Pharmaceutical formulations containing darifenacin

Abstract: The invention provides an oral tablet formulation consisting essentially of darifenacin hydrobromide in a high molecular weight hydroxypropyl methylcellulose matrix together with anhydrous dibasic calcium phosphate and magnesium stearate.

Description: This invention relates to pharmaceutical dosage forms of darifenacin and its pharmaceuticatty acceptable salts. Darifenacin is (S)-2-{1-[2-(2,3-dihydrobenzofuran-5-yl)ethyl]-3-pyrrollidinyl}-2,2-diphenylacetamide and is disclosed in European Patent N° 0388054, Examples 1B and 8, and is referred to therein as 3-(S)-(-)-(1-carbamoyl-1,1-diphenylmethyl)-1-[2-(2,3-dihydrobenzofuran-5-yl)ethyl]pyrrolidine. It is indicated in the treatment of urinary incontinence and irritable bowel syndrome and has the following structure: Clinical investigations have shown a major metabolite of darifenacin to be the following 3'-hydroxy derivative: It appears that the metabolite is 6-fold less selective for muscarinic M3 receptors over M1 receptors in comparison with darifenacin, and so the metabolite is more likely than darifenacin to produce unwanted side-effects such as dry mouth, confusion and blurred vision. It has now been found that delivering darifenacin and its pharmaceutically acceptable salts to the lower gastrointestinal tract ( e.g. in a sustained release formulation) gives rise to a greater ratio of darifenacin to metabolite in the systemic circulation. This increases the bioavailability of darifenacin, which is likely to minimize any unwanted side-effects. This is surprising because a slower release rate normally leads to a slower delivery to liver enzymes and a greater degree of metabolism of an administered drug. Thus, according to the present invention, there is provided a pharmaceutical dosage form adapted for administration to the gastrointestinal tract of a patient, comprising darifenacin, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable adjuvant, diluent or carrier; characterized in that the dosage form is adapted to deliver at least 10% by weight of the darifenacin, or the pharmaceutically acceptable salt thereof, to the lower gastrointestinal tract of the patient. The dosage forms of the invention may be of the sustained or delayed release type, and so release the darifenacin, or the pharmaceutically acceptable salt thereof, to the gastrointestinal tract of the patient over or after a sustained period of time following administration of the dosage form to the patient. However, when the dosage forms are administered rectally, conventional rectal formulations may be used. By "lower gastrointestinal tract" is meant the portion of the gastrointestinal tract between the region of the ileo-caecal junction and the rectum inclusive. "Patient" means primarily a human patient, although the formulations of the present invention may be useful in the treatment of non-human animals. Preferably, the dosage forms of the invention are adapted to deliver at least 25%, and more preferably 50% by weight of the darifenacin, or the pharmaceutically acceptable salt thereof, to the lower gastrointestinal tract. Preferably, no more than 90% by weight of the darifenacin, or the pharmaceutically acceptable salt thereof, is released 4 hours after dosing; more preferably no more than 90% by weight of the darifenacin, or the pharmaceutically acceptable salt thereof, is released 8 hours after dosing; and most preferably, no more than 90% by weight of the darifenacin, or the pharmaceutically acceptable salt thereof, is released 16 hours after dosing. The conditions in the gastrointestinal tract are thought to be reproduced in vitro using Apparatus 1 described in USP XXII at page 1578, having baskets of 40 mesh (381µm apertures), a rotation speed of 100 rpm and a dissolution medium of water at 37°C. Therefore, the sustained release formulations of the invention may be defined alternatively as a pharmaceutical dosage form adapted for administration to the gastrointestinal tract of a patient, comprising