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Patent 2143070 Summary

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(12) Patent: (11) CA 2143070
(54) English Title: ORAL CONTROLLED RELEASE LIQUID SUSPENSION PHARMACEUTICAL FORMULATION
(54) French Title: FORMULATION PHARMACEUTIQUE SOUS FORME DE SUSPENSION LIQUIDE ADMINISTREE PAR VOIE ORALE, POUR DEGAGEMENT PROLONGE
Status: Expired
Bibliographic Data
(51) International Patent Classification (IPC):
  • A61K 47/30 (2006.01)
  • A61K 9/10 (2006.01)
(72) Inventors :
  • MODI, PANKAJ (Canada)
(73) Owners :
  • GENEREX PHARMACEUTICALS INC. (Canada)
(71) Applicants :
  • MODI, PANKAJ (Canada)
(74) Agent: PERRY + CURRIER
(74) Associate agent:
(45) Issued: 2001-12-18
(22) Filed Date: 1995-02-21
(41) Open to Public Inspection: 1995-08-23
Examination requested: 1996-08-13
Availability of licence: N/A
(25) Language of filing: English

Patent Cooperation Treaty (PCT): No

(30) Application Priority Data:
Application No. Country/Territory Date
08/199,933 United States of America 1994-02-22

Abstracts

English Abstract

A controlled release oral formulation for use with a variety of drugs, e.g. anti-Parkinsonian, cardiovascular and anti-epileptic drugs are formed in liquid suspension form. The ingredients in the suspension are water, an edible oil and a stabilizer for the liquid suspension, at least one pharmaceutically active ingredient, at least two water soluble biodegradable polymers, and optionally with at least one antioxidant to prevent degradation and oxidation of the pharmaceutically active ingredients. Suitable polymers are polysucrose, copolymer of sucrose and epichlorohydrin, hydroxyethyl cellulose hydroxypropyl- ethyl cellulose, hydoxypropyl-methyl cellulose, gelatine, starch, modified crosslinked starch, polyethyleneimine, methoxypolyethylene glycol, polyethylene oxide, cellulose acetate, polyvinyl alcohol, sodium alginate, N,N-diethylaminoacetate, block copolymers of polyoxyethylene, block copolymers of polyoxypropylene, a mixture of hydroxyethyl cellulose and sodium carboxymethyl cellulose, and combinations thereof. Suitable edible oils are mineral oil, soyabean oil, coconut oil, vegetable oil and sunflower oil and combinations thereof. Suitable stabilizers are oleic acid, cholic acid, deoxycholic acid, pharmaceutically acceptable salts thereof and combinations thereof. Suitable antioxidants are tocopherol, deteroxime mesylate, methyl paraben and ascorbic acid. A typical teaspoon dose of anti-Parkinson liquid suspension contains 15-150 mg carbidopa, 50-1500 mg -23- levodopa, 100-300 mg of a combination of polyvinyl alcohol and polysucrose, 10-50 mg oil, 5-15 mg antioxidant, e.g. vitamin E, 5-20 mg stabilizer, 10-15 mg colorants, 10-15 mg natural flavouring agents and 5 ml water.


French Abstract

Une formulation orale à libération contrôlée pour utilisation avec divers médicaments, par ex. des médicaments anti-parkinsoniens, cardiovasculaires et anti-épileptiques est formée sous une forme en suspension liquide. Les ingrédients dans la suspension sont de l'eau, de l'huile alimentaire et un stabilisateur pour la suspension liquide, au moins un ingrédient pharmaceutiquement actif, au moins deux polymères biodégradables solubles dans l'eau, et facultativement avec au moins un antioxydant pour empêcher la dégradation et l'oxydation des ingrédients pharmaceutiquement actifs. Des polymères appropriés sont du polysucrose, un copolymère de sucrose et d'épichlorhydrine, de la cellulose d'hydroxyéthyl, de la cellulose dhydroxypropyl-d'éthyle, de la cellulose d'hydoxypropyl-méthyl, de la gélatine, de l'amidon, de l'amidon modifié réticulé, du polyéthylènimine, du glycol méthoxypolyéthylène, de l'oxyde de polyéthylène, de l'acétate de cellulose, de l'alcool polyvinylique, de l'alginate de sodium, du , diéthylaminoacétate-N,N, des copolymères séquencés de polyoxyéthylène, des copolymères séquencés de polyoxypropylène, un mélange de cellulose d'hydroxyéthyl et de la cellulose de carboxyméthyl de sodium. Des huiles alimentaires appropriées sont de l'huile minérale, de l'huile de soja, de l'huile de noix de coco, de l'huile végétale et de l'huile de tournesol et des combinaisons de ces dernières. Des stabilisateurs appropriés sont de l'acide oléique, de l'acide cholique, de l'acide désoxycholique, des sels pharmaceutiquement acceptables de ces derniers et des combinaisons de ces derniers. Des antioxydants appropriés sont du tocophérol, de la mésylate de deteroxime, du méthyle parabène et de l'acide ascorbique. Une dose de cuiller à café typique de suspension de liquide anti-parkinsonien contient 15-150 mg de carbidopa, 50-1500 mg -23 - de lévodopa, 100-300 mg d'une combinaison d'alcool polyvinylique et de polysucrose, 10-50 mg d'huile, à 5-15 mg d'antioxydant, par exemple, de la vitamine E, 5-20 mg de stabilisateur, 10-15 mg de colorant, 10-15 mg d'agents aromatisants naturels et 5 ml d'eau.

