FAST-DISSOLVING GALANTHAMINE HYDROBROMIDE TABLET

Abstract: The present invention is concerned with a fast-dissolving tablet for oral administration comprising as an active ingredient a therapeutically effective amount of galanthamine hydrobromide (1:1) and a pharmaceutically acceptable carrier, characterized in that said carrier comprises a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25) as a diluent, and a disintegrant; and with a direct compression process of preparing such fast-dissolving tablets.

Description: FAST-DISSOLVING GALANTHAMINE HYDROBROMIDE TABLET The present invention is concerned with a fast-dissolving tablet for oral administration comprising as an active ingredient a therapeutically effective amount of galanthamine hydrobromide (1 : 1) and a pharmaceutically acceptable earner, characterized in that said carrier comprises a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75 : 25) as a diluent, and a disintegrant; and with a direct compression process of preparing such fast-dissolving tablets Galanthamine, a tertiary alkaloid, has been isolated from the bulbs of the Caucasian snowdrops Galantanus woronowi (Proskurnina, N F and Yakoleva, A. P 1952, Alkaloids of Galanthus woronowi. II. Isolation of a new alkaloid (In Russian ) Zh Obschchei Khim. (J. Gen. Chem.) 22, 1899-1902). It has also been isolated from the common snowdrop Galanthus nivalis (Boit, 1954). The chemical name of galanthamine is [4aS-(4aα, 6β, 8aR*)]-4a, 5, 9, 10, 1 1 , 12-hexahydro-3-methoxy-l 1 - methyl-6H-benzofuro[3a, 3, 2-ef][2]benzazepιn-6-ol ; both the base compound and its hydrobromide are laevorotatory. Galanthamine is a well-known acetylchohnesterase inhibitor which is active at nicotimc receptor sites but not on muscaπnic receptor sites It is capable of passing the blood-brain barrier in humans, and presents no severe side effects in therapeutically effective dosages Galanthamine has been used extensively as a curare reversal agent in anaesthetic practice in Eastern bloc countries (cf. review by Paskow. 1986) and also experimentally in the West (cf. Bretagne and Valetta, 1965 Wislicki, 1967; Consanitis, 1971 ) Galanthamine has been marketed by the Waldheim (Sanochemia Gruppe) as Nivahn™ in Germany and Austria since the 1970s for indications such as facial neuralgia The use of galanthamine or an analogue or a pharmaceutically acceptable acid addition salt thereof for the preparation of a medicament for treating Alzheimer's Dementia (AD) and related dementias has been descπbed in EP-0,236,684 (US-4,663,318) This patent only has a generic disclosure of possible dosage forms of galanthamine The use of galanthamine for treating alcoholism and the administration via a transdermal transport system ("ITS) or patch is disclosed in EP-0 449,247 Similarly the use of galanthamine in the treatment of nicotine dependence using administration via a transdermal transport system (TTS) or patch is disclosed in WO-94/ 16708 A number of applications by E. Snorrason disclose the use of galanthamine. analogues thereof and pharmaceutically acceptable salts thereof for the preparation of medicaments for treating mania (US-5,336,675), chronic fatigue syndrome (CFS) (EP-0,515,302 ; US-5,312,817), and the negative effects of benzodiazepine treatment (EP-0,515,301). In these applications and patents, e.g. in US-5,312,817, a number of specific tablet formulations of galanthamine hydrobromide are given. In particular, these formulations are as follows : Composition of 1 tablet (60 mg) containing 1 mg galanthamine hydrobromide Galanthamine hydrobromide 0.001 g Calcium phosphate 0.032 g Lactose 0.005 g Wheat Starch 0.0056 g Microcrystalline Cellulose 0.015 g Talc 0.0007 g Magnesium Stearate 0.0007 g Composition of 1 tablet (80 mg) containing 5 mg galanthamine hydrobromide ; film- coat composition unknown [Nivalin™, Waldheim, Ltd, Vienna, Austria] (F 3) Galanthamine hydrobromide 0.005 g Calcium phosphate 0.024 g Lactose 0.004 g Wheat Starch 0.004 g Microcrystalline Cellulose 0.04 g Talc 0.002 g Magnesium Stearate 0.001 g Composition of 1 tablet (120 mg) containing 10 mg Galanthamine hydrobromide 0.010 g Lactose 0.040 g Wheat Starch 0.0234 g Microcrystalline Cellulose 0.0374 g Talc 0.0036 g Magnesium Stearate 0.0012 g Gelatin 0.0044 g These tablet formulations can be prepared using wet granulation processes. The dissolution (USP 23, <71 1 > Dissolution, pp 1791-1793, Apparatus 2 (paddle, 50 rpm; 500 ml water or aqueous buffer at 37 °C)) of the commercially available Nivalin™ 5 mg film-coated tablet (F3) is as follows : In order to obtain