CA2709624A1 - Immediate release dosage form of bosentan and process of manufacturing such - Google Patents
Immediate release dosage form of bosentan and process of manufacturing such Download PDFInfo
- Publication number
- CA2709624A1 CA2709624A1 CA2709624A CA2709624A CA2709624A1 CA 2709624 A1 CA2709624 A1 CA 2709624A1 CA 2709624 A CA2709624 A CA 2709624A CA 2709624 A CA2709624 A CA 2709624A CA 2709624 A1 CA2709624 A1 CA 2709624A1
- Authority
- CA
- Canada
- Prior art keywords
- dosage form
- process according
- immediate release
- active ingredient
- oral pharmaceutical
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 238000000034 method Methods 0.000 title claims abstract description 70
- 239000002552 dosage form Substances 0.000 title claims abstract description 66
- 239000012729 immediate-release (IR) formulation Substances 0.000 title claims abstract description 52
- 229960003065 bosentan Drugs 0.000 title claims abstract description 24
- 238000004519 manufacturing process Methods 0.000 title claims abstract description 17
- GJPICJJJRGTNOD-UHFFFAOYSA-N bosentan Chemical compound COC1=CC=CC=C1OC(C(=NC(=N1)C=2N=CC=CN=2)OCCO)=C1NS(=O)(=O)C1=CC=C(C(C)(C)C)C=C1 GJPICJJJRGTNOD-UHFFFAOYSA-N 0.000 title abstract description 39
- 239000004480 active ingredient Substances 0.000 claims abstract description 57
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 33
- 238000004090 dissolution Methods 0.000 claims abstract description 23
- 238000000338 in vitro Methods 0.000 claims abstract description 6
- 150000003839 salts Chemical class 0.000 claims abstract description 5
- 239000000203 mixture Substances 0.000 claims description 42
- 239000011230 binding agent Substances 0.000 claims description 35
- 239000008187 granular material Substances 0.000 claims description 30
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 30
- 238000002156 mixing Methods 0.000 claims description 20
- 229940036810 bosentan monohydrate Drugs 0.000 claims description 18
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical group [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims description 18
- 238000012216 screening Methods 0.000 claims description 18
- 229920000881 Modified starch Polymers 0.000 claims description 17
- 239000000314 lubricant Substances 0.000 claims description 16
- 239000007884 disintegrant Substances 0.000 claims description 15
- 229920003109 sodium starch glycolate Polymers 0.000 claims description 14
- 229940079832 sodium starch glycolate Drugs 0.000 claims description 14
- 239000008109 sodium starch glycolate Substances 0.000 claims description 14
- 239000003085 diluting agent Substances 0.000 claims description 13
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinyl-2-pyrrolidone Chemical group C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 claims description 10
- 238000001035 drying Methods 0.000 claims description 10
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 10
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 10
- 238000005550 wet granulation Methods 0.000 claims description 10
- 239000012530 fluid Substances 0.000 claims description 9
- 235000019359 magnesium stearate Nutrition 0.000 claims description 9
- 229940069328 povidone Drugs 0.000 claims description 9
- 238000005469 granulation Methods 0.000 claims description 8
- 230000003179 granulation Effects 0.000 claims description 8
- 206010064911 Pulmonary arterial hypertension Diseases 0.000 claims description 7
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 7
- 238000007580 dry-mixing Methods 0.000 claims description 7
- 239000008213 purified water Substances 0.000 claims description 7
- 102000010180 Endothelin receptor Human genes 0.000 claims description 5
- 108050001739 Endothelin receptor Proteins 0.000 claims description 5
- 238000007906 compression Methods 0.000 claims description 5
- 230000006835 compression Effects 0.000 claims description 5
- 230000001404 mediated effect Effects 0.000 claims description 5
- 238000002360 preparation method Methods 0.000 claims description 5
- 150000004682 monohydrates Chemical group 0.000 claims description 3
- 230000002265 prevention Effects 0.000 claims description 3
- 159000000000 sodium salts Chemical class 0.000 claims description 2
- SXTRWVVIEPWAKM-UHFFFAOYSA-N bosentan hydrate Chemical group O.COC1=CC=CC=C1OC(C(=NC(=N1)C=2N=CC=CN=2)OCCO)=C1NS(=O)(=O)C1=CC=C(C(C)(C)C)C=C1 SXTRWVVIEPWAKM-UHFFFAOYSA-N 0.000 claims 7
- 239000000243 solution Substances 0.000 description 14
- 239000003826 tablet Substances 0.000 description 10
- 229920003081 Povidone K 30 Polymers 0.000 description 9
- 238000009472 formulation Methods 0.000 description 9
- 239000008194 pharmaceutical composition Substances 0.000 description 9
- 239000002245 particle Substances 0.000 description 7
- 239000013543 active substance Substances 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 239000003814 drug Substances 0.000 description 6
- 239000007787 solid Substances 0.000 description 6
- 239000006186 oral dosage form Substances 0.000 description 5
- UQSXHKLRYXJYBZ-UHFFFAOYSA-N Iron oxide Chemical compound [Fe]=O UQSXHKLRYXJYBZ-UHFFFAOYSA-N 0.000 description 4
- 239000008186 active pharmaceutical agent Substances 0.000 description 4
- 208000035475 disorder Diseases 0.000 description 4
- 150000001875 compounds Chemical class 0.000 description 3
- 239000007919 dispersible tablet Substances 0.000 description 3
- 239000002105 nanoparticle Substances 0.000 description 3
- 239000000843 powder Substances 0.000 description 3
- VBICKXHEKHSIBG-UHFFFAOYSA-N 1-monostearoylglycerol Chemical compound CCCCCCCCCCCCCCCCCC(=O)OCC(O)CO VBICKXHEKHSIBG-UHFFFAOYSA-N 0.000 description 2
- 229920002261 Corn starch Polymers 0.000 description 2
- 241000725303 Human immunodeficiency virus Species 0.000 description 2
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 2
- 208000020193 Pulmonary artery hypoplasia Diseases 0.000 description 2
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- -1 hydroxyethoxy side chain Chemical group 0.000 description 2
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 2
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 2
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 2
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 description 2
- 235000013980 iron oxide Nutrition 0.000 description 2
- HPHUVLMMVZITSG-ZCFIWIBFSA-N levetiracetam Chemical compound CC[C@H](C(N)=O)N1CCCC1=O HPHUVLMMVZITSG-ZCFIWIBFSA-N 0.000 description 2
- 229960004002 levetiracetam Drugs 0.000 description 2
- 239000011159 matrix material Substances 0.000 description 2
- 229940016286 microcrystalline cellulose Drugs 0.000 description 2
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 2
- 239000008108 microcrystalline cellulose Substances 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000000454 talc Substances 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 229940118436 tracleer Drugs 0.000 description 2
- URAYPUMNDPQOKB-UHFFFAOYSA-N triacetin Chemical compound CC(=O)OCC(OC(C)=O)COC(C)=O URAYPUMNDPQOKB-UHFFFAOYSA-N 0.000 description 2
- 229920003169 water-soluble polymer Polymers 0.000 description 2
- OKMWKBLSFKFYGZ-UHFFFAOYSA-N 1-behenoylglycerol Chemical compound CCCCCCCCCCCCCCCCCCCCCC(=O)OCC(O)CO OKMWKBLSFKFYGZ-UHFFFAOYSA-N 0.000 description 1
- IXPNQXFRVYWDDI-UHFFFAOYSA-N 1-methyl-2,4-dioxo-1,3-diazinane-5-carboximidamide Chemical compound CN1CC(C(N)=N)C(=O)NC1=O IXPNQXFRVYWDDI-UHFFFAOYSA-N 0.000 description 1
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 229920002785 Croscarmellose sodium Polymers 0.000 description 1
- 102000002045 Endothelin Human genes 0.000 description 1
- 108050009340 Endothelin Proteins 0.000 description 1
- 229940118365 Endothelin receptor antagonist Drugs 0.000 description 1
