium phosphate dihydrate, sodium starch glycolate, hydroxypropyl cellulose, and a part of magnesium stearate are blended in a blender.
- the blend of step 1 is dry granulated by compaction to obtain a 60:40 ratio of granules: fines.
- step 2 The blend of step 2 is lubricated with the remaining part of magnesium stearate and compressed into tablets.
- step 3 The tablets of step 3 are coated with an Opadry ® dispersion.
- Ticagrelor and co-povidone are mixed together.
- Sorbitol monolaurate is added to the blend of step 1 and the blend is loaded into a rapid mixer granulator to obtain granules.
- step 2 The granules obtained from step 2 are loaded into a hot melt extruder and the extrudate/sheet obtained is milled.
- step 4 Sodium starch glycolate, hydroxypropyl cellulose, microcrystalline cellulose, and magnesium stearate are added to the milled extrudates of step 3 and blended. The blend of step 4 is compressed into tablets.
- step 5 The tablets of step 5 are coated with an Opadry ® dispersion.
- Example 7 The tablets of step 5 are coated with an Opadry ® dispersion.
- Ticagrelor, mannitol, dibasic calcium phosphate dihydrate, croscarmellose sodium, and hydroxypropyl cellulose were blended in a blender.
- step 1 The blend of step 1 was lubricated with magnesium stearate and compressed into tablets.
- step 2 The tablets of step 2 were coated with an Opadry ® dispersion.
- Ticagrelor, mannitol, 2/3 of the croscarmellose sodium, hydroxypropyl cellulose, and 4/7 of the magnesium stearate were blended in a blender.
- step 2 The blend of step 1 was dry granulated by compaction to obtain a 60:40 ratio of granules: fines.
- step 3 Dibasic calcium phosphate dihydrate and the remaining part of croscarmellose sodium were sifted and blended with the blend of step 2. 4. The blend of step 3 was lubricated with the remaining part of magnesium stearate and compressed into tablets.
- step 4 The tablets of step 4 were coated with an Opadry ® dispersion.
- Ticagrelor, mannitol, dibasic calcium phosphate dihydrate/ anhydrous, povidone, croscarmellose sodium, and pregelatinized starch were blended in a blender.
- step 1 The blend of step 1 was lubricated with magnesium stearate and compressed into tablets.
- step 2 The tablets of step 2 were coated with an Opadry ® dispersion.
- Ticagrelor, mannitol, half of the croscarmellose sodium and 4/7 of the magnesium stearate were blended in a blender.
- step 2 The blend of step 1 was dry granulated by compaction to obtain a 60:40 ratio of granules: fines.
- step 3 The blend of step 3 was lubricated with the remaining part of magnesium stearate and compressed into tablets.
- step 4 The tablets of step 4 were coated with an Opadry ® dispersion.
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Abstract
La présente invention concerne des compositions pharmaceutiques orales comprenant du ticagrélor amorphe et des procédés pour leur préparation. L'invention porte en outre sur une méthode de traitement de maladies cardiovasculaires utilisant lesdites compositions pharmaceutiques.
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Cited By (9)
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CN105832683A (zh) * | 2015-01-15 | 2016-08-10 | 成都国弘医药有限公司 | 一种含有替格瑞洛的片剂 |
WO2017182455A1 (fr) | 2016-04-18 | 2017-10-26 | Amneal Pharmaceuticals Company Gmbh | Composition pharmaceutique stable de ticagrelor amorphe |
CN107397717A (zh) * | 2017-09-13 | 2017-11-28 | 冯威 | 一种替卡格雷或其药学上可接受盐的固体制剂 |
CN108078944A (zh) * | 2016-11-22 | 2018-05-29 | 重庆植恩药业有限公司 | 含有替格瑞洛的固体组合物及其制备方法 |
EP3332769A1 (fr) | 2016-12-07 | 2018-06-13 | Sanovel Ilac Sanayi ve Ticaret A.S. | Compositions pharmaceutiques orales solides de ticagrelor |
WO2019170244A1 (fr) | 2018-03-08 | 2019-09-12 | Pharmaceutical Oriented Services Ltd. | Formulation de comprimé contenant du ticagrelor |
CN110507624A (zh) * | 2018-05-22 | 2019-11-29 | 江苏恒瑞医药股份有限公司 | 一种替格瑞洛或其盐的控释组合物 |
WO2020021110A1 (fr) | 2018-07-27 | 2020-01-30 | Krka, D.D., Novo Mesto | Composition pharmaceutique de ticagrélor |
CN111450067A (zh) * | 2019-01-18 | 2020-07-28 | 北京万全德众医药生物技术有限公司 | 一种替格瑞洛分散片及其制备方法 |
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CN105832683A (zh) * | 2015-01-15 | 2016-08-10 | 成都国弘医药有限公司 | 一种含有替格瑞洛的片剂 |
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CN108078944A (zh) * | 2016-11-22 | 2018-05-29 | 重庆植恩药业有限公司 | 含有替格瑞洛的固体组合物及其制备方法 |
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CN107397717A (zh) * | 2017-09-13 | 2017-11-28 | 冯威 | 一种替卡格雷或其药学上可接受盐的固体制剂 |
WO2019170244A1 (fr) | 2018-03-08 | 2019-09-12 | Pharmaceutical Oriented Services Ltd. | Formulation de comprimé contenant du ticagrelor |
CN110507624A (zh) * | 2018-05-22 | 2019-11-29 | 江苏恒瑞医药股份有限公司 | 一种替格瑞洛或其盐的控释组合物 |
WO2020021110A1 (fr) | 2018-07-27 | 2020-01-30 | Krka, D.D., Novo Mesto | Composition pharmaceutique de ticagrélor |
CN111450067A (zh) * | 2019-01-18 | 2020-07-28 | 北京万全德众医药生物技术有限公司 | 一种替格瑞洛分散片及其制备方法 |
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