Claims

Note: Claims are shown in the official language in which they were submitted.




-15-
CLAIMS:
1. A controlled release oral formulation comprising a
liquid suspension of water, a stabilizer for the liquid
suspension, at least one pharmaceutically active
ingredient, and at least two water soluble biodegradable
polymers, wherein the polymers are selected from the
group consisting of polysucrose, copolymer of sucrose
and epichlorohydrin, hydroxymethyl cellulose,
hydroxyethyl cellulose, hydroxypropyl cellulose,
hydroxypropyl-ethyl cellulose, hydroxypropyl-methyl
cellulose, gelatine, starch, crosslinked starch,
polyethyleneimine, polyethylene glycol,
methoxypolyethylene glycol, ethoxypolyethylene glycol,
polyethylene oxide, cellulose acetate, polyvinyl
alcohol, sodium alginate, N,N-diethylaminoacetate, block
copolymers of polyoxyethylene and polyoxypropylene , a
mixture of hydroxyethyl cellulose and sodium
carboxymethyl cellulose, and combinations thereof, with
the proviso that when one of the biodegradable polymers
is selected from the group consisting of hydroxymethyl
cellulose, hydroxyethyl cellulose, hydroxypropyl
cellulose, hydroxypropyl-ethyl cellulose, hydroxypropyl-
methyl cellulose, gelatine, cellulose acetate, polyvinyl
alcohol, block copolymers of polyoxyethylene and
polyoxypropylene and a mixture of hydroxyethyl cellulose
and sodium carboxymethyl cellulose, then other
biodegrable polymers are selected from the group
consisting of polysucrose, copolymer of sucrose and
epichlorohydrin, starch, crosslinked starch,




-16-
polyethyleneimine, polyethylene glycol,
methoxypolyethylene glycol, ethoxypolyethylene glycol,
polyethylene oxide, sodium alginate, N,N-
diethylaminoacetate and combinations thereof.
2. A formulation according to Claim 1 wherein the total
concentration of polymer is present in an amount of from
20 to 60 g for every litre of water in the formulation.
3. A formulation according to Claim 1 wherein the
polymers are selected from a combination of
methoxypolyethylene glycol and polyvinyl alcohol, a
combination of polyethylene glycol and polyvinyl
alcohol, a combination of methoxypolyethylene glycol and
polysucrose, a combination of starch and polysucrose, a
combination of methoxypolyethylene glycol and
polysucrose, a combination of polyethylene glycol and
polysucrose, and a,combination of polyvinyl alcohol and
polysucrose.
4. A formulation according to Claim 1 further
comprising an edible oil selected from the group
consisting of mineral oil, soyabean oil, coconut oil,
vegetable oil and sunflower oil and combinations
thereof.
5. A formulation according to Claim 4 wherein the
edible oil is present in an amount of from 2 to 10 g for
every litre of water in the formulation.
6. A formulation according to Claim 1 wherein the
pharmaceutically active ingredient is selected from the
group consisting of anti-Parkinson drugs, dopamine
agonists, anticholinergic agents, anti-cholesterol
agents, anti-arthritis agents, anti-epileptic drugs,
antidepressants, anti-ulcer drugs, cardiovascular drugs,



-17-
and hypoglycemic agents.
7. A formulation according to Claim 1 wherein the
pharmacutically active ingredient is selected from the
group consisting of lovastatin, simvastatin,
pravastatin, gemfibrosil, questran, diclofenac
potassium, naproxen, catoprophen, indomethicine,
fluoxetin, sertraline HCl, paroxetin, zopiclone,
ranitidine, famotidine, omparazide, cesupride,
misoprostol, enalapril, lisinopril, captopril,
quinapril, diltiazem, verapamil, isosorbide mononitrate,
nifidipine, isradipe, coumarin, and glizipide.
8. A formulation according to Claim 1 wherein the
pharmaceutically active drug is an anti-Parkinson drug
selected from the group consisting of carbidopa and
levodopa, benserazide and levodopa, bromocriptine,
pergolide, ergot, seligiline, and lisuride.
9. A formulation according to Claim 8 comprising from 3
to 30 g carbidopa, from 10 to 300 g levodopa, from 1 to
3 g of an antioxidant selected from tocopherol,
deteroxime mesylate, methyl paraben and ascorbic acid,
water, from 2 to 10 g of an edible oil selected from
mineral oil, vegetable oil, soyabean oil, coconut oil,
and sunflower oil, from 20 to 60 g total polymer, from 1
to 4 g of a stabilizer selected from oleic acid, cholic
acid, deoxycholic acid, pharmaceutically acceptable
salts thereof and combinations thereof, from 2 to 3 g
colorant and from 2 to 3 g of a flavouring agent, said
amounts being expressed for every litre of water.
10. A method for making a controlled release oral
formulation comprising a liquid suspension of water,




