RU2286766C2 - New prolonged compositions for peroral administration - Google Patents

Abstract

FIELD: pharmaceutical agents.

SUBSTANCE: invention relates to solid pharmaceutical formulations for peroral administration useful in treatment of mild and moderately severe dementia such as Alzheimer's disease. Claimed formulation contains Rivastigmin or pharmaceutically acceptable salts thereof. Formulation represent gelatin capsule filled with pellet mixture or mixture of magnesium stearate with nonpareils, or matrix tablet.

EFFECT: preparation with controlled prolonged Rivastigmin release and improved tolerance.

3 cl, 5 ex, 15 tbl

Description

The present invention relates to a sustained release pharmaceutical composition for oral administration, and more particularly, to a unit dosage form which, after administration, releases the active substance with a time-controlled profile.

Compositions with a controlled release profile can be prepared taking into account the following characteristics:

a) the period of time before the release of the active substance (delay time or delay time),

b) the rate of release of the active substance (fast or slow),

c) the duration of release of the active substance (long or short).

These characteristics can be evaluated in vitro in standard solubility tests, for example, in water or, if necessary, in total body water, for example, in artificial gastric juices.

There are only a small number of publications devoted to compositions with a reliable time-controlled release profile that allows one or more doses of active substances to be released at a predetermined time. There is a need to develop such compositions that are commercially acceptable.

After extensive testing, applicants have discovered that it is possible to create a pharmaceutical composition having the ability to release at a specific time, i.e. with a time delay or a time delay, a pharmaceutical active substance or a mixture of active substances, for example, practically independently of the concentration and type of ions present in the gastrointestinal tract, for example, hydrogen ions and hydroxyl ions, i.e. regardless of pH, phosphate ions, and also regardless of the enzymes present in the surrounding body water.

One of the objects of the present invention is a pharmaceutical composition comprising

the first component, including the first dose of the active substance, and when in contact with water (or total body water), 70-95% of this dose is released into the water within 3-4 hours, and

the second component, comprising a second dose of the active substance, a water-soluble osmosis inducing agent and a water-swellable excipient, the second component having a water-permeable (or total body water) coating, which when applied after water penetrates, breaks after a certain delay time, for example, due to the swelling of the swelling excipient, and releases (at a predetermined time) the active substance (hereinafter also referred to as the pharmaceutical composition of the present mu invention).

An object of the present invention is also a pharmaceutical composition comprising

a first component comprising an active substance, wherein 70-95% of this active substance of the first component is released in water within 3-4 hours, and

a second component comprising an active substance, a water-soluble osmosis inducing agent and a water-swellable excipient, the second component having a coating which, after the penetration of aqueous liquids, breaks after a certain time due to swelling of the swelling excipient and releases the active substance at a predetermined time.

The term "within 3-4 hours" means that after a period of time from 3 to 4 hours a certain dose of the active substance has been released, for example> 80% or> 85%.

The active substance may be a single active substance or mixture. The active substance may be the same in the first and second doses or different in each dose. Preferably, the active substance is the same.

In one embodiment, the coating for the second component is a film, for example a semipermeable membrane. The swellable excipient swells in the presence of water or total body water, which penetrates the coating and creates mechanical pressure inside the second component, which leads to rupture or breaking of the coating and the opening of the system, for example, like a box lid. The swelling excipient can also act as an osmotic agent, drawing water into the second component. Coating thickness is one of the parameters that control the delay time, and the larger the coating thickness, the longer the delay time.

It should be noted that the term “rupture” preferably refers to the formation of gaps, but it can also refer to any film system that quickly (for example, within 30 minutes or less) dissolves or disappears, or changes its properties, allowing the active substance to escape.

Another object is a controlled release composition, for example, a second component that releases a dose of the active substance after a certain delay time, where the active substance is released after 6-12 hours, for example 8 hours after ingestion.

The second component may have a coating consisting of two films. The first film is in direct contact with the second component and is preferably a semipermeable membrane. The second film may be semi-permeable (for example, allowing, for example, water or active substance to pass in one direction) or permeable. In this embodiment, the films used can be, for example, 2-5 times thinner than the film used in the single-film embodiment. Such a composition can provide, if desired, longer delay times for the second component in combination with a good release of the second dose of the active substance. In addition, it has certain advantages, for example, in this case, the amount of coating used can be reduced.

The term "first component" refers to a component having the ability to release immediately or in a controlled manner, for example, to realize a sustained release of a first therapeutically effective dose of an active substance when said first component comes into contact with body water or body water.

The term "second component" means a component having the ability to release immediately or in a controlled manner, for example, to realize the sustained release of a second therapeutically effective dose of the active substance when said second component comes into contact with water or body water.

The term "semi-permeable membrane" means a membrane that allows water (or total body water) to pass into the core containing the active substance coated with the specified membrane and prevents the release of the dissolved active substance from the core.

The term “film”, “film coating” or “membrane” means, unless otherwise indicated, a coating applied to a core component, i.e. on the first or second component.

The term "delay time" or "delay time" refers to the time interval between the introduction of the composition and the release of an effective dose of the active substance from the first or second component.

It will be apparent to one of skill in the art that various plasma profiles can be obtained by varying, for example:

- the composition of the first and / or second component (s), for example, the nature and amount of excipients and / or active (its) substances (a),

- delay time,

- type of semipermeable and / or impermeable membrane,

- the speed and characteristics of the onset of release of the active substance (for example, fast, slow, exponential, logarithmic, linear), which may depend on the rate of rupture of the membrane.

The compositions of the invention can be used to administer a wide variety of active ingredients.

The composition according to the invention may contain, for example, water-soluble as well as water-insoluble solid ingredients having pharmaceutical activity, which may be inorganic or, first of all, organic active substances, and are intended for use according to appropriate indications, such as analgesics, antipyretic drugs, antirheumatic drugs , sedatives, hypnotic agents, antiepileptic drugs, depressants and stimulants, anesthetics, n antipsychotic analgesics, antihistamines, antihypertensive agents, anticoagulants, antithrombotic agents, psychopharmacological agents, psycholeptic agents, chemotherapeutic agents, for example antibiotics, sulfonamides, anti-tuberculosis agents or also chemotherapeutic drugs, anti-inflammatory drugs, tropic drugs agents, for example sympathomimetics, antihypertensive agents, cardiac stimulants for example, cardiac glycosides and digitaloids, parenteral therapeutic agents containing sugar, central nervous system analeptics, geriartic agents, tonolytics (for striated muscles), Parkinson's disease drugs, cytostatic agents, immunosuppressants, tonic agents and vitamins indicated in B. Helwig (Moderne Arzneimittel), 1980.

As a solid active substance used according to the invention, antibiotics such as penicillin, tetracycline, chlortetracycline, bacitracin, nystatin, streptomycin, neomycin, polymycin, gramicidin, oxytetracycline, chloramphenicol, erythromycin, rifampicin, cefetzin, cefolzine mefoxin, and chemotherapeutic agents such as sulfamethazine, sulfamerazine, sulfamethizole and sulfisoxazole. In addition, sedatives and hypnotic agents such as chloral hydrate, pentabarbital, phenobarnital, secobarbital, codeine and carbromal can be used as a solid active substance in a water-soluble or water-insoluble form, cardiac glycosides and digitaloxides such as digitoxin and digitaloxin can be used use sympathomimetics such as epinephrine.

As a solid active substance in a water-soluble or water-insoluble form used according to the invention, it is possible, in particular, to use antipyretic drugs, analgesics and antirheumatic drugs, such as, for example, propiphenazone, aminophenazone, aspirin (acetylsalicylic acid (ASA), antipyrine, methylniphenazine , melaminesulfone, sulfenazone, phenacetin, pentazocine, lactofenin, paracetamol, quinine, flufenamic acid, mefenamic acid, tolfenamic acid, meclofenamic acid, niflumic acid, lonixin or clonixidine, flunixin, ibuprofen, suprofen, ketoprofen, phenoprofen, pirprofen, diclofenac, ibupenac, proctic acid, naproxen, cycloprofen, tolmetin, clopirac, tiaprofenfenfenfenrofen, phenclacrofenfenfencoprofen, phenclacrofenfenfencoprofen, clenfrofenfencoprofen, clenfrofenfencoprofen, phenclacrofenfenfencoprofen, clenfrofenfenfencoprofen, clenfrofenfenfencoprofen, clenfrofenfencoprofen, clenfrofenfencoprofen, clenfrofenfencoprofen, clenfrofenfenfenfencoprofen, clenfrofenfenfenfencoprofen, clenfrofen, , sulindac, cinmetacin, fenbutene, etodolac, butifufen.

Most preferably, psychopharmacological agents, for example, antipsychotics, antidepressants, timoleptics, thimeretic drugs and tranquilizers in a water-soluble or water-insoluble form, such as thioridazine, imipramine, desimipramine, clomipramine, opet, can be used as a solid active substance used according to the invention. amitriptyline, nortriptyline, reserpine, aromazine, chlorpromazine, fluopromazine, metopromazine, trimeprazine, diethazine, promethazine, aminopromazine, mepazine, pipa mazin and maprotiline.

In addition, antihypertensive agents such as oxprenolol and metoprolol can be used as a solid active substance.

In a preferred embodiment, the composition of the present invention is used for administration to rivastigmine (Exelon ^®), which is used in the treatment of patients with dementia of the Alzheimer type of mild to moderate severity, also known as Alzheimer's disease.

Rivastigmine can be administered in the form of bitartrate (bta) in unit dosage form, for example in the form of a capsule with very quick release, at a dose of 0.5 to 6 mg twice daily.

There is a limited amount of data on the biopharmacological properties of rivastigmine when administered to people, in particular, it is known that it is rapidly and completely adsorbed. When creating the invention, it was found that it is metabolized mainly by hydrolysis using esterases, for example acetyl and butyrylcholinesterase, and its plasma half-life is 1 hour. It undergoes pre-systemic and systemic metabolism. When creating the invention, it was found that compositions with sustained release of rivastigmine can be prepared having preferred properties, for example, better tolerance. An appropriate test can be performed on hungry hounds.

According to the present invention, rivastigmine can be used in the form of a free base or a pharmaceutically acceptable salt thereof. Bitartrate (bta) is preferably used.

On the basis of the composition according to the invention, pharmaceutical forms intended for single parenteral administration can be prepared for patients who need to take more than one dose of the active substance per day, for example, at certain intervals, which simplifies their treatment. Such compositions can improve the tolerability of, for example, rivastigmine and, as a result, apply a higher initial dose and introduce reduced doses fewer times.

The next object of the invention is a pharmaceutical composition containing rivastigmine, prepared in such a way that when administered orally, a therapeutically effective dose of rivastigmine is released only after 6 hours (such compositions are also referred to herein as pharmaceutical compositions of the present invention).

Another object of the invention is a composition that allows, after a single oral administration, to release a therapeutically effective dose of rivastigmine twice at various time intervals (such compositions are also referred to herein as pharmaceutical compositions of the present invention).

In a preferred composition of the invention, the first therapeutically effective dose of rivastigmine is released 3-4 hours after oral administration, and then the second therapeutically effective dose of rivastigmine is released 6-12 hours, preferably 8-10 hours after oral administration.

The first component can be prepared, for example, by conventional methods, allowing to provide the required characteristics of a controlled release. It can be prepared in solid form, for example, in the form of a tablet (e.g., matrix tablet), coated particles (e.g., nonparells), or pellets, e.g., coated pellets.

In one of the embodiments of the first component, the active substance is enclosed in a hydrophilic substance, forming a gel-like substance in contact with water, which, for example, can be from 10 to 50%, for example, 15-45%, based on the weight of the first component, for example, in the form of a composition of a controlled release tablet, for example a matrix tablet.

Hydrophilic gelling agents commonly used in tablet formulations can be used; there is a vast literature on compounds suitable for this purpose; see, in particular, the Fiedler Handbooks “Lexicon der Hilfstoffe”, 4th ed., ECV, Aulendorf, 1996 and "Handbook of Pharmaceutical Excipients" Wade and Weller (eds.) (1994), the contents of which are incorporated herein by reference.

Preferred gelling agents that can be used for the first component are one or more compounds selected from the group consisting of natural, partially or fully synthetic anionic or preferably nonionic hydrophilic resins, modified cellulose derivatives or aqueous protein derivatives, such as, for example, Arabian gum, tragacanth gum, carob gum, guar gum, karaya gum, agar, peptin, carrageenin, soluble and insoluble alginates , methyl cellulose, hydroxypropyl methyl cellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, sodium carboxymethyl cellulose, carboxypolymethylene, gelatin. Various types of cellulose are preferred, which include methyl cellulose, hydroxypropyl cellulose, and especially hydroxypropyl methyl cellulose and sodium carboxymethyl cellulose.

The most preferred hydrophilic gelling agents that can be used for the first component include highly viscous hydrophilic swelling agents, for example, substances having a viscosity in the range of 10,000 to 200,000 mP, for example 50,000 to 150,000 mP, for example 100,000 mP. A preferred swellable substance that can be used for this purpose is hydroxypropyl methyl cellulose, for example metocel, for example K100M (having a viscosity of 100,000 mP for a 2% solution in water at 20 ° C), having a methoxyl content of, for example, from 15 to 30%, for example from 19 to 24%, and the hydroxypropoxyl content, for example, from 5 to 15%, for example from 7 to 12%. Swellable substances with different viscosities can be obtained according to the methods described in "Handbook of Pharmaceutical Excipients" Wade and Weller (ed.) (1994).

The mass fraction of hydrophilic gelling agents in the composition may be from 10 to 50%, for example from 25 to 50%, preferably 40%.

The specified first component may contain from 3 to 20 wt.%, For example from 5 to 15 wt.%, For example from 6 to 13 wt.% The active substance, for example, rivastigmine bitartrate (bta).

It may be appropriate to include at least one more soluble or insoluble pharmaceutical excipient, such as calcium sulfate, calcium phosphate, lactose, mannitol, sucrose, as a tablet diluent in the first component. For example, microcrystalline cellulose in the form of granular powder and / or fine powder, for example, in an amount of from 10 to 50%, may be included. For example, finely divided microcrystalline cellulose powder may be present in an amount of from 20 to 50%, for example from 30 to 40%, based on the weight of the first component, and granular microcellulose powder may be present in an amount of from 10 to 40%, for example, from 20 to 30% in in terms of the mass of the first component.

At least one glidant may be present, for example dispersed silica, talc, in an amount of 0.1 to 1% based on the weight of the first component, and at least one tablet lubricant, for example magnesium stearate, may be present, stearic acid, hydrogenated castor oil, polyethylene glycol, in an amount of from 0.1 to 1%, preferably 0.5%, based on the weight of the first component.

For example, in this particular embodiment, the first component may have the following release characteristics for the active substance, for example rivastigmine, in water or in artificial gastric juices (for example, in 0.1N HCl):

Time (min) Amount (%) thirty 28-35 60 40-55 120 58-75 180 70-90 240 80-95 300 88-98 360 > 92

In another embodiment of the first component, the active substance is incorporated into particles having a diffusion coating. The coating may be adapted for the controlled release of the active substance. Coating materials commonly used for coating compositions may be used. In addition, binders, lubricants, glidants, stabilizers, fillers or diluents, surfactants, and the like may be included in these coating materials. As leavening agents, CMC-Ca, CMC-Na, crosslinked PVP (Crospovidone, Polyplazdone or Kollidon XL), alginic acid, sodium alginate and guar gum are most noteworthy; crosslinked PVP, Crospovidone, crosslinked CMC and Ac-Di are most preferred .

As binders which may be used in these coatings, particularly noteworthy polysaccharides such as potato starch, wheat starch, corn starch, hydroxypropylmethylcellulose, e.g., products known under the registered trade marks Avicel ^®, Filtrak ^®, Heweten ^® or Pharmacel ^®.

The cores that can be used for the first component are preferably inert and water soluble. Typically, their diameter is from about 0.5 to 1.5 mm.

Coatings that can be used for the first component may contain, for example, a cellulose derivative, which may, for example, be applied in the form of a film. Conventional cellulosic coatings can be used, information about which can be gleaned from the extensive literature on substances suitable for controlling diffusion.

As a preferred cellulose coating for the first component, a coating comprising ethyl cellulose and hydroxypropyl methyl cellulose (hereinafter referred to as HPMC) can be used.

Ethyl cellulose preferably has a molecular weight of from 10,000 to 1,500,000, for example from 50,000 to 1,000,000, for example from 75,000 to 80,000 Da. Preferably, the cellulose is substituted with about 2-3 ethoxy groups per saccharide unit. Preferably, it has an ethoxy group content of 44-51%.

Ethylcellulose used in the examples preferably is ethyl cellulose N10 brand name Aqualon ^® N10 (available commercially from the firm Dow Chemicals Company).

Hydroxypropylmethyl cellulose preferably has a viscosity of from 1 to 10 cP, for example from 2 to 8 cP. Preferably, it has a molecular weight of from 10,000 to 1,500,000 Da, for example from 100,000 to 1,000,000 Yes, for example from 300,000 to 800,000 Da. Cellulose is preferably substituted with ethyl and hydroxypropyl groups.

Hydroxypropyl methylcellulose preferably has a viscosity of from 3 cP to 5 cP.

The particles may have a diffusion coating, preferably containing ethyl cellulose and hydroxypropyl methyl cellulose, for example, in a ratio of from 15: 1 to 1: 1, for example from 9: 1 to 1: 1, for example from 8: 1 to 2: 1, for example from 7: 1 up to 3: 1.

The particles may be coated with a drug (active ingredient), preferably containing hydroxypropyl methylcellulose. The drug coating may contain from about 50 to 90 wt.% The active substance, for example rivastigmine, for example from 50 to 80 wt.% Rivastigmine. The amount of medication can be, for example, 3-15% of the mass of the core.

Typically, the ratio of drug coating to diffuse coating is in the range of 3: 1 to 1: 1.

If necessary, there may be a protective coating between the diffuse coating and the drug coating. It may contain hydroxypropyl methyl cellulose or ethyl cellulose. The ratio of the protective coating to the diffuse coating may, for example, be in the range from 1: 1 to 1:10, for example from 1: 2 to 1: 8.

Silicon dioxide may be present in the film coating, for example, in an amount of from 10 to 70 wt.%.

In this particular embodiment, the first component may, for example, have one or more, for example, all of the following release characteristics of the active substance, for example rivastigmine, in water or artificial gastric juices (for example, in 0.1N HCl):

Time (min) Amount (%) thirty 25-40 60 45-65 120 65-85 180 75-95 240 75-96 300 85-97 360 87-98 420 90-98 480 90-99

As a further example, in this particular embodiment, the first component may have one or more, for example, all of the following release characteristics of the active substance, for example rivastigmine, in water or artificial gastric juices (for example, in 0.1N HCl):

Time (min) Amount (%) thirty 5-25 60 25-45 120 50-70 180 65-80 240 70-90 300 75-95 360 80-90 420 85-95 480 85-95

In another embodiment of the first component, the active substance is incorporated into pellets, for example extruded pellets, which can be coated with a diffusion coating according to the method described above. Pellets may contain an active substance, for example rivastigmine, in the same form as has been described for particles. They may further include the above binders and diluents such as calcium sulfate, calcium phosphate, lactose, mannitol or sucrose.

In this particular embodiment, the first component may, for example, have one or more, for example, all of the following release characteristics of the active substance, for example rivastigmine, in water or artificial gastric juices (for example, in 0.1N HCl):

Time (min) Amount (%) thirty 1-40 60 10-60 120 40-80 180 60-90 240 65-95 300 70-99 360 75-99 420 > 80

Preferably, it may have the following release characteristics:

Time (min) Amount (%) thirty 1-8 60 15-25 120 45-70 180 75-90 240 92-95 300 95-98 360 97-99 420 > 99

In addition, the present invention relates to a controlled release pharmaceutical composition for oral administration comprising a therapeutically effective dose of rivastigmine and pharmaceutically acceptable excipients, for example, the first component (hereinafter also referred to as pharmaceutical compositions of the present invention).

Further, the present invention relates to a controlled release pharmaceutical composition for oral administration containing a therapeutically effective dose of rivastigmine, in which 50-95%, for example, 50-80%, 60-90%, 70-95% rivastigmine is released in water or total body water, for example in artificial gastric juices, for 3 hours (hereinafter also referred to as pharmaceutical compositions of the present invention).

The delay time for the second component can be precisely determined, for example:

- the type and amount of water-soluble excipients in the core,

- permeability to water and the amount of film (s) coating (s) applied (s) on the second component,

- mechanical strength, for example, elasticity and tear strength,

- the type and amount of swellable excipient included in the core.

The appropriate coating for the second component may be a semi-permeable membrane adapted to allow water (in the environment of the gastrointestinal juices) to pass into the core during use and to prevent the release of the dissolved active substance from the core.

Water passes through a semipermeable membrane at a rate that can be controlled by the composition of the membrane. Water that has penetrated the core dissolves at least part of the active substance. As a result of this, osmotic pressure occurs. The greater the pressure, the more molecules or ions pass into the solution until a saturated solution forms under normal conditions.

In one embodiment, after the penetration of water or total body water, the osmotic pressure, the occurrence of which also induces the swelling of the swelling excipient, can be created by the active substance itself, for example rivastigmine. However, a water-soluble carrier may be added to create the required osmotic pressure. Thus, the osmotic pressure necessary to realize the function of the second component can be achieved due to the fact that the total body water entering in order to balance the osmotic gradient causes the required swelling of the swelling excipient (baking powder) and, after a certain delay time, leads to tearing or breaking the film coating, which allows the release of the active substance. By optionally adding a water-soluble carrier to the tablet core, the second component can be prepared in a form that is substantially independent of pH, i.e. independent of the concentration of hydrogen ions and hydroxyl ions and / or independent of other ions, such as phosphate ions, as well as enzymes present, for example, in the digestive tract.

Semi-permeable membranes suitable for the film layer include semi-permeable membranes described in the literature, for example, in US Pat. osmosis. For example, artificial membranes can be used that consist of cellulose acetate, cellulose triacetate, agar acetate, amylose acetate, cellulose acetate ethyl carbamate, cellulose acetate phthalate, cellulose acetate carbamate, cellulose acetate succinate, cellulose acetate dimethylaminoacetate, cellulose acetate acetate cellulose acetate, cellulose acetate ethyl oxalate, cellulose acetate methyl sulfonate, cellulose acetate butyl sulfonate, cellulose ether, cellulose acetate propionate llyulozy, cellulose acetate diethylaminoacetate, oktata cellulose acetate, cellulose acetate laurate, methyl cellulose, cellulose acetate p-toluenesulfonate cellulose, hydroxylated ethylene vinyl acetate, cellulose acetate butyrate and other cellulose acetate derivatives. Other suitable semipermeable membranes are also membranes consisting of hydroxypropyl methylcellulose and polymer epoxides, copolymers of alkylene oxide and alkyl glycidyl ether, derivatives of polyglycols or a polymer of lactic acid and other derivatives thereof. In addition, mixtures, for example, water-insoluble acrylates, for example a copolymer of ethyl acrylate and methyl methacrylate, can also be used.

In general, all semi-permeable membranes known from the literature that have the ability to pass water are suitable for producing a film for the second component.

Coating, for example, tablets, such as compressed tablets, core particles or pellets, in the form of a film representing a semi-permeable membrane of the desired thickness, can be carried out in fluidized beds, coating tanks or the coating can be applied using, for example, tabletting machines (dry coated tablet).

The second component can also be, for example, enclosed in a capsule, for example in a gelatin capsule containing the active substance, for example rivastigmine, a swellable excipient, optionally containing a water-soluble carrier and other excipients, such as lubricants and sustained release agents in powder form, and on it a film coating may be applied, which is a semipermeable membrane.

Suitable films that can be used as a second coating for the second component include membranes that can be permeable or semi-permeable to body water or total body water, for example, sustained release membranes described in the literature. This second film coating may be applied in the same manner as the first film.

A preferred second film coating for the second component consists of ethyl cellulose, for example ethyl cellulose from the brand Aqualon® N10 (commercially available from Dow Chemicals Company). It can be applied, for example, by spraying with a solution containing ethyl cellulose and HPMC having a viscosity of 5 cP, in a mass ratio, for example, from 15: 1 to 1: 1, for example from 9: 1 to 1: 1, for example from 8: 1 to 2: 1, for example from 7: 1 to 3: 1.

Ethyl cellulose preferably has a molecular weight of from 10,000 to 1,500,000, for example from 50,000 to 1,000,000, for example from 75,000 to 80,000 Da. Preferably, the cellulose is substituted with about 2-3 ethoxy groups per saccharide unit. Preferably, it has an ethoxy group content of 44-51%.

Hydroxypropyl methylcellulose preferably has a viscosity of from 1 to 10 cP, for example from 2 to 8 cP, preferably 3 cP or 5 cP. Preferably, it has a molecular weight of from 10,000 to 1,500,000 Da, for example from 100,000 to 1,000,000 Yes, for example from 300,000 to 800,000 Da. Cellulose is preferably substituted with ethyl and hydroxypropyl groups.

In a preferred embodiment, the mass ratio of the first and second films deposited on the second component is from 20: 1 to 1: 5, for example from 15: 1 to 1: 1, for example from 10: 1 to 2: 1.

In a preferred embodiment, the film thickness for the second component may range from 50 to 800 micrometers (μm), for example from 100 to 600 μm. For the second component having a coating of one film, the preferred thickness is in the range from 300 to 500 microns, for example from 350 to 400 microns. For the second component having a coating of two films, the preferred thickness is in the range from 100 to 300 microns, for example from 150 to 200 microns.

The nature and quantity of excipients and the active substance of the second component (with the exception of the film (s) coating (s), which (s) is to be torn) can be the same as for the first component, or can be different from them.

Suitable swellable excipients or disintegrating agents for the second component may be inert substances which rapidly swell in contact with aqueous liquids, e.g. alginic acid and derivatives, agar-agar, cellulose such as microcrystalline or tokoizmelchennaya cellulose, methyl cellulose, crosslinked carboxymethyl cellulose, carboxymethyl starch, modified starch, crosslinked polyvinylpolypyrrolidone, colloidal silicon dioxide, high molecular weight polymers including ethylene oxide units Bentonite, veegum, montmorillonite, dried citrus pulp, xylans and also cation exchangers and anion exchangers, such as cholestyramine.

Other excipients that can be used to create or induce osmosis during the swelling of the second component are water-soluble carriers (osmosis-inducing substances), for example, substances that do not irritate the mucous membranes of the stomach or intestines, for example, inorganic or organic salts, such as sodium chloride, acidic acid sodium phosphate, sodium nitrate and sodium acetate, or also acids such as tartaric, citric or also succinic acid, as well as sugars, especially, for example, mannitol, glucose, fructo per, lactose and derivatives of dextran with various molecular weights. The amount of carrier may vary from a portion of the amount of rivastigmine used to an amount that exceeds it by many times.

Sizing agents, which optionally can serve as an additional excipient for the second component, can be, for example, magnesium stearate, silicon airgel, talc, stearic acid, hydrogenated castor oil, polyethylene glycol (PEG).

Optional additives for the second component may be, for example, antioxidants, for example α-tocopherol or butylated hydroxytoluene (BHT).

The optional film coating additives for the second component may be, for example, pigments, such as colored iron oxides or titanium dioxide, and / or flavoring agents, such as sweeteners, such as saccharin, sodium cyclamate or sugar.

Preferably, the second component contains (in wt.%), For example:

Core rivastigmine bt 0.5-25% sodium chloride 10-35% Avicel HY 102 5-25% PVPP-XL 20-70% α-tocopherol 0.01-5% aerosil 200 1-15% magnesium stearate 0.1-5% First cover cellulose acetate 1-20% GPMC 0.1-1% Second coating ethyl cellulose 0.5-10% GPMC 0.1-2%

In addition, the invention relates to a pharmaceutical composition comprising a core coated with two films, the first inner film, which is semi-permeable to water or total body water, is applied directly to said core and consists of cellulose acetate, for example E320 or 398-10 cellulose acetate and the second outer film, which is permeable to water or the body’s total water, consists of ethyl cellulose, for example N10 ethyl cellulose.

Consider the core containing the active substance, for example rivastigmine, and excipients, can be, for example, compressed tablets, capsules and pellets, commonly used in the field of preparation of galenic forms, and they can be prepared by known methods. For example, a tablettable mass can be prepared by mixing the active ingredients, a disintegrant, and optionally other excipients, such as carriers, lubricants, and optionally also excipients required for sustained release. The manufacture of compressed tablets and pellets can be carried out, for example, using tablet machines, which are known to be used for the manufacture of, for example, round and oblong pressed tablets and pellets, and the filling of capsules can be carried out using known capsule filling machines.

The sustained release excipients used may be substantially water-insoluble excipients or mixtures thereof, for example lipids, inter alia fatty alcohols, for example cetyl alcohol, stearyl alcohol and cetostearyl alcohol; glycerides, for example glycerol monostearate or mixtures of mono-, di- and triglycerides of vegetable oils, hydrogenated oils such as hydrogenated castor oil or hydrogenated cottonseed oil; waxes, for example beeswax or carnauba wax; solid hydrocarbons, for example paraffin or mineral wax; fatty acids, for example stearic acid; certain cellulose derivatives, for example ethyl cellulose or cellulose acetate; polymers or copolymers such as polyalkylenes, for example polyethylene, polyvinyl derivatives, for example polyvinyl chloride or polyvinyl acetate, as well as copolymers of vinyl chloride and vinyl acetate and copolymers with crotonic acid, or polymers and copolymers of acrylates and methacrylates, for example copolymers of ethyl acrylate and methyl methacrylate.

To obtain the desired result, a person skilled in the art can use excipients other than the above excipients.

The necessary information can be gleaned from the extensive literature on suitable excipients, see, in particular, the Fiedler handbooks “Lexicon der Hilfstoffe”, 4th ed., ECV, Aulendorf, 1996 and “Handbook of Pharmaceutical Excipients” Wade and Weller (eds. ) (1994), the contents of which are incorporated into this description by reference.

As already noted, the release process, which must be carried out at different time intervals, can be precisely controlled using the composition of the composition and the thickness of the coating layer (film) used for the second component, mechanical strength and elasticity, and optionally due to the amount and characteristics of the swelling of the swellable or loosening agent.

The second component, for example, with one film coating according to the invention may, for example, have one or more, for example, all of the following release characteristics in water:

Time (min) Amount (%) 0 0-1 120 0-1 180 0-1 240 0-85 300 0-97 360 > 99.5

The second component, for example, with two film coatings according to the invention may, for example, have one or more, for example, all of the following release characteristics in water:

Time (min) Amount (%) 0 0-1 120 0-1 180 0-1 240 0-85 300 0-97 360 0-99.5 420 0-100 480 70-100 540 75-100 600 85-100 660 90-100 720 > 50

After rupture within 30 minutes, 85% or more, for example 90%, of the active substance contained in the second component may be released.

The pharmaceutical composition according to the invention preferably contains from 0.5 to 25%, for example from 1 to 10%, for example from 2 to 5% rivastigmine, based on the weight of the entire composition.

The pharmaceutical compositions of the present invention can be used in accordance with known indications for a particular active ingredient incorporated therein.

The exact dose values of the active substance and the composition to be administered depend on numerous factors, for example, the condition to be treated, the duration of treatment required and the rate of release of the active substance.

The required amount of active substance and its release rate can be determined, for example, on the basis of well-known in vitro or in vivo methods, which allow determining how long the concentration of a specific active substance is maintained in the blood plasma at a level sufficient to exert a therapeutic effect.

For example, for rivastigmine, doses ranging from 1 mg to 12 mg of active ingredient per day for a mammal weighing 70 or 75 kg can be used, for example, for humans and for standard animal models. Unexpectedly, the increased tolerability of rivastigmine provided by the compositions can be demonstrated in standard animal experiments and in clinical trials.

The pharmaceutical compositions of the invention are administered, for example, orally once a day if two doses of the active substance are present, and twice a day if a dose of the second active substance is present.

Another object of the present invention is the use of an active substance, for example rivastigmine, and the above excipients for the preparation of a medicinal product intended for the treatment regimen of patients, for example, with mild to moderate Alzheimer's dementia by oral administration once a day.

The invention is explained in more detail using the following examples, not limiting its scope. Unless otherwise indicated, all percentages are by weight.%. Temperatures are given in degrees Celsius.

Getting the first component

The first component can be prepared in the usual way by mixing the ingredients. The following are examples of specific forms of the first component, allowing to obtain various profiles of the release of the active substance contained in it.

Example 1: First component in the form of a matrix tablet

The resulting mixture may be in the form of a powder that can be compressed to form tablets in conventional tablet machines at pressures of, for example, 2000 to 16000 psi.

A. Preparation of granulate

Ingredients

- rivastigmine, for example, bta,

microcrystalline cellulose, for example, in the form of a fine powder,

- purified water to dissolve the drug substance.

Rivastigmine bta is dissolved in purified water, comprising from 10 to 20%, for example 16.3%, based on the total weight of the granulate, and the solution is stirred until it becomes clear. A mixer with intersecting blades can be used, for example, at a rotation speed of 150-200 rpm, for example 180 rpm, for 10-20 minutes, for example 15 minutes

Fine powdered microcrystalline cellulose is sieved, for example, through a hand sieve or a vibrating sieve equipped with a mesh having a mesh size of, for example, 1600 μm and a wire diameter of, for example, 500 μm, into a container, for example, a high shear mixer like Collette Gral® 10 .

The powder is subjected to wet granulation in the mixer with great shear at the position of the regulator of the mixer I and the position of the regulator of the knife I together with an aqueous solution of the drug substance (granulation liquid), which is added at a speed of 0.5-1 l / min, for example 0.75 l / min

The dissolution vessel (used to prepare the granulation liquid) is washed with purified water and the washing liquid is added to the mixer at the position of the regulator of mixer I and the position of the regulator of knife I at a speed of 0.5-1 l / min, for example 0.75 l / min.

Then the knife adjuster is moved to position II and mixing is carried out for approximately 1 minute. Stop the granulation process and clean the vessel wall of the Collette Gral ^® mixer. The wet granulate is mixed for one more minute with the position of the mixer regulator I and the position of the knife regulator II.

Then, the wet granulate is dried, for example, by transferring it from the mixer with large shear forces into the fluidized-bed dryer and supplying air with an inlet temperature of 40 to 60 ° C, for example 50 ° C, until the PP value is reached (density loss) equal to 2.5-5.0% (corresponding to a product temperature of approximately 31 ° C).

Then the dried granulate is milled, for example, by passing it through a vibrator equipped with a sieve (for example, with a mesh size of 800 μm and a wire diameter of 320 μm), into a mixer container with free mixing (for example, type Turbula ^® T10A).

B. Preparation of the mixture for tablets

Ingredients

- hydroxypropyl methylcellulose K100M,

microcrystalline cellulose, for example granular powder,

- highly dispersed silicon dioxide.

Microcrystalline cellulose (MCC) in the form of a granular powder, hydroxypropyl methyl cellulose and finely divided silica can be mixed manually in a plastic container or in a mixer with free stirring for about 2 minutes. Silica can be dispersed in HPMC and MCC to reduce any dedusting in the next screening step.

The pre-mix can be sieved by passing it through a sieve (or vibrating sieve). The mesh size used may be, for example, 800 μm and the wire diameter is 320 μm.

The dry pre-mix can be transferred to the mixer vessel with free mixing (for example, Turbula ^® T10A type) and mixed with granulate for 100 revolutions, for example, at a speed of 20 rpm for 5 minutes.

Magnesium stearate can be pre-mixed manually with about 10 parts of the dry pre-mixture in a plastic bag or in a mixer with free mixing for about 2 minutes. Magnesium stearate can be dispersed in order to avoid any re-agglomeration after the subsequent sieving step.

The pre-mix can be sieved, for example, by manually passing it through a sieve (or vibrating sieve). The mesh size used may be, for example, 800 μm and the wire diameter is 320 μm.

A dry premix comprising magnesium stearate, transferred, e.g., in the mixer vessel with a free stirring (e.g., such as Turbula ^® T10A), containing the rest of pre-mixture and the whole mixture for tablets admixed with the granulate for 100 turns, for example, at 20 rpm for 5 minutes

B. Tableting

The tablets are formed by compression, for example, using a tabletting machine with one eccentric punch (e.g. Comprex ^® type) or a rotary tablet press (e.g. Betapress ^® , Korsch ^® PH250) using, for example, 6 mm diameter punches (round, convex , with beveled corners).

Non-limiting examples of the first component that can be prepared according to the method described above are shown in the following table:

Composition No. one 2 3 rivastigmine bta (mg) 7.2 7.2 7.2 microcrystalline cellulose in the form of a fine powder (mg) 25.95 25.95 25.95 hydroxypropyl methylcellulose K100M (mg) 18.75 22.50 30.05 microcrystalline cellulose in the form of a granular powder (mg) 22.35 18.60 11.05 magnesium stearate (mg) 0.375 0.375 0.375 fine silica (mg) 0.375 0.375 0.375 total weight 75 mg 75 mg 75 mg

Compositions No. 1, 2 and 3 when dissolved in water are characterized by the following release profile:

Composition 1:

Time (min) thirty 60 120 180 240 300 360 420 480 Drug Release (%) 29.3 42.6 60.5 73.3 82.6 89.4 93.5 96.4 97.8

Composition 2:

Time (min) thirty 60 120 180 240 300 360 420 480 Drug Release (%) 33 51.9 72.6 84.5 92.3 96.8 98.9 99.9 one hundred

Composition 3:

Time (min) thirty 60 120 180 240 300 360 420 480 Drug Release (%) 32.1 46 64.3 77.6 85.5 91.7 95.1 97.2 97.8

Example 2: The first component in the form of coated particles

The protocol for preparing the film coating solution is shown below. A non-limiting example of a composition prepared according to this protocol serves to illustrate the invention.

A. Ingredients:

The ingredients necessary for the preparation of solutions for applying the film are shown in the following table:

Ingredient Comment Provider rivastigmine bta rivastigmine bitartrate Novartis nonparelli sugar balls with a diameter of 0.85-1.0 mm (USP) H.G. Werner GPM cellulose 3 3 cP hydroxypropyl methylcellulose Shin-Etsu Chemical Co. Ltd. ethyl cellulose N10 ethyl cellulose N10 Dow chemicals company GPM cellulose 5 5 cP hydroxypropyl methylcellulose Dow chemicals company aerosil 200 fine silica Degussa AG magnesium stearate - FACI SRL hard gelatine capsules size 3, cover + case: bright yellow, opaque, type CONISNAP 6 with a notch Capsugel N.V.

B. Obtaining a solution for applying a film

Percentages (%) are given in terms of the mass of the resulting solution (the amount of purified water for 1, 2 and 3).

1. Preparation of an aqueous solution of HPMC (5%)

HPMC with a viscosity of 3 cP are dispersed in purified water with stirring for about 2 minutes in a stainless steel vessel in a mixer with intersecting blades at 500 rpm. The solution was stirred at 250 rpm until it became clear (30 min). The resulting solution was allowed to stand for 12 hours in a stainless steel vessel.

2. Preparation of an aqueous solution of rivastigmine / HPMC for film application

Rivastigmine bta (15-25%) is dissolved with stirring in a solution of HPMC (3-5%) (solution of rivastigmine / HPMC). The resulting solution was stirred (approximately 15 minutes) in a stainless steel vessel until it became transparent (rotation speed of the mixer with crossed blades: 250 rpm). Then silicon dioxide (1-3%) is dispersed in a rivastigmine / HPMC solution located in a stainless steel vessel (rotation speed of the mixer with crossed blades: 250 rpm). The resulting solution was stirred for approximately 10 minutes. If necessary, silicon dioxide can be dispersed in 2 parts of the rivastigmine / HPMC solution with a mortar and pestle before adding the rest of the solution.

3. Preparation of an aqueous solution of HPMC for film application

Silicon dioxide (1.5-3%) is dispersed in a rivastigmine / HPMC solution with a viscosity of 3 cP (3-7%) located in a stainless steel vessel (rotation speed of the mixer with crossed blades: 250 rpm). The solution was stirred for approximately 10 minutes. If necessary, silicon dioxide can be dispersed in 2 parts of the rivastigmine / HPMC solution with a mortar and pestle before adding the rest of the solution.

4. Preparation of organic solvent

In a stainless steel vessel (rotational speed of the mixer with crossed blades: 250 rpm), 94 wt.% Ethanol and acetone are mixed for approximately 2 minutes (see proportions in section 5).

5. Preparation of the organic solution for the polymer film

Ethyl cellulose N10 (5-10%) and HPMC with a viscosity of 5 cP (0.5-2%) are dispersed in a stainless steel vessel with stirring for about 1 minute in an organic solvent (acetone (45-65% and 94% ethanol (35-45%)) in a mixer with intersecting blades at a speed of 500 rpm and then stirred in a stainless steel vessel until a clear solution is obtained for approximately 30 minutes (250 rpm). .

B. Coating

1. Water coating

A Glatt WST 5 fluidized bed dryer (load: approximately 1.5 kg) is adjusted to the desired inlet air temperature (60 ° C) and a spray speed of 15 g / min (pressure: 2.5 bar) by varying the peristaltic pressure using silicone tubes (inner diameter 4.0 mm). A Wuster column (6 inches) is used with a double nozzle (1.0-1.2 mm in diameter) in the center of the main plate, which sprays with a jet of air preheated to 45 ° C. Nonparelli is added and the air intake is controlled so as to carefully fluidize the nonparelli when the air enters at a speed of approximately 325 m ³ / h. Then the rivastigmine / HPMC solution obtained in stage A is immediately sprayed in order to minimize non-attrition of the stainless steel vessel. The temperature of the product is approximately 45 ° C.

Then, the stainless steel vessel and silicone tubes are washed with a HPMC solution with a viscosity of 3 cP (approximately 25 g). To apply a protective coating, an aqueous HPMC solution is sprayed (first, washing liquid, and then the rest of the HPMC solution). After that, the stainless steel vessel and silicone tubes are washed with purified water (approximately 25 g) and the washing water is sprayed.

2. Organic coating

A Glatt WST 5 fluidized bed dryer (load: approximately 1.5 kg) is adjusted to the desired inlet air temperature (50 ° C) and a spray rate of 25 g / min (pressure: 2.5 bar) by varying the peristaltic pressure using silicone tubes (inner diameter 4.0 mm). Use a Wuster type column (6 inches) with a double nozzle (1.0-1.2 mm in diameter) in the center of the base plate, which sprays with a jet of air. The organic solvent is sprayed to remove residual purified water from the piping system and nozzles (to prevent crystallization of ethyl cellulose (organic solution for the polymer film) in the tubes). The temperature of the product is approximately 40 ° C.

Then spray the solution to obtain a polymer film. A stainless steel vessel and silicone tubes are washed with approximately 50 g of an ethanol / acetone organic solvent and the wash liquid is sprayed. Coated nonparelli are dried at an inlet air temperature of 50 ° C until the product temperature increases by 2 ° C.

Coated nonparelli are dried manually in a Waldner type shelf dryer (inlet air temperature 30 ° C) for 6 hours to remove the remaining organic solvent from the coating and passed through a sieve (mesh size 1250 mm, wire diameter 400 mm) to remove agglomerates.

3. Preparation of the mixture for filling capsules

Magnesium stearate is manually passed through a sieve with a mesh size of 800 μm and a wire diameter of 320 μm. The sieved magnesium stearate is then mixed in a free-mixing mixer (Tubula 101) with coated pellets for 5 minutes at 20 rpm, i.e. for 100 revolutions.

4. Filling capsules

Hard gelatin coated capsules (CONI-SNAP 6 type notch, size 3) are filled with the capsule filling mixture using an automatic capsule filling machine (Zanasi LZ 5). The nominal mass of the filler is indicated above.

The process parameters are as follows:

speed: 3000 NK / h

dispenser / piston:

- size No. 4

- height: 12-14 mm

vacuum (vacuum): 0.7 bar

feed bin: no

D. Preparation of EXELON MR BID 4.5 mg NKR Based Composition

The composition is prepared according to the process described above. The ingredients are listed in the table below.

Phase Ingredients Weight (mg) Total weight (mg) water solution drug substance / polymer ^1,3 (drug loading) rivastigmine bta 7.20 7.20 3 cP hydroxypropyl methylcellulose 1,50 1,50 fine silica 0.75 0.75 purified water 28.50 28.50 polymer aqueous solution ^1.3 (protective coating) 3 cP hydroxypropyl methylcellulose 1,5 1,5 fine silica 0.75 0.75 purified water 28.50 28.50 organic polymer solution ^2.3 (diffusion coating) ethyl cellulose N10 4.05 7.35 5 cP hydroxypropyl methylcellulose 0.45 3.15 94 wt.% - ethanol 16,20 37.80 acetone 24.30 56.70 ¹ 5% solution of HPMC
² 10% polymer / organic solvent solution (60% acetone, 40% ethanol (94% by weight))
³ 5% excess (including splash loss)

The following release profiles are obtained.

Time (min) thirty 60 120 180 240 300 360 420 480 Release I) 32,5 55.1 76,4 84.1 88.0 90.6 92.4 93.8 94.9 medicines (% II) 15,5 36.3 61.2 72.9 79.7 83,4 86.5 89.1 90.6 in 0.1 N. HCl)

D. Dose values:

For all dose values, the same coated nonparelli (with the same drug loading) is used. Different dose values (1.5 mg - 9 mg) are obtained by varying the weight of the capsule filler, as indicated in the table below.

Dose Capsule Filler Mass (approx.) Capsule size 1.5 mg 50 mg four 3.0 mg 100 mg 3 4,5 mg 150 mg 3 6.0 mg 200 mg 2 9.0 mg 300 mg 2

For dose values of 6.0 mg, 3.0 mg and 1.5 mg, nonparelli may be added as a placebo if necessary in order to optimize the degree of capsule filling.

Example 3: First Coated Pellet Component

A. Ingredients:

- rivastigmine bitartrate;

- microcrystalline cellulose Avicel ^® PH-101 (company FMC Corporation, Philadelphia, USA);

- lactose 200 mesh (DMV, Vehgel, Netherlands);

- ethyl cellulose N10 (Dow Chemicals Company, USA);

- hydroxypropyl methylcellulose with a viscosity of 5 cP (Dow Chemicals Company, USA);

- magnesium stearate;

- hard-coated gelatin capsules: size 3, cap + body: bright yellow opaque, CONISNAP ^® 6 with a recess (Capsugel NV).

The required quantities of ingredients are indicated in the protocol description or are listed below in section G.

B. Preparation of drug solutions and for film coating

The percentages indicated in sections 1, 2, and 3 represent wt.% Based on the weight of the resulting solution.

1. Preparation of an aqueous solution of rivastigmine

Rivastigmine is dissolved with stirring in water, for example, in a stainless steel vessel, and the solution is stirred, for example, in a mixer with intersecting blades for about 15 minutes at 250 rpm until it becomes transparent. The amount of water is approximately 39%, calculated on the dry weight of the core, which is prepared according to the method described below.

2. Preparation of organic solvent

Ethanol (94 wt.%) And acetone are mixed (acetone (60%) / 94% ethanol (40%)) for approximately 2 minutes in a stainless steel vessel (rotation speed of the mixer with crossed blades: 250 rpm min).

3. Preparation of an organic solution for applying a polymer film

Ethyl cellulose N10 (8%) and HPMC with a viscosity of 5 cP (2%) are dispersed in an organic solvent (90%) by stirring for approximately 1 minute in a stainless steel vessel of a cross-bladed mixer (at a speed of 500 rpm). The solution is stirred until it becomes clear for about 30 minutes (at a speed of 250 rpm), for example, in a stainless steel vessel. The solution is allowed to stand for 12 hours.

B. Preparation of pellets

Lactose and Avicel ^® are loaded into a Collette Gral ^® type mixer (10 or 25 L) and mixed for 2 minutes (slow rotation speed, slow rotation speed of the knife). To a mixture of Avicel ^® and lactose in a Collette Gral ^® mixer, a rivastigmine solution is added at a low rotational speed (knife is disabled). After adding the drug solution to the Collette Gral ^® mixer, an additional amount of rinse water is poured into the same vessel. The amount of additional water is 18.5% in terms of the dry weight of the core. This additional amount of water is introduced into the above mixture during rotation at a low speed (the knife is turned off).

Prepared as described above, the mixture is granulated in a Collette Gral ^® mixer for 15 minutes (low speed, knife disabled). The machine is stopped at 5-minute intervals and cleaned by scraping the vessel wall. In the last two or three minutes, a knife with a low rotation speed is turned on. The wet mass thus obtained is extruded in the form of thin filaments (parameters: extruder with twin screws of the Gabler ^® type, sieve mesh size: 1 mm, screw rotation speed: 50 rpm, machine dispenser adjustment position: 1.8, extruded mass pressure : 10 bar).

The extruded mass is subjected to spheroidization, i.e. turn into pellets in 3 kg portions (parameters: Wyss Pharmex ^® type spheroidizer, spheroidizer load: 3 kg, rotation speed: 870 rpm, spheroidization time: 6 min).

Wet pellets are dried (parameters: Aeromatic ^® fluidized bed dryer, inlet air temperature: 60 ° C, outlet temperature: 47-49 ° C, drying until LOD is reached (loss on drying) 2.5-3.0% .

Dried pellets are sieved manually to remove agglomerates. All product passed through a sieve is collected for coating (sieve mesh size: 1600 μm).

D. Coverage

1. Organic coating

The Glatt ^® WST 5 fluidized-bed dryer (loading value: 1: 5 kg) is adjusted to achieve an inlet air temperature of 50 ° C at a volume flow of 235 m / h and a spray rate of 25 g / min (pressure: 2.5 bar) by variation of a hose pump with a silicone tube (inner diameter 4.0 mm). A Wurster column (6 inches) is used, equipped with a double spray nozzle (1.0-1.2 mm in diameter) located in the center of the base plate, which sprays using a supplied air stream. An organic solvent is sprayed to remove residual purified water from the piping system and nozzles (nozzles) (in order to prevent crystallization of ethyl cellulose (an organic solution for applying a polymer film)) in the tubes. The temperature of the product is approximately 40 ° C.

After that, an organic solution for applying a polymer film is sprayed. A stainless steel vessel and silicone tubes are washed with approximately 50 g of an ethanol / acetone organic solvent and the wash liquid is sprayed. Then the coated pellets are dried at an inlet air temperature of 50 ° C until the product temperature rises by 2 ° C.

Coated pellets are manually dried in a Waldner ^® HW 15 / 2N shelf dryer (inlet air temperature: 30 ° C) for 6 hours to remove all residual organic solvent from the coating and then passed through a sieve (mesh size 1600 μm and wire diameter 400 μm) to remove agglomerates.

D. Preparation of the mixture for filling capsules:

Magnesium stearate is passed through a sieve with a mesh size of 800 μm and a wire diameter of 320 μm. Then sieved magnesium stearate is mixed with the coated pellets in a freefall mixer (Turbula ^® 101 type) at a speed of 20 rev / min for 5 minutes, i.e., for 100 revolutions.

E. Filling capsules

The capsule filling mixture is filled into the empty shells of hard-coated gelatin capsules (CONI-SNAP ^® 6 with a notch, size 3) using a capsule filling machine (type Zanasi ^® LZ 5). The nominal mass of the filler is indicated above (process parameters: speed: 3000 NK / h, dispenser / piston: size No. 4 and height: 12-14 mm, vacuum: 0.7 bar, hopper loading device: not used).

G. Composition Exelon MR BID 4.5 mg NKR

The composition is prepared according to the method described above.

The total amount of film coating (in% of the theoretical contents of the capsule (150 mg)) - 3.0

Diffusion coating (ethyl cellulose: hydroxypropyl methyl cellulose) 80:20

Phase Ingredient Weight (mg) Core rivastigmine bta 7.20 lactose 200 mesh 60.30 microcrystalline cellulose (Avicel ^® ) 67.5 Diffusion coating ethyl cellulose N10 3.24 5 cP hydroxypropyl methylcellulose 0.81 Sizing magnesium stearate 0.15 The total mass of the filler 139.20 Capsule weight CONISNAP ^® size 3 49.00 Total 188.20

Receive the following release profile:

Time (min) thirty 60 120 180 240 300 360 420 Release 4.2 21.9 57.8 84.8 94.5 97.9 99,4 99.9 medicines (% in 0.1n. HCl)

H. Dose

For all dose values, the same pellets (with the same drug loading) are used. Different dose values (1.5 mg - 9 mg) are obtained by changing the weight of the capsule filler, as indicated in the table below.

Dose Capsule Filler Mass (approx.) Capsule size 1.5 mg 46.4 mg four 3.0 mg 92.8 mg 3 4,5 mg 139.2 mg 3 6.0 mg 185.6 mg 2 9.0 mg 278.4 mg 2

For dose values of 6.0 mg, 3.0 mg and 1.5 mg, a placebo for pellets may be added if necessary to optimize the degree of capsule filling.

Preparation of the second component

The second component can be prepared in the usual way by mixing the ingredients, for example, to obtain particles or pellets coated, as described for the first component, and then by applying one or more film coatings, as described above.

Example 4: The second component in the form of a matrix tablet having a coating consisting of one film

The second component, containing 4.8 mg of rivastigmine bta as rivastigmine in a compressed core, for example in a compressed tablet, is coated with an appropriate film coating. This system, which releases rivastigmine after a certain time after being placed in the aquatic environment, can be prepared as follows:

A. Preparation of the core:

The product for 5000 cores is prepared as follows. 24 g of rivastigmine bta are dissolved in 1000 g of purified water. 400 g of polyplasdone (crosslinked polyvinyl polypyrrolidone) and 221 g of sodium chloride are charged into a mixer connected to a granulator, for example of the Diosana ^® type. The mixture was stirred for 5 minutes and a rivastigmine bta solution was added to this mixture, which was wet granulated. Then the wet mass is passed through a sieve with a pore size of 2 mm and dried in a fluidized bed dryer at 60 ° C. After drying, the granules are passed through a 1 mm sieve. The granules are weighed and mixed with an appropriate amount of silica gel, for example Aerosil 200 ^® , and microcrystalline cellulose for 20 minutes in a drum mixer (Turbula ^® type mixer) and pressed to obtain, as described above, cores with a total mass of 178 mg each. For this purpose, a tablet press with only one punch, a concave punch with a diameter of 8 mm (R = 12), for example, such as Kilian EKO ^®, can be used.

B. Preparation of varnish for the film:

4000 pressed cores are coated with a semi-permeable film (or membrane) having the composition below using the fluidized bed method in an air stream, for example, in a Glatt-wurster-type device:

cellulose acetate containing 32% acetyl 139.5 g cellulose acetate containing 39.8% acetyl 145.5 g hydroxypropyl methyl cellulose (HPMC) 15.0 g methylene chloride 6750 g methanol 750 g

A film coating (semi-permeable membrane coating) is applied using the above organic varnish containing 4% of the components of a solid film in a solvent mixture consisting of methylene chloride and methanol. It should be noted that instead of methylene chloride / methanol, another solvent mixture may be used, such as acetone / alcohol / water.

Film layers of various thicknesses are applied to the cores, i.e. of various weights, for example about 55 mg / core, 70 mg / core, 80 mg / core or more, providing delay times, for example 3-4, 5-6 or 7-8 hours, and dried in a stream of air in a boiling dryer layer for 48 hours at 40 ° C.

B. Compositions

1. Ingredients Amount / tablet (mg) polyplasdone-XL or crospovidone 80.0 colloidal silicon dioxide 5,0 sodium chloride 44,2 rivastigmine bta 4.8 polyplasdone-XL or crospovidone 20,0 Avicel PH 102 23.0 magnesium stearate 1,0 core mass 178.0 cellulose acetate E320 25.52 cellulose acetate 398-10 26.74 GPMC 603 2.74 total weight 233.0 2. Ingredients Amount / tablet (mg) polyplasdone-XL or crospovidone 80.0 colloidal silicon dioxide 5,0 sodium chloride 44,2 rivastigmine bta 4.8 polyplasdone-XL or crospovidone 20,0 Avicel PH 102 23.0 magnesium stearate 1,0 core mass 178.0 cellulose acetate E320 32,48 cellulose acetate 398-10 34.03 GPMC 603 3.49 total weight 248.0

G. Determination of the release profile of rivastigmine:

The film-coated tablets described above having two different film thicknesses (coated with a film having a different weight) are placed in a beaker containing 200 ml of deionized (desalted) water at 37 ° C, and the times required for the film to break (semipermeable membrane) are determined ) for two types of tablets. The results are shown in tables 1 and 2.

Table 1 Drug Release (OHL) (%) in water, 50 rpm, film thickness: 55 mg Time (min) Cell 1 Cell 2 Cell 3 Cell 4 Cell 5 Cell 6 0 0,0 0,0 0,0 0,0 0,0 0,0 120 0.8 0.7 0.9 0.9 0.7 0.7 150 0.7 0.8 0.7 0.7 0.6 0.7 180 0.7 0.8 0.7 0.7 0.6 0.7 210 53,4 1.4 0.9 0.7 46.9 0.6 240 64.0 64,4 67.0 0.7 57.5 0.7 300 76.6 81.7 89.5 69.8 69.7 82.1 360 83.1 92.2 94.5 77.7 78,4 86.8 table 2 Drug Release (OHL) (%) in water, 50 rpm, film thickness: 70 mg Time (min) Cell 1 Cell 2 Cell 3 Cell 4 Cell 5 Cell 6 0 0,0 0,0 0,0 0,0 0,0 0,0 240 0.6 0.4 0.3 0.3 0.3 0.2 270 0.5 1,0 1.3 0.8 0.5 0.6 300 45.6 0.3 42.9 46.8 0.5 2.2 330 63.7 59.1 61.8 61.0 33.0 45.1 360 72.7 71.2 69.8 70.1 51,2 56.0 420 84.7 84.0 81.6 81.8 65.7 69.5

Example 5: The second component in the form of a matrix tablet having a coating consisting of two films

A: Kernel preparation:

The product for 70,000 cores is prepared as follows. 336 g of rivastigmine bta are dissolved in approximately 6400 g of purified water and 12 g of alpha-tocopherol is dissolved in approximately 388 g of ethanol (in the case of OSH, a similar solution is also prepared). 6938 g of polyplazdone-XL, 1660 g of microcrystalline cellulose, 3094 g of sodium chloride (pre-ground) and 350 g of colloidal silicon dioxide (Aerosil 200) are sieved through a sieve with a pore size of 1600 μm and introduced into a mixer with large shear forces of the type Collete Gral with a volume of 75 l In a Collete Gral mixer, dry powders are mixed for one minute at low rotational speed and with the knife turned off. After this, a solution of alpha-tocopherol and rivastigmine solutions are slowly added, while the mixer and knife operate at a low speed. An additional amount of purified water is added to form granules. After that, the Collete Gral mixer is turned on for 2 minutes while rotating at a slow speed and rotating the knife at high speed. The granules are then dried in a fluidized bed dryer at an inlet air temperature of approximately 70 ° C. until a drying loss of less than 4% is achieved. After that, the granules are sieved through a sieve with a pore size of 800 μm and mixed with magnesium stearate (previously sieved) for 5 min in a mixer with free stirring. This mixture was then pressed into 178 mg tablets using an elongated 10 × 5.2 mm die and a suitable tablet press.

B. Film coating:

First, two solutions for two films are prepared. 499 g of cellulose acetate 398-10, 499 g of cellulose acetate 320S and 53 g of HPMC with a viscosity of 3 cP are dissolved in a mixture of solvents containing 70% acetone, 20% ethanol and 10% purified water, obtaining a solution containing 7.5 wt.% solid ingredients. 441 g of ethyl cellulose N10 and 49 g of HPMC with a viscosity of 5 cP are dissolved in a solvent mixture containing 60% acetone and 40% ethanol to obtain a solution containing 5 wt.% Solid ingredients. 5% more solution should be prepared in order to compensate for the loss that occurs when the sprayed substance dries during the coating process. The tablets obtained according to the method described above are coated in a suitable perforated coating tank by spraying first a solution of cellulose acetate and then a solution of ethyl cellulose to obtain the desired film weights. Other solvent systems such as methylene chloride / methanol can also be used.

B. Compositions

Ingredients Amount / tablet (mg) rivastigmine bta 4.8 4.8 sodium chloride 44,2 44,2 Avicel PH 102 23,712 23,712 PVPP-XL 99.11 99.11 α-tocopherol 0.178 0.178 aerosil 200 5,0 5,0 magnesium stearate 1,0 1,0 core mass 178.0 178.0 cellulose acetate 398-10 7,125 7,125 cellulose acetate E320 7,125 7,125 GPMC 603 0.750 0.750 ethyl cellulose N10 4,5 6.3 GPMC with a viscosity of 5 cP 0.5 0.5 total weight 198 200

In the composition below, setocoferol can be replaced by BHT (butylated hydroxytoluene):

Ingredients Amount / tablet (mg) rivastigmine bta 4.8 sodium chloride 44,2 Avicel PH 102 23.0 PVPP-XL 99.11 OSH 0.890 aerosil 200 5,0 magnesium stearate 1,0 core mass 178.0 cellulose acetate 398-10 9.5 cellulose acetate E320 9.5 GPMC 603 1,0 ethyl cellulose N10 2.7 GPMC with a viscosity of 5 cP 0.3 total weight 201

G: Determination of the release profile of rivastigmine:

Table 1 VL drug release (%) in water at 50 rpm, oblong tablets (approximate size 10.25 mm × 5.5 mm × 4.80-4.85 mm) Time (min) Cell 1 Cell 2 Cell 3 Cell 4 Cell 5 Cell 6 240 0,0 0,0 0,0 0,0 0,0 0,0 300 0,0 0,0 0,0 0,0 0,0 0,0 360 58.1 0,0 0,0 59.8 0,0 0,0 420 89.6 62,4 58.9 83,4 0,0 60.6 480 92.0 96.0 85,4 97.2 97.1 85.5 540 99.0 97.9 95.2 100.9 95.8 97.6 600 99,4 100,2 102.7 101.0 100,2 99.9 660 100,4 100.9 103.0 102.3 102.1 102.5 720 102.1 101.8 103,2 99,4 104.2 101.6 table 2 VL drug release (%) in water at 50 rpm, round tablets (approximate size 8.57 mm × 5.58 mm) Time (min) Cell 1 Cell 2 Cell 3 Cell 4 Cell 5 Cell 6 240 0,0 0,0 0,0 0,0 0,0 0,0 300 0,0 0,0 0,0 0,0 96.5 0,0 360 92.5 0,0 0,0 0,0 99,4 0,0 420 100.9 0,0 0,0 0,0 99.8 0,0 480 101.6 89.5 0,0 0,0 100.3 0,0 540 101.5 98.0 0,0 0,0 100,2 88.7 600 100.9 100.1 94.4 0,0 99,4 97.0 660 101.7 101.7 100.1 0,0 98.8 101.0 720 102.1 100.7 101.8 76,2 99,2 102.1

Example 5: Filling capsules

A capsule filling mixture containing the first and second components together (or separately if necessary) is filled with an automatic capsule filling machine (type Zanasi ^® LZ 5) empty shells of hard-coated gelatin capsules (type CONISNAP ^® 6 with a notch, size 3). The nominal mass of the filler is given above. The process parameters are as follows:

speed: 3000 NK / h

dispenser / piston:

- size: No. 4

- height: 12-14 mm

vacuum: 0.7 bar

feed bin: none.

Claims (3)

1. A solid oral dosage form used to treat mild to moderate Alzheimer's type dementia made from a pharmaceutical composition comprising rivastigmine or its pharmaceutically acceptable salts, characterized in that it is a hard-coated gelatin capsule filled with a pellet mixture with magnesium stearate, while the pellets are prepared from rivastigmine or its pharmaceutically acceptable salt, lactose and microcrystalline cellulose and applied to them diffusion coated and containing ethyl cellulose and hydroxypropyl methyl cellulose. 2. A solid oral dosage form used to treat mild to moderate Alzheimer's type dementia made from a pharmaceutical composition comprising rivastigmine or its pharmaceutically acceptable salts, characterized in that it is a hard-coated gelatin capsule filled with a stearate mixture magnesium with nonparrels having three coatings, the first coating containing rivastigmine or its pharmaceutically acceptable salts, hydroxypropyl methylcellulose and silica ii. the second protective coating is formed by hydroxypropyl methylcellulose and silicon dioxide, the third diffuse coating includes ethyl cellulose and hydroxypropyl methylcellulose. 3. An oral medicament used to treat mild to moderate Alzheimer's type dementia, comprising rivastigmine or its pharmaceutically acceptable salts, the medicament being in the form of a matrix tablet coated with two films, said first film comprising cellulose acetate and hydroxypropyl methylcellulose, and the second film includes ethyl cellulose and hydroxypropyl methyl cellulose.