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WO2015170835A1 - Liquid formulation with enhanced stability comprising montelukast or pharmaceutically acceptable salt thereof and method for preparing same - Google Patents

Liquid formulation with enhanced stability comprising montelukast or pharmaceutically acceptable salt thereof and method for preparing same Download PDF

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Publication number
WO2015170835A1
WO2015170835A1 PCT/KR2015/003529 KR2015003529W WO2015170835A1 WO 2015170835 A1 WO2015170835 A1 WO 2015170835A1 KR 2015003529 W KR2015003529 W KR 2015003529W WO 2015170835 A1 WO2015170835 A1 WO 2015170835A1
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Prior art keywords
liquid formulation
montelukast
pharmaceutically acceptable
electrolyte compound
acceptable salt
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Application number
PCT/KR2015/003529
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French (fr)
Inventor
Young Hun Kim
Taek Kwan Kwon
Seung Bin YOUN
Jae Hyun Park
Jong Soo Woo
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Hanmi Pharmaceutical Co Ltd
Hanmi Pharmaceutical Industries Co Ltd
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Hanmi Pharmaceutical Co Ltd
Hanmi Pharmaceutical Industries Co Ltd
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Publication of WO2015170835A1 publication Critical patent/WO2015170835A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02Inorganic compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/16Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
    • A61K47/18Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
    • A61K47/183Amino acids, e.g. glycine, EDTA or aspartame
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0087Galenical forms not covered by A61K9/02 - A61K9/7023
    • A61K9/0095Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches

Definitions

  • the present invention relates to a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof and a method for preparing the formualtion. More particularly, the present invention relates to a syrup formulation for the prevention and treatment of asthma, which is a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof in a solution state, having enhanced stability. The present invention also relates to a method for preparing the above syrup formulation.
  • Asthma is an inflammatory airway obstructive disease with symptoms of dyspnea and severe cough caused by swelling of bronchial mucosa due to bronchial inflammation, and bronchial obstruction due to bronchial muscle spasm.
  • Patients with asthma show symptoms such as wheezing, dyspnea and cough etc. due to airway obstruction, and the symptoms tend to get worse at night than in daytime. Also, they may have difficulties in breathing due to excessive sputum production. In severe cases, asthmatic attacks may be life-threatening.
  • Asthma is a problematic disease prevalent worldwide, and about 300 million asthma patients are estimated to be present. A half of childhood asthma cases persists until adulthood and continues as adult asthma. The prevalence of asthma among children and adults confirmed by a standard survey method amounts to 1 to 18%, albeit with differences among countries.
  • Therapeutic agents of asthma are mainly divided into disease-controlling agents and symptom-alleviating agents.
  • the disease-controlling agents are used for controlling symptoms of asthma mainly by anti-inflammatory effects.
  • the symptom- alleviating agents are medications used in order to alleviate symptoms in a short time period by rapidly dilating airway.
  • Montelukast one of the disease-controlling agents, is an antagonist that inhibits cysteinyl leukotriene CysLTl receptor, and has been used for the treatment and prevention of leukotriene-mediated diseases and disorders.
  • montelukast is known to be effective for allergic rhinitis, atopic dermatitis, chronic urticaria, sinusitis, nasal polyps, chronic obstructive pulmonary disease, conjunctivitis including rhino- conjunctivitis, migraine, cystic fibrosis, and viral bronchiolitis, etc. (SE Dahlen, Eur. J. Pharmacol., 533 (1-3), 40-56 (2006)).
  • montelukast has a great advantage that it is effective for aspirin-sensitive asthma patients and has very few side effects.
  • SingulairTM an agent employing sodium montelukast as its pharmacologically active ingredient, is approved for the treatment of asthma for adults and children over 6 months of age, and commercially available.
  • SingulairTM is commercially available with dosage forms of 10 mg tablets to be taken once a day by adults agaed over 15 years, 4 to 5 mg chewable tablets to be chewed and taken once a day by children aged 2 to 14 years, and 4 mg fine granules to be taken once a day by children aged 6 months to 2 years.
  • the fine granule has a disadvantage that it should be taken orally itself, or mixed in small amount (e.g. 5 mL or less) of soft foods such as baby food, mother's milk or porridge which is colder than room temperature and be taken immediately (i.e., within 15 minutes).
  • montelukast produces degradation products such as montelukast sulfoxide (as shown in Formula 1 below) and montelukast cis-isomer (as shown in Formula 2 below) when it is degraded.
  • SingulairTM employing sodium montelukast as its main ingredient to sunlight
  • montelukast sulfoxide increases up to 2.4% in 3 weeks
  • montelukast st in 0.1 M solution of hydrochloric acid to sodium, etc. for 6 hours montelukast cis-isomer increases up to 14.6% (M. M. Al Omari et al., J. Pharm. and Biomed. Anal, 45, 465-471 (2007)).
  • oral liquid formulations such as syrups, suspensions, elixirs, and spirits
  • solid formulations such as tablets, chewable tablets and granules
  • the bioavailability of the oral liquid formulations can be increased and individual variations can be decreased.
  • medication compliance of patients can be enhanced by improving taste and flavor by addition of sweeteners and flavoring agents.
  • Montelukast has high solubility in water, but it has disadvantage in that its pharmacological component can be degraded rapidly and produce related substances when dissolved in water, making it difficult to maintain the feature of montelukast. As such, there have been difficulties in developing a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof, and there is no product commercially available or developed yet.
  • the present inventors have endeavored to develop a liquid formulation comprising montelukast with improved stability, bioavailability and medication compliance, and without decrease of dissolution over time, by employing a stabilizer thereto.
  • a liquid formulation comprising an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient.