-18-
a stabilizer for the liquid suspension, at least one
pharmaceutically active ingredient, and at least two
water soluble biodegradable polymers, wherein the
pharmaceutically active ingredient, the stabilizer and
the polymers are dissolved or dispersed in water and
vigorously mixed until a liquid suspension is formed,
and wherein the polymers are selected from the group
consisting of polysucrose, copolymer of sucrose and
epichlorohydrin, hydroxymethyl cellulose, hydroxyethyl
cellulose, hydroxypropyl cellulose, hydroxypropyl-ethyl
cellulose, hydroxypropyl-methyl cellulose, gelatine,
starch, crosslinked starch, polyethyleneimine,
polyethylene glycol, methoxypolyethylene glycol,
ethoxypolyethylene glycol, polyethylene oxide, cellulose
acetate, polyvinyl alcohol, sodium alginate, N,N-
diethylaminoacetate, block copolymers of polyoxyethylene
and polyoxypropylene , a mixture of hydroxyethyl
cellulose and sodium carboxymethyl cellulose, and
combinations thereof, with the proviso that when one of
the biodegradable polymers is selected from the group
consisting of hydroxymethyl cellulose, hydroxyethyl
cellulose, hydroxypropyl cellulose, hydroxypropyl-ethyl
cellulose, hydroxypropyl-methyl cellulose, gelatine,
cellulose acetate, polyvinyl alcohol, block copolymers
of polyoxyethylene and polyoxypropylene and a mixture of
hydroxyethyl cellulose and sodium carboxymethyl
cellulose, then other biodegrable polymers are selected
from the group consisting of polysucrose, copolymer of
sucrose and epichlorohydrin, starch, crosslinked



-19-
starch,polyethyleneimine, polyetehylene glycol,
methoxypolyethylene glycol, ethoxypolyethylene glycol,
polyethylene oxide, sodium alginate, N,N-
diethylaminoacetate and combinations thereof.
11. A method according to Claim 10 wherein the total
concentration of polymer is present in an amount of from
20 to 60 g for every litre of water in the formulation.
12. A method according to Claim 10 wherein the polymers
are selected from a combination of methoxypolyethylene
glycol and polyvinyl alcohol, a combination of
polyethylene glycol and polyvinyl alcohol, a combination
of methoxypolyethylene glycol and polysucrose, a
combination of starch and polysucrose, a combination of
methoxypolyethylene glycol and polysucrose, a
combination of polyethylene glycol and polysucrose, and
a combination of polyvinyl alcohol and polysucrose.
13. A method according to Claim 10 wherein the
formulation further comprises an edible oil selected
from the group consisting of mineral oil, soyabean oil,
coconut oil, vegetable oil and sunflower oil and
combinations thereof, the edible oil being vigorously
mixed with the water, stabilizer and the polymers to
form the liquid suspension.
14. A method according to Claim 13 wherein the edible
oil is present in an amount of from 2 to 10 g for every
litre of water in the formulation.
15. A method according to Claim 10 wherein a controlled
release oral liquid suspension formulation is made by
dissolving or dispersing in water, an edible oil and a
stabilizer for pharmaceutically active ingredient
selected from the group consisting of anti-Parkinson
drugs, dopamine agonists, anticholinergic agents, anti-
cholesterol agents, anti-arthritis agents, anti-



-20-
epileptic drugs, antidepressants, anti-ulcer drugs,
cardiovascular drugs, and hypoglycemic agents, and at
least two water soluble biodegradable polymers, wherein
for every litre of water there is from 20 to 60 g of the
polymers, and from 2 to 10 g of the edible oil, and
vigorously mixing until a liquid suspension is formed.
16. A method according to Claim 10 wherein a controlled
release oral liquid suspension formulation is made by
dissolving or dispersing in water, an edible oil and a
stabilizer for the liquid suspension, at least one
pharmaceutically active ingredient selected from the
group consisting of lovastatin, simvastatin,
pravastatin, gemfibrosil, questran, diclofenac
potassium, naproxen, catoprophen, indomethicine,
fluoxetin, sertraline HCl, paroxetin, zopiclone,
ranitidine, famotidine, omparazide, cesupride,
misoprostol, enalapril, lisinopril, captopril,
quinapril, diltiazem, verapamil, isosorbide mononitrate,
nefidipine, isradipe, coumarin, and glizipide.
17. A method according to Claim 10 wherein the
pharmaceutically active ingredient is an anti-
Parkinsonian drug selected from the group consisting of
carbidopa and levodopa, benserazide and levodopa,
bromocriptine, pergolide, ergot, seligiline, and
lisuride.
18. A method according to Claim 17 wherein from 3 to
30 g carbidopa, from 10 to 300 g levodopa, from 1 to 3 g
of an antioxidant selected from tocopherol, deteroxime
mesylate, methyl paraben and ascorbic acid, water, from



