# Patent

## Title
Pharmaceutical formulation containing a biguanide and a thiazolidinedione derivative

## Abstract

A pharmaceutical dosage form comprising a controlled release component comprising an antihyperglycemic drug in combination with a second component comprising a thiazolidinedione derivative is herein disclosed and described.

## Background
This is a continuation-in-part application of U.S. patent application Ser. No. 10/664,803 filed on Sep. 19, 2003 now U.S. Pat. No. 7,785,627, and provisional patent application Ser. Nos. 60/412,180 and 60/412,181 filed on Sep. 20, 2002.


BACKGROUND OF THE INVENTION
The present invention relates to a pharmaceutical dosage form comprising an antihyperglycemic drug, in combination with a thiazolidinedione derivative. More specifically, the present invention relates to an oral dosage form comprising a biguanide e.g. metformin or buformin or a pharmaceutically acceptable salt thereof e.g., metformin hydrochloride or the metformin salts described in U.S. Pat. Nos. 3,957,853 and 4,080,472 which are incorporated herein by reference in combination with a thiazolidinedione derivative as described in U.S. Pat. No. 4,687,777 also incorporated herein by reference.
Many techniques have been used to provide controlled and extended-release pharmaceutical dosage forms in order to maintain therapeutic serum levels of medicaments and to minimize the effects of missed doses of drugs caused by a lack of patient compliance.
For example, extended release tablets have been described which have an osmotically active drug core surrounded by a semi-permeable membrane. These tablets function by allowing the aqueous components of a fluid such as gastric or intestinal fluid to permeate the coating membrane and dissolve the active ingredient so the resultant drug solution can be released through a passageway in the coating membrane. Alternatively, if the active ingredient is insoluble in the permeating fluid, it can be pushed through the passageway by an expanding agent such as a hydrogel. Some representative examples of these osmotic tablet systems can be found in U.S. Pat. Nos. 3,845,770; 3,916,899; 4,034,758; 4,077,407 and 4,783,337. U.S. Pat. No. 3,952,741 teaches an osmotic device wherein the active agent is released from a core surrounded by a semipermeable membrane only after sufficient pressure has developed within the membrane to burst or rupture the membrane at a weak portion of the membrane.
The basic osmotic device described in the above cited patents have been refined over time in an effort to provide greater control of the release of the active ingredient. For example, U.S. Pat. Nos. 4,777,049 and 4,851,229 describe osmotic dosage forms comprising a semipermeable wall surrounding a core. The core contains an active ingredient and a modulating agent wherein the modulating agent causes the active ingredient to be released through a passageway in the semipermeable membrane in a pulsed manner. Further refinements have included modifications to the semipermeable membrane surrounding the active core such as varying the proportions of the components that form the membrane, e.g. U.S. Pat. Nos. 5,178,867, 4,587,117 and 4,522,625 or increasing the number of coatings surrounding the active core, e.g. U.S. Pat. Nos. 5,650,170 and 4,892,739.
Certain controlled or sustained release formulations that employ antihyperglycemic drugs such as metformin hydrochloride have been limited to the use of an expanding or gelling agent to control the release of the drug from the dosage form. This limited research is exemplified by the teachings of WO 96/08243 and by the GLUCOPHAGETM XR product insert which is a controlled release metformin HCl product commercially available from Bristol-Myers Squibb Co.
Thiazolidinedione derivatives have been described in U.S. Pat. No. 4,687,777. The therapeutic value of these compounds in combination therapy has further been described in U.S. Pat. Nos. 5,859,037; 5,952,356; 5,965,584; 6,150,384 and 6,172,090. However, none of these patents describe a dosage form having the advantages of the subject invention.
Pharmaceutical dosage forms containing combinations of antihyperglycemic drugs and thiazolidinedione derivatives have been proposed in the art. For example, EPO 0 749 751 (which is incorporated herein by reference) teaches pharmaceutical compositions comprising an insulin sensitivity enhancer, which could be a thiazolidinedione compound, in combination with other antidiabetics. More specifically, EPO 0 749 751 teaches that the preferred insulin sensitivity enhancer is pioglitazone, which can be combined with other antidiabetics such as metformin, phenformin or buformin, and further that these drugs can be associated (mixed and/or coated) with conventional excipients to provide taste masking or sustained release behavior. Another example of a combination of antihyperglycemic drugs and thiazolidinedione derivatives is U.S. Pat. No. 6,011,049, (which is incorporated herein by reference). This patent teaches a single pharmaceutical composition that contains pioglitazone or trolitazone and metformin in slow release forms such as osmotic pumps or skin patches. Other combinations of antihyperglycemic drugs and thiazolidinedione derivatives can be found in U.S. Pat. Nos. 6,524,621; 6,475,521; 6,451,342 and 6,153,632 and PCT patent applications WO 01/35940 and WO 01/35941, which are incorporated herein by reference.
Also known in the art is WO 99/47125 and U.S. Pat. No. 6,099,862 that disclose a metformin osmotic tablet coated with an immediate release coating containing an antihyperglycemic or an hypoglycemic drug.
Although the prior art teaches pharmaceutical dosage formulations that contain both an antihyperglycemic compound and thiazolidinedione derivatives, the present invention provides numerous benefits over the prior art teachings as will be described below.
It is an object of the present invention to provide a dosage form comprising a first active drug, which is formulated to provide a controlled or sustained release delivery. Preferably, the first active drug is an antihyperglycemic compound. The present invention further provides for a second active drug which preferably is a thiazolidinedione derivative. The novel dosage form described herein provides for delivery of first and second active drugs such that the bioavailability of either drug is not decreased by the presence of food.
It is a further object of the present invention to provide a dosage form, as described above, comprising delivery of a first active drug as a controlled or sustained release formulation for an antihyperglycemic compound, wherein said controlled or sustained release mechanism is not regulated by an expanding polymer, in combination with delivery of a second active drug by immediate release comprising a thiazolidinedione derivative.
It is also a further object of the present invention to provide a dosage form as described above, comprising delivery of a first active drug as a controlled or sustained release formulation for an antihyperglycemic compound in combination with delivery of a second active drug by immediate release comprising a thiazolidinedione derivative that can provide continuous and non-pulsating therapeutic levels of said antihyperglycemic drug to an animal or human in need of such treatment over a eight hour to twenty-four hour period.
It is an additional object of the present invention to provide a dosage form comprising delivery of a first active drug as a controlled or sustained release formulation for an antihyperglycemic compound in combination with delivery of a second active drug by immediate release comprising a thiazolidinedione derivative that obtains peak plasma levels of the antihyperglycemic compound approximately 8-12 hours after administration and peak plasma levels of thiazolidinedione derivative approximately 1-4 hours after dosing.
It is also an object of the present invention to provide a dosage form comprising a first active drug as a controlled or sustained release pharmaceutical core tablet having only a homogeneous osmotic core wherein the osmotic core component may be made using ordinary tablet compression techniques.
It is an additional object of the present invention to provide a dosage form comprising delivery of a first active drug as a controlled or sustained release formulation for an antihyperglycemic compound in combination with delivery of a second active drug by immediate release comprising a thiazolidinedione derivative that obtains peak plasma levels of the antihyperglycemic compound approximately 8-12 hours after administration and peak plasma levels of thiazolidinedione derivative approximately 1-4 hours after dosing.
It is a further object of the present invention to provide a dosage form comprising an antihyperglycemic drug as a controlled or sustained release component and a thiazolidinedione derivative as a immediate release component, wherein not less than 85% of the total amount of the thiazolidinedione derivative is released from the dosage form within 45 minutes or less.
It is a further additional object of the present invention to provide a shelf stable dosage form comprising an antihyperglycemic drug as a controlled or sustained release component and a thiazolidinedione derivative as a immediate release component, wherein the total amount of thiazolidinedione related compounds or impurities are not more than 0.6% after two years of storage and no individual related compound or impurity is more than 0.2%.
SUMMARY OF THE INVENTION
The present invention relates to a pharmaceutical dosage form comprising a first active drug, preferably an antihyperglycemic drug, in combination with a second active drug, preferably a thiazolidinedione derivative. More specifically, the present invention relates to an oral dosage form comprising a first active drug comprising a biguanide such as metformin or buformin or a pharmaceutically acceptable salt thereof e.g., metformin hydrochloride or the metformin salts, in combination with a second active drug comprising a thiazolidinedione derivative
The foregoing objectives are met by a dosage form comprising a first and second active drug, wherein the first active drug is formulated as a controlled release core, preferably an osmotic tablet, with or without a gelling or expanding polymer. The second active ingredient may be part of the controlled release core or it may preferably be combined with the controlled release core in a manner that provides for immediate release of the second active ingredient. For example, the second active ingredient can be incorporated into a membrane that is applied to the core or the second active ingredient may be applied to a coated or uncoated controlled release core.
In one embodiment the second active drug, which may be the thiazolidinedione derivative, is provided as an immediate release formulation in the dosage form whereas the antihyperglycemic component is provided as a controlled release formulation in the dosage form. This immediate release portion of the formulation should provide peak plasma levels (Tmax) of 1-12 hours preferably, 14 hours of the thiazolidinedione derivative, while the controlled release portion of the formulation may provide peak plasma levels (Tmax) of 8-12 hours of the antihyperglycemic component.
Preferably, the dosage form according to the subject invention may be administered once a day, preferably with or after a meal, and most preferably with or after the evening meal. The subject dosage form can provide therapeutic levels of the drug throughout the day with peak plasma levels (Tmax) of the antihyperglycemic drug being obtained between 8-12 hours after administration.


