# Patent

## Title
Sustained-release preparation

## Abstract

Provided is a sustained-release preparation containing pioglitazone or a salt thereof as an active ingredient and showing superior sustainability. A sustained-release preparation containing pioglitazone or a salt thereof, which shows a dissolution ratio of pioglitazone of average 25-58% at the 2-hour time point, and average 60-100% at the 4-hour time point, in a dissolution test according to the 50 rpm USP Paddle Method and using pH 2.0 KCl/HCl buffer at 37° C. as a test solution.

## Background
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a sustained-release preparation containing pioglitazone or a salt thereof.
BACKGROUND OF THE INVENTION
Patent document 1 discloses a pharmaceutical composition comprising a therapeutically effective amount of a drug, a solubilizer and a release modulator, wherein the release of the drug and the solubilizer is synchronized. However, the document does not describe a matrix tablet-type sustained-release preparation relating to pioglitazone.
Patent document 2 discloses a preparation comprising a core component comprising at least one water-soluble active ingredient, a lipid system comprising at least one lipid, at least one water-insoluble release modifier, at least one channel forming factor, in some cases, one or more pharmaceutical additives and one or more coating factors. However, the document does not describe a matrix tablet-type sustained-release preparation relating to pioglitazone.
Patent document 3 discloses a hydrogel-type sustained-release preparation comprising (1) at least one drug, (2) an additive for penetration of water into the core of the preparation and (3) a hydrogel-forming polymer, wherein said preparation is capable of undergoing substantially complete gelation during its stay in the upper digestive tract including stomach and small intestine and is capable of releasing the drug in the lower digestive tract including colon. However, the document does not describe a matrix tablet-type sustained-release preparation relating to pioglitazone.
The preparation of patent document 3 achieves a stable sustained-release effect, since the drug is dissolved and absorbed fine also in the colon. Since pioglitazone shows low absorbability in the colon, it is not suitable for direct application.
DOCUMENT LIST
Patent Documents


    Patent document 1: JP-A-2008-540451
    Patent document 2: WO2007/054976
    Patent document 3: WO94/06414


SUMMARY OF THE INVENTION
Problems to be Solved by the Invention
Pioglitazone hydrochloride has been widely used in clinical practice over the years as an antidiabetes drug extremely superior in both the treatment effect and safety, and acquired high evaluation. Specifically, it is provided in clinical practice as an immediate-release preparation.
Application of pioglitazone hydrochloride to delay the onset of Alzheimer's disease has been considered. The present inventors have studied a sustained-release preparation, taking into consideration the long-term administration of pioglitazone hydrochloride to patients, including prophylactic use for Alzheimer's disease.
Sustained-release preparations are hoped to provide the following effects.

    (1) A sustained release of a medicament can be done; even if the dose is low, stable efficacy can be produced, since the medicament is released in a sustained manner.
    (2) The maximum drug concentration (hereinafter sometimes to be indicated as Cmax) can be controlled (e.g., can be suppressed lower than immediate-release preparation).
    (3) When combined with the area under plasma concentration-time curve (hereinafter sometimes to be indicated as AUC) equivalent to that of immediate-release preparation, sufficient efficacy can be produced.
    (4) A preparation capable of standing physical stimulation due to eating (unsusceptible to stimulation by eating) is expected to be provided.


The present invention aims to provide a sustained-release preparation containing pioglitazone or a salt thereof, which provides the above-mentioned effects (1)-(4).
Means of Solving the Problems
The present inventors have conducted intensive studies in an attempt to solve the above-mentioned problems, and found that a preparation containing pioglitazone or a salt thereof, a gel forming polymer, and a gel forming promoter can solve the above-mentioned problem, which resulted in the completion of the present invention. Furthermore, they have also found that a preparation containing pioglitazone or a salt thereof, and having the below-mentioned particular dissolution property, is particularly preferable from the aspects of the prophylaxis and/or treatment of Alzheimer's disease.
Accordingly, the present invention is as follows.

    [1] A sustained-release preparation comprising pioglitazone or a salt thereof, which shows a dissolution ratio of pioglitazone of average 25-58% at the 2-hour time point, and average 60-100% at the 4-hour time point, preferably average 25-58% at the 2-hour time point, average 60-100% at the 4-hour time point, and average 80-110% at the 6-hour time point, in a dissolution test according to the 50 rpm USP Paddle Method and using pH 2.0 KCl/HCl buffer at 37° C. as a test solution.
    [2] The sustained-release preparation of the above-mentioned [1], comprising 0.1-8 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1-8 mg as pioglitazone.
    [3] The sustained-release preparation of the above-mentioned [1], comprising 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg as pioglitazone.
    [4] The sustained-release preparation of any of the above-mentioned [1]-[3], wherein the pioglitazone or a salt thereof is pioglitazone hydrochloride.
    [5] The sustained-release preparation of any of the above-mentioned [1]-[4], further comprising a gel forming polymer and a gel forming promoter.
    [6] The sustained-release preparation of the above-mentioned [5], wherein the gel forming polymer is polyethylene oxide.
    [7] The sustained-release preparation of the above-mentioned [6], wherein the polyethylene oxide is
    1) contained such that the product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide in the preparation is from (7×M+1500) to (14.5 ×M+5410), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide × 1/10000 when one kind of polyethylene oxide is used; or
    2) contained such that the product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide having the highest average molecular weight in the preparation is from (14×M−300) to (17×M+7700), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide having the highest average molecular weight among the polyethylene oxides used × 1/10000 when two or more kinds of polyethylene oxides having different average molecular weights are used.
    [8] The sustained-release preparation of any of the above-mentioned [5]-[7], wherein the gel forming promoter is a water-soluble hydrophilic base or water-insoluble hydrophilic base.
    [9] The sustained-release preparation of the above-mentioned [8], wherein the water-soluble hydrophilic base is one kind or a combination of two or more kinds selected from lactose, glucose, mannitol and trehalose, and the water-insoluble hydrophilic base is one kind or a combination of two or more kinds selected from starch, partially pregelatinized starch, crospovidone, crystalline cellulose, carmellose calcium and carmellose.
    [10] The sustained-release preparation of any of the above-mentioned [1]- [9], which is a tablet.
    [11] The sustained-release preparation of the above-mentioned [10], which has a tablet weight of 60-600 mg.
    [12] The sustained-release preparation of any of the above-mentioned [1]-[11], wherein the pioglitazone or a salt thereof has an average particle size of 1 to 25 μm.
    [13] A sustained-release preparation comprising pioglitazone or a salt thereof, a gel forming polymer and a gel forming promoter.
    [14] The sustained-release preparation of the above-mentioned [13], wherein the gel forming polymer is polyethylene oxide.
    [15] The sustained-release preparation of the above-mentioned [14], wherein the polyethylene oxide is
    1) contained such that the product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide in the preparation is from (7×M+1500) to (14.5×M+5410), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide × 1/10000 when one kind of polyethylene oxide is used; or
    2) contained such that the product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide having the highest average molecular weight in the preparation is from (14×M−300) to (17×M+7700), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide having the highest average molecular weight among the polyethylene oxides used × 1/10000 when two or more kinds of polyethylene oxides having different average molecular weights are used.
    [16] The sustained-release preparation of the above-mentioned [14], wherein the polyethylene oxide has a weight average molecular weight of not less than 1,000,000 and less than 4,000,000, and is contained at a ratio of 10-90 wt % of the preparation.
    [17] The sustained-release preparation of the above-mentioned [14], wherein the polyethylene oxide has a weight average molecular weight of not less than 1,000,000 and less than 4,000,000, and is contained at a ratio of 50-80 wt % of the preparation.
    [18] The sustained-release preparation of the above-mentioned [14], wherein the polyethylene oxide has a weight average molecular weight of not less than 4,000,000 and not more than 10,000,000, and is contained at a ratio of 5-70 wt % of the preparation.
    [19] The sustained-release preparation of any of the above-mentioned [13]-[18], wherein the gel forming promoter is a water-soluble hydrophilic base or water-insoluble hydrophilic base.
    [20] The sustained-release preparation of the above-mentioned [19], wherein the water-soluble hydrophilic base is one kind or a combination of two or more kinds selected from lactose, glucose, mannitol and trehalose, and the water-insoluble hydrophilic base is one kind or a combination of two or more kinds selected from starch, partially pregelatinized starch, crospovidone, crystalline cellulose, carmellose calcium and carmellose.
    [21] The sustained-release preparation of any of the above-mentioned [13] -[20], which is a tablet.
    [22] The sustained-release preparation of the above-mentioned [21], which has a tablet weight of 60-600 mg.
    [23] The sustained-release preparation of any of the above-mentioned [13]-[22], comprising 0.1-8 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1-8 mg as pioglitazone.
    [24] The sustained-release preparation of the above-mentioned [23], comprising 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg as pioglitazone.
    [25] The sustained-release preparation of any of the above-mentioned [1]-[24], wherein the pioglitazone or a salt thereof is pioglitazone hydrochloride.
    [26] The sustained-release preparation of any of the above-mentioned [13]-[25], wherein the pioglitazone or a salt thereof has an average particle size of 1-25 μm.
    [27] A method of producing a sustained-release preparation, comprising

a step of granulating a mixture containing pioglitazone or a salt thereof, a gel forming promoter and a gel forming polymer while spraying an aqueous solution or dispersion containing a gel forming promoter, and compression-molding the obtained mixture;

a step of granulating a mixture containing a gel forming promoter and a gel forming polymer while spraying an aqueous solution or dispersion containing a gel forming promoter, mixing the obtained granules with pioglitazone or a salt thereof, and compression-molding the obtained mixture; or

a step of compression-molding a mixture containing pioglitazone or a salt thereof, a gel forming promoter and a gel forming polymer.

    [28] A method of producing a sustained-release preparation, comprising

a step of granulating a mixture containing pioglitazone or a salt thereof, a gel forming promoter and polyethylene oxide while spraying an aqueous solution or dispersion containing a gel forming promoter, and compression-molding the obtained granules;

a step of granulating a mixture containing a gel forming promoter and polyethylene oxide while spraying an aqueous solution or dispersion containing a gel forming promoter, mixing the obtained granules with pioglitazone or a salt thereof, and compression-molding the obtained mixture; or

a step of compression-molding a mixture containing pioglitazone or a salt thereof, a gel forming promoter and polyethylene oxide.

    [29] The sustained-release preparation of any of the above-mentioned [1]-[26], which is used for the prophylaxis and/or treatment (including delaying onset and suppression of progression) of Alzheimer's disease.
    [30] A method of the prophylaxis and/or treatment (including delaying onset and suppression of progression) of Alzheimer's disease, comprising administering the sustained-release preparation of any of the above-mentioned [1]-[26] to a subject in need of the administration thereof.