government approval to market a drug, one must not only show that the active ingredient has the stated activity and is safe to use, but it is also necessary to show that the formulation of the active ingredient will give a reproducible result in various patients. For example, in the case of solid formulations shaped as tablets, it is a prerequisite that the tablets disintegrate and dissolve within a particular period of time to a particular degree. In the present case, novel galanthamine hydrobromide tablets having a dissolution of at least 80 % after 30 minutes (Q = 80 % after 30') (USP 23, <71 1 > Dissolution, pp 1791 -1793, Apparatus 2 (paddle, 50 rpm; 500 ml purified water at 37 °C)) are provided. Compliance with this dissolution specification is only met by using a particular diluent containing a disintigrant, and a second disintegrant. Thus the present invention relates to a tablet comprising as an active ingredient a therapeutically effective amount of galanthamine hydrobromide (1 : 1 ) and a pharmaceutically acceptable carrier, characterized in that said carrier comprises a spray- dried mixture of lactose monohydrate and microcrystalline cellulose (75 : 25) as a diluent, and a disintegrant. Said tablets have a dissolution of at least 80 % after 30 minutes (Q = 80 % after 30') (USP 23, <71 1> Dissolution, pp 1791-1793, Apparatus 2 (paddle, 50 rpm)). Initial experiments started out using either lactose anhydrous or lactose monohydrate as diluent, and either powdered cellulose or microcrystalline cellulose as disintegrant (see tablet formulations FI and F2 in the Experimental Part). A particular problem which occurred during feeding the dry blend into the tablet press for direct compression, was segregation of the tablet excipients, thus causing the tablets to have a variable composition. In addition, the tablets formulations FI and F2 did not comply at Stage 1 with the dissolution specification of Q = 80 % after 30'. In order to solve the percieved problems, the diluent was substituted for a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25), commercially available as Microcelac™. In addition to having a reduced tendency to segregate during feeding into the tablet press, the dry blend comprising the above diluent was further found to have excellent rheological properties (flowability), as well as to be easily miscible with the active ingredient and other tablet excipients. The dissolution specification was not met, however, unless a disintegrant having a large coefficient of expansion was employed, more in particular, if an insoluble or poorly soluble cross-linked polymer such as, for example, crospolyvidone or croscarmellose was employed. The amount of said disintegrants in the fast-dissolving tablets according to the present invention conveniently ranges from about 3 to about 8 % (w/w), preferably about 5 % (w/w). In order to make the blending and the direct compression processes easier to perform, the carrier further comprises a glidant and a lubricant. Preferably, the glidant is colloidal anhydrous silica and the lubricant is magnesium stearate. In the initial experiments (see FI and F2), talc was used as a glidant and sodium lauryl sulphate as a wetting agent/lubricant. The former was found to affect the dissolution properties of the tablets adversely (retarding the dissolution of the active ingredient) and the latter was found to be entirely superfluous and easy to omit from the tablet formulation. Fast-dissolving tablets according to the present invention comprise by weight based on the total weight of the tablet core : (a) from 2 to 10% galanthamine hydrobromide (1 : 1); (b) from 83 to 93% spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25); (c) from 0.1 to 0.4% glidant; (d) from 3 to 8% insoluble crosslinked polymeric disintegrant; and (e) from 0.2 to 1 % lubricant. In particular, the tablets comprise : (a) about 2 to 10% galanthamine hydrobromide (1: 1); (b) about 83 to 93% spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25); (c) about 0.2% colloidal anhydrous silica; (d) about 5% crospolyvidone; and (e) about 0.5% magnesium stearate. The fast-dissolving galanthamine hydrobromide ( 1 : 1 ) tablets according to the present invention may in addition include other optional excipients such as, for example, flavors, sweeteners and colors. Tablets of galanthamine hydrobromide ( 1 : 1 ) are conveniently film-coated following art- known coating procedures. Film-coated tablets are easier to swallow than uncoated tablet cores, are usually easier to distinguish from other tablets - in