Extended release powder and aqueous suspension comprising methylphenidate
9 claims: 4 independent, 5 dependent
- 1227734/4 What is claimed is:1. A methylphenidate aqueous extended release oral suspension comprising at least 50% byweight water based on the total weight of the liquid component of the suspension, an immediaterelease methylphenidate component, and a sustained release methylphenidate component, whereinsaid sustained release methylphenidate component comprises a methylphenidate - ion exchange resincomplex and a sustained release barrier coating over the complex, said suspension having a pH ofabout 3.5 to about 5. 2. The methylphenidate aqueous extended release oral suspension according to claim 1, whereinsaid suspension has a pH in the range of 4 to-4.5. 3. The methylphenidate aqueous extended release oral suspension according to claim 1 whereinsaid suspension has a pharmacokinetic profile in which d-methylphenidate has an AUCo-® of about114 ng-hr/mL to about 180 ng-hr/mL, Cmax of about 11 ng/mL to about 17 ng/mL, Tmax of about 4hours to about 5.25 hours and T1/2 of about 5 hours to about 7 hours following a single oraladministration of an aqueous liquid suspension at a dose equivalent to 60 mg racemic MPH in adults;preferably wherein said suspension has a pharmacokinetic profile of Figure 3 in whichd-methylphenidate has an AUC0-/ of about 143.65 ng-hr/mL, Cmax of about 13.61 ng/mL, Tmax ofabout 5 hours and T1/2 of about 5.65 hours following a single oral administration of an aqueous liquidsuspension at a dose equivalent to 60 mg racemic MPH in adults. 4. The methylphenidate aqueous extended release oral suspension according to claim 1 whereinsaid suspension has a pharmacokinetic profile in which methylphenidate has an AUCo-® of about137.2 to about 214.4 ng-hr/mL and a Cmax of about 13.6 to about 21.3 ng/mL, and Tmax of about 3 toabout 5 hours, following a single oral administration of an aqueous liquid suspension at a doseequivalent to 72 mg racemic MPH in adults;preferably wherein said suspension has apharmacokinetic profile of Figure 1 in which d-methylphenidate has an AUCo-® of about 171.5 ng-hr/mL and a Cmax of about 17.0 ng/mL, and a Tmax of about 3.77 hours following a single oraladministration of an aqueous liquid suspension at a dose equivalent to 72 mg racemic MPH in adults. 5. A methylphenidate extended release powder blend, said extended release powder blendcomprising (i) an immediate release methylphenidate component and (ii) a sustained release barrier 62 227734/4coated methylphenidate - ion exchange resin complex - matrix, and (iii) a water soluble bufferingagent;, which adjusts the pH of an aqueous suspension formed by admixing said extended releasepowder blend with water to a pH of 3.5 to 5.
- 527. An aqueous methylphenidate extended release suspension having a pH in the range of about 4 to about 4.5 comprising at least about 80 percent water and a combination of (a) a sustainedrelease, cured, water-permeable, water-insoluble, non-ionic, polymeric diffusion barrier coatedmethylphenidate-ion exchange resin complex-matrix, wherein the cured diffusion barrier coatingcomprises about 70 to about 90 percent polyvinylacetate, about 2.5 to about 15 percent of plasticizer,and a stabilizer, and said methylphenidate-ion exchange resin complex is in a matrix formed bygranulating said complex with at least one hydrophilic or hydrophobic polymeric matrix formingcomponent and (b) an immediate release uncoated methylphenidate-ion exchange resin complex,wherein the coated methylphenidate-ion exchange resin complex-matrix of (a) are particulates havingan average size range of about 100 microns to about 250 microns, said suspension providing a singlemean plasma concentration peak for d-methylphenidate and a therapeutically effective plasma profileof d-methylphenidate for about twelve hours.
- 628. A methylphenidate extended release powder blend, said extended release powder blendconsisting of (i) an immediate release methylphenidate component;(ii) a cured water-permeable,high tensile strength, water insoluble, non-ionic, sustained release diffusion barrier coatingcomprising about 70 to about 90 percent polyvinylacetate polymer, about 2.5 to about 15 percent of aplasticizer, and a stabilizer over a methylphenidate-ion exchange resin complex-matrix;(iii) a watersoluble buffering agent which adjusts the pH of an aqueous suspension formed by admixing saidextended release powder blend with water to a pH in the range of about 3.5 to about 5;and (iv)optional pharmaceutical excipients, said powder blend providing a therapeutically effective plasmaprofile of d-methylphenidate for about 12 hours and a single mean plasma concentration peak ford-methylphenidate. 29. A solid dose unit in the form of a tablet or capsule comprising a methylphenidate extendedrelease powder blend, said extended release powder blend comprising (i) an immediate releasemethylphenidate component and (ii) a cured, water-permeable, high tensile strength, water insoluble,non-ionic sustained release polymeric diffusion barrier coated methylphenidate-ion exchange resincomplex-matrix, said cured diffusion barrier coating comprising about 70 to about 90 percent 67 227734/4polyvinylacetate, about 2.5 to about 15 percent of a plasticizer, and a stabilizer, and being present inan amount of about 20 percent to about 45 percent weight gain to the methylphenidate-ion exchangeresin complex-matrix based the weight of the matrix pre-coating, and wherein (i) and (ii) areprovided in a ratio of about 10 to about 30 parts methylphenidate as provided in the immediaterelease component (i) to about 70 to about 90 parts by weight methylphenidate as provided insustained release (ii), based on the total weight of methylphenidate in the extended release powderblend, said solid dose unit providing a single mean plasma concentration peak for d-methylphenidateand a therapeutically effective plasma profile of d-methylphenidate for about twelve hours.
- 946. A powder which when admixed with water forms an aqueous oral suspension, said powdercomprising (i) an immediate release methylphenidate component, (ii) a sustained release water-insoluble, water-permeable, pH-independent, barrier coated methylphenidate-ion exchange resincomplex, and (iii) a buffering agent which adjusts the pH of the oral aqueous suspension comprisingthe powder to a pH of about 4.2, wherein the oral aqueous suspension comprising the powder furthercomprises at least about 80 percent of water based on the total weight of the suspension, wherein theoral aqueous suspension has less than about 1 percent of threo-a-phenyl-2-piperidineacetic acidhydrochloride impurity after a period of about 1 month of storage at room temperature, and whereinfollowing a single oral administration of the aqueous oral suspension to adult subjects under fastedconditions, at a dose equivalent to 60 mg racemic methylphenidate HC1, the oral aqueous suspensionhas a pharmacokinetic profile in which d-methylphenidate has an area under the curve (AUC)o-s ofabout 114 ng-hr/mL to about 180 ng-hr/mL in adults under fasted conditions, a Cmaxof about 11ng/mL to about 17 ng/mL in adults, and wherein following a single administration of the aqueousoral suspension to adult, the d-methylphenidate has a reduced Tmaxin adults subjects fed with a high-fat meal prior to administration compared to adult subjects in a fasted state prior to administration. For the Applicants, REINHOLD COHN AND PARTNERS By:72
Independent claims4
240 paragraphs in 7 sections, as filed
WO 2012/112140 PCT/US2011/024873
EXTENDED RELEASE POWDER AND AQUEOUS SUSPENSION COMPRISING METHYLPHENIDATE
BACKGROUND OF THE iW'EWTlOH
Methyiptaidate bydruahiuride (HC1) middexntefoylphenidatu hydrochiorideboth.Ipwp-the formula. .Cpd:h9NCVHCt Metbylphemdate IlCHs a racemic ^fixture of dfi Ahre^metbyl tAphenyfifi^pipCiidineaOetaie hydGehfiMde. ' Severaleomm&amp;e.UI. products. me lading. RjmiiMf DsytrWM-fo^ Metadata^ contain .1.0 rifoihylphenidate HC1 as the active drug. Dexmetkyiphenideteis the d4hreo<WHibmerof racemic mnthyiphenfoaie hydrochloride iWcafin Φ product liwmture]. Thc-re arcseveralcommercial products w;hldt contain dexmeihyiphemdate a&amp;Ge active drug.
