MULTILAYER PHARMACEUTICAL OR NUTRACEUTICAL SOLID DOSAGE FORMS COMPRISING PYRIMIDINE AND/OR PURINE DERIVATIVES AND B VITAMINS, PREPARATION AND USES THEREOF
20220160744 · 2022-05-26
Assignee
Inventors
Cpc classification
A61K31/714
HUMAN NECESSITIES
A61K9/209
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
A61K9/0053
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/714
HUMAN NECESSITIES
A61K31/7072
HUMAN NECESSITIES
International classification
A61K31/7072
HUMAN NECESSITIES
A61K31/7068
HUMAN NECESSITIES
A61K31/714
HUMAN NECESSITIES
A61K9/00
HUMAN NECESSITIES
Abstract
The present invention relates to a multilayer pharmaceutical or nutraceutical solid dosage form comprising at least one pyrimidine derivative, purine derivative or any salt or solvate thereof and least one B-group vitamin. It also provides three methods for producing said multilayer pharmaceutical or nutraceutical solid dosage forms. Furthermore, the present invention is also related to therapeutic uses of said multilayer pharmaceutical or nutraceutical solid dosage forms, particularly for the treatment and/or prevention of peripheral neuropathy.
Claims
1-15. (canceled)
16. A multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: a first layer comprising at least one pyrimidine derivative or any salt or solvate thereof; and a second layer comprising at least one vitamin selected from the group of B-group vitamins; wherein the at least one pyrimidine derivative, or any salt or solvate thereof is selected from the group of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, and any salt or solvate thereof.
17. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 16, wherein the first layer comprises at least two pyrimidine derivatives.
18. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 17, wherein the two pyrimidine derivatives are selected from uridine phosphates, cytidine phosphates or any salt or solvate thereof
19. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 18, wherein the two pyrimidine derivatives are uridine monophosphate and cytidine monophosphate, wherein each one of them is either in salt form or in acid form.
20. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 18, wherein the two pyrimidine derivatives are uridine monophosphate in salt form and cytidine monophosphate in either salt or acid form.
21. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 16, wherein the at least one vitamin is selected from the group of vitamins B.sub.1, B.sub.6 and B.sub.12.
22. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 21, wherein the second layer comprises vitamins B.sub.1 and B.sub.12.
23. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 16, which comprises a total amount of at least 200 mg of said pyrimidine derivative(s), and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s), and salt(s) or solvate(s) thereof.
24. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 16, wherein said solid dosage form is stable after being stored at 40° C. and 75% relative humidity for a period of at least 6 months.
25. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 16 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
26. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 16 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and then subjecting it to granulation in the presence of water; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
27. A multilayer pharmaceutical or nutraceutical solid dosage form obtainable by the process as defined in claim 25.
28. A multilayer pharmaceutical or nutraceutical solid dosage form according to claim 16 for use in the treatment and/or prevention of peripheral neuropathy.
29. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 19, wherein the two pyrimidine derivatives are uridine monophosphate in salt form and cytidine monophosphate in either salt or acid form.
30. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 17 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
31. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 18 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
32. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 19 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
33. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 20 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
34. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 21 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
35. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage forms according to claim 22 which comprises: (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; (ii) providing a second layer composition comprising at least one vitamin selected from the group of B-group vitamins by sieving the at least one vitamin selected from the group of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
Description
DETAILED DESCRIPTION OF THE INVENTION
[0030] The present invention is related to a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof, and least one B-group vitamin, in particular, at least one pyrimidine derivative and at least one B-group vitamin, which advantageously provides enhanced chemical stability towards humidity and/or acidic conditions, in particular, enhanced B vitamin chemical stability towards humidity and/or acidic conditions. As a result, the solid dosage forms herein provided require less or no preserving agents while, at the same time, less restricted storage conditions are necessary compared to already existing formulations as regards temperature, relative humidity and packaging conditions.
[0031] The expression “acidic conditions”, as used herein, may refer to the presence of a certain amount of a chemical compound in acid form, such as a pyrimidine or purine derivative in acid form (e.g. UMP or CMP in acid form).
[0032] As used herein, the expression “nutraceutical solid dosage form” is understood to mean that the formulation provides overall health benefits, or triggers a physiological response. Such formulations may also be referred to as dietary supplements, also known as food supplements or nutritional supplements, and are usually intended to further support the diet and provide nutrients that may be missing or may not be consumed in sufficient quantities in a person's diet.
[0033] In a first aspect, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0034] a first layer comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof; and [0035] a second layer comprising at least one vitamin selected from the group consisting of B-group vitamins.
[0036] Pyrimidine derivatives of the invention include, but are not limited to, uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters and thymidine phosphates. Purine derivatives of the invention include, but are not limited to, adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine (hypoxanthine nucleoside), inosine esters, inosine phosphates, xanthosine, xanthosine esters and xanthosine phosphates.
[0037] Pyrimidine phosphate derivatives (e.g. uridine phosphates, cytidine phosphates, thymidine phosphates) and purine phosphate derivatives (e.g. adenosine phosphates, guanosine phosphates, inosine phosphates and xanthosine phosphates) are also known in the art as nucleotides and are composed of at least three sub-units, namely, a five-carbon sugar moiety which is typically ribose, a nitrogenous base which is typically either purine or pyrimidine, and at least one phosphate group. Regarding the latter, nucleotides can be mono-, di- or tri-phosphate nucleotides depending on the number of phosphate groups present in the molecule.
[0038] Specific examples of uridine phosphates include, but are not limited to, uridine monophosphates, in particular uridine 5′-monophosphate (UMP); uridine diphosphate (UDP) and uridine triphosphate (UTP). Specific examples of cytidine phosphates include, but are not limited to, cytidine monophosphates, in particular cytidine 5′-monophosphate (CMP); cytidine diphosphate (CDP) and cytidine triphosphate (CTP). Specific examples of thymidine phosphates include, but are not limited to, thymidine monophosphates, in particular thymidine 5′-monophosphate (TMP); thymidine diphosphate (TDP) and thymidine triphosphate (TTP). Examples of purine phosphate derivatives of the invention include, but are not limited to, adenosine 5′-monophosphate (AMP); adenosine diphosphate (ADP), adenosine triphosphate (ATP), guanosine 5′-monophosphate (GMP); guanosine diphosphate (GDP); guanosine triphosphate (GTP); inosine 5′-monophosphate (IMP); inosine diphosphate (IDP); inosine triphosphate (ITP); xanthosine 5′-monophosphate (XMP); xanthosine diphosphate (XDP) and xanthosine triphosphate (XTP).
[0039] Pyrimidine and purine derivatives uridine, cytidine, thymidine, adenosine, guanosine, inosine and xanthosine, on the other hand, are known in the art as nucleosides, and are composed of at least two sub-units, namely, a five-carbon sugar moiety which is typically ribose and a nitrogenous base which is typically either purine or pyrimidine.
[0040] According to a preferred embodiment, the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters, thymidine phosphates, adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. More preferably, the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. Still more preferably, the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. Still even more preferably, the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates and any salt or solvate thereof.
[0041] Examples of suitable pyrimidine derivative salts or purine derivative salts include, but are not limited to alkali metal salts (e.g. sodium or potassium salts); alkaline earthmetal salts (e.g. calcium, magnesium or barium salts); basic amino acid salts (e.g. arginine or lysine salts); ammonium salts (e.g. ammonium or tricyclohexylammonium salts); alkanolamine salts (e.g. monoethanolamine, diethanolamine, triethanolamine, monoisopropanolamine, diisopropanolamine or triisopropanolamine salts) or any mixture thereof.
[0042] In another preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0043] a first layer comprising at least one pyrimidine derivative or any salt or solvate thereof; and [0044] a second layer comprising at least one vitamin selected from the group consisting of B-group vitamins.
[0045] In a preferred embodiment, the at least one pyrimidine derivative is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters and cytidine phosphates. More preferably, the at least one pyrimidine derivative is selected from the group consisting of uridine, uridine phosphates, cytidine and cytidine phosphates.