DETAILED DESCRIPTION OF THE INVENTION
The subject invention concerns a pharmaceutical formulation or dosage form comprising a first active drug comprising an antihyperglycemic drug in combination with a second active drug comprising a thiazolidinedione derivative. Preferably, the antihyperglycemic drug is a biguanide e.g. metformin or buformin or a pharmaceutically acceptable salt thereof. The antihyperglycemic drug is delivered in a controlled release manner from a tablet core, preferably an osmotic tablet core with or without a gelling or swelling polymer. The tablet core should include the antihyperglycemic drug and at least one pharmaceutically acceptable excipient. In one embodiment of the present invention the tablet core includes the antihyperglycemic drug, a binding agent and an absorption enhancer, and the tablet core is preferably coated with a polymeric coating to form a membrane around the tablet and drilled to create one passageway on each side of the membrane. The second active drug comprises a thiazolidinedione derivative, and is preferably applied to the membrane of the tablet core and provides for either immediate or controlled release of said thiazolidinedione derivative.
The term, antihyperglycemic drugs as used in this specification, refers to drugs that are useful in controlling or managing noninsulin-dependent diabetes mellitus (NIDDM). Antihyperglycemic drugs include the biguanides such as metformin, phenformin or buformin or the like, and pharmaceutically acceptable salts, isomers or derivatives thereof.
The term thiazolidinedione derivative as used in this specification refers to drugs that are useful for controlling or managing NIDDM. These include, but are not limited to, troglitazone, rosiglitazone, pioglitazone, ciglitazone or the like, and pharmaceutically acceptable salts, isomers or derivatives thereof.
The term binding agent refers to any conventionally known pharmaceutically acceptable binder such as polyvinyl pyrrolidone, hydroxypropyl cellulose, hydroxyethyl cellulose, hydroxypropyl methylcellulose, ethylcellulose, polymethacrylate, polyvinylalcohol, waxes and the like. Mixtures of the aforementioned binding agents may also be used. The preferred binding agents are water soluble materials such as polyvinyl pyrrolidone having a weight average molecular weight of 25,000 to 3,000,000. The binding agent may comprise approximately about 0 to about 40% of the total weight of the core and preferably about 3% to about 15% of the total weight of the core. In one embodiment, the use of a binding agent in the core is optional.
In a preferred embodiment, the core may optionally comprise an absorption enhancer. The absorption enhancer can be any type of absorption enhancer commonly known in the art such as a fatty acid, a surfactant (anionic, cationic, amphoteric), a chelating agent, a bile salt or mixtures thereof. Examples of some preferred absorption enhancers are lecithin, fatty acids such as capric acid, oleic acid and their monoglycerides, surfactants such as sodium lauryl sulfate, sodium taurocholate and polysorbate 80, chelating agents such as citric acid, phytic acid, ethylenediamine tetraacetic acid (EDTA) and ethylene glycol-bis(β-aminoethyl ether)-N,N,N,N-tetraacetic acid (EGTA). The core may comprise approximately 0 to about 20% of the absorption enhancer based on the total weight of the core and most preferably about 2% to about 10% of the total weight of the core.
In one embodiment of the present invention, which does not employ a gelling or swelling polymer, the core of the present invention is preferably formed by granulating an antihyperglycemic drug with a binding agent and compressing the granules with the addition of a lubricant and absorption enhancer into a tablet. The core may also be formed by dry granulating the core ingredients by passing them through a roller compactor and compressing the granules with the addition of a lubricant into tablets. Direct compression may also be employed for tabletting. Other commonly known granulation procedures are known in the art. Additionally, other excipients such as lubricants, pigments or dyes may also be employed in the formulation of the subject invention.
The term gelling or swelling polymer refers to polymers that gel, swell or expand in the presence of water or biological fluids. Representative examples of gelling or swelling polymers are high molecular weight hydroxpropyl methylcellulose (such as METHOCEL® K100M, which is commercially available from Dow Chemical) and high molecular weight polyethylene oxides (such as POLYOX WSR 301, WSR 303 or WSR COAGULANT). Other gelling or swelling polymers are described in U.S. Pat. No. 4,522,625 (which is incorporated herein by reference).
The core formed as described herein, can be coated with a membrane or sustained release coating. Materials that are useful in forming the membrane or sustained release coating are ethylcellulose, cellulose esters, cellulose diesters, cellulose triesters, cellulose ethers, cellulose ester-ether, cellulose acylate, cellulose diacylate, cellulose triacylate, cellulose acetate, cellulose diacetate, cellulose triacetate, cellulose acetate propionate and cellulose acetate butyrate. Other suitable polymers are described in U.S. Pat. Nos. 3,845,770; 3,916,899; 4,008,719; 4,036,228 and 4,612,008 (which are incorporated herein by reference). The most preferred membrane or sustained release coating material is cellulose acetate comprising an acetyl content of 39.3 to 40.3%, and is commercially available from Eastman Fine Chemicals.
In an alternative embodiment, the membrane or sustained release coating can include one of the above-described polymers and a flux-enhancing agent. The flux enhancing agent can increase the volume of fluid imbibed into the core to enable the dosage form to dispense substantially all of the antihyperglycemic drug through the passageway and/or the porous membrane. The flux-enhancing agent can be a water-soluble material or an enteric material. Examples of the preferred materials that are useful as flux enhancers are sodium chloride, potassium chloride, sucrose, sorbitol, mannitol, polyethylene glycols (PEG), propylene glycol, hydroxypropyl cellulose, hydroxypropyl methycellulose, hydroxypropyl methycellulose phthalate, cellulose acetate phthalate, polyvinyl alcohols, methacrylic acid copolymers, poloxamers (such as LUTROL F68, LUTROL F127, LUTROL F108 which are commercially available from BASF) and mixtures thereof. A preferred flux-enhancer is PEG 400.
The flux enhancer may also be a drug that is water soluble such as metformin or its pharmaceutically acceptable salts, or the flux enhancer may be a drug that is soluble under intestinal conditions. If the flux enhancer is a drug, the present dosage form has the added advantage of providing an immediate release of the drug, that has been selected as the flux enhancer.