The use of the cemral mvoux. stWni slimuhwts methyiphemdate anddexmathyldhahidfde for the treat· uent of uudt eohdiifoneaxm.Wiion deficit disorderIS ( ADD) and atm mi on defifothyp^EmfiviG dmrdbr (ADHD) in adults and clnldreh.Ma been, described |;see$ Foediil^, Concemetf Rfiafin^ Da)dmn<iMahd W^daieebproduct litsraUfrel' This- drug tuny' also be nded to tmat depresrion aad dogHmveImpairment folfowing'Hatmtaifo Brain Infory [&amp;?<h product literature formetbyi'iteiidste Ifodufofiloridc tablet which ie coommtcmlly· avaiUblmfropilake· Erie. 20. Medical DBA .Quality Dare Goducrs LLC, and product literature of the other dnfg;products Identified herein],.
Bolidfiose extended refoase.foethylphej.ndam.or duxmethyl|>henidai.e products-are.eo.uu.nerd ally availably These products bnefode, e.,g;. fiocaliri> XRx ’ConcOrMl;Rfodm^- LA, and Metadmctfo However, tu applieantm knowledge, there Is no 25 commemiafiy-avadabie extended release. liquid product eont&amp;imjfo emmbylphenidatc.
The. msfoylphemdaiie based tnedkatlona ate pradorninWly1 prceenbad forchildren. inefoding children as young- ns 3 years old where Gey have difficultyswallowing thesofi'd dosage forms, There remains speed for a stable. lougwcting liquidmediyipberndMe pmdufowhieh can be conveniently delivered in an uraLtiwaWe30 formulation. 1 WO 2012/112140 PCT/US2011/024873
SUMMARY OF THS IWfehi’llGN
Fhe pweut hwenfiou provides a wthylpiienidate extended release. powderwhich'wy-.be-mixed with waferW ibnn. Morally adttiin.istrable extended rwasw' aqwus ^ispenshit. Akri provided is the Wdy .adminiriuhblehiethylpbemdam «Uended: 5 rdda$O aqueous xuapensidn which is stable al room tmpmiw.- Methods of trea tingpatkw.h need thereof with these methyphenMatU extended tele&amp;se suspe^bns W:iWher p^vided by the' hwentiun.
As used herdn ‘iwthylptaid’M©5' mdudemthe aorive ingmhent which is either0) racemic mixture of two Optical isomers ddhreo-meriwlphunidaw and hihrp<A 1 ¢) meihylpddnd.ah? pr (ii) the active isomer ddhiwme*^^ kuuwovm de>nn:ethylplwda.t«?). For methylphenidate is .abbreviated' A4PJ F? herem.·- and when refemis. made herein to methylphpnidaie or MPH, itwili be, undmtqedthat either tire mwric urixtam (Apically 50/50 d- to k) or (fexmethylphenidw Aenemupassed by this term; Where Only "the racemate, or sexmethylphemdsle is desired, 15 retewedwifi bexndHfioaUymade'Ut one or the other. Thus, ibr 'the lininuiamn^ds^cribed henrim. the m^diyiphemdhte may: Im.independently selected from rneemidWthyiphenhW (χφ. a 50/50 Aixturenf UmteilA^eiudateandlvWthylphetuduieXand. dexmethy tphenkl am
In oneaspeeh the irwmiou'provideit'a'methylyhenida^ aqueous extended releasesuspension coWpriXmgl at lea4 50¾ .by wmgU water baaed on the.total wm'gM. of theliquid component ofithe suapenybm whemht extended mlm-e.is.Mderinnd herein., Inone:embodiment the suspension·eumalns·-at hastabout 80%· water by weight based· onthe total weight of theauspemmm. lie one embodiment, the .suspension lias a. pH 'ofabout
3.5 m about 5. In another embodimenq da? suspension has a pH Of about 4 to about. 5,orabW 4 to abotddA, or adopt4A
In ore enfiWimeafi a n^ihylphemdw uquew extended release omt suspension20 is' durscterized by providing a .medwlphenidamyksbra profile of any of Figures I. ,..3 or 4 at a. dose equivalent to 72 mg and 60 mg of moemmmutbylphenidste/MCLrespeuiiveX In one embodiment., the .mdhylphmridatn aqueous extended rentes bnd WO 2012/112140 FCT/US2011/024873 suspwfon.etpnpws an:lnwediate. mlease.mothylphemdata rmd a «Μ . me^ylphenidafe.· eomponem; in another aspect- die mveurion pfovlde^ a' mefoytyheuidam extended. release powder blend.formulauon which is mcoustltutable irito an wily admimsted aquebud 3 extended rebase Wpartslon forntukifou.- The extended release powder blendforrnulaiion <x>mpri§e^.(l)ah immediate release methylphenidate -ορηψΜηή in) asustainedrelma.biUTior coaled medtytphenidale - fen exchange resin complex matrix,and (id; an optional water bolnbk bu^ring-ngent. Upbubemg prepared as (e..g...t 'Wdnsritetedyan omUy admimstrable ngnenua extendedyebaxe suapemkm formuhilon.
Hl the suspension has a pH m the range from about 3.5 tn about 5, or abmit 4 to about 5, drabout 4 to about 4.5. In one enibodiment. the mnnediate release wthylphefodato·component is au .uncoatedmetiiyhTtunidate - w wtag© mslncmnplox. optionally mcombhaCion with a matrix forming polymer. .lamoO-herambudifneub the' harrier-ouathigio acioed..vtater-'pennpabks high tensifo-Wngifo wer msnlubk^· harder· coating 15 comprising a palyviuykcmrepolytw and a plasticines ARerimthwiy, the barrier coating is sckewdpem an efoylcellttlpsa bnnier cedingand/qr ^coatmg.-based on poly fothylauryime-counefoyl methxerylatmcoti'imethyl··ami:rtomnmXdiylmethac^4;UO:'cbluride) polymer.