- 102100040611 Endothelin receptor type B Human genes 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 208000004248 Familial Primary Pulmonary Hypertension Diseases 0.000 description 1
- 229920002907 Guar gum Polymers 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- 235000019759 Maize starch Nutrition 0.000 description 1
- 206010039710 Scleroderma Diseases 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 235000021355 Stearic acid Nutrition 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 1
- 239000002535 acidifier Substances 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 239000000783 alginic acid Substances 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229960001126 alginic acid Drugs 0.000 description 1
- 150000004781 alginic acids Chemical class 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 235000010210 aluminium Nutrition 0.000 description 1
- 229940063655 aluminum stearate Drugs 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- FUFJGUQYACFECW-UHFFFAOYSA-L calcium hydrogenphosphate Chemical compound [Ca+2].OP([O-])([O-])=O FUFJGUQYACFECW-UHFFFAOYSA-L 0.000 description 1
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 1
- 239000008116 calcium stearate Substances 0.000 description 1
- 235000013539 calcium stearate Nutrition 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 238000013329 compounding Methods 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 208000018535 congenital human immunodeficiency virus Diseases 0.000 description 1
- 238000013270 controlled release Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 229940099112 cornstarch Drugs 0.000 description 1
- 229960001681 croscarmellose sodium Drugs 0.000 description 1
- 235000010947 crosslinked sodium carboxy methyl cellulose Nutrition 0.000 description 1
- 230000002498 deadly effect Effects 0.000 description 1
- 229940039227 diagnostic agent Drugs 0.000 description 1
- 239000000032 diagnostic agent Substances 0.000 description 1
- 235000019700 dicalcium phosphate Nutrition 0.000 description 1
- 229940095079 dicalcium phosphate anhydrous Drugs 0.000 description 1
- 235000014113 dietary fatty acids Nutrition 0.000 description 1
- 238000007907 direct compression Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 239000012738 dissolution medium Substances 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 229940126534 drug product Drugs 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 239000002308 endothelin receptor antagonist Substances 0.000 description 1
- ZUBDGKVDJUIMQQ-UBFCDGJISA-N endothelin-1 Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(O)=O)NC(=O)[C@H]1NC(=O)[C@H](CC=2C=CC=CC=2)NC(=O)[C@@H](CC=2C=CC(O)=CC=2)NC(=O)[C@H](C(C)C)NC(=O)[C@H]2CSSC[C@@H](C(N[C@H](CO)C(=O)N[C@@H](CO)C(=O)N[C@H](CC(C)C)C(=O)N[C@@H](CCSC)C(=O)N[C@H](CC(O)=O)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCC(O)=O)C(=O)N2)=O)NC(=O)[C@@H](CO)NC(=O)[C@H](N)CSSC1)C1=CNC=N1 ZUBDGKVDJUIMQQ-UBFCDGJISA-N 0.000 description 1
- MVPICKVDHDWCJQ-UHFFFAOYSA-N ethyl 3-pyrrolidin-1-ylpropanoate Chemical compound CCOC(=O)CCN1CCCC1 MVPICKVDHDWCJQ-UHFFFAOYSA-N 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 239000000194 fatty acid Substances 0.000 description 1
- 229930195729 fatty acid Natural products 0.000 description 1
- 150000004665 fatty acids Chemical class 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 238000011049 filling Methods 0.000 description 1
- 239000007888 film coating Substances 0.000 description 1
- 238000009501 film coating Methods 0.000 description 1
- 210000003736 gastrointestinal content Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 229940049654 glyceryl behenate Drugs 0.000 description 1
- 125000003976 glyceryl group Chemical group [H]C([*])([H])C(O[H])([H])C(O[H])([H])[H] 0.000 description 1
- 229940075507 glyceryl monostearate Drugs 0.000 description 1
- 239000001087 glyceryl triacetate Substances 0.000 description 1
- 235000013773 glyceryl triacetate Nutrition 0.000 description 1
- 239000000665 guar gum Substances 0.000 description 1
- 235000010417 guar gum Nutrition 0.000 description 1
- 229960002154 guar gum Drugs 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000012535 impurity Substances 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 235000001055 magnesium Nutrition 0.000 description 1
- 229940057948 magnesium stearate Drugs 0.000 description 1
- 239000001788 mono and diglycerides of fatty acids Substances 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 239000008203 oral pharmaceutical composition Substances 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 239000008188 pellet Substances 0.000 description 1
- 239000008177 pharmaceutical agent Substances 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 238000009700 powder processing Methods 0.000 description 1
- 201000008312 primary pulmonary hypertension Diseases 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 208000002815 pulmonary hypertension Diseases 0.000 description 1
- 238000009490 roller compaction Methods 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 235000010413 sodium alginate Nutrition 0.000 description 1
- 239000000661 sodium alginate Substances 0.000 description 1
- 229940005550 sodium alginate Drugs 0.000 description 1
- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 description 1
- 235000010234 sodium benzoate Nutrition 0.000 description 1
- 239000004299 sodium benzoate Substances 0.000 description 1
- 229940045902 sodium stearyl fumarate Drugs 0.000 description 1
- 229940032147 starch Drugs 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 239000007916 tablet composition Substances 0.000 description 1
- 239000004408 titanium dioxide Substances 0.000 description 1
- 229960002622 triacetin Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/2027—Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/205—Polysaccharides, e.g. alginate, gums; Cyclodextrin
- A61K9/2059—Starch, including chemically or physically modified derivatives; Amylose; Amylopectin; Dextrin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2095—Tabletting processes; Dosage units made by direct compression of powders or specially processed granules, by eliminating solvents, by melt-extrusion, by injection molding, by 3D printing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Epidemiology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
The present invention provides an immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient, and processes for manufacturing same, wherein the in vitro dissolution rate of the dosage form provides at least 90% dissolution of the active ingredient within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C. In particular, the immediate release oral pharmaceutical dosage forms of the present invention comprise bosentan, or pharmaceutically acceptable salts thereof, as the active ingredient.
Description
IMMEDIATE RELEASE DOSAGE FORM OF BOSENTAN AND PROCESS OF
MANUFACTURING SUCH
FIELD OF THE INVENTION
The present invention relates to an immediate release oral pharmaceutical dosage form containing a high dose of a poorly water-soluble active ingredient. In particular, the present invention is directed to immediate release dosage forms containing bosentan.
BACKGROUND OF THE INVENTION
The compound 4-tert-butyl-N-[6-(2-hydroxy-ethoxy)-5-(2-methoxy-phenoxy)-2-(pyrimidin-2-yl) pyrimidin-4-yl] benzenesulfonamide, also known as bosentan, is a dual endothelin receptor antagonist with affinity for both endothelin ETA and ETB
receptors useful for the treatment or prevention of endothelin-receptor mediated disorders, such as pulmonary arterial hypertension ("PAH") in individuals with World Health Organization functional Class III or IV primary pulmonary hypertension and pulmonary hypertension secondary to scleroderma or congenital heart disease or human immunodeficiency virus (HIV) patients.