[0046] In a preferred embodiment, the at least one vitamin present in the second layer of the multilayer pharmaceutical or nutraceutical solid dosage form of the invention is selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12. Preferably, the second layer of the multilayer pharmaceutical or nutraceutical solid dosage form of the invention comprises vitamin B.sub.12; more preferably, the second layer of the multilayer pharmaceutical or nutraceutical solid dosage form of the invention comprises at least two vitamins selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12. In another preferred embodiment, the second layer of the multilayer pharmaceutical or nutraceutical solid dosage form of the invention comprises vitamin B.sub.1 and vitamin B.sub.12. Still more preferably, the second layer of the multilayer pharmaceutical or nutraceutical solid dosage form of the invention comprises vitamins B.sub.1, B.sub.6 and B.sub.12.
[0047] Vitamin B.sub.1, also known as thiamine, can be included in the formulations of the invention in any suitable form such as thiamine hydrochloride, thiamine nitrate, thiamine pyrophosphate or thiamine monophosphate chloride dihydrate. Preferably, it is present either as thiamine hydrochloride or thiamine nitrate. More preferably, vitamin B.sub.1 is present as thiamine nitrate.
[0048] Similarly, vitamin B.sub.6 can be included in the solid dosage forms of the invention in any suitable form such as pyridoxine hydrochloride or pyridoxine active form, i.e. pyridoxal phosphate.
[0049] As regards vitamin B.sub.12, it may also be included in the solid dosage forms of the invention in any suitable form known in the art such as cyanocobalamin, hydroxycobalamin or methylcobalamin. Preferably, vitamin B.sub.12 is cyanocobalamin or hydroxycobalamin; more preferably, vitamin B.sub.12 is cyanocobalamin.
[0050] In a preferred embodiment of the multilayer pharmaceutical or nutraceutical solid dosage forms of the invention, the second layer comprises vitamin B.sub.12 as cyanocobalamin. More preferably, the second layer comprises vitamin B.sub.12 as cyanocobalamin and vitamin B.sub.6 as pyridoxine hydrochloride. In an alternative embodiment, the second layer may comprise vitamin B.sub.12 as cyanocobalamin and vitamin B.sub.1 as thiamine hydrochloride or thiamine nitrate; more preferably, the second layer may comprise vitamin B.sub.12 as cyanocobalamin and vitamin B.sub.1 as thiamine nitrate. In a preferred embodiment, the second layer of the solid dosage forms of the invention may comprise vitamin B.sub.12 as cyanocobalamin, B.sub.6 vitamin as pyridoxine hydrochloride and vitamin B.sub.1 as thiamine hydrochloride or thiamine nitrate. Preferably, the second layer of the solid dosage forms of the invention may comprise vitamin B.sub.12 as cyanocobalamin, B.sub.6 vitamin as pyridoxine hydrochloride and vitamin B.sub.1 as thiamine nitrate.
[0051] Optionally, vitamins B.sub.1 and B.sub.6 may be provided in microencapsulated form to ensure still further resistance to degradation. In the context of the present invention, it will be apparent for the skilled person that any suitable microencapsulated vitamin B.sub.1 or B.sub.6 commercially available can be readily incorporated into the multilayer pharmaceutical or nutraceutical solid dosage form of the invention. By way of illustration, vitamins B.sub.1 and B.sub.6 can be provided in encapsulated form with capsules comprising maltodextrin and palm oil mono- and/or diglycerides, such as commercially available “CapsuDar® B.sub.1-33 LP nitrate” or “CapsuDar® B.sub.6-33 LP nitrate” microencapsulated products, which contain thiamine mononitrate or pyridoxine hydrochloride, respectively, and maltodextrin and mono- and diglycerides from palm oil as coating agents.
[0052] In a preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0053] a first layer comprising a first pyrimidine derivative or any salt or solvate thereof, and a second pyrimidine derivative or any salt or solvate thereof; and [0054] a second layer comprising at least one vitamin selected from the group consisting of B-group vitamins.
[0055] In a more preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0056] a first layer comprising at least two pyrimidine derivatives selected from uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates or any salt or solvate thereof; and [0057] a second layer comprising at least one B-group vitamin selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12.
[0058] In another preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0059] a first layer comprising at least two pyrimidine derivatives selected from uridine, uridine phosphates, cytidine, cytidine phosphates or any salt or solvate thereof; and [0060] a second layer comprising at least one B-group vitamin selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12.
[0061] In a still more preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0062] a first layer comprising at least two pyrimidine derivatives selected from uridine phosphates, cytidine phosphates, thymidine phosphates or any salt or solvate thereof; and [0063] a second layer comprising at least one B-group vitamin selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12.
[0064] In a still even more preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0065] a first layer comprising at least two pyrimidine derivatives selected from uridine phosphates, cytidine phosphates or any salt or solvate thereof; and [0066] a second layer comprising at least one B-group vitamin selected from the group consisting of vitamins B.sub.1, B.sub.6 and B.sub.12.
[0067] In an even more preferred embodiment, the first layer of the multilayer pharmaceutical or nutraceutical solid dosage form for oral administration may comprise at least two pyrimide derivatives which can be, for example, a uridine phosphate and a cytidine salt; a uridine phosphate and a cytidine phosphate salt; a uridine salt and a cytidine phosphate; a uridine phosphate salt and a cytidine phosphate; a uridine phosphate and a cytidine phosphate; or a uridine salt and a cytidine salt; a uridine phosphate salt and a cytidine phosphate salt. Still more preferably, the first layer of the multilayer pharmaceutical or nutraceutical solid dosage form for oral administration may comprise uridine monophosphate and cytidine monophosphate, each one of them either in salt (e.g. UMP.Math.2Na or CMP.Math.2Na) or acid form.
[0068] In another preferred embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0069] a first layer comprising at least two pyrimidine derivatives selected from uridine phosphates, cytidine phosphates or any salt or solvate thereof; and [0070] a second layer comprising vitamin B.sub.12.
[0071] This preferred solid dosage form may also preferably comprise vitamin B.sub.1 and/or vitamin B.sub.6 in the second layer. In another preferred embodiment, this solid dosage form may comprise vitamin B.sub.1 and vitamin B.sub.12.
[0072] The multilayer pharmaceutical or nutraceutical solid dosage form of the invention can be provided several in different forms such as a multilayer tablet, which can be a laminated multilayer tablet (such as a bilayer or trilayer tablet) or a concentric multilayer tablet (also known as tablet into tablet) or compression-coated tablet; a concentric layered bead; or a film-coated tablet, bead, granule or pellet. Preferably, the multilayer pharmaceutical or nutraceutical solid dosage form of the invention is provided in the form a laminated multilayer tablet.
[0073] On the other hand, it will also be apparent for the skilled person that the multilayer pharmaceutical or nutraceutical solid dosage form is not limited to the presence of two layers only (i.e. a bilayer pharmaceutical or nutraceutical solid dosage form), but may be straightforwardly adapted to contain a number of layers higher than two.
[0074] By way of illustration, according to another preferred embodiment, the present invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0075] a first layer comprising at least one pyrimidine derivative or any salt or solvate thereof; [0076] a second layer comprising at least one vitamin selected from the group consisting of B-group vitamins; and [0077] a third layer comprising at least one suitable pharmaceutical or nutraceutical excipient respectively.
[0078] In this exemplary embodiment of the invention, the third layer may be placed in adjacent position to either the first layer or the second layer, or alternatively, it may be placed adjacent to both.
[0079] By “pharmaceutical or nutraceutical excipient”, as used herein, it is understood any substance known in the art such as diluents, binders, colouring agents, flavouring agents, surfactants, lubricants/glidants or plasticizers for pharmaceutical or nutraceutical compositions, respectively.
[0080] It will also become apparent for the skilled person that any of the layers present in the multilayer pharmaceutical or nutraceutical solid dosage forms of the invention may optionally comprise at least one suitable pharmaceutical or nutraceutical excipient, respectively, as defined above.
[0081] Examples of suitable excipients include, but are not limited to, suitable binders, of which dry binders are preferred, and which may include cellulose powder and microcrystalline cellulose. Suitable disintegrants are e.g. sodium starch glycolate, crospovidone, croscarmellose, sodium carboxymethylcellulose and dried com starch. Lactose (e.g. anhydrous lactose) may also be used as a suitable filler.
[0082] Suitable binders and carriers may also include, among others, cellulose powder, microcrystalline cellulose, cellulose derivatives like hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylcellulose and hydroxypropylmethylcellulose, dibasic calcium phosphate, com starch, pregelatinized starch and polyvinyl pyrrolidone (povidone). Lubricants such as stearic acid, magnesium stearate, sodium stearylfumarate and glycerol tribehenate, may also be advantageously used.
