In general, attempts have been made to reduce a particle size to improve the bioavailability of poorly soluble drugs, but the decrease in the particle size of poorly soluble drugs and increase in bioavailability do not always show a correlation.
TricorTM tablets commercially available in the United States use nanometer-sized fenofibrate particles, as disclosed in WO2004/041250. However, the fabrication of nanometer-sized fenofibrate particles requires high energy, and the stability of the active ingredient may be degraded by heat, and the particles may easily form particle agglomerations due to high free energy. Therefore, the present inventors have made efforts to prepare fenofibrate particles which are prepared by finely pulverizing fenofibrate although not in nanometer size, but exhibit an excellent dissolution rate and excellent bioavailability.
As a result, the present inventors confirmed, through the Examples described below, that it is very important to select an appropriate fenofibrate particle size and, at the same time, use an appropriate amount of hydrophilic polymer in order to achieve the desired fenofibrate dissolution rate and bioavailability.
In Experimental Example 1, an experiment was conducted to observe a change in dissolution rate according to a particle size, and considering that the dissolution rate is 75% or more up to 60 minutes in Preparation Examples 2 and 3 having a fenofibrate particle size in which d(90) is 1 to 3 μm, it can be seen that the dissolution rate is similar to that of the TricorTM tablets.
In Experimental Example 2, a dissolution rate test for tablets of Preparation Examples 4 and 5 having different compositions from Preparation Examples 1 to 3 was performed, and considering that the dissolution rate of the tablet of Preparation Example 4 having a fenofibrate particle size in which d(90) is more than 3 μm is too low, it can be seen that tablets having a d(90) of more than 3 μm are not appropriate.
On the other hand, in the case of Preparation Example 5 having a fenofibrate particle size in which d(90) is 1 to 3 μm, although a dissolution rate is 70% or more up to 60 minutes, the maximum dissolution rate does not exceed 75%, which is probably because the content of a hydrophilic polymer is lower than that of the tablets of Preparation Examples 2 and 3.
Therefore, even when a fenofibrate have a particle size in which d(90) is 1 to 3 μm, when a hydrophilic polymer is not used, a dissolution rate is not sufficiently high, so it was determined that in order to improve the dissolution rate, it is necessary to use a specific amount of hydrophilic polymer or more.
Accordingly, the present inventors have found, through Preparation Examples 6 to 8 in which the content of the hydrophilic polymer was increased, that the hydrophilic polymer content condition resulting in a maximum dissolution rate of 75% or more was 0.25 to 0.8 parts by weight relative to 1 part by weight of the fenofibrate.
Accordingly, one aspect of the present invention provides a pharmaceutical composition comprising finely pulverized fenofibrate particles, a surfactant, and a hydrophilic polymer, wherein (a) the fenofibrate particles have a d(90) of 1 to 3 μm, and (b) the hydrophilic polymer is comprised in an amount of 0.25 to 0.8 parts by weight based on 1 part by weight of the fenofibrate.
In the pharmaceutical composition of the present invention, the d(90) of the fenofibrate particles may be 1 to 3 μm, for example, 1.1 to 2.9 μm, 1.2 to 2.8 μm, 1.3 to 2.7 μm, 1.4 to 2.6 μm, or 1.5 to 2.5 μm.
In another embodiment, the fenofibrate particles may have a d(50) of 0.5 μm or more. As described above, when the particle size of the fenofibrate particles is lowered to a nanometer level, since the stability of the active ingredient may be negatively affected, it is preferable that the fenofibrate particles used in the pharmaceutical composition of the present invention preferably have a d(50) of 0.5 μm or more. Although not limited thereto, the fenofibrate particles may have a d(50) of 0.5 to 1.2 μm. For example, the fenofibrate particles may have a d(50) of 0.6 to 1.1 μm.
For the same reason, the fenofibrate particles may have an average particle sizee of 0.7 to 1.4 μm. For example, the fenofibrate particles may have an average particle size of 0.8 to 1.3 μm. In the present specification, the average particle size is a volume- or mass-based average and refers to a volume weighted Mean D[4,3] value in each distribution plotted versus volume or mass.
In an embodiment of the present invention, the fenofibrate particles may have a d(90) of 1 μm to 3 μm, and at the same time have a d(50) of 0.5 μm to 1.2 μm or an average particle size of 0.7 μm to 1.4 μm, and the hydrophilic polymer may be comprised in an amount of 0.25 parts by weight to 0.8 parts by weight based on 1 part by weight of the fenofibrate.
