CONTROLLED RELEASE NIFEDIPINE PREPARATION

Abstract: Process for preparation of a solid administration form for oral use based on nifedipine with controlled release of the active substance, characterized by the fact that a mixture of nifedipine crystals having a specific surface area between 0.1 and 0.4 m<2>/g is prepared, said mixture of crystals is blended with an equal amount by weight of auxiliary vehicle substances, and the resulting mixture so obtained is applied on spheroids of inert substances, by means of suitable binders, in coating pans.

Description: Controlled release nifedipine preparation. The present invention relates to a process for preparation of a solid form for oral used based on nifedipine with controlled release of the active substance. Nifedipine belongs to the group of substances having a calcium antagonistic activity. Its chemical name according to the IUPAC nomenclature is 1,4-dihydro- 2,6-dimethyl-4-(2-nitrophenyl)-3,5-pyridin-carboxylic acid dimethyl ester. Nifedipine is known to be a substance with high pharmacological activity and its mechanism of action is known and described in the literature. From literature it is also known that nifedipine, administered in such a way as to give rise to plasma levels in the order of 100-200 μg/ml in a short time, is effective to prevent and treat attacks of angina pectoris, while at blood concentrations of 20-80 μg/ml carries out an effective activity in the treatment of arterial hypertension. Already when taken alone, nifedipine has a low solubility in aqueous solvents and in the range of physiological pH. Use of nifedipine in traditional pharmaceu¬ tical forms tends to further increase this feature and in many cases it gives rise to preparations with a very long time of dissolution of the active substance and great variability from one preparation to another. This causes a variability of absorption of the active substance by the organism, both as values of blood concentration versus time, and total bioavailability, i.e. total amount of nifedipine absorbed in a given time interval. Improvements in this respect were obtained by using nifedipine substance having a sufficiently high specific surface area of crystals (see German published SUBSTITUTE SHEET patent application DE 3033919 Al), more particularly between 0.5 and 6 m /g, or by increasing solubility of nifedipine by forming co-precipitates with auxiliary substances (see European published patent application EP 091247). These and other systems are clearly effective to obtain pharmaceutical forms based on nifedipine, adapted to give a prompt release and consequent absorption of the active substance and therefore suitable for treating angina pectoris with nifedipine. The problem of making a pharmaceutical solid form for oral use with a delayed and sustained release of a satisfactory amount of nifedipine remains however unsolved, as the retard administration forms presently available have poor release characteristics in view of the above said poor solubility of the active substance and therefore they show a rather unsatisfactory bioavailability and a considerable lack of time uniformity. The object of the present invention is therefore the preparation of a pharma- ceutical solid form for oral use, adapted to release nifedipine in a time controlled and gradual way, in order to obtain a continuous and prolonged absorption of the active substance by the human being, so as to warrant plasma levels effective for treating arterial hypertension. For this purpose, nifedipine is used in the form of crystal having a specific 2 surface area between 0.1 and 0.4 m /g. The substance is mixed in a suitable equipment with an equal amount by weight of an auxiliary vehicle substance. Among the auxiliary vehicle substances adapted to make pharmaceutical solid forms lactose, corn starch, modified starch are preferred. Such a mixture is applied on spheroids made of inert substances such as sucrose and starch by using suitable binders, like low molecular weight polyvinylpyrrolidone solutions or polyoxyethyleneglycol solutions, in coating pans. One of the main problems arising from this type of treatment is connected with the relatively poor distribution of the powder spread on the mass of inert microgranules, which causes an uneven dosage of nifedipine as a direct conse¬ quence. Srør t TiTUTE SHEET Such an uneven distribution is also reflected, in view of the very low nifedipine solubility, in obtaining batches with very different dissolution speeds and with uneven dissolution speed inside the same batch. Surprisingly