[0083] Other suitable excipients which may be used in the solid dosage forms of the invention include, in a non-limiting manner: flow control agents such as colloidal silicon dioxide (also known as colloidal silica; e.g. AEROSIL®) or talc; colouring agents including dyes and pigments such as iron oxide red or yellow or titanium dioxide; pH control agents such as citric acid, tartaric acid, fumaric acid, sodium citrate, dibasic calcium phosphate, dibasic sodium phosphate, etc.
[0084] In another embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof. Preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. More preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. Still more preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. Still even more preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof. Still even much more preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof.
[0085] According to another embodiment, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one purine derivative or any salt or solvate thereof. Preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. More preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. Still more preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. Still even more preferably, the invention provides a multilayer pharmaceutical or nutraceutical solid dosage form for oral administration wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof.
[0086] The multilayer pharmaceutical or nutraceutical solid dosage forms herein provided advantageously provide high amounts of pyrimidine derivatives and/or purine derivatives, in particular, pyrimidine and/or purine nucleotides or nucleosides, so that an optimal approach for peripheral nerve injuries repair can be achieved. Due to this fact, the solid dosage forms of the present invention also contribute to the reduction of the patient's lack of compliance in cases wherein, due to the severity of the condition, large amounts of nucleotides or nucleosides and B vitamins are required, and for which a variable number of tablets per day is usually prescribed.
[0087] In a preferred embodiment, the abovedescribed multilayer pharmaceutical or nutraceutical solid dosage forms of the invention comprise a total amount of at least 200 mg, more preferably a total amount in the range of from 200 mg to 450 mg, more preferably in the range of from 250 mg to 430 mg, still more preferably in the range of from 300 mg to 420 mg, even more preferably in the range of from 350 mg to 410 mg of said pyrimidine derivative(s), purine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s), purine derivative(s) and salt(s) or solvate(s) thereof.
[0088] In a particular embodiment, the abovedescribed multilayer pharmaceutical or nutraceutical solid dosage forms of the invention may comprise a total amount of at least 200 mg, more preferably a total amount in the range of from 200 mg to 450 mg, still more preferably in the range of from 250 mg to 450 mg, still even more preferably in the range of from 250 mg to 430 mg, much more preferably in the range of from 300 mg to 420 mg, and even more preferably in the range of from 350 mg to 410 mg of said pyrimidine derivative(s), purine derivative(s) and any salt, or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s) and salt(s) or solvate(s) thereof.
[0089] Also, according to another embodiment, the abovedescribed multilayer pharmaceutical or nutraceutical solid dosage forms of the invention may comprise a total amount of at least 200 mg, more preferably a total amount in the range of from 200 mg to 450 mg, still more preferably in the range of from 250 mg to 450 mg, still even more preferably in the range of from 250 mg to 430 mg, much more preferably in the range of from 300 mg to 420 mg, and even much more preferably in the range of from 350 mg to 410 mg of said purine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said purine derivative(s) and salt(s) or solvate(s) thereof.
[0090] In a preferred embodiment according to the first aspect of the invention, the multilayer pharmaceutical or nutraceutical solid dosage form is stable after being stored at 25° C. and 60% relative humidity for a period of at least 3 months, preferably for a period of at least 6 months, more preferably for a period of at least 12 months.
[0091] In another preferred embodiment, the multilayer pharmaceutical or nutraceutical solid dosage form provided according to the first aspect of the invention is stable after being stored at 40° C. and 75% relative humidity for a period of at least 3 months, preferably for a period of at least 6 months.
[0092] In still another preferred embodiment, the multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is stable after being stored at 25° C. and 60% relative humidity for a period of at least 3 months, more preferably at 25° C. and 60% relative humidity for a period of at least 6 months, still more preferably at 25° C. and 60% relative humidity fora period of at least 12 months, when packed in a PVC/PVDC polyvinylchloride/polyvinyldichloride) blister in aluminium foil.
[0093] The present invention provides a multilayer pharmaceutical or nutraceutical solid dosage form with enhanced resistance to moisture and/or acidic conditions, which advantageously requires less restricted storage conditions, thus allowing to store the product at temperatures and relative humidity higher than those of currently marketed formulations. In this regard, the technical solution of the invention provides excellent stability results even when PVC/PVDC blisters in aluminium foil were used, which are known in the art to be partly permeable to moisture.
[0094] As used herein, the term “stable” refers to a relative B vitamin loss, under stability assay conditions abovedefined, equal to or less than 15% in respect of each vitamin B present in the composition; preferably a relative B vitamin loss under stability assay conditions equal to or less than 10% in respect of each vitamin B present in the composition. Said B vitamin loss can be determined by HPLC analysis. In a preferred embodiment, stability assay conditions are 25° C. and 60 HR for at least 3 months, and more preferably, 25° C. and 60 HR for at least 6 months. In another preferred embodiment, stability assay conditions are 40° C. and 75 HR for at least 3 months, and more preferably, 40° C. and 75 HR for at least 6 months. According to still another preferred embodiment, stability assay conditions further comprise the pharmaceutical or nutraceutical solid dosage form of the invention being packaged in either an Alu-Alu blister or a PVC/PVDC blister in aluminium foil; more preferably, stability assay conditions further comprise the pharmaceutical or nutraceutical solid dosage form of the invention being packaged in a PVC/PVDC blister in aluminium foil.
[0095] In a second aspect, the invention provides a method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention.
[0096] According to this second aspect, the invention provides a method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention, which comprises: [0097] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0098] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and [0099] (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
[0100] In a particular embodiment, the invention provides a method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention which comprises: [0101] (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0102] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and [0103] (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around the previous layer to form a pharmaceutical or nutraceutical solid dosage form.
[0104] It will become apparent for the skilled person that compression in step (iii) can be carried out in any usual manner known in the art, e.g. using high-speed rotary press, or a multilayer tableting machine, and also that the above process may be easily adapted for the different embodiments of the invention, thus also including the possibility of adding further layers to produce a multilayer dosage form.
[0105] In an optional embodiment, wherein more than one suitable pharmaceutical or nutraceutical excipient per layer may be used, sieving and blending of the resulting mixture in each step of the process can be carried out sequentially after the addition of each individual excipient or group of excipients.
[0106] In another preferred embodiment, wherein a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is provided, the method according to the second aspect of the invention comprises a further step wherein a third layer comprising at least one suitable pharmaceutical or nutraceutical excipient which is an inert excipient is provided. That is, according to this particular embodiment, the method according to the second aspect of the invention comprises the following steps: [0107] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0108] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0109] (iii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient; and [0110] (iv) compressing one of the first or second layer composition and then compressing the third layer composition on or around the previous layer, followed by compressing the other of the first or second layer composition on or around the third layer composition.
[0111] In a third aspect, the invention provides another method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention.
[0112] Specifically, it is provided a method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention which comprises: [0113] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0114] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and then subjecting it to granulation in the presence of water; and [0115] (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form.
[0116] Step (ii) of the process may optionally further include blending the resulting granulate with at least one suitable pharmaceutical or nutraceutical excipient until homogeneity.
[0117] It will become apparent for the skilled person that compression in step (iii) can be carried out in any usual manner known in the art, e.g. using high-speed rotary press, or a multilayer tableting machine, and also that the above process may be easily adapted for the different embodiments of the invention, thus also including the possibility of adding further layers to produce a multilayer dosage form.
[0118] In an optional embodiment, wherein more than one suitable pharmaceutical or nutraceutical excipient per layer may be used, sieving and blending of the resulting mixture in each step can be carried out sequentially after the addition of each individual excipient or group of excipients.
[0119] According to another preferred embodiment, wherein a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is provided, the method according to the third aspect of the invention comprises the following steps: [0120] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0121] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and then subjecting it to granulation in the presence of water; [0122] (iii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient; and [0123] (iii) compressing one of the first or second layer composition and then compressing the third layer composition on or around the previous layer, followed by compressing the other of the first or second layer composition on or around the third layer composition.
[0124] In a fourth aspect, the invention provides another method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention, wherein the second and subsequents layers are applied onto the first layer by coating methods.