In a.rialherembodimexu.,.foc invention· provides arHu.iaeoos.medwlphenidak 2'0 extended relaase-auspenrimi formulatibuhavmg..a pH in the tango· of aboutmS io 5 midcornpiwig methylphenidate extended release powder bfond as described hemin,, the.water-soluble bnferng agentto provide the desired pit and watm\ th due emlmdimenfat· least about 8'0%'cf tho.lfonid component of the suspension is water.
In ohe embodimehi5 the invention provides, an mat' aqueous methyiphenidate 25 extended release suspension fbmmUrion reconstituted .from a methyipbenkto extended'mloase powder blend in a liquid xaspmi.rm base comprising at least about 80% wnlen'the mefhylphamdMu extended release powder blend comprises a contbiuatfon of (a) a.sustained release,, curod, barrier coated.methylphenidate - Ion exchange fmn complex -matrix, wherein.ihe barrier coating comprises poly vinylacetate an<t;?ii>lasticrzer and(b)' 30 an immediate: release unooated methylptaidate· - ion exchange resin matrix^ wherein the 3 WO 2012/112140 PCT/IJS2011/024873 complex of (a) "arid the- matrix· of (b > are grabfoes baying-au a wage .size range of aboutWO microns to: about 250. rmernms. Optionally^ theWWdud release powder blendfurther comprises ait Optimal diitbnt grnmjkv whpnsmg a boRering agent such tetupqii.bei-n.g.:for.med fotaortaqaeuas liquid suspension. the suspension-hasapil: in the 5 range, ofaboutdlu about 4.5. •Ih a. forther embodm wt< foeiavenriop.pm vidOs amefoodpf treating patientswith .a di wxfer for which me foylphenidate .lx regnlatury ppprov.ed by admmisteriug annml. aqueous mothylphetddMe extended. ttM^Mshspensldri formfoafibn. as describedherein- 10. Etiltutheraspeete.and advmnngea of the invention will Iw apparent.’tari the ioihi wing detai led· d escri p t b me f the in vendue... BRIEF DESCRIPTION. OF "THE DRAWINGS: )¾ I &amp; a'h.tarploi.pfmeah meihylpb^nldata plasm, .qoneemmtfon worn: time.15 Thia study provides' the phannacfodneriefplf fpiXiflle of an oral aqqeoas extended rebase formaMon of the Invention dnntkxuag tire mefoylptwidate-EBpowder blend ofWampb 1 suspended h water' to form. amaquetms methylphenidate. liquid snspsmtfombrnudaiitur.having a euncommtiortoFdS nrg-ipm 5 mF.· which fonntfofoon· pro vibes· both,an. immediate, folfo^se and.mi extended release profile. The oral aqueous liquid extended20 rdettse· tbrmuialion wa dosed· to pwyide amwmmnt of ..mefoyiphemokte eqtti vmeMta a.· 72mg doseofmetlxyfoltefodate MCl. A co.mmemiaUy dwdldbie extended rebase,m^byrphepldab BC'habkd (Cbnoertaij spil'd fornndalm) waausefofor comparison.
Fig;2 hhtsWes the pfiKIhemicnl SbbiHty of Reconstituted Methyl phenidate»Ion Exchange ResinTo.wdef for Oral Suspension, 25 ntg/5mU .as. described uriExampb25 6.
Fig. 3 provides the .pK pruFfe of no: oral aqueous .exfonded.mfoase'formaMipn. offoe· invention epntaming the. weihyiphenidate Ely powder himd of Example 1 suspendedin. wster to, form, an aqueous. methylphenidate liquid xuapensiun foxmfoifotm having a0i.momnradon of 23 mg. per Srfofo which fotrnuhfopupk) video boilfan immediate release30 arid auextended release ptnfib, Fm this study foes Example. 7 A), foe oral aqueous: 4 WO 2012/112140 PCT/US2011/024873
liquid extended relearn ibrmuwtion was dosed ία pm videau amount of methylphenidaieeqmvaim m a 00 mgdose of methylpbemdam HCL frig. 4provmM:.the remits Of mi absorption snidy (Example 71¾. IHuMrated'hy themean m Methylphenidate plasma eemcemrarions against time of an oral aquermsmxtended.2 release ibmrahnon of the invention equivaient to a oMmg methylphenidate HCI dose under Ml /A. a ;;: 27) and lasting (B. u;:: 28) conditions.
Mgf. 5 illustrates tho.resuB of the study of Example 8/ahowinglhe change frombaseime in tlmmtentkm and ImhaMbrOf the-adbjeets· hntkbomory chMrnom using thsSOmemm Kotm, Agler, M~ITyntq and Pelham (SBAMP) rating scale. This,is charted asid the SKA MP ·· Combined Score. DETAILED DESCmrnONOF THE· INVENTION’
In mo aspect the invention provides Otmethylpherndaie (MEH) extended, releasepowder blend, Th&amp;MPH extender! releMe powder blend uohtaimg st mmi.tlmMnq -a 15 eombiuatmn of an immediate.release MpH component and&amp; sustainedMease MPHcomponent Wh useful for-Mmiulatrnh as.-a solid,- thO'MFH ex tended -release pOtvder·blend can. readily be-pmpnmdasa suspensionmruM ddhmry at the time the product.needs to be used.
Sui tably; following admmisrhmoli ofa :singMdose of the dinl M PH extended 20 mlew Wpe.usion%lh some.embodiments, adwapsiMioaily eSeeuve amount of MPH is.reached as soou.as abcm forhodve mlimms and.tke fbmmlatmn ..provides an oxUmdedrelease profile to at least pbotd 12 holds.
As is often the cane-wjth psychoactive drugs, a thera|:>umm.fesuli .for MPH Is notsolely roiated’to plasma fevds. of the drug, Tims, M lhempetitmally eftafve amount’* of25 MPH meludes the minimum arnumd of ths drag required to provide a cimmailyObservable psyohofogM and/or behavorml response. AO used hbmim iho term "‘extended rehmM' -mfors to compositions, which arechweterixed by having at least one of the active components (i.e., methylphenidate ordexmeth yiphemdate) having .a 'relemm e ver a period of at Least .about 12 lwms:. An with70 ibrmulailons described hemm A "extended release’* may be achieved by a single 5 WO 2012/112140 PCT/US2011/024873 h>rhu.dadnn'uoum.hting. both an ‘Tpmtoihte rewask csmyp<ment(^casc in than i.houn e,g., aw»n.as about 45 atimncsor at? anon as.aixmt'30 mimdes) and: akrnsmimkrelease^ (to release Wabout 42 boura). ' The release prdfife may be assessed via .in.'ww> dissulufe using techniques known to ttoe of skill in the art kg-s USP basket 5 method;· Puddle Method, channel .flow'method, or·-cite methods kno wn in thelhektekj.The release.priiiiie canhe;ass0ssiedi&amp; wen kg·., for bmaWtiWW·detodnatoa), usingplasma cownfraikma. to assess maximum ptona GonoenWhm wto) aMareaWka'the’Wve (AUG). Such'assays are wdl known i:dtfee.uf skill in the art p:<k og,, W.,Wtq'guvvtaL PltowS)kiaetics of mekylphenfeate.ln'maw rat and monkey,-J' 10. Pbur/wok fto Oser August 1983 22ti:332kBd]. kthe maximum, observed pfesma cuuceniradon, calculated as the mean, ofthe mdiwdual,makimW' bknk plasms wwwmtioms,
Thetmf !Wan'maximumplasma.'cOocentrauun··· (meanG^ j Is defined .for thepurposes of the pxeseht .imfedtiop as the maxhpmk'ihean plasma drugetmoWmtibru. 15 nMpan. ptexuaotmeettotiuk la the as.Uhm.sde mean blood plasma coadentfatto
The term ”to/ is the time al-which.the peak (maximW.) observed blood plasma^drug cuneWmtipn for .each,individual paAidpating &amp; the bmavailabidk study.
The ten· °AU0r^” ef ^AUCikhs’ the mead area under die plasmaconcetitfstioa-time curve extrapolated In mtinnv: It. i$-calculated as kemriihmetic memi 20 ofthe wee under ihe.pfesma cpnoeuimtfen-ti'me curve .taptimeO extrapolated tnMmtVj calculated fee each kdkdfed parikktkngin'thc'bioayailamli.ty study,
AtlGpR is·lhe area. under the curve to the· population median- T\w of the referencekrmulatiom AUCk is the area under ths plasma/serwmbiood couuemmtionAlme curvefrom, time zero to time t, where, t is the het time point With measurable concentration lor25 individual formdatiom T/R ratio refers to the teat fbrnndatiim,(metityipbemdme potisdrex 25mg/5mLER.oml-suspensto) id m%etto(R} turmuWmt. imra.“wshkct.CV% refers to the gpumetrfe (G-V) c-oeftieretit uf-varlatiOn betweensubjects.. 30: The term ’Ti&amp;Unifk jsthe apparent ternutoetimlttoon halfdlfe (T2:>}. WO 2012/112140 PCT7US2011/024873
Ttata ’'itaodiate rntease1' is tbqrdwe MFIh from a.pbarmaeeutieal tautdteta whom the rate ofrelme.of the aeristepiterfoaceteKteingtedta. fe>m thephmtaeeteieai Ihnmdata is not retarded· by rnsam of a eumroi ledreWe·.matrix or mta.wh’means and. wlte (Ite/cumgurtents-of .the pharmaceuticaltawlatfon ate designed stathay uptrn mgestiPiy 'nWhnm expdtaeyf wl active3pharinaceatieal mgtedta tn body tissues occursin the.-mfotam period; ultta; Asdescribed htan,..an "Immediate release* MPH compmiem preferably rdeases io lessthan 1’ta.iy teg.. atesotm tetabOtedS mfouifesor.^atori tea about 30 m/mpfe Fnnta inoneembodiment the MPH i.mmad.ta,m.feaa0 uempouent.rdeases at ktaabout 5-fotafthe MPH vrithm about the ftrsl hcnit foifotvirig/tarinistedfote and at least abwO: SO%.pfthe MPH wUhte abbot 90 minutes foltateg admitarailom Aswld be seen form thefollowing taaped dwriptta a MP! I - iwmxe-hangs min cmuptadpto&amp;Uy in. a'matrix,,· and may provide the immtAte release Uteapowtt.
The· tefot. 'aoitial tenuuwhovT .dehta far purposes· qf the prestawmutaasrihe fta single ttatef a formttanncoutemiug.ter active te^redta adnrifoet.erdd te· apatient or subject ox the. first dose .adminisieretl te<patta' dr subject -afe a suitable;washout period,.
As used hereby a itaapeatahy oftaiveatem.tteof MPB is si. letatltemimmrim- athtai of MPH Which mduees.cncplymnita. utasymptomx associated with acondittear fox which-MPM tartan apprtAtaforw;. Appropriate dwsara discussed lamore detad later fo .this spqciritaote
The mvxmtirm.mmmtizes stability problems attributed to prior art liquid MPH•formulatfons and pewits theor&amp;Uy admimstrahte MITIOxterided release' stepensiohformulation. tn- be primarily aqueta based. The aqueous liquid sitsptwft of Pteinveteitm Is one fo which water is· greaterthan 55¾ by wdghttaPte iiquidtein foesuspension. In. one embodiment water is g.teater than ubcutfoO%j greater thanobOmgreater' than taut $(¾ .greater than abotaBte or up to '100% by weight of theliquid aomgoumofthe suspension fomndafforn
In Contrast to prior mt for-unlatious Whidl have· beau reported asm mixture ofprimarily mirmmcuns.solvents.in eqmbiWfon wtawaten reqteriag λ than 5(M 7 WO 2012/112140 PCT/US2011/024873 rmmaqwms stovetttsUhepresem wri$t is·ήη.ηφ^^·Ιί^Μΐ0·^η^ΟηΙίθη. Thekrmtoattom of the invention cgtoato less- tou.u.1Q%nou-aqueuus'sotoema, and.totieriato^mbodim^MSy Im lhap.5^ mdWflW 2% nOa-aqrtouttohtoveMk to ftotoerombodimenM the- towmdattoto of the Invention may upUwIly also- cuntom siiria4
5 awntos-of ctm^otwtswhwh-aru teimanU e;g;5..toss than. about M
Additionally. the liqtod: suspension MFH extended release brntoMtoukea 'toetWemeni. For phystoiausto titrate·. tog. dosefto pad&amp;tos to tototow the drug totomommtod ddw ttomedmatom nr tor patients who require toewnenml doses ofmedication. So as· to: bettor tolerato tito drug >. This abifky to tkrwe toe dose altotok 10 phyvsk.ians to take into consideiution. I.Ovito.iUl patmntmcedik mcludmg· factors like agwbody weight and mdhudnal wpow to·the· medication Wilborn, the mxtotor taking:muldpto'ddsekbf an iritmediato release, prttonet bvtoa 12 Itoto period. to oneembodimeahthe· invetuirtmprovidesa MbH ^.tondod'toleaae powderblend tommbtoto which to WnlstitUtobto totoan braily /toitoristmbk aqueous extended 1 5 release sospensibn tormtoatton. ^totablyg toe. MPH extended release powder blend form tout ton eontoinw at a mtotomm, $n I'mmediato retoa$e methyl ph wddam componentand a swMtdW bantorwoatod methylphenidate -ion exchange, resin complex ·matrix., opiipnally’teherto cuntolnatirm wito a Wer stoubletouftoring agtoto- Upon,tocunshttotontof the M'PFl extended' release powder bkrid’toto an aqueous suspmton 20. .tortotoatoto by combining wito waler Jhe toonuiitoop is adtoatodtoupld to toe· range:from aboto.3torc'rtooto.5,.qnitoout.4 to about 4.S, mabumtoS. to one embodiment.: the toventtoa.prpvtoos ah MP IT extended release powder'blend which contact at a mtoimum.» both a barner -canted MPH - ion exchanged maincomplex - matrix and an tmewed MPH - ton exchange resin complex in- edmbtoatioh. 25 This powder ’blend is designed' to be ..reennsritotod. tot oral delivery as an aqueous snapiimstort; Alternatively, the.powder blend m be administered byxprinkhng on toad'(tega appkaauua)gar by atoer method^ Thworto MPH Ell pdvtoer blendAscribed to toeabove embodiment qnnatoa.a dried gmntoar wasted metoylphcmdato - ion exchange-main complex and adriedgrantw barr tor coated sustained release-methyl photo date - ionSO· exchange .fasirr complex - matrix·. 8 WO 2012/112140 PCT/OS2011/024873 hi tw emtedimenh-th?· powder fend-fete cnmpriees waterfeulrifeiteetn.gramaes which contain ai a mrnmnam a water saltern buifeng agent, wherein uponiteng femtemd into an atetefefete tefefen themnspenfen iomwlmx.w hate.fefehgnaugefeabout '3.5 te 5;:.te<mt texteotedte or fend-4,2. tfebitefeefepkins 5 mduding. e.<y Wtete mom uf a amteaang asweetener, arfer a feseryaltem may bemmteacd within the dlhmnts gmfe and lhus term a pari of the MP 11 BRjmwderblettel Altenaativuly-cr afeimtefe those optidhhl otefetefefe^ i tehfed m thepltebu.ituoptefe baae; The stetemm may be a pohwnen The ttetefe-agent ?r<betetetetemriac nr nmre of an acid teamed itethe group teteteteWifete afe 10 sacm'fe ted, acted life, mntew addpfefefec add, a phahnwutfely aoeeptable sab.tetefeafe ascorbm.acid, ateic tefetefeic aem,fefemte acid, or.^'mixtureof ap acid md a. sfe in une.embddimetu, the tetermg agent id a mixture of sodiumoitmte: ami .· anhydrous citric ad d. A 'ThethylptekW - ionexchange msm yomfete fete to ths pfete rfehing
15 :tari Ifemg; u mefeldtefetemaH emm n eaten exchange.· fen, Methods forpmpiWgptei tetefefe have heeu described, e y, iu WO 2007/W9KH, iwepomtedhm by reference·.· dltetestefetheeOife^^dte which occurs "when ths active aid'the fe exchange resin arctfete..tegfeer fe hefefe medium d fefete thefeteanfe between fe tette the MPB and fetefefe of the du exchange tete and2(> the femi® afilweompmxjWhich· maybe mfered to as.feeihylfemdate polIMtexO WO 2007/1091/14 ate describes pfevteylaoetfefesd fete coatings, whiteam partfelariy· well suited for usteu the tbcmulatens deteted hemin to provide aCufete release eoatteef the MPH - ten exchange ream complex, - -matrix. Iteweycr,one skilled m the art can mite other barite coatings to pmvlde the sustained teease·25 chafetetecs· to MPH > tea exchange-fen complex teWrte
As used heremte ^precoamd/' MPH. - fe uxtemme resin complex or a. MPH - ten exetenge resin eumpte -matfe retem (ή a. partick which is tnbo stteequfey coated with a. barite ctemgte defined herein.· In some embetemernywhew? the MM- km exchange resin or MM. - ion exchange fen complex -matte is to. 9 WO 2012/112140 PCT/US2011/024873 be-.iised ternhe immediate release and w hsrwrmomuig;'is. to·be applied, d is
reterred m as AmoOatedA
As fete Ma, &amp; barrier com ik a wgtawparmeabte... wafehnsohfem numionicpolymeror co-pulymer whifeoomfemodified mfeseand paamulafty,. te the pfeml5: Luvcntteip snsminedmle^seter theMHk Aadescribed'herein, tee-bamsreoat.is. anpnfe e.g., as an aqueous smpeastem over the pwccmcd MPH - ion exfemge; oh·eomptex. ~ mfete mte few a separate Iferferefe te.femblys febfetef coatisdirectlypver the precoated MPH «· ion exchange m wcompfex ~ nmtrix and fe'barfecoat layer,. fe fere arerm bfevcumg layers between fetbarrfe coat and ihepteimated- 10 MFH -ion exchange. renin complex - matrix. Depending upon fepui.yfene.mferiafselected, fe: barriermfepnjyiw-m eofelymarmay be: these, palymmrmte feia eurin g;· requirements w feecssed in more detail ufewfee ill Jud speeificmfim.· A feeteytebmfidate · ion exchange· resin complex: - mwix" remm a/MPH - ionexchange resin cmupfe which Is-mrfet.oombfed, e. w< prior th er during gmmdatten, 1.5· wittea polymeric .material which terms a maim with: tee. MH1 - w.exchange ream complex, te mm embodiment, a ‘mmthylnhemdme; pohstemte mtem th the. complex (stet)formed by tending. feteyfecmdMe onto on km exchange reste,.
The· term Auafe fom.mg poJy.merf· or 'brnmte tenmag polymeric material 2() reters te boflr wtemsnluW pnlymers/W'gulyrnessaml. wattemohtetepolymers/fepolymers which fife a mateix vviih the MPH - ten exchange row complex upon-.bmng·admixed- or granulated femvtem Smtetfe the· matrix, termingpolymer is feteresfevewith the MP1L Thc'femX terming polymer may be te wtewmsoteble pelymmten-pteymers ami polymer systems which also tenutten as release m'tardanm as desedbed 25 herein,.sufi·those· hydruph-tee polymer systems, which have been dimeribud in fe literature asiferegmtehg.'<teaolvating:agents,. Ioffe efeddmfe,aMP.H · tea.exchange resin complex. - mfejx. may inuhfe:..more'fen one matfefferfe polymersystem. .For example, an.MPH- fe .exchange msm complex, -.matrix may Uimtembote a.hyfephteu wlyfetnnd a hydrophobe polymer; 10 WO 2012/112140 PCT/US2011/024873
The RnmnriwWp -and m<W)ri,ringn tun m be foidrpiWd inchrsiyely rather foah exclusively: Ilk: works Rs whnis.; are to be i:nte-rpt\5ted exdnaivdy^ miberthanwlnriyely;.
Asased hersin theierm 'Mottfo means mvariabfoty (>fT0%.'hrim:ihe. reference 5 fovea, unless mherwlse s;pe-dfcl,
Methylph^nMat^/D^xWthylph^hidMe.- Ion Exchange Resin Complex IM,active drug component of the extenMdtelme powder blend forimdathfo andthe extended wfeaxe aqnaouy suspension fornfoUtion.has 'been· described herein as 1'0· nkumm methylphenidfoeOrdrixfoethyfohefodats. These&amp;etlve dmgaanaybepm'cbased'eamiwcifidljn e.g.·, methylphenidate ItCI'aMldextricfoylphehfoatOHCl may bepumfeed; AliertMiveifo-thcae haiiveebinpoiiirds may be prepared using methodsknow to hi w of skill in the art. Prneesees for iM(syntherianf iWhyiphenldatn'and itianalogs· hM-been described; rieef Ag;, WO 20iOZO8O787;lpi2'PaWilM0^^P07fo3l.· and 15 2,957,880. as have processes for syufoeria tyf ihreo-nMhyIphmdat.e sndiis fo «nfform have been reported^ See; s,g,, M'htet A^pttakhr Peblmatfon' No>2006/0105777. A sciixiedMTH eanhe:eompkxed 'wiifonrfoaded oaic, a adiOh'Wbange mfofousing methods which are known hl foe atl. Oles e.g., WO 2'007/109104. and the 20 documents cited therein. Catfohlc exchange wiiis are readily selected for use-asdescribed herein.
Cmfonfo exchange· Wins vary in -stwugtb, po.; foihrir ability tri exchange canons,In m.w embodiment,, a relatively strong cationic resin, e.g.. AmbsriltaS tRMmnufaemred by Rolan and Haas (a sulfonated copolymer of styrene and 25 annrfobeuxene) is selected. Alternatively, one may.seieota rriWwly weak eat ionic,exchange realm e.g., Amberlite fo IRP08 [Bohn.and.Haas,a cros^.ihked polymer ofmethacrylic add and dhtinylberizene)^ a weakly acidic (fodassmm inn) entfon exchangeresin with 4¾ cross-linked methacrylate (1.00 to 500 mesh, eqmv kysbmd 150.misruns toabout 27 microns. ASTM standard)· or Amberlite^? 64 (amethadrybe add and 20 dsvlnylbemwe poIy.met (bydmgen ion) polyaerilex fosfo;.Rohfo and .Haus,.. with a
ΐ I WO 2012/112140 PCT/US2011/024873
;ptada stamugingfrom -IvOto 400mesh.(equhdo to 1 SO miciws ASTM standard si:ze)<uspaOtty-d.Q mnq/gTydfy weigid),.. Farther, either r&amp;gahrly orfrregniady shaped partides may be used as eati-m exchange' redPa accO:dmgtu· thepmsmm'mventta· Regdady Shaped patHe-kii are teeparticks that substarmahy 5 conform io geometric shapes xwh ifr spherical oWpttah cylindrical and jibe lbw, wind-;.&amp;re exemplified by Ddwex^:5QVF^· CCbo.Dow Chemlbd .tampany), ifregulhriy shapedpmddes mo'H pariidesmotnirnddcmd m be regularly shaped, such as par-tides with·ammpbmxt shapes, and partkhewifh. inemascdaurihee.areas ta.'towmtaeAwzta ordidOTond Irregularly shaped mmexehauge mslns.of this, type Pre- cxcmpllfred by"10 Amberlite^ IRPAifr (mnuufatamd by Rohm $. HahaX-dm use ofwhieh is iItaied in the examples he-foWx- This cation exd'umga. taxds a sulfbaata polymer composed ofpdystyrsne.cruss-lmked· with' shcmL’8% of diYhtylbehzeaa:, with, an mmxchapgdcapacity of abW4,5 m 5.5 meq/grif dry msmtrf dbrmX Another cationwdwgewm havmgubmlar juxmerties is TW'WO) 50.WX8 (IB· linear term da, Ch Ab 3 L5 CidHti).· €Λ)#.? 200-400· mesh'partied size, wpidi k equivakm to Hmm 7pmicrons toabout 3.5 mtams, A&amp;TM standard).. Amberlite^ IRPow consi sts ofIrrngmariy shapedpafticks with, a size. range of about 100 toabtrnLdOOmexb (about I5Q mtarns to about-27 mie-tatVASTiM standard). Itaveta 50\yX8- ks.more.regulariy shaped. Rsstaamgenemlly "pumtaed with a size ranging from about 25 microns th about· 40.0 micrmmzfr However, other' sizes may be seiectzd. or larger sized pardcfrs may be mined to providesmaller partide sizes.
The selseta'ta exchange mains may bs'imtfemata by ihemataattaer mfrm.pumhasaf to' maximize the sadly for pharmammcal use ar tor improvedperfrirma-M ofthe· cumposfritms, impurities present· in dis rata may be removed or25 neutralized by Ota use of common ch^twgagem, adi-oxiddta pwervatlves such as dist.tdw.odOW·» sodium bisul0m,.imdau mt by mcmpumtmg them-many stage ofpteparalimi· either bemre cOmplexldiori or during coaiplexatmitdr ih^malW.. Theseimpurities along with their chelating agent to whicp tboy-taetandmay be removed·before turiher tmaimentut the Ion exchange resin. WO 2012/112140 PCT/US2011/024873 21m amount of merhylphenidaie ilvu can he complexed with U tan wlH typluahy mgs from about 5 %' m- abcU(-50%by weight of the MFH - ion exchange resm complexpartides. A skilled artisan with limited exputauntMta. can dewmhm the optimum:Imfomg for any MPH - kmexchange resin complex. In one eumudimenn loading of '3 ; about. Ιϋ%. to tamt?4v% by weighty more desifobh, about 15% to about 30%..by weight, or about 25% of the MPH .. .fog uxbtag^mw complex partidfes can taenfofoy&amp;fo- Inom umhrkilmentqi cmnpdsitiouofohe iiwsmtaWumnfoMFH cpfoptaed to .a sotampfoystyfone·. strifonam resin In at a ratio of 20 y?t MFH (based, on the weight of ths MPBsalt} iu 300 wi resin tn B0 wt M PH (teed on. the· weight'of the salt) to 100 wt ten. Ip IO anafocrambodtatfo ths MPH (teed onthe weight of themMf)to msiti mute- 4; 10 to1:10. or about.4:10. to about 2:.10.. In a further enfoodimeet, the dexMPH permits ths rise·of about half the:ampmmef active requimd-when racemic MTH is the active drum
In oue'umbodimem, follpwmg eompk^atiph,. foMPH * ion exchange· resinetemte may be, hi.no· .partic-ufer order,· milled· to· achieve a dental size .m.ggs and dried· 15i fo<.y to a mtetore content• belmy Aut 10%s e.g.. about.3 $410 qbtnit 7%)s and thenstored .for forme use. In. one mnlodlment, the complex is mjUedmr passed thnmgh astate provide a parriufo.Hzemngmgtem tamAO microns'to about 410 mfcm% t°enhance tnuta fod f%.;. texture! or about 50 nuewHp about PSO'.mtams. Ttaepanicles may be either rngtariy or hrqndaii’y shaped' hr some embudimohts.' the 20 auwg«· panicle size of rhc tmeoated MEH ion ekehsngo yeaia c-bmpIOxbr thommmge . particle size of ihe esafod'MPK lon exdwgs mwcmnplex io milled to a size of aboutKX) fo·· about 200 microns. Those'ganiole sizes maybe determined-using sieve analysisthrough a sisve shnta hdving UMP smudard wire mesh sieves cunfortmngto ASTMspecifitelons. 25 In one embodiment.a matrix forming polymer is combined wKh.the M.PH. - ion exchauge'resm complex foHowmjfmMy panfo comphixafoug or by redtaug thetuoiskim> opnfoni of the wci 'MFH -Him exchange· mtewmplox. m o range rTheiweep.about 15 mubiteSohfo or another -sedate amount, Trefomefo of die MPH- ionekchange resin complex with’ the matrix forming polymer is as Mows. WO 2012/112140 PCT/US2011/024873 MPH" fon Exchange Resin Complex- Matrix. f}pti0naRy<a.mfeixfermmg pdynwismsed to fefe. in pmcefeng an uwfedor pmcuated M'F.H - ion exchange; min eomplex.. For· exampk^ ή mairi.x-fefeng polymer.may bumsed-m facihmte gmmrfeion Ofthe-te > (efe antmehated MPH - iomexehangp resin complex). Aiismaticeily, the matrix-fomdug potymer-may bawd fe another purpose;.
Ik oneembodin'iemyap<temyipyrtfdifehep6lyrner [ng,.·shell ?u may beptfehased conWfeialiv ax Ο1Ηφ>η^30] h combined, with temethylpiienidam- ionexchange resin complex inorder to fgetliUttegrsctrdMiompripr to co+iug. Other U) ItydmphlHe polymeric gWulatmg agents .hUy .include watensuhible polymeric main-rials which bane been described: in the-an.as impregnadug agents .or solvating' agents andwhich, funcrinn in the present -appljcnrion as grmmlMing agents. In one embodiment the.-gnmnlaimg agent is a polyethylene g^col. Examples .of desirableirnpregWingAoWatnrg agents indude'. those: described. In US felfe.feplifete. Να-ι 5 1UM966, riled Mate 1MU, febiiriwfe US' WA023.551Ife SephmteM, 2bfe and'MwWm US-'2003'4109971' h which.am mmpom.ted hemin by .feeretfe ntin US ihitcilt No. 4;22L778 andimbli$h0d US Patent application Ptiblkahou No, p’S2003/009971 A1.,,ihe djfeoAfes.of which arc mfepmwkd.herdn by re&amp;renee. Speculaexamples of other impregnating agents include propylene , glycol., pplycthylone glycol?. 20 polyvinyl akohcA.hydrfeyprOpyl.mOthykcihilusmhydroxypropyl cellulose, snd’sorinhL.
Optionally, the WHrefeso rate fem the euurpusitiwns <M:lhe-.p.tCsnri.t invemiop-may be Rnthc.r'prolong.ednn'.rnodltbdmy tmamig-tM. MPH - Ion exchange ten complexprior to the application of the wakr-'germeabh dfffemn barrier coating-described hefemwith a release retardant winch is a water-msdub'lepnlymet or a ephibiharirm of a water- 25 inso I uble· polymers:.
The release rewinni does not fern a separate- layer on die ΜΡΗ - ion exchange·..tewermtpkx, htf tens, a matrix fefefe ’Examples Of salable mfese· retardantsmdudefer example; a polyemyi nantak polymer ora nfemre oTpolymcm containingSame (icg;, KOI..I.J’C0AWj SR 30¾ fetufee acetates., ethylCOHuiOse polymdm tkg:, 30 AQUACOaP^ ECP.-30 orAURld.5iAS'ETfe.acrylic based, pol.ywe.rs or eupmymcrs 14 WO 2012/112140 PCT/US2011/024873 fe.fe the EUI)RA<HT fomily ofwrylic mfefe cdfew phthalate. (/ mw urmfofe/km dffeeh'fetter fofelfode pfoymers orpelympr syfemx shherem defined as“foleaae reiardama's Theae rewfefe when t/ed m^y'lunher'pwfeig nr alterthendfo^eof the MW femthelon exchange- resin complex/matrix and maximize attammg the5’ dosfed release prfe'fo. Further,, use of rfeaw ifeafofet· permits m some ifefe Awning the ampW of coaifog fotukness needed to atUin a· prolonged· MW fol'mfe of up in about12' hours. Thtfe rel&amp;r&amp;mfo cap. be used m erfofe subaiantisfoy pure fem or as auonUnefeial.prepmfeon. obtained fem a. vendor. The preforred release retardant is a-polyvinyl ttefofonpolymer M described haem Or tm ifeyllc pelywr'fem the
Hl EUDRAdHT family,· Examples of suitable·wyllc-pdlymm fem-the EUtMACdTBundy may mfefey a-g;, a copolymer comprfeeg ethylucfolatefed methyl methm/yime(¾ B.n)lUGd' 'NE^0'D)i Of E0nRAGIT'Wi.RL30PfRLl(A, er'Nfo whife amlargely pH-'indcpendem pAymem; although less desmfofe cemm .pB-dependontmembmpfoymemumluding, <xg., members of the EUDRAGIT polymer fofoflys w·, thet5 L$ Sf and E, 'polymem may bewtoed.
The qmmtny of polymer that/: added to an tmcofo.ed.0rprecoated'MPH - ionexchange rfeu complex a$ a matrix forming polymer typically ranges fem about 1% mabout 30%> or about 3 fofoxmt 20%i;or .aMfoxTio about 10%, abdiii 10% w· about· 15%fabout 15 to'25%, or about 1 to about 5% or more by' weight. Of the ./feated. or predated30 MW -' ion eXfewge- fem p&amp;dfelafeprior to their being coated, fewemt higher orlower amounts may be selected. fo-one embufomo.u^ where it is -defend for the matrixforming polymer fe.have little mfoo· affect on release rife, h hydrophilic· polymer may be-selected and 0aed.ino.higberanumnt whereas a hydmphobie release retardant if selectedfe use· will ba used at a lower arnoum; .IWlofeng admixing, rhe' rmcoatud· or pmcoated. 25 MEH - ion exchange resin complex panic las. with the· matrix forming polymer, themixture is dried and the MW - loo exchange· femcmuplex··· matrix granules are muledappropriately to the rfefed particulate fete. fur the pree'eafod MW ~ ion exchange fem complex - matrix.-which fell becoated and the m/oated M.W ~ ion exchange main complex., the particles are milled30' though a feubfew about 410 miemfej. or general ly in foe raxgemf about SG micronste 1-5 WO 2012/112140 PCT/US2011/024873 about Othmicrons, or aboutTOO micwmsib ϊΜ 44 ϋ microna This cap. be achkwcte;ga.using a CO-MIL device fitted with a 40 mesh screen, In tnw.embodhiiOnLdhepariieluslwetm evamge'size of abdutlO.b iQ' ebattt.25G micww, ornbriut: I GO to about200 micmns. in + me omcx the mihlng may be carried ow hdme the complete drying 5 of the complex. or .cpmptex· matrix and thee again fctriaridrvlngfbllbwed by miWhg toobtain the· debited comp+x .oharasteristicx. These partible si» Wybe determined using-sieve atwlydlti through a sieve shaker having. l^P standard wire .mesh .sievesAWntanhgto ASTM specltaiions. 10· Barrier Coat for :Sustahied Release··
The susiainod-wlease eompOnenUuf a MPH’extended release powder blend of dieinvenlkm contains a methylphenidate - ion oxchapge resin complex ~ matrix with abarrier eoa.ti.ng which, modife-the retease protHe ofthomethyiphenidme··- iriii exchange·rah complex - matrix such, that ihemethylpnenidhtehasuhmd a 14 hour sastawd 15 relate profile, In one embudmwnt,:ihn.hsrriurvoMing layer· is about- R?^ to about 70+>,by weight, er about 15¾ to about 65.X-hy-weighp.oftba pmimated mcthylphemdate-ion exchange .msiri Complex - matrix in order io provide theansteiiied,reiease.umnpowBIn another emhudimenL the barrier coating layer in sbaUt.2O % to about 50%y<wt35%to about 4()5¾ by· welghp about 25¾ to about 33¾ by weight or about 30%f by weight 20 o f the pre ccawrimethylpben Mata -· Mn. sx.ch.sn.ge.resin. eumpMx - matrix (Zu., prior w seating}.
In one nnibodimem,tbe barrier coating is. applied-as an aqueous.dispersioit·Whichis dried and cured in orderto provide.the desired sustained. release profile (eg...poly vinylacetate ureihy teellulosc-based coatings}, Snub a cured, barrier coating layer 25 may be-in the-range of about. 15%· by we|ght"to.about'?0% by weight, nr about' 20¾ byweight to about 60% by weighty or about 30% by weight tb nbaut45%; by- weight, basedon the total weight of the pfecodted .methylphemdate - ion exchange ream complex -.matrix, ln auether:emhodi.n.wm;-ihe barrier coating is a solvom-bascdnoatilrgsystum oroilier polymeric system, which does not require; curing In order to provide the desired’ . M) sustained release· profile. Such a barrier coating layer ricgp a Eudragit or Budtagit blend 16 WO 2012/112140 PCT/US2011/024873 aS described hemin) may he ip the mage of about 10% by weight to· abmk:5W5 byweight or ahem 15¾ by wuight::Uxbout45% by 0^1^0.0^^00^2535 by weightsabonf;35% by weight of ihnpreco&amp;md meih^IpBAudate- Ibnexebimgeresm complex ~matrix. SUU dlh^rririWe be determined by one of ridfi iniheM-havmg· 5 been pro v idbd’ wi th th e. indcr mati on herein..
In. ope smboditnendths.bdrridrcutningja'appried over the’MFH- ion exchange;,complex -matrix ax an aqueous diapemiom ddedf and milled or passed through a semen’such that the·.harrier coated MFH ;' ion exchange complex - matrix particles are A the$We size range a$ described in the preceding puragmph, / e.5 In the range of V>oai 50 to10 ab<mHH)mIeromn.
In. one mrmodiewg. the aqueousdi$psraipn.ib a wa» iwiabfe polymercumprismg a: pply vinyl acetate polymen er· a blend of polymers CWprising a poly vinylacetate pdynum tn .one embbdmumL. the barrier coring fiirther contains a plasticized,which can ladHime uniBrm coating of the· MEH. > ion exchange resin complex · and. 15 enhances tbetsnsile strength of the barrier coating layer.
One coating composition useful irithevpWUt wenriun A applied. in the fem ofdo aqueonx dispemmn:pantalnmg-.paly vinyl acetate (EVIA) polymer based aqueouscuatmg dhpemm aorta plasticizer·. ’rhe EVA is insplubb in water nt room rnmyemwe,'The EVA jpay be used.inbi-her substantially pum form or as mbienil Where the· barrier20' coating comprises; a PVA polymer the EVA-poIymarb presentrin auxmount of' aboutZF %riu about; 00¾ wAvofthe.fijud.barrisx oqaimglayek at ieaat .about 755¾. ar least about80¾¾ about 05%. w/wof tlimfmal barrier ceding. layer, Cfenemllsya plasticizer Is used in.the percent range,. or a mixture· of plasttcizeta cdmbmc io total about'2 to about 50% byweight of the coating layer, mbtC psdlwlriy ubom· 2A% to about 20¾ by weight of ths:25 emkmg layer on (he costed MPH - lea exchange mxin tmmpleA- Preferably a. pluatieizeris. in a range of about 2.5 to about 15¾ by .weight of the seating, layer·, based·.on thecorned compleVprovldes. the nmat desbabfepmpertfea.Smfebfe plasriciZea Wy bewater sniubfe and- water· maolubhx.· Examples of stdtablaplasrimxer^ melqde, wy :. dibutylsehacatA propylene tdyc-bli.pqlyetli^l&amp;he glycm,· polyvinyl iricpholytrfethyl:ciua;te, acetyl30 tri’ethyi· dtraim acetyl tri'butyl citrate, iributyi innate, trbsethy and SbfephAeW (2- 1.7 WO 2012/112140 PCT/US2011/024873 and mixhsms· thereof) Giber phstic-ieerii· fee d^enbed in pawnt-apblfefekinpublfemfen US. 2003/0099711 A 1, May 7003,. page 4 0)041) the disdkW'e of whichis incorporated hmfrt by:;referetMe, A cofem^ hfend..cupteins primarily, a fedyvfeyfaetMre- 5 polymer, umtabnim; tuid:mim>ram6uhte.;0f a surihct;au-AtKh asmtidium’’ WuMfedfete,
Whom the barrier coatingcomprises PVP as the skbitiw cmnppneife the Mmi barriercoating layer gsnemHy coniatas about 5 M about 105¾ w/w of polyvinyl pyrrolidone·. M<WdesiredWbofemem, the aqueous baaed barrier coating sohmun Μ-ΚΟΙΑΙΟΟΑΓΦSA 3’0 D (BASl^Uerppra.imn) arid whcs0oom.pofetfeb is about 27% PV A polymer, abnm 10 7/7% pPlyvipyipymriidonc (PVP). about03% sodium lauryl sdfetu (wikis- otmtubt 30%w/w),. mixed with a phstkri&amp;m Semabm US Patem 6;066,334 amiUb Patent6,026,27.7, which is mciupmwd. by refewenherein,. the PVP'andfSurfectmit'Wpsfebdme the aqueous dispersion of feeFVA.. GencmllyyAEUh stferilifehg compptien^-arepresent b.i an afemfet i.otah.ng less than about 1ΠΗ yriw,. und prefembly less dan·about 1S 5% wav, Optionally, a seluemd-surfeohmt is- pwife an amauhi of about' I % or 'lesfe.
In one emhodlm&amp;rfe the mihefeptis a.nep-tome antdMW, OptionaHyf.an .femeaurOmWit may be seleetcd. in a pariieaUrly deaimhfe embodimem, tbs desired ’modified reMaae A obtainedwhen the coating layer lowed by.applfemioo-of the.aqueous dispersion oontamlugrhe 20 K01X1COAW SR-30D» plasticizer ih dried and cured.. Breferifel'.y; the coming is curedfer about 1 to about 24. hours. In-alternate emhodimnuUx fee coating is. curedfer about 4tufefefe lh'hours/and|7rufembly abeut 5 hours at'hightmwermmxg itgu about 50 ftCtbabout. 65. ' Ca andpwferably about 60 %h Thus, m one embodinfeith feemefe.yiphenidafe - cadmt exchange fefen complex, mafex.has a cured, water-peweabk. 25 hfeh terWip strmgfe,- water inaolubk, barrier coating comprising.-^ riomimikt pblymerand a ptaicker and having an elongariou factor fe the range of about 150% io 400%. Inone embodiment, feu barrier e<mring.comprise$ a.polyv.hfel acetate pmymenm aMmliWr,.a. surihefant and a.plastiriw. hi One embbdimeