Disclosure of Invention
The invention provides a slow release composition of ticagrelor or a pharmaceutically acceptable salt thereof, which controls the slow release of a medicament by increasing the retention time of the medicament in the stomach so as to reduce the taking times, achieve once-a-day administration, improve the medication compliance of a patient and reduce the embolism risk of the patient.
The slow release composition of ticagrelor or pharmaceutically acceptable salt thereof provided by the disclosure comprises a matrix forming agent and a gel forming agent.
The unit dosage form of the sustained release composition of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure has a size selected from 8-22mm, preferably a size of 10-20 mm; the size of the composition can reach 9-28mm after water absorption and swelling, so that the effect of stomach retention is achieved, and the preferred size of the composition provided by the disclosure is 10-24mm after water absorption and swelling.
The matrix forming agent disclosed by the disclosure is selected from one or more of Polyoxyethylene (PEO), polyvinyl acetate, polyvinylpyrrolidone, agar, gelatin, hyaluronic acid and hydrogenated castor oil, and is preferably polyoxyethylene.
The polyoxyethylene described in the present disclosure is selected from polyoxyethylene N10, polyoxyethylene N80, polyoxyethylene N750, polyoxyethylene 205, polyoxyethylene 1105, polyoxyethylene N60K, polyoxyethylene 301, polyoxyethylene coaglunt, polyoxyethylene 303, and preferably one or more of polyoxyethylene N80, polyoxyethylene N750, polyoxyethylene 205, and polyoxyethylene 301.
The sustained release composition for ticagrelor or a pharmaceutically acceptable salt thereof according to the present disclosure comprises the matrix forming agent in an amount of 10% to 45%, preferably 15% to 40%, most preferably 20% to 35% by weight of the total composition.
In the slow release composition of ticagrelor or pharmaceutically acceptable salts thereof, the gel forming agent in the slow release part is selected from one or more of hydroxypropyl methylcellulose, hydroxypropyl cellulose, methylcellulose, ethyl cellulose, hydroxymethyl cellulose, hydroxyethyl cellulose, polymethacrylic resin, acrylic resin, cross-linked polyvinylpyrrolidone, sodium alginate and commonly used alginate, chitosan, guar gum, stearic acid, stearyl alcohol and glyceryl monostearate, and is preferably hydroxypropyl methylcellulose. An optional range of viscosity for hydroxypropylmethylcellulose in a gel-forming agent of the present disclosure is 3-100000pa.s, optionally
The specific models comprise HPMC E3, HPMC E5, HPMC E15, HPMC E50LV, HPMC E4M, HPMC E10M, HPMC K100LV, HPMC K4M, HPMC K15M, HPMC K100M, HPMC A15LV, HPMC A4C, HPMC A15C and HPMC A4M, preferably HPMC K4M.
The sustained release composition of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure comprises 10% to 45%, preferably 15% to 40%, most preferably 20% to 35% of the gel forming agent by total weight of the composition.
The sustained-release pharmaceutical composition provided by the present disclosure can expand to a size of 9mm or more after entering into the body, and can be retained in the stomach for at least 6 hours, and the release time of the active pharmaceutical ingredient ticagrelor or pharmaceutically acceptable salt thereof in the body is above 12.
The slow release composition of ticagrelor or pharmaceutically acceptable salts thereof provided by the present disclosure has the active ingredient in the form of solid dispersion, wherein the carrier material of the solid dispersion includes but is not limited to one or more of poloxamer, povidone, copovidone, polyethylene glycol, acrylic resin and the like, preferably copovidone.
The present disclosure provides a pharmaceutical composition, wherein the mass ratio of ticagrelor or a pharmaceutically acceptable salt thereof to carrier in the components is 10:1-1:10, preferably 5:1-1:5, and most preferably 3:1-1: 3.
The solid dispersion of ticagrelor or a pharmaceutically acceptable salt thereof of the present disclosure can be prepared using conventional techniques, such as solvent methods, melt methods, solid phase deposition evaporation methods, spray drying methods, ball mill milling, and the like. The present disclosure preferably employs a spray drying method to prepare the solid dispersion, i.e., the drug and the carrier are dissolved in a suitable solvent, and then the solid dispersion is prepared by spray drying. Wherein the solvent is selected from absolute ethyl alcohol, acetone, ethyl acetate, dichloromethane and the like, and the solvent is further preferred to be absolute ethyl alcohol in the disclosure.
Since ticagrelor is almost insoluble in water, the ideal effect cannot be achieved according to the conventional process, and the drug is often too slowly or incompletely dissolved. In one embodiment of the present disclosure, the immediate release component has ticagrelor particles with a size range D (90) less than 50 microns, more preferably D (90) less than 30 microns.
The slow release composition of ticagrelor or pharmaceutically acceptable salts thereof provided by the present disclosure further comprises other excipients, specifically including diluents, glidants, lubricants and the like, wherein the diluents are selected from one or more of starch, pregelatinized starch, lactose, microcrystalline cellulose (MCC), mannitol, anhydrous calcium hydrogen phosphate and calcium hydrogen phosphate dihydrate, preferably microcrystalline cellulose.
The present disclosure provides sustained release compositions wherein the diluent is present in an amount of 10% to 80%, preferably 15% to 60%, most preferably 20% to 35% by weight of the total sustained release tablet weight.
Ticagrelor or pharmaceutically acceptable salt thereof provided by the present disclosureThe glidant in the salt slow-release composition is selected from talcum powder, stearic acid and silicon dioxide (SiO)2) Preferably silicon dioxide; the lubricant is selected from one or more of Magnesium Stearate (MS), sodium fumarate stearate and hydrogenated vegetable oil, and is preferably magnesium stearate.
The content of the glidant and the lubricant in the sustained-release composition of ticagrelor or pharmaceutically acceptable salt thereof provided by the present disclosure is 0.01-10%, preferably 0.5-5%, and most preferably 1.0-2% of the total weight of the sustained-release tablet.
The slow release composition of ticagrelor or pharmaceutically acceptable salts thereof provided by the present disclosure may, in one embodiment, be added with a bioadhesive material, and the specific bioadhesive material may be selected from carbomer, chitosan, thiolated chitosan, hydroxypropylmethylcellulose, polyacrylic resin, and the like.
The sustained-release composition provided by the disclosure is characterized in that the content of ticagrelor or a pharmaceutically acceptable salt thereof in a unit preparation is 45mg to 220mg, specifically 45mg, 55mg, 60mg, 65mg, 70mg, 75mg, 80mg, 85mg, 90mg, 93mg, 95mg, 100mg, 110mg, 120mg, 130mg, 140mg, 150mg, 160mg, 170mg, 180mg, 190mg, 200mg, 210mg, 220mg, preferably 93mg, 120mg, 140mg, 180mg, calculated on ticagrelor.
The sustained release compositions of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure can be tablets, optionally round tablets or other anisotropic tablets, such as oval, capsule, mallet, triangle, quadrilateral, pentagon, hexagon, and the like.
In one class of embodiments of the present disclosure, a sustained release composition of ticagrelor or a pharmaceutically acceptable salt thereof as described above achieves the effect of once-a-day administration.
In another class of embodiments of the present disclosure, there is provided a controlled release composition of ticagrelor or a pharmaceutically acceptable salt thereof that can comprise an immediate release component of ticagrelor or a pharmaceutically acceptable salt thereof in addition to the sustained release combination described above.
The immediate release component in the controlled release composition of ticagrelor or pharmaceutically acceptable salts thereof provided by the present disclosure optionally contains other excipients, specifically including diluents, disintegrants, glidants, lubricants and the like, wherein the diluents are selected from one or more of starch, pregelatinized starch, lactose, microcrystalline cellulose, mannitol, anhydrous calcium hydrogen phosphate and calcium hydrogen phosphate dihydrate; the glidant is selected from one or more of talcum powder, stearic acid and silicon dioxide; the lubricant is selected from one or more of magnesium stearate and sodium fumarate stearate; the disintegrating agent is selected from one or more of low-substituted hydroxypropyl cellulose, sodium carboxymethyl starch, cross-linked polyvinylpyrrolidone, cross-linked sodium carboxymethyl cellulose and dry starch.
In a preferred embodiment of the controlled release composition provided by the present disclosure, the sustained release component is free of the other excipients described above.
The weight ratio of ticagrelor or salt in the quick-release component and the sustained-release component in the controlled-release composition provided by the disclosure is 5:1 to 1:10, preferably 3:1 to 1:8, most preferably 1:1 to 1: 6.
Alternative embodiments of the controlled release compositions of ticagrelor or a pharmaceutically acceptable salt thereof provided with an immediate release component of the present disclosure are pellets, microcapsules, bi-layer tablets, or core-coated tablets.
In the present disclosure, the immediate release component may be added by means of a double-layer tablet compression, a core-coated tablet, a pellet coating, a film coating, a fluidized bed coating, etc., preferably a film coating, as desired.
In the present disclosure, when the quick-release component is added by coating, the coating material may be one or more selected from hydroxypropyl methylcellulose, polyethylene glycol, acacia, absolute ethanol, polyvinyl alcohol, gastric-soluble film coating powder, etc., preferably gastric-soluble film coating powder. The coating material may also be used in combination with other pharmaceutically acceptable anti-sticking agents, plasticizers, thickeners, colorants, anti-foaming agents, opacifiers, etc.
The sustained release compositions of ticagrelor provided by the present disclosure, when further comprising an immediate release component, the introduction of the immediate release component has a negligible effect on the size of the unit dosage form after swelling.
In the controlled release composition described in the present disclosure, the ratio of ticagrelor or a pharmaceutically acceptable salt thereof to the coating material in the immediate release component is 10:1 to 1:10, preferably 5:1 to 1:5, most preferably 2:1 to 1: 2.
The present disclosure provides a method for preparing the sustained-release composition or the sustained-release component in the controlled-release composition, which is selected from a method of wet granulation tabletting, dry granulation tabletting or powder direct tabletting, preferably a method of dry granulation tabletting.
The present disclosure provides a method for preparing the immediate release component of the controlled release composition, characterized in that the method is selected from the group consisting of bi-layer tablet compression, core-coated tablet, pellet coating, film coating, fluidized bed coating, preferably film coating.
The compositions (optionally controlled release compositions or sustained release compositions) of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure can be administered either on an empty stomach or after a meal, preferably after a meal.
The composition of ticagrelor or pharmaceutically acceptable salt thereof provided by the disclosure is administrated once a day, and can reach the market
The same effect was given twice daily.
Compositions of ticagrelor or a pharmaceutically acceptable salt thereof provided in the present disclosure have a delayed time to peak (Tmax) after a single administration, optionally a Tmax greater than 5h, preferably greater than 6 h.
Compositions of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure, with commercially available ticagrelor
Compared with the prior art, the area under the blood concentration curve (AUC) is close, and the peak concentration of the blood concentration is stable, so that the possibility of missed administration of a patient is reduced and the risk of embolism of the patient is reduced under the condition of ensuring equivalent bioavailability.
The ticagrelor or pharmaceutical salt composition provided by the disclosure has a simple preparation process and small individual difference of drug release in vivo.
Compositions of ticagrelor or a pharmaceutically acceptable salt thereof provided by the present disclosure, with commercially available ticagrelor
CompareThe inhibition rate of platelet aggregation is equivalent.
The "dimension" referred to in this disclosure corresponds to the longest linear dimension of the cross-section of the unit dosage form having the smallest area.