METHODS, SYSTEMS, AND MATERIALS FOR MAKING UNIT DOSAGE FORMS
20230285245 · 2023-09-14
Inventors
- Walter PEBLEY (Corvallis, OR, US)
- Donald Gray JOHNSON, JR. (Salem, OR, US)
- Janardan M. DESAI (Brampton, CA)
- Kevin D. MORGUS (Albany, OR, US)
- Gonzalo Leon RODRIGUEZ (Salem, OR, US)
- Daniel Joseph FREEMAN (Albany, OR, US)
- Daniel Scot FRANKLIN (Albany, OR, US)
- Kristen N. ROEGNER (Corvallis, OR, US)
- Joshua HARVEY (Turner, OR, US)
- Andrew LOVE (Monmouth, OR, US)
Cpc classification
A61K9/1688
HUMAN NECESSITIES
International classification
Abstract
Systems, methods, and materials are described for making solid unit dosage forms for administration of therapeutic and biotherapeutic agents, particularly dosage forms for various enteral, nasal, pulmonary, vaginal, topical, and other suitable non-injection delivery routes. Contact freezing methods may be used in conjunction with lyophilization or vacuum drying to process a liquid formulation and produce solid unit dosage forms having a high degree of structural stability while preserving the therapeutic activity of the included agents.
Claims
1. A method for bulk manufacture of unit dosage forms, the method comprising: rotating a drum around a rotational axis at a rotational speed, the drum having an outer surface with a plurality of cavities formed thereon; chilling the outer surface of the drum to a target temperature; dispensing a liquid formulation comprising a therapeutic or biotherapeutic agent into one or more of the plurality of cavities while rotating the drum about its rotational axis; freezing the liquid formulation within the one or more of the plurality of cavities to form a frozen unit on the outer surface of the drum; collecting the frozen units from the one or more of the plurality of cavities; and drying the collected frozen units to form the unit dosage forms.
2. The method of claim 1, further comprising the step of selecting the target temperature for chilling the outer surface of the drum based on a rotational cycle of the drum, wherein the step of freezing the liquid formulation occurs within one rotational cycle of the drum after liquid formulation is dispensed.
3. The method of claim 1, wherein the target temperature of the outer surface of the drum ranges between about -50° C. to about -150° C.
4. The method of claim 1, wherein chilling the outer surface of the drum further comprises delivering a cryogen into thermal contact with the outer surface.
5. The method of claim 4, wherein delivering the cryogen comprises injecting cryogen into an interior cavity of the drum.
6. The method of claim 1, wherein the liquid formulation has a temperature of about 4° C. to about 25° C. during dispensing.
7. The method of claim 1, wherein the drying step further comprises drying the collected frozen units to a water activity level ranging from about 0.02 to about 0.1.
8. The method of claim 1, wherein prior to dispensing the liquid formulation, the method further comprises characterizing the liquid formulation to determine a phase transition temperature of the liquid formulation, and wherein the target temperature of the outer surface of the drum is based on the phase transition temperature of the liquid formulation.
9. The method of claim 1, further comprising adjusting the rotational speed of the drum during the step of dispensing the liquid formulation.
10. A system for bulk manufacture of unit dosage forms, the system comprising: a drum frame having a first support structure and a second support structure; a drum coupled to the first support structure and the second support structure, the drum rotatable relative to the drum frame about a rotational axis, the drum having an outer surface with a plurality of cavities formed thereon; a dispenser operable to dispense a liquid formulation comprising a therapeutic or biotherapeutic agent into one or more cavities of the plurality of cavities on the outer surface of the drum; a cryogenic component for chilling the outer surface of the drum to a target temperature capable of freezing the liquid formulation in the one or more cavities to form one or more frozen units; a collection tray positioned relative to the drum to collect the one or more frozen units from the one or more cavities; and a dryer for drying the one or more frozen units to yield solid unit dosage forms.
11. The system of claim 10, wherein the plurality of cavities on the outer surface of the drum includes either a series of parallel grooves formed on the outer surface of the drum or a plurality of discrete pockets formed on the outer surface of the drum.
12. The system of claim 10, further comprising a drum sleeve separate from the drum, the drum sleeve encircling the drum and including the plurality of cavities formed thereon, wherein the drum sleeve is removable from the drum.
13. The system of claim 10, the dispenser further comprising a plurality of nozzles each having an opening directed toward the outer surface of the drum and arranged to radially align with a corresponding cavity of the plurality of cavities during rotation of the drum.
14. The system of claim 10, wherein the dispenser is supported by the first support structure and the second support structure of the drum frame, the dispenser further including an adjustment mechanism operable to facilitate a height adjustment of the dispenser relative to the outer surface of the drum.
15. The system of claim 10, wherein the cryogenic component includes a delivery system for directing a cryogen into thermal contact with the outer surface of the drum.
16. The system of claim 15, wherein the drum includes a hollow interior chamber, and wherein the cryogenic component is injected into the hollow interior chamber to chill the outer surface of the drum.
17. The system of claim 10, further comprising a cooling plate disposed within the drum frame, wherein the collection tray is seated on the cooling plate and the cooling pate is operable to chill the collection tray.
18. The system of claim 10, further comprising a dislodging mechanism mounted within the drum frame, the dislodging mechanism operable for dislodging the frozen units from the outer surface of the drum.
19. The system of claim 10, wherein the target temperature for chilling the outer surface of the drum is based on a rotational speed of the drum.
20. A liquid formulation for preparing solid unit dosage forms, the liquid formulation comprising: a therapeutic or biotherapeutic agent, wherein said agent is homogeneously distributed throughout the liquid formulation; a cryopreservative; a lyopreservative; and one or more excipients.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0013] The written disclosure herein describes illustrative embodiments that are not intended to be limiting or exhaustive in nature. Reference is made to certain of such illustrative embodiments that are depicted in the figures, in which:
[0014]
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DETAILED DESCRIPTION OF EXAMPLE EMBODIMENTS
[0029] With reference to the drawings, this section describes various embodiments of a freezer system and its detailed construction and operation. Throughout the specification, reference to “one embodiment,” “an embodiment,” or “some embodiments” means that a described feature, structure, or characteristic may be included in at least one embodiment of the freezer system. Thus, appearances of the phrases “in one embodiment,” “in an embodiment,” or “in some embodiments” in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the described features, structures, and characteristics may be combined in any suitable manner in one or more embodiments. In view of the disclosure herein, those skilled in the art will recognize that the various embodiments illustrated and described herein can be practiced without one or more of the specific details or with other methods, components, materials, or the like.
[0030] The present disclosure sets forth embodiments of a freezer system and related methods for making solid unit dosage forms for administration of therapeutic and biotherapeutic agents, particularly dosage forms for enteral, sublingual, buccal, nasal, pulmonary, vaginal, topical, or other suitable non-injection delivery routes. One objective of the disclosed systems and methods is to manufacture solid unit dosage forms as an alternative to injections where oral, inhalation, or pulmonary delivery of precise potency is required, thereby facilitating the development of treatment conditions not requiring a cold chain and/or specialized professionals for applying treatments.
[0031] Briefly, the freezer systems further described in detail below include a rotatable drum having an exterior surface with a plurality of cavities formed thereon, where the cavities receive a volume of liquid containing the therapeutic agents from a dispenser. The system further includes a cryogenic component operable for chilling the outer surface of the drum to freeze the liquid in the cavities and form a frozen unit. In some embodiments, a dryer may be used to dry the frozen units to yield solid unit dosage forms having a low water activity level for packaging and use.
[0032] The present disclosure describes using high-throughput production processes for making solid unit dosage forms in bulk that can be readily packaged either in bulk or in individual dose formats for storage, transportation, and further processing. As described herein, contact freezing methods can be used in conjunction with lyophilization or vacuum drying to process a liquid formulation and produce solid unit dosage forms having a high degree of structural stability while preserving the therapeutic activity and efficacy of the included agent(s).
[0033] As further described in detail below, the disclosed embodiments provide several advantages and benefits as compared to conventional methodologies. For example, the disclosed systems and methods provide for a larger production volume in a lyophilization chamber (batch) and a higher throughput rate as compared to a blister format. Moreover, the disclosed systems accommodate formulation-specific controlled freezing rates for maximum biological retention and efficacy of the dosage unit. In addition, the disclosed systems and methods are streamlined to yield a lower total production cost per dose as compared to a blister process and much less packaging per dose over the manufacturing process. Finally, the disclosed systems and methods allow for smaller dose delivery by routes that avoid the first pass effect, a phenomenon where the concentration of a drug is reduced before it reaches a site of action or the systemic circulation.
[0034] With collective reference to
[0035]
[0036] The freezer system 100 further includes a dispenser 108 operable for dispensing liquid formulation containing one or more therapeutic agents. In some embodiments, the liquid formulation has a temperature of about 4° C. to about 25° C. during dispensing. The dispenser 108 may include an array of nozzles 110 or other suitable mechanisms arranged for dispensing the liquid formulation onto the outer surface 104 of the drum 102, and particularly into the cavities 106. The dispenser 108 dispenses the liquid formulation as the drum 102 rotates such that the liquid is contained within the cavities 106 and assumes a shape and volume based at least in part upon the dimensions of the cavities 106.
[0037] In some embodiments, the dispenser 108 comprises a plurality of nozzles 110 arranged in parallel along the longitudinal axis of the drum 102 so that each nozzle 110 is directed to a distinct zone of the outer surface 104 of the drum 102. As noted above, a plurality of cavities 106 may also be distributed along the longitudinal axis of the drum 102 as well as around its circumference. Accordingly, in some embodiments, each nozzle 110 may be aligned with at least one cavity 106. For example, where the cavities 106 comprise grooves (as shown in
[0038] The freezer system 100 further includes a cryogenic component (not shown) operable for chilling the outer surface 104 of the drum 102 to a suitable temperature for freezing the liquid in the cavities 106 to form a frozen dosage unit as further discussed below with reference to
[0039] Cryogens for use in the embodiments described herein may include any material capable of absorbing large amounts of heat to produce very low temperatures in adjacent materials upon changing from one state to another, for example, from a liquid or solid state to a gaseous state. The cryogen may comprise a cryogenic solid, cryogenic gas, cryogenic liquid, or a heat transfer fluid. In some embodiments, the cryogen is a liquid cryogen. Any suitable cryogenic liquid having a very low boiling temperature may be used. Examples include, without limitation, liquid helium, liquid argon, liquid carbon dioxide, liquid oxygen, and liquid nitrogen or supercooled ammonia. The liquid can also be chemically inert. In certain embodiments, the cryogen is liquid nitrogen. In some embodiments, the cryogen is delivered to the drum as a liquid but is brought into thermal contact with the outer surface as a vapor, a liquid/vapor mixture, or as a gas. For example, a liquid cryogen may be injected into the drum and then atomized, such as by a fan, where the resulting vapor is brought into thermal contact with the outer surface. Used cryogen may be recaptured from the drum, condensed as needed, and recycled for further chilling of the outer surface or directed to other uses.
[0040] With collective reference to
[0041] As described with reference to
[0042] As illustrated in
[0043] Preferably, the outer surface 104 of the drum 102 is configured so that the liquid formulation deposited into a cavity 106 ultimately freezes to form a solid dosage unit 30 with minimal to no adherence to the cavity 106. In some embodiments, at least a part of the outer surface 104, particularly the portion bounded between the cavity 106, is configured to exhibit low wettability with respect to the liquid formulation, where said surface wettability may range from highly hydrophobic to superhydrophobic. In an aspect thereof, the hydrophobicity can be expressed in terms of the contact angle exhibited by a water droplet on said surface, where said surface exhibits a water contact angle of at least 120°, or more particularly at least 150°. In another aspect, the outer surface 104 within the cavity 106 may provide a low sliding angle, e.g., an angle of inclination of the outer surface 104 at which a frozen dosage unit 30 will slide off. In some embodiments, the outer surface 104 within the cavity 106 is configured to provide a sliding angle of about 90° or less, or more particularly 60° or less, or 45° or less.
[0044] In some embodiments, the outer surface 104 of the drum 102 may include any suitable surface morphology and/or surface chemistry to minimize adhesion of the frozen dosage unit 30. For example, the outer surface 104 may include morphological features, such as surface roughness, configured at the micro- and/or nano-scale to allow for an air layer to be maintained in the space between asperities during liquid contact. The surface chemistry may be configured to exhibit a lower surface energy and reduce wettability. In some cases, the outer surface 104 may include a coating that increases the hydrophobicity of the outer surface 104.