The bosentan monohydrate molecule has the following chemical formula:
H3C `O NH O,CIi3 O
. I / O
3N \ /
` N O
OH
Bosentan monohydrate is poorly soluble in water (1.0 mg/100 ml). This leads to great difficulty in the formulation of immediate release dosage forms containing such an active ingredient. Poor water solubility and high dose content make it difficult to develop a robust formulation and manufacturing process.
Poor dissolution behaviour is observed for many water-insoluble drugs. Such low solubility and poor dissolution can often result in low bioavailability, particularly given limited transit times through the gastrointestinal tract.
MANUFACTURING SUCH
FIELD OF THE INVENTION
The present invention relates to an immediate release oral pharmaceutical dosage form containing a high dose of a poorly water-soluble active ingredient. In particular, the present invention is directed to immediate release dosage forms containing bosentan.
BACKGROUND OF THE INVENTION
The compound 4-tert-butyl-N-[6-(2-hydroxy-ethoxy)-5-(2-methoxy-phenoxy)-2-(pyrimidin-2-yl) pyrimidin-4-yl] benzenesulfonamide, also known as bosentan, is a dual endothelin receptor antagonist with affinity for both endothelin ETA and ETB
receptors useful for the treatment or prevention of endothelin-receptor mediated disorders, such as pulmonary arterial hypertension ("PAH") in individuals with World Health Organization functional Class III or IV primary pulmonary hypertension and pulmonary hypertension secondary to scleroderma or congenital heart disease or human immunodeficiency virus (HIV) patients.
The bosentan monohydrate molecule has the following chemical formula:
H3C `O NH O,CIi3 O
. I / O
3N \ /
` N O
OH
Bosentan monohydrate is poorly soluble in water (1.0 mg/100 ml). This leads to great difficulty in the formulation of immediate release dosage forms containing such an active ingredient. Poor water solubility and high dose content make it difficult to develop a robust formulation and manufacturing process.
Poor dissolution behaviour is observed for many water-insoluble drugs. Such low solubility and poor dissolution can often result in low bioavailability, particularly given limited transit times through the gastrointestinal tract.
-2-According to the World Standard Drug Database, the commercial available formulation of bosentan, marketed under the name Tracleer , has the following composition: bosentan (125 or 62.5 mg), corn starch, glyceryl behenate, magnesium stearate, povidone, pregelatinized starch and sodium starch glycolate; and film coating:
ethylcellulose, hydroxypropylmethylcellulose, iron oxide red, iron oxide yellow, talc, titanium dioxide and triacetin.
The preparation of bosentan is disclosed in the following patents: European Patent No. 0 526 708, Canadian Patent No. 2,071,193, United States Patent No.
5,292,740, Canadian Patent No. 2,397,258 and United States Patent No. 5,883,254.
Various techniques to prepare immediate release dosage forms of drug products such as bosentan have been described in the art.
For example, Canadian Patent Application No. 2,607,098, entitled "Dispersible tablet", discloses a dispersible tablet, wherein the monohydrate form of bosentan is used, for paediatric formulation. The tablet disintegrates completely in water at 15-22 C in 5 minutes or less. The dispersible tablets were obtained by using the method of direct compression.
International Patent Application Publication No. WO 2004/012700, entitled "Novel Dosage Form', discloses a dosage form comprising a high dose, high solubility active ingredient, as modified release and a low dose active ingredient as immediate release where the weight ratio of immediate release active ingredient and modified release active ingredient is from 1:10 to 1:15000 and the weight of modified release active ingredient per unit is from 500 mg to 1500 mg. A process for preparing the dosage form is also disclosed (bosentan is not exemplified).
The pharmaceutical industry employs various methods for compounding pharmaceutical agents into tablet formulations. Wet granulation methods are known in the art and have been described in detail by Dilip M. Parikh (Handbook of Pharmaceutical Granulation Technology, 2nd ed., 2005 ISBN: 0824726472). Wet granulation is one of the most prevalent methods, which can be used where the flow properties of a compound such as an active pharmaceutical ingredient ("API") are poor which result in content uniformity issues when formulated as a dry blend. Wet granulation is commonly used to improve the
ethylcellulose, hydroxypropylmethylcellulose, iron oxide red, iron oxide yellow, talc, titanium dioxide and triacetin.
The preparation of bosentan is disclosed in the following patents: European Patent No. 0 526 708, Canadian Patent No. 2,071,193, United States Patent No.
5,292,740, Canadian Patent No. 2,397,258 and United States Patent No. 5,883,254.
Various techniques to prepare immediate release dosage forms of drug products such as bosentan have been described in the art.
For example, Canadian Patent Application No. 2,607,098, entitled "Dispersible tablet", discloses a dispersible tablet, wherein the monohydrate form of bosentan is used, for paediatric formulation. The tablet disintegrates completely in water at 15-22 C in 5 minutes or less. The dispersible tablets were obtained by using the method of direct compression.
International Patent Application Publication No. WO 2004/012700, entitled "Novel Dosage Form', discloses a dosage form comprising a high dose, high solubility active ingredient, as modified release and a low dose active ingredient as immediate release where the weight ratio of immediate release active ingredient and modified release active ingredient is from 1:10 to 1:15000 and the weight of modified release active ingredient per unit is from 500 mg to 1500 mg. A process for preparing the dosage form is also disclosed (bosentan is not exemplified).
The pharmaceutical industry employs various methods for compounding pharmaceutical agents into tablet formulations. Wet granulation methods are known in the art and have been described in detail by Dilip M. Parikh (Handbook of Pharmaceutical Granulation Technology, 2nd ed., 2005 ISBN: 0824726472). Wet granulation is one of the most prevalent methods, which can be used where the flow properties of a compound such as an active pharmaceutical ingredient ("API") are poor which result in content uniformity issues when formulated as a dry blend. Wet granulation is commonly used to improve the
-3-processing characteristics of a powder blend, including improved flowability, content uniformity and more uniform particle size.
Canadian Patent Application No. 2,326,349, entitled "Process for the manufacture of (sub)micronized particles by dissolving in compressed gas and surfactants", describes the process for manufacturing a pulverous preparation of submicronized biologically active compounds (such as bosentan) using conventional powder processing techniques.
United States Patent Application 2006/0018934 to Vaya et at., issued January 26, 2006, entitled "Novel drug delivery system," discloses a novel modified release dosage form comprising a high solubility active ingredient, and optionally, another active ingredient as an immediate release form, as well as the process for preparing same.
Canadian Patent Application No. 2,603,316, entitled "Combined-step process for pharmaceutical compositions", relates to a process for the solid oral pharmaceutical formulation of the pharmaceutically active ingredient, levetiracetam. The process exemplified comprises a wet granulation of levetiracetam and simultaneous fluid bed drying such that it is simultaneously dried, thus preventing it from becoming a paste.
United States Patent Application 2008/0026062 to Farr et al., issued January 31, 2008, entitled "Pharmaceutical compositions including nano-sized active agent,"
describes a pharmaceutical composition which comprise a water-soluble or partially water-soluble polymer matrix; and a plurality of nano-sized particles of active agent which are sparingly water-soluble to water-insoluble dispersed in the water-soluble or partially water-soluble polymer matrix. The particulate pharmaceutical composition can be micronized or in the form of a film that can be rolled up. If micronized, the individual micron-sized particles can have a plurality of nano-sized particles present in the micron-sized particles.