darifenacin, or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable adjuvant, diluent or carrier; characterized in that the dosage form is adapted to release the darifenacin, or the pharmaceutically acceptable salt thereof, in Apparatus 1 described in USP XXII at page 1578, having baskets of 40 mesh (381µm apertures), a rotation speed of 100 rpm and a dissolution medium of water at 37°C, over a sustained period of time. Particular oral dosage forms include: (a) those in which the darifenacin, or the pharmaceutically acceptable salt thereof, is embedded in a matrix from which it is released by diffusion or erosion; (b) those in which the darifenacin, or the pharmaceutically acceptable salt thereof, is present in a multiparticulate core; (c) those in which there is an impermeable coating provided with an aperture through which the darifenacin, or the pharmaceutically acceptable salt thereof, is released; (d) those in which there is a coating of low aqueous solubility; (e) those in which there is a semipermeable coating; (f) those in which the darifenacin is present as an ion exchange resin complex; and (g) pulsatile devices from which the darifenacin is released at specific points in the gastrointestinal tract. It will be apparent to those skilled in the art that some of the above means of achieving sustained release may be combined: for example a matrix containing the active compound may be formed into a multiparticulate and/or coated with an impermeable coating provided with an aperture. Dealing with each category in turn: (a) In matrix systems, which are preferred, the active compound is embedded or dispersed in a matrix of another material which serves to retard the release of the active compound into an aqueous environment. Suitable matrix materials include hydroxypropyl methylcellulose and hydroxypropyl cellulose. Matrix formulations according to the present invention preferably comprise high molecular weight ( i.e. 85,000-95,000 mass units) hydroxypropyl methylcellulose. (b) In multiparticulate cores, the active compound is present in a number of particles which also contain adjuvants, diluents or carriers. Suitable adjuvants, diluents and carriers include microcrystalline cellulose (preferably having a particle size of 50µm) and lactose (preferably having a particle size equivalent to 110 mesh (137.5µm apertures)). Typically, the blended ingredients are formed into a wet mass which is extruded and spheronized to form beads which are then dried. (c) Impermeable coatings are applied to tablets containing the active compound. "Impermeable" means that no significant transport of the active compound can take place across the coating during the intended release period of the formulation. Suitable materials include film-forming polymers and waxes [ e.g. thermoplastic polymers such as poly(ethylene-covinyl acetate), poly(vinyl chloride), ethyl cellulose and cellulose acetate] and the coating thickness is preferably greater than 100µm. The aperture may be formed by drilling, or if the coated formulation is conical, by cutting off the tip. (d) Coatings of low aqueous solubility include polymers. The solubility of such polymers may be pH-dependent, for example substantially insoluble at pH<5 (so that dissolution does not take part in the stomach) and water soluble at pH>5. Preferred pH-sensitive polymers include shellac, phthalate derivatives (including cellulose acetate phthalate, polyvinylacetate phthalate), polyacrylic acid derivatives, and vinyl acetate and crotonic acid copolymers. (e) Semipermeable membrane coatings allow the active compound to diffuse across the membrane or through liquid filled pores within the membrane. Suitable coating materials include polymers such as cellulose ester or ether, and acrylic polymers. Preferred materials include ethyl cellulose, cellulose acetate and cellulose acetate butyrate. (f) Darifenacin resinates may be prepared by treating anionic ion exchange resin beads (for example sodium polystyrene sulphonate) with an acid addition salt of darifenacin. (g) Pulsatile devices have the capacity to release drug