[0045] Once the dosage units 30 have been frozen on the outer surface 104 of the drum 102, the dosage units 30 may be collected as they drop off the drum 102. In the configuration of the freezer system 100 described above with reference to
[0046] Once the frozen dosage units 30 have been removed from the cavities 106 of the drum 102, the frozen dosage units 30 may be collected in a tray 40 (see
[0047] As noted previously, the present disclosure encompasses methods and systems for producing solid unit dosage forms 30 having a low water content and/or low water activity level. Accordingly, in some embodiments, the freezer system 100 may further include a dryer (see dryer 414 of
[0048]
[0049] With particular reference to 4B, the freezer system 100 may include a vessel 420 for storing a liquid formulation. In some embodiments, the vessel 420 may be equipped to accomplish or complete preparation of the liquid formulation. The vessel may be operably connected to a manifold 422, wherein the manifold 422 distributes a stream 424 of liquid formulation from the vessel 420 into a plurality of output streams 426 directed to one or more dispensers, such as dispenser 408. Formulation flow in excess of the manifold output may be returned to the vessel 420 as a return stream 428 and recirculated.
[0050] With collective reference to
[0051]
[0052] With particular reference to
[0053] The outer surface temperature may be selected based upon the properties of the liquid formulation being processed by the freezer system 500 so as to provide a cooling of a dispensed portion of the liquid formulation to a target temperature at a particular rate. In certain embodiments, the cryogenic component of the freezer system 500 is configured such that the temperature of the outer surface 504 is less than about -50° C. In other embodiments, the outer surface temperature may be less than about -80° C., less than about -90° C., less than about -100° C., less than about -110° C., less than about -120° C., less than about -130° C., less than about -140° C., less than about -150° C., up to and including less than -270° C. Stated another way, the outer surface temperature may broadly range from about -50° C. to about -270° C., from -50° C. to about -150° C., from about -60° C. to about -130° C., or from about -80° C. to about -120° C., or from about depending on the liquid formulation and the desired freezing characteristics of the dosage unit. A temperature may be selected that results in supercooling of the portion of liquid formulation so as to produce homogenous nucleation. For example, in liquid formulations comprising living cells, cooling below the T.sub.g (glass transition temperature) of pure water suspends all molecular processes and prevents free radical generation, thereby preserving viability. However, cooling too rapidly can result in the formation of ice crystals that can disrupt cellular structure, while cooling too slowly can result in dehydration and other osmotic damage to the cells. In such cases, the temperature can be selected to provide a rate of cooling from about 0.9° C./min to about 2° C./min.
[0054] With particular reference to
[0055]
[0056]
[0057] As illustrated in
[0058] As noted above, the freezer systems 100, 500, 1100 described herein may be configured for operation in a controlled environment, such as a cleanroom 50. For example, use of such systems to produce frozen dosage forms 30 of therapeutic agents may involve maintaining a level of air quality to avoid contamination of the product by airborne particles. In some embodiments, at least some components of the system (as described above) may be placed in the cleanroom 50, such as defined under ISO 14644. More particularly, the cleanroom 50 may be compliant with an ISO 14644 standard applicable to the product being made. In some embodiments, the freezer systems 100, 500, 1100 may be configured for operation with or without an operator present in the cleanroom 50.
[0059] For example, the system 1100 may include a remote-control device (not shown) in operable communication with the controller cabinet 1108 that is connected to at least the dispenser 1104 and the drum freezer (not shown), so that these components may be situated in the cleanroom 50 while their respective functions, such as dispensing liquid formulation and rotation of the drum, are controllable from outside the cleanroom 50. In some embodiments, additional components and functions of the system 1100 are also controllable by the remote-control device, such as cooling of the drum outer surface and/or collection tray, collection of frozen units, and lyophilization of frozen units. In some embodiments, one or more of the above functions may be automated.
[0060]
[0061]
[0062] In various embodiments, one or both of the outer surface temperature and the rotation speed of the drum may be selected to achieve freezing, at step 1408, of dispensed portions of the liquid formulation within a desired time frame and at a desired level of freezing. For example, step 1404 above may comprise chilling the outer surface to a temperature that will achieve very rapid or substantially instantaneous freezing of the dispensed portion of liquid formulation after contact with the outer surface of the drum. In other embodiments, the temperature of the outer surface of the drum may be selected to achieve freezing based upon the rotation cycle of the drum. For example, in some embodiments, the temperature may be selected such that the dosage unit is frozen in less than one rotation cycle of the drum. In other embodiments, the temperature may be selected to achieve freezing within one-quarter or one-half rotation of the drum. It will be understood, however, that the rotation speed of the drum may also be selected either in combination with or separately from the temperature of the outer surface of the drum to ensure the liquid formulation is sufficiently frozen as desired.
[0063] In other embodiments, the temperature of the outer surface described with reference to step 1404 may also be selected based in part upon the volume of each dispensed portion, which in turn may be selected in view of the amount of therapeutic agent to be delivered by the resulting dosage form. In some embodiments, the dispensed portion from the dispenser comprises an amount of liquid formulation selected to provide a specific dose of therapeutic agent. For example, the dispensed portion may have a volume of about 0.01 .Math.l to about 1.0 ml. In such embodiments, the temperature of the outer surface of the drum may broadly range from between -50° C. to about -150° C. depending on the particular composition of the liquid formulation, the rotation speed of the drum, and/or other suitable factors.
[0064] Freezing time and other aspects of the freezing process described with reference to method 1400 may depend upon the physical and chemical characteristics of the liquid formulation as noted above. Accordingly, in some embodiments, method 1400 may further include the step of characterizing the liquid formulation to determine one or more of these characteristics, such as a phase transition temperature of the formulation, e.g., its glass transition temperature (T.sub.g). In some embodiments, this step may comprise conducting thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), freeze-drying microscopy (FDM), or a combination of these techniques. Thereafter, step 1404 may include selecting the chilling temperature of the outer surface based upon the characteristics of the liquid formulation.