Similarly, United States Patent Application 2008/0026040 to Farr et al., issued January 31, 2008, entitled "Active agent-releasing dosage forms," describes a pharmaceutical composition which is provided having a plurality of polymeric film layers heat sealed together as a multilayer structure and having an active agent dispersed within the multilayer structure. The multilayer structure is configured to release the active agent upon administration to a subject, either in a controlled release or immediate release manner.
Canadian Patent Application No. 2,326,349, entitled "Process for the manufacture of (sub)micronized particles by dissolving in compressed gas and surfactants", describes the process for manufacturing a pulverous preparation of submicronized biologically active compounds (such as bosentan) using conventional powder processing techniques.
United States Patent Application 2006/0018934 to Vaya et at., issued January 26, 2006, entitled "Novel drug delivery system," discloses a novel modified release dosage form comprising a high solubility active ingredient, and optionally, another active ingredient as an immediate release form, as well as the process for preparing same.
Canadian Patent Application No. 2,603,316, entitled "Combined-step process for pharmaceutical compositions", relates to a process for the solid oral pharmaceutical formulation of the pharmaceutically active ingredient, levetiracetam. The process exemplified comprises a wet granulation of levetiracetam and simultaneous fluid bed drying such that it is simultaneously dried, thus preventing it from becoming a paste.
United States Patent Application 2008/0026062 to Farr et al., issued January 31, 2008, entitled "Pharmaceutical compositions including nano-sized active agent,"
describes a pharmaceutical composition which comprise a water-soluble or partially water-soluble polymer matrix; and a plurality of nano-sized particles of active agent which are sparingly water-soluble to water-insoluble dispersed in the water-soluble or partially water-soluble polymer matrix. The particulate pharmaceutical composition can be micronized or in the form of a film that can be rolled up. If micronized, the individual micron-sized particles can have a plurality of nano-sized particles present in the micron-sized particles.
Similarly, United States Patent Application 2008/0026040 to Farr et al., issued January 31, 2008, entitled "Active agent-releasing dosage forms," describes a pharmaceutical composition which is provided having a plurality of polymeric film layers heat sealed together as a multilayer structure and having an active agent dispersed within the multilayer structure. The multilayer structure is configured to release the active agent upon administration to a subject, either in a controlled release or immediate release manner.
-4-International Patent Application Publication No. WO 2009/ 004374, entitled "Process for introduction of hydroxyethoxy side chain in bosentan", relates to an improved process for the preparation of Bosentan. In particular it relates to a process for preparing bosentan substantially free from impurities and to a pharmaceutical composition comprising bosentan and its use in the treatment of endothelin-receptor mediated disorders.
Bosentan monohydrate is currently being marketed as a tablet under the name Tracleer for the treatment of PAH, a deadly disease if untreated.
The need to use a high dose of a poorly water soluble active ingredient, such as bosentan, with an immediate release dosage form makes it very difficult to manufacture the product to obtain reproducible results.
Therefore, a need exists for a dosage form providing a highly insoluble drug in an immediate release dosage forms.
SUMMARY OF INVENTION
According to one aspect of the present invention, there is provided a formulation comprising a high dose of a poorly water soluble active ingredient, such as bosentan, which gives accurate dosing and immediate release dosage forms.
According to a further aspect of the present invention, there is provided a wet granulation process for preparing a novel granulate comprising a high dose of a poorly water soluble active ingredient, such as bosentan, that can be used in solid oral dosage forms such as immediate release tablets.
In a further aspect of the present invention there is provided an immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient wherein the in vitro dissolution rate of the dosage form provides at least 90% of the active ingredient dissolved within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1 % SDS at 37 C.
Bosentan monohydrate is currently being marketed as a tablet under the name Tracleer for the treatment of PAH, a deadly disease if untreated.
The need to use a high dose of a poorly water soluble active ingredient, such as bosentan, with an immediate release dosage form makes it very difficult to manufacture the product to obtain reproducible results.
Therefore, a need exists for a dosage form providing a highly insoluble drug in an immediate release dosage forms.
SUMMARY OF INVENTION
According to one aspect of the present invention, there is provided a formulation comprising a high dose of a poorly water soluble active ingredient, such as bosentan, which gives accurate dosing and immediate release dosage forms.
According to a further aspect of the present invention, there is provided a wet granulation process for preparing a novel granulate comprising a high dose of a poorly water soluble active ingredient, such as bosentan, that can be used in solid oral dosage forms such as immediate release tablets.
In a further aspect of the present invention there is provided an immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient wherein the in vitro dissolution rate of the dosage form provides at least 90% of the active ingredient dissolved within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1 % SDS at 37 C.
-5-There is further provided a process for the manufacturing of an immediate release oral pharmaceutical dosage form comprising a high dose of poorly water soluble active ingredient, preferably bosentan monohydrate, comprising the following steps:
(1) screening the active ingredient and one or more pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(1) screening the active ingredient and one or more pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5);
(7) screening the granules obtained from step (6);
(8) adding pharmaceutically acceptable excipients to the granules of step (7);
(9) mixing the mixture of step (8) using a suitable blender;
(10) compressing the content of step (9).
The present invention is further related to the use of said dosage form for the treatment or prevention of endothelin-receptor mediated disorder, wherein the disorder is pulmonary arterial hypertension.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to an immediate release oral pharmaceutical dosage form of a high dose, poorly water-soluble active ingredient. The process for manufacturing the immediate release oral pharmaceutical dosage form of the present invention utilizes a wet granulation step and a fluid bed drying step in order to prepare good granules with excellent flow properties and desired dissolution profiles.
The term "immediate release" as used herein in relation to the compositions according to the present invention, or used in any other context herein, means release which is not a modified release and releases 90%, or more, of the active ingredient within 30 minutes. The term "immediate release dosage form' as used herein can be described as a dosage form which allows the drug to dissolve in the gastrointestinal contents, with no intention of delaying or prolonging the dissolution or absorption of the drug (as per US
FDA guideline for "SUPAC-MR : Modified Release Solid Oral Dosage Forms").
The term "dosage form" is intended to denote any form of the formulation that contains an amount sufficient to achieve a therapeutic effect with a single administration.
The term "active ingredient" refers to an Active Pharmaceutical Ingredients (API) which are active chemicals used in the manufacturing of drugs. The active agent can be a therapeutic, a prophylactic, or a diagnostic agent. These terms of art are well-known to the person skilled in the pharmaceutical and medicinal arts.
The term "high dose" as used herein refers to the percentage by weight of active ingredient present in the dosage form. In the preferred embodiments of the present invention, the high dose immediate release pharmaceutical dosage form comprises more than about 70% by weight of the active ingredient.
In a preferred embodiment of the present invention, the active ingredient in the dosage form is bosentan monohydrate or a pharmaceutically acceptable salt thereof.
In addition to the active ingredient, the pharmaceutical composition of the present invention contains pharmaceutically acceptable excipients added to the composition for a variety of purposes. One or more pharmaceutically acceptable excipients may be present in the composition of the present invention, such as for example, diluents, binders, lubricants, disintegrants, glidants, and acidifying agents. As understood by a person skilled in the art, these excipients are conventional excipients which are well known in the pharmaceutical art.
Suitable diluents include, for example, pharmaceutically acceptable inert fillers such as microcrystalline cellulose, lactose, pregelatinized starch, dibasic calcium phosphate, saccharides, and/or mixtures of the foregoing.
Solid pharmaceutical compositions that are compacted into a dosage form, such as a tablet, may include excipients whose functions include helping to bind the active ingredient and excipients together before compression. These excipients are referred to as binders.