-21-
2 to 10 g of an edible oil selected from mineral oil,
vegetable oil, soyabean oil, coconut oil, and sunflower
oil, from 20 to 60 g total polymer, from 1 to 4 g of a
stabilizer selected from oleic acid, cholic acid,
deoxycholic acid, pharmaceutically acceptable salts
thereof and combinations thereof, from 2 to 3 g colorant
and from 2 to 3 g of a flavouring agent, said amounts
being expressed for every litre of water, are dissolved
or dispersed in water and then vigorously mixed until a
liquid suspension is formed.

Description

Note: Descriptions are shown in the official language in which they were submitted.





MODI.P0005
Oral Controlled Release Liquid Suspension Pharmaceutical
Formulation
Technical Field
The present invention relates to an improved
delivery system for the administration of drugs. In
particular it relates to drugs which are orally
administered.
Background
One of the major problems with the administration
of many drugs is the adverse reaction due to frequent
dosing. Attempts have been made in the past to control
the rate of release of the drug through the use of so-
called controlled release tablets. However, there often
is poor bioavailability of the drug due to incomplete
dissolution and/or disintegration of the tablets in the
gastrointestinal tract. In addition, in some instances,
for example in advanced stages of Parkinson's disease,
the patient finds it difficult to swallow tablets.
Furthermore, it often takes several hours for the tablet
to dissolve sufficiently for the patient to obtain
immediate relief from the drug. It is also known that
the pH in a patient's gastrointestinal tract sometimes
affects the rate of release of the drug from the tablet
and that the pH varies from time to time, thus making
treatment or control of the disease more difficult.
There is therefore a need to provide a drug delivery
system which gives faster initial availability of the
drug, improves the bioavailability of the drug, reduces
the adverse reactions and maintains a constant plasma
level of active ingredients for a prolonged time. The
present invention is intended to alleviate the




- 2 -
aforementioned difficulties.
Disclosure of Invention
Accordingly the present invention provides a
controlled release oral formulation comprising a liquid
suspension of water, a stabilizer for the liquid
suspension, at least one pharmaceutically active
ingredient, and at least two water soluble biodegradable
polymers.
It will be recognized by those skilled in the art
that for many pharmaceutical compositions it is usual to
add at least one antioxidant to prevent degradation and
oxidation of the pharmaceutically active ingredients.
In one embodiment the polymers are selected from
the group consisting of polysucrose, copolymer of
sucrose and epichlorohydrin, hydroxymethyl cellulose,
hydroxyethyl cellulose, hydroxypropyl cellulose,
hydroxypropyl-ethyl cellulose, hydroxypropyl-methyl
cellulose, gelatine, starch, crosslinked starch,
polyethyleneimine, polyethylene glycol,
methoxypolyethylene glycol, ethoxypolyethylene glycol,
polyethylene oxide, cellulose acetate, polyvinyl
alcohol, sodium alginate, N,N-diethylaminoacetate, block
copolymers of polyoxyethylene and polyoxypropylene , a
mixture of hydroxyethyl cellulose and sodium
carboxymethyl cellulose, and combinations thereof.
In another embodiment the total concentration of
polymer is present in an amount of from 20 to 60 g for
every litre of water in the formulation. From a dosage
standpoint, this corresponds to 100 to 300 mg total
polymer for every 5 ml (teaspoon) water.
C




2'~4~070
- 3 -
In yet another embodiment the polymer is selected
from a combination of methoxypolyethylene glycol and
polyvinyl alcohol, a combination of polyethylene glycol
and polyvinyl alcohol, a combination of
methoxypolyethylene glycol and polysucrose, a
combination of methoxypolyethylene glycol and
polysucrose, a combination of starch and polysucrose,
methoxypolyethylene glycol and polysucrose, polyethylene
glycol and polysucrose, a combination of polyvinyl
alcohol and at least one of the celluloses, and a
combination of polyvinyl alcohol and polysucrose.
In a further embodiment, the formulation may
include an edible oil selected from the group consisting
of mineral oil, soyabean oil, coconut oil, vegetable oil
and sunflower oil and combinations thereof. The edible
oil may be present in an amount of from 2 to 10 g for
every litre of water in the formulation.
In yet another embodiment the stabilizer is
selected from the group consisting of oleic acid, cholic
acid, deoxycholic acid, pharmaceutically acceptable
salts thereof and combinations thereof.
In another embodiment the antioxidant is selected
from the group consisting of tocopherol, deteroxime
mesylate, methyl paraben and ascorbic acid.
In yet another embodiment the antioxidant is
present in an amount of 1 to 3 g for every litre of
water in the formulation.
In a further embodiment the stabilizer is present
in an amount of from 1 to 4 g for every litre of water
c




