PHARMACEUTICAL COMPOSITIONS COMPRISING QUINAPRIL MAGNESIUM

Abstract: Stable solid compositions comprising quinapril magnesium can be made using quinapril or an acid addition salt thereof, by reacting the quinapril or acid addition salt with an alkaline magnesium compound in the presence of a solvent, so as to convert all or substantially all of the quinapril or acid addition salt to quinapril magnesium.

Description: PHARMACEUTICAL COMPOSITIONS COMPRISING QUINAPRIL MAGNESIUM FIELD OF INVENTION This invention relates to solid pharmaceutical compositions comprising a stable salt of quinapril, specifically the magnesium salt, quinapril magnesium. BACKGROUND Some ACE (Angiotensin Converting Enzyme) inhibitors, which are useful as antihypertensives, are susceptible to degradation by cyclization, hydrolysis or oxidation. Such ACE inhibitors include enalapril, quinapril and moexipril, and acid addition salts thereof. Enalapril and its acid addition salts and their use as ACE inhibitors, is disclosed in U.S. Patent No. 4,374,829. Quinapril and moexipril and their acid addition salts are disclosed in U.S. Patent No. 4,344,949. Various methods of improving the stability of these compounds are disclosed in the prior art. Enalapril and its acid addition salts are more easily stabilized than quinapril and its acid addition salts. There are thus some methods in the prior art that are satisfactory for the stabilization of enalapril and its acid addition salts, but not quinapril and its acid addition salts. U.S. Patent No. 5,562,921 discloses that stable tablets can be made comprising enalapril maleate by restricting the inactive ingredients used in the tablets to certain ones found not to cause degradation. However, because quinapril and its acid addition salts are less stable than enalapril maleate, this approach does not work with quinapril and its acid addition salts. U.S. Patent No. 5,350,582 and U.S. Patent No. 5,573,780 both disclose that stable tablets can be made by reacting enalapril maleate with an alkaline sodium compound to convert the enalapril maleate to enalapril sodium. Enalapril sodium is found to be much more stable than enalapril maleate. U.S. Patent No. 4,830,853 discloses that certain ACE inhibitors, and in particular quinapril, can be stabilized against oxidation and discoloration by including ascorbic acid or sodium ascorbate in the composition. However, it appears that this approach does not stabilize quinapril or its addition salts sufficiently to be commercially useful, as products presently being marketed do not use this approach. Finally, U.S. Patent No. 4,743,450 discloses that certain ACE inhibitors, and in particular, quinapril and its acid addition salts can be stabilized by making solid compositions that include an alkaline compound as stabilizer. Magnesium, calcium and sodium compounds are said to be preferred, and magnesium is most preferred. The examples in this patent all relate to solid dosage forms comprising quinapril hydrochloride as active drug and magnesium carbonate as stabilizer. There is also a publication by Gu et al, "Drug-Excipient Incompatibility Studies of the Dipeptide Angiotensin Converting Enzyme Inhibitor, Moexipril Hydrochloride: Dry Powder vs Wet Granulation", Pharm Res.7(4):370-383. This publication discloses that moexipril hydrochloride can be stabilized by making compositions comprising moexipril hydrochloride and an alkaline stabilizing agent selected from sodium bicarbonate, sodium carbonate and calcium carbonate. It is stated that the stabilization is accomplished only when the compositions are made by a wet granulation process. In the conclusion of the publication, it is postulated that the stabilization results from the neutralization of the acidic drug by the basic excipient at the outer surface of the granulated material. It is also stated that it is possible that a portion of the moexipril was converted to alkaline salts via granulation. It thus appears clear that Gu et al teaches that only a portion (if any) of the drug, and only that portion at the outer surface of the granules, may be converted to the alkaline salt, and that the stable product thus results entirely or primarily not from conversion to alkaline salts, but from stabilization of the moexipril hydrochloride by the presence of the alkaline stabilizing compound in the final product. Gu et al is thus consistent with the teaching of U.S. Patent No. 4,743,450, which, as aforesaid, teaches stable compositions comprising the unstable drug, stabilized by the presence of an alkaline compound in the final composition. Tablets containing quinapril hydrochloride are sold in the United States and elsewhere under the tradename Accupril® by Warner-Lambert Company. The labeling of these tablets indicates that the tablets contain quinapril hydrochloride and magnesium carbonate. This indicates that these tablets are compositions in accordance with the teaching of U.S. Patent No. 4,743,450. There are certain problems inherent in the teaching of U.S. Patent No. 4,743,450. In particular: 1. The examples of U.S. Patent No. 4,743,450 indicate a ratio of magnesium carbonate to quinapril hydrochloride from about 5.8 to about 16.5 by weight, so that it appears that the amount of magnesium compound required is large and substantially exceeds the amount of the quinapril hydrochloride. 