at various points of the gastrointestinal tract. They may depend on osmotic potential to trigger release (see US Patent N° 3,952,741) or erosion of polymeric material due to changes in pH or microbial degradation. Suitable polymeric materials include pectin [Rubinstein et al, 1991, Pectic salt as a colonic delivery system, Proceed. Intern. Symp. Control. Rel. Bioact. Mater.], methacrylate-galactomannan [Lehman et al, 1991, Methacrylate-galactomannan coating for colonic specific drug delivery, ibid ], matter containing azobonds [Kopeckova et al, 1991, Bioadhesive polymers for colon specific drug delivery, ibid ], chondroitin [Sintov et al, 1991, Colonic administration of indomethacin using modified chondroitin in a cannulated dog model, ibid ], dextran hydrogels [Bronsted et al, 1993, A novel hydrogel system designed for controlled drug delivery to the colon, ibid ], methacrylic acid copolymers [Siefke et al , 1993, β-Cyclodextrin matrix films for colon specific drug delivery, ibid ], and amylose [Milojevik et al, In vitro and in vivo evaluation of amylose coated pellets for colon specific drug delivery, ibid ]. Delivery to specific points of the gastrointestinal tract may also be achieved using multilayered tablets [Gazzaniga et al , 1993, Time dependent oral delivery system for colon specific release, ibid ], or hydrogel plugs in a capsule [Binns et al , Application of a pH-independent PEG-based hydrogel to afford pulsatile drug delivery]. Preferably, in the dosage forms of the present invention, the darifenacin is in the form of its hydrobromide salt (except when the darifenacin is present as an ion exchange resin complex). A preferred oral formulation is a tablet consisting essentially of darifenacin hydrobromide in a high molecular weight hydroxypropyl methylcellulose matrix together with anhydrous dibasic calcium phosphate and magnesium stearate. The tablet may be colour coated by conventional methods. Preferably, hydroxypropyl methylcellulose makes up 56-58% w/w of the tablet, magnesium stearate makes up approximately 1% of the tablet, and darifenacin hydrobromide and anhydrous dibasic calcium phosphate make up the balance. The darifenacin hydrobromide content may range from 4mg-54mg per tablet, depending on the dose to be delivered. Such tablets would be suitable for administration once daily. Preferably, the dosage forms of the present invention are adapted for oral administration, but they may also be adpated for rectal administration. Rectal suppository formulations may be prepared by dispersing the active ingredient in hardened oils or waxes using conventional methods. According to another aspect of the invention, there is provided a method of treatment of irritable bowel syndrome or urinary incontinence, which comprises delivering darifenacin, or a pharmaceutically acceptable salt thereof, to the lower gastrointestinal tract of a patient in need of such treatment. The method may be performed by administering a dosage form of the invention to the gastrointestinal tract of a patient in need of such treatment. The invention is illustrated by the following examples in which the following materials are used: Methocel™ K4M - a high molecular weight hydroxypropyl methylcellulose with a number average in molecular weight of 89,000. It is classified in the USP as 2208 and a 2% solution in water has a nominal viscosity of 4000cps. It has a methoxy content of 19-24% and a hydroxypropoxy content of 7-12%; Methocel™ E4M - a high molecular weight hydroxypropyl methylcellulose with a number average molecular weight of 93,000. It is classified in the USP as 2910 and a 2% solution in water has a nominal viscosity of 4000cps. It has a methoxy content of 28-30% and a hydroxypropoxy content of 7-12%; Methocel™ K100LV - a low molecular weight hydroxypropyl methylcellulose. It is classified in the USP as 2208 and a 2% solution in water has a nominal viscosity of 100cps. It has a methoxy content of 19-24% and a hydroxypropoxy content of 7-12%; Klucel EF™ - hydroxy propyl cellulose with a number average molecular weight of 