  • a method for preparing a liquid formulation comprising: (1) adding at least one pharmaceutically acceptable additive selected from the group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent, to purified water and then stirring them to prepare solution 1 ; (2) adding at least one electrolyte compound to purified water and stirring them, and then adding montelukast or its pharmaceutically acceptable salt thereto and stirring them to prepare solution 2; and (3) mixing solution 1 with solution 2, and adding purified water thereto to adjust the concentration.
  • a pharmaceutically acceptable additive selected from the group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent
  • the liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof according to the present invention allows its pharmacological ingredients to be substantially dissolved and present in a solution state, thereby preventing decrease of dissolution over time and increasing its bioavailability. Further, owing to superior taste, flavor and easy dosage control, the liquid formulation of the present invention can be easily taken by patients and its medication compliance can be enhanced. And, due to the addition of an electrolyte compound it shows improvement in stability and homogeneity of drug effect by preventing recrystallization, precipitation, separation of layers or production of related substances does not take place even when stored for a long time, and can be effectively used for asthma and allergic rhinitis patients. BRIEF DESCRIPTION OF THE DRAWING
  • Fig. 1 shows the amount of montelukast sulfoxide produced in the liquid formulations in Examples 1 to 3 and Comparative Examples 1 to 8 when stored under the accelerated conditions;
  • Fig. 2 shows the amount of total montelukast related substances of the liquid formulations in Examples 1 to 3 and Comparative Examples 1 to 8 when stored under the accelerated conditions.
  • the liquid formulation according to the present invention comprises an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient.
  • the active ingredient can be selected from the group consisting of montelukast, montelukast sodium, montelukast potassium, montelukast strontium, montelukast calcium, montelukast magnesium, montelukast ammonium, and a mixture thereof, among which montelukast sodium is preferred.
  • the active ingredient can be employed in the liquid formulation in an amount of
  • montelukast in the active ingredient is employed in the above preferred amount.
  • montelukast in the above preferred range
  • a patient can avoid the inconvenience of taking too large or small amount of liquid formulation, and the quality test and analysis of a prepared liquid formulation can be performed more easily.
  • the liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof can be used for the treatment or prevention of asthma, allergic rhinitis, atopic dermatitis, chronic urticaria, sinusitis, nasal polyps, chronic obstructive pulmonary disease, conjunctivitis including rhino-conjunctivitis, migraine, cystic fibrosis, and viral bronchiolitis, etc.
  • the liquid formulation can comprise at least one electrolyte compound which can function as a stabilizer.
  • the stabilizer may be a property stabilizer.
  • the term “property” refers to a physicochemical feature or characteristics of a liquid formulation or a pharmacologically active ingredient comprised therein.
  • “property stability” means that a stable solution state is maintained over time without deterioration change of the physicochemical feature or characteristics of the liquid formulation or the pharmacologically active ingredient employed therein.
  • “property stabilizer” refers to an agent to improve the property stability.
  • the “solution state” in the present invention means that the solubility of the montelukast or a pharmaceutically acceptable salt thereof measured at room temperature is 70 to 100%, specifically 80 to 100%, more specifically 90 to 100%, and more specifically 95 and 100%.
  • room temperature in the present invention refers to a temperature range of approximately 15 °C to 25 °C.
  • the electrolyte compound may be neutral or weak alkaline by being dissociated in a solvent.
  • the electrolyte compound can have pKa of 6.0 to 12.0, more specifically pKa of 6.5 to 11.0, and more specifically pKa of 7.0 to 10.0.
  • pKa of the electrolyte compound being within the above preferred range, the stimulation imposed on the active ingredient by the electrolyte compound can be minimized, which is advantageous in preventing deterioration of the characteristics of the active ingredient.
  • the solubility of the electrolyte compound at room temperature can be 100 to 900 g/L.
  • the solubility of the liquid formulation in a solvent at room temperature can be 200 to 750 g/L, more specifically 300 to 600 g/L.
  • the electrolyte compound is at least one selected from the group consisting of alkali metal chloride and alkali earth metal chloride.
  • the electrolyte compound can be selected from the group consisting of potassium chloride, sodium chloride, calcium chloride and a mixture thereof.
  • the electrolyte compound can be employed in the liquid formulation in an amount of 0.5 to 20 parts by weight, preferably 1 to 15 parts by weight, more preferably 2 to 10 parts by weight based on 1 part by weight of montelukast. With the content of the electrolyte compound being within the above preferred range, a pharmacologically active ingredient in liquid formulation can be solubilized with its solubility effectively maintained, while the increase of related substances in the liquid formulation is prevented.
  • the liquid formulation of the present invention can further comprise a pharmaceutically acceptable additive.
  • the pharmaceutically acceptable additive can be, for example, at least one selected from a group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent.
  • the sweetener improves taste of the liquid formulation, which may be, for example, at least one substance selected from the group consisting of white sugar, high fructose, sorbitol, mannitol, xylitol, aspartame, steviol glycosides, sucralose, acesulfame potassium and glycerin.
  • the sweetener can be employed in an amount of 0.001 to 50 weight%, preferably 0.005 to 30 weight% based on the total weight of the liquid formulation.
  • the flavoring agent makes patients feel a scent when taking the liquid formulation, which improves the medication compliance. It can be, for example, at least one substance selected from the group consisting of a general fruit flavor or various fruit flavors such as apple flavor, cherry flavor, orange flavor, strawberry flavor, banana flavor, grape flavor, mango flavor and peach flavor; vanilla flavor; mint flavor; and honey flavor.
  • the flavoring agent can be employed in an amount of 0.1 to 5 weight%, preferably 0.2 to 3 weight% based on the total weight of the liquid formulation.
  • the preservative is inhibits the growth of microorganisms during storage of the liquid formulation, which may be, for example, at least one substance selected from the group consisting of paraoxybenzoates such as paraoxybenzoic acid methyl, paraoxybenzoic acid ethyl, paraoxybenzoic acid propyl and paraoxybenzoic acid butyl; benzoates such as benzoic acid and sodium benzoate; and sorbates such as sorbic acid and potassium sorbate.