2. Using the approach of U.S. Patent No. 4,743,450, it is difficult to precisely control the exact final ingredients in the composition. The quinapril hydrochloride and magnesium carbonate are capable of an acid-base reaction. It is difficult to control the process so as to completely avoid an acid-base reaction in the making of the composition. The exact composition of the final product is thus uncertain and probably variable, if the teaching of U.S. Patent No. 4,743,450 is followed. In light of the prior art, the object of the present invention is to enable a stable composition comprising a quinapril salt which overcomes these limitations of the prior art. DESCRIPTION OF THE INVENTION It has been found that the magnesium salt of quinapril (i.e. quinapril magnesium) is sufficiently stable to enable stable solid compositions, without the presence of an alkaline stabilizing compound in the final composition. It has also been found that stable solid compositions comprising quinapril magnesium can be made using quinapril or an acid addition salt thereof, by reacting the quinapril or acid addition salt with an alkaline magnesium compound, so as to convert all or substantially all of the quinapril or acid addition salt to quinapril magnesium. Since the purpose of the present invention is to eliminate the unstable quinapril or acid addition salt thereof and replace it with stable quinapril magnesium, it will be understood that "all or substantially all" in the preceding paragraph means that the remaining quantity of quinapril or acid addition salt thereof, if any, will be small enough that any degradation thereof will not be significant to the stability of the final product. Hence "all or substantially all" will be understood to mean that at least about 80% of the quinapril or addition salt thereof is converted to quinapril magnesium, preferably at least 90%, more preferably at least 95%, and most preferably 100% or virtually 100%. The quinapril or acid addition salt thereof used in the process will preferably be quinapril hydrochloride. 10 The alkaline magnesium compound will preferably be magnesium hydroxide or the magnesium salt of a weak acid such as, for example, magnesium carbonate. Magnesium oxide may be used in place of magnesium hydroxide, as magnesium oxide will convert to magnesium hydroxide in the presence of „ -. water. 15 The molecular formula for quinapril hydrochloride is C 25 H 30 N 2 O 5 »HCI and the molecular weight is 475.0g. The molecular equations, for converting quinapril hydrochloride to quinapril magnesium plus magnesium chloride, by reacting with magnesium hydroxide and magnesium carbonate are as follows: 1) Using magnesium hydroxide: 25 2C 25 H 3 oN 2 0 5 .HCI + 2Mg(OH) 2 --►Mg(C 25 H 29 N 2 0 5 ) 2 + MgCI 2 + 4H 2 0 2) Using magnesium carbonate: 2C 25 H 3 oN 2 0 5 «HCI + 2MgC0 3 -»Mg(C 25 H 29 N 2 0 5 ) 2 + MgCI 2 + 2H 2 0 + 2 C0 2 30 It can be seen that a complete conversion of quinapril hydrochloride to quinapril magnesium plus magnesium chloride requires for each mole (475g) of quinapril hydrochloride, the following minimum amount of alkaline magnesium compound: i) If magnesium hydroxide is used, one mole, which is 58.3g. ii) If magnesium carbonate is used, one mole, which is 84.3g. If only the minimum amount of alkaline magnesium compound, so calculated, is used, it is possible that the reaction may not go to completion, leaving some of the quinapril or acid addition salt not converted to quinapril magnesium. It is thus preferable to use an excess amount of alkaline magnesium compound, to help ensure the reaction is complete or substantially complete. A reaction to convert the quinapril or acid addition salt thereof to quinapril magnesium cannot be accomplished simply by mixing the quinapril or acid addition salt together with the alkaline magnesium compound in dry form. It is thus necessary to mix and react the quinapril or acid addition salt and the alkaline magnesium compound with the aid of solvent, which may be water or organic solvent or a mixture of water and organic solvent, and then evaporating the solvent to obtain a dry substance. The solvent will preferably be a mixture of water and organic solvent, and a preferred organic solvent is acetone. After the solvent is evaporated, the dried material obtained will be further processed into a dosage form, such as a tablet or capsule. This process may be carried