good results were achieved by using particular powder homogeniza- tion and deposition techniques so as to obtain a uniform and homogeneous distribution of the active substance powder on the microgranules. The results of uniformity tests for nifedipine contents on pellets confirmed the above, giving standard deviation values which can be considered similar to the pattern of granulometric distribution of inert microgranules, and therefore to their surface area. The obtained values of in vitro release of the active substance are moreover reproducible from batch to batch and are homogeneous inside the same batch. The microgranules so obtain were dosed in hard gelatine capsules in an amount corresponding to 20 mg of nifedipine. Subsequent tests of bioavailability in human beings showed that the prepara¬ tions of the present invention allow to obtain plasma levels of nifedipine reaching 20 μ g/ml just after 30 minutes and are maintained between 20 and 80μg/ml for 10 hours or more. The bioavailability of these preparations is higher than 90% when compared with a prompt absorption form. The accompanying drawings show the patterns of the plasma levels of the preparations made according to the present invention, compared with that of a normal administration form (Fig. 1) and that of a retard form presently available on the market (Fig. 2). As a further confirmation of the favorable characteristics of the preparations made according to the present invention, the following Examples A and B illustrate the production of such a formulation. EXAMPLE A 2 kg of nifedipine raw material, having a specific surface area between 0.1 and 2 0.4 m /g, are mixed with 2kg of lactose having a granulometry between 10 and 80 μ, using a rotary cylinder mixer. In a coating machine having a stainless steel pan of i 'r "_S*»•» 3 U __ϊ " , i»«_-» _ O _ 600 mm diameter, 8 kg of microgranules consisting of sucrose and corn starch with a granulometry between 0.790 and 0.910 mm are loaded. The nifedipine powder mixture is loaded in a suitable container provided with feeding suction device, pneumatic vibrator and regulation pressure gauge. 5 Rotation of the coating pan is started at a speed of 16 rpm and microgranules are wetted with 50 g of a 10% solution of polyvinylpyrrolidone (k 30) in ethyl alcohol. An airless type pump is used to this purpose. On the rotating wet mass' 50 g of nifedipine powder are then sprayed by means of suitable pulverization devices, fed by the above said suitable container. 10 Operations are alternately repeated 80 times in total. At this point while the coating pan is always rotating, the microgranules are wetted with 200 g of a 12.5% solution of polymethacrylates (Eudragit L) in ethanol: acetone. On the rotating wet mass lOOg of talc are then sprayed by using the same 15 procedure indicated for the nifedipine-lactose mixture. The microgranules so obtained show a good uniformity of nifedipine contents. Test of in vitro release velocity with the continuous flow method shows a zero order release pattern distinctly modified in comparison with the pure substance and velocity of nifedipine release from microgranules decreases consistently with the 20 increase of the amount of polymethacrylates (Fig. 3). This relationship is confirmed by the results obtained through a measurement of blood levels of nifedipine in human beings, after administration of several formulations corresponding to the above preparation. EXAMPLE B " In a coating machine provided with a stainless steel pan of 600 mm diameter, 10 kg of microgranules consisting of sucrose and corn starch with a granulometry between 1.0 and 1.4 mm are loaded. In two separate suitable containers, 4 kg of nifedipine having a specific surface 2 2 are ! bbeettwweeeenn 00..11 aanndd 00..44 mm //gg aanndd 66 I kg of corn starch with a granulometry between - 50 20 and 100 μ are respectively loaded. SUBSTITUTE SHEET Rotation of the coating pan is started at a speed of 16 rpm and the microgranules are wetted with lOOg of a 10% solution of polyoxyethyleneglycol 4000 in ethyl alcohol. An airless type pump is used for this purpose. Then on the rotating wet mass 200 g of nifedipine and 300 g of corn starch are spayed with two pulverization devices, each connected to one of said containers. These operations are carried out at the same time and the procedure is repeated 20 times. Test of in vitro release velocity shows a first order release pattern with a total amount of released nifedipine higher than 80% in 8 hours (Fig. 4). Control of uniformity of nifedipine contents confirms