Effect of the Invention
The sustained-release preparation containing pioglitazone or a salt thereof of the present invention affords the following effects. (1) A sustained release of a medicament can be done; even if the dose is low, stable efficacy can be expected, since the medicament is released in a sustained manner. (2) The maximum drug concentration (Cmax) can be controlled (e.g., can be suppressed lower than immediate-release preparation). (3) The area under plasma concentration-time curve (AUC) equivalent to that of immediate-release preparation can be achieved. (4) A preparation capable of standing physical stimulation due to eating (unsusceptible to stimulation by eating) is hoped to be provided.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 shows the results in Experimental Example 1.
FIG. 2 shows the results in Experimental Example 2.
FIG. 3 shows the results in Experimental Example 3.
FIG. 4 shows the results in Experimental Example 4.
FIG. 5 shows the results in Experimental Example 5.
FIG. 6 shows the results in Experimental Example 10.
FIG. 7 shows the results in Experimental Examples 11 and 12.
FIG. 8 shows the results in Experimental Examples 11 and 12.



DESCRIPTION OF EMBODIMENTS
The present invention is explained in detail in the following.
In the “pioglitazone or a salt thereof” to be used in the sustained-release preparation of the present invention, examples of the salt of pioglitazone include pharmacologically acceptable salts such as salts with inorganic acids, salts with organic acids, salts with acidic amino acids and the like.
Preferable examples of the salts with inorganic acids include salts with hydrochloric acid, hydrobromic acid, nitric acid, sulfuric acid, phosphoric acid and the like.
Preferable examples of the salts with organic acids include salts with formic acid, acetic acid, trifluoroacetic acid, fumaric acid, oxalic acid, tartaric acid, maleic acid, citric acid, succinic acid, malic acid, methanesulfonic acid, benzenesulfonic acid, p-toluenesulfonic acid and the like.
Preferable examples of the salts with acidic amino acids include salts with aspartic acid, glutamic acid and the like.
In addition, the pioglitazone may be an anhydride or a hydrate, which may be further labeled with an isotope (e.g., 3H, 14C, 35S, 125I) and the like.
The pioglitazone or a salt thereof is particularly preferably pioglitazone hydrochloride.
The pioglitazone or a salt thereof may be diluted with a diluent generally used in the medical care, food field and the like, and the like.
Generally, since a powder is an assembly of particles having various sizes, the size of a particle is shown by an average particle size. As the average particle size, median size, mode diameter, arithmetic mean diameter and the like are used. The median size is also indicated as d50, and means a particle size that divides coarse granules and fine granules into 50% each in weight distribution or number distribution. The average particle size used in the present specification is mostly shown in the median size.
The measurement method of a powder includes laser diffraction method, dynamic light scattering method, centrifugal sedimentation method, FFF method, electrical sensing zone method and the like. The laser diffraction method-particle size distribution measuring apparatus includes Mastersizer 2000 (manufactured by Malvern Instruments Ltd.), HELOS&RODOS (manufactured by SYMPATEC), SALD2200 (manufactured by Shimadzu Corporation), LA-920 (manufactured by Horiba, Ltd.) and the like. The average particle size in the present specification is a value measured by Mastersizer 2000 based on the laser diffraction method.
In the sustained-release preparation of the present invention, the average particle size of pioglitazone or a salt thereof to be used as a drug substance is generally 1-25 μm, preferably 2-21 μm, more preferably 2-10 μm. Using such average particle size, a preparation superior in absorbability can be obtained.
The above-mentioned preferable average particle size is applied to pioglitazone or a salt thereof to be used as a drug substance (including pulverized products obtained by pulverization in the process of producing a sustained-release preparation and the like) for producing the sustained-release preparation of the present invention. That is, the average particle size of pioglitazone or a salt thereof may vary beyond the above-mentioned range due to coagulation and the like of pioglitazone or a salt thereof in the process of producing the sustained-release preparation of the present invention or a process of preserving the sustained-release preparation after production. The pulverization is performed by using a preparation equipment such as mortar, jet mill, hammer mill, screen mill and the like.
While the content of pioglitazone or a salt thereof in the sustained-release preparation of the present invention varies depending on the dosage form of the sustained-release preparation, target disease, severity of disease, and the like, it is an amount generally corresponding to 0.1-45 mg, preferably 0.1-30 mg, more preferably 0.1-15 mg, still more preferably 0.1-10 mg, further more preferably 0.1-8 mg, as pioglitazone. Such content is suitable for the prophylaxis and/or treatment of, for example, Alzheimer's disease. The preparation only needs to be administered 1-3 times (preferably, once) per day.
More specifically, the sustained-release preparation of the present invention is a preparation comprising 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg as pioglitazone. The preparation is preferably administered once per day.
The content of pioglitazone or a salt thereof in the sustained-release preparation of the present invention is generally 0.05-20 wt %, preferably 0.06-15 wt %, more preferably 0.08-10 wt %, as pioglitazone.
The sustained-release preparation of the present invention can provide a preparation comprising pioglitazone or a salt thereof, which shows a dissolution ratio of pioglitazone of average 25-58% at the 2-hour time point, and average 60-100% at the 4-hour time point, preferably average 25-58% at the 2-hour time point, average 60-100% at the 4-hour time point, and average 80-110% at the 6-hour time point, in a dissolution test according to the 50 rpm USP (US Pharmacopeia) Paddle Method and using pH 2.0 KCl/HCl buffer at 37° C. as a test solution.
With such particular dissolution property, a preparation having the aforementioned effects (1)-(4) and useful for the prophylaxis and/or treatment of Alzheimer's disease can be provided.
The present invention also relates to a sustained-release preparation containing pioglitazone or a salt thereof, a gel forming polymer, and a gel forming promoter.
Examples of the gel forming polymer to be used in the present invention include polyethylene oxide, hypromellose, hydroxypropylcellulose, methylcellulose, carboxymethylcellulose sodium, low-substituted hydroxypropylcellulose, croscarmellose sodium, and the like, with preference given to polyethylene oxide.
Polyethylene oxide to be used in the present invention has a weight average molecular weight of generally 100,000-10,000,000, preferably 300,000-8,000,000.
In the present invention, polyethylene oxide may be a commercially available product. Examples thereof include Polyox WSR-308 (average molecular weight: 8,000,000, viscosity: 10000-15000 cps (1% aqueous solution 25° C.)), Polyox WSR-303 (average molecular weight: 7,000,000, viscosity: 7500-10000 cps (1% aqueous solution 25° C.)), Polyox WSR Coagulant (average molecular weight 5,000,000, viscosity: 5500-7500 cps (1% aqueous solution 25° C.)), Polyox WSR-301 (average molecular weight: 4,000,000, viscosity: 1650-5500 cps (1% aqueous solution 25° C.)), Polyox WSR N-60K (average molecular weight: 2,000,000, viscosity: 2000-4000 cps (2% aqueous solution 25° C.)), Polyox WSR N-12K (average molecular weight: 1,000,000, viscosity: 400-800 cps (2% aqueous solution 25° C.)), Polyox WSR-1105 (average molecular weight: 900,000, viscosity: 8800-17600 cps (5% aqueous solution 25° C.)), Polyox WSR 205 (average molecular weight: 600,000, viscosity: 4500-8800 cps (5% aqueous solution 25° C.)), Polyox WSR N-750 (average molecular weight: 300,000, viscosity: 600-1200 cps (5% aqueous solution 25° C.)), Polyox WSR N-80 (average molecular weight: 200,000, viscosity: 65-115 cps (5% aqueous solution 25° C.)), Polyox WSR N-10 (average molecular weight: 100,000, viscosity: 30-50 cps (5% aqueous solution 25° C.)), UCARFLOC Polymer 310 (average molecular weight: 10,000,000, viscosity: not less than 15000 cps (1% aqueous solution 25° C.)), UCARFLOC Polymer 309 (average molecular weight: 8,000,000, viscosity: 10000-15000 cps (1% aqueous solution 25° C.)), UCARFLOC Polymer 304 (average molecular weight: 7,000,000, viscosity: 7500-10000 cps (1% aqueous solution 25° C.)), UCARFLOC Polymer 302 (average molecular weight: 5,000,000, viscosity: 5500-7500 cps (1% aqueous solution 25° C.)), UCARFLOC Polymer 300 (average molecular weight: 4,000,000, viscosity: 1650-5500 cps (1% aqueous solution 25° C.)) and the like.
In the present invention, when one kind of polyethylene oxide is used and a sustained-release preparation showing a pioglitazone dissolution ratio of “average 25-58% at 2-hour time point, average 60-100% at 4-hour time point, and average 80-110% at 6-hour time point” (hereinafter sometimes to be abbreviated as “Fast formulation”) is to be obtained, polyethylene oxide in the sustained-release preparation of the present invention is used in such an amount that sets 1) the upper limit of the product of the weight average molecular weight× 1/10000 and the content (%) of polyethylene oxide in the preparation to preferably (14.5×M+5410), more preferably (14.5×M+4970), still more preferably (14.5×M+4530), further more preferably (14.5×M+4090), and 2) the lower limit thereof to preferably (7×M+1500), more preferably (7×M+1545), still more preferably (7×M+1590), and further more preferably (7×M+1600), wherein M shows a value calculated by “the weight average molecular weight of polyethylene oxide”×“ 1/10000”.
For example, when the weight average molecular weight of polyethylene oxide is 1,000,000 (M=100), the upper limit of the product of the weight average molecular weight× 1/10000 and the content (%) of polyethylene oxide in the preparation is further more preferably 14.5×100+4090=5540, and the lower limit thereof is further more preferably 7×100+1600=2300. In the sustained-release preparation (Example 1) wherein the weight average molecular weight of polyethylene oxide is 1,000,000 and the content of polyethylene oxide in the preparation is 30%, the product of the weight average molecular weight× 1/10000 and the content (%) of polyethylene oxide in the preparation is 1000000× 1/10000×30 (%)=3000, and it goes into the range of 2300-5540.
In the present invention, when two or more kinds of polyethylene oxides having different average molecular weights are used in combination, and a sustained-release preparation showing a pioglitazone dissolution ratio of “average 25-58% at 2-hour time point, average 60-100% at 4-hour time point, and average 80-110% at 6-hour time point” is to be obtained, polyethylene oxide having the highest average molecular weight among the polyethylene oxides used in the sustained-release preparation of the present invention is used in such an amount that sets 1) the upper limit of the product of the weight average molecular weight× 1/10000 and the content (%) of polyethylene oxide having the highest average molecular weight among the polyethylene oxides used in the preparation to preferably (17×M+7700), more preferably (17×M+6400), still more preferably (17×M+5100), and further more preferably (17×M+3500), and 2) the lower limit thereof to preferably (14×M−300), more preferably (14×M−100), still more preferably (14×M+90), and further more preferably (14×M+270), wherein M shows a value calculated by “the weight average molecular weight of polyethylene oxide having the highest average molecular weight among the polyethylene oxides used”×“ 1/10000”.
The content of polyethylene oxide in the sustained-release preparation of the present invention is generally 10-90 wt %, preferably 20-80 wt %, more preferably 30-80 wt %, of the preparation.