[0065] Returning to
[0066] In other embodiments, however, the method 1400 may further include the step of dislodging the frozen dosage units from the cavities, such as via a dislodging mechanism that enters each cavity while the drum rotates and contacts the frozen dosage units to remove them from the cavities. As mentioned previously, one aspect of the present disclosure is the ability to produce and package solid dosage forms in bulk without requiring a unit-dose packaging step. Accordingly, step 1410 may further include collecting multiple frozen units into a batch before subjecting them to further processing.
[0067] Finally, at step 1412, the collected frozen dosage units are dried to yield solid dosage forms. The drying process reduces the water content of the frozen dosage forms to provide stability for packaging and storage, while preserving their physical structure as well as the potency of therapeutic agent included therein. Drying may include various suitable processes, such as subjecting the frozen units to lyophilization or vacuum drying. In some embodiments, drying includes placing the collection tray containing a batch of frozen dosage units into a freeze dryer and subjecting them to a lyophilization process designed to produce solid dosage forms having desired characteristics. In some embodiments, the drying step is adapted to produce solid dosage forms having a selected water content, for example below about 3% w/w. In some embodiments, the drying step is adapted to produce solid dosage forms having a selected water activity level, for example from about 0.02 .Math.l to about 300 .Math.l. The lyophilized dosage forms may be packaged in bulk for storage and/or for shipping. The bulk quantity may also be apportioned and packaged in unit dosage formats, or into multiple packaging containers containing specific numbers of doses. In some embodiments, the batch of dosage forms may be processed for storage and/or shipping after being collected from the drum, i.e., without an intervening drying step. This approach may be used, for example, in cases where the dosage forms comprise a therapeutic agent that is intolerant of desiccation.
[0068] As noted previously, various parameters within the steps of method 1400 described above may be selected so as to produce solid dosage forms having desired characteristics. In various embodiments, the nature and quantity of the solid dosage forms may be determined at least in part by any of the following: the configuration of the outer surface of the drum; the temperature of the outer surface; the mode and speed of rotation of the drum; the properties of the liquid formulation, and the manner of dispensing the liquid formulation onto the drum. It should be noted however, that the foregoing is not intended to be exhaustive or limiting of the possible combinations of parameters that may be employed by one of skill in the relevant art with the aid of the present disclosure.
[0069] Accordingly, in some embodiments, method 1400 may further involve the step of selecting the configuration of the outer surface of the drum, including the surface morphology, surface chemistry, the form and arrangement of the cavities, the manner of dispensing the liquid formulation during rotation of the drum, or any combination of these. For example, the method may include dispensing a portion of liquid formulation into a groove on the outer surface while rotating the drum, such that each portion is dispensed near the uppermost position of the outer surface of the drum. However, it will also be appreciated that the liquid formulation may be delivered onto the drum at various positions. In some embodiments, the leading end of the dispensed portion of the liquid formulation is drawn out from the rest of the dispensed portion by the rotating drum, so that freezing of the portion results in an elongated frozen unit. The length of the frozen unit is determined by the dispensing duration relative to the rotation cycle length, while its width, height, and shape is determined at least in part by the width, depth, and cross-sectional shape of the cavities on the outer surface of the drum. As noted above, a plurality of such frozen units may be created within one rotation of the drum by dispensing multiple portions in each cavity, and further by utilizing multiple cavities, i.e., having a separate nozzle aligned with each cavity as described previously.
[0070] In another example embodiment, the drum may include an outer surface on which a plurality of discrete pockets is present, and the dispensing step 1406 of method 1400 may include dispensing the liquid formulation in a selected spatial and temporal pattern during rotation of the drum so as to place a portion of the formulation into each of a plurality of the pockets. The spatial and temporal pattern is selected so that a nozzle dispenses formulation at points in the rotation cycle when a cavity is adjacent the nozzle’s orifice. In some embodiments, the method 1400 may further include slowing or interrupting the rotation of the drum at such points to allow a portion of the liquid formulation to be completely dispensed into each pocket.
[0071] As described, the methods and the related systems illustrated in the figures provide a streamlined process for manufacturing frozen dosage forms in bulk. It should be understood that in some embodiments, certain of the steps in method 1400 as described above may be combined, altered, varied, and/or omitted without departing from the principles of the disclosed subject matter. Further, it is intended that subject matter disclosed in one portion herein can be combined with the subject matter of one or more of other portions herein as long as such combinations are not mutually exclusive or inoperable. In addition, many variations, enhancements and modifications of the systems and methods described herein are possible.
[0072] The present disclosure further encompasses liquid formulations that are suited for use with the freezer systems 100, 500, 1100 described above and the related methods 1400 in making dried (e.g., lyophilized) solid dosage forms. In particular, the liquid formulations may be formed into dosage forms that are stable for packaging, storage, and handling in bulk and that retain a high level of therapeutic potency to be realized upon rehydration and/or administration. The liquid formulations are further useful for dosage forms that readily disintegrate in rehydrating conditions, such as in a solvent or upon administration by oral or transmucosal routes. Encompassed dosage forms include, without limitation, pastilles, tablets, powders, suppositories, and sachets. The liquid formulation may be adapted for effective dosing and delivery of a number of types of suitable therapeutic agents, including small molecules, botanical isolates, biotherapeutic molecules and macromolecules, nucleic acids, and cellular agents, such as stem cells and probiotics.
[0073] In some embodiments, a liquid formulation may comprise a mixture of a therapeutic agent and one or more excipients. Depending on the nature of the therapeutic agent and other ingredients, the liquid formulation may be prepared as a solution, a suspension, an emulsion, or a slurry. For example, a liquid formulation for making dosage form comprising a water-soluble small molecule may be prepared as an aqueous solution. To facilitate precise and consistent dosage among units and across the process, the liquid formulation may be prepared so that the therapeutic agent is homogeneously distributed within the formulation.