the uniform distribution of the active substance on the microgranules. Indeed, checking the patterns of plasma levels A and B corresponding to the preparations of the above Examples, it is to be noted how they are well differentiated not only in respect of curve C (Fig. 1) of normal nifedipine showing a sharp rise in the first minutes and then likewise rapid decrease, suitable for treating an attack of angina pectoris, but also in respect of curve D (Fig. 2) where it is to be noted that the bioavailability of a retard form prepared with conventional methods is constantly poor, while bioavailability of forms A and B according to the present invention is for superior, especially in the first four hours, and being at the center of the range of therapeutically active plasma levels, it achieves optimal blood levels effective for treating arterial hypertension. It is therefore clear that the administration forms prepared with the process according to the present invention allow an effective treatment of arterial hyper¬ tension, in view of the controlled release of the active substance with reproducible blood levels constantly falling in the range of bioavailability suitable for treating said disorder. In the light of the results obtained, showing for preparations A and B a clear maintenance for a long time of therapeutically advantageous blood levels, it was considered useful to carry out a further pharmacokinetic study at repeated dosages, thus simulating the posologic scheme suitable for an antihypertensive SUBSTITUTE SHEET treatment for a period of five days. To this purpose preparation A was chosen and the results of such an experime¬ ntation, always carried out in comparison with a conventional retard form already available on the market and with nifedipine in quick release form, fully confirm the results of the preceding tests, again showing for preparation A a better bioavailabi¬ lity in respect of the above mentioned conventional product, without causing however any phenomenon of accumulation with time. The study was conduced on twelve subjects, of which four female and eight male subjects, whose characteristics are set forth in the following table: mean standard deviation age (years) 26.5 5.6 height (cm) 171.8 8.8 weight (kg) 67.5 10.3 The following tables 1-3 show the blood levels measured on patients at day 1 of treatment, then during the accumulation phase (day 2,3 and 4) and finally at day 5 in the elimination phase. In the tables, treatment A of days 1-4 and D of day 5 is that effected with one capsule of 20 mg of nifedipine of the present invention, treatment B of days 1-4 and E of day 5 is that effected with two capsules of 10 mg of quick release nifedipine (Adalat), and treatment C of days 1-4 and F of day 5 is that effected with a tablet of 20 mg of delayed nifedipine available on the market (Adalat-Retard). Plasma level concentrations are expressed in ng/ml, while the indicative symbols of the lines of data have the following meanings: mean = mean value; sdev = standard deviation ; sem = standard error of the mean. Times are expressed in minutes, hours and days as indicated. TfUTE SHEET TABLE 1 min. 1 h lh30 min. 2h 684 . 46.481 46,996 50.936 645 34,354 28.044 27.532 579 9,917 8.096 7,948 719 110,47 79,74 56,942 sdev 0 . 4- ,818 103.359 47.881 31.938 21.044 22,999 15,439 sem 0 1, ,391 29.837 13,822 9,22 6,075 6,639 4,457 Treatment C mean 0 0 11,339 25,163 27.733 31,453 32.133 28.124 sdev 0 0 8.677 13.505 13.931 15,677 18,085 14.792 sem 0 0 2.505 3.898 4,022 4.526 5,221 4.27 TABLE 1 CONTINUED PLASMA LEVELS MEASURED AT DAY- 1 tempo 3h 4h 6h 8h lOh 12h 24h Treatment A mean 52.758 37,31 .22,014 14,137 8.548 5,493 0.636 sdev 18.616 13.794 10,658 6,272 5.616 3,796 1.591 sem 5,374 3,982 3,214 1,81 1,621 1,096 0,459 J Treatment B I 00 mean 40,68 26.884 14,635 8,947 5<772 2,931 0 I sdev 14,939 9,017 5,782 3,39 2.791 2,468 0 sem 4,312 2,603 1,669 1,022 0,806 0.713 0 π Treatment C mean 27,749 23,623 16.93 13,998 10.207 8,247 1,557 sdev 10.614 8 7,379 6.542 4.514 4,198 1,673 sem 3.064 2.309 2.13 1,888 1,361 1,212 0,483 TABLE 2 PLASMA LEVELS DURING THE ACCUMULATION PHASE Time (days ) • 2 3 4 ω c Treatment A <D mean 10,427 10,125 10,175 sdev 5,399 6,847 4.473 I c H sem SO 1 . 