Hypromellose to be used in the present invention has a weight average molecular weight of generally 20,000-500,000, preferably 20,000-250,000.
In the present invention, hypromellose may be a commercially available product and, for example, METHOCEL K100 (average molecular weight: 26,000, 2% viscosity: 100 mPa·sec), METHOCEL K4M (average molecular weight: 86,000, 2% viscosity: 4000 mPa·sec), METHOCEL K15M (average molecular weight: 120,000, 2% viscosity: 15000 mPa·sec), METHOCEL K100M (average molecular weight: 246,000, 2% viscosity: 100000 mPa·sec) and the like can be mentioned.
When a sustained-release preparation showing a pioglitazone dissolution ratio of “average 25-58% at 2-hour time point, average 60-100% at 4-hour time point, and average 80-110% at 6-hour time point” is to be obtained, the content of hypromellose in the sustained-release preparation of the present invention is 10-60 wt % (more preferably 30-50 wt %, still more preferably 30-40 wt %) when the average molecular weight is 26,000; 10-50 wt % (more preferably 20-40 wt %, still more preferably 20-30 wt %) when the average molecular weight is 86,000; 10-50 wt % (more preferably 20-40 wt %, still more preferably 20-30 wt %) when the average molecular weight is 120,000; and 10-50 wt % (more preferably 10-30 wt %, still more preferably 10-20 wt %) when the average molecular weight is 246,000.
When a sustained-release preparation wherein the dissolution ratio of pioglitazone shows the dissolution pattern of the preparation of Example 4 shown in Experimental Example 2 described later (hereinafter sometimes to be abbreviated as Middle formulation) is to be obtained, polyethylene oxide preferably has an average molecular weight of not less than 1,000,000 and less than 4,000,000, and is preferably contained in a proportion of 50-80 wt % in the preparation.
When a sustained-release preparation wherein the dissolution ratio of pioglitazone shows the dissolution pattern of the preparation of Example 5 shown in Experimental Example 2 described later (hereinafter sometimes to be abbreviated as Slow formulation) is to be obtained, polyethylene oxide preferably has an average molecular weight of not less than 4,000,000 and not more than 10,000,000, and is preferably contained in a proportion of 5-70 wt % in the preparation.
In the present specification, the gel forming promoter means an excipient that promotes penetration of water into the preparation before gelling of a gel forming polymer, and is not particularly limited as long as it shows such action. In the sustained-release preparation of the present invention, a part of the gel forming promoter also has a function of a surface modifier.
In the present specification, the surface modifier is not particularly limited as long as it quickens the gelling of a gel forming polymer by surface modification of the gel forming polymer.
Examples of the gel forming promoter to be used in the present invention include water-soluble hydrophilic base and water-insoluble hydrophilic base.
Examples of the water-soluble hydrophilic base to be used in the present invention include sugar and sugar alcohols such as lactose, glucose, mannitol, trehalose, D-sorbitol, xylitol, sucrose, maltose, lactulose, D-fructose, dextran, glucose and the like, water-soluble polymers such as polyethylene glycol (e.g., macrogol 400, macrogol 1500, macrogol 4000, macrogol 6000, macrogol 20000 (all manufactured by NOF Corporation)), polyvinylpyrrolidone (e.g., PVP (registered trade mark) K30 (manufactured by BASF)) and the like, surfactants such as polyoxyethylene hydrogenated castor oil (e.g., Cremophor (registered trade mark) RH40 (manufactured by BASF), HCO-40, HCO-60 (manufactured by Nikko Chemicals)), polyoxyethylenepolyoxypropyleneglycol (for example, Pluronic (registered trade mark) F68 (manufactured by Asahi Denka Kogyo Co., Ltd.) etc.), polyoxyethylene sorbitan higher fatty acid ester (for example, Tween 80 (manufactured by KANTO KAGAKU) etc.) and the like, salts such as sodium chloride, magnesium chloride and the like, organic acids such as citric acid, tartaric acid and the like, amino acids such as glycine, β-alanine, lysine hydrochloride and the like, amino sugars such as meglumine and the like, and the like, and one or more kinds may be used in combination.
Examples of the water-insoluble hydrophilic base to be used in the present invention include starch, cereal flour containing starch (e.g., corn starch, potato starch, wheat starch, rice starch), partially pregelatinized starch, hydroxypropylstarch, crospovidone, crystalline cellulose (CEOLUS KG801, KG802, PH101, PH102, PH301, PH302, PH-F20, RC-A591NF, KG1000, PH101D, PH301D, PH301Z, UF702, UF711 (trade names, manufactured by Asahi Kasei Chemicals Corporation), those called microcrystalline cellulose), fine particle anhydrous silicic acid (light anhydrous silicic acid without hydrophobizing treatment or amorphous silica fine particles with particle size of not more than 0.1 micron), carboxymethylcellulose, carboxymethylcellulose calcium (carmellose calcium), sodium carboxymethyl starch, carmellose sodium, croscarmellose sodium, carmellose, carmellose calcium, low-substituted hydroxypropylcellulose [preferably, low-substituted hydroxypropylcellulose such as LH-11, LH-21, LH-31, LH-22, LH-32, LH-20, LH-30, LH-33, LH-B1, NBD-020, NBD-021, NBD-022 (trade names, manufactured by Shin-Etsu Chemical Co., Ltd.) and the like, which have a hydroxypropoxy group content of 5-16 wt %] and the like, and one or more kinds may be used in combination.
The content of the gel forming promoter in the sustained-release preparation of the present invention is generally 2.5-80 wt %, preferably 5-80 wt %, more preferably 15-80 wt %.
In the sustained-release preparation of the present invention, Cmax after oral administration of the sustained-release preparation containing 1 mg of pioglitazone to a beagle under fasting conditions (pentagastrin treatment) is preferably within the range of generally 5-90%, more preferably 10-80%, still more preferably 20-70%, as compared to immediate-release tablets. Under the same conditions, AUC is preferably within the range of 30-150%, more preferably 40-120%, still more preferably 50-110%, as compared to immediate-release tablets.
In the sustained-release preparation of the present invention, moreover, Cmax after oral administration of the sustained-release preparation containing 1 mg of pioglitazone to a beagle under food ingestion conditions (after fasting for not less than 18 hr from the previous day of administration, a solid feed (about 50 g) impregnated with water (about 80 ml) is given, at about 1 hr after feeding, tablet is administered by gavage, and water (60 ml) is given) is preferably within the range of generally 10-120%, more preferably 30-120%, still more preferably 50-120%, as compared to immediate-release tablets. Under the same conditions, AUC is preferably within the range of 50-150%, more preferably 60-140%, still more preferably 70-130%, as compared to immediate-release tablets.
The above-mentioned numerical values are calculated based on the evaluation results of the preparation of the below-mentioned Comparative Example 1 as an immediate-release tablet and the sustained-release preparation of the present invention according to the test method described in Experimental Examples 3 and 4.
The average value of the maximum drug concentration (Cmax) when the sustained-release preparation of the present invention (containing 1 mg of pioglitazone) is orally administered to a beagle under fasting, which was treated with pentagastrin, is 10-130 (ng/mL), and the average value of The area under plasma concentration-time curve (AUC) is preferably 70-470 (ng min/mL).
The sustained-release preparation of the present invention optionally contains an additive conventionally used in the technical field of preparations. Examples of the additive include excipient, disintegrant, binder, lubricant, colorant, pH adjuster, surfactant, stabilizer, corrigent, sweetener, flavor, fluidizer, antistatic agent, light shielding agent, antioxidant, reducing agent, chelating agent and the like. These additives are used in an amount conventionally used in the technical field of preparations. In addition, two or more kinds of these additives may be mixed at an appropriate ratio and used.
Examples of the excipient include crystalline cellulose, anhydrous calcium phosphate, anhydrous dibasic calcium phosphate, calcium hydrogen phosphate, precipitated calcium carbonate, calcium silicate, powder cellulose, gelatin, light anhydrous silicic acid (e.g., light anhydrous silicic acid without hydrophobizing treatment or amorphous silica fine particle with a particle size greater than 0.1 micron), synthetic aluminum silicate, magnesium alumino metasilicate, magnesium oxide, calcium phosphate, calcium carbonate and calcium sulfate. Of these, crystalline cellulose is preferable.
Examples of the crystalline cellulose include CEOLUS KG801, KG802, PH101, PH102, PH301, PH302, PH-F20, RC-A591NF (trade names, manufactured by Asahi Kasei Chemicals Corporation), including those called microcrystalline cellulose.
Examples of the disintegrant include carboxymethylcellulose, carboxymethylcellulose calcium (carmellose calcium), sodium carboxymethyl starch, carmellose sodium, croscarmellose sodium, low-substituted hydroxypropylcellulose [preferably, low-substituted hydroxypropylcellulose having a hydroxypropoxy group content of 5-16 wt % such as LH-11, LH-21, LH-31, LH-22, LH-32, LH-20, LH-30, LH-33, LH-B1, NBD-020, NBD-021, NBD-022 (trade names, manufactured by Shin-Etsu Chemical Co., Ltd.) and the like].
Examples of the binder include hydroxypropylcellulose [preferably, HPC-SSL, SL, L (trade names, NIPPON SODA CO., LTD.)], hydroxypropylmethylcellulose, povidone (polyvinylpyrrolidone), gum arabic powder, gelatin, pullulan, methylcellulose, crystalline cellulose, low-substituted hydroxypropylcellulose [preferably, low-substituted hydroxypropylcellulose having a hydroxypropoxy group content of 5-16 wt % such as LH-11, LH-21, LH-31, LH-22, LH-32, LH-20, LH-30, LH-33, LH-B1, NBD-020, NBD-021, NBD-022 (trade names, manufactured by Shin-Etsu Chemical Co., Ltd.) and the like], dextran, and polyvinyl alcohol.
Examples of the lubricant include stearic acid, magnesium stearate, calcium stearate, talc, sucrose esters of fatty acids, sodium stearyl fumarate, waxes, DL-leucine, sodium lauryl sulfate, magnesium lauryl sulfate, macrogol and light anhydrous silicic acid (light anhydrous silicic acid without hydrophobizing treatment or amorphous silica fine particle with a particle size greater than 0.1 micron). Of these, sodium stearyl fumarate is preferable.
Examples of the colorant include food colors such as Food Color Yellow No. 5 (Sunset Yellow, same as US Food Color yellow No. 6), Food Color Red No. 2, Food Color Blue No. 2 and the like, food lake colors, yellow ferric oxide (yellow ferric oxide pigment), red ferric oxide (red ferric oxide pigment), black ferric oxide (black ferric oxide pigment), riboflavin, riboflavin organic acid ester (e.g., riboflavin butyric acid ester), riboflavin phosphate or alkali metal or alkaline earth metal salt thereof, phenolphthalein, titanium oxide, lycopene and beta-carotene.
Examples of the pH adjuster include citrate, phosphate, carbonate, tartrate, fumarate, acetate and amino acid salt.
Examples of the surfactant include sodium lauryl sulfate, polysorbate 80, polyoxyethylene(160)polyoxypropylene(30)glycol, polyoxyethylene(196)polyoxypropylene(67)glycol and polyoxyethylene hydrogenated castor oil 60.
Examples of the stabilizer include sodium ascorbate, tocopherol, tetrasodium edetate, nicotinic acid amide, cyclodextrins; alkaline earth metal salt (e.g., calcium carbonate, calcium hydroxide, magnesium carbonate, magnesium hydroxide, magnesium silicate, magnesium aluminate) and butylhydroxyanisole.
Examples of the corrigent include ascorbic acid, (anhydrous) citric acid, tartaric acid and malic acid.
Examples of the sweetener include aspartame, acesulfame potassium, thaumatin, saccharin sodium and dipotassium glycyrrhizinate.
Examples of the flavor include menthol, peppermint oil, lemon oil and vanillin.