- 4 -
2~~30~0
in the formulation.
It will be understood by those skilled in the art
that colorants, flavouring agents and non-therapeutic
amounts of other compounds may be included in the
formulation.
The liquid suspension preferably has a viscosity
something akin to mineral oil or castor oil.
Although this disclosure exemplifies application of
the invention to anti-Parkinson's disease drugs in
particular, it is also applicable to other drugs, some
of which are indicated herein.
The invention also provides a controlled release
oral formulation comprising a liquid suspension of
water, an edible oil and a stabilizer for the liquid
suspension, at least one pharmaceutically active
ingredient selected from the group consisting of anti-
Parkinson drugs, dopamine agonists, anticholinergic
agents, anti-cholesterol agents, anti-arthritis agents,
anti-epileptic drugs, antidepressants, anti-ulcer drugs,
cardiovascular drugs, hypoglycemic agents and insulin,
and at least two water soluble biodegradable polymers,
wherein for every litre of water there is from 20 to
60 g of the polymers, and from 2 to 10 g of the edible
oil.
A preferred antioxidant to prevent degradation and
oxidation of certain pharmaceutically active ingredients
is tocopherol, e.g. vitamin E.
In one embodiment the active ingredient of the
anti-Parkinson drug is selected from carbidopa and
levodopa, benserazide and levodopa, bromocriptine,




- 5 - 2~~~a~a
pergolide, ergot, seligine, and lisuride.
In a further embodiment the active ingredient is
carbidopa and levodopa in amounts of from 3 to 30 g
carbidopa and from 10 to 300 g levodopa per litre of
water.
In yet another embodiment the formulation contains
from 1 to 5 g antioxidant, preferably from 2 to 3 g
antioxidant per litre water. A preferred antioxidant is
tocopherol, e.g. vitamin E.
A preferred formulation comprises from 3 to 30 g
carbidopa, from 10 to 300 g levodopa, from 1 to 3 g of
an antioxidant selected from tocopherol, deteroxime
mesylate, methyl paraben and ascorbic acid, water, from
2 to 10 g of an edible oil selected from mineral oil,
vegetable oil, soyabean oil, coconut oil, and sunflower
oil, from 20 to 60 g total polymer, from 1 to 4 g of a
stabilizer selected from oleic acid, cholic acid,
deoxycholic acid, pharmaceutically acceptable salts
thereof and combinations thereof, from 2 to 3 g colorant
and from 2 to 3 g of a flavouring agent, said amounts
being expressed for every litre of water.
Examples of anti-cholesterol agents are lovastatin,
simvastatin, pravastatin, gemfibrosil and questran.
Examples of anti-arthritis agents are diclofenac
potassium, naproxen, catoprophen and indomethicine.
Examples of antidepressants are fluoxetin, sertraline
HC1, paroxetin and zopiclone. Examples of anti-ulcer H2
receptor antagonists are ranitidine and famotidine, and
other anti-ulcer drugs are omparazide, cesupride and
misoprostol. Examples of ACE inhibitor cardiovascular




6 - 2.~4 ~~ ~ p
drugs are analapril, lisinopril, captopril and
quinapril. Examples of cardiovascular calcium channel
blockers are diltiazem, verapamil, isosorbide
mononitrate, nifidipine and isradipe. Another
cardiovascular drug is coumarin. An example of a
hypoglycaemic agent is glizipide. Insulin is used for
the control of diabetes. As will be understood by those
skilled in the art, two or more pharmaceutically active
ingredients may be combined for specific effects. The
necessary amounts of active ingredient can be determined
by simple experimentation.
The invention also provides a controlled release
oral anti-epileptic drug formulation comprising a liquid
suspension of water, an edible oil and a stabilizer for
the liquid suspension, at least one pharmaceutically
active anti-epileptic ingredient, and at least two water
soluble biodegradable polymers, wherein for every litre
of water there is from 20 to 60 g of the polymers, and
from 2 to 10 g of the edible oil.
The present invention also provides a method for
making a controlled release oral formulation comprising
a liquid suspension of water, an edible oil and a
stabilizer for the liquid suspension, at least one
pharmaceutically active ingredient, and at least two
water soluble biodegradable polymers, wherein the
pharmaceutically active ingredient, the edible oil, the
stabilizer and the polymers are dissolved or dispersed
in water and vigorously mixed until a liquid suspension
is formed.
As indicated herein above, those skilled in the art