out in any of several ways, as follows: i) The quinapril or acid addition salt and the alkaline magnesium compound can be reacted by adding them to solvent and mixing in the liquid state until the reaction is complete. As aforesaid, the solvent may be water or organic solvent, or a mixture of water and one or more organic solvents. The solvent will preferably be a mixture of water and an organic solvent, and most preferably a mixture of water and acetone. The amount of solvent will preferably be sufficient to fully dissolve the resultant quinapril magnesium, but not necessarily the excess alkaline magnesium compound, assuming an excess was used. After the reaction is completed, it is necessary to evaporate the solvent. This can be done, for example, by filtering the liquid to remove the extra alkaline magnesium compound, if any, and then spray drying. The resulting dry powder will be a mixture of quinapril magnesium and the magnesium salt of the acid used in the quinapril acid addition salt (i.e. magnesium chloride if quinapril hydrochloride was used). This dry powder can then be mixed with other suitable excipients (i.e. inactive ingredients such as, for example, lactose), and that mixture can be further processed into solid compositions; i.e. compressed into tablets or used as fill for two-piece hard gelatin capsules. ii) The quinapril or acid addition salt and the alkaline magnesium compound can be reacted in a liquid state as described in i) above. However, instead of then evaporating the solvent, the restraint liquid or suspension can be used to wet granulate other excipients, and the wet mass can then be dried, for example, in a oven or fluid bed drier. The dried mass can then be compressed into tablets or used as fill for capsules, with or without the addition of other excipients. iii) The quinapril or acid addition salt can be mixed with one or more excipients, for example lactose, in a dry state, and then the dry mixture can be wet granulated with a solution or suspension of the alkaline magnesium compound in suitable solvent, thereby forming a wet mass. A sufficient quantity of suitable solvent must be used and the mass must be left wet enough for sufficient time to enable the reaction between the quinapril or acid addition salt and the alkaline magnesium compound to be complete or substantially complete, before the solvent is removed by drying the wet mass. The wet mass is then dried, and the dried material can then be compressed into tablets or used as a fill for capsules, with or without the addition of other excipients. iv) The magnesium compound can be mixed with other excipients, for example lactose, in a dry state, and then the dry mixture can be wet granulated with a solution or suspension of the quinapril or acid addition salt in suitable solvent, thereby forming a wet mass. Again, a sufficient quantity of suitable solvent must be used and the mass must be left wet enough for sufficient time to enable the reaction between the quinapril or acid addition salt and the alkaline magnesium compound to be complete or substantially complete, before the solvent is removed by drying the wet mass. The wet mass is then dried, and the dried material can then be compressed into tablets or used as a fill for capsules, with or without the addition of other excipients. v) The quinapril or acid addition salt thereof and the alkaline magnesium compound can both be mixed with other excipients, for example lactose, in a dry state and then the dry mixture can be wet granulated with solvent to form a wet mass. Again, a sufficient quantity of suitable solvent must be used and the mass must be left wet enough for sufficient time to enable the reaction between the quinapril or acid addition salt and the alkaline magnesium compound to be complete or vi) substantially complete, before the solvent is removed by drying. The wet mass is then dried, and the dried material can then be compressed into tablets or used as a fill for capsules, with or without the addition of other excipients. The invention will be further understood from the following examples which are intended to be illustrative but not limiting of the invention. EXAMPLE 1 The following ingredients were mixed together for 30 minutes: Quinapril hydrochloride 10.0g Magnesium hydroxide 10.0g Povidone 28.77g Water 480g Acetone 240g 760g In the liquid mixture, the 10. Og of quinapril hydrochloride reacted with 1.23g of magnesium hydroxide to produce 9.47g of quinapril magnesium plus 1.00g of magnesium chloride, plus 0.76g of water. The liquid was then filtered to remove the excess magnesium hydroxide. Hence the material dissolved in the water and acetone after filtration was: Quinapril magnesium 9.47g Magnesium chloride 1.00g Povidone 28.77g TOTAL 39.24g The spray-dried powder thus contained quinapril magnesium at a concentration of 9.47g of per 39.24g. Because