Examples of the fluidizer include light anhydrous silicic acid (light anhydrous silicic acid without hydrophobizing treatment or amorphous silica fine particle with a particle size greater than 0.1 micron) and hydrated silicon dioxide. Here, light anhydrous silicic acid only needs to contain hydrated silicon dioxide (SiO2 nH2O) (n is an integer) as a main component, and concrete examples thereof include Sylysia 320 (trade name, Fuji Silysia Chemical Ltd.), AEROSIL 200 (trade name, NIPPON AEROSIL) and the like.
Examples of the antistatic agent include talc and light anhydrous silicic acid (light anhydrous silicic acid without hydrophobizing treatment or amorphous silica fine particle with a particle size greater than 0.1 micron).
Examples of the light shielding agent include titanium oxide.
Examples of the antioxidant include butylhydroxytoluene (BHT), butylhydroxyanisole (BHA), tocopherol, tocopherol ester (e.g., tocopherol acetate), ascorbic acid or alkali metal or alkaline earth metal salt thereof, lycopene and beta-carotene.
Examples of the reducing agent include cystine and cysteine.
Examples of the chelating agent include EDTA or alkali metal or alkaline earth metal salt thereof.
The shape of the sustained-release preparation of the present invention is not particularly limited, and may be any such as round, caplet, donut, oblong and the like.
The sustained-release preparation of the present invention can be produced by a method conventionally used in the technical field of preparations and using the above-mentioned various additives.
For example, the sustained-release preparation of the present invention can be produced by mixing pioglitazone or a salt thereof (e.g., pioglitazone hydrochloride), a gel forming promoter (e.g., D-mannitol, lactose), a gel forming polymer (e.g., polyethylene oxide), and an optionally-added excipient, granulating the mixture while spraying an aqueous solution or dispersion of a gel forming promoter (e.g., D-mannitol, lactose), drying the granules, sieving them where necessary, mixing an optionally added lubricant (e.g., sodium stearyl fumarate) therewith, and compression molding the obtained granules or mixture.
In the above-mentioned method, pioglitazone or a salt thereof, and the optionally added excipient may be added after the above-mentioned granulation and drying.
For example, the sustained-release preparation of the present invention can be produced by mixing pioglitazone or a salt thereof (e.g., pioglitazone hydrochloride), a gel forming promoter (e.g., D-mannitol, lactose), a gel forming polymer (e.g., polyethylene oxide), and an optionally-added excipient, mixing an optionally-added lubricant (e.g., sodium stearyl fumarate) therewith, and compression molding the obtained mixture.
Mixing can be performed using a blending machine such as a V-type mixer, a tumbler mixer and the like. Granulation can be performed using, for example, a high speed mixer granulator, a fluid bed dryer granulator and the like. Compression molding can be performed by punching using, for example, a single punch tableting machine, a rotary tableting machine and the like.
The sustained-release preparation of the present invention even in the form of a core tablet can afford sufficiently sustained release. Where necessary, coating may be applied by a method conventionally used in the technical field of preparations. In addition, marks or letters for identification, or further, a separating line for dividing the tablet may be applied.
Examples of the coating base include sugar coating base, water-soluble film coating base, enteric film coating base, sustained-release film coating base and the like.
As the sugar coating base, sucrose is used, and further, one or more kinds selected from talc, precipitated calcium carbonate, gelatin, gum arabic, pullulan, carnauba wax and the like may be used in combination.
Examples of the water-soluble film coating base include cellulose polymers such as hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose, methylhydroxyethylcellulose and the like; synthetic polymers such as polyvinyl alcohol, polyvinyl acetal diethyl aminoacetate, aminoalkylmethacrylate copolymer E [Eudragit E (trade name)], polyvinylpyrrolidone and the like; polysaccharides such as pullulan and the like; and the like.
Examples of the enteric film coating base include cellulose polymers such as hydroxypropylmethylcellulose phthalate, hydroxypropylmethylcellulose acetatesuccinate, carboxymethylethylcellulose, cellulose acetate phthalate and the like; acrylic acid polymers such as methacrylic acid copolymer L [Eudragit L (trade name)], methacrylic acid copolymer LD [Eudragit L-30D55 (trade name)], methacrylic acid copolymer S [Eudragit S (trade name)] and the like; naturally occurring substances such as shellac and the like; and the like.
Examples of the sustained-release film coating base include cellulose polymers such as ethylcellulose, acetyl cellulose and the like; acrylic acid polymers such as aminoalkylmethacrylate copolymer RS [Eudragit RS (trade name)], ethyl acrylate-methyl methacrylate copolymer suspension [Eudragit NE (trade name)] and the like; and the like.
Two or more kinds of the above-mentioned coating bases may be mixed at an appropriate ratio and used. In addition, a coating additive may be used for coating.
Examples of the coating additive include light shielding agent and/or colorant such as titanium oxide, talc, red ferric oxide and the like; plasticizers such as polyethylene glycol, triethyl citrate, castor oil, polysorbates and the like; and the like.
The sustained-release preparation of the present invention also has the following effect in addition to the superior effect explained above.
The release rate of the sustained-release preparation of the present invention can be controlled by changing the amount and molecular weight of the gel forming polymer such as polyethylene oxide and the like.
The sustained-release preparation of the present invention can be down-sized and permits zero-order type drug release.
The sustained-release preparation of the present invention can improve stability of pioglitazone or a salt thereof by adding a component with poor compatibility (e.g., citric acid) as a component outside the granule.
The sustained-release preparation of the present invention can achieve rapid gelling since its gel-forming function is improved by encapsulating a component that prevents penetration of water (hydroxy polymer, binder and the like) in granules, and a route of water penetration is secured by covering the component that prevents penetration of water with a surface modifier. As a result, a zero-order drug release becomes possible. Furthermore, the strength necessary for standing the physical stimulation in the body due to eating can be imparted.
When the sustained-release preparation of the present invention contains polyethylene oxide as a gel forming polymer, decomposition of polyethylene oxide due to oxidation can be suppressed by using a gel forming promoter capable of reducing the oxidization tendency of polyethylene oxide.
While the weight of the sustained-release preparation of the present invention is not particularly limited, it is generally 60-600 mg, preferably 60-480 mg, more preferably 60-200 mg, still more preferably 100-200 mg.
The sustained-release preparation of the present invention can be safely administered orally to a mammal (e.g., mouse, rat, rabbit, cat, dog, bovine, horse, monkey, human).
The sustained-release preparation of the present invention can be used for the prophylaxis or treatment (including delay of onset and suppression of progression) of Alzheimer's disease. Alzheimer's disease is one kind of dementia wherein change of personality is the main symptom. As the etiology of Alzheimer's disease, there are theories such as cell degeneration due to intracellular accumulation of β amyloid protein and the like. However, the etiology has not been elucidated, and the symptoms progress in stages along with atrophy of cerebrum, as shown below.
1) Mild Cognitive Impairment (Precursor of Alzheimer)
Mild personality changes such as anxiety, depression, sleep disorder, visual hallucination or delusions and the like appear from about 2-3 years before decline in mental ability. Although light failing memory is observed, no adverse effect is imposed on daily living such as calculation of money, driving a car and the like.
2) Alzheimer First Stage
The first stage is also known as an amnesia stage where amnesia, planotopokinesia, hyperactivity, wandering and the like are observed. As the change of the cells, general function of cerebral cortex starts to fade, and failing memory starts to exceed the level of simple forgetfulness.
3) Alzheimer Second Stage
It is also called a confusion stage, where atrophy of cerebral cortex progresses and the initial symptoms are aggravated further to make conversation difficult and the like. Severe intellectual disability, aphasia, apraxia and agnosia appear. The extrapyramidal symptoms are sometimes mistaken for Parkinson's disease.
4) Alzheimer Third Stage
It is also called a bed rest stage, where the patients are bedridden due to the late stage of severe dementia, and incontinence, apastia, overeating, repetitive motion, spasm and the like as well as aphasia are observed. Since the patients cannot take care of themselves, they require care in life in general.
Since the symptoms of Alzheimer's disease progress gradually, various biomarkers have been proposed to predict and prevent the onset of the disease in early stages. The biomarker includes Aβ 42 (42 residue fragments of β amyloid protein) in cerebrospinal fluid, tau protein in cerebrospinal fluid, number of apolipoprotein E (ApoE) ε4 allele, and the like. It has been reported that TOMM40 (mitochondria outer membrane channel subunit, 40 kDa) specifically interacts with ApoE colocalized in mitochondria outer membrane and induces mitochondrial apoptosis (PCT/US2009/053373).
The sustained-release preparation of the present invention is desirably administered to patients with a high risk of developing Alzheimer's disease based on such biomarkers, in an effort to prevent the onset of the disease.
The sustained-release preparation of the present invention can be used in combination with an active ingredient other than pioglitazone and a salt thereof (hereinafter sometimes to be abbreviated as concomitant component). In this case, the timing of the administration of pioglitazone or a salt thereof and a concomitant component is not limited, and they may be simultaneously administered to the subject of administration, or administered in a staggered manner. Furthermore, the sustained-release preparation of the present invention and a concomitant component may be administered as two kinds of preparations containing each active ingredient, or as a single preparation containing both active ingredients.
The dose of the concomitant component can be appropriately determined by reference to the clinically employed doses.
Using a concomitant component, superior effects can be obtained such as 1) effect of enhancing the action of the sustained-release preparation of the present invention or a concomitant component (synergistic effect of medicament action), 2) effect of decreasing the dose of the sustained-release preparation of the present invention or a concomitant component (as compared to single administration), 3) effect of decreasing the secondary action of the sustained-release preparation of the present invention or a concomitant component and the like.
As the concomitant component, other medicaments useful as an agent for the prophylaxis and/or treatment of Alzheimer's disease can be mentioned.
EXAMPLES
The present invention is explained in more detail in the following by referring to Examples, Comparative Examples, Reference Examples and Experimental Examples, which are not to be construed as limitative.
Example 1
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 1, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 1, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 1, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 1 mg of pioglitazone per tablet.