_ ~~~+~~~(~
recognize that for many pharmaceutical compositions it
is usual to add at least one antioxidant to prevent
degradation and oxidation of the pharmaceutically active
ingredients.
In one embodiment the polymer is selected from the
group consisting of polysucrose, a copolymer of sucrose
and epichlorohydrin, hydroxymethyl cellulose,
hydroxyethyl cellulose, hydroxypropyl cellulose,
hydroxypropyl-ethyl cellulose, hydroxypropyl-methyl
cellulose, gelatine, starch, crosslinked starch
polyethyleneimine, polyethylene glycol,
methoxypolyethylene glycol, ethoxypolyethylene glycol,
polyethylene oxide, cellulose acetate, polyvinyl
alcohol, sodium alginate, N,N-diethylaminoacetate, block
copolymers of polyoxyethylene and polyoxypropylene , a
mixture of hydroxyethyl cellulose and sodium
carboxymethyl cellulose, and combinations thereof.
In another embodiment the polymer is added in an
amount of from 20 to 60 g of total polymer for every
litre of water in the formulation.
In yet another embodiment the polymer is selected
from a combination of methoxypolyethylene glycol and
polyvinyl alcohol, a combination of methoxypolyethylene
glycol and polysucrose, a combination of polyvinyl
alcohol and at least one of the celluloses, a
combination of polysucrose and gelatine, and a
combination of polyvinyl alcohol and polysucrose.
The most preferred combinations are polysucrose and
cellulose, polysucrose and polyethylene glycol, and
polysucrose and gelatine.




8
In a further embodiment the edible oil is selected
from the group consisting of mineral oil, soyabean oil,
coconut oil, vegetable oil and sunflower oil and
combinations thereof.
The most preferred edible oil is coconut oil.
In yet another embodiment the edible oil is added in an
amount of from 2 to 10 g for every litre of water in the
formulation.
In yet another embodiment the stabilizer is
selected from the group consisting of oleic acid, cholic
acid, deoxycholic acid, pharmaceutically acceptable
salts thereof and combinations thereof.
In another embodiment the antioxidant is selected
from the group consisting of tocopherol, deteroxime
mesylate, methyl paraben and ascorbic acid.
In yet another embodiment the antioxidant is added
in an amount of 1 to 3 g for every litre water.
In a further embodiment the stabilizer is added in
an amount of from 1 to 4 g for every litre of water in
the formulation.
In another embodiment, vigorous mixing is
accomplished using a turbine mixer or ribbon blender.
The invention provides a method for making a
controlled release oral drug formulation comprising a
liquid suspension of water, an edible oil and a
stabilizer for the liquid suspension, at least one
pharmaceutically active ingredient selected from the
group consisting of anti-Parkinson drugs, dopamine
agonists, anticholinergic agents, anti-cholesterol
agents, anti-arthritis agents, anti-epileptic drugs,
~<




Q ,
_ g _
antidepressants, anti-ulcer drugs, cardiovascular drugs,
hypoglycemic agents and insulin, and at least two water
soluble biodegradable polymers, wherein there is added
from 20 to 60 g of the polymers, and from 2 to 10 g of
the edible oil for every litre of water, and wherein the
pharmaceutically active ingredient, the edible oil, the
stabilizer and the polymers are dissolved or dispersed
in water and vigorously mixed until a liquid suspension
is formed.
As indicated hereinabove, an antioxidant for the
pharmaceutically active ingredient is usually added.
In one embodiment the active ingredient of the
anti-Parkinson drug is selected from carbidopa and
levodopa, bromocriptine, pergolide, ergot, seligiline,
and lisuride.
In a further embodiment the active ingredient is
carbidopa and levodopa in amounts of from 3 to 30 g
carbidopa and from 10 to 300 g levodopa per litre of
water.
In yet another embodiment from 1 to 3 g
antioxidant is added to the formulation, e.g. from 2 to
3 g vitamin E per litre of water.
A preferred method for making an anti-Parkinson
controlled release formulation comprises adding from 3
to 30 g carbidopa, from 10 to 300 g levodopa, from 1 to
3 g of an antioxidant selected from tocopherol,
deteroxime mesylate, methyl paraben and ascorbic acid,
from 2 to 10 g of an edible oil selected from mineral
oil, vegetable oil, soyabean oil, coconut oil, and
sunflower oil, from 20 to 60 g total polymer, from 1 to




_ 10 _
4 g of a stabilizer selected from oleic acid, cholic
acid, deoxycholic acid, pharmaceutically acceptable
salts thereof and combinations thereof, from 2 to 3 g
colorant and from 2 to 3 g of a flavouring agent, to
water, said amounts being expressed for every litre
water, and vigorously mixing until a liquid suspension
is formed.
Examples of anti-cholesterol agents are lovastatin,
simvastatin, pravastatin, gemfibrosil and questran.
Examples of anti-arthritis agents are diclofenac
potassium, naproxen, catoprophen and indomethicine.
Examples of antidepressants are fluoxetin, sertraline
HC1, paroxetin and zopiclone. Examples of anti-ulcer H2
receptor antagonists are ranitidine and famotidine, and
other anti-ulcer drugs are omparazide, cesupride and
misoprostol. Examples of ACE inhibitor cardiovascular
drugs are enalapril, lisinopril, captopril and
quinapril. Examples of cardiovascular calcium channel
blockers are diltiazem, verapamil, isosorbide
mononitrate, nifidipine and isradipe. Another
cardiovascular drug is coumarin. An example of a
hypoglycaemic agent is glizipide. Insulin is used for
the control of diabetes.
The method of making the controlled release
formulation is easy to do. The concentrations of the
components of the formulation are adjusted until the
resulting suspension has a liquid consistency, so that
it is easily ingested and swallowed. A preferred
consistency is like mineral oil or castor oil. The
relative amounts of the components is found by easy