of the relative molecular weights of quinapril magnesium versus quinapril, 9.47g of quinapril magnesium is equivalent in activity to 9.24g of quinapril. Hence the potency of the spray-dried powder expressed as quinapril equivalent was 9.24g per 39.24g. A portion of the spray-dried powder was mixed with other ingredients as follows: Spray-dried powder 11.0g Lactose monohydrate 13.0g Magnesium stearate 0.25g Red ferric oxide 0.7g Colloidal silicon dioxide 0.05g 25.0g This mixture was compressed into tablets of weight 50 mg each. Each tablet thus contained 22 mg of the spray-dried powder, which in turn contained 5.3 mg of quinapril magnesium, equivalent to about 5.2 mg of quinapril. EXAMPLES 2 TO 4 Ingredients were used as follows: Example 2 Example 3 Example 4 Quinapril Hydrochloride 5.42g 5.42g 5.42g Magnesium Hydroxide 5.42g 5.42g 5.42g Lactose anhydrous 37.16g 37.16g 37.16g Water 12.0g 6.0g og Acetone 0q 6.0q 12.0g TOTAL 60.0g 60.0g 60.0g Total excluding solvent 48.0g 48.0g 48. Og The procedure followed was to mix the first three ingredients together, and then add the solvent (i.e. water and/or acetone as shown) and mix well again. The wet mass was allowed to sit wet for 30 minutes and then mixed again before drying, to ensure that the mixture was wet enough for long enough to allow to reaction between the quinapril hydrochloride and magnesium hydroxide to go to completion or substantial completion. The wet mass was then dried in an oven at 60°C for four hours and the dried material was then passed through a #20 screen to produce fine granules. For the resulting fine granules of each of these examples, 1.0g of magnesium stearate was mixed with 24g of the granules, and this mixture was compressed into tablets of 50 mg weight each. Because of the relative amounts of the various ingredients used and the relative molecular weights, it follows that each tablet of each of examples 2, 3 and 4 contained about 5.1 mg of quinapril magnesium equivalent to about 5.0 mg of quinapril. STABILITY The tablets of examples 1 , 2, 3 and 4 were all tested for stability by storing samples at elevated temperature of 40°C and elevated relative humidity of 75% for four days and then testing the samples for the degradation products resulting from hydrolysis and cyclization. The results were as follows: Example No. 1 2 3 4 Cyclization Product 0.80% 0.46% 0.50% 1.62% Hydrolysis Product 1.48% 6.02% 4.49% 4.67% These levels of degradation products, and in particular the levels of the cyclization product, are substantially lower than obtained with tablets comprising quinapril hydrochloride which had neither been converted to quinapril magnesium nor stabilized by addition of a stabilizer.

Claims: WHAT IS CLAIMED IS: 1. A process of making a solid pharmaceutical composition comprising quinapril magnesium, said process comprising the step of reacting a quinapril or an acid addition salt thereof with an alkaline magnesium compound in the presence of a solvent so as to convert all or substantially all of the quinapril or quinapril acid addition salt to quinapril magnesium. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof and the alkaline magnesium compound to solvent and mixing in the liquid state; ii) Evaporating the solvent to obtain a dried material; and iii) Further processing the dried material into the solid pharmaceutical composition. 3. A process of Claim 2 wherein, before the solvent is evaporated, the liquid is filtered to remove unreacted alkaline magnesium compound. 4. A process of Claim 2 or 3 wherein the solvent is evaporated by spray- drying. 5. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof and the alkaline magnesium compound to solvent; ii) Using the resulting solution or suspension to wet granulate other excipients; Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 6. A process of Claim 1 comprising the steps of: i) Adding the alkaline magnesium compound to solvent; ii) Using the resulting solution or suspension to wet granulate a mixture of the quinapril or acid addition salt thereof and one or more excipients; iii) Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 7. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof to solvent; ii) Using the resultant solution or suspension to wet granulate a mixture of the alkaline magnesium compound and one or more other excipients; iii) Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 8. A process of any of Claims 1 to 7 wherein the solvent comprises water. 9. A process of any of Claims 1 to 7 wherein the solvent comprises an organic solvent. 10. A process of any of Claims 1 to 7 wherein the solvent comprises water and an organic solvent. 11. A process of Claim 9 or 10 wherein the organic solvent is acetone. 12. A process of any of Claims 1 to 11 wherein the quinapril or acid addition salt thereof is quinapril hydrochloride. 