[0125] According to this fourth aspect, the invention provides a method for producing the multilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention, which comprises: [0126] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, then blending the resulting mixture until homogeneity, and subsequently compressing the resulting mixture to form a core; [0127] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, wherein the ingredients are dispersed or dissolved in either water or an organic solvent to form either an aqueous or organic dispersion or solution, respectively; and [0128] (iii) applying the resulting dispersion or solution of step (ii) onto the core obtained in step (i) using coating means.
[0129] It will become apparent for the skilled person that compression in step (i) can be carried out in any usual manner known in the art, e.g. using a rotary tablet machine. Coating step (iii) may also be carried out using standard coating means known in the art, such as a coating pan.
[0130] It will be also apparent for the skilled in the art that the above coating process may be easily adapted for the different embodiments of the invention, thus also including the possibility of adding further layers to produce a multilayer dosage form.
[0131] In particular, according to this fourth aspect, the invention provides a method for producing trilayer pharmaceutical or nutraceutical solid dosage forms according to the first aspect of the invention, which comprises: [0132] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, then blending the resulting mixture until homogeneity, and subsequently compressing the resulting mixture to form a core; [0133] (ii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient; preferably, comprising at least one film-forming agent, which is more preferably selected from the group consisting of hydroxypropylmethylcellulose, polyvinyl alcohol and partially hydrolyzed polyvinyl alcohol; wherein the third layer composition is applied onto the core obtained in step (1) using coating means; [0134] (iii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, wherein the ingredients are dispersed or dissolved in either water or an organic solvent to form either an aqueous or organic dispersion or solution, respectively; and [0135] (iv) applying the resulting dispersion or solution of step (iii) onto the third layer obtained in step (ii) using coating means.
[0136] In a fifth aspect of the invention, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the second aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the second aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the second aspect of the invention.
[0137] In a preferred embodiment, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the second aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the second aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the second aspect of the invention.
[0138] In a sixth aspect of the invention, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the third aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the third aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the third aspect of the invention.
[0139] In a preferred embodiment, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the third aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the third aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the third aspect of the invention.
[0140] In a seventh aspect of the invention, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the fourth aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the fourth aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtainable by the process according to the fourth aspect of the invention.
[0141] In a preferred embodiment, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the fourth aspect of the invention. In a particular embodiment, a bilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the fourth aspect of the invention. In another embodiment, a trilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is obtained by the process according to the fourth aspect of the invention.
[0142] In a eighth aspect of the invention, a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention is provided for the manufacture of a medicament or a nutraceutical product, respectively, for the treatment and/or prevention of peripheral neuropathy.
[0143] By “peripheral neuropathy”, it is understood any condition in which the peripheral nervous system is damaged, such as peripheral polyneuropathy, peripheral radiculopathy, causalgia and reflex sympathetic dystrophy, post-mastectomy neuralgia, post-surgical neuralgia and pain, vulvar vestibulitis, phantom limb pain, thalamic syndrome (central post-stroke pain), temporo mandibular joint syndrome, metatarsalgia (Morton's neuralgia) and neurogenic pain from nerve compression caused, for example, by a prolapsed intervertebral disc or carpal and tarsal tunnel syndromes.
[0144] In a ninth aspect of the invention, it is provided a multilayer pharmaceutical or nutraceutical solid dosage form according to the first aspect of the invention for use in the treatment and/or prevention of peripheral neuropathy.
[0145] In an tenth aspect of the invention, the use of a multilayer nutraceutical solid dosage form according to the first aspect of the invention in the treatment and/or prevention of peripheral neuropathy is provided.
[0146] Further aspects and embodiments of the present invention are described in the following clauses below: [0147] 1. A multilayer pharmaceutical or nutraceutical solid dosage form for oral administration comprising: [0148] a first layer comprising at least one pyrimidine derivative, purine derivative or any salt or solvate thereof; and [0149] a second layer comprising at least one vitamin selected from the group consisting of B-group vitamins. [0150] 2. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 1, wherein: [0151] the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof; and [0152] the second layer comprises at least one vitamin selected from the group consisting of B-group vitamins. [0153] 3. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 1 or 2, wherein the at least one pyrimidine derivative is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters and thymidine phosphates. [0154] 4. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one pyrimidine derivative is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine and thymidine phosphates. [0155] 5. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one pyrimidine derivative is selected from the group consisting of uridine phosphates, cytidine phosphates and thymidine phosphates. [0156] 6. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one pyrimidine derivative is a uridine phosphate selected from the group consisting of uridine monosphosphates, uridine diphosphates and uridine triphosphates, or the at least one pyrimidine derivative is a cytidine phosphate selected from the group consisting of cytidine monosphosphates, cytidine diphosphates and cytidine triphosphates, or the at least one pyrimidine derivative is a thymidine phosphate selected from the group consisting of thymidine monophosphates, thymidine diphosphates and thymidine triphosphates. [0157] 7. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one purine derivative is selected from the group consisting of adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine , inosine esters, inosine phosphates, xanthosine, xanthosine esters and xanthosine phosphates. [0158] 8. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one purine derivative is selected from the group consisting of adenosine phosphates, guanosine phosphates, inosine phosphates and xanthosine phosphates. [0159] 9. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one purine derivative is an adenosine phosphate selected from the group consisting of adenosine monophosphates, adenosine diphosphates and adenosine triphosphates, or the at least one purine derivative is a guanosine phoshate selected from the group consisting of guanosine monophosphates, guanosine diphosphates and guanosine triphosphates, or the at least one purine derivative is an inosine phosphate selected from the group consisting of inosine monophosphates, inosine diphosphates and inosine triphosphates, or the at least one purine derivative is a xanthosine phosphate selected from the group consisting of xanthosine monophosphates, xanthosine diphosphates and xanthosine triphosphates.
[0160] 10 [0161] 10. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 1, wherein the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters, thymidine phosphates, adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. [0162] 11. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 10, wherein the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. [0163] 12. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 10 or 11, wherein the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. [0164] 13. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 10-12, wherein the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates, adenosine, adenosine phosphates and any salt or solvate thereof. [0165] 14. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one pyrimidine derivative salt and/or at least one purine derivative salt which is selected from the group consisting of alkali metal salts, alkaline earthmetal salts, basic amino acid salts, ammonium salts, alkanolamine salts or any mixture thereof. [0166] 15. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one pyrimidine derivative salt and/or at least one purine derivative salt which is selected from the group consisting of alkali metal salts, alkaline earthmetal salts, basic aminoacid salts, ammonium salts or any mixture thereof. [0167] 16. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one pyrimidine derivative salt and/or at least purine derivative salt which is selected from the group consisting of alkali metal salts, alkaline earthmetal salts or any mixture thereof. [0168] 17. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one pyrimidine derivative salt and/or at least one purine derivative salt which is an alkali metal salt. [0169] 18. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one pyrimidine derivative salt which is an alkali metal salt selected from the group consisting of cytidine monophosphate monosodium, cytidine diphosphate disodium, cytidine triphosphate trisodium, uridine monophosphate monosodium, uridine diphosphate disodium, uridine triphosphate trisodium, thymidine monophosphate monosodium, thymidine diphosphate disodium and thymidine triphosphate trisodium. [0170] 19. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one purine derivative salt which is an alkali metal salt selected from the group consisting of adenosine monophosphate monosodium, adenosine diphosphate disodium, adenosine triphosphate trisodium, guanosine monophosphate monosodium, guanosine diphosphate disodium, guanosine triphosphate trisodium, inosine monophosphate monosodium, inosine diphosphate disodium, inosine triphosphate trisodium, xanthosine monophosphate monosodium, xanthosine diphosphate disodium and xanthosine triphosphate trisodium. [0171] 20. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.1, B.sub.6 or B.sub.12. [0172] 21. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12. [0173] 22. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin, hydroxycobalamin or methylcobalamin. [0174] 23. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin or hydroxycobalamin. [0175] 24. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin. [0176] 25. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 21-24, wherein the second layer further comprises vitamin B.sub.1. [0177] 26. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein vitamin B.sub.1 is in the form of thiamine hydrochloride, thiamine nitrate, thiamine pyrophosphate or thiamine monophosphate chloride dihydrate. [0178] 27. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 25 or 26, wherein vitamin B.sub.1 is thiamine nitrate. [0179] 28. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 21-27, wherein the second layer further comprises B.sub.6 vitamin. [0180] 29. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein B.sub.6 vitamin is in the form of pyridoxine hydrochloride or pyridoxal phosphate. [0181] 30. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 20, wherein the second layer comprises vitamins B.sub.1, B.sub.6 and B.sub.12. [0182] 31. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine hydrochloride or thiamine nitrate. [0183] 32. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine nitrate. [0184] 33. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-3, wherein the first layer comprises a first pyrimidine derivative or any salt or solvate thereof, and a second pyrimidine derivative or any salt or solvate thereof. [0185] 34. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the first and the second pyrimidine derivatives are independently selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates or any salt or solvate thereof. [0186] 35. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 33 or 34, wherein the first and the second pyrimidine derivatives are independently selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates or any salt or solvate thereof. [0187] 36. The multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 33-35, wherein the first and the second pyrimidine derivatives are independently selected from the group consisting of uridine phosphates, cytidine phosphates or any salt or solvate thereof. [0188] 37. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause 33-36, wherein the first and the second pyrimidine derivatives are a uridine phosphate and a cytidine phosphate salt. [0189] 38. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause 33-36, wherein the first and the second pyrimidine derivatives are a uridine phosphate salt and a cytidine phosphate. [0190] 39. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause 33-36, wherein the first and the second pyrimidine derivatives are a uridine phosphate salt and a cytidine phosphate salt. [0191] 40. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause 33-36, wherein the first and the second pyrimidine derivatives are a uridine phosphate and a cytidine phosphate. [0192] 41. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the first and the second pyrimidine derivatives are uridine monophosphate and cytidine monophosphate, wherein each one of them is either in salt form or in acid form. [0193] 42. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 40 or 41, wherein the first and the second pyrimidine derivatives are uridine monophosphate disodium and cytidine monophosphate in acid form. [0194] 43. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 40 or 41, wherein the first and the second pyrimidine derivatives are uridine monophosphate disodium and cytidine monophosphate disodium. [0195] 44. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 33-43, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.1, B.sub.6 or B.sub.12. [0196] 45. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 33-44, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12. [0197] 46. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 33-45, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin, hydroxycobalamin or methylcobalamin. [0198] 47. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 33-46, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin or hydroxycobalamin. [0199] 48. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 33-47, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin. [0200] 49. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 45-48, wherein the second layer further comprises vitamin B.sub.1. [0201] 50. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein vitamin B.sub.1 is in the form of thiamine hydrochloride, thiamine nitrate, thiamine pyrophosphate or thiamine monophosphate chloride dihydrate. [0202] 51. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 49 or 50, wherein vitamin B.sub.1 is thiamine nitrate. [0203] 52. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 45-51, wherein the second layer further comprises B.sub.6 vitamin. [0204] 53. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein B.sub.6 vitamin is in the form of pyridoxine hydrochloride or pyridoxal phosphate. [0205] 54. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 44, wherein the second layer comprises vitamins B.sub.1, B.sub.6 and B.sub.12. [0206] 55. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine hydrochloride or thiamine nitrate. [0207] 56. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine nitrate. [0208] 57. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 1 or 2, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof. [0209] 58. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 57, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine esters, uridine phosphates, cytidine, cytidine esters, cytidine phosphates, thymidine, thymidine esters, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. [0210] 59. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 57 or 58, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. [0211] 60. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-59, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. [0212] 61. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-60, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates, thymidine, thymidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof. [0213] 62. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-61, wherein the first layer comprises at least one pyrimidine derivative or any salt or solvate thereof which is selected from the group consisting of uridine, uridine phosphates, cytidine, cytidine phosphates and any salt or solvate thereof, and at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof. [0214] 63. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 1, wherein the first layer comprises at least one purine derivative or any salt or solvate thereof. [0215] 64. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 63, wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine esters, adenosine phosphates, guanosine, guanosine esters, guanosine phosphates, inosine, inosine esters, inosine phosphates, xanthosine, xanthosine esters, xanthosine phosphates and any salt or solvate thereof. [0216] 65. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 63 or 64, wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates, inosine, inosine phosphates, xanthosine, xanthosine phosphates and any salt or solvate thereof. [0217] 66. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 63-65, wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates, guanosine, guanosine phosphates and any salt or solvate thereof. [0218] 67. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 63-66, wherein the first layer comprises at least one purine derivative or any salt or solvate thereof which is selected from the group consisting of adenosine, adenosine phosphates and any salt or solvate thereof. [0219] 68. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-67, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.1, B.sub.6 and B.sub.12. [0220] 69. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-68, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12. [0221] 70. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-69, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin, hydroxycobalamin or methylcobalamin. [0222] 71. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 57-70, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin or hydroxycobalamin. [0223] 72. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 59-71, wherein the at least one vitamin selected from the group consisting of B-group vitamins of the second layer is vitamin B.sub.12 in the form of cyanocobalamin. [0224] 73. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 69-72, wherein the second layer further comprises vitamin B.sub.1. [0225] 74. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein vitamin B.sub.1 is in the form of thiamine hydrochloride, thiamine nitrate, thiamine pyrophosphate or thiamine monophosphate chloride dihydrate. [0226] 75. The multilayer pharmaceutical or nutraceutical solid dosage form according to clause 73 or 74, wherein vitamin B.sub.1 is thiamine nitrate. [0227] 76. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 69-75, wherein the second layer further comprises B.sub.6 vitamin. [0228] 77. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein B.sub.6 vitamin is in the form of pyridoxine hydrochloride or pyridoxal phosphate. [0229] 78. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 68-77, wherein the second layer comprises vitamins B.sub.1, B.sub.6 and B.sub.12. [0230] 79. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine hydrochloride or thiamine nitrate. [0231] 80. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the second layer comprises vitamin B.sub.12 in the form of cyanocobalamin, vitamin B.sub.6 in the form of pyridoxine hydrochloride and vitamin B.sub.1 in the form of thiamine nitrate. [0232] 81. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the solid dosage form is a multilayer tablet. [0233] 82. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the solid dosage form is a laminated multilayer tablet or a concentric multilayer tablet. [0234] 83. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the solid dosage form is a concentric layered bead. [0235] 84. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, further comprising a third layer comprising at least one suitable pharmaceutical or nutraceutical excipient. [0236] 85. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, wherein the third layer is placed in adjacent position to either the first layer of the second layer, or is placed adjacent to both. [0237] 86. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the first layer comprises at least one suitable pharmaceutical or nutraceutical excipient. [0238] 87. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein the second layer comprises at least one suitable pharmaceutical or nutraceutical excipient. [0239] 88. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, which comprises a total amount of at least 200 mg of said pyrimidine derivative(s) and any salt, solvate and salt solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s) and salt(s)or solvate(s) thereof. [0240] 89. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, which comprises a total amount in the range of from 200 mg to 450 mg, still more preferably in the range of from 250 mg to 450 mg, still even more preferably in the range of from 250 mg to 430 mg, much more preferably in the range of from 300 mg to 420 mg, and even more preferably in the range of from 350 mg to 410 mg of said pyrimidine derivative(s), purine derivative(s) and any salt, or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s) and salt(s) or solvate(s) thereof. [0241] 90. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-87, which comprises a total amount of at least 200 mg of said pyrimidine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s), purine derivative(s) and salt(s) or solvate(s) thereof. [0242] 91. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, which comprises a total amount in the range of from 200 mg to 450 mg, more preferably in the range of from 250 mg to 430 mg, still more preferably in the range of from 300 mg to 420 mg, even more preferably in the range of from 350 mg to 410 mg, and still even more preferably 400 mg, of said pyrimidine derivative(s), purine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said pyrimidine derivative(s), purine derivative(s) and salt(s) or solvate(s) thereof. [0243] 92. The multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-87, which comprises a total amount of at least 200 mg of said pyrimidine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said purine derivative(s), purine derivative(s) and salt(s) or solvate(s) thereof. [0244] 93. The multilayer pharmaceutical or nutraceutical solid dosage form according to the preceding clause, which comprises a total amount in the range of from 200 mg to 450 mg, still more preferably in the range of from 250 mg to 450 mg, still even more preferably in the range of from 250 mg to 430 mg, much more preferably in the range of from 300 mg to 420 mg, and even much more preferably in the range of from 350 mg to 410 mg of said purine derivative(s) and any salt or solvate thereof, wherein the total amount is calculated considering the corresponding equivalent base form(s) of each of said purine derivative(s) and salt(s) or solvate(s) thereof. [0245] 94. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein said solid dosage form is stable after being stored at 25° C. and 60% relative humidity for a period of at least 3 months, preferably for a period of at least 6 months. [0246] 95. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein said solid dosage form is stable after being stored at 40° C. and 75% relative humidity for a period of at least 3 months, more preferably at 40° C. and 75% relative humidity for a period of at least 6 months. [0247] 96. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein said solid dosage form is stable after being stored at 25° C. and 60% relative humidity for a period of at least 3 months, preferably at 25° C. and 60% relative humidity for a period of at least 6 months, more preferably at 40° C. and 75% relative humidity for a period of at least 3 months, and still more preferably at 40° C. and 75% relative humidity for a period of at least 6 months. [0248] 97. The multilayer pharmaceutical or nutraceutical solid dosage form according to any preceding clause, wherein said solid dosage form is stable after being stored at 25° C. and 60% relative humidity for a period of at least 3 months, preferably at 25° C. and 60% relative humidity for a period of at least 6 months, more preferably at 25° C. and 60% relative humidity at 40° C. and 75% relative humidity for a period of at least 3 months, and still more preferably at 40° C. and 75% relative humidity for a period of at least 6 months, when packed in a PVC/PVDC blister in aluminium foil. [0249] 98. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0250] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0251] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and [0252] (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around the previous layer to form a pharmaceutical or nutraceutical solid dosage form. [0253] 99. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0254] (i) providing a first layer composition comprising at least one pyrimidine derivative or any salt or solvate thereof by sieving the at least one pyrimidine derivative or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0255] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; and [0256] (iii) compressing one of the first or second layer composition, and then compressing the other of the first or second layer composition on or around one previous layer to form a pharmaceutical or nutraceutical solid dosage form. [0257] 100. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0258] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0259] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0260] (iii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient which is an inert ingredient; and [0261] (iv) compressing one of the first or second layer composition and then compressing the third layer composition on or around the previous layer, followed by compressing the other of the first or second layer composition on or around the third layer composition. [0262] 101. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0263] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0264] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins by sieving the at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, and then blending the resulting mixture until homogeneity; [0265] (iii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient which is an inert ingredient; and [0266] (iv) compressing one of the first or second layer composition and then compressing the third layer composition on or around the previous layer, followed by compressing the other of the first or second layer composition on or around the third layer composition. [0267] 102. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0268] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, then blending the resulting mixture until homogeneity, and subsequently compressing the resulting mixture to form a core; [0269] (ii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, wherein the ingredients are dispersed or dissolved in either water or an organic solvent to form either an aqueous or organic dispersion or solution, respectively; and [0270] (iii) applying the resulting dispersion or solution of step (ii) onto the core obtained in step (i) using coating means. [0271] 103. A method for producing a multilayer pharmaceutical or nutraceutical solid dosage form according to any clause 1-97 which comprises: [0272] (i) providing a first layer composition comprising at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof by sieving the at least one pyrimidine derivative, purine derivative, or any salt or solvate thereof and optionally at least one suitable pharmaceutical or nutraceutical excipient, then blending the resulting mixture until homogeneity, and subsequently compressing the resulting mixture to form a core; [0273] (ii) providing a third layer composition comprising at least one suitable pharmaceutical or nutraceutical excipient; preferably, comprising at least one film-forming agent, which is more preferably selected from the group consisting of hydroxypropylmethylcellulose, polyvinyl alcohol and partially hydrolyzed polyvinyl alcohol; wherein the third layer composition is applied onto the core obtained in step (1) using coating means; [0274] (iii) providing a second layer composition comprising at least one vitamin selected from the group consisting of B-group vitamins and optionally at least one suitable pharmaceutical or nutraceutical excipient, wherein the ingredients are dispersed or dissolved in either water or an organic solvent to form either an aqueous or organic dispersion or solution, respectively; and [0275] (iv) applying the resulting dispersion or solution of step (iii) onto the third layer obtained in step (ii) using coating means. [0276] 104. A multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-97 which is obtainable by the process according to any of clauses 98-103. [0277] 105. A multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-97 which is obtained by the process according to any of clauses 98-103. [0278] 106. A multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-97 for use in the manufacture of a medicament or a nutraceutical product, respectively, for the treatment and/or prevention of peripheral neuropathy. [0279] 107. The multilayer pharmaceutical or nutraceutical solid dosage form for use according to clause 106, wherein the peripheral neuropathy is selected from the group consisting of peripheral polyneuropathy, peripheral radiculopathy, causalgia and reflex sympathetic dystrophy, post-mastectomy neuralgia, post-surgical neuralgia and pain, vulvar vestibulitis, phantom limb pain, thalamic syndrome (central post-stroke pain), temporo mandibular joint syndrome, metatarsalgia (Morton's neuralgia), and neurogenic pain from nerve compression. [0280] 108. Use of a multilayer nutraceutical solid dosage form according to any of clauses 1-97 in the treatment and/or prevention of peripheral neuropathy. [0281] 109. The use according to claim 108, wherein the peripheral neuropathy is selected from the group consisting of peripheral polyneuropathy, peripheral radiculopathy, causalgia and reflex sympathetic dystrophy, post-mastectomy neuralgia, post-surgical neuralgia and pain, vulvar vestibulitis, phantom limb pain, thalamic syndrome (central post-stroke pain), temporo mandibular joint syndrome, metatarsalgia (Morton's neuralgia), and neurogenic pain from nerve compression. [0282] 110. A multilayer pharmaceutical or nutraceutical solid dosage form according to any of clauses 1-97 for use in the treatment and/or prevention of peripheral neuropathy. [0283] 111. The multilayer pharmaceutical or nutraceutical solid dosage form according to claim 110, wherein the peripheral neuropathy is selected from the group consisting of peripheral polyneuropathy, peripheral radiculopathy, causalgia and reflex sympathetic dystrophy, post-mastectomy neuralgia, post-surgical neuralgia and pain, vulvar vestibulitis, phantom limb pain, thalamic syndrome (central post-stroke pain), temporo mandibular joint syndrome, metatarsalgia (Morton's neuralgia), and neurogenic pain from nerve compression.
EXAMPLES
[0284] The present invention will now be described in more detail with reference to the following examples, which should in no way be construed to be limiting the scope of the present invention.
Example 1
Exemplary Multilayer Pharmaceutical or Nutraceutical Solid Dosage Forms of the Invention
[0285] The following illustrative general solid dosage forms comprising at least one pyrimidine derivative, purine derivative or any salt of solvate thereof, and B vitamins can be readily prepared using the processes of the invention (as exemplified in Examples 2 and 7):
TABLE-US-00001 Combinations Combinations Combinations Combinations Layer 1 UMP-2Na UMP-2Na UMP-acid form UMP-acid form CMP-2Na CMP acid form CMP-2Na CMP acid form Layer 2 cyanocobalamin cyanocobalamin cyanocobalamin cyanocobalamin Optionally with: Optionally with: Optionally with: Optionally: Thiamine nitrate Thiamine nitrate Thiamine nitrate Thiamine nitrate Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl Layer 1 UMP-2Na UMP-2Na UMP-acid form UMP-acid form CMP-2Na CMP acid form TMP-2Na TMP-2Na Layer 2 hydroxycobalamin hydroxycobalamin hydroxycobalamin hydroxycobalamin Optionally with: Optionally with: Optionally with: Optionally: Thiamine nitrate Thiamine HCl Thiamine nitrate Thiamine nitrate Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl Layer 1 UMP-2Na UMP-2Na AMP-2Na AMP-2Na AMP-2Na IMP-2Na CMP-2Na CMP acid form Layer 2 hydroxycobalamin hydroxycobalamin hydroxycobalamin hydroxycobalamin Optionally with: Optionally with: Optionally with: Optionally with: Thiamine nitrate Thiamine HCl Thiamine nitrate Thiamine HCl Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl Pyridoxine HCl
Example 2
Exemplary Process for Preparing a Bilayer Pharmaceutical or Nutraceutical Solid Dosage Form of the Invention According to the Second Aspect of the Invention
[0286] Layer 1 manufacturing: raw materials (i.e. UMP.Math.2Na, CMP.Math.2Na or CMP in acid form, microcrystalline cellulose and colloidal silicon dioxide) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and later blended in a blender up to homogeneity. Afterwards, magnesium stearate is sieved using a small-sized mesh sieve and blended with the previous mixture until homogeneity is observed.