The flux enhancing agent comprises approximately 0 to about 40% of the total weight of the coating, most preferably about 2% to about 20% of the total weight of the coating. The flux enhancing agent dissolves or leaches from the membrane or sustained release coating to form channels in the membrane or sustained release coating which enables fluid to enter the core and dissolve the active ingredient.
The membrane or sustained release coating may also be formed using a commonly known excipient such as a plasticizer. Some commonly known plasticizers include adipate, azelate, enzoate, citrate, stearate, isoebucate, sebacate, triethyl citrate, tri-n-butyl citrate, acetyl tri-n-butyl citrate, citric acid esters, and those described in the Encyclopedia of Polymer Science and Technology, Vol. 10 (1969), published by John Wiley & Sons. The preferred plasticizers are triacetin, acetylated monoglyceride, grape seed oil, olive oil, sesame oil, acetyltributylcitrate, acetyltriethylcitrate, glycerin sorbitol, diethyloxalate, diethylmalate, diethylfumarate, dibutylsuccinate, diethylmalonate, dioctylphthalate, dibutylsebacate, triethylcitrate, tributylcitrate, glyceroltributyrate and the like. Depending on the particular plasticizer, amounts from about 0 to about 25%, and preferably about 2% to about 15% of the plasticizer can be used based upon the total weight of the membrane or sustained release coating.
Generally, the membrane or sustained release coating around the core will comprise from about 1% to about 10% and preferably about 2% to about 5% based upon the total weight of the core and coating.
In a preferred embodiment, the membrane or sustained release coating surrounding the core further comprises a passageway that will allow for controlled release of the drug from the core. As used herein the term passageway includes an aperture, orifice, bore, hole, weakened area or an erodible element such as a gelatin plug that erodes to form an osmotic passageway for the release of the antihyperglycemic drug from the dosage form. Passageways used in accordance with the subject invention are well known and are described in U.S. Pat. Nos. 3,845,770; 3,916,899; 4,034,758; 4,077,407; 4,783,337 and 5,071,607.
Independent of the antihyperglycemic is a second active drug, preferably a thiazolidinedione derivative. This second active drug may be formulated to provide an immediate release of the thiazolidinedione derivative. In one embodiment of the present invention the thiazolidinedione derivative is applied in the form of a layer to a controlled or sustained released core comprising the antihyperglycemic drug as a layer using a binder and other conventional pharmaceutical excipients such as absorption enhancers, surfactants, plasticizers, antifoaming agents and combinations of the foregoing. An absorption enhancer may be present in the thiazolidinedione derivative layer in an amount up to about 30% w/w in comparison to the weight of the thiazolidinedione derivative. A binding agent may be present in an amount up to 150% w/w of the thiazolidinedione derivative. A second active drug immediate release formulation may be incorporated into a single dosage form by coating onto the membrane or sustained release coating of the dosage form by conventional methods. Alternatively, it may be incorporated by any pharmaceutically acceptable method into a single dosage form with the first active drug. The incorporation of the second active drug may be performed by, but would not be limited to, the processes selected from the group consisting of drug layering, lamination, dry compression, deposition and printing.
When the thiazolidinedione derivative is coated onto a membrane or sustained release coating of an osmotic tablet core, the thiazolidinedione coating should be applied from a coating solution or suspension that employs an aqueous solvent, an organic solvent or a mixture of an aqueous and an organic solvent. Typical organic solvents include acetone, isopropyl alcohol, methanol and ethanol. If a mixture of aqueous and organic solvents is employed, the ratio of water to organic solvent should range from 98:2 to 2:98, preferably 50:50 to 2:98, most preferably 30:70 to 20:80 and ideally about 25:75 to 20:80. If a mixed solvent system is employed, the amount of binder required for coating the thiazolidinedione derivative onto the membrane or sustained release coating may be reduced. For example, successful coatings have been obtained from a mixed solvent system where the ratio of binder to thiazolidinedione derivative is 1:9 to 1:11. Although acceptable coatings can be obtained when the thiazolidinedione coat is applied directly to the membrane or sustained release coating, a preferred approach is to first coat the membrane or sustained release coating with a seal coat prior to the application of the thiazolidinedione coating. As used herein a seal coat is a coating that does not contain an active pharmaceutical ingredient and that rapidly disperses or dissolves in water.
The thiazolidinedione coating solution or suspension may also contain a surfactant and a pore forming agent. A pore forming is preferably a water-soluble material such as sodium chloride, potassium chloride, sucrose, sorbitol, mannitol, polyethylene glycols (PEG), propylene glycol, hydroxypropyl cellulose, hydroxypropyl methycellulose, hydroxypropyl methycellulose phthalate, cellulose acetate phthalate, polyvinyl alcohols, methacrylic acid copolymers, poloxamers (such as LUTROL F68, LUTROL F127, LUTROL F108 which are commercially available from BASF) and mixtures thereof. In an alternative embodiment, the dosage form of the present invention may also comprise an effective immediate release amount of the antihyperglycemic drug. The effective immediate release amount of antihyperglycemic drug may be coated onto the membrane or sustained release coating of the dosage form or it may be incorporated into the membrane or sustained release coating.
In addition, various diluents, excipients, lubricants, dyes, pigments, dispersants, etc., which are disclosed in Remington's Pharmaceutical Sciences (1995), may be used to optimize the above listed formulations of the subject invention.
Biguanides, such as metformin are commonly administered in dosage forms containing 500 mg, 750 mg, 850 mg, and 1000 mg. Thiazolidinedione derivatives, for example pioglitizone, are commonly administered in dosage forms containing 15 mg, 30 mg and 45 mg. The present invention is intended to encompass the above listed therapeutic combinations, without providing a specific example of each possible combination of compounds and their respective dosage amounts.
A preferred embodiment the dosage form will have the following composition:










FIRST ACTIVE DRUG


















Core:
Amount (% of core)














drug
50-98%
(75-95% preferred)



binder
0.1-40% 
(3-15% preferred)



absorption enhancer
 0-20%
(2-10% preferred)



lubricant
0-5%
(0.5-1% preferred)













Coating:
Amount (% of coating)














polymer
50-99%
(75-95% preferred)



flux enhancer
 0-40%
(2-20% preferred)



plasticizer
 0-25%
(2-15% preferred)























SECOND ACTIVE DRUG

Amount (% of total dosage form)



















drug
0.1-20%  
(1-10% preferred)



binder
0.1-30%  
(1-15% preferred)



surfactant
0-20%
(0.1-15% preferred)



pore former
0-25%
(0.1-15% preferred)



polymer (optional)
0-30%
(0.1-20% preferred)









The dosage forms prepared according to the present invention exhibit the following dissolution profile when tested in a USP Type 2 apparatus at 75 rpm in 900 ml of simulated intestinal fluid (pH 7.5 phosphate buffer) and at 37° C.:
Release of First Active Drug














Time (hours)
% release




















2
 0-25%
(0-15% preferred)



4
10-45%
(20-40% preferred)



8
30-90%
(45-90% preferred)



12
NLT 50%
(NLT 60% preferred)



16
NLT 60%
(NLT 70% preferred)



20
NLT 70%
(NLT 80% preferred)





NLT = NOT LESS THAN






Release of Second Active Drug
















Time (hours)
% release





















0.5
NLT 60%
(NLT 75% preferred)









It has been discovered that the selection of the excipients for use in the thiazolidinedione component of the dosage form can greatly affect the release characteristics, potency and stability of the thiazolidinedione. Therefore, in an alternate embodiment of the present invention, the composition of the thiazolidinedione component of the present invention should be selected so that not less than 85%, preferably not less than 90% and most preferably not less than 95% of the thiazolidinedione is released from the dosage form within 45 minutes, preferably within 40 minutes and most preferably within 30 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0.
Further the excipients for use in the thiazolidinedione component of the dosage form should be selected so that the total thiazolidinedione related compounds or impurities in the final dosage form are not more than 0.6%, preferably not more than 0.5% and most preferably not more than 0.25% and each individual thiazolidinedione related compound or impurity in the final dosage form is not more than 0.25%, preferably not more than 0.2% and most preferably not more than 0.1%. The thiazolidinedione related compounds or impurities in the final dosage form are determined by High Performance Liquid Chromatography (HPLC) using a YMC-ODS-AQ, 5 μm, 120 Å, 4.6×250 mm or equivalent column, a 0.1 M ammonium acetate buffer:acetonitrile:glacial acetic acid (25:25:1) mobile phase, about a 40 μL injection volume, 0.7 mL/min flow rate, 25° C. column temperature and 269 nm wavelength for the UV detector.
EXAMPLES
The following are provided by way of example only and are in no means intended to be limiting.
Example 1
A controlled release tablet containing 850 mg of metformin HCl and 15 mg pioglitazone is prepared as follows:










First Active Drug










I. Core
(% composition of core)






Metformin HCl
90.54% 



Povidone K-301, USP
4.38%



Sodium Tribasic Phosphate
4.58%



Magnesium stearate
 0.5%





1approximate molecular weight = 50,000; dynamic viscosity (10% w/v solution at 20° C.) = 5.5-8.5 mPa · s.






(a) Granulation

The metformin HCl is delumped by passing it through a 40 mesh screen and collecting it in a clean, polyethylene-lined container. The povidone, K-30, and sodium tribasic phosphate are dissolved in purified water. The delumped metformin HCl is then added to a top-spray fluidized bed granulator and granulated by spraying the binding solution of povidone and sodium tribasic phosphate under the following conditions: inlet air temperature of 50-70° C.; atomization air pressure of 1-3 bars and spray rate of 10-100 ml/min.
Once the binding solution is depleted, the granules are dried in the granulator until the loss on drying is less than 2%. The dried granules are passed through a comil equipped with the equivalent of an 18 mesh screen.
(b) Tableting
The magnesium stearate is passed through a 40 mesh stainless steel screen and blended with the metformin HCl granules for approximately five (5) minutes. After blending, the granules are compressed on a rotary press fitted with 15/32′′ round standard concave punches (plain lower punch, upper punch with an approximately 1 mm indentation pin).
As stated above, the orifice may be formed by any means commonly employed in the pharmaceutical industry.
(c) Seal Coating (Optional)
The core tablet can be seal coated with an Opadry material or other suitable water-soluble material by first dissolving the Opadry material, preferably Opadry Clear, in purified water. The Opadry solution is then sprayed onto the core tablet using a pan coater under the following conditions: exhaust air temperature of 38-42° C.; atomization pressure of 28-40 psi and spray rate of 10-15 ml/min. The core tablet is coated with the sealing solution until a theoretical coating level of approximately 2-4% is obtained.













II Membrane
(% composition of membrane)








Cellulose Acetate (398-10)2
85%



Triacetin
5%



PEG 400
10%





2acetyl content 39.3-40.3%






(a) Membrane Coating Process

The cellulose acetate is dissolved in acetone while stirring with a homogenizer. The polyethylene glycol 400 and triacetin are added to the cellulose acetate solution and stirred until a clear solution is obtained. The clear membrane coating solution is then sprayed onto the seal coated tablets using a fluidized bed coater employing the following conditions: product temperature of 16-22° C.; atomization pressure of approximately 3 bars and spray rate of 120-150 ml/min. The sealed core tablet is coated until a theoretical coating level of approximately 3% is obtained.











III. Second Active



Drug Layering
(% composition of second component)
















Pioglitizone HCl
43.5%


Tween 80
2.0%


Hydroxypropyl methylcellulose
54.5%









Tween 80 and hydroxypropyl methylcellulose are dissolved in purified water. Pioglitizone HCl is then dispersed into this solution. The resulting suspension is then sprayed onto the above-membrane-coated tablets.
Example 2
A controlled release tablet containing 850 mg of metformin HCl and 15 mg pioglitazone is prepared as follows:










First Active Drug










I. Core
(% composition of core)






Metformin HCl
88.555% 



Povidone K-903, USP
6.368%



Sodium Lauryl Sulfate
4.577%



Magnesium Stearate
 0.5%





3approximate molecular weight = 1,000,000, dynamic viscosity (10% w/v solution) 300-700 mPa · s at 20° C.