60,000; Ethocel™ - ethyl cellulose; Avicel™ PH101 - microcrystalline cellulose with an average particle size of 50µm; Lactose regular lactose with a particle size equivalent to 110 mesh (137.5µm apertures); Lactose Fast FIo™ - spray dried lactose; and EmcomPress™ - dibasic calcium phosphate (anhydrous). Aerosil 200 - colloidal anhydrous silica Example 1 (comparative) Fast release matrix tablet Ingredient Specification mg/unit (theory) g/batch (actual) Darifenacin hydrobromide Pfizer 23.810 30.19 Methocel K4M Ph Eur 12.000 15.00 Methocel K100LV Premium USP 28.000 35.00 Fast flo Lactose Ph Eur 134.190 167.70 Magnesium Stearate Ph Eur 2.000 2.50 TOTAL 200.000mg The Methocel K4M, K100LV premium, darifenacin and Fast-flo lactose were blended in a Turbula blender for 10 minutes. The mixture was then screened using a 30 mesh (500µm apertures) screen and reblended for a further 10 minutes. Magnesium stearate was screened through a 30 mesh (500µm apertures) screen and added to the mixture before blending for a further 5 minutes. The blend was then subjected to compression on a tabletting machine using 8mm round normal convex tooling to make 1250 tablets. Example 2 Medium release matrix tablet Ingredient Specification mg/unit (theory) g/batch (actual) Darifenacin hydrobromide Pfizer 23.810 30.19 Methocel K4M Ph Eur 30.000 37.50 Methocel E4M Ph Eur 30.000 37.50 Fast flo Lactose Ph Eur 114.190 142.70 Magnesium Stearate Ph Eur 2.000 2.50 TOTAL 200.000mg The Methocel K4M, E4M, darifenacin and Fast-flo lactose were blended in a suitable blender for 10 minutes. The mixture was then screened using a 30 mesh (500µm apertures) screen and reblended for a further 10 minutes. Magnesium stearate was screened through a 30 mesh (500µm apertures) screen and added to the mixture before blending for a further 5 minutes. The blend was then subjected to compression on a tabletting machine using 8mm round normal convex tooling to make 1250 tablets. Example 3 Slow release matrix tablet Ingredient Specification mg/unit (theory) g/batch (actual) Darifenacin hydrobromide Pfizer 23.810 30.19 Anhydrous dibasic calcium phosphate USP 59.790 74.70 Methocel K4M Ph Eur 114.400 143.00 Magnesium Stearate Ph Eur 2.000 2.50 TOTAL 200.000 The Methocel K4M, darifenacin and anhydrous dibasic calcium phosphate were blended in a Turbula blender for 10 minutes. The mixture was then screened using a 30 mesh (500µm apertures) screen and reblended for a further 10 minutes. Magnesium stearate was screened through a 30 mesh (500µm apertures) screen and added to the mixture before blending for a further 5 minutes. The blend was then subjected to compression on a tabletting machine using 8mm round normal convex tooling to make 1250 tablets. Example 4 Encapsulated coated core multiparticulates (a) Preparation of uncoated cores Ingredient Specification g/kg (theory) g/batch (actual) Darifenacin hydrobromide Pfizer 119.048 119.76 Avicel PH101 Ph Eur 359.499 359.50 Lactose Regular Ph Eur 359.499 359.50 Fumaric acid NF 161.954 161.95 Purified water Ph Eur (500.000) 500.0 TOTAL 1000.000g 1000.71 The Avicel PH101, lactose regular, darifenacin and fumaric acid were blended in an Apex 2L Y cone for 10 minutes. The mixture was then screened using a 30 mesh (500µm apertures) screen and re-blended for 10 minutes. Purified water was added to form a wet mass amenable to extrusion. The resultant wet mass was extruded using an Nica E 140 extruder (1mm screen) and then spheronised using a Caleva spheroniser to form multiparticulate beads. The beads were then dried using a bed temperature of 50°C for 1 hour to remove excess moisture. (b) Preparation of final formulation Ingredient Specification mg/unit (theory) g/batch (actual) Darifenacin uncoated cores Pfizer 200.000 150.30 Ethyl cellulose N-10 NF 17.750 13.32 Klucel EF NF 7.250 5.44 Ethyl Acetate NF 237.500 178.2 Isopropyl alcohol NF 237.500 178.1 TOTAL 225.000 Filled into white size 2 gelatine capsule shells. Ethyl acetate and isopropyl alcohol were stirred in a suitable vessel to ensure thorough mixing. To this mixture the Klucel. EF and