TABLE 1







formulation amount


additive
function
(mg/tablet)

















pioglitazone
active ingredient
1.1


hydrochloride




(pioglitazone free

(1)


form)




microcrystalline
gel forming
0.3


cellulose
promoter



D-mannitol-1
gel forming promoter
69.4


D-mannitol-2
surface modifier
12


polyethylene oxide
gel forming polymer
36


sodium stearyl fumarate
lubricant
1.2


Total

120









Example 2
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 2, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 2, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 2, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 1 mg of pioglitazone per tablet.









TABLE 2







formulation amount


additive
function
(mg/tablet)

















pioglitazone
active ingredient
1.1


hydrochloride




(pioglitazone free

(1)


form)




microcrystalline
gel forming
0.28


cellulose
promoter



D-mannitol-1
gel forming promoter
25.42


D-mannitol-2
surface modifier
12


polyethylene oxide
gel forming polymer
80


sodium stearyl fumarate
lubricant
1.2


Total

120









Example 3
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 3, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 3, D-mannitol-1) and polyethylene oxide (Polyox WSR-303, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 3, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 1 mg of pioglitazone per tablet.









TABLE 3







formulation amount


additive
function
(mg/tablet)

















pioglitazone
active ingredient
1.1


hydrochloride




(pioglitazone free

(1)


form)




microcrystalline
gel forming
0.3


cellulose
promoter



D-mannitol-1
gel forming promoter
69.4


D-mannitol-2
surface modifier
12


polyethylene oxide
gel forming polymer
36


sodium stearyl fumarate
lubricant
1.2


Total

120









Example 4
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 4, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 4, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 4, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 4







formulation amount


additive
function
(mg/tablet)

















pioglitazone
active ingredient
4.4


hydrochloride




(pioglitazone free

(4)


form)




microcrystalline
gel forming
1.1


cellulose
promoter



D-mannitol-1
gel forming promoter
21.3


D-mannitol-2
surface modifier
12


polyethylene oxide
gel forming polymer
80


sodium stearyl fumarate
lubricant
1.2


Total

120









Example 5
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 5, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol-1 (in Table 5, D-mannitol-1) and polyethylene oxide (Polyox WSR-303, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 5, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 5







formulation amount


additive
function
(mg/tablet)







pioglitazone
active ingredient
4.4


hydrochloride




(pioglitazone free

(4)  


form)




microcrystalline
gel forming
1.1


cellulose
promoter



D-mannitol-1
gel forming
71.3 



promoter



D-mannitol-2
surface modifier
6  


polyethylene oxide
gel forming polymer
36  


sodium stearyl
lubricant
1.2


fumarate










Total
120   









Example 6
In a fluid bed dryer granulator (GPCG1, Glatt), and according to the formulation of Table 6, D-mannitol (in Table 6, D-mannitol-1) and polyethylene oxide (Polyox WSR N-12K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 6, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose and sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 3,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 6







formulation amount


additive
function
(mg/tablet)







pioglitazone
active ingredient
4.4


hydrochloride




(pioglitazone free

(4)  


form)




microcrystalline
gel forming
1.1


cellulose
promoter



D-mannitol-1
gel forming
65.3 



promoter



D-mannitol-2
surface modifier
12  


polyethylene oxide
gel forming polymer
36  


sodium stearyl
lubricant
1.2


fumarate










Total
120   









Example 7
In a fluid bed dryer granulator (GPCG1, Glatt), and according to the formulation of Table 7, D-mannitol (in Table 7, D-mannitol-1) and polyethylene oxide (Polyox WSR N-12K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 7, D-mannitol-2) and dried in the granulator. The obtained granules were sieved by Comil (Quadro Comil, POWREX) to give a sieved powder. To the sieved powder were added pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose and sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 3,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 7







formulation amount


additive
function
(mg/tablet)







pioglitazone
active ingredient
4.4


hydrochloride




(pioglitazone free

(4)  


form)




microcrystalline
gel forming
1.1


cellulose
promoter



D-mannitol-1
gel forming
21.3 



promoter



D-mannitol-2
surface modifier
12  


polyethylene oxide
gel forming polymer
80  


sodium stearyl
lubricant
1.2


fumarate










Total
120   









Example 8
In a fluid bed dryer granulator (GPCG1, Glatt), and according to the formulation of Table 8, D-mannitol (in Table 8, D-mannitol-1) and polyethylene oxide (Polyox WSR-303, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 8, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose and sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 3,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 8







formulation amount


additive
function
(mg/tablet)







pioglitazone
active ingredient
4.4


hydrochloride




(pioglitazone free

(4)  


form)




microcrystalline
gel forming
1.1


cellulose
promoter



D-mannitol-1
gel forming
65.3 



promoter



D-mannitol-2
surface modifier
12  


polyethylene oxide
gel forming polymer
36  


sodium stearyl
lubricant
1.2


fumarate










Total
120   









Example 9
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 9, D-mannitol (in Table 9, D-mannitol-1) and polyethylene oxide (Polyox WSR N-12K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 9, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose and sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 1 mg of pioglitazone per tablet.









TABLE 9







formulation amount


additive
function
(mg/tablet)

















pioglitazone
active ingredient
1.1


hydrochloride




(pioglitazone free

(1.0)


form)




microcrystalline
gel forming
0.3


cellulose
promoter



D-mannitol-1
gel forming
25.4



promoter



D-mannitol-2
surface modifier
12


polyethylene oxide
gel forming polymer
80


sodium stearyl
lubricant
1.2


fumarate










Total
120









Comparative Example 1
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 10, pioglitazone hydrochloride (pulverized product, average particle size about 15 μm) and lactose were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of hydroxypropylcellulose and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added carmellose calcium and magnesium stearate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Correct 19K, Kikusui Seisakusho Ltd.) with a 7 mmφ punch to give 3,000 core tablets containing 1 mg of pioglitazone per tablet.










TABLE 10








formulation amount



additive
function
(mg/tablet)








pioglitazone
active
1.1



hydrochloride
ingredient




(pioglitazone free

(1)  



form)





lactose
excipient
108.3 



hydroxypropylcellulose
binder
3  



carmellose calcium
disintegrant
7.2



magnesium stearate
lubricant
0.4










Total
120   









Experimental Example 1
The dissolution property of the tablets obtained in Examples 1, 2 and 3 was measured. One tablet was placed in 900 mL of pH 2.0 KCl/HCl buffer, and evaluation was performed by the Paddle Method (USP, hereinafter the same), at 50 rpm, 37° C. After placing the tablet, the dissolution medium was sampled over time, filtered with a non-aqueous filter (0.45 μm), quantified by high-performance liquid column chromatography (HPLC) method under the following conditions, and the dissolution rate was calculated. The results are shown in FIG. 1.
HPLC Conditions


    detector: ultraviolet absorption spectrophotometer, measurement
    wavelength: 269 nm
    column: CAPCELLPAK C18 AQ, 5 μm, inner diameter: 4.6 mm,
    length: 50 mm (manufactured by Shiseido Co., Ltd.)
    column temperature: 25° C.
    mobile phase: acetonitrile:0.1 mol/L ammonium acetate
    buffer:glacial acetic acid mixed solution (25:25:1)
    flow: 0.7 mL/min


Experimental Example 2
The dissolution property of the tablets obtained in Examples 4 and 5 was measured. One tablet was placed in 900 mL of pH2.0 KCl/HCl buffer, and evaluation was performed by the Paddle Method (USP), at 50 rpm, 37° C. After placing the tablet, the dissolution medium was sampled over time, filtered with a non-aqueous filter (0.45 μm), quantified by high-performance liquid column chromatography (HPLC) method under the conditions similar to those in Experimental Example 1, and the dissolution rate was calculated. The results are shown in FIG. 2.
Experimental Example 3
The pharmacokinetics after oral administration under fasting conditions of the tablets obtained in Examples 1, 2 and Comparative Example 1 to pentagastrin-treated beagle was measured. The plasma concentration was measured before administration, and 0.5 hr, 1 hr, 2 hr, 4 hr, 6 hr, 8 hr and 12 hr after administration, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in FIG. 3 and Table 11.











TABLE 11






Dose
Tmax
Cmax
AUC0-12 hr



(mg/head)
(hr)
(ng/mL)
(ng min/mL)



















Example 1
1
2.0 (0)
86.7
319.7 (141.5)





(23.1)



Example 2
1
2.4 (0.9)
67.9
304.1 (148.9)





(19.4)



Comparative
1
0.5 (0)
131.0
304.2 (53.7)


Example 1


(14.8)





In the Table, the numerical values in the parentheses show standard deviation.






Experimental Example 4
The pharmacokinetics after oral administration under food ingestion conditions of the tablets obtained in Examples 1, 2 and Comparative Example 1 to beagle was measured. The plasma concentration was measured before administration, and 0.5 hr, 1 hr, 2 hr, 4 hr, 6 hr, 8 hr and 12 hr after administration, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in FIG. 4 and Table 12.











TABLE 12






Dose
Tmax
Cmax
AUC0-12 hr



(mg/head)
(hr)
(ng/mL)
(ng min/mL)







Example 1
1
2.2 (1.1)
70.1
275.7 (81.6)





(16.6)



Example 2
1
3.2 (1.1)
55.9
277.3 (95.8)





(11.8)



Comparative
1
1.4 (0.5)
62.6
236.6 (56.9)


Example 1


(11.8)





In the Table, the numerical values in the parentheses show standard deviation.






Experimental Example 5
The pharmacokinetics after oral administration under fasting conditions of the tablets obtained in Examples 2, 9 and Comparative Example 1 to pentagastrin-treated beagle was measured. The plasma concentration was measured before administration, and 0.5 hr, 1 hr, 2 hr, 4 hr, 6 hr, 8 hr and 12 hr after administration, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in FIG. 5 and Table 13.











TABLE 13






Dose
Tmax
Cmax
AUC0-12 hr



(mg/head)
(hr)
(ng/mL)
(ng min/mL)



















Example 2
1
2.4 (0.9)
67.9
304.1 (148.9)





(19.4)



Example 9
1
2.2 (1.1)
58.0
285.0 (124.0)





(16.6)



Comparative
1
0.5 (0)
131.0
304.2 (53.7)


Example 1


(14.8)





In the Table, the numerical values in the parentheses show standard deviation.






Example 10
In a fluid bed dryer granulator (CPCG1, Glatt), and according to the formulation of Table 14, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 14, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 14, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 20M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) at 25 rpm for 3 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 4,000 core tablets containing 4 mg of pioglitazone per tablet.









TABLE 14







formulation




amount


additive
function
(mg/tablet)







pioglitazone hydrochloride
active ingredient
 4.42


(pioglitazone free form)

(4)  


microcrystalline cellulose
gel forming
1.1



promoter



D-mannitol-1
gel forming
65.28



promoter



D-mannitol-2
surface modifier
12  


polyethylene oxide
gel forming polymer
36  


sodium stearyl fumarate
lubricant
1.2








Total
120   









Example 11
In a fluid bed dryer granulator (CPCG1, Glatt), and according to the formulation of Table 15, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 15, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 15, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 20M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) at 25 rpm for 3 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 4,000 core tablets containing 4 mg of pioglitazone per tablet.










TABLE 15








formulation





amount



additive
function
(mg/tablet)








pioglitazone hydrochloride
active
 4.42



(pioglitazone free form)
ingredient
(4)  



microcrystalline cellulose
gel forming
1.1




promoter




D-mannitol-1
gel forming
21.28




promoter




D-mannitol-2
surface modifier
12  



polyethylene oxide
gel forming
80  




polymer




sodium stearyl fumarate
lubricant
1.2










Total
120   









Example 12
In a fluid bed dryer granulator (CPCG1, Glatt), and according to the formulation of Table 16, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 16, D-mannitol-1) and polyethylene oxide (Polyox WSR 303, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 16, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 20M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and they were mixed in a V-type mixer (4 Quart V-Shell Blender, GlobePharma) at 25 rpm for 3 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (Minipress, GlobePharma) with a 7 mmφ punch to give 4,000 core tablets containing 4 mg of pioglitazone per tablet.