559 1.976 1.291 H I m • Treatment B z mean 5.308 3,745 6.693 sdev 3.902 1,979 6,346 sem 1,126 0.571 1.832 Treatment C mean 10,073 10,97 11,383 sdev 2,926 5.759 5,445 sem 0.845 1,736 1,572 TABLE 3 PLASMA LEVELS MEASURED AT DAY 5 w c Time Oh 10 min. 20 min. 30 min. 40 min. lh lh30 min. 2h mean 10.177 9,581 18,157 37,318 39.087 53,109 62.313 61,113 - i sdev 4,477 4,439 11,595 25.319 26,853 27,402 27.078 19,159 O m sem 1 1.292 1,338 3,496 7.309 B.097 7.91 7.817 5.531 m Treatment E m H mean 6.694 12,15 190,655 182,275 151,818 108.3 81,522 61,133 sdev 6..344 10,394 91,761 77,762 62.372 34,238 27,334 15,75 sem 1.831 3.001 26,489 22.448 18.806 9.884 7,891 4,547 Treatment F mean 11,387 10,6 17.538 30,727 34,421 38,155 36,5 36.593 sdev 5.449 4,873 8.53 16,059 14,969 12.153 12.433 13,387 sem 1.573 1.407 2,462 4.636 4.321 3.508 3.589 3,864 TABLE 3 CONTINUED PLASMA LEVELS MEASURED AT DAY 5 Time 3h 4h 6h 8h lOh 12h 24h 48h Treatment F mean 31.025 26,748 18.899 15,39 11,816 9,781 2,58 0 sdev 10.911 9.328 8.556 7,177 5,059 3.502 1 ,682 0 sem 3.15 2.693 2.47 2,072 . 1 ,46 1.011 0,4B6 0 On the basis of the data measured and shown in the preceding tables 1-3, mean curves of plasma levels of nifedipine at day 1 (Fig. 5) and at day 5 (Fig. 6) were plotted and it is possible to note even visually that there are no phenomena of accumulation with time of the pharmaceutical preparation according to the present invention. The following tables 4 and 5 show the pharrnacokinetic parameters calculated from the plasma levels of nifedipine measured after treatment, wherein treatments A, B, C, D, E, F have the same meanings as previously indicated, and the symbols of the various parameters are corresponding to the following definitions: AUC - 1 : trapezium rule, O-last sampling (SD), dosage interval (MD) AUC - 3 : model curve, O-infinity (SD), dosage interval (MD) C max : peak concentration C max(m) : measured peak concentration T max : peak time T max(m) : observed peak time lag-time : start time of absorption ke : elimination rate constant tl/2 : elimination half-life mrt : mean residence time tl/2 alpha : alpha half -life tl/2 beta : beta half-life In the table 4 the pharrnacokinetic parameters calculated at day 1 are shown, while in table 5 the same parameters at day 5 are shown. It may be noted also from these further tables that the pharmaceutical preparation according to the present invention has superior characteristics in comparison with the nifedipine formulations presently available on the market. ' *=* _ι__l -<___? a a ά ' %P a __«_ «•__ # *"._, TABLE 4 PHARMAC0K1NETIC PARAMETERS AT DAY 1 Parameter AUC - 1 AUC - 3 C c ; T max max (m) max max (m) Treatment A mean 317,814 337.75 81.1821 75.2575 1.95621 1.91667 -c sdev 107.601 117.849 29.5296 22,1234 1.07462 1.04083 i sem 31.0616 34.0201 8.52447 6.38649 0.310215 0.300463 H H unit hxng/ml hxng/ml ng/ml ng/ml C H Treatment B I mean 356.735 376.218 201.258 177.598 0,475803 0.5 x sdev 85,656 90.6711 60,6552 53.4101 0.124258 0.142134 m m sem 24,7268 26.1745 17.5096 15,4182 0,03587 0.041031 unit hxng/ml hxng/ml ng/ml ng/ml Treatment C mean 256.17 304,479 40.3367 40.2008 1.6083 1.54167 sdev 96.3563 98,8216 17.4381 16.2849 1,26191 1.13735 sem 27.8157 28.5273 5.03394 4.70104 0.364281 0.32B324 unit hxng/ml hxng/ml ng/ml ng/ml TABLE 4 CONTINUED PHARMACOKINETIC PARAMETERS AT DAY 1 Parameter lag-time ke tl/2 mrt tl/2 alfa tl/2 beta Treatment A mean 0,525066 1.04252 1,6814 5,30887 0,301548 3.51796 ω sdev 0,569852 1.42199 1.16067 2.13099 0,325898 1,92126 G sem 0,164502 0.410493 0.335058 0,615163 0,123178 0,726168 ω unit h 1/h Ή c Treatment B H • 4> IT, mean 0,137192 .0.968181 0.960704 3,13586 0.339462 2.55556 I to sdev 0,141495 0,767975 0,413819 0,89595 0,254272 0,946419 x 0.040846 m sem 0,221695 0,119459 0,258639 0.073402 0,273208 m unit h 1/h h Treatment C mean 0.222035 0,574286 3.25592 10,3735 0.656811 9,37473 sdev 0,124974 0,68202 2,18483 4.56167 0.96815 4,60459 sem 0,036077 0,196882 0.630707 1.31684 0,365926 1,74037 unit h 1/h h h h h TABLE 5 PHARMACOKINETIC PARAMETERS AT DAY 5 Parameter AUC - 1 AUC - 3 • -max • -max (m) T a Tmaκ (m) Treatment D C UJ mean 314.36 316.778 77.762 72,1625 1,96585 1,86111 (j) sdev 68,5091 70,5779 26,6592 23,067 1,07274 0,815981 H I sem 19.7769 20.3741 7.69586 6.65886 0.309672 0.235553 - v_ c unit hxng/ml hxng/ml ng/ml ng/ml rc. e/. Treatment E •__• mean 375.149 365,366 235,435 214,783 0,474823 0.527778 ff-1 sdev 104.109 104.008 92,2885 79,9681 0.449741 0.475B48 sem 30,0537 30,0245 26.6414 23.0848 0,129829 0.137365 unit hxng/ml hxng/ml ng/ml ng/ml Treatment F mean 254.105 253.341 45,0807 44,6075 1 , 29576 1 ,36111 sdev 77.0613 73.2874 13.9579 13,7587 0.974988 0.984305 sem 22,2457 21.1563 4,02931 3.97181 0.281455 0.284144 unit hxng/ml hxng/ml ng/ml ng/ml TABLE 5 CONTINUED PHARMACOKINETIC PARAMETERS AT DAY 5 Parameter lag-time ke tl/2 tl/2 alfa tl/2 beta • Treatment D. mean 0,243357 1,91282 1,65762 