Even though not specified as a specific example, when fenofibrate particles having d(90), d(50), and/or average particle size values within the above-exemplified ranges are used, a pharmaceutical composition desired in the present invention can be obtained.
Methods for finely pulverizing drug particles are well known in the art. For example, the particles can be pulverized using a conventional mill capable of pulverizing particles, such as a Z-mill, a hammer mill, a ball mill, or a fluid energy mill. In addition, a sieving method performed using a sieve or a size classification method such as an air current classification method may be used to further subdivide the size of drug particles. Methods for adjusting to a desired particle size are well known in the art. See, for example, the document: Pharmaceutical Dosage Forms:Volume 2, 2nd edition (Ed.): H. A. Lieberman, L. Lachman, J. B. Schwartz (Chapter 3: Size Reduction).
In this specification, a particle size of a drug may be represented based on a particle size distribution such as d(X) = Y (here, X and Y are positive numbers). d(X) = Y refers to the fact that, when a particle size distribution of a drug obtained by measuring a particle diameter of a certain drug in a formulation is represented as a cumulative curve, a point at which particle sizes accumulate in ascending order and the result reaches X% (% is calculated based on a number, a volume or a weight) has a particle diameter of Y. For example, d(10) represents a diameter of a particle at a point at which particle sizes of a drug accumulate in ascending order and the result reaches 10%. d(50) represents a diameter of a particle at a point at which particle sizes of a drug accumulate in ascending order and the result reaches 50%. d(90) represents a diameter of a particle at a point at which particle sizes of a drug accumulate in ascending order and the result reaches 90%.
In the present specification, d(X) can also be expressed as d(0.X), and d(X) and d(0.X) are used interchangeably. For example, d(50) is also expressed as d(0.5), and d(10) and d(90) are also expressed as d(0.1) and d(0.9), respectively.
Whether the cumulative percentage in d(X) in the particle size distribution is based on the number, volume, or weight of particles depends on a method used for measuring the particle size distribution. Methods for measuring the particle size distribution and types of % associated therewith are known in the art. For example, when the particle size distribution is measured by a well-known laser diffraction method, the value of X in d(X) represents a percentage calculated based on a volume-based average. A person skilled in the art is well aware, based on routine experimental experience, that the particle size distribution measurement results obtained by one method may be correlated with results obtained by other methods. For example, the laser diffraction method gives a volume-based average particle size because it is sensitive to the volume of particles, and the volume-based average particle size is equivalent to a weight-based average particle size when density is uniform.
In the present invention, the average particle size and particle size distribution of fenofibrate particles may be measured using a commercially available instrument according to a laser diffraction/scattering method based on the Mie theory. For example, the average particle size and particle size distribution are measured using a commercially available instrument such as a Mastersizer laser diffraction instrument manufactured by Malvern Panalytical Ltd. This instrument measures a particle diameter distribution as follows. When particles are irradiated with a helium-neon laser beam and light from a blue light-emitting diode, scattering occurs and a light scattering pattern appears on a detector, and by analyzing the light scattering pattern according to the Mie theory, the particle diameter distribution is obtained. The measurement method may be either a dry method or a wet method, but in the Examples described below, results measured by the wet method will be described.
In a pharmaceutical composition of the present invention, a hydrophilic polymer and a surfactant are essentially used to stabilize the finely pulverized fenofibrate.
In the present invention, the hydrophilic polymer serves to help the pulverization of fenofibrate and the redispersion of finely pulverized fenofibrate, and serves as a solubilizer capable of improving the dissolution rate of fenofibrate.
In one embodiment of the present invention, the hydrophilic polymer may be one or more selected from the group consisting of hypromellose, polyvinylpyrrolidone, polyethylene glycol, a vinylpyrrolidone/vinyl acetate copolymer, hydroxypropyl cellulose, hydroxyethyl cellulose, polyvinyl alcohol, and a methacrylate copolymer.
Although not limited thereto, in one exemplary embodiment of the present invention, the hydrophilic polymer may be hypromellose, polyvinylpyrrolidone, or a vinylpyrrolidone/vinyl acetate copolymer. In one exemplary embodiment of the present invention, the hydrophilic polymer may be hypromellose.