TABLE 16








formulation





amount



additive
function
(mg/tablet)








pioglitazone hydrochloride
active ingredient
 4.42



(pioglitazone free form)

(4)  



microcrystalline cellulose
gel forming
1.1




promoter




D-mannitol-1
gel forming
65.28




promoter




D-mannitol-2
surface modifier
12  



polyethylene oxide
gel forming
36  




polymer




sodium stearyl fumarate
lubricant
1.2










Total
120   









Reference Example 1
According to the formulation of Table 17, pioglitazone hydrochloride and citric acid were dissolved in purified water to give a solution for the test.










TABLE 17








formulation





amount



additive
function
(mg/solution)




















pioglitazone hydrochloride
active
4.42




(pioglitazone free form)
ingredient
(4)




citric acid
solubilizing
267.9





agents













purified water
solvent
q.s.











Total
13.4
mL









Example 13
In a fluid bed dryer granulator (LAB-1, POWREX), and according to the formulation of Table 18, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 18, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a dispersion obtained by dissolving D-mannitol (in Table 18, D-mannitol-2) and hydroxypropylcellulose in water, and dispersing red ferric oxide and yellow ferric oxide therein and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added sodium stearyl fumarate and butylhydroxyanisole, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 8.5 mm×5 mm oval punch to give 20 core tablets containing 0.1 mg of pioglitazone per tablet.










TABLE 18








formulation





amount



additive
function
(mg/tablet)



















pioglitazone hydrochloride
active
0.11



(pioglitazone free form)
ingredient
(0.1)



microcrystalline cellulose
gel forming
0.028




promoter




D-mannitol-1
gel forming
66.702




promoter




D-mannitol-2
surface modifier
12



hydroxypropylcellulose
binder
3.6



red ferric oxide
colorant
0.12



yellow ferric oxide
colorant
0.12



butylhydroxyanisole
antioxidant
0.12



polyethylene oxide
gel forming
36




polymer




sodium stearyl fumarate
lubricant
1.2










Total
120









Example 14
In a fluid bed dryer granulator (LAB-1, POWREX), and according to the formulation of Table 19, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 19, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a dispersion obtained by dissolving D-mannitol (in Table 19, D-mannitol-2) and hydroxypropylcellulose in water, and dispersing red ferric oxide and yellow ferric oxide therein and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder were added sodium stearyl fumarate and butylhydroxyanisole, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 8.5 mm×5 mm oval punch to give 20 core tablets containing 0.3 mg of pioglitazone per tablet.










TABLE 19








formulation





amount



additive
function
(mg/tablet)



















pioglitazone hydrochloride
active
0.33



(pioglitazone free form)
ingredient
(0.3)



microcrystalline cellulose
gel forming
0.083




promoter




D-mannitol-1
gel forming
66.427




promoter




D-mannitol-2
surface modifier
12



hydroxypropylcellulose
binder
3.6



red ferric oxide
colorant
0.12



yellow ferric oxide
colorant
0.12



butylhydroxyanisole
antioxidant
0.12



polyethylene oxide
gel forming
36




polymer




sodium stearyl fumarate
lubricant
1.2










Total
120









Example 15
In a fluid bed dryer granulator (WSG-60, POWREX), and according to the formulation of Table 20, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μcm), microcrystalline cellulose, D-mannitol (in Table 20, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a dispersion obtained by dissolving D-mannitol (in Table 20, D-mannitol-2) and hydroxypropylcellulose in water, and dispersing red ferric oxide and yellow ferric oxide therein and dried in the granulator. The obtained granules were sieved using a power mill (P-7S, SHOWA KAGAKU KIKAI CO., LTD.) to give a sieved powder. To the sieved powder were added sodium stearyl fumarate and butylhydroxyanisole and they were mixed in a tumbler mixer (TM-400S, SHOWA KAGAKU KIKAI CO., LTD.) at 11 rpm for 2 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (AQUARIUS 36K, Kikusui Seisakusho Ltd.) with a 8.5 mm×5 mm oval punch to give 1,000,000 core tablets containing 0.8 mg of pioglitazone per tablet.











TABLE 20









formulation





amount



additive
function
(mg/tablet)




















pioglitazone hydrochloride
active
0.88



(pioglitazone free form)
ingredient
(0.8)



microcrystalline cellulose
gel forming
0.22




promoter



D-mannitol-1
gel forming
65.74




promoter



D-mannitol-2
surface modifier
12



hydroxypropylcellulose
binder
3.6



red ferric oxide
colorant
0.12



yellow ferric oxide
colorant
0.12



butylhydroxyanisole
antioxidant
0.12



polyethylene oxide
gel forming
36




polymer



sodium stearyl fumarate
lubricant
1.2










Total
120










Example 16
In a fluid bed dryer granulator (WSG-60, POWREX), and according to the formulation of Table 21, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 21, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a dispersion obtained by dissolving D-mannitol (in Table 21, D-mannitol-2) and hydroxypropylcellulose in water, and dispersing red ferric oxide and yellow ferric oxide therein and dried in the granulator. The obtained granules were sieved using a power mill (P-7S, SHOWA KAGAKU KIKAI CO., LTD.) to give a sieved powder. To the sieved powder were added sodium stearyl fumarate and butylhydroxyanisole and they were mixed in a tumbler mixer (TM-400S, SHOWA KAGAKU KIKAI CO., LTD.) at 11 rpm for 2 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (AQUARIUS 36K, Kikusui Seisakusho Ltd.) with a 8.5 mm×5 mm oval punch to give 1,000,000 core tablets containing 2.8 mg of pioglitazone per tablet.











TABLE 21









formulation





amount



additive
function
(mg/tablet)




















pioglitazone hydrochloride
active
3.09



(pioglitazone free form)
ingredient
(2.8)



microcrystalline cellulose
gel forming
0.77




promoter



D-mannitol-1
gel forming
62.98




promoter



D-mannitol-2
surface modifier
12



hydroxypropylcellulose
binder
3.6



red ferric oxide
colorant
0.12



yellow ferric oxide
colorant
0.12



butylhydroxyanisole
antioxidant
0.12



polyethylene oxide
gel forming
36




polymer



sodium stearyl fumarate
lubricant
1.2










Total
120










Example 17
In a fluid bed dryer granulator (WSG-60, POWREX), and according to the formulation of Table 22, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 22, D-mannitol-1) and polyethylene oxide (Polyox WSR N12-K, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a dispersion obtained by dissolving D-mannitol (in Table 22, D-mannitol-2) and hydroxypropylcellulose in water, and dispersing red ferric oxide and yellow ferric oxide therein and dried in the granulator. The obtained granules were sieved using a power mill (P-7S, SHOWA KAGAKU KIKAI CO., LTD.) to give a sieved powder. To the sieved powder were added sodium stearyl fumarate and butylhydroxyanisole and they were mixed in a tumbler mixer (TM-400S, SHOWA KAGAKU KIKAI CO., LTD.) at 11 rpm for 2 min to give granules for tableting. The granules were tableted in weight 120 mg by a rotary tableting machine (AQUARIUS 36K, Kikusui Seisakusho Ltd.) with a 8.5 mm×5 mm oval punch to give 1,000,000 core tablets containing 5.2 mg of pioglitazone per tablet.











TABLE 22









formulation





amount



additive
function
(mg/tablet)




















pioglitazone hydrochloride
active
5.73



(pioglitazone free form)
ingredient
(5.2)



microcrystalline cellulose
gel forming
1.43




promoter



D-mannitol-1
gel forming
59.68




promoter



D-mannitol-2
surface modifier
12



hydroxypropylcellulose
binder
3.6



red ferric oxide
colorant
0.12



yellow ferric oxide
colorant
0.12



butylhydroxyanisole
antioxidant
0.12



polyethylene oxide
gel forming
36




polymer



sodium stearyl fumarate
lubricant
1.2










Total
120










Experimental Example 6
The pharmacokinetics of pioglitazone after oral administration of the tablet obtained in Example 10 to human under fasting conditions was measured. The plasma concentration before administration and 0.5 hr, 1 hr, 1.5 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 12 hr, 24 hr, 36 hr and 48 hr after administration was measured, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in Table 23.












TABLE 23






Tmax
Cmax
AUC (0-tlqc)
AUC (0-inf)



preparation
(hr)
(ng/ml)
(ng · hr/ml)
(ng · hr/ml)
T1⁄2







Example 10
4.0
87.8
1258
1348
11.0









Experimental Example 7
The pharmacokinetics of pioglitazone after oral administration of the tablet obtained in Example 11 to human under fasting conditions was measured. The plasma concentration before administration and 0.5 hr, 1 hr, 1.5 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 12 hr, 24 hr, 36 hr and 48 hr after administration was measured, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in Table 24.












TABLE 24






Tmax
Cmax
AUC (0-tlqc)
AUC (0-inf)



preparation
(hr)
(ng/ml)
(ng · hr/ml)
(ng · hr/ml)
T1⁄2







Example 11
4.0
46.2
889
1053
16.9









Experimental Example 8
The pharmacokinetics of pioglitazone after oral administration of the tablet obtained in Example 12 to human under fasting conditions was measured. The plasma concentration before administration and 0.5 hr, 1 hr, 1.5 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 12 hr, 24 hr, 36 hr and 48 hr after administration was measured, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in Table 25.












TABLE 25






Tmax
Cmax
AUC (0-tlqc)
AUC (0-inf)



preparation
(hr)
(ng/ml)
(ng · hr/ml)
(ng · hr/ml)
T1⁄2







Example 12
5.0
34.1
805
908
13.2









Experimental Example 9
The pharmacokinetics of pioglitazone after oral administration of the solution obtained in Reference Example 1 to human under fasting conditions was measured. The plasma concentration before administration and 0.5 hr, 1 hr, 1.5 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 10 hr, 12 hr, 24 hr, 36 hr and 48 hr after administration was measured, and the area under plasma concentration-time curve (AUC) was calculated by the trapezoid formula. The results are shown in Table 26.












TABLE 26






Tmax
Cmax
AUC (0-tlqc)
AUC (0-inf)



preparation
(hr)
(ng/ml)
(ng · hr/ml)
(ng · hr/ml)
T1⁄2







Reference
1.0
227.7
1632
1652
5.2


Example 1









Experimental Example 10
The dissolution property of the tablets obtained in Examples 13, 14, 15, 16 and 17 was measured. One tablet each of Examples 13 and 14 was placed in 900 mL of HCl buffer (pH 2.0, 37° C.), and evaluation was performed by the USP Paddle Method at 50 rpm. One tablet each of Examples 15, 16 and 17 was placed in 900 mL of phosphate buffer (pH 6.8, 0.1% CTAB, 37° C.), and evaluation was performed by the USP Paddle Method at 50 rpm. After placing the tablet, the dissolution medium was sampled over time, filtered with a non-aqueous filter (0.45 μm), quantified by high-performance liquid column chromatography (HPLC) method under the same conditions as those in Experimental Example 1 except that “YMC-PACK ODS-A, S-5, 12 nm, inner diameter: 4.6 mm, length: 75 mm (manufactured by YMC CO., LTD.)” was used as the column instead of “CAPCELLPAK C18 AQ, 5 μm, inner diameter: 4.6 mm, length: 50 mm (manufactured by Shiseido Co., Ltd.)”, and the dissolution rate was calculated. The results are shown in FIG. 6.
Examples 18-39
In a mortar and according to the formulations of Tables 27-1, 27-2, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, sodium stearyl fumarate was added, and the mixture was uniformly mixed to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.
Examples 40-41
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 28, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 28, D-mannitol-1) and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying an aqueous solution of D-mannitol (in Table 28, D-mannitol-2) and hydroxypropylcellulose (added in Example 41 alone) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.