0,201651 4,44231 sdev 0.198066 3.81631 1.05178 0.26219 1.34566 sem 0.057177 1,10167 0,303624 0.117255 0.601799 unit h 1/h . . . Treatment E c; mean 0.182272 0.77B169 1.06888 0.492011 2.20574 I ϊ sdev 6.049525 0.358517 0,516385 0.638146 0.78898 sem 0.014297 0,103495 0,149068 0,184217 0.227759 unit h 1/h h h h Treatment F I mean 0.052389 0,180707 12,5622 0,892342 145.944 sdev 0.083218 0.133566 26,9013 0,60656 305,943 sem 0.024023 0.038557 7,76572 0.271262 136,822 unit 1/h It is also to be understood that the administration forms according to the present invention may be subject to all those further processing and treating operations known to a man skilled in the art, and several variations, modifications, additions and/or substitutions may be resorted to the process without departing however from its spirit and scope, as it is also defined in the appended claims. U StlTJϋTM S

Claims: CLAIMS 1) Process for preparation of a solid administration form for oral use based on nifedipine with controlled release of the active substance, characterized by the fact that a mixture of nifedipine crystals having a specific surface area between 0.1 and 2 0.4 m /g is prepared, said mixture of crystals is blended with an equal amount by weight of auxiliary vehicle substances, and the resulting mixture so obtained is applied on spheroids of inert substances, by means of suitable binders, in coating pans. 2) Process according to Claim 1, characterized by the fact that the auxiliary vehicle substances are chosen from the group comprising lactose, corn starch and modified starch. 3) Process according to Claim 1, characterized by the fact that the inert substances for the spheroids are chosen from the group comprising sucrose and starch. 4) Process according to Claim 1, characterized by the fact that the binders are chosen from the group comprising solutions of low molecular weight polyvinylpyr- rolidone and solutions of polyoxyethyleneglycol. 5) Process according to Claim 1, characterized by the fact that the coating pan is being rotated at a speed between 10 and 20 rpm and preferably at 16 rpm. 6) Solid administration form for oral use based on nifedipine with controlled release of the active substance, whenever obtained by the process according to one or more of Claims 1-5. 7) Solid administration form for oral use based on nifedipine in the form of 2 crystals having a specific surface area between 0.1 and 0.4 m /g with controlled release of the active substance for treating arterial hypertension, mixed with auxiliary vehicle substances and applied on spheroids of inert substances with a granulometry between 0.4 and 2 mm. 8) Solid administration form for oral use based on nifedipine with controlled release of the active substance according to Claim 7, characterized by the fact that the microgranules are dosed in hard gelatine capsules in an amount of 5 to 50 mg of nifedipine. 9) Solid administration form for oral use based on nifedipine with controlled release of the active substance, substantially as hereinbefore described with reference to the given examples. 10) Process for preparation of a solid administration form for oral use based on nifedipine, with controlled release of the active substance, substantially as herein- before described for the above indicated objects and therapeutic use. 11) A pharmaceutical composition comprising inert granules having a coating of 2 particulate nifedipine with a surface area between 0.1 and 0.4 m /g, and a binding agent. 12) A composition as claimed in Claim 11 wherein the coating contains a particulate excipient. 13) A composition as claimed in claim 11 or 12 wherein the excipient is lactose. 14) A composition as claimed in anyone of claims 11 to 13, wherein the binding agent is low molecular weight polyoxyethylene glycol. 15) A composition as claimed in anyone of claims 11 to 13, wherein the binding agent is low molecular weight poly vinylpyrroli done. 16) A composition as claimed in anyone of claims 11 to 15 wherein the granule is sucrose and corn starch. 17) A capsule containing a composition as claimed in anyone of claims 11 to 16. 18) A process for preparing a composition as claimed in anyone of claims 11 to 17 which comprises the steps of coating the inert granules with the particulate nifedipine and the binding <3gent and optionally filling the composition into a capsule shell.

Inventors: GIUDICE VITTORIO, RAVELLI VITTORINO, GIUDICE, VITTORIO, RAVELLI, VITTORINO
Applicants: PHARMATEC SPA, PHARMATEC S.P.A.
Application year: 1985
Main classification: A61K31
IPC codes: A61K9, A61K31