ethyl cellulose N10 were added and the solution stirred until complete dissolution had taken place. The uncoated beads were added to a fluidised bed coater and using an inlet temperature of 40°C the beads were coated with the solution containing the Klucel EF and ethylcellulose N10. On completion of coating the beads were dried for 10 minutes using a bed temperature of approximately 50°C. The coated beads were filled into capsule shells prior to administration. Example 5 Ion exchange resin formulation Ingredient g/batch Darifenacin hydrobromide 60.39 Sodium polystyrene sulphonate 187.00 Disodium edetate, dihydrate 1.53 Water 2000.00 The disodium edetate and sodium polystyrene sulphonate were suspended in water. This suspension was then heated to 50°C whilst stirring. The darifenacin hydrobromide was then added to the suspension and the suspension stirred for a further 2 hours at 50°C. The darifenacin polystyrene sulphonate was then filtered off and washed until free of bromide ions. The darifenacin resinate was then dried under vacuum at 25°C for approximately 16 hours. Example 6 (comparative) Immediate Release Capsule 7.5mg Ingredient Specification mg/unit theory g/batch (actual) Darifenacin hydrobromide Pfizer 8.929 547.46 Lactose Ph Eur 104.453 6267.20 Maize starch Ph Eur 34.818 2089.10 Aerosil 200 Ph Eur 0.300 18.00 Magnesium stearate Ph Eur 1.500 84.88 TOTAL 150.000 1467.2g of the lactose was added to all of the darifenacin hydrobromide and blended in an Apex 8L double cone tumbling blender for 20 minutes. This was then milled using a Fitzmill (hammers forward, high speed) through a 1mm screen and the mill washed with the remaining lactose (4800.0g). This lactose, Aerosil 200 and maize starch were then added to the darifenacin hydrobromide/lactose preblend prepared initially and blended for 20 minutes in a Gardner 28L double cone tumbling blender. This blend was then passed through a 1mm screen using a Fitzmill (knives forward, slow speed) and then blended for a further 20 minutes using the 28L blender. Magnesium stearate (88.88g) was then added and blending continued using the 28L blender for 5 minutes. The final blend was then encapsulated into size 2 hard gelatin capsule shells using a Zanasi capsule filling machine. Example 7 Measurement of in vitro release rates Dissolution methods Dissolution of the formulations of Examples 1-4 was performed using a rotating basket apparatus (Apparatus 1, USPXXII, p. 1578). The formulations were placed in baskets (40 mesh, 381µm apertures) using a rotation speed of 100rpm in 900ml water at 37°C +/-0.5°C. At specified time intervals, 10ml aliquots were removed from the dissolution vessel from a zone midway between the surface of the dissolution medium and the top of the basket not less than 1cm from the vessel wall. The first 7ml is discarded and the remaining solution transferred to an HPLC vial for subsequent analysis. The release of darifenacin from the formulation of Example 5 was determined according to USP XXIII Apparatus 4 (page 1794). Using a flow rate of 250ml/hour solutions at 37°C of the following pH were used to assess release: 0-1 hr pH 1.5; 1-2hr pH 2.5; 2-3.5hr pH4.5; 3.5-5hr pH 6.9; 5-24hr pH 7.2. Dissolution of the formulation of Example 6 was performed using a rotating basket apparatus (Apparatus 1, USPXXII, p 1578). The formulations were placed in baskets (40mesh, 381µm apertures) using a rotation speed of 100rpm in 900ml water at 37°C +/-0.5°C. At specified time intervals a 20ml aliquot of dissolution media was removed from a zone midway between the surface of the dissolution media and the top of the basket not less than 1cm from the vessel wall. The aliquots were filtered (0.45µm, Acrodisc) and the first 5ml of filtrate discarded. 