Suitable binders include, for example, starch, povidone, hydroxypropylmethylcellulose, pregelatinized starch, hydroxypropylcellulose and/or mixtures of the foregoing.
The preferred lubricants to be used according to the present invention, include the following: magnesium, aluminum or calcium stearate, stearic acid, sodium stearyl fumarate, talc, sodium benzoate, glyceryl mono fatty acid, glyceryl monostearate, and mixtures thereof.
The dissolution rate of a compacted solid pharmaceutical composition in the patient's stomach may be increased by the addition of a disintegrant to the composition.
Suitable disintegrants according to the present invention include, for example, croscarmellose sodium, sodium starch glycolate, maize starch, CMC-Ca, CMC-Na, microcrystalline cellulose, cross-linked PVP, alginic acid, sodium alginate, pregelatinized starch and guar gum.
A composition for tabletting or capsule filling may be prepared by wet granulation.
In wet granulation, the active ingredient and excipients in powder form are blended and then further mixed in the presence of a liquid, typically water, that causes the powders to clump into granules. The granules are screened and/or milled, dried and then screened and/or milled to the desired particle size. The granules may then be compressed into tablets, or other excipients may be added prior to tabletting, such as a glidant and/or a lubricant.
In a preferred embodiment of the present invention, the immediate release oral pharmaceutical dosage form comprises a high dose of bosentan monohydrate as the active ingredient (a poorly water soluble active ingredient) or a pharmaceutically acceptable salt thereof, and the following pharmaceutically acceptable excipients:
pregelatinized starch, povidone K-30, sodium starch glycolate and magnesium stearate.
Oral dosage forms which may be employed with the present invention include granules, spheroids or pellets in a capsule or in any other suitable solid form. Preferably, however the oral dosage form is a tablet.
The oral dosage form preferably contains a dose of about 125 mg of bosentan monohydrate. Alternatively, the dosage form may contain molar equivalent amounts of other pharmaceutically acceptable bosentan salts.
The granules can be manufactured in accordance with conventional techniques in which the active ingredient and other pharmaceutically acceptable excipients are mixed and granulated by adding solution of binder in a low or high shear mixer or by fluidized bed granulation. The granules are then dried, preferably in a fluidized bed dryer.
The dried granules are sieved and mixed with lubricants and disintegrants.
Alternatively, the manufacture of granules can be made by direct mixing of the directly compressible excipients or by roller compaction.
Bosentan monohydrate is poorly soluble in water (1.0 mg/100 ml) and poorly soluble in aqueous solutions at low pH, particularly when present at a high dose.
Notwithstanding this, the present invention was able to obtain an immediate release dosage form using a wet granulation process to obtain good granules and flow properties.
Povidone K-30 plays a very important role as binder used in solution in order to get good granules when used in the range of about 2 to about 10 % w/w of the composition.
In one embodiment of the present invention, there is provided an immediate release oral pharmaceutical dosage form of a high dose poorly soluble active ingredient, wherein the in vitro dissolution rate of the dosage form provides at least 90% of the active ingredient dissolved within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1 % SDS at 37 C.
In another embodiment of the present invention, there is provided an immediate release oral pharmaceutical dosage form of', a high dose poorly soluble active ingredient, wherein said active ingredient is fully dissolved within 45 minutes as measured by USP
Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37 C.
In one embodiment of the present invention, the process for manufacturing an oral pharmaceutical dosage form containing a high dose of a poorly water soluble active ingredient in an immediate release form comprises the following steps:
(1) screening the active ingredient and pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5);
(7) screening the granules obtained from step (6);
(8) adding to the granules of step (7) pharmaceutically acceptable excipients;
(9) mixing the mixture of step (8) using a suitable blender; and (10) compressing the content of step (9).
In a preferred embodiment of the present invention, the active ingredients and pharmaceutically acceptable excipients for use in step (1) are the following:
bosentan or a pharmaceutically acceptable salt, such as the sodium salt (t he active ingredient) and a diluent, a binder and a disintegrant (the pharmaceutically acceptable excipients).
Preferably, the bosentan is in the monohydrate form, and the diluent is pregelatinized starch, the binder is povidone K-30, and the disintegrant is sodium starch glycolate.
In one embodiment, the content of step (1) is passed through a 20 mesh manual screen and then dry mixed in small high shear for 3 minutes (step (2)). The binder solution is prepared by adding povidone K-30 to purified water and mixing for 30 minutes or until a clear solution is obtained. In step (6), the wet mass is dried in a small fluid bed dryer for a period of about 45 minutes. In step (7) the granules obtained from step (6) are passed through 0.045 inches comill screen at low speed, wherein pregelatinized starch and sodium starch glycolate are added to said granules and mixed for 2 minutes using a suitable blender (steps (8) and (9)), then a lubricant, such as magnesium stearate, is passed through a 40 mesh manual screen and added and mixed with the mixture obtained from step (9), prior to compression (step (10).
In a further embodiment, the process for preparing the immediate release oral pharmaceutical dosage form containing a high does of bosentan monohydrate comprises the following steps:
(1) screening bosentan monohydrate and pregelatinized starch, povidone K-30 and sodium starch glycolate through a 20 mesh manual screen;
(2) dry mixing the content of step (1) in a small high shear for 3 minutes;
(3) preparing a binder solution by adding povidone K-30 to a sufficient quantity of purified water and mixing for 30 minutes or until a clear solution is obtained;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5) in a small fluid bed for a period of about 45 minutes;
(7) screening the granules obtained from step (6);
(8) adding pregelatinized starch and sodium starch glycolate to the granules of step (7);
(9) mixing the mixture obtained from step (8) for 2 minutes using a suitable blender;
(10) screening magnesium stearate through a 40 mesh manual screen;
The present invention is further related to the use of said dosage form for the treatment or prevention of endothelin-receptor mediated disorder, wherein the disorder is pulmonary arterial hypertension.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to an immediate release oral pharmaceutical dosage form of a high dose, poorly water-soluble active ingredient. The process for manufacturing the immediate release oral pharmaceutical dosage form of the present invention utilizes a wet granulation step and a fluid bed drying step in order to prepare good granules with excellent flow properties and desired dissolution profiles.
The term "immediate release" as used herein in relation to the compositions according to the present invention, or used in any other context herein, means release which is not a modified release and releases 90%, or more, of the active ingredient within 30 minutes. The term "immediate release dosage form' as used herein can be described as a dosage form which allows the drug to dissolve in the gastrointestinal contents, with no intention of delaying or prolonging the dissolution or absorption of the drug (as per US
FDA guideline for "SUPAC-MR : Modified Release Solid Oral Dosage Forms").
The term "dosage form" is intended to denote any form of the formulation that contains an amount sufficient to achieve a therapeutic effect with a single administration.
The term "active ingredient" refers to an Active Pharmaceutical Ingredients (API) which are active chemicals used in the manufacturing of drugs. The active agent can be a therapeutic, a prophylactic, or a diagnostic agent. These terms of art are well-known to the person skilled in the pharmaceutical and medicinal arts.
The term "high dose" as used herein refers to the percentage by weight of active ingredient present in the dosage form. In the preferred embodiments of the present invention, the high dose immediate release pharmaceutical dosage form comprises more than about 70% by weight of the active ingredient.
In a preferred embodiment of the present invention, the active ingredient in the dosage form is bosentan monohydrate or a pharmaceutically acceptable salt thereof.