  • the preservative can be employed in an amount of 0.01 to 2 weight%, preferably 0.02 to 1 weight% based on the total weight of the liquid formulation.
  • the solubilizing agent plays the role of improving the solubility of an active ingredient and the like in the liquid formulation, which may be, for example, at least one substance selected from the group consisting of meglumine, arginine, and lysine.
  • the solubilizing agent can be employed in an amount of 0.001 to 1.0 weight%, preferably 0.005 to 0.5 weight% based on the total weight of the liquid formulation.
  • the liquid formulation can also employ an emulsifying agent to improve the feature of the liquid formulation, and a pH adjusting agent to adjust the acidity of the liquid formulation to an appropriate level.
  • the liquid formulation can comprise a solvent to dissolve an active ingredient and the like.
  • the solvent may be, but not limited to, a polar solvent, preferably a polar aqueous solvent, for example.
  • the solvent can be water (purified water).
  • the liquid formulation can be alkaline, e.g., neutral or weakly alkaline.
  • the liquid formulation can have a pH range of 6.0 to 12.0, more specifically 8.0 to 12.0.
  • the property of the liquid formulation can be improved in terms of property stability by preventing precipitations of montelukast or pharmaceutically acceptable salt thereof.
  • the active ingredient solubilized in the liquid formulation can show a solubility of 70% to 100%, specifically 80% to 100%, more specifically 90% to 100%, even more specifically 95% to 100% under the accelerated conditions of 40 °C, 75% of relative humidity and 3 month period.
  • the amount of montelukast sulfoxide produced may be 0.9% or less, specifically 0.7% or less, more specifically 0.5% or less, even more specifically 0.4% or less, while the amount of total related substancess produced may be 1%) or less, specifically 0.8% or less, more specifically 0.6% or less, even more specifically 0.5% or less.
  • the above liquid formulation can be a liquid formulation for oral administration, such as, but not limited to, a syrup, a suspension, an elixir, and a spirit, preferably a syrup.
  • the liquid formulation of the present invention allows its pharmacological ingredients to be substantially dissolved and present in a solution state, thereby preventing decrease of dissolution over time and increasing its bioavailability. Further owing to superior taste, flavor and easy dosage control, the liquid formulation of the present invention can be easily taken by patients and its medication compliance can be enhanced. And, due to the addition of an electrolyte compound it shows improvement in stability and homogeneity of drug effect by preventing recrystallization, precipitation, separation of layers or production of related substances even when stored for a long time, and can be effectively used for asthma and allergic rhinitis patients.
  • liquid formulation of the present invention can be prepared by a method comprising the steps of:
  • the pharmaceutically acceptable additive may be one of the additives exemplified above.
  • a sweetener and an antioxidant can be sequentially added thereto and stirred to prepare solution 1.
  • step (1) can comprise the steps of:
  • a solubilizing agent e.g., meglumine
  • purified water 30 °C or less, preferably 15 °C to 30 °C in a preparation tank, and stirring them
  • a sweetener to the solution obtained in the step i) and stirring them;
  • step (2) the pharmacologically active ingredient is montelukast or a pharmaceutically acceptable salt thereof, specific examples of which have been described above.
  • step (2) can comprise the steps of:
  • the liquid formulation can be prepared by mixing the prepared solution 1 with solution 2 and adding purified water thereto to adjust the concentration, as stated above.
  • the liquid formulation can be prepared by adding solution 2 to solution 1, and then adding sterilized purified water cooled in room temperature thereto until reaching a preferred volume, followed by stirring them. It is preferable for the liquid formulation prepared as above to be subjected to the step of filtration through 1 /m filter and the like.
  • the final liquid formulation prepared can be stored in a storage tank or an appropriate container.
  • Example 1 Preparation of a liquid formulation comprising montelukast
  • solution 1 0.20 g of meglumine was dissolved in 50 mL of sterile purified water in a preparation tank with stirring. After cooling the preparation tank to 30 °C or lower, 0.50 g of sucralose was added thereto and stirred, and then 0.01 g of sodium edetate was added thereto, to prepare solution 1. Separately, after preparing a solution by adding 0.2 g of potassium chloride to purified water at 25 °C, 0.104 g of montelukast sodium (equivalent to 0.100 g of montelukast alone) was added thereto and stirred, to prepare solution 2. Solution 2 was mixed with solution 1, and sterile purified water was added thereto to prepare a solution with a final volume of 100 mL.
  • Liquid formulations were prepared by the same method as Example 1 , except for the addition of potassium chloride or sodium chloride as a stabilizer in the amount described in Table 1.
  • Liquid formulations were prepared by the same method as Example 1, except that the stabilizer was either excluded or potassium chloride, potassium hydroxide, sodium hydroxide, sodium hydrogen carbonate or glucose was added as a stabilizer in the amount described in Table 2.
  • Examples 1 to 8 was measured with a pH meter. The results are shown in Table 3 below.
  • pHs of the liquid formulations of Comparative Examples were in the range of 9 to 11, except for Comparative Example 5.
  • the liquid formulation of Comparative Example 5 showed pH out of a preferred range due to strong alkalinity of potassium hydroxide, although potassium hydroxide was employed in the same amount as potassium chloride in Example 1.
  • the liquid formulations of Examples 1 to 3 generated no precipitations and showed transparent properties during 3 months of accelerated conditions.
  • the liquid formulation of Comparative Example 1 in which no electrolyte compound was added, showed precipitation and opaque property on day 7 of acceleration.
  • the ionizing capacity on the active ingredient decreased, resulting in opaque property along with precipitation formation.