(a) Granulation

The metformin HCl and sodium lauryl sulfate are delumped by passing them through a 40 mesh screen and collecting them in a clean, polyethylene-lined container. The povidone, K-90, is dissolved in purified water. The delumped metformin HCl and sodium lauryl sulfate are then added to a top-spray fluidized bed granulator and granulated by spraying with the binding solution of povidone under the following conditions: inlet air temperature of 50-70° C.; atomization air pressure of 1-3 bars and spray rate of 10-100 ml/min.
Once the binding solution is depleted, the granules are dried in the granulator until the loss on drying is less than 2%. The dried granules are passed through a comil equipped with the equivalent of an 18 mesh screen.
(b) Tableting
The magnesium stearate is passed through a 40 mesh stainless steel screen and blended with the metformin HCl granules for approximately five (5) minutes. After blending, the granules are compressed on a rotary press fitted with 15/32′′ round standard concave punches (plain lower punch, upper punch with an approximately 1 mm indentation pin).
As stated above, the orifice may be formed by any means commonly employed in the pharmaceutical industry.
(c) Seal Coating (Optional)
The core tablet is seal coated with an Opadry material or other suitable water-soluble material by first dissolving the Opadry material, preferably Opadry Clear, in purified water. The Opadry solution is then sprayed onto the core tablet using a pan coater under the following conditions: exhaust air temperature of 38-42° C.; atomization pressure of 28-40 psi and spray rate of 10-15 ml/min. The core tablet is coated with the sealing solution until a theoretical coating level of approximately 2% is obtained.













II Membrane
(% composition of membrane)








Cellulose Acetate (398-10)4
85%



Triacetin
5%



PEG 400
10%





4acetyl content 39.3-40.3%






(a) Membrane Coating Process

The cellulose acetate is dissolved in acetone while stirring with a homogenizer. The polyethylene glycol 400 and triacetin are added to the cellulose acetate solution and stirred. The coating solution is then sprayed onto the seal coated tablets in a fluidized bed coater employing the following conditions: product temperature of 16-22° C.; atomization pressure of approximately 3 bars and spray rate of 120-150 ml/min. The sealed core tablet is coated until a theoretical coating level of approximately 3% is obtained.











III. Second Active



Drug Layering
(% composition of second component)
















Pioglitizone HCl
43.5%


Tween 80
2.0%


Hydroxypropyl methylcellulose
54.5%









Tween 80 and hydroxypropyl methylcellulose are dissolved in purified water. Pioglitizone HCl is then dispersed into this solution. The resulting suspension is then sprayed onto the above described tablets.

Example 3
A controlled release tablet containing 500 mg of metformin HCl and 15 mg pioglitazone is prepared as follows:
I. First Active Drug
A 500 mg metformin membrane coated tablet is prepared as described in Example 2 above except that compound cup toolings are used during tableting. The 500 mg metformin membrane coated tablet has the following composition:















CORE




Metformin HCl
  500 mg/tablet



Povidone K-90, USP
 35.96 mg/tablet



Sodium lauryl sulfate, NF
 25.84 mg/tablet



Magnesium stearate, NF
 2.82 mg/tablet



SEAL COATING




Opadry Clear (YS-1-7006)
 23.53 mg/tablet



MEMBRANE COATING




Cellulose Aacetate, 398-10, NF
 23.56 mg/tablet



Triacetin, USP
 1.39 mg/tablet



Polyethylene Glycol 400, NF
 2.77 mg/tablet



Total weight
615.87 mg/tablet









II. Second Active Drug Layering

An immediate release amount of pioglitiazone HCL is applied to the 500 mg metformin HCl membrane coated tablet prepared in step I. The final tablet has the following composition:















Metformin HCl membrane coated
615.87 mg/tablet



Pioglitazone Coating




Pioglitazone HCl
 16.53 mg/tablet



Tween 80
  2.0 mg/tablet



Polyplasdone XL
 15.0 mg/tablet



Opadry Clear (YS-1-7006)
 8.47 mg/tablet



Color Coating




Opadry White
 10.0 mg/tablet



Polishing Coat




Candelilla Wax Powder
  2.0 mg/tablet









The pioglitazone coating is directly applied to the 500 mg metformin HCl membrane coated tablets. The pioglitazone coating is prepared by dissolving 0.252 kg of Opadry Clear, 0.269 kg of Polyplasdone XL and 0.036 kg of Tween 80 in 9.908 kg of purified water using a homogenizer. Once these ingredients are dissolved, 0.296 kg of pioglitazone HCl is dispersed into the solution and homogenized. The homogenized dispersion is then directly applied to the 500 mg metformin HCl membrane coated tablets using a 24′′ O'Hara Labcoat III pan coater with the following conditions:















Spray Rate
15-27 mL/min



Exhaust Temperature
42-47° C.



Atomization Air Pressure
25 psi



Pan Speed
5-9 rpm



Inlet Air Flow
300-400 CFM









Once the pioglitazone coating has been applied to the 500 mg metformin-HCl membrane coated tablet, an aesthetic or color coating of Opadry white is applied to the pioglitazone coated tablet. The color coating is prepared by dispersing 0.179 kg of Opadry White in 1.791 kg of purified water. The Opadry White suspension is applied to the pioglitazone coated tablet using a 24′′ O'Hara Labcoat III pan coater under the following conditions:















Spray Rate
20-35 mL/min



Exhaust Temperature
35-45° C.



Atomization Air Pressure
25 psi



Pan Speed
9 rpm



Inlet Air Flow
390-500 CFM









Once the color coating is applied, the tablets are polished using 0.036 kg of Candelilla wax powder.
Example 4
A controlled release tablet containing 500 mg of metformin HCl and 15 mg pioglitazone is prepared as follows:
I. First Active Drug
A 500 mg membrane coated tablet is prepared as described in Example 2 above except that compound cup toolings are used during tableting. The 500 mg membrane coated tablet has the following composition:















CORE




Metformin HCl
  500 mg/tablet



Povidone K-90, USP
 35.96 mg/tablet



Sodium Lauryl Sulfate, NF
 25.84 mg/tablet



Magnesium Stearate, NF
 2.82 mg/tablet



SEAL COATING




Opadry Clear (YS-1-7006)
 23.53 mg/tablet



MEMBRANE COATING




Cellulose Acetate, 398-10, NF
 23.56 mg/tablet



Triacetin, USP
 1.39 mg/tablet



Polyethylene Glycol 400, NF
 2.77 mg/tablet



Total weight
615.87 mg/tablet









II. Second Active Drug Layering

An immediate release amount of pioglitiazone HCL is applied to the 500 mg metformin HCl seal coated tablet prepared in Step I. The final tablet has the following composition:















Metformin HCl membrane coated tablet
615.87 mg/tablet



Seal Coat




Opadry Clear (YS-1-7006)
 13.8 mg/tablet



Pioglitazone Coating




Pioglitazone HCl
 16.53 mg/tablet



Tween 80
  2.0 mg/tablet



Sodium Chloride
 4.27 mg/tablet



Opadry Clear (YS-1-7006)
  2.0 mg/tablet



Color Coating




Opadry White
 8.10 mg/tablet



Polishing Coat




Candelilla Wax
 0.20 mg/tablet









The seal coating solution is prepared by dissolving 0.258 kg of Opadry Clear in 2.576 kg of purified water and spraying the solution onto approximately 12.088 kg of the 500 mg membrane coated metformin HCl tablet cores using a 24′′ O'Hara Labcoat III pan coater. The seal coat is applied under the following conditions:















Spray Rate
20-35 mL/min



Exhaust Temperature
35-45° C.