In addition to the active ingredient, the pharmaceutical composition of the present invention contains pharmaceutically acceptable excipients added to the composition for a variety of purposes. One or more pharmaceutically acceptable excipients may be present in the composition of the present invention, such as for example, diluents, binders, lubricants, disintegrants, glidants, and acidifying agents. As understood by a person skilled in the art, these excipients are conventional excipients which are well known in the pharmaceutical art.
Suitable diluents include, for example, pharmaceutically acceptable inert fillers such as microcrystalline cellulose, lactose, pregelatinized starch, dibasic calcium phosphate, saccharides, and/or mixtures of the foregoing.
Solid pharmaceutical compositions that are compacted into a dosage form, such as a tablet, may include excipients whose functions include helping to bind the active ingredient and excipients together before compression. These excipients are referred to as binders.
Suitable binders include, for example, starch, povidone, hydroxypropylmethylcellulose, pregelatinized starch, hydroxypropylcellulose and/or mixtures of the foregoing.
The preferred lubricants to be used according to the present invention, include the following: magnesium, aluminum or calcium stearate, stearic acid, sodium stearyl fumarate, talc, sodium benzoate, glyceryl mono fatty acid, glyceryl monostearate, and mixtures thereof.
The dissolution rate of a compacted solid pharmaceutical composition in the patient's stomach may be increased by the addition of a disintegrant to the composition.
Suitable disintegrants according to the present invention include, for example, croscarmellose sodium, sodium starch glycolate, maize starch, CMC-Ca, CMC-Na, microcrystalline cellulose, cross-linked PVP, alginic acid, sodium alginate, pregelatinized starch and guar gum.
A composition for tabletting or capsule filling may be prepared by wet granulation.
In wet granulation, the active ingredient and excipients in powder form are blended and then further mixed in the presence of a liquid, typically water, that causes the powders to clump into granules. The granules are screened and/or milled, dried and then screened and/or milled to the desired particle size. The granules may then be compressed into tablets, or other excipients may be added prior to tabletting, such as a glidant and/or a lubricant.
In a preferred embodiment of the present invention, the immediate release oral pharmaceutical dosage form comprises a high dose of bosentan monohydrate as the active ingredient (a poorly water soluble active ingredient) or a pharmaceutically acceptable salt thereof, and the following pharmaceutically acceptable excipients:
pregelatinized starch, povidone K-30, sodium starch glycolate and magnesium stearate.
Oral dosage forms which may be employed with the present invention include granules, spheroids or pellets in a capsule or in any other suitable solid form. Preferably, however the oral dosage form is a tablet.
The oral dosage form preferably contains a dose of about 125 mg of bosentan monohydrate. Alternatively, the dosage form may contain molar equivalent amounts of other pharmaceutically acceptable bosentan salts.
The granules can be manufactured in accordance with conventional techniques in which the active ingredient and other pharmaceutically acceptable excipients are mixed and granulated by adding solution of binder in a low or high shear mixer or by fluidized bed granulation. The granules are then dried, preferably in a fluidized bed dryer.
The dried granules are sieved and mixed with lubricants and disintegrants.
Alternatively, the manufacture of granules can be made by direct mixing of the directly compressible excipients or by roller compaction.
Bosentan monohydrate is poorly soluble in water (1.0 mg/100 ml) and poorly soluble in aqueous solutions at low pH, particularly when present at a high dose.
Notwithstanding this, the present invention was able to obtain an immediate release dosage form using a wet granulation process to obtain good granules and flow properties.
Povidone K-30 plays a very important role as binder used in solution in order to get good granules when used in the range of about 2 to about 10 % w/w of the composition.
In one embodiment of the present invention, there is provided an immediate release oral pharmaceutical dosage form of a high dose poorly soluble active ingredient, wherein the in vitro dissolution rate of the dosage form provides at least 90% of the active ingredient dissolved within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1 % SDS at 37 C.
In another embodiment of the present invention, there is provided an immediate release oral pharmaceutical dosage form of', a high dose poorly soluble active ingredient, wherein said active ingredient is fully dissolved within 45 minutes as measured by USP
Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37 C.
In one embodiment of the present invention, the process for manufacturing an oral pharmaceutical dosage form containing a high dose of a poorly water soluble active ingredient in an immediate release form comprises the following steps:
(1) screening the active ingredient and pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5);
(7) screening the granules obtained from step (6);
(8) adding to the granules of step (7) pharmaceutically acceptable excipients;
(9) mixing the mixture of step (8) using a suitable blender; and (10) compressing the content of step (9).
In a preferred embodiment of the present invention, the active ingredients and pharmaceutically acceptable excipients for use in step (1) are the following:
bosentan or a pharmaceutically acceptable salt, such as the sodium salt (t he active ingredient) and a diluent, a binder and a disintegrant (the pharmaceutically acceptable excipients).
Preferably, the bosentan is in the monohydrate form, and the diluent is pregelatinized starch, the binder is povidone K-30, and the disintegrant is sodium starch glycolate.
In one embodiment, the content of step (1) is passed through a 20 mesh manual screen and then dry mixed in small high shear for 3 minutes (step (2)). The binder solution is prepared by adding povidone K-30 to purified water and mixing for 30 minutes or until a clear solution is obtained. In step (6), the wet mass is dried in a small fluid bed dryer for a period of about 45 minutes. In step (7) the granules obtained from step (6) are passed through 0.045 inches comill screen at low speed, wherein pregelatinized starch and sodium starch glycolate are added to said granules and mixed for 2 minutes using a suitable blender (steps (8) and (9)), then a lubricant, such as magnesium stearate, is passed through a 40 mesh manual screen and added and mixed with the mixture obtained from step (9), prior to compression (step (10).
In a further embodiment, the process for preparing the immediate release oral pharmaceutical dosage form containing a high does of bosentan monohydrate comprises the following steps:
(1) screening bosentan monohydrate and pregelatinized starch, povidone K-30 and sodium starch glycolate through a 20 mesh manual screen;
(2) dry mixing the content of step (1) in a small high shear for 3 minutes;
(3) preparing a binder solution by adding povidone K-30 to a sufficient quantity of purified water and mixing for 30 minutes or until a clear solution is obtained;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5) in a small fluid bed for a period of about 45 minutes;
(7) screening the granules obtained from step (6);
(8) adding pregelatinized starch and sodium starch glycolate to the granules of step (7);
(9) mixing the mixture obtained from step (8) for 2 minutes using a suitable blender;
(10) screening magnesium stearate through a 40 mesh manual screen;
(11) mixing the content obtained from step (9) with the content from step (10) for 3 min using a suitable blender; and
(12) compressing the content obtained from step (11).
The following example illustrates the preferred embodiment and various aspects of the present invention.
Example 1 Immediate Release Dosage Form of Bosentan According to a Preferred Embodiment of the Present Invention The required quantities of bosentan monohydrate, pregelatinized starch, povidone and sodium starch glycolate are passed through a 20 mesh manual screen and then the content is dry mixed in a small high shear for.3 minutes.
The binder solution is prepared by adding povidone K-30 to a sufficient quantity of purified water and mixing for 30 minutes or until a clear solution is obtained.
The binder solution is then added to the dry blend mixture followed by granulation.
The wet mass of obtained granules are then dried in a small fluid bed for a period of about 45 minutes and then passed through 0.045 inches co-mill screen at low speed.
The required quantity of pregelatinized starch and sodium starch glycolate are added to obtain granules and mixed for 2 minutes using a suitable blender.