13. A process of any of Claims 1 to 12 wherein the alkaline magnesium compound is magnesium hydroxide, magnesium oxide or the magnesium salt of a weak acid. 14. A process of Claim 13 wherein the alkaline magnesium compound is magnesium hydroxide. 15. A process of Claim 13 wherein the alkaline magnesium compound is magnesium carbonate. 16. A process of any of Claims 1 to 15 wherein the percentage of the quinapril or acid addition salt converted to quinapril magnesium exceeds about 80%. 17. A process of any of Claims 1 to 15 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 80%. 18. A process of any of Claims 1 to 15 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 90%. 19. A process of any of Claims 1 to 15 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 95%. 20. A solid pharmaceutical composition comprising quinapril magnesium when made by a process of any of Claims 1 to 19. AMENDED CLAIMS [received by the International Bureau on 19 April 2000 (19.04.00) original claims 5-20 replaced by new claims 5-21 remaining claims unchanged (4 pages)] 1. A process of making a solid pharmaceutical composition comprising quinapril magnesium, said process comprising the step of reacting a quinapril or an acid addition salt thereof with an alkaline magnesium compound in the presence of a solvent so as to convert all or substantially all of the quinapril or quinapril acid addition salt to quinapril magnesium. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof and the alkaline magnesium compound to solvent and mixing in the liquid state; ii) Evaporating the solvent to obtain a dried material; and iii) Further processing the dried material into the solid pharmaceutical composition. 3. A process of Claim 2 wherein, before the solvent is evaporated, the liquid is filtered to remove unreacted alkaline magnesium compound. 4. A process of Claim 2 or 3 wherein the solvent is evaporated by spray- drying. 5. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof and the alkaline magnesium compound to solvent; ii) Using the resulting solution or suspension to wet granulate other excipients to obtain a wet mass; iii) Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 6. A process of Claim 1 comprising the steps of: i) Adding the alkaline magnesium compound to solvent; ii) Using the resulting solution or suspension to wet granulate a mixture of the quinapril or acid addition salt thereof and one or more excipients to obtain a wet mass; iii) Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 7. A process of Claim 1 comprising the steps of: i) Adding the quinapril or acid addition salt thereof to solvent; ii) Using the resultant solution or suspension to wet granulate a mixture of the alkaline magnesium compound and one or more other excipients to obtain a wet mass; iii) Drying the wet mass to obtain a dried mass; and iv) Further processing the dried mass into the solid pharmaceutical composition. 8. A process of Claim 1 comprising the steps of: i) Mixing the quinapril or acid addition salt thereof and alkaline magnesium compound with 1 or more other excipients; ii) Adding a solvent and mixing to obtain a wet mass; iii) Drying the wet mass to obtain a dry mass; and iv) Further processing the dried mass into the solid pharmaceutical composition." 9. A process of any of Claims 1 to 8 wherein the solvent composes water. 10. A process of any of Claims 1 to 8 wherein the solvent comprises an organic solvent. 11. A process of any of Claims 1 to 8 wherein the solvent comprises water and an organic solvent. 12. A process of Claim 10 or 11 wherein the organic solvent is acetone. 13. A process of any of Claims 1 to 12 wherein the quinapril or acid addition salt thereof is quinapril hydrochloride. 14. A process of any of Claims 1 to 13 wherein the alkaline magnesium compound is magnesium hydroxide, magnesium oxide or the magnesium salt of a weak acid. 15. A process of Claim 14 wherein the alkaline magnesium compound is magnesium hydroxide. 16. A process of Claim 14 wherein the alkaline magnesium compound is magnesium carbonate. 17. A process of any of Claims 1 to 16 wherein the percentage of the quinapril or acid addition salt converted to quinapril magnesium is at least about 80%. 18. A process of any of Claims 1 to 16 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 80%. 19. A process of any of Claims 1 to 16 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 90%. 20. A process of any of Claims 1 to 16 wherein the percentage of the quinapril or acid addition salt thereof converted to quinapril magnesium exceeds 95%. 21. A solid pharmaceutical composition comprising quinapril magnesium when made by a process of any of Claims 1 to 20.

Inventors: SHERMAN BERNARD CHARLES, SHERMAN, BERNARD, CHARLES
Applicants: SHERMAN BERNARD CHARLES, SHERMAN, BERNARD, CHARLES
Application year: 1999
Main classification: C07K5
IPC codes: A61K38, A61P9, A61P43, C07K5