particular when the film-coat contains a dye or a pigment -, and may furthermore have an improved stability (shelf-life). In the instant case, a mixture comprising a film-forming polymer and a plasticizer, in particular hydroxypropyl methylcellulose and a polyethylene glycol, e.g. macrogol 6000, may be employed for film-coating tablet cores as described hereinbefore. Of particular importance in the case of fast-dissolving tablets, is the requirement that the film-coat should not adversely affect the disintegration and dissolution of the active ingredient from the tablet. Therefore, the weight of the film- coat conveniently is in the range of 3 to 8 %, particularly 4 to 7.5 %, of the uncoated tablet core. As illustrated in the experimental part both the uncoated tablet cores and the film-coated tablets according to the present invention (F5, F6, F7) both comply with the dissolution requirement of Q = 80 % after 30' (USP). The tablets according to the present invention are suitable as unit dose forms for oral administration to patients in need of galanthamine therapy. The tablets conveniently comprise from 2 to 20 mg galanthamine (2.563 to 25.63 mg galanthamine hydro¬ bromide (1 : 1)), in particular from 4 to 16 mg galanthamine (5.026 to 20.506 mg galanthamine hydrobromide (1 : 1)). They are best administered three times daily (t.i.d), approximately every eight hours, or two times daily (b.i.d), approximately every 12 hours, as these dosage regimens give therapeutic plasma levels of the active ingredient throughout the day. The present invention is also concerned with a process of preparing fast-dissolving galanthamine hydrobromide ( 1 : 1) tablets, comprising the steps of : (i) dry blending the active ingredient, the disintegrant and the optional glidant with the diluent; (ii) optionally mixing the lubricant with the mixture obtained in step (i); (iii) compressing the mixture obtained in step (i) or in step (ii) in the dry state into a tablet; and (iv) optionally film-coating the tablet obtained in step (iii). The dry blending can conveniently be performed in a planetary mixer : the direct compression on a tablet press; and the film-coating in a coating pan. Experimental part Example 1 : Direct compression tablet formulation (FI ) Ingredients : galanthamine hydrobromide 5 mg lactose (anhydrous) 70 mg powdered cellulose 19 mg talc 4 mg sodium lauryl sulphate 1 mg colloidal anhydrous silica 0.5 mg magnesium stearate 0.5 mg total weight 100 mg Preparation : The ingredients were intimately mixed in a planetary mixer and compressed in a tabletting machine, thus preparing tablets of 100 mg each. Example 2 : Direct compression film-coated tablet formulation (F2) Ingredients : galanthamine hydrobromide 5.13 mg lactose monohydrate 55.1 1 mg microcrystalline cellulose 15.2 mg talc 3.2 mg sodium lauryl sulphate 0.8 mg colloidal anhydrous silica 0.16 mg magnesium stearate 0.4 mg core weight 80 mg hypromellose 2910 5 mPa s 1.8 mg talc 0.8 mg titanium dioxide (E 171) 0.1 mg Macrogol 6000 0.3 mg purified water* 17 mg fύm-coated weight 3 mg total weight 83 mg This component is not present in the final product. Preparation : The ingredients were intimately mixed in a planetary mixer and compressed in a tabletting machine, thus preparing tablets of 80 mg each. The tablet cores were then film-coated in a coating pan. Example 3 : Direct compression film-coated tablet formulation (F5) Ingredients : galanthamine hydrobromide 5.126 mg (4 mg galanthamine) spray-dried mixture of lactose monohydrate 221.194 mg and microcrystalline cellulose (75:25) crospolyvidone 12 mg colloidal anhydrous silica 0.48 mg magnesium stearate 1.2 mg core total weight 240 mg hypromellose 2910 5 mPa.s 5.4 mg talc 2.4 mg titanium dioxide (E 171 ) 0.3 mg Macrogol 6000 0.9 mg o purified water* 51 mg film-coat weight 9 mg total weight 249 mg *This component is not present in the final product. Preparation : The ingredients were intimately mixed in a planetary mixer and compressed in a tabletting machine, thus preparing tablets of 240 mg each. The tablet cores were then film-coated in a coating pan. Example 4 : Direct compression film-coated tablet formulation (F6) Ingredients : galanthamine hydrobromide 23.069 mg ( 18 mg galanthamine) spray-dried mixture of lactose monohydrate 203.251 mg and microcrystalline cellulose (75:25) crospolyvidone 12 mg colloidal anhydrous silica 0.48 mg magnesium stearate 1.2 mg core total weight 240 mg hypromellose 2910 5 mPa.s 5.4 mg talc 2.4 mg titanium dioxide (E 171 ) 0.3 mg Macrogol 6000 0.9 mg purified water* 51 mg film-coat