- 11 -
experimentation. Mixing of the components may be
accomplished by vigorous stirring, vigorous shaking of
the vessel which contains the components, sonication,
use of high speed mixers or by other methods known to
those skilled in the art of making liquid suspensions.
In the selection of a suitable polymer combination,
it has been found that the amount of total polymer
should be less than about 60 g for every litre of water.
Preferably the amount of polyvinyl alcohol is less than
about 30 g. Polyvinyl alcohol has the advantage of
preventing the release of the drug over a long period of
time. This of course is a disadvantage for immediate
release of a drug. Accordingly it is desirable to
combine polyvinyl alcohol with one of the other, more
easily dissolved polymers such as polysucrose or one of
the celluloses. Preferred combinations are
methoxypolyethylene glycol and polyvinyl alcohol,
polysucrose and polyvinyl alcohol, polyvinyl alcohol and
cellulose, and methoxypolyethylene glycol and
polysucrose.
Advantages of the present formulation are that
adverse reactions are decreased, bioavailability is
increased, gastrointestinal side effects are decreased,
wearing-off is lessened, on-off dyskinesia and other
central nervous system (CNS) effects are greatly
improved, when compared to commercial controlled release
tablets. A further advantage of the formulation and
method over current commercial practices, e.g.
tabletting and regular capsules, is that the capital and
manufacturing costs are lower.
In the treatment of Parkinson's disease for
C




z~~~o~o
- 12 -
example, with carbidopa and levodopa, the present
formulation will provide relief within about 30 minutes,
compared to about. 3 to 4 hours for commercially
available controlled release tablets. Additionally the
present formulation will maintain a relatively constant
level of active drug in the patient for a prolonged
period of time, for example 6 or more hours, thus
providing a longer lasting action and response to
treatment. Furthermore, fewer applications are needed
and high blood levels, which may cause dyskinesia, tend
to be avoided. Recommended daily doses will be 3 to 4
teaspoons (15 to 20 ml). That is, one teaspoon may be
taken every 6 to 7 hours.
For the treatment of Parkinson's disease a typical
formulation would comprise 200 mg levodopa, 50 mg
carbidopa, 200 mg of one or a combination of the water
soluble polymers, 20 mg coconut oil, 15 mg antioxidant
for the levodopa/carbidopa, 15 mg stabilizer, 10 mg
colorants and 15 mg flavouring agents and 5 m1 water.
To prepare the formulation these ingredients (in scaled-
up quantities) may be dissolved or dispersed in a
sterile brown glass container and vigorously stirred
until a uniform suspension is formed. The suspension so
formed would have a liquid consistency, suitable for
oral administration by spoon. Preferably the
consistency is about that of castor oil.
The invention is further illustrated by the
following non-limiting examples.
Example I
Two samples were prepared, each having 40 mg of L-
c




2~~~~~o
- 13 -
dopa, 12 mg of carbidopa, 300 mg of polyethylene glycol
(PEG) and 300 mg of polysucrose (PS), mixed with 0.75 ml
distilled water, to form a suspension. The mixture was
gavaged orally to rats. Blood samples were taken from
the rats at either 30 minute or 60 minute intervals.
The blood samples were centrifuged to isolate the
plasma. The plasma was then analyzed for the L-dopa
concentration using FiPLC techniques.
It will be noted that the polymer concentration is
about 800 g/1. This is because the formulation is
intended to be given to rats, whose metabolism is far
faster than in human beings. Lower concentrations would
required for administration to humans.
A control sample was prepared from 40 mg L-dopa and
12 mg carbidopa mixed with 0.75 ml distilled water, i.e.
no polymer mixture was present. The sample was also
gavaged orally to a rat and blood samples taken and
analyzed similarly.
The results of the analyses are shown in Table I.
Table I


Time Control PEG/PS Suspension (mins.)


( ug/ml ) ( ~,g/ml )


2.0 3.0


25 60 3.5 4.1


120 6.4 4.4


180 4.2 5.8


240 2.8 5.6


300 2.5 5.2


30 360 2.2 4.8


420 1.9 4.8


c




- 14 -
This table illustrates more controlled release of the L-
dopa when administered with the polymer suspension.
Example II
The experiment of Example I was repeated except the
suspension was made additionally with 15 mg ascorbic
acid as an antioxidant for the L-dopa and carbidopa.
After 7 weeks and the sample was gavaged to a rat.
Again, blood samples were taken and analyzed as in
Example I.
A control sample was prepared from a commercially
available tablet, crushed into powder. The sample
contained about 40 mg L-dopa and 12 mg carbidopa. No
polymer mixture was present. The sample was also
gavaged orally to a rat and blood samples taken and
analyzed similarly.
The results are shown in Table II.
Table II
Time PEG/PS Suspension Tablet Powder
(mins.) (ug/ml) (~,g/ml)
30 2,8 1.9
60 4.1 3,7
120 4.3 4.7
180 6.9 5.5
240 6.2 5.2
300 5.4 4.8
360 5.3 3.7
420 4.9 3.2
This table again illustrates extended, controlled
release of the L-dopa when administered with the polymer
suspension.
c