Atomization Air Pressure
25 psi



Pan Speed
9 rpm



Inlet Air Flow
390-500 CFM









The pioglitazone coating is applied to the seal coated 500 mg metformin HCl membrane coated tablets. The pioglitazone coating is prepared by dissolving 0.040 kg of Opadry Clear, 0.085 kg of sodium chloride and 0.040 kg of Tween 80 in 4.915 kg of purified water using a homogenizer. Once these ingredients are dissolved, 0.328 kg of pioglitazone HCl is dispersed into the solution and homogenized. The homogenized dispersion is then applied to the seal coated 500 mg metformin HCl membrane coated tablets using a 24′′ O'Hara Labcoat III pan coater with the following conditions:















Spray Rate
10-30 mL/gun/min



Exhaust Temperature
35-45° C.



Atomization Air Pressure
20-40 psi



Pattern Air Pressure
20-40 psi



Pan Speed
8-12 rpm



Inlet Air Flow
250-450 CFM.









Once the pioglitazone coating has been applied to the seal coated 500 mg metformin HCl membrane coated tablets, an aesthetic or color coating of Opadry White is applied to the pioglitazone coated tablet. The color coating is prepared by dispersing 0.159 kg of Opadry. White in 1.585 kg of purified water. The Opadry White suspension is applied to the pioglitazone coated tablet using conditions similar to those described above for application of the seal coating. Once the color coating is applied, the tablets are polished using 0.004 kg of Candelilla wax powder.
Example 5
A controlled release tablet containing 1000 mg of metformin HCl and 30 mg pioglitazone is prepared as follows:
I. First Active Drug
A 1000 mg metformin membrane coated tablet is prepared as described in Example 3 above. The 1000 mg membrane coated tablet has the following composition:















CORE




Metformin HCl
  1000 mg/tablet



Povidone K-90, USP
 78.0 mg/tablet



Sodium Lauryl Sulfate, NF
 51.69 mg/tablet



Magnesium Stearate, NF
 5.66 mg/tablet



SEAL COATING




Opadry Clear (YS-1-7006)
 47.05 mg/tablet



MEMBRANRE COATING




Cellulose Acetate, 398-10, NF
 15.77 mg/tablet



Triacetin, USP
 0.92 mg/tablet



Polyethylene Glycol 400, NF
 1.85 mg/tablet



Total weight
1201.0 mg/tablet









II. Second Active Drug

An immediate release amount of pioglitazone HCL is applied to the 1000 mg metformin HCl membrane coated tablets prepared in step I. The final tablet has the following composition:















Metformin HCl membrane coated tablet
1201.0 mg/tablet



Seal Coating




Opadry Clear (YS-1-7006)
 16.0 mg/tablet



Pioglitazone Coating




Pioglitazone HCl
 33.06 mg/tablet



Sodium Chloride
 4.27 mg/tablet



Opadry Clear (YS-1-7006)
  3.0 mg/tablet



Color Coating




Opadry II White (Y-22-7719)
 20.27 mg/tablet



Polishing Coat




Candelilla Wax Powder
 0.40 mg/tablet









The seal coating is prepared by dispersing 0.174 kg of Opadry Clear in 3.478 kg of ethanol and mixing the dispersion for 15 minutes. The dispersion is then sprayed onto approximately 13.174 kg of the 1000 mg metformin HCl membrane coated tablets using a 24′′ O'Hara Labcoat III pan coater. The seal coat is applied to the 1000 mg metformin HCl membrane coated tablets with the following conditions:
















Spray Rate
10-30
ml/gun/min



Exhaust Temperature
25-45°
C.



Atomization Air Pressure
20-40
psi



Pan Speed
6-12
rpms



Pattern Air Pressure
20-40
psi



Inlet Air Flow
250-450
CFM









The pioglitazone coating then is applied to the seal coated 1000 mg metformin HCl membrane coated tablets. The pioglitazone coating is prepared by dissolving 0.036 kg of Opadry Clear and 0.046 kg of sodium chloride in 5.344 kg of ethanol using a homogenizer. Once the ingredients are dispersed, 0.359 kg of pioglitazone HCl is dispersed into the solution and homogenized. The homogenized dispersion is then applied to the seal coated 1000 mg metformin HCl membrane coated tablets using a 24′′ O'Hara Labcoat III pan coater with the following conditions:
















Spray Rate
10-30
mL/gun/min



Exhaust Temperature
25-45°
C.



Atomization Air Pressure
20-40
psi



Pan Speed
6-12
rpm



Pattern Air Pressure
20-40
psi



Inlet Air Flow
250-450
CFM









Once the pioglitazone coating has been applied, an aesthetic or color coating of Opadry II White is applied to the pioglitazone coated tablet. The color coating is prepared by dispersing about 0.220 kg of Opadry II White in 4.407 kg of ethanol. The Opadry II White suspension is then applied to the pioglitazone HCl coated tablets using a 24′′ O'Hara Labcoat III pan coater using conditions similar to those described above for the seal coating. Once the color coating is applied, the tablets are polished using 0.004 kg of Candelilla wax powder.
Example 6
A controlled release tablet containing 1000 mg of metformin HCl and 30 mg pioglitazone is prepared as follows:
I. First Active Drug
A 1000 mg membrane coated tablet is prepared as described in Example 3 above. The 1000 mg membrane coated tablet has the following composition:














CORE










Metformin HCl
 1000 mg/tablet 



Povidone K-90, USP
78.0 mg/tablet



Sodium Lauryl Sulfate, NF
51.69 mg/tablet 



Magnesium Stearate, NF
5.65 mg/tablet









SEAL COATING










Opadry Clear (YS-1-7006)
47.05 mg/tablet 









MEMBRANE COATING










Cellulose Acetate, 398-10, NF
15.77 mg/tablet 



Triacetin, USP
0.92 mg/tablet



Polyethylene Glycol 400, NF
1.85 mg/tablet



Total weight
1201.0 mg/tablet 









II. Second Active Drug

An immediate release amount of pioglitazone HCL is applied to the 1000 mg metformin HCl membrane coated tablets prepared in step I. The final tablet has the following composition:















Metformin HCl membrane coated tablet
1201.0 mg/tablet 



Seal Coat




Opadry Clear (YS-1-7006)
21.0 mg/tablet



Pioglitazone Coating




Pioglitazone HCl
33.06 mg/tablet 



Sodium Chloride
 5.0 mg/tablet



Opadry Clear (YS-1-7006)
 3.7 mg/tablet



Color Coating




Opadry II White (Y-22-7719)
21.54 mg/tablet 



Polishing Coat




Candelilla Wax Powder
0.40 mg/tablet









The seal coat is applied to the 1000 mg metformin HCl membrane coated tablet. The seal coating is prepared by dispersing 0.229 kg of Opadry Clear in 4.573 kg of alcohol USP and mixing the dispersion for 15 minutes. The dispersion is then sprayed onto approximately 13.08 kg of the 1000 mg metformin HCl tablet cores using a 24′′ O'Hara Labcoat III pan coater with the nozzle tip set 4±2′′ from the top of the static bed and the following conditions:
















Spray Rate
25 ± 10
mL/gun/min



Exhaust Temperature
25° C. ± 5°
C.