  • the liquid formulations of Comparative Examples 4 to 6 although their pHs were within the range of 8.0-12.0, showed precipitation and browning phenomenon upon 3 month acceleration, due to the addition of strong alkaline electrolyte compounds which imposed strong stimulation to the main ingredient.
  • the liquid formulation of Comparative Example 7 showed precipitation due to low ionizing capacity of the electrolyte compound..
  • the liquid formulation of Comparative Example 8 showed precipitation on day 7 of acceleration, due to the addition of non-electrolyte component.
  • montelukast sodium was added at a concentration of 1 ,040 ⁇ g/mL, which corresponds to a concentration of 1 ,000 ⁇ g/mL of montelukast, assuming that the entire amount of inputted montelukast has been dissolved.
  • Test timing initial, after 1 and 3 months
  • Detector ultraviolet absorption spectrophotometer (wavelength: 238 nm) Column: stainless steel column (inner diameter: about 4.6 mm; length: about 25 cm) packed with octylsilyl silica gel (particle diameter: 5 ⁇ ) for liquid chromatography (Zorbax SB-Phenyl, Agilent)

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Abstract

The present invention relates to a liquid formulation comprising an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient, and a method for preparing the above liquid formulation. According to the present invention, montelukast or a pharmaceutically acceptable salt thereof is substantially dissolved and present in a solution state, thereby improving stability over time, preventing decrease of dissolution and stability over time and increasing its bioavailability. And, owing to its enhanced stability and superior taste and flavor, the liquid formulation of the present invention shows improved medication compliance, and can be effectively used for the treatment of asthma and allergic rhinitis.

Description

DESCRIPTION
LIQUID FORMULATION WITH ENHANCED STABILITY COMPRISING MONTELUKAST OR PHARMACEUTICALLY ACCEPTABLE SALT THEREOF AND METHOD FOR PREPARING SAME
FIELD OF THE INVENTION
The present invention relates to a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof and a method for preparing the formualtion. More particularly, the present invention relates to a syrup formulation for the prevention and treatment of asthma, which is a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof in a solution state, having enhanced stability. The present invention also relates to a method for preparing the above syrup formulation.
BACKGROUND OF THE INVENTION
Asthma is an inflammatory airway obstructive disease with symptoms of dyspnea and severe cough caused by swelling of bronchial mucosa due to bronchial inflammation, and bronchial obstruction due to bronchial muscle spasm. Patients with asthma show symptoms such as wheezing, dyspnea and cough etc. due to airway obstruction, and the symptoms tend to get worse at night than in daytime. Also, they may have difficulties in breathing due to excessive sputum production. In severe cases, asthmatic attacks may be life-threatening.
Asthma is a problematic disease prevalent worldwide, and about 300 million asthma patients are estimated to be present. A half of childhood asthma cases persists until adulthood and continues as adult asthma. The prevalence of asthma among children and adults confirmed by a standard survey method amounts to 1 to 18%, albeit with differences among countries.
Therapeutic agents of asthma are mainly divided into disease-controlling agents and symptom-alleviating agents. The disease-controlling agents are used for controlling symptoms of asthma mainly by anti-inflammatory effects. The symptom- alleviating agents are medications used in order to alleviate symptoms in a short time period by rapidly dilating airway.
Montelukast, one of the disease-controlling agents, is an antagonist that inhibits cysteinyl leukotriene CysLTl receptor, and has been used for the treatment and prevention of leukotriene-mediated diseases and disorders. Specifically, montelukast is known to be effective for allergic rhinitis, atopic dermatitis, chronic urticaria, sinusitis, nasal polyps, chronic obstructive pulmonary disease, conjunctivitis including rhino- conjunctivitis, migraine, cystic fibrosis, and viral bronchiolitis, etc. (SE Dahlen, Eur. J. Pharmacol., 533 (1-3), 40-56 (2006)). Also, montelukast has a great advantage that it is effective for aspirin-sensitive asthma patients and has very few side effects. At present, Singulair™ (MSD), an agent employing sodium montelukast as its pharmacologically active ingredient, is approved for the treatment of asthma for adults and children over 6 months of age, and commercially available.
Regarding dosage regimens, doses and dosage forms, Singulair™ is commercially available with dosage forms of 10 mg tablets to be taken once a day by adults agaed over 15 years, 4 to 5 mg chewable tablets to be chewed and taken once a day by children aged 2 to 14 years, and 4 mg fine granules to be taken once a day by children aged 6 months to 2 years. Among them, the fine granule has a disadvantage that it should be taken orally itself, or mixed in small amount (e.g. 5 mL or less) of soft foods such as baby food, mother's milk or porridge which is colder than room temperature and be taken immediately (i.e., within 15 minutes).
Furthermore, being unstable to light, humidity and heat, montelukast produces degradation products such as montelukast sulfoxide (as shown in Formula 1 below) and montelukast cis-isomer (as shown in Formula 2 below) when it is degraded. Also, it has been reported that upon exposure of a commercially available chewable tablet, Singulair™ employing sodium montelukast as its main ingredient to sunlight, montelukast sulfoxide increases up to 2.4% in 3 weeks, and upon exposure of montelukast in 0.1 M solution of hydrochloric acid to sodium, etc. for 6 hours, montelukast cis-isomer increases up to 14.6% (M. M. Al Omari et al., J. Pharm. and Biomed. Anal, 45, 465-471 (2007)). These results indicate that it is not easy to maintain stability of montelukast-containing products over time.
Figure imgf000004_0001
Among the dosage forms of the therapeutic agents, oral liquid formulations, such as syrups, suspensions, elixirs, and spirits, have several advantages. They allow patients to control doses easily and can be conveniently taken by toddlers, children and the elderly patients. In comparison to solid formulations such as tablets, chewable tablets and granules, the bioavailability of the oral liquid formulations can be increased and individual variations can be decreased. Also, medication compliance of patients can be enhanced by improving taste and flavor by addition of sweeteners and flavoring agents.