5ml of the remaining filtrate was then diluted to 25ml using a 1:1 (v/v) solution of water/methanol prior to analysis by HPLC. Analysis For the formulations of Examples 1-5, High Performance Liquid Chromatography (HPLC) was performed using a BDS Hypersil C18 column. The mobile phase used was an aqueous 0.03M potassium dihydrogen orthophosphate at pH 3.5/methanol, (1000:800 v/v) using a flow rate of 1.5ml/min at 37°C and a sample size of 20µL. Detection was by fluorescence operating at an excitation wavelength of 288nm (slit width 18nm) and an emission wavelength of 320nm (slit width 18nm). For the formulation of Example 6, High Performance Liquid Chromatography (HPLC) was performed using a Novapack C18 column. The mobile phase was aqueous 0.01M sodium acetate containing 0.2%v/v triethylamine at pH 6.0/methanol/acetonitrile (45:54:1, v/v/v) using a flow rate of 1.0ml/min and a sample size of 50µl. Detection was by ultraviolet spectroscopy at 230nm. Results Example 1 formulation (comparative) Time (h) % release (range) 1 65 (52-81) 2 80 (72-92) 4 91 (87-96) Example 2 formulation Time (h) % release 1 41 (38-46) 4 77(73-81) 8 95 (94-96) Example 3 formulation Time (h) % release 1 6 (5-7) 8 42 (36-44) 16 67 (59-70) Example 4 formulation Time (h) % release 1 11(9-15) 4 58 (50-70) 8 98 (95-103) Example 5 formulation Time (h) % release 1 11 (10-12) 2 25 (24-27) 6 55 (51-59) 12 79 (77-82) 18 90 (89-91) 24 94 (93-95) Example 6 formulation (comparative) Time (h) % release 0.25 94 0.5 99 0.75 98 Example 8 Clinical Pharmacokinetics Study A four way, multiple dose crossover study to investigate the bioavailability of darifenacin and its 3'-hydroxy metabolite when given as a sustained release formulation compared with an immediate release formulation was carried out. Thirteen normal males received the formulations of Examples 1-3 od each for 6 days as well as the formulation of Example 6 three times a day. Plasma samples for drug and metabolite assay were taken over 24 hours on the last day of dosing for each period of the study. The pharmacokinetic parameters (area under the concentration-time curve over 24 hours, AUC, maximum concentration and concentration at 24 hours post dose) were obtained for both drug and metabolite. The table below shows the ratio of AUC values for darifenacin and metabolite (AUC darifenacin :AUC metabolite ) and the relative bioavailability of darifenacin (F rel darifenacin ) and metabolite (F rel metabolite ) for the formulations versus an immediate release capsule. Ratio of AUC of darifenacin: metabolite and relative bioavailability (F rel ) versus an immediate release capsule Formulation: Example 6 (immediate release) Example 1 Example 2 Example 3 Ratio of AUC dar /AUC met 0.66 0.58 0.82 1.03 F rel darifenacin na 0.88 1.10 1.17 F rel metabolite na 0.98 0.82 0.70 na = Not applicable These data indicate that the relative bioavailability of darifenacin over the metabolite is increased when darifenacin is administered in a sustained release formulation according to the invention.

Claims: An oral tablet formulation consisting essentially of darifenacin hydrobromide in a high molecular weight hydroxypropyl methylcellulose matrix together with anhydrous dibasic calcium phosphate and magnesium stearate. A formulation as claimed in claim 1, wherein the hydroxypropyl methylcellulose has a molecular weight of 85,000-95,000 mass units. A formulation as claimed in claim 1 or claim 2, wherein the hydroxypropyl methylcellulose makes up 56-58% w/w of the tablet. A formulation as claimed in any one of the preceding claims, wherein the magnesium stearate makes up approximately 1% w/w of the tablet. A formulation as claimed in any one of the preceding claims, wherein the darifenacin hydrobromide content of the tablet is in the range 4-54mg. A formulation as claimed in any one of the preceding claims, which is additionally provided with a colour coating.

Inventors: DOLAN THOMAS FRANCIS, HUMPHREY MICHAEL JOHN, NICHOLS DONALD JOHN, DOLAN, THOMAS FRANCIS, HUMPHREY, MICHAEL JOHN, NICHOLS, DONALD JOHN, Dolan, Thomas Francis, Pfizer Global Research and, Humphrey, Michael John, Pfizer Global Research and, Nichols, Donald John, Pfizer Global Research and
Applicants: NOVARTIS INT PHARM LTD, NOVARTIS INTERNATIONAL PHARMACEUTICAL LTD.
Application year: 1996
Main classification: A61K31
IPC codes: A61K31, A61P31, A61K9, A61K47, A61P13, A61P1, C07D405, A61P15