weight 9 mg total weight 249 mg *This component is not present in the final product. Preparation : The ingredients were intimately mixed in a planetary mixer and compressed in a tabletting machine, thus preparing tablets of 240 mg each. The tablet cores were then film-coated in a coating pan. Example 5 : Direct compression film-coated tablet formulations of various strength (F7a, F7b, F7c, F7d) Ingredients (in mg unless indicated otherwise) : F7a F7b F7c F7d galanthamine hydrobromide 5.126 10.253 15.379 20.506 (galanthamine) (4) (8) (12) (16) spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25) 51.454 102.907 154.361 205.814 crospolyvidone 3 6 9 12 colloidal anhydrous silica 0.12 0.24 0.36 0.48 magnesium stearate 0.3 0.6 0.9 1.2 core total weight 60 120 180 240 hypromellose 2910 5 mPa.s 2.5 4 5 6 propylene glycol (μl) 0.603 0.965 1.207 1.448 talc 0.5 0.8 1 1.2 titanium dioxide (E 171) 0.75 1.2 1.5 1.8 colorant(s) 0.0032 0.013 0.505 0.130 purified water* 26.875 43 53.75 64.5 film-coat weight 4.3562 6.978 9.212 10.578 total weight 64.3562 126.978 189.212 250.578 *This component is not present in the final product. Preparation : The ingredients were intimately mixed in a planetary mixer and compressed in a tabletting machine, thus preparing tablets of 60, 120, 180, and 240 mg. The tablet cores were then film-coated in a coating pan. Example 6 Comparative in-vitro dissolutions studies were performed on tablet formulations FI , F2, F5 (uncoated), F5 (film-coated), F6 (uncoated), F6 (film-coated) and F7a-d (film- coated). The medium was 500 ml of purified water at 37°C in Apparatus 2 (USP 23, <71 1> Dissolution, pp. 1791-1793) (paddle, 50 rpm). The following results were obtained : FI F2 F5 uncoated F5 film-coated F6 uncoated F6 film-coated F7a film-coated F7h film-coated F7c film-coated F7d film-coated Neither of FI and F2 comply at stage 1 with the dissolution specification Q = 80% at 30 minutes; both F5 (uncoated), F5 (film-coated), F6 (uncoated). F6 (film-coated) and F7a-d (film-coated) comply at stage 1 with the dissolution specification Q = 80% at 30 minutes.

Claims: Claims 1. A tablet comprising as an active ingredient a therapeutically effective amount of galanthamine hydrobromide (1 : 1) and a pharmaceutically acceptable carrier, characterized in that said carrier comprises a spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75 : 25) as a diluent, and a disintegrant. 2. A tablet according to claim 1 wherein the disintegrant is crospolyvidone or croscarmellose. 3. A tablet according to claim 1 or 2 wherein the carrier further comprises a glidant and a lubricant. 4. A tablet according to claim 3 wherein the glidant is colloidal anhydrous silica and wherein the lubricant is magnesium stearate. 5. A tablet according to any one of claims 1 , 2, 3 or 4 comprising by weight based on the total weight : (a) from 2 to 10% galanthamine hydrobromide (1 : 1 ); (b) from 83 to 93% spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25); (c) from 0.1 to 0.4% glidant; (d) from 3 to 8% insoluble crosslinked polymeric disintegrant; and (e) from 0.2 to 1% lubricant. 6. A tablet according to claim 5 comprising (a) about 2 to 10% galanthamine hydrobromide ( 1 : 1); (b) about 83 to 93% spray-dried mixture of lactose monohydrate and microcrystalline cellulose (75:25); (c) about 0.2% colloidal anhydrous silica; (d) about 5% crospolyvidone; and (e) about 0.5% magnesium stearate. 7. A tablet according to any one of claims 1 , 2, 3, 4, 5 or 6 which is film-coated. 8. A tablet according to claim 7 wherein the film-coat comprises a film-forming polymer and a plasticizer. 9. A tablet according to claim 8 wherein the film-coat weighs from about 3 % to about 8 % of the uncoated tablet core. 10. A process of preparing a tablet according to any one of claims 1 to 9 comprising the steps of : (i) dry blending the active ingredient, the disintegrant and the optional glidant with the diluent; (ii) optionally mixing the lubricant with the mixture obtained in step (i); (iii) compressing the mixture obtained in step (i) or in step (ii) in the dry state into a tablet; and (iv) optionally film-coating the tablet obtained in step (iii).

Inventors: DE CONDE VALENTIN FLORENT VICT, GILIS PAUL MARIE VICTOR, DE CONDE, VALENTIN, FLORENT, VICTOR, GILIS, PAUL, MARIE, VICTOR
Applicants: CONDE VALENTIN FLORENT VICTOR, GILIS PAUL MARIE VICTOR, JANSSEN PHARMACEUTICA NV, DE CONDE, VALENTIN, FLORENT, VICTOR, GILIS, PAUL, MARIE, VICTOR, JANSSEN PHARMACEUTICA N.V.
Application year: 1997
Main classification: A61K31
IPC codes: A61K9, A61K31, A61P25, A61P43