Montelukast has high solubility in water, but it has disadvantage in that its pharmacological component can be degraded rapidly and produce related substances when dissolved in water, making it difficult to maintain the feature of montelukast. As such, there have been difficulties in developing a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof, and there is no product commercially available or developed yet.
The present inventors have endeavored to develop a liquid formulation comprising montelukast with improved stability, bioavailability and medication compliance, and without decrease of dissolution over time, by employing a stabilizer thereto.
SUMMARY OF THE INVENTION
Therefore, it is an object of the present invention to provide a liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof as a pharmacologically active ingredient in a solution state, having enhanced stability over time and improved medication compliance.
It is another object of the present invention to provide a method for preparing the above liquid formulation.
In accordance with one object of the present invention, there is provided a liquid formulation comprising an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient.
In accordance with another object of the present invention, there is provided a method for preparing a liquid formulation comprising: (1) adding at least one pharmaceutically acceptable additive selected from the group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent, to purified water and then stirring them to prepare solution 1 ; (2) adding at least one electrolyte compound to purified water and stirring them, and then adding montelukast or its pharmaceutically acceptable salt thereto and stirring them to prepare solution 2; and (3) mixing solution 1 with solution 2, and adding purified water thereto to adjust the concentration.
The liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof according to the present invention allows its pharmacological ingredients to be substantially dissolved and present in a solution state, thereby preventing decrease of dissolution over time and increasing its bioavailability. Further, owing to superior taste, flavor and easy dosage control, the liquid formulation of the present invention can be easily taken by patients and its medication compliance can be enhanced. And, due to the addition of an electrolyte compound it shows improvement in stability and homogeneity of drug effect by preventing recrystallization, precipitation, separation of layers or production of related substances does not take place even when stored for a long time, and can be effectively used for asthma and allergic rhinitis patients. BRIEF DESCRIPTION OF THE DRAWING
The above and other objects and features of the present invention will become apparent from the following descriptions of the invention, when taken in conjunction with the accompanying drawings:
Fig. 1 shows the amount of montelukast sulfoxide produced in the liquid formulations in Examples 1 to 3 and Comparative Examples 1 to 8 when stored under the accelerated conditions; and
Fig. 2 shows the amount of total montelukast related substances of the liquid formulations in Examples 1 to 3 and Comparative Examples 1 to 8 when stored under the accelerated conditions.
DETAILED DESCRIPTION OF THE INVENTION
The liquid formulation according to the present invention comprises an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient.
The active ingredient can be selected from the group consisting of montelukast, montelukast sodium, montelukast potassium, montelukast strontium, montelukast calcium, montelukast magnesium, montelukast ammonium, and a mixture thereof, among which montelukast sodium is preferred.
The active ingredient can be employed in the liquid formulation in an amount of
0.005 to 10 weight%, preferably 0.008 to 5 weight%, more preferably 0.01 to 2 weight% based on the total weight of the liquid formulation (i.e., montelukast in the active ingredient is employed in the above preferred amount). With the amount of the montelukast being in the above preferred range, a patient can avoid the inconvenience of taking too large or small amount of liquid formulation, and the quality test and analysis of a prepared liquid formulation can be performed more easily.
The liquid formulation comprising montelukast or a pharmaceutically acceptable salt thereof can be used for the treatment or prevention of asthma, allergic rhinitis, atopic dermatitis, chronic urticaria, sinusitis, nasal polyps, chronic obstructive pulmonary disease, conjunctivitis including rhino-conjunctivitis, migraine, cystic fibrosis, and viral bronchiolitis, etc. The liquid formulation can comprise at least one electrolyte compound which can function as a stabilizer.
In particular, the stabilizer may be a property stabilizer.
In the present invention, the term "property" refers to a physicochemical feature or characteristics of a liquid formulation or a pharmacologically active ingredient comprised therein. And, "property stability" means that a stable solution state is maintained over time without deterioration change of the physicochemical feature or characteristics of the liquid formulation or the pharmacologically active ingredient employed therein. Further, "property stabilizer" refers to an agent to improve the property stability.
The "solution state" in the present invention means that the solubility of the montelukast or a pharmaceutically acceptable salt thereof measured at room temperature is 70 to 100%, specifically 80 to 100%, more specifically 90 to 100%, and more specifically 95 and 100%.
And, the term "room temperature" in the present invention refers to a temperature range of approximately 15 °C to 25 °C.
The electrolyte compound may be neutral or weak alkaline by being dissociated in a solvent. Specifically, the electrolyte compound can have pKa of 6.0 to 12.0, more specifically pKa of 6.5 to 11.0, and more specifically pKa of 7.0 to 10.0. With pKa of the electrolyte compound being within the above preferred range, the stimulation imposed on the active ingredient by the electrolyte compound can be minimized, which is advantageous in preventing deterioration of the characteristics of the active ingredient.
Further, the solubility of the electrolyte compound at room temperature (e.g., 20 °C) can be 100 to 900 g/L. Specifically, the solubility of the liquid formulation in a solvent at room temperature can be 200 to 750 g/L, more specifically 300 to 600 g/L.
In one specific embodiment, the electrolyte compound is at least one selected from the group consisting of alkali metal chloride and alkali earth metal chloride.
In a more specific embodiment, the electrolyte compound can be selected from the group consisting of potassium chloride, sodium chloride, calcium chloride and a mixture thereof.
The electrolyte compound can be employed in the liquid formulation in an amount of 0.5 to 20 parts by weight, preferably 1 to 15 parts by weight, more preferably 2 to 10 parts by weight based on 1 part by weight of montelukast. With the content of the electrolyte compound being within the above preferred range, a pharmacologically active ingredient in liquid formulation can be solubilized with its solubility effectively maintained, while the increase of related substances in the liquid formulation is prevented.