Atomization Air Pressure
10-40
psi



Pan Speed
4-9
rpm



Supply Air Flow
200 ± 100
CFM



Pattern Air Pressure
10-40
psi









The seal coating dispersion is continuously stirred until it is consumed during the coating process.
The pioglitazone coating then is applied to the seal coated 1000 mg metformin HCl membrane coated tablets. The pioglitazone coating is prepared by mixing 4.434 kg of alcohol USP and 1.250 kg of purified water (approximately a 78:22 alcohol to purified water ratio) and slowly dispersing 0.040 kg of Opadry Clear into the solvent mixture. Once the Opadry Clear is dispersed, it is homogenized for about 10 minutes. Once the Opadry Clear dispersion is homogenized, 0.054 kg of sodium chloride is added to the dispersion and homogenized for about 2 minutes. After the sodium chloride is homogenized, 0.360 kg of pioglitazone HCl is slowly dispersed into the solvent mix and then homogenized for about 10 minutes. Once the pioglitazone HCl is homogenized, the homogenizer is removed from the mixing vessel and replaced with an air mixer and mixed for an additional 15 minutes. The pioglitazone suspension is stirred until the suspension is consumed during the coating process. The pioglitazone HCl suspension is applied to the seal coated 1000 mg metformin HCl membrane coated tablet cores using a 24′′ O'Hara Labcoat III pan coater with the nozzle tip set 4±2′′ above the top of the static bed with the following conditions:
















Spray Rate
25 ± 10
mL/gun/min



Exhaust Temperature
25 ± 5°
C.



Atomization Air Pressure
10-40
psi



Pan Speed
4-9
rpms



Pattern Air Pressure
10-40
psi



Supply Air Flow
200 ± 100
CFM









Once the pioglitazone coating has been applied to the seal coated 1000 mg metformin HCl membrane coated tablets, an aesthetic coating of Opadry II White is applied to the pioglitazone coated tablet. The aesthetic coating is prepared by dispersing 0.235 kg of Opadry II White (Y-22-7719) in 4.691 kg of alcohol USP and mixing the dispersion for about 1 hour. The Opadry II White dispersion is then sprayed onto the pioglitazone HCl coated tablets using a 24′′ O'Hara Labcoat III pan coater with the nozzle tip set at 4±2′′ from the top of the static bed and the following conditions:
















Spray Rate
25 ±
mL/gun/min



Exhaust Temperature
25° C. ± 5°
C.



Atomization Air Pressure
10-40
psi



Pan Speed
4-9
rpm



Supply Air Flow
200 ± 100
CFM



Pattern Air Pressure
10-40
psi









The color coating dispersion is continuously stirred until the dispersion is consumed during the coating process.
Once the aesthetic coating suspension is consumed, the tablets are dried in the coating pan for about 5 minutes with a pan speed of about 2-8 rpms and an exhaust temperature of 25±5° C. Once the tablets are dried, the exhaust air is turned off and the pan speed is adjusted to about 3-4 rpms and 0.004 kg of Candellia wax powder that had been passed through a 60 mesh screen is sprinkled onto the tablets. After the tablets have rolled in the wax for about 5 minutes the exhaust air is turned on and the tablets are rolled for an additional 10 minutes.
The finished polished tablet exhibited the following pioglitazone HCl dissolution profile when tested in a USP apparatus type 1 at 100 rpm in a pH 2.0 HCl-0.3M KCl buffer solution:













Time
% Pioglitazone Released








10 min.
42%



20 min
79%



30 min
95%



45 min
102% 









The finished polished tablet also contained the following pioglitazone related compounds when tested by HPLC using a YMC-ODS-AQ, 5 μm, 120 Å, 4.6×250 mm column, a 0.1 M ammonium acetate buffer:acetonitrile:glacial acetic acid (25:25:1) mobile phase, a 40 μL injection volume, 0.7 mL/min flow rate, 25° C. column temperature and 269 nm wavelength for the UV dectector.














Name
Relative Retention Time
Amount (%)








RS-1
0.7
N.D*.



Pioglitazone
1.0




RS-2
1.5
0.03



RS-3
3.4
0.04



RS-4
1.2
0.03



RS-5
2.8
0.04





*N.D. = none detected






RS-1 is (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-5-hydroxy-2,4-thiazolidinedione.
RS-2 is (z)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzylidene]-2,4-thiazolidinedione.
RS-3 is (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-3-[2-(5-ethyl-2-pyridyl)ethyl]-2,4-thiazolidinedione.
RS-4 is (+/−)-ethyl-2-carbamoyltio-3-[4-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-]propionate.
RS-5 is ethyl-3-p-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-propionate.
The final polished tablet was packaged in a 100 cc HDPE bottle containing one (1) 2 g SORB-IT® desiccant canister and subjected to accelerated stability conditions of 40° C. and 75% relative humidity for three (3) months. After storage, the final polished tablet was tested and exhibited the following pioglitazone HCl dissolution profile when tested in a USP apparatus type 1 at 100 rpm in a pH 2.0 HCl-0.3M KCl buffer solution:













Time
% Pioglitazone Released








10 min.
38%



20 min
73%



30 min
92%



45 min
101% 









The stored final polished tablet also contained the following pioglitazone related compounds when tested by HPLC using a YMC-ODS-AQ, 5 μm, 120 Å, 4.6×250 mm column, a 0.1 M ammonium acetate buffer:acetonitrile:glacial acetic acid (25:25:1) mobile phase, a 40 μL injection volume, 0.7 mL/min flow rate, 25° C. column temperature and 269 nm wavelength for the UV dectector.















Name
Relative Retention Time
Amount (%)









RS-1
0.7
N.D.*



Pioglitazone
1.0



RS-2
1.5
0.03



RS-3
3.4
0.05



RS-4
1.2
0.02



RS-5
2.8
0.04







*N.D. = none detected






While certain preferred and alternative embodiments of the invention have been set forth for purposes of disclosing the invention, modifications to the disclosed embodiments may occur to those who are skilled in the art. Accordingly, the appended claims are intended to cover all embodiments of the invention and modifications thereof which do not depart from the spirit and scope of the invention.