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Administrative Status

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Administrative Status

Title Date
Forecasted Issue Date 2001-12-18
(22) Filed 1995-02-21
(41) Open to Public Inspection 1995-08-23
Examination Requested 1996-08-13
(45) Issued 2001-12-18
Expired 2015-02-23

Abandonment History

There is no abandonment history.

Payment History

Fee Type Anniversary Year Due Date Amount Paid Paid Date
Application Fee $0.00 1995-02-21
Maintenance Fee - Application - New Act 2 1997-02-21 $50.00 1997-01-21
Maintenance Fee - Application - New Act 3 1998-02-23 $50.00 1998-02-13
Registration of a document - section 124 $100.00 1998-12-15
Maintenance Fee - Application - New Act 4 1999-02-22 $50.00 1999-01-20
Maintenance Fee - Application - New Act 5 2000-02-22 $75.00 2000-02-16
Maintenance Fee - Application - New Act 6 2001-02-21 $75.00 2001-02-08
Final Fee $150.00 2001-08-17
Maintenance Fee - Patent - New Act 7 2002-02-21 $150.00 2002-02-21
Maintenance Fee - Patent - New Act 8 2003-02-21 $150.00 2003-02-11
Maintenance Fee - Patent - New Act 9 2004-02-23 $200.00 2004-02-19
Maintenance Fee - Patent - New Act 10 2005-02-21 $250.00 2005-02-11
Maintenance Fee - Patent - New Act 11 2006-02-21 $250.00 2006-02-17
Expired 2019 - Corrective payment/Section 78.6 $800.00 2007-01-29
Maintenance Fee - Patent - New Act 12 2007-02-21 $250.00 2007-02-19
Maintenance Fee - Patent - New Act 13 2008-02-21 $250.00 2008-02-19
Maintenance Fee - Patent - New Act 14 2009-02-23 $250.00 2009-02-05
Maintenance Fee - Patent - New Act 15 2010-02-22 $450.00 2010-01-22
Maintenance Fee - Patent - New Act 16 2011-02-21 $450.00 2011-01-21
Maintenance Fee - Patent - New Act 17 2012-02-21 $450.00 2012-02-09
Maintenance Fee - Patent - New Act 18 2013-02-21 $650.00 2014-02-10
Maintenance Fee - Patent - New Act 19 2014-02-21 $450.00 2014-02-10
Owners on Record

Note: Records showing the ownership history in alphabetical order.

Current Owners on Record
GENEREX PHARMACEUTICALS INC.
Past Owners on Record
MODI, PANKAJ
Past Owners that do not appear in the "Owners on Record" listing will appear in other documentation within the application.
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Document
Description 
Date
(yyyy-mm-dd) 
Number of pages   Size of Image (KB) 
Abstract 2001-02-14 2 51
Claims 2001-02-14 7 273
Cover Page 1995-10-17 1 16
Abstract 1995-08-23 1 49
Description 1995-08-23 12 551
Claims 1995-08-23 5 241
Description 2001-02-14 14 576
Cover Page 2001-11-14 1 48
Fees 2002-02-21 1 32
Fees 1998-02-13 1 42
Fees 2003-02-11 1 31
Correspondence 2007-04-05 1 12
Correspondence 2001-08-17 1 47
Correspondence 2001-10-04 1 15
Correspondence 2001-08-28 1 32
Correspondence 1998-12-02 6 232
Fees 2001-02-08 1 32
Fees 1999-01-20 1 66
Fees 2000-02-16 1 49
Fees 2004-02-19 1 33
Fees 2005-02-11 1 28
Fees 2006-02-17 1 27
Prosecution-Amendment 2007-01-29 1 43
Fees 2007-02-19 1 29
Fees 2008-02-19 1 36
Fees 2009-02-05 1 70
Correspondence 2009-11-26 3 92
Correspondence 2010-01-19 1 13
Correspondence 2010-01-19 1 16
Fees 2011-01-21 1 201
Fees 2014-02-10 1 33
Fees 1997-01-21 1 70
Prosecution Correspondence 1995-02-21 36 1,502
Prosecution Correspondence 1996-08-13 1 38
Prosecution Correspondence 2000-12-27 4 141
Examiner Requisition 2000-09-29 2 60
Prosecution Correspondence 1999-01-18 3 108
Examiner Requisition 1998-07-24 2 85
Prosecution Correspondence 1995-08-28 1 30
Office Letter 1996-08-23 1 50
Correspondence Related to Formalities 1999-01-18 1 40