Such electrolyte compound lets montelukast or a pharmaceutically acceptable salt thereof maintain its stable feature in a solution state without recrystallization or precipitation over time. Further, the electrolyte compound also plays the role of maintaining proper pH, moisture equilibrium, osmotic pressure control, and acid-base equilibrium. The liquid formulation of the present invention can further comprise a pharmaceutically acceptable additive. The pharmaceutically acceptable additive can be, for example, at least one selected from a group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent. By comprising the pharmaceutically acceptable additive, the solution state of the liquid formulation can be effectively maintained even when it is stored for a long time, or medication compliance can be enhanced by improving its taste and flavor.
The sweetener improves taste of the liquid formulation, which may be, for example, at least one substance selected from the group consisting of white sugar, high fructose, sorbitol, mannitol, xylitol, aspartame, steviol glycosides, sucralose, acesulfame potassium and glycerin. The sweetener can be employed in an amount of 0.001 to 50 weight%, preferably 0.005 to 30 weight% based on the total weight of the liquid formulation.
The flavoring agent makes patients feel a scent when taking the liquid formulation, which improves the medication compliance. It can be, for example, at least one substance selected from the group consisting of a general fruit flavor or various fruit flavors such as apple flavor, cherry flavor, orange flavor, strawberry flavor, banana flavor, grape flavor, mango flavor and peach flavor; vanilla flavor; mint flavor; and honey flavor. The flavoring agent can be employed in an amount of 0.1 to 5 weight%, preferably 0.2 to 3 weight% based on the total weight of the liquid formulation.
The preservative is inhibits the growth of microorganisms during storage of the liquid formulation, which may be, for example, at least one substance selected from the group consisting of paraoxybenzoates such as paraoxybenzoic acid methyl, paraoxybenzoic acid ethyl, paraoxybenzoic acid propyl and paraoxybenzoic acid butyl; benzoates such as benzoic acid and sodium benzoate; and sorbates such as sorbic acid and potassium sorbate. The preservative can be employed in an amount of 0.01 to 2 weight%, preferably 0.02 to 1 weight% based on the total weight of the liquid formulation.
The solubilizing agent plays the role of improving the solubility of an active ingredient and the like in the liquid formulation, which may be, for example, at least one substance selected from the group consisting of meglumine, arginine, and lysine. The solubilizing agent can be employed in an amount of 0.001 to 1.0 weight%, preferably 0.005 to 0.5 weight% based on the total weight of the liquid formulation.
The liquid formulation can also employ an emulsifying agent to improve the feature of the liquid formulation, and a pH adjusting agent to adjust the acidity of the liquid formulation to an appropriate level.
The liquid formulation can comprise a solvent to dissolve an active ingredient and the like. The solvent may be, but not limited to, a polar solvent, preferably a polar aqueous solvent, for example. In a specific embodiment, the solvent can be water (purified water).
The liquid formulation can be alkaline, e.g., neutral or weakly alkaline. Specifically, the liquid formulation can have a pH range of 6.0 to 12.0, more specifically 8.0 to 12.0. With the pH of the liquid formulation being within the above preferred range, the property of the liquid formulation can be improved in terms of property stability by preventing precipitations of montelukast or pharmaceutically acceptable salt thereof.
And, the active ingredient solubilized in the liquid formulation can show a solubility of 70% to 100%, specifically 80% to 100%, more specifically 90% to 100%, even more specifically 95% to 100% under the accelerated conditions of 40 °C, 75% of relative humidity and 3 month period.
Further, in the liquid formulation, the amount of montelukast sulfoxide produced may be 0.9% or less, specifically 0.7% or less, more specifically 0.5% or less, even more specifically 0.4% or less, while the amount of total related substancess produced may be 1%) or less, specifically 0.8% or less, more specifically 0.6% or less, even more specifically 0.5% or less.
The above liquid formulation can be a liquid formulation for oral administration, such as, but not limited to, a syrup, a suspension, an elixir, and a spirit, preferably a syrup.
The liquid formulation of the present invention allows its pharmacological ingredients to be substantially dissolved and present in a solution state, thereby preventing decrease of dissolution over time and increasing its bioavailability. Further owing to superior taste, flavor and easy dosage control, the liquid formulation of the present invention can be easily taken by patients and its medication compliance can be enhanced. And, due to the addition of an electrolyte compound it shows improvement in stability and homogeneity of drug effect by preventing recrystallization, precipitation, separation of layers or production of related substances even when stored for a long time, and can be effectively used for asthma and allergic rhinitis patients.
The liquid formulation of the present invention can be prepared by a method comprising the steps of:
(1) adding at least one pharmaceutically acceptable additive to purified water and stirring them to prepare solution 1 ;
(2) adding at least one electrolyte compound to purified water and stirring them, and then adding pharmacologically active ingredient thereto and stirring them to prepare solution 2; and
(3) mixing prepared solution 1 with solution 2, and adding purified water thereto to adjust the concentration.
In the step (1), the pharmaceutically acceptable additive may be one of the additives exemplified above. In one embodiment, after adding a stabilizer to purified water and stirring them, a sweetener and an antioxidant can be sequentially added thereto and stirred to prepare solution 1. In a specific embodiment, step (1) can comprise the steps of:
i) adding a solubilizing agent (e.g., meglumine) to purified water of 30 °C or less, preferably 15 °C to 30 °C in a preparation tank, and stirring them; ii) adding a sweetener to the solution obtained in the step i) and stirring them; and
iii) adding an antioxidant to the solution obtained in the step ii) and stirring them to prepare solution 1.
In the step (2), the pharmacologically active ingredient is montelukast or a pharmaceutically acceptable salt thereof, specific examples of which have been described above. In a specific embodiment, step (2) can comprise the steps of:
a) adding at least one electrolyte compound to purified water of 30 °C or less, preferably 15 °C to 30 °C and stirring them; and b) adding montelukast sodium to the solution obtained in the step a) and stirring them to prepare solution 2.
In the step (3), the liquid formulation can be prepared by mixing the prepared solution 1 with solution 2 and adding purified water thereto to adjust the concentration, as stated above. In one embodiment, the liquid formulation can be prepared by adding solution 2 to solution 1, and then adding sterilized purified water cooled in room temperature thereto until reaching a preferred volume, followed by stirring them. It is preferable for the liquid formulation prepared as above to be subjected to the step of filtration through 1 /m filter and the like. The final liquid formulation prepared can be stored in a storage tank or an appropriate container.
Hereinafter, the present invention is explained in detail with reference to the following Examples. The following Examples are intended to illustrate the invention, but the scope of the present invention is not limited thereto.
Example 1: Preparation of a liquid formulation comprising montelukast
0.20 g of meglumine was dissolved in 50 mL of sterile purified water in a preparation tank with stirring. After cooling the preparation tank to 30 °C or lower, 0.50 g of sucralose was added thereto and stirred, and then 0.01 g of sodium edetate was added thereto, to prepare solution 1. Separately, after preparing a solution by adding 0.2 g of potassium chloride to purified water at 25 °C, 0.104 g of montelukast sodium (equivalent to 0.100 g of montelukast alone) was added thereto and stirred, to prepare solution 2. Solution 2 was mixed with solution 1, and sterile purified water was added thereto to prepare a solution with a final volume of 100 mL. The resultant mixture was filtrated through a 1 μηι filter to obtain a liquid formulation in a solution state. The prepared liquid formulation showed montelukast solubility of 100%, confirming that montelukast sodium was present in a solution state. Examples 2 and 3: Preparation of liquid formulations comprising montelukast
Liquid formulations were prepared by the same method as Example 1 , except for the addition of potassium chloride or sodium chloride as a stabilizer in the amount described in Table 1.
[Table 1]
Figure imgf000013_0001
Comparative Examples 1 to 8: Preparation of liquid formulations comprising montelukast
Liquid formulations were prepared by the same method as Example 1, except that the stabilizer was either excluded or potassium chloride, potassium hydroxide, sodium hydroxide, sodium hydrogen carbonate or glucose was added as a stabilizer in the amount described in Table 2.
[Table 2]
Figure imgf000013_0002
Glucose - - - - - - - 10.0
Purified water aa aa aa aa aa aa aa aa
Total volume (mL) 100 100 100 100 100 100 100 100
Amount of a stabilizer added
(part by weight)
0 0.4 21 0.1 2 0.1 10 100 (based on 1 part by weight of
montelukast)
*aa: appropriate amount
Experimental Example 1: pH measurement of montelukast liquid formulation The pH of the liquid formulations of Examples 1 to 3, and Comparative
Examples 1 to 8 was measured with a pH meter. The results are shown in Table 3 below.
[Table 3]
Figure imgf000014_0001
As shown in Table 3, pHs of the liquid formulations of Comparative Examples were in the range of 9 to 11, except for Comparative Example 5. The liquid formulation of Comparative Example 5 showed pH out of a preferred range due to strong alkalinity of potassium hydroxide, although potassium hydroxide was employed in the same amount as potassium chloride in Example 1.
Experimental Example 2: Observation of feature stability of montelukast liquid formulation
The liquid formulations of Examples 1 to 3 and Comparative Examples 1 to 8 were placed into transparent glass bottles and stored under the accelerated conditions (40 °C, 75% of relative humidity) for 7 days, and 3 months. The liquid formulations were examined visually for any precipitations or other property changes.
The results are shown in Table 4.
[Table 4] Evaluation of precipitation and other property changes
Accelerated storage for 7days Accelerated storage for 3 months
Precipitation Precipitation
Transparency Transparency
formation formation
Ex. 1 - - - -
Ex. 2 - - - -
Ex. 3 - - - -
Comp. Ex. 1 + + + +
Comp. Ex. 2 - - + +
Comp. Ex. 3 - - - -
Comp. Ex. 4 - + + +
Comp. Ex. 5 - - + + (browning)
Comp. Ex. 6 - + + +
Comp. Ex. 7 - + + +
Comp. Ex. 8 + + + +
- : No Precipitation, Transparent,
+ : Precipitation, Opaque, Discoloration
As shown in Table 4, the liquid formulations of Examples 1 to 3 generated no precipitations and showed transparent properties during 3 months of accelerated conditions. However, the liquid formulation of Comparative Example 1, in which no electrolyte compound was added, showed precipitation and opaque property on day 7 of acceleration. And, when the amount of electrolyte compound was insufficient as in the Comparative Example 2, the ionizing capacity on the active ingredient decreased, resulting in opaque property along with precipitation formation. The liquid formulations of Comparative Examples 4 to 6, although their pHs were within the range of 8.0-12.0, showed precipitation and browning phenomenon upon 3 month acceleration, due to the addition of strong alkaline electrolyte compounds which imposed strong stimulation to the main ingredient. The liquid formulation of Comparative Example 7 showed precipitation due to low ionizing capacity of the electrolyte compound.. The liquid formulation of Comparative Example 8 showed precipitation on day 7 of acceleration, due to the addition of non-electrolyte component.
Experimental Example 3: Evaluation of solubility of montelukast liquid formulation The liquid formulations of Examples 1 to 3, and Comparative Examples 1 to 8 were stored under the accelerated conditions (40 °C, 75% of relative humidity) for 3 months. Each sample was centrifuged at 16,000 rpm for 20 minutes, and the supernatant was filtered through a 0.45 μη filter. Then, the filtrate was diluted 1/4 with methanol. And then, the solubility was analyzed according to the following analysis conditions.
<Conditions for analysis of montelukast solubility>
Instrument: HPLC (Hitachi 2000 series, Japan)
Detector: ultraviolet absorption spectrophotometer (wavelength: 225 nm)
Column: stainless steel column (inner diameter: about 4.6 mm; length: about 15 cm) packed with octylsilyl silica gel (particle diameter: 5 μηι) for liquid chromatography (Inertsil C8, GL Science Co.)
Mobile phase: 0.025 mol/L potassium dihydrogen phosphate solution (adjusted to a pH of 6.6 with 10 mol/L sodium hydroxide solution): acetonitrile = 4:6 (v/v)
Flow rate: 1.0 mL/min.
Column temperature: 45 °C
Results of solubility test of montelukast liquid formulations measured under the above analysis conditions are shown in Tables 5 and 6.
[Table 5]
Figure imgf000016_0001
[Table 6]
Figure imgf000016_0002
In the liquid formulations of Examples 1 to 3 and Comparative Examples 1 to 8, montelukast sodium was added at a concentration of 1 ,040 μg/mL, which corresponds to a concentration of 1 ,000 μg/mL of montelukast, assuming that the entire amount of inputted montelukast has been dissolved.
As the results of solubility analysis, the liquid formulations of Examples 1 to 3 and Comparative Examples 3, which had favorable properties, showed solubility of 98 to 100 w/w% per input. However, the liquid formulations in the rest of the Comparative Examples showed extraction of montelukast, resulting in decline of its content.
Experimental Example 4: Analysis of related substances in montelukast liquid formulation
After storing the liquid formulations of Examples 1 to 3 and Comparative 1 to 8 in the light-shielded sealed glass container under the accelerated conditions, the production of montelukast sulfoxide and total montelukast related substances was analyzed according to the following analysis conditions.
<Accelerated storage conditions>
Storage conditions: 40 °C and 75% of relative humidity, light-shielded sealed glass container
Test timing: initial, after 1 and 3 months
Object to be analyzed: montelukast related substance
<Conditions for analysis of montelukast related substance>
Instrument: HPLC (Hitachi 2000 series, Japan)
Detector: ultraviolet absorption spectrophotometer (wavelength: 238 nm) Column: stainless steel column (inner diameter: about 4.6 mm; length: about 25 cm) packed with octylsilyl silica gel (particle diameter: 5 μη ) for liquid chromatography (Zorbax SB-Phenyl, Agilent)
Mobile phase:
A - purified water containing 0.1% (v/v) trifluoroacetic acid
B - acetonitrile solution containing 0.1 % (v/v) trifluoroacetic acid The Eluents dissolution conditions
Figure imgf000018_0001
Flow rate: 1.5 mL/min.
Column temperature: 25 °C The amount of production of montelukast sulfoxide and total related substances measured under the above analysis conditions are shown in Table 7, and Figs. 1 and 2.
[Table 7]
Figure imgf000018_0002
As shown in the Table 7, Figs. 1 and 2, it was confirmed that the stabilities of the liquid formulation can be improved by adding an electrolyte compound. And, when excessive amount of electrolyte compounds was added as in Comparative Example 3, property stability was improved but related substances increased to a certain degree. It was found that when a strong alkaline electrolyte compound with high ionizing capacity was added as in Comparative Examples 4 to 6, degradation of main ingredient rapidly occurred, resulting in significant increase of related substance production. And, In Comparative Example 7, in which an electrolyte compound with low ionizing capacity was added, property stability was inferior and related substances increased to a certain degree. Also, in Comparative Example 8, in which glucose, a non-electrolyte component, was added, low stability was shown, as in Comparative Example 7.

Claims

WHAT IS CLAIMED IS:
1. A liquid formulation comprising an electrolyte compound, and montelukast or a pharmaceutically acceptable salt thereof as an active ingredient.
2. The liquid formulation of claim 1, wherein pH of the liquid formulation ranges from 8.0 to 12.0.
3. The liquid formulation of claim 1, wherein the electrolyte compound is employed in an amount of 0.5 to 20 parts by weight based on 1 part by weight of montelukast.
4. The liquid formulation of claim 1, wherein montelukast in the active ingredient is employed in an amount of 0.005 to 10% by weight based on the total weight of the liquid formulation.
5. The liquid formulation of claim 1 , wherein the solubility of the active ingredient is 95% to 100% under the accelerated conditions of 40 °C, 75% relative humidity and 3 month period.
6. The liquid formulation of claim 1, wherein the electrolyte compound has pKa of 6.0 to 12.0.
7. The liquid formulation of claim 1, wherein the solubility of the electrolyte compound is 100 to 900 g/L at 20 °C.
8. The liquid formulation of claim 1, wherein the electrolyte compound is at least one selected from the group consisting of alkali metal chloride and alkali earth metal chloride.
9. The liquid formulation of claim 1, wherein the liquid formulation further comprises at least one pharmaceutically acceptable additive selected from the group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent.
10. A method for preparing a liquid formulation comprising:
(1) adding at least one pharmaceutically acceptable additive selected from the group consisting of a sweetener, a flavoring agent, a preservative, a solubilizing agent, an emulsifying agent, a pH adjusting agent, an antioxidant and a coloring agent, to purified water and then stirring them to prepare solution 1 ;
(2) adding at least one electrolyte compound to purified water and stirring them, and then adding montelukast or its pharmaceutically acceptable salt thereto and stirring them to prepare solution 2; and
(3) mixing solution 1 with solution 2, and adding purified water thereto to adjust the concentration.
PCT/KR2015/003529 2014-05-07 2015-04-08 Liquid formulation with enhanced stability comprising montelukast or pharmaceutically acceptable salt thereof and method for preparing same Ceased WO2015170835A1 (en)

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