The granulate is then lubricated by mixing the required quantity of magnesium stearate, which is screened through a 40 mesh manual screen, then added to the obtained mixture, and mixed for 3 min using a suitable blender prior to compression.
The tablets are compressed on a suitable tabletting machine.
The formulation of Example 1 is set out in Table 1 below.
Table 1- Formulation According to the Preferred Embodiment Name of Ingredients No. Intra-granular components % w/w mg/tablet 1. bosentan monohydrate 73.53 125.0 2. pregelatinized starch 9.97 16.949 3. povidone K-30 3.0 5.1 4. povidone K-30 3.0 5.1 5. sodium starch glycolate 5.0 8.5 Extra-granular components 6. pregelatinized starch 5.0 8.5 7. magnesium stearate 0.5 0.85 The tablets obtained from Example 1 were subsequently tested for in vitro dissolution rate, measured by Apparatus II (USP Paddle Method), using the following parameters:
o Speed: 50 rpm o Media: purified with 1 % SDS
o Dissolution medium (buffer) - 900m1 o Temperature: 37 C.
The dissolution results are set out in Table 2 below.
Table 2 - Dissolution Rate of Bosentan Monohydrate Formulation of Example 1 Time (min) Reference product Tablets from (% dissolved) Example I
(% dissolved)
The following example illustrates the preferred embodiment and various aspects of the present invention.
Example 1 Immediate Release Dosage Form of Bosentan According to a Preferred Embodiment of the Present Invention The required quantities of bosentan monohydrate, pregelatinized starch, povidone and sodium starch glycolate are passed through a 20 mesh manual screen and then the content is dry mixed in a small high shear for.3 minutes.
The binder solution is prepared by adding povidone K-30 to a sufficient quantity of purified water and mixing for 30 minutes or until a clear solution is obtained.
The binder solution is then added to the dry blend mixture followed by granulation.
The wet mass of obtained granules are then dried in a small fluid bed for a period of about 45 minutes and then passed through 0.045 inches co-mill screen at low speed.
The required quantity of pregelatinized starch and sodium starch glycolate are added to obtain granules and mixed for 2 minutes using a suitable blender.
The granulate is then lubricated by mixing the required quantity of magnesium stearate, which is screened through a 40 mesh manual screen, then added to the obtained mixture, and mixed for 3 min using a suitable blender prior to compression.
The tablets are compressed on a suitable tabletting machine.
The formulation of Example 1 is set out in Table 1 below.
Table 1- Formulation According to the Preferred Embodiment Name of Ingredients No. Intra-granular components % w/w mg/tablet 1. bosentan monohydrate 73.53 125.0 2. pregelatinized starch 9.97 16.949 3. povidone K-30 3.0 5.1 4. povidone K-30 3.0 5.1 5. sodium starch glycolate 5.0 8.5 Extra-granular components 6. pregelatinized starch 5.0 8.5 7. magnesium stearate 0.5 0.85 The tablets obtained from Example 1 were subsequently tested for in vitro dissolution rate, measured by Apparatus II (USP Paddle Method), using the following parameters:
o Speed: 50 rpm o Media: purified with 1 % SDS
o Dissolution medium (buffer) - 900m1 o Temperature: 37 C.
The dissolution results are set out in Table 2 below.
Table 2 - Dissolution Rate of Bosentan Monohydrate Formulation of Example 1 Time (min) Reference product Tablets from (% dissolved) Example I
(% dissolved)
Claims (55)
1. An immediate release oral pharmaceutical dosage form comprising:
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the in vitro dissolution rate of the dosage form provides at least 90%
dissolution of the poorly water soluble active ingredient within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the in vitro dissolution rate of the dosage form provides at least 90%
dissolution of the poorly water soluble active ingredient within 30 minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
2. The immediate release oral pharmaceutical dosage form according to claim 1, wherein the poorly water soluble active ingredient is bosentan or a pharmaceutically acceptable salt thereof.
3. The immediate release oral pharmaceutical dosage form according to claim 2, wherein the bosentan is in monohydrate form.
4. The immediate release oral pharmaceutical dosage form according to any one of claims 2 or 3, wherein the poorly water soluble active ingredient is in the form of its sodium salt.
5. The immediate release oral pharmaceutical dosage form according to any one of claims 1 to 4, wherein the poorly water soluble active ingredient is present at an amount greater than about 70% by weight of the dosage form.
6. The immediate release oral pharmaceutical dosage form according to any one of claims 1 to 5, wherein the poorly water soluble active ingredient is present in a dose of about 125 mg.
7. The immediate release oral pharmaceutical dosage form according to any one of claims 1 to 6, for use in the treatment of pulmonary arterial hypertension.
8. The immediate release oral pharmaceutical dosage form according to any one of claims 1 to 7, wherein the pharmaceutically acceptable excipients comprise a diluent, a binder, a disintegrant and a lubricant.
9. The immediate release oral pharmaceutical dosage form according to claim 8, wherein the diluent is pregelatinized starch.
10. The immediate release oral pharmaceutical dosage form according to claim 8, wherein the binder is povidone.
11. The immediate release oral pharmaceutical dosage form according to claim 8, wherein the disintegrant is sodium starch glycolate.
12. The immediate release oral pharmaceutical dosage form according to claim 8, wherein the lubricant is magnesium stearate.
13. The immediate release oral pharmaceutical dosage form according to claim 10, wherein the povidone is present in the immediate release oral pharmaceutical dosage form at an amount ranging from about 2 to about 10 % by weight of the dosage form.
14. An immediate release oral pharmaceutical dosage form comprising:
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the poorly water soluble active ingredient is fully dissolved within minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the poorly water soluble active ingredient is fully dissolved within minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
15. An immediate release oral pharmaceutical dosage form comprising:
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the poorly water soluble active ingredient is fully dissolved within minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
a high dose of a poorly water soluble active ingredient; and one or more pharmaceutically acceptable excipients;
wherein the poorly water soluble active ingredient is fully dissolved within minutes as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C.
16. A process for the preparation of an immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient, wherein the process comprises the following steps:
(1) screening the active ingredient and one or more pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5);
(7) screening the granules obtained from step (6);
(8) adding pharmaceutically acceptable excipients to the granules of step (7);
(9) mixing the mixture of step (8) using a suitable blender;
(10) compressing the content of step (9).
(1) screening the active ingredient and one or more pharmaceutically acceptable excipients;
(2) dry mixing the content of step (1);
(3) preparing a binder solution;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5);
(7) screening the granules obtained from step (6);
(8) adding pharmaceutically acceptable excipients to the granules of step (7);
(9) mixing the mixture of step (8) using a suitable blender;
(10) compressing the content of step (9).
17. The process according to claim 16, wherein the active ingredient is bosentan monohydrate.
18. The process according to any one of claims 16 and 17, wherein the pharmaceutically acceptable excipients of step (1) comprise a diluent, a binder, and a disintegrant.
19. The process according to claim 18, wherein the diluent is pregelatinized starch.
20. The process according to claim 18, wherein the binder is povidone.
21. The process according to claim 18, wherein the disintegrant is sodium starch glycolate.
22. The process according to any one of claims 16 to 21, wherein step (1) further comprises screening the active ingredient and the pharmaceutically acceptable excipients through a 20 mesh manual screen.
23. The process according to any one of claims 16 to 22, wherein step (2) further comprises dry mixing the content of step (1) in small high shear for about 3 minutes.
24. The process according to any one of claims 16 to 23, wherein step (3) further comprises preparing the binder solution by adding a binder to a sufficient quantity of purified water and mixing.