[0287] Layer 2 manufacturing: raw materials (i.e. vitamin B.sub.1, vitamin B.sub.6, vitamin B.sub.12, mannitol, iron oxide, microcrystalline cellulose and colloidal silicon dioxide) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and later blended in a blender up to homogeneity. The resulting blend is then sieved through a medium-sized mesh and then blended again. Aferwards, magnesium stearate is weighed according to batch formula, sieved using a small-sized mesh sieve and then blended with the previous mixture until homogeneity is observed.
[0288] Tableting: layer 1 is first compressed in a multilayer tableting machine, and then layer 2 is loaded on layer 1 and subsequently compressed to form a bilayer tablet according to the following exemplary weights: [0289] Layer 1: 650 mg [0290] Layer 2: 200 mg [0291] Total weight: 850 mg
Example 3
Multilayer Pharmaceutical or Nutraceutical Solid Dosage Forms According to the Invention (UMP.Math.2Na, CMP.Math.2Na/CMP in Acid Form, Thiamine Nitrate, Pyridoxine HCl, Cyanobalamin)
[0292] Exemplary bilayer tablets (DG186106B.sub.1, DG186108B1 and 18631N1101 batches) were prepared with the following compositions and according to the process described in Example 2:
TABLE-US-00002 DG186106B1 DG186108B1 18631N1101 Weight Weight Weight Layer 1 (total wt. 650 mg) UMP-2Na 386.487 mg.sup.1 386.487 mg.sup.1 393.185 mg.sup.4 CMP-2Na 127.994 mg.sup.2 — 130.208 mg.sup.5 CMP in acid form ---- 103.918 mg.sup.3 — Microcrystalline cellulose 122.519 mg 146.595 mg 113.607 mg Colloidal silicon dioxide 6.500 mg 6.500 mg 6.500 mg Aerosil ® Magnesium stearate 6.500 mg 6.500 mg 6.500 mg Layer 2 (total wt. 200 mg) Thiamine nitrate 1.493 mg 1.493 mg 1.493 mg Pyridoxine HCl 2.042 mg 2.042 mg — Cyanocobalamin 2.640 μg 2.640 μg 2.640 μg Mannitol 2.637 mg 2.673 mg 2.637 mg Red iron oxide E-172 0.250 mg 0.250 mg 0.250 mg Microcrystalline cellulose 189.575 mg 189.539 mg 191.617 mg Colloidal silicon dioxide 2.000 mg 2.000 mg 2.000 mg Aerosil ® Magnesium stearate 2.000 mg 2.000 mg 2.000 mg .sup.1386.487 mg actually correspond to 264.200 mg of UMP in base form after considering water content. .sup.2127.994 mg actually correspond to 88.000 mg of CMP in base form after considering water content. .sup.3103.918 mg actually correspond to 100.000 mg of CMP in base form after considering water content. .sup.4379.747 mg actually correspond to 264.200 mg of UMP in base form after considering water content. .sup.5129.441 mg actually correspond to 88.000 mg of CMP in base form after considering water content.
Example 4
Stability Testing of Multilayer Pharmaceutical or Nutraceutical Solid Dosage Forms According to the Invention (UMP.Math.2Na, CMP.Math.2Na, Thiamine Nitrate, Pyridoxine HCl, Cyanobalamin)
[0293] Stability testing of two of the bilayer solid dosage forms of Example 3 (DG186106B1 bilayer tablet batch—UMP.Math.2Na, CMP.Math.2Na, thiamine nitrate, pyridoxine HCl and cyanocobalamin; DG186108B1 bilayer tablet batch—UMP.Math.2Na, CMP in acid form, thiamine nitrate, pyridoxine HCl and cyanocobalamin), prepared according to Example 2, in PVC/PVDC blister in aluminium foil, was carried out. Results can be summarized as follows (assay results at t=1.5 and 3.0 months are expressed relative to the actual value at time t=0, which has been here considered as 100%; % assay calculated by HPLC):
TABLE-US-00003 DG186106B1 Assay (%) t = 3 months Assay (%) 25° C./60% 40° C./75% INGREDIENT t = 0 RH RH Thiamine nitrate 100.0 102.1 101.7 Pyridoxine HCl 100.0 98.3 92.3 Cyanocobalamin 100.0 100.3 98.5 DG186108B1 Assay (%) Assay (%) Assay (%) Assay t = 1.5 months t = 3 months t = 3 months (%) 40° C./75% 25° C./60% 40° C./75% INGREDIENT t = 0 RH RH RH Thiamine nitrate 100.0 99.5 100.3 95.9 Pyridoxine HCl 100.0 105.1 102.6 97.5 Cyanocobalamin 100.0 98.3 94.7 87.5
Example 5
Exemplary Process for Preparing a Bilayer Pharmaceutical or Nutraceutical Solid Dosage Forms of the Invention According to the Third Aspect of the Invention
[0294] Layer 1 manufacturing: raw materials (i.e. UMP.Math.2Na, CMP.Math.2Na or CMP in acid form, microcrystalline cellulose, hydroxypropylcellulose and colloidal silicon dioxide) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and later blended in a blender up to homogeneity. Afterwards, magnesium stearate is sieved using a small-sized mesh sieve and blended with the previous mixture until homogeneity is observed.
[0295] Layer 2 manufacturing: raw materials (i.e. vitamin B.sub.1, vitamin B.sub.6, vitamin B.sub.12, mannitol, iron oxide, microcrystalline cellulose and hydroxypropylcellulose) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and granulated in the presence of water. Colloidal silicon dioxide, together with microcrystalline cellulose in an amount corresponding to 2.7% wt. in respect of the total amount of microcrystalline cellulose, are sieved using a small-sized mesh sieve and then blended with the previous mixture until homogeneity is observed. Afterwards, magnesium stearate is also weighed, sieved using a small-sized mesh sieve and then added onto the resulting blend and blended until homogeneity is obtained.
[0296] Tableting: layer 1 is first compressed in a multilayer tableting machine, and then layer 2 is loaded on layer 1 and compressed to form a bilayer tablet according to the following exemplary weights:
TABLE-US-00004 Layer 1: 650 mg Layer 2: 200 mg Total weight: 850 mg
Example 6
Multilayer Pharmaceutical or Nutraceutical Solid Dosage Form According to the Invention (UMP.Math.2Na, CMP.Math.2Na/CMP in Acid Form, Thiamine Nitrate, Cyanobalamin)
[0297] Exemplary bilayer tablets (DG186070A1 and DG186072A1 batches) were prepared with the following compositions and according to the process described in Example 5:
TABLE-US-00005 DG186070A1 batch DG186072A1 batch Weight Weight Layer 1 (total wt. 650 mg) UMP-2Na 386.487 mg.sup.1 386.487 mg.sup.1 CMP-2Na 127.994 mg.sup.2 — CMP in acid form — 103.386 mg.sup.3 Microcrystalline cellulose 103.019 mg 127.627 mg Hydroxypropylcellulose 19.500 mg 19.500 mg Colloidal silicon dioxide 6.500 mg 6.500 mg Aerosil ® Magnesium stearate 6.500 mg 6.500 mg Layer 2 (total wt. 200 mg) Thiamine nitrate 1.493 mg 1.493 mg Pyridoxine HCl 2.042 mg 2.042 mg Cyanocobalamin 2.640 μg 2.640 μg Hydroxypropylcellulose 4.000 mg 4.000 mg Red iron oxide E-172 0.250 mg 0.250 mg Microcrystalline cellulose 190.212 mg 190.212 mg Colloidal silicon dioxide 1.000 mg 1.000 mg Aerosil ® Magnesium stearate 1.000 mg 1.000 mg .sup.1386.487 mg actually correspond to 264.200 mg of UMP in base form after considering water content. .sup.2127.994 mg actually correspond to 88.000 mg of CMP in base form after considering water content. .sup.3103.386 mg actually correspond to 100.000 mg of CMP in base form after considering water content.