## Claims

1. A pharmaceutical dosage form having a first and second active drug, said dosage form comprising:
(a) a controlled release core comprising: i) a core comprising at least one pharmaceutically acceptable excipient and only one active drug that consists of metformin hydrochloride; and ii) a sustained release coating surrounding the core;
(b) optionally a first seal coating surrounding the sustained release coating that does not contain an active pharmaceutical ingredient and that rapidly disperses or dissolves in water and
(c) an immediate release pioglitazone layer surrounding the sustained release coating of the controlled release core or the first seal coating if present comprising pioglitazone hydrochloride and a binder wherein the immediate release pioglitazone layer is free of a surfactant and not less than 90%, of the pioglitazone hydrochloride is released from the dosage form within 30 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0, and after storage at 40° C. and 75% relative humidity for three months, the total pioglitazone related compounds or impurities in the dosage form is not more than 0.6% as determined by high performance liquid chromatography and each individual pioglitazone related compound or impurity in the final dosage form is not more than 0.25% wherein the pioglitazone related compounds and impurities are:
(i) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-5-hydroxy-2,4-thiazolidinedione;
(ii) (z)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzylidene]-2,4-thiazolidinedione;
(iii) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-3-[2-(5-ethyl-2-pyridyl)ethyl]-2,4-thiazolidinedione;
(iv) (+/−)-ethyl-2-carbamoyltio-3-[4-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-]propionate; and
(v) ethyl-3-p-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-propionate.

2. The pharmaceutical dosage form as defined in claim 1 wherein not less than 100%, of the pioglitazone hydrochloride is released from the dosage form within 45 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0.

3. The pharmaceutical dosage form as defined in claim 1 wherein the total pioglitazone related compounds or impurities are not more than 0.5%.

4. The pharmaceutical dosage form as defined in claim 3 wherein each individual pioglitazone related compound or impurity in the final dosage form is not more than 0.20%.

5. The pharmaceutical dosage form as defined in claim 4 wherein each individual pioglitazone related compound or impurity in the final dosage form is not more than 0.10%.

6. The dosage form of claim 1 wherein said controlled release core is an osmotic tablet.

7. The dosage form of claim 6 wherein the osmotic tablet consists of:
(a) a core comprising:
(i) 50-98% of said metformin hydrochloride;
(ii) 0.1-40% of a binding agent;
(iii) 0-20% of an absorption enhancer; and
(iv) 0-5% of a lubricant;

(b) optionally an inner seal coat surrounding the core; and
(c) a sustained release coating surrounding the core or the inner seal coat if present comprising:
(i) 50-99% of a polymer;
(ii) 0-40% of a flux enhancer and
(iii) 0-25% of a plasticizer, said membrane having at least one passageway formed therein for release of the metformin hydrochloride.

8. The dosage form of claim 1 wherein said core is substantially free from any gelling or expanding polymer.

9. The dosage form of claim 1 wherein said controlled release of said metformin hydrochloride provides a Tmax of 8-12 hours.

10. The dosage form of claim 1 wherein said release of the pioglitazone hydrochloride provides a Tmax of 1-12 hours.

11. The dosage form of claim 10 wherein said release of the pioglitazone hydrochloride provides a Tmax of 1-4 hours.

12. A pharmaceutical dosage form comprising:
(A) a controlled release osmotic tablet comprising:
i) a core comprising at least one pharmaceutically acceptable excipient and only one active drug that consists of metformin hydrochloride; and
ii) a sustained release coating surrounding the core wherein the controlled release osmotic tablet exhibits the following dissolution profile when tested in a USP Type 2 apparatus at 75 rpms in 900 ml of simulated intestinal fluid with a pH of 7.5 and at 37° C.:
0-25% of the metformin hydrochloride is released after 2 hours;
10-45% of the metformin hydrochloride is released after 4 hours;
30-90% of the metformin hydrochloride is released after 8 hours;
not less than 50% of the metformin hydrochloride is released after 12 hours;
not less than 60% of the metformin hydrochloride is released after 16 hours; and
not less than 70% of the metformin hydrochloride is released after 20 hours; and


(B) optionally a first seal coating surrounding the sustained release coating that does not contain an active pharmaceutical ingredient and that rapidly disperses or dissolves in water; and
(C) an immediate release pioglitazone hydrochloride layer surrounding the sustained release coating of the osmotic tablet or the first seal coat if present comprising pioglitazone hydrochloride and a binder wherein the immediate release pioglitazone hydrochloride layer is free of a surfactant and releases not less than 90% of the pioglitazone hydrochloride from the dosage form within 30 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0 and the dosage form contains not more than 0.25% of the following compounds:
(i) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-5-hydroxy-2,4-thiazolidinedione;
(ii) (z)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzylidene]-2,4-thiazolidinedione;
(iii) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-3-[2-(5-ethyl-2-pyridyl)ethyl]-2,4-thiazolidinedione;
(iv) (+/−)-ethyl-2-carbamoyltio-3-[4-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-]propionate; and
(v) ethyl-3-p-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-propionate.

13. The pharmaceutical dosage form as defined in claim 12 wherein not less than 95%, of the pioglitazone hydrochloride is released from the dosage form within 30 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0.

14. The pharmaceutical dosage form as defined in claim 12 wherein not less than 100%, of the pioglitazone hydrochloride is released from the dosage form within 30 minutes when tested according to the United States Pharmacopeia (USP) 26, with Apparatus 1 at 100 rpm, 37° C. and 900 ml of 0.3 M KCl—HCl Buffer, pH 2.0.

15. The dosage form of claim 12 wherein said osmotic tablet core is substantially free from any gelling or expanding polymer.

16. The dosage form of claim 12 wherein the osmotic tablet core exhibits the following dissolution profile when tested in a USP Type 2 apparatus at 75 rpms in 900 ml of simulated intestinal fluid with a pH of 7.5 and at 37° C.:
0-15% of the metformin hydrochloride is released after 2 hours;
20-40% of the metformin hydrochloride is released after 4 hours;
45-90% of the metformin hydrochloride is released after 8 hours;
not less than 60% of the metformin hydrochloride is released after 12 hours;
not less than 70% of the metformin hydrochloride is released after 16 hours; and
not less than 80% of the metformin hydrochloride is released after 20 hours.

17. The dosage form of claim 12 that contains not more than 0.2% of the following compounds:
(i) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-5-hydroxy-2,4-thiazolidinedione;
(ii) (z)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzylidene]-2,4-thiazolidinedione;
(iii) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-3-[2-(5-ethyl-2-pyridyl)ethyl]-2,4-thiazolidinedione;
(iv) (+/−)-ethyl-2-carbamoyltio-3-[4-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-]propionate; and
(v) ethyl-3-p-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-propionate.

18. The dosage form of claim 12 that contains not more than 0.1% of the following compounds:
(i) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-5-hydroxy-2,4-thiazolidinedione;
(ii) (z)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzylidene]-2,4-thiazolidinedione;
(iii) (+/−)-5-[p-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-3-[2-(5-ethyl-2-pyridyl)ethyl]-2,4-thiazolidinedione;
(iv) (+/−)-ethyl-2-carbamoyltio-3-[4-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-]propionate; and
(v) ethyl-3-p-[2-(5-ethyl-2-pyridyl)ethoxy]phenyl-propionate.