TABLE 27-1








Example (mg/tablet)




















additive
function
18
19
20
21
22
23
24
25
26
27
28
29























polyethylene oxide
gel forming
84
96
108
—
—
—
—
—
—
—
—
—


WSR N-750
polymer














polyethylene oxide
gel forming
—
—
—
48
60
84
—
—
—
—
—
—


WSR 205
polymer














polyethylene oxide
gel forming
—
—
—
—
—
—
36
48
72
—
—
—


WSR 1105
polymer














polyethylene oxide
gel forming
—
—
—
—
—
—
—
—
—
30
36
42


WSR N-12K
polymer














pioglitazone
active
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1


hydrochloride
ingredient














(pioglitazone free

(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)


form)















microcrystalline
gel forming
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28


cellulose
promoter














D-mannitol
gel forming
33.42
21.42
9.42
69.42
57.42
33.42
81.42
69.42
45.42
87.42
81.42
75.42



promoter














sodium stearyl
lubricant
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2


fumarate















Total

120
120
120
120
120
120
120
120
120
120
120
120

















TABLE 27-2








Example (mg/tablet)


















additive
function
30
31
32
33
34
35
36
37
38
39





















polyethylene oxide WSR
gel forming
54
—
—
—
—
—
—
—
—
—


N-12K
polymer












polyethylene oxide WSR
gel forming
—
18
24
30
36
42
—
—
—
—


N-60K
polymer












polyethylene oxide WSR
gel forming
—
—
—
—
—
—
18
24
—
—


301
polymer












polyethylene oxide WSR
gel forming
—
—
—
—
—
—
—
—
18
24


Coagulant
polymer












pioglitazone
active
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1


hydrochloride
ingredient












(pioglitazone free form)

(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)


microcrystalline
gel forming
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28


cellulose
promoter












D-mannitol
gel forming
63.42
99.42
93.42
87.42
81.42
75.42
99.42
93.42
99.42
93.42



promoter












sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2


Total

120
120
120
120
120
120
120
120
120
120


















TABLE 28









Example



(mg/tablet)










additive
function
40
41





polyethylene oxide WSR 303
gel forming
18  
12  



polymer


pioglitazone hydrochloride
active
1.1
1.1


(pioglitazone free form)
ingredient
(1)  
(1)  


microcrystalline cellulose
gel forming
 0.28
 0.28



promoter


D-mannitol-1
gel forming
87.42
89.82



promoter


D-mannitol-2
gel forming
12  
12  



promoter


hydroxypropylcellulose
binder
—
3.6


sodium stearyl fumarate
lubricant
1.2
1.2









Total
120   
120   









Examples 42-57
In a mortar and according to the formulations of Tables 29-1, 29-2, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, sodium stearyl fumarate was added, and the mixture was uniformly mixed to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.








TABLE 29-1








Example (mg/tablet)




















additive
function
42
43
44
45
46
47
48
49
50
51
52
53























polyethylene oxide
gel forming
—
72
—
—
—
—
—
—
—
—
—
—


WSR N-10
polymer














polyethylene oxide
gel forming
72
—
72
—
—
—
—
—
—
—
—
—


WSR N-80
polymer














polyethylene oxide
gel forming
—
—
—
42
36
60
24
60
96
60
48
96


WSR N-750
polymer














polyethylene oxide
gel forming
—
—
—
—
—
12
18
18
18
24
48
—


WSR N12-K
polymer














polyethylene oxide
gel forming
—
—
—
12
30
—
—
—
—
—
—
—


WSR N60-K
polymer














polyethylene oxide
gel forming
—
—
—
—
—
—
—
—
—
—
—
12


WSR 301
polymer














polyethylene oxide
gel forming
—
—
—
—
—
—
—
—
—
—
—
—


WSR Coagulant
polymer














polyethylene oxide
gel forming
18
24
24
—
—
—
—
—
—
—
—
—


WSR 303
polymer














pioglitazone
active
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1


hydrochloride
ingredient














(pioglitazone free

(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)


form)















microcrystalline
gel forming
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28


cellulose
promoter














D-mannitol
gel forming
27.42
21.42
21.42
63.42
51.42
45.42
75.42
39.42
3.42
33.42
21.42
9.42



promoter














sodium stearyl
lubricant
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2


fumarate















Total

120
120
120
120
120
120
120
120
120
120
120
120


















TABLE 29-2









Example (mg/tablet)












additive
function
54
55
56
57





polyethylene oxide WSR N-80
gel forming polymer
—
12  
—
—


polyethylene oxide WSR N-750
gel forming polymer
—
—
—
36  


polyethylene oxide WSR 205
gel forming polymer
84  
—
60  
—


polyethylene oxide WSR N60-K
gel forming polymer
—
—
—
18  


polyethylene oxide WSR 301
gel forming polymer
12  
18  
—
—


polyethylene oxide WSR 303
gel forming polymer
—
—
12  
—


pioglitazone hydrochloride
active ingredient
1.1
1.1
1.1
1.1


(pioglitazone free form)

(1)  
(1)  
(1)  
(1)  


microcrystalline cellulose
gel forming promoter
 0.28
 0.28
 0.28
 0.28


D-mannitol
gel forming promoter
21.42
87.42
45.42
63.42


sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2











Total
120   
120   
120   
120   









Comparative Examples 2-14
In a mortar and according to the formulations of Tables 30-1, 30-2, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, sodium stearyl fumarate was added, and the mixture was uniformly mixed to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.
Comparative Examples 15-16
In a fluid bed dryer granulator (MP-01, POWREX), and according to the formulation of Table 31, pioglitazone hydrochloride (fine pulverized product, average particle size about 5 μm), microcrystalline cellulose, D-mannitol (in Table 31, D-mannitol-1) and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, and the mixture was granulated while spraying a solution of D-mannitol (in Table 31, D-mannitol-2) and dried in the granulator. The obtained granules were sieved using a 16M sieve to give a sieved powder. To the sieved powder was added sodium stearyl fumarate, and the mixture was admixed by hand in a 10 L plastic bag to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation) with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.








TABLE 30-1








Comparative Example (mg/tablet)
















additive
function
2
3
4
5
6
7
8
9



















polyethylene oxide WSR N-10
gel forming
84
96
—
—
—
—
—
—



polymer










polyethylene oxide WSR N-80
gel forming
—
—
72
84
—
—
—
—



polymer










polyethylene oxide WSR N-
gel forming
—
—
—
—
60
72
—
—


750
polymer










polyethylene oxide WSR 205
gel forming
—
—
—
—
—
—
108
—



polymer










polyethylene oxide WSR 1105
gel forming
—
—
—
—
—
—
—
96



polymer










pioglitazone hydrochloride
active
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1


(pioglitazone free form)
ingredient
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)


microcrystalline cellulose
gel forming
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28



promoter










D-mannitol
gel forming
33.42
21.42
45.42
33.42
57.42
45.42
9.42
21.42



promoter










sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2


Total

120
120
120
120
120
120
120
120

















TABLE 30-2








Comparative Example (mg/tablet)













additive
function
10
11
12
13
14
















polyethylene oxide WSR 301
gel forming
6
12
—
—
—



polymer







polyethylene oxide WSR Coagulant
gel forming
—
—
6
12
36



polymer







pioglitazone hydrochloride
active
1.1
1.1
1.1
1.1
1.1


(pioglitazone free form)
ingredient
(1)
(1)
(1)
(1)
(1)


microcrystalline cellulose
gel forming
0.28
0.28
0.28
0.28
0.28



promoter







D-mannitol
gel forming
111.42
105.42
111.42
105.42
81.42



promoter







sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2
1.2


Total

120
120
120
120
120


















TABLE 31









Comparative



Example



(mg/tablet)










additive
function
15
16





polyethylene oxide WSR 303
gel forming
6  
12  



polymer


pioglitazone hydrochloride
active
1.1
1.1


(pioglitazone free form)
ingredient
(1)  
(1)  


microcrystalline cellulose
gel forming
 0.28
 0.28



promoter


D-mannitol-1
gel forming
99.42
93.42



promoter


D-mannitol-2
gel forming
12  
12  



promoter


sodium stearyl fumarate
lubricant
1.2
1.2









Total
120   
120   









Comparative Examples 17-30
In a mortar and according to the formulations of Tables 32-1, 32-2, pioglitazone hydrochloride (fine pulverized product average particle size about 5 μm), microcrystalline cellulose, D-mannitol and polyethylene oxide (Polyox various viscosity grades, Dow chemical company) were uniformly mixed, sodium stearyl fumarate was added, and the mixture was uniformly mixed to give granules for tableting. The granules were measured by weight 120 mg and tableted by Autograph (AG-1, Shimadzu Corporation), with a 7 mmφ punch to give 20 core tablets containing 1 mg of pioglitazone per tablet.








TABLE 32-1








Comparative Example (mg/tablet)
















additive
function
17
18
19
20
21
22
23
24



















polyethylene oxide WSR N-10
gel forming
84
—
84
—
—
—
—
—



polymer










polyethylene oxide WSR N-80
gel forming
—
72
—
72
—
—
—
72



polymer










polyethylene oxide WSR N-750
gel forming
—
—
—
—
24
36
24
—



polymer










polyethylene oxide WSR 205
gel forming
—
—
—
—
—
—
—
—



polymer










polyethylene oxide WSR N12-K
gel forming
—
—
—
—
—
—
6
—



polymer










polyethylene oxide WSR N60-K
gel forming
—
—
—
—
—
—
—
—



polymer










polyethylene oxide WSR 301
gel forming
—
—
—
—
—
6
—
—



polymer










polyethylene oxide WSR
gel forming
—
—
—
—
6
—
—
36


Coagulant
polymer










polyethylene oxide WSR 303
gel forming
6
6
12
12
—
—
—
—



polymer










pioglitazone-hydrochloride
active
1.1
1.1
1.1
1.1
1.1
1.1
1.1
1.1


(pioglitazone free form)
ingredient
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(1)


microcrystalline cellulose
gel forming
0.28
0.28
0.28
0.28
0.28
0.28
0.28
0.28



promoter










D-mannitol
gel forming
27.42
39.42
21.42
33.42
87.42
75.42
87.42
9.42



promoter










sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2
1.2
1.2
1.2
1.2


Total

120
120
120
120
120
120
120
120

















TABLE 32-2








Comparative Example (mg/tablet)














additive
function
25
26
27
28
29
30

















polyethylene oxide WSR N-80
gel forming
—
—
60
—
—
—



polymer








polyethylene oxide WSR 205
gel forming
60
36
—
36
36
36



polymer








polyethylene oxide WSR N60-K
gel forming
—
—
—
—
48
42



polymer








polyethylene oxide WSR 301
gel forming
—
—
12
30
—
—



polymer








polyethylene oxide WSR Coagulant
gel forming
—
30
—
—
—
—



polymer








polyethylene oxide WSR 303
gel forming
24
—
—
—
—
—



polymer








pioglitazone hydrochloride
active
1.1
1.1
1.1
1.1
1.1
1.1


(pioglitazone free form)
ingredient
(1)
(1)
(1)
(1)
(1)
(1)