Example 7
Multilayer Pharmaceutical or Nutraceutical Solid Dosage Form According to the Invention (UMP.Math.2Na, CMP.Math.2Na, Thiamine Nitrate, Pyridoxine HCl, Cyanobalamin)
[0298] Exemplary trilayer tablets (batches DG186087A1 and DG186089A1) were prepared with the compositions described below and according to the process of the third aspect of the invention, that is:
[0299] Layer 1 manufacturing: raw materials (i.e. UMP.Math.2Na, CMP.Math.2Na or CMP in acid form, microcrystalline cellulose, hydroxypropylcellulose and colloidal silicon dioxide Aerosil®) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and later blended in a blender up to homogeneity. Afterwards, magnesium stearate is weighed, sieved using a small-sized mesh sieve and blended with the previous mixture until homogeneity is observed.
[0300] Layer 2 manufacturing: raw materials (i.e. vitamin B.sub.1, vitamin B.sub.6, vitamin B.sub.12, hydroxypropylcellulose, red iron oxide E-172 and microcrystalline cellulose) are weighed according to batch formula, then sieved through a medium-sized mesh sieve and granulated in the presence of water. Colloidal silicon dioxide, together with microcrystalline cellulose in an amount corresponding to 2.7% wt. in respect of the total amount of microcrystalline cellulose, are sieved using a small-sized mesh sieve and then blended with the previous mixture until homogeneity is observed. Afterwards, magnesium stearate is also weighed, sieved using a small-sized mesh sieve and then added onto the resulting blend and blended until homogeneity is obtained.
[0301] Layer 3 (inert layer) manufacturing: Microcrystalline cellulose in an amount of 20% wt. in respect of the total amount of microcrystalline cellulose, together with red iron oxide E-172, are weighed according to batch formula and then sieved through a medium-sized mesh sieve and blended until homogeneity. Then, the remaining 80% wt. of microcrystalline cellulose is also sieved in the same way and then added to the previous blend, and afterwards, magnesium stearate is also sieved accordingly and then added to the previous blend. The resulting mixture is blended until homogeneity.
[0302] Tableting: layer 1 is first compressed in a multilayer tableting machine, and then layer 3 is loaded on layer 1 and compressed to form a bilayer tablet. Afterwards, layer 2 is loaded on layer 3 and compressed to form the corresponding trilayer tablet according to the following exemplary weights: [0303] Layer 1: 650 mg [0304] Layer 2: 200 mg [0305] Layer 3: 200 mg [0306] Total weight: 1050 mg
[0307] The composition of trilayer tablets (i.e. DG186087A1 and DG186089A1 batches) is as follows:
TABLE-US-00006 DG186087A1 batch DG186089A1 batch Weight Weight Layer 1 (total wt. 650 mg) UMP-2Na 386.487 mg.sup.1 386.487 mg.sup.1 CMP-2Na 127.994 mg.sup.2 — CMP in acid form — 103.386 mg.sup.3 Microcrystalline cellulose 103.019 mg 127.627 mg Hyd roxypropylcellu lose 19.500 mg 19.500 mg Colloidal silicon dioxide 6.500 mg 6.500 mg Aerosil ® Magnesium stearate 6.500 mg 6.500 mg Layer 2 (total wt. 200 mg) Thiamine nitrate 1.493 mg 1.493 mg Pyridoxine HCl 2.042 mg 2.042 mg Cyanocobalamin 2.640 μg 2.640 μg Hyd roxypropylcellulose 4.000 mg 4.000 mg Red iron oxide E-172 0.250 mg 0.250 mg Microcrystalline cellulose 190.212 mg 190.212 mg Colloidal silicon dioxide 1.000 mg 1.000 mg Aerosil ® Magnesium stearate 1.000 mg 1.000 mg Layer 3 (total wt. 200 mg) Microcrystalline cellulose 197.875 mg 197.875 mg Red iron oxide E-172 0.125 mg 0.125 mg Magnesium stearate 2.000 mg 2.000 mg .sup.1386.487 mg actually correspond to 264.200 mg of UMP in base form after considering water content. .sup.2127.994 mg actually correspond to 88.000 mg of CMP in base form after considering water content. .sup.3103.386 mg actually correspond to 100.000 mg of CMP in base form after considering water content.
Comparative Example 1
Monolayer Solid Dosage Form Comprising UMP.Math.2Na, CMP.Math.2Na, Thiamine Nitrate, Pyridoxine HCl and Cyanobalamin
[0308] A monolayer tablet (DG186075A1 batch) was prepared for comparative purposes in the following manner:
[0309] UMP.Math.2Na, CMP.Math.2Na, microcrystalline cellulose, hydroxypropylcellulose and colloidal silicon dioxide are weighed according to batch formula, then sieved through a medium-sized mesh sieve and later blended in a blender up to homogeneity. Afterwards, magnesium stearate is sieved using a small-sized mesh sieve and blended with the previous mixture until homogeneity is observed.
[0310] In parallel, vitamin B.sub.1, vitamin B.sub.6, vitamin B.sub.12, mannitol, iron oxide, microcrystalline cellulose and hydroxypropylcellulose are weighed according to batch formula, then sieved through a medium-sized mesh sieve and granulated in the presence of water. Colloidal silicon dioxide, together with microcrystalline cellulose in an amount corresponding to 2.7% wt. in respect of the total amount of microcrystalline cellulose, are sieved using a small-sized mesh sieve and then blended with the previous mixture until homogeneity is observed. Afterwards, magnesium stearate is also weighed, sieved using a small-sized mesh sieve and then added onto the resulting blend and blended until homogeneity is obtained. This second blend is then added to the first blend containing UMP.Math.2Na and CMP.Math.2Na, and the resulting blend is then mixed until homogeneity and then compressed in a tableting machine as monolayer tablet.
[0311] The composition of this solid dosage form is identical to one of the previous solid dosage forms of Example 6, namely, the one corresponding to DG186070A1 bilayer tablet batch, the difference being that it is in the form of monolayer tablets instead of bilayer ones.
TABLE-US-00007 DG186075A1 batch Weight UMP-2Na 386.487 mg.sup.1 CMP-2Na 127.994 mg.sup.2 Microcrystalline cellulose 103.019 mg Hydroxypropylcellulose 19.500 mg Colloidal silicon dioxide Aerosil ® 6.500 mg Magnesium stearate 6.500 mg Thiamine nitrate 1.493 mg Pyridoxine HCl 2.042 mg Cyanocobalamin 2.640 μg Hydroxypropylcellulose 4.000 mg Red iron oxide E-172 0.250 mg Microcrystalline cellulose 190.212 mg Colloidal silicon dioxide Aerosil ® 1.000 mg Magnesium stearate 1.000 mg .sup.1386.487 mg actually correspond to 264.200 mg of UMP in base form after considering water content. .sup.2127.994 mg actually correspond to 88.000 mg of CMP in base form after considering water content.
Example 8
Stability Testing of Multilayer Pharmaceutical or nutraceutical solid dosage forms of Examples 6, 7 and Comparative Example 1
[0312] Stability testing of the following solid dosage forms was carried out: [0313] Bilayer tablets of Example 6 (DG186070A1 and DG186072A1 batches); [0314] Trilayer tablets of Example 7 (DG186087A1 and DG186089A1 batches); and [0315] Monolayer tablets of Comparative Example 1 (DG186075A1 batch).
[0316] Results obtained are summarized in the following table (assay results at t=1.5 months are expressed relative to the actual value at time t=0, which has been here considered as 100%; % assay calculated by HPLC):
TABLE-US-00008 DG186070A1 DG186072A1 DG186087A1 DG186089A1 DG186075A1 Assay (%) Assay (%) INGREDIENT t = 0 t = 1.5 months; 40° C. / 75% RH; Alu-Alu blister Thiamine nitrate 100.0 97.7 105.3 104.1 97.4 94.2 Pyridoxine HCl 100.0 95.1 108.7 106.0 101.5 99.9 Cyanocobalamin 100.0 86.6 85.1 93.3 85.3 62.3 UMP-2Na 100.0 99.9 99.3 97.8 98.1 100.3 CMP-2Na 100.0 98.3 — 98.9 — 101.7 CMP in acid form 100.0 — 104.4 — 101.6 —