[0074] Excipients may include, without limitation, one or more of cryopreservatives, lyopreservatives, bulking agents, absorption enhancers, disintegrants, flavorings, sweeteners, surfactants, and thickeners. As used herein, “cryopreservatives” refers to compounds that, when added to a mixture comprising a therapeutic agent, accommodate freezing of the mixture without substantial loss of potency of the therapeutic agent upon rehydration or reconstitution. With particular respect to cell-based therapeutic agents, cryopreservatives can minimize or prevent intracellular ice crystal formation, osmotic imbalance and other freezing-related phenomena that reduce cell viability. Suitable cryopreservatives include, without limitation, mono-, di-, and polysaccharide sugars, such as sucrose or trehalose, dimethyl sulfoxide (DMSO), glycerol, propylene glycol and ethylene glycol. As used herein, “lyopreservatives” refers to compounds that, when added to a mixture comprising a therapeutic agent, allows lyophilization of the mixture without substantial loss of potency of the therapeutic agent upon rehydration or reconstitution. Suitable lyopreservatives include, without limitation, disaccharide sugars including sucrose, lactulose, lactose, maltose and trehalose; polyalcohols; raffinose and other non-reducing polysaccharides, and their derivatives.
[0075] Bulking agents may include various materials used for adding bulk and structure, particularly in solid dosage forms. In some embodiments, the bulking agent may comprise a carbohydrate base selected from the following group: mannitol, dextrose, sucrose, lactose, maltose, maltodextrin and lactose. Examples of other bulking agents include, without limitation, calcium hydrogen phosphate, microcrystalline cellulose, silicates, magnesium oxide, talc, potato or corn starch, isomalt, and polyvinyl alcohol. In particular, bulking agents may be selected to provide structural integrity when the dosage form is dry, and rapid disintegration in the presence of a liquid.
[0076] One or more absorption enhancers may be included to enhance penetration of the epithelium or other target membrane by the therapeutic agent, particularly in cases where the therapeutic agent comprises a large molecule or a highly hydrophilic molecule. Examples include quaternary ammonium salts, polyethylene glycol and polyethylene glycol esters, natural and synthetic surfactants, fatty acids, fatty alcohols, bile salts and bile acids, sugar esters and chelators. In some embodiments, the liquid formulation may comprise a compound selected to enhance short-term expansion of transcellular and/or paracellular pathways for active components that are otherwise too large for these pathways. Such compounds include alkyl saccharides in which a sugar is linked to an alkyl side chain by a glycosidic, amide, ester or other linkage. In some embodiments, the absorption enhancer includes an alkyl glycoside, particularly one comprising an alkyl having a carbon chain length of C6 to C18, or more particularly, C12 to C16 or C12 to C14. Suitable alkyl glycosides include, without limitation, dodecyl maltoside, tetradecyl maltoside, and N-lauryl-b-d-maltopyranoside.
[0077] The systems and methods described herein may be adapted in conjunction with the liquid formulation to create a solid matrix that readily disintegrates upon administration. In some embodiments, a disintegrant may be added. Suitable disintegrants include crosslinked polymers such as crosslinked polyvinyl pyrrolidone and crosslinked sodium carboxymethylcellulose.
[0078] Thickeners serve to maintain the therapeutic agent in homogenous suspension and thereby achieve uniform distribution throughout the mixture. The thickener also contributes to formation of the matrix and can provide a more palatable mouth feel before and during disintegration in oral dosage forms. In some embodiments, the thickener is a gum. Suitable gums include, without limitation, xanthan gum, carrageenan gums, galactomannan gums, acacia, guar, and tragacanth gum.
[0079] Surfactants may also be included to impart characteristics of potential benefit. For example, surfactants may be included for enhancing dispersion of the ingredients and preventing adhesion of a frozen unit to the cavity in which it is formed. Examples of pharmaceutically acceptable surfactants include: polyoxyethylene castor oil derivates, e.g. polyoxyethyleneglycerol triricinoleate or polyoxyl 35 castor oil, or polyoxyethyleneglycerol oxystearate such as polyethylenglycol 40 hydrogenated castor oil or polyethylenglycol 60 hydrogenated castor oil; or block copolymers of ethylene oxide and propylene oxide, also known as polyoxyethylene polyoxypropylene block copolymers or polyoxyethylene polypropyleneglycol; or a mono fatty acid ester of polyoxyethylene (20) sorbitan, e.g. polyoxyethylene (20) sorbitan monooleate, polyoxyethylene (20) sorbitan monostearate, polyoxyethylene (60) sorbitan monostearate, polyoxyethylene (20) sorbitan monopalmitate, or polyoxyethylene (20) sorbitan monolaurate.
[0080] Flavorings and sweeteners may be included in the liquid formulation to provide sensory appeal and mask bitterness of other ingredients. Flavorings may include any suitable natural, artificial, or combined natural and artificial flavoring or flavor enhancer, such as flavored oils, fruit preparations, maltol, ethyl maltol, citric acid, ascorbic acid or acetaldehyde. In other embodiments, fruit powders, concentrates, or purees may be used in higher amounts. In some embodiments, artificial sweeteners may be particularly useful because their potency permits using a minimal amount. Suitable sweeteners include acesulfame-K, aspartame, sodium saccharin, calcium saccharin, and mono-ammonium glycyrrihizinate (MAG).
[0081] Certain characteristics of the liquid formulation may have particular significance with respect its use in the systems and methods described above. For example, the viscosity of the formulation may affect the flow rate at which it can be dispensed via the nozzles, as well as its propensity to fill and conform to a cavity with a given shape. Each of these factors can be a consideration in the ability to control the amount of therapeutic agent in a dosage form having a given shape. In addition, the viscosity of the liquid formulation may impact the time it takes to freeze at a given temperature of the drum outer surface. With rapid freezing, the formation of large ice crystals can be avoided, which may be of particular benefit for dosage forms where the therapeutic agent comprises cells or biological macromolecules, which can be damaged by the crystal formation that occurs during slow freezing. In some embodiments, the liquid formulation can have a viscosity of about 0.1 cP to about 1000 cP, or from about 20 cP to about 150 cP.
[0082] The present disclosure also encompasses solid dosage forms made by employing systems, methods and materials described herein. In some embodiments, the solid dosage form comprises a pharmaceutically effective amount of a therapeutic agent, 0.1-3.0% of a gum, and 10-60% of a carbohydrate base. In certain embodiments, the solid dosage form may comprise (by dry weight): a therapeutic agent in the amount of 1-60% (preferably in the amount of 10-60%), a carbohydrate base in an amount of 10-60%, a gum in an amount of 0.1-3.0%, flavoring in an amount of 0.001-5.0%, a surfactant in an amount of less than 1%, and a sweetener in an amount less than about 1%.
[0083] The present disclosure may be better understood by reference to the following specific examples for liquid formulations and employed freeze tests.
EXAMPLES
[0084] An exemplary liquid formulation (Formulation 1) according to an embodiment contains the following ingredients:
TABLE-US-00001 INGREDIENT AMOUNT (% WET WT.) ENCAPSULATED ACETAMINOPHEN (APAP) 35.00 MANNITOL 30.00 XANTHAN GUM 0.30 MONO-AMMONIUM GLYCYRRIHIZINATE (MAG) 0.30 ASPARTAME 0.15 WINTERGREEN FLAVOR 1.00 POLYSORBATE 60 0.01 DISTILLED WATER 33.24
[0085] In the above example, the encapsulated acetaminophen used was Durkote APAP 145-75 obtained from Van Den Bergh Food Ingredients Group of Lisle, Ill, the gum was Kelco Xanthan Gum K1B111, and the flavoring was DM Wintergreen 1348.
[0086] Further exemplary liquid formulations (2 - 81) according to embodiments of the present disclosure contain the ingredients shown below:
TABLE-US-00002 FORMULATION 2 3 4 5 Flavor #1 Flavor #2 Flavor #3 Flavor #2 INGREDIENT (% w/w) Control % Control % Control % Reduced % ENCAPSULATED ACETAMINOPHEN 35.00 35.00 42.00 42.00 MANNITOL 30.00 30.00 22.00 22.00 MALTRIN - - 2.00 2.00 XANTHAN GUM 0.30 0.30 0.30 0.30 MAG 0.30 0.30 0.30 0.30 ASPARTAME 0.15 0.15 0.15 0.15 FLAVOR #1 1.20 - 1.20 - FLAVOR #2 - 1.20 - 1.20 POLYSORBATE 60 0.01 0.01 0.01 0.01 DISTILLED 33.04 33.04 32.04 32.04 WATER TOTAL 100.00 100.00 100.00 100.00 g wet mix/ 325 mg tablet 1.20 1.20 1.00 1.00
TABLE-US-00003 Formulations 6–19 Ingredient(gm) 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ACETAMINOPHEN 5.00 5.00 5.00 5.00 5.00 5 5 5 0.25 2.5 2.5 2.5 2.5 2.5 DEXTROSE 9.00 9.00 - 9.00 - 8 8 5.8 - 4.3 4.3 5 5 4.5 SUGAR - - 9.00 - 9.00 2 2 3 0.32 - - 2 2 1.35 XANTHAN GUM 0.10 0.10 0.10 0.10 0.10 0.02 0.03 0.03 0.05 0.02 0.03 0.03 0.03 0.03 POLYSORBATE 0.02 0.02 0.02 - - - 0.02 0.05 0.05 0.02 0.02 0.02 - 0.02 MAG 0.10 0.10 0.10 - 0.13(110) 0.1 - 0.1 0.03 0.09 0.1 0.1 0.15 0.1 ACESULFAME K 0.02 0.03 0.03 - - - 0.05 0.05 - - - - - - SACCHARIN - - - 0.90 0.54 - - - - - - - - - FLAVOR #1 - - - 0.30 - 0.4 0.7 0.5 0.1 0.1 - 0.12 - - FLAVOR #2 - 0.01 0.02 - - - - - - - - - - - WATER 35.00 16.00 16.00 14.00 14 14 15.5 1.5 1.5 15 10 8.35 6.3 4.5 TOTAL 49.24 30.26 30.25 28.40 28.77 29.52 29.8 31 22.03 16.95 18.12 15.98 13 WET ING. 35.00 16.00 16.00 14.30 14.23 14.4 14.7 16 15.1 10 8.47 6.3 4.5 DRY ING. 14.24 14.26 14.25 14.10 14.54 15.12 15.1 14 6.93 6.95 9.65 9.68 8.5 # TABS 18 18 18 17 17 16 17 17 - WT/TAB 2.48 1.39 1.43 1.40 1.41 1.36 1.5 1.34 - 1.65 1.3 1.35 MC APAP 252 230 235 246 245 230 251 216 170 229 203 2.59
TABLE-US-00004 Formulations 20-30 INGREDIENT (gm) 20 21 22 23 24 25 26 27 28 29 30 ACETAMINOPHEN 5.00 5 5 5 5 5 5 5 5 50 5 DEXTROSE 9.00 8.6 9 9 10 8 8 9 10 100 10 XANTHAN GUM 0.10 0.06 0.08 0.1 0.1 0.8 0.8 0.8 0.1 1 0.1 POLYSORBATE 0.02 0.04 0.02 0.02 0.02 0.02 0.02 0.02 0.04 0.4 0.02 MAG 0.10 0.2 0.15 0.15 0.15 0.2 0.2 0.3 0.5 5 0.2 ACESULFAME K 0.03 - - - - - 0.04 0.04 - 0.01 SACCRARIN - - 1.5 2.5 2 1 - - 1 10 FLAVOR #1 0.01 - - - - - - FLAVOR #2 - - 0.1 0.15 0.15 0.12 - - 0.2 0.32 0.15 FLAVOR #3 - - - - - - 0.3 0.35 WATER 16.00 20 16.00 15.00 12 14 14 20 15 150 12 TOTAL 30.26 33.9 31.85 31.92 29.42 28.42 27.64 34.79 31.84 316.72 WET ING. 16.00 20 17.50 17.50 14.00 15 14 20 16 160 DRY ING. 14.26 13.9 14.35 14.42 15.42 13.42 13.64 14.79 15.84 156.72 # TABS 18 18 16 16 13 30 WT./TAB 1.39 1.42 1.39 1.47 1.66 1.95 MG APAP 230 223 236 259 300 308
TABLE-US-00005 Formulations 31-38 ENCAPSULATED ACETAMINOPHEN (75% APAP; 6.67 G = 5 G APAP AND 1.67 G COTTONSEED OIL) INGREDIENT(gm) 31 32 33 34 35 36 37 38 ENCAPSULATED APAP 6.67 6.67 6.67 6.67 6.67 6.67 6.67 6.67 DEXTROSE 9.00 8.6 9.00 9.00 9.00 8.6 8.6 8.6 XANTHAN GUM 0.10 0.06 0.10 0.10 0.10 0.06 0.06 0.06 POLYSORBATE 0.02 0.04 0.02 0.02 0.02 0.04 0.04 0.04 MAG 0.1 0.2 0.1 0.1 0.1 0.2 0.2 0.2 ACESULFAME K 0.05 - 0.03 0.03 0.03 - - - FLAVOR #1 0.01 - - - - - - - FLAVOR #2 - - 0.15 0.15 0.15 0.15 0.15 0.15 WATER 16.00 20 18.00 20.00 22.00 19 18 17 TOTAL 30.26 35.57 34.07 36.07 38.07 34.72 33.72 32.72 WET ING. 16.00 20 18.00 20.00 22.00 19.00 18.00 18.00 DRY ING. 14.26 15.57 16.07 16.07 16.07 15.72 15.72 14.72 # TABS 18 WT./TAB 1.39 MG APAP 230 RESULTS BEST BEST
TABLE-US-00006 Formulations 39-48 Varying Carbohydrate Flavoring and Sweeteners INGREDIENT (gm) 39 40 41 42 43 44 45 46 47 48 REGULAR APAP OR 12.5 - 12.5 - ENCAPSULATED APAP - 16.68 - 3.33 3.33 3.33 3.33 16.68 16.68 16.68 DEXTROSE 22.50 22.5 21.5 3.67 22.5 LACTOSE 3.67 M100 3.67 15 15 MALTOSE 3.67 XANTHAN GUM 0.25 0.25 0.15 0.04 0.04 0.04 0.04 0.25 0.25 0.25 POLYSORBATE 0.05 0.05 0.1 0.01 0.01 0.01 0.01 0.05 0.05 0.05 MAG 0.25 0.25 0.5 0.05 0.05 0.05 0.05 0.25 0.25 0.25 SACCHARIN 2.5 2.5 - 0.5 0.5 0.5 0.5 2.5 2.5 2.5 FLAVOR 0.50 0.5 0.375 0.08 0.08 0.05 0.08 0.5 0.5 RASPBERRY PUREE 10 10 ACETALDEHYDE 0.05 0.08 WATER 40.00 40 50 9 9 9 9 35 40 35
TABLE-US-00007 Formulations 49-59 INGREDIENT (gm) 49 50 51 52 53 54 55 56 57 58 59 (ACTUAL APAP) 12.51 15.121% 12.51 19.230 22.5 26.25 15.15 30.00 29.05 29.536 22.900 ENCAPSULATED APAP 16.68 20.162% 16.68 25.642 30.000 35.00 20.20 - 35.00 36.140 30.000 DEXTROSE 22.50 27.197% 22.50 24.848 20.000 30.00 27.20 30.00 30.00 30.000 - MANNITOL - - - - - - - - - - 20.000 XANTHANGUM 0.35 0.302% 0.25 0.311 0.300 0.30 0.30 0.30 0.30 0.300 0.300 POLYSORBATE 0.05 0.000% 0.05 0.002 0.000 0.00 0.10 0.10 0.100 0.000 MAG 0.25 0.302% 0.25 0.311 0.300 0.30 0.30 0.30 0.30 0.500 0.300 SACCHARIN 2.5 3.022% 2.5 ASPARTAME - - - 0.124 0.15 0.15 0.15 0.15 0.200 0.150 MALTOL - - - - - - 0.25 1.00 0.50 0.200 - FLAVOR #1 0.50 0.604% - 0.621 0.60 FLAVOR #2 - - 0.025 0.03 0.03 0.05 0.05 0.060 0.030 WATER 40.00 38.350% 40.00 48.081 48.220 44.11 51.09 48.00 43.60 44.000 49.220 TOTAL 82.73 100.000% 82.255 100.00 100.00 100.00 100.00 99.90 100.00 101.50 100.00 WET ING. 42.50 42.50 49.22 44.22 51.09 48.00 43.60 DRYING. 40.35 39.755 50.78 55.76 48.91 51.93 56.40 250 mg wet wt. 1.65 1.65 1.3 1.10 0.94 1.63 0.83 0.86 0.83 1.10 250 mg wet wt. 0.80 0.80 500 mg wet wt. 3.30 3.30 2.6 2.2 1.88 1.66 1.72 1.66 2.20
TABLE-US-00008 Formulation 60 INGREDIENT % G/250 mg G/325 mg g/500 mg DEXTROSE 27.195% 0.449 0.584 0.897 ENCAPSULATED APAP 20.161% 0.333 0.433 0.665 FLAVOR #1 0.604% 0.101 0.013 0.020 XANTHAN GUM 0.302% 0.005 0.006 0.010 MAG 0.302% 0.005 0.006 0.010 CALCIUM SACCHARIN 0.066% 0.001 0.001 0.002 POLYSORBATE 0.060% 0.001 0.001 0.002 WATER 51.305% 0.847 1.102 1.693 TOTAL 100.000% 1.650 2.148 3.300
TABLE-US-00009 Formulation 61 INGREDIENT % G/250 mg G/325 mg g/500 mg ENCAPSULATED APAP 35.000 0.333 0.434 0.665 STALEYDEX 20.000 0.190 0.248 0.380 XANTHAN 0.300 0.003 0.004 0.006 MAGNASWEET 0.300 0.003 0.004 0.006 ASPARTAME 0.150 0.001 0.002 0.003 FLAVOR 0.600 0.006 0.007 0.011 WATER 43.650 0.415 0.541 0.829 TOTAL 100.000 0.950 1.240 1.900
TABLE-US-00010 Formulations 62-65 INGREDIENT (%) % 0.5 ZEIN 62 0.7 ZEIN 63 1.0 ZEIN 64 1.0 ZEIN 65 ACTUAL APAP 26.25 26.25 26.25 26.25 26.25 ENCAPSULATED APAP 35.00 27.63 28.23 29.17 29.17 MANNITOL 20.00 20.00 20.00 20.00 25.00 XANTHAN GUM 0.30 0.30 0.30 0.30 0.30 CORN OIL - 0.50 0.50 0.50 0.50 MAG 0.30 0.30 0.30 0.30 0.30 ASPARTAME 0.15 0.15 0.15 0.15 0.15 FLAVOR 0.60 0.60 0.60 0.60 0.60 WATER, 43.65 50.52 49.92 48.98 43.98 TOTAL 100.00 100.00 100.00 100.00 100.00 g/250 mg tablet 0.95 0.95 g/325 mg tablet 1.24 1.24 g/500 mg tablet 1.91 1.90
Acetaminophen encapsulated in zein (corn protein soluble in alcohol)
TABLE-US-00011 Formulations 66-69 INGREDIENT (%) 66 67 68 69 ACTUAL APAP 27.09 27.09 27.09 27.09 ENCAPSULATED APAP 35.00 35.00 35.00 35.00 DEXTROSE 20.00 - MANNITOL - 20.00 25.00 25.00 XANTHAN GUM 0.30 0.30 0.30 0.30 MAG 0.30 0.30 0.30 0.30 ASPARTAME 0.15 0.15 0.20 0.15 FLAVOR 0.60 0.60 0.75 0.60 WATER 43.65 43.65 38.45 38.65 TOTAL 100.00 100.00 100.00 100.00 g/250 mg tablet 0.92 0.92 g/325 mg tablet 1.20 1.20 g/500 mg tablet 1.85 1.85
TABLE-US-00012 Formulations 70-75 INGREDIENT (% w/w) 70 71 72 73 74 75 ACTUAL APAP 27.09 27.09 27.09 27.09 27.09 27.09 ENCAPSULATED APAP 35.00 35.00 35.00 35.00 35.00 35.00 MANNITOL 30.00 15.00 20.00 25.00 20.00 20.00 MALTRIN - 15.09 10.00 10.00 5.00 - XANTHAN GUM 0.30 0.30 0.30 0.30 0.30 0.30 MAG 0.30 0.30 0.30 0.30 0.30 0.30 ASPARTAME 0.15 0.15 0.15 0.15 0.15 0.15 FLAVOR 0.90 0.90 0.90 0.90 0.90 0.90 POLYSORBATE 0.01 0.01 0.01 0.01 0.01 0.01 WATER 33.34 33.34 33.34 33.34 33.34 33.34 TOTAL 100.00 100.00 100.00 100.00 100.00 100.00 g/250 mg tablet 0.92 0.92 0.92 0.92 0.92 g/325 mg tablet 1.20 1.20 1.20 1.20 1.20 g/500 mg tablet 1.85 1.85 1.85 1.85 1.85 approx dry wts g/325 mg tablet 0.80 0.80 0.80 0.80 0.74 0.80 g/500 mg tablet 1.23 1.23 1.23 1.23 1.23
TABLE-US-00013 Formulation 76-81 INGREDIENT % w/w) 76 77 78 79 80 81 ACTUAL APAP 27.09 27.09 27.00 27.23 27.09 ENCAPSULATED APAP 35.00 70.00 35.00 - 25.50 35.00 MANNITOL 30.00 60.00 30.00 30.00 30.00 30.00 XANTHAN GUM 0.30 0.60 0.30 0.30 0.30 0.30 CARRAGEENAN 0.30 MAG 0.30 0.60 0.30 0.30 0.30 0.30 ASPARTAME 0.15 0.30 0.15 0.15 0.15 0.15 FLAVOR 1.00 2.00 0.90 0.90 0.90 0.90 ASCORBIC ACID - 0.10 - - 0.30 POLYSORBATE 0.01 0.02 0.01 0.01 0.01 0.01 WATER 33.24 66.48 33.24 41.34 40.84 33.04 TOTAL 100.00 200.00 100.00 100.00 100.00 100.00 g/325 mg tablet 1.20 1.20 1.20 1.19 g/500 mg tablet 1.85 1.85 1.85 1.84
[0087] Two exemplary formulations (“Sample A” and “Sample B”) for providing enhanced intranasal delivery of insulin are described below:
TABLE-US-00014 Collagen Slurry (g) Intravail A5™ (g) 0.1 M Sodium Phosphate (g) Total Weight (g) Collagen Solids (g) in Slurry Collagen % Solids in Sample Total % Solids in Sample Sample A 29.92 1.466 20 51.386 0.3614 0.703 3.556 Sample B 13.43 1.331 13.4 28.161 0.1622 0.576 5.302
[0088] Solid dosage forms were made using these formulations using various freezing and lyophilization regimes, the results of which are summarized below:
TABLE-US-00015 Freeze Tests: Sample Label Freeze Method Freeze Structure Results A1 Lab Freezer, -40 C Moderate intrusions in 6 of 7 cells A2 Blast Freezer, -25 F Rough surface layer, 1 intrusion in 14 cells A3 Dryer Freeze Cycle Tight structure w/moderate intrusions in 7 of 7 cells A4 Freeze Plate Tightest structure w/minor & moderate intrusions in all 23 cells B1 Lab Freezer, -40 C Major intrusions in 6 of 6 cells B2 Blast Freezer, -25 F Moderate “spill out” intrusions in 7 of 7 cells B3 Dryer Freeze Cycle Tight structure w/moderate intrusions in 6 of 6 cells B4 Freeze Plate Tightest structure w/minor & moderate intrusions in all 8 cells
TABLE-US-00016 Lyo Cycle: Batch# E6073 Total DT=26 hrs. Region Time (hrs) Temp (deg. C) Vacuum (microns) 1 1 -30 <100 2 6 Ramp -30 to 10 <100 3 4 Ramp 10 to 30 <100 4 15 30 <100
TABLE-US-00017 Dry Tests: Sample Label %Moisture: Computrac 110 C Weight: Grams/tablet Release characteristics Dry Structure A1 0.763 0.034 Easy Good A2 0.200 0.034 Easy Good A3 0.866 0.036 More difficult OK A4 0.187 0.035 Easy Good B1 0.000 0.049 Easy Good B2 0.000 0.045 Easy Good B3 1.360 0.052 More difficult, sticky Breaks apart B4 0.000 0.044 Easy Good
[0089] The terms and descriptions used above are set forth by way of illustration only and are not meant as limitations in describing the disclosed systems and related methods. Those skilled in the art will recognize that many variations can be made to the details of the above-described embodiments without departing from the underlying principles of the invention