microcrystalline cellulose
gel forming
0.28
0.28
0.28
0.28
0.28
0.28



promoter








D-mannitol
gel forming
33.42
51.42
45.42
51.42
33.42
39.42



promoter








sodium stearyl fumarate
lubricant
1.2
1.2
1.2
1.2
1.2
1.2


Total

120
120
120
120
120
120









Experimental Example 11
The dissolution property of the tablets obtained in Examples 18-57 was measured. One tablet was placed in 900 mL of pH 2.0 KCl/HCl buffer, and evaluation was performed by the USP Paddle Method at 50 rpm, 37° C. After placing the tablet, the dissolution medium was sampled over time, filtered with a non-aqueous filter (0.45 μm), quantified by high-performance liquid column chromatography (HPLC) method under the same conditions as those in Experimental Example 11 except that “YMC-PACK ODS-A, S-5, 12 nm, inner diameter: 4.6 mm, length: 75 mm (manufactured by YMC CO., LTD.)” was used as the column instead of “CAPCELLPAK C18 AQ, 5 μm, inner diameter: 4.6 mm, length: 50 mm (manufactured by Shiseido Co., Ltd.)”, and the dissolution rate was calculated. The results are shown in Tables 35-1 to 35-5.
Based on the above-mentioned results, the relationship between “the weight average molecular weight of polyethylene oxide (PEO) × 1/10000” and “its content (%) in the preparation”, and the criteria of the dissolution ratio of pioglitazone of “average 25-58% at 2-hour time point, average 60-100% at 4-hour time point, and average 80-110% at 6-hour time point” was analyzed and the results are shown in FIGS. 7, 8.
In Fig, 7, each plot shows the relationship between “weight average molecular weight of PEO × 1/10000” and “weight average molecular weight of PEO × 1/10000× content (%) of PEO in the preparation” in Examples and Comparative Examples using one kind of PEO, wherein white circle means meeting the above-mentioned criteria, triangle means generally meeting the above-mentioned criteria, and black circle means failing to meet the above-mentioned criteria.
The above-mentioned results reveal that a preferable range of the relationship between “weight average molecular weight of PEO × 1/10000” and “content (%) of PEO in the preparation”, which is capable of meeting the criteria, can be shown by the following calculation formula.











TABLE 33







more
still more
further more


range
preferable
preferable
preferable
preferable







upper
y = 14.5x +
y = 14.5x +
y = 14.5x + 4530
y = 14.5x + 4090


limit
5410
4970


lower
y = 7x +
y = 7x +
y = 7x + 1590
y = 7x + 1600


limit
1500
1545





x: weight average molecular weight of PEO x 1/10000


y: weight average molecular weight of PEO x 1/10000 x content (%) of PEO in the preparation






In FIG. 8, each plot shows the relationship between “weight average molecular weight of high molecular weight PEO× 1/10000” and “weight average molecular weight of high molecular weight PEO× 1/10000×content (%) of high molecular weight PEO in the preparation” in Examples and Comparative Examples using two kinds of PEO having different molecular weights, wherein white circle means meeting the above-mentioned criteria, triangle means generally meeting the above-mentioned criteria, and black circle means failing to meet the above-mentioned criteria. The “high molecular weight PEO” refers to PEO used, which has a higher average molecular weight.
The above-mentioned results reveal that a preferable range of the relationship between “weight average molecular weight of high molecular weight PEO× 1/10000” and “content (%) of high molecular weight PEO in the preparation”, which is capable of meeting the criteria, can be shown by the following calculation formula.











TABLE 34







more
still more
further more


range
preferable
preferable
preferable
preferable







upper
y = 17x + 7700
y = 17x + 6400
y = 17x + 5100
y = 17x + 3500


limit


lower
y = 14x − 300
y = 14x − 100
y = 14x + 90
y = 14x + 270


limit





x: weight average molecular weight of high molecular weight PEO x 1/10000


y: weight average molecular weight of high molecular weight PEO x 1/10000 x content (%) of high molecular weight PEO in the preparation






Experimental Example 12
The dissolution property of the tablets obtained in Comparative Examples 2-30 was measured. One tablet was placed in 900 mL of 0.3 M potassium chloride buffer (pH 2.0), and evaluation was performed by the USP Paddle Method at 50 rpm, 37° C. After placing the tablet, the dissolution medium was sampled over time, filtered with a non-aqueous filter (0.45 μm), quantified by high-performance liquid column chromatography (HPLC) method under the conditions similar to those in Experimental Example 111 except that “YMC-PACK ODS-A, S-5, 12 nm, inner diameter: 4.6 mm, length: 75 mm (manufactured by YMC CO., LTD.)” was used as the column instead of “CAPCELLPAK C18 AQ, 5 μm, inner diameter: 4.6 mm, length: 50 mm (manufactured by Shiseido Co., Ltd.)”, and the dissolution rate was calculated. The results are shown in Tables 36-1 to 36-5.









TABLE 35-1







Time
Example
object




















(min)
18
19
20
21
22
23
24
25
26
27
28
29
range























120
57
43
33
51
48
35
56
47
34
54
42
38
25-58% 


240
93
90
72
94
86
73
96
87
69
97
86
77
60-100%


360
99
101
100
100
99
98
99
100
94
100
101
99
80-110%


















TABLE 35-2







Time
Example
object


















(min)
30
31
32
33
34
35
36
37
38
39
range





















120
34
54
41
34
30
31
43
37
49
35
25-58% 


240
67
96
84
71
63
60
72
60
82
63
60-100%


360
93
101
99
96
89
87
92
81
100
88
80-110%



















TABLE 35-3









Example













Time (min)
40
41
object range







120
43
51
25-58% 



240
63
76
60-100%



360
84
90
80-110%



















TABLE 35-4







Time
Example
object




















(min)
42
43
44
45
46
47
48
49
50
51
52
53
range























120
51
45
34
56
33
44
53
51
32
37
29
33
25-58% 


240
94
81
69
97
68
87
98
91
70
75
62
70
60-100%


360
100
99
96
102
96
99
100
101
95
100
89
97
80-110%





















TABLE 35-5









Time

Example















(min)
54
55
56
57
object range







120
35
31
30
43
25-58% 



240
71
62
61
85
60-100%



360
95
88
88
99
80-110%



















TABLE 36-1







Time
Comparative Example

















(min)
2
3
4
5
6
7
8
9
object range



















120
100
101
100
100
70
61
25
25
25-58% 


240
99
99
99
99
99
99
55
51
60-100%


360
97
97
98
95
99
100
84
79
80-110%



















TABLE 36-2








Time
Comparative Example
















(min)
10
11
12
13
14
object range


















120
100
92
99
81
29
25-58% 



240
100
100
99
99
51
60-100%



360
99
100
99
100
71
80-110%



















TABLE 36-3









Comparative




Example












Time (min)
15
16
object range
















120
100
66
25-58% 



240
99
89
60-100%



360
99
96
80-110%



















TABLE 36-4







Time
Comparative Example
object
















(min)
17
18
19
20
21
22
23
24
range



















120
102
99
99
82
90
71
97
28
25-58% 


240
103
98
100
100
100
100
101
56
60-100%


360
102
97
100
98
99
100
100
82
80-110%




















TABLE 36-5








Time

Comparative Example
object
















(min)
25
26
27
28
29
30
range



















120
25
24
95
24
22
25
25-58% 



240
45
47
101
45
45
48
60-100%



360
67
68
101
66
67
70
80-110%









INDUSTRIAL APPLICABILITY
The sustained-release preparation containing pioglitazone or a salt thereof of the present invention has the following characteristics and is useful in the pharmaceutical field. (1) A sustained release of a medicament can be done; even if the dose is low, stable efficacy can be expected, since the medicament is released in a sustained manner. (2) The maximum drug concentration (Cmax) can be controlled (e.g., can be suppressed lower than immediate-release preparation). (3) The area under plasma concentration-time curve (AUC) equivalent to that of immediate-release preparation can be achieved. (4) A preparation capable of standing physical stimulation due to eating (unsusceptible to stimulation by eating) is hoped to be provided.
This application is the U.S. National Stage of PCT/JP2012/077662, filed Oct. 19, 2012, which claims priority from patent application No. 2011-232302 filed on Oct. 21, 2011 in Japan, the contents of which are incorporated in full herein.

## Claims

1. A sustained-release preparation comprising pioglitazone or a salt thereof, polyethylene oxide and a gel forming promoter,
which has a dissolution rate of pioglitazone averaging 25-58% at the 2-hour time point, and averaging 60-100% at the 4-hour time point, in a dissolution test according to the 50 rpm USP Paddle Method and using pH 2.0 KCl/HCl buffer at 37° C. as a test solution,
wherein the polyethylene oxide is
1) contained such that a product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide in the preparation is from (7×M+1500) to (14.5×M+5410), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide × 1/10000 when one kind of polyethylene oxide is used; or
2) contained such that a product of the weight average molecular weight × 1/10000 and the content (%) of polyethylene oxide having the highest average molecular weight among the polyethylene oxides used in the preparation is from (14×M−300) to (17×M+7700), wherein M shows a value calculated by a weight average molecular weight of polyethylene oxide having the highest average molecular weight × 1/10000 when two or more kinds of polyethylene oxides having different average molecular weights are used, and
wherein the sustained-release preparation contains 0.05-20 wt % pioglitazone or a salt thereof, 10-90 wt % polyethylene oxide and 2.5-80 wt % gel forming promoter, and
wherein the sustained-release preparation delays onset or suppresses progression of Alzheimer's disease.

2. The sustained-release preparation according to claim 1, wherein the gel forming promoter is a water-soluble hydrophilic base or water-insoluble hydrophilic base.

3. The sustained-release preparation according to claim 2, wherein the water-soluble hydrophilic base is one kind or a combination of two or more kinds selected from lactose, glucose, mannitol and trehalose, and the water-insoluble hydrophilic base is one kind or a combination of two or more kinds selected from starch, partially pregelatinized starch, crospovidone, crystalline cellulose, carmellose calcium and carmellose.

4. The sustained-release preparation according to claim 1, which is a tablet.

5. The sustained-release preparation according to claim 4, which has a tablet weight of 60-600 mg.

6. The sustained-release preparation according to claim 1, wherein the pioglitazone or a salt thereof is pioglitazone hydrochloride.

7. The sustained-release preparation according to claim 1, wherein the pioglitazone or a salt thereof has an average particle size of 1 to 25 μm.

8. A method of delaying onset or suppressing progression of Alzheimer's disease, comprising orally administering the sustained-release preparation according to claim 1 to a subject in need of the administration thereof.

9. The sustained-release preparation according to claim 1, comprising 0.1-8 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1-8 mg as pioglitazone.

10. The sustained-release preparation according to claim 1, comprising 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg of pioglitazone; or a salt of pioglitazone corresponding to 0.1 mg, 0.3 mg, 0.5 mg, 0.8 mg, 2.8 mg or 5.2 mg as pioglitazone.