25. The process according to claim 24, wherein the binder of step (3) is povidone.
26. The process according to any one of claims 24 and 25, wherein the binder solution is prepared by mixing the binder and purified water for about 30 minutes or until a clear solution is obtained.
27. The process according to any one of claims 16 to 26, wherein step (6) further comprises drying the wet mass in a small fluid bed dryer for a period of about 45 minutes.
28. The process according to any one of claims 16 to 27, wherein step (7) further comprises screening the granules obtained from step (6) through a 0.045 inches comill screen at low speed.
29. The process according to any one of claims 16 to 28, wherein the pharmaceutically acceptable excipients added to the granules of step (7) comprise a diluent and a disintegrant.
30. The process according to claim 29, wherein the diluent is pregelatinized starch.
31. The process according to claim 29, wherein the disintegrant is sodium starch glycolate.
32. The process according to any one of claims 16 to 31, wherein step (9) further comprises mixing the mixture of step (8) for about 2 minutes using a suitable blender.
33. The process according to any one of claims 16 to 32, wherein a lubricant is added and mixed with mixture obtained from step (9), prior to step (10), compression.
34. The process according to claim 33, wherein the process further comprises screening the lubricant with a 40 mesh manual screen prior to being added to the mixture obtained from step (9), followed by mixing the lubricant and the mixture obtained from step (9) for about 3 minutes using a suitable blender, prior to step (10), compression.
35. The process according to any one of claims 33 and 34, wherein the lubricant is magnesium stearate.
36. An immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient prepared according to the process claimed in any one of claims 16 to 35.
37. A process for the preparation of an immediate release oral pharmaceutical dosage form comprising a high dose of bosentan monohydrate, wherein the in vitro dissolution rate of the dosage form provides at least 90% of the bosentan monohydrate dissolved within 30 minutes, as measured by USP Paddle Method at 50 rpm at 900 ml of dissolution buffer with 1% SDS at 37°C, wherein said process comprises the following steps:
(1) screening bosentan monohydrate and one or more pharmaceutically acceptable excipients;
(2) dry mixing the contents of step (1);
(3) preparing a binder solution by adding a binder to a sufficient quantity of purified water and mixing;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5) in a fluid bed for a period of about 45 minutes;
(7) screening the granules obtained from step (6);
(8) adding a diluent and disintegrant to the granules of step (7);
(9) mixing the mixture obtained from step (8);
(10) screening a lubricant through a screen;
(11) mixing the contents obtained from step (9) and the screened lubricant from step (10); and (12) compressing the contents obtained from step (11).
(1) screening bosentan monohydrate and one or more pharmaceutically acceptable excipients;
(2) dry mixing the contents of step (1);
(3) preparing a binder solution by adding a binder to a sufficient quantity of purified water and mixing;
(4) adding the binder solution of step (3) to the dry blend of step (2);
(5) performing a granulation;
(6) drying the wet mass obtained from step (5) in a fluid bed for a period of about 45 minutes;
(7) screening the granules obtained from step (6);
(8) adding a diluent and disintegrant to the granules of step (7);
(9) mixing the mixture obtained from step (8);
(10) screening a lubricant through a screen;
(11) mixing the contents obtained from step (9) and the screened lubricant from step (10); and (12) compressing the contents obtained from step (11).
38. The process according to claim 37, wherein the pharmaceutically acceptable excipients of step (1) comprise a diluent, binder, and disintegrant.
39. The process according to claim 38, wherein the diluent is pregelatinized starch.
40. The process according to claim 38, wherein the binder is povidone.
41. The process according to claim 38, wherein the disintegrant is sodium starch glycolate.
42. The process according to any one of claims 37 to 41, wherein step (1) further comprises screening the active ingredient and the pharmaceutically acceptable excipients through a 20 mesh manual screen.
43. The process according to any one of claims 37 to 42, wherein step (2) further comprises dry mixing the content of step (1) in small high shear for about 3 minutes.
44. The process according to any one of claims 37 to 42, wherein the binder of step (3) is povidone.
45. The process according to any one of claims 37 to 44, wherein the binder solution is prepared by mixing the binder and purified water for about 30 minutes or until a clear solution is obtained.
46. The process according to any one of claims 37 to 45, wherein step (6) further comprises drying the wet mass in a small fluid bed dryer for a period of about 45 minutes.
47. The process according to any one of claims 37 to 46, wherein step (7) further comprises screening the granules obtained from step (6) through a 0.045 inches comill screen at low speed.
48. The process according to any one of claims 37 to 47, wherein step (9) further comprises mixing the mixture of step (8) for about 2 minutes using a suitable blender.
49. The process according to any one of claims 37 to 48, wherein step (10) further comprises screening the lubricant with a 40 mesh manual screen prior to being added to the mixture obtained from step (9).
50. The process according to any one of claims 37 to 49, wherein step (11) further comprises mixing the lubricant from step (10) and the mixture obtained from step (9) for about 3 minutes using a suitable blender.
51. The process according to any one of claims 37 to 50, wherein the lubricant is magnesium stearate.
52. An immediate release oral pharmaceutical dosage form comprising a high dose of a poorly water soluble active ingredient prepared according to the process claimed in any one of claims 37 to 52.
53. A process for the manufacturing of an oral pharmaceutical dosage form of a high dose of bosentan monohydrate in an immediate release form, said process comprises a wet granulation step and a fluid bed drying step.
54. Use of an immediate release oral pharmaceutical dosage form according to any one of claims 1 to 15, 36 and 52 for the treatment or prevention of an endothelin-receptor mediated disorder.
55. The use according to claim 54, wherein the endothelin-receptor mediated disorder is pulmonary arterial hypertension.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2709624A CA2709624A1 (en) | 2009-07-10 | 2010-07-09 | Immediate release dosage form of bosentan and process of manufacturing such |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2671778A CA2671778A1 (en) | 2009-07-10 | 2009-07-10 | Immediate release dosage form of bosentan and process of manufacturing such |
CA2,671,778 | 2009-07-10 | ||
CA2709624A CA2709624A1 (en) | 2009-07-10 | 2010-07-09 | Immediate release dosage form of bosentan and process of manufacturing such |
Publications (1)
Publication Number | Publication Date |
---|---|
CA2709624A1 true CA2709624A1 (en) | 2011-01-10 |
Family
ID=43448712
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2671778A Abandoned CA2671778A1 (en) | 2009-07-10 | 2009-07-10 | Immediate release dosage form of bosentan and process of manufacturing such |
CA2709624A Abandoned CA2709624A1 (en) | 2009-07-10 | 2010-07-09 | Immediate release dosage form of bosentan and process of manufacturing such |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2671778A Abandoned CA2671778A1 (en) | 2009-07-10 | 2009-07-10 | Immediate release dosage form of bosentan and process of manufacturing such |
Country Status (1)
Country | Link |
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CA (2) | CA2671778A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103768068B (en) * | 2012-10-18 | 2016-09-07 | 北京万生药业有限责任公司 | A kind of Bosentan pharmaceutical composition |
-
2009
- 2009-07-10 CA CA2671778A patent/CA2671778A1/en not_active Abandoned
-
2010
- 2010-07-09 CA CA2709624A patent/CA2709624A1/en not_active Abandoned
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103768068B (en) * | 2012-10-18 | 2016-09-07 | 北京万生药业有限责任公司 | A kind of Bosentan pharmaceutical composition |
Also Published As
Publication number | Publication date |
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CA2671778A1 (en) | 2011-01-10 |
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