The surfactant serves to inhibit the agglomeration of finely pulverized fenofibrate and help redispersion. Increasing the surfactant content may be advantageous in terms of increasing the redispersion rate of fenofibrate pulverized to a micrometer or nanometer size, but since the increased use of surfactant may be harmful to the human body, it is better to use less surfactant.
In one embodiment of the present invention, the surfactant may be comprised in an amount of 0.02 to 0.12 parts by weight based on 1 part by weight of the fenofibrate. Compared to the previously reported fenofibrate compositions, the above surfactant content is significantly lower, which is advantageous in terms of safety for the human body.
In one embodiment of the present invention, the surfactant may be one or more selected from the group consisting of a docusate salt, a lauryl sulfate salt, sucrose, a stearate salt, a cetyltrimethylammonium salt, a fatty alcohol ethoxylate, a poloxamer, glycerol monostearate, glycerol monolaurate, sorbitan monolaurate, sorbitan monostearate, sorbitan monooleate, polyoxyethylene sorbitan monolaurate, polyoxyethylene sorbitan monostearate, and polyoxyethylene monooleate.
In one embodiment of the present invention, the surfactant may be sodium docusate and sodium lauryl sulfate. In one embodiment of the present invention, the surfactant may be sodium docusate, sodium lauryl sulfate and sucrose.
In one embodiment of the present invention, the fenofibrate dissolution rate of a pharmaceutical composition of the present invention up to, for example, 60 minutes may be 75% or more, for example, 80% or more.
The fenofibrate dissolution rate of a pharmaceutical composition of the present invention is approximately equivalent to the fenofibrate dissolution rate of a nanoparticulate fibrate formulation. Here, the nanoparticulate fibrate formulation is a product approved by a drug approval institution such as the FDA and the Ministry of Food and Drug Safety of Korea. For example, the fenofibrate dissolution rate of a pharmaceutical composition of the present invention is approximately equivalent to the fenofibrate dissolution rate of TricorTM.
In addition, the present invention provides a pharmaceutical composition, the fenofibrate of which has a biologically equivalent total integrated area under the plasma drug concentration-time curve (AUC) and peak plasma concentration (Cmax) to those of finely pulverized fenofibrate formulations having the same active ingredient content. In one embodiment, the present invention provides a pharmaceutical composition, the fenofibrate of which has a biologically equivalent AUC and Cmax to those of TricorTM tablets having the same active ingredient content.
Here, drug equivalence criteria may be used to determine whether the area under the concentration-time curve (AUC) and the maximum observed plasma concentration (C max) show a bioequivalence level. For example, when the area under the concentration-time curve (AUC) and the maximum observed plasma concentration (C max) of a reference drug and a test drug are log-transformed and statistically processed according to a bioequivalence test of drug equivalence test criteria of drug-related law, if two items are within log 0.8 to log 1.25 in a confidence interval of 90% of a difference of log-transformed average values, it is determined that the drug equivalence test is equivalent. However, as the guidelines for bioequivalence exception, it was determined as equivalent when both conditions are satisfied, 1) when a difference of log-transformed average values of comparison evaluation item values of the reference drug and the test drug is within log 0.9 to log 1.11, and 2) when a comparison dissolution test is performed according to drug equivalence test criteria, the results are equivalent under all defined conditions.
In the pharmaceutical composition of the present invention, no particular limitation is imposed on the fenofibrate content. For example, the pharmaceutical composition of the present invention may be formulated to contain fenofibrate in various amounts, for example, 48 mg, 120 mg, 130 mg, 145 mg, 160 mg, or the like per unit dose.
In one embodiment of the present invention, the pharmaceutical composition may contain 145 mg of fenofibrate.
In another embodiment of the present invention, the pharmaceutical composition may be in form of a tablet, a mini-tablet- and/or pellet-containing capsule.
The pharmaceutical composition of the present invention which comprises fenofibrate may be used for the treatment of primary hyperlipidemia: hypercholesterolemia (Type IIa), combined types of hypercholesterolemia and hypertriglyceridemia (Types IIb and III), and hypertriglyceridemia (Type IV).
In addition to the active ingredient, the pharmaceutical composition of the present invention comprises one or more additives.
A diluent increases the volume of a solid pharmaceutical composition so that patients and caregivers can easily handle a pharmaceutical formulation comprising the composition. Examples of diluents for solid compositions include microcrystalline cellulose, microfine cellulose, lactose, lactose hydrate, starch, pregelatinized starch, calcium carbonate, calcium sulfate, sugar, dextrate, dextrin, dextrose, dibasic calcium phosphate dihydrate, tribasic calcium phosphate, kaolin, magnesium carbonate, magnesium oxide, maltodextrin, mannitol, polymethacrylate (e.g., Eudragit®), potassium chloride, powdered cellulose, sodium chloride, sorbitol, and talc.
A solid pharmaceutical composition compressed into dosage forms such as tablets may include an additive that serves to help bind an active ingredient with excipients after compression. Examples of binders for solid pharmaceutical compositions include acacia, alginic acid, a carbomer (e.g., Carbopol), sodium carboxymethylcellulose, dextrin, ethyl cellulose, gelatin, guar gum, hydrogenated vegetable oil, hydroxyethyl cellulose, hydroxypropyl cellulose (e.g., Klucel®), hydroxypropylmethyl cellulose (e.g., Methocel®), liquid glucose, magnesium aluminum silicate, maltodextrin, methylcellulose, polymethacrylate, povidone (e.g., Kollidon®, Plasdone®), pregelatinized starch, sodium alginate, and starch.
A disintegrant may be added to the composition to increase the dissolution rate of the compressed solid pharmaceutical composition in the patient's stomach. Examples of disintegrants include hydroxypropyl cellulose, calcium carboxymethylcellulose, sodium carboxymethylcellulose (e.g., Ac-Di-Sol®, Primellose®), microcrystalline cellulose, methyl cellulose, powdered cellulose, colloidal silicon dioxide, croscarmellose sodium, crospovidone (e.g., Kollidon®, Polyplasdone®), guar gum, magnesium aluminum silicate, polacrilin potassium, pregelatinized starch, alginic acid, sodium alginate, sodium starch glycolate (e.g., Explotab®), and starch.
When compressing a powder composition to form a dosage form such as a tablet, the composition is pressed with a punch and a die. In this case, some excipients and active ingredients tend to adhere to a surface of the punch or die, and this may cause pitting and miscellaneous surface irregularities in the product. A lubricant may be added to the composition to reduce tackiness and facilitate the ejection of a product from a die. Examples of lubricants include stearate salts such as magnesium stearate, calcium stearate, aluminum stearate, and zinc stearate, glyceryl monostearate, glyceryl palmitostearate, hydrogenated castor oil, hydrogenated vegetable oil, mineral oil, polyethylene glycol, sodium benzoate, sodium lauryl sulfate, sodium stearyl fumarate, talc, and the like.
In order to improve storage stability, preservative and chelating agents such as alcohol, sodium benzoate, butylated hydroxytoluene, butylated hydroxyanisole, and ethylenediaminetetraacetic acid may be added in amounts that are safe for consumption.
The pharmaceutical composition of the present invention may be formulated as a tablet, and in this case, the composition may be coated with a coating agent when necessary.
Another aspect of the present invention provides a method of treating hyperlipidemia including administering the above-described pharmaceutical composition to a subject in need thereof, and a use of the composition for the manufacture of a medicament for treating hyperlipidemia.
In the present invention, the hyperlipidemia includes primary hyperlipidemia such as hypercholesterolemia (Type IIa), combined types of hypercholesterolemia and hypertriglyceridemia (Types IIb and III), and hypertriglyceridemia (Type IV), but the present invention is not limited thereto.
In the present invention, "subject" refers to a warm-blooded animal such as a mammal (e.g., human, orangutan, chimpanzee, mouse, rat, dog, cow, chicken, pig, goat, sheep) suffering from a specific disease or disorder, but the present invention is not limited to these examples.
In the present invention, "treatment" includes alleviating symptoms, temporarily or permanently eliminating the cause of symptoms, or preventing or slowing the onset of symptoms and the progression of a disease or a disorder, but the present invention is not limited thereto.
An "effective amount" of an active ingredient of the pharmaceutical composition of the present invention refers to an amount required to achieve the treatment of a disease. Therefore, the effective amount may be adjusted according to various factors including the type of disease, the severity of disease, the types and amounts of active ingredients and other ingredients comprised in the composition, the type of formulation, the age, weight, general health condition, and sex of the patient, diet, administration time, administration route, and the secretion rate of composition, duration of treatment, and concurrently used drugs. For example, the pharmaceutical composition of the present invention may be administered one to three times a day, and may be taken in an amount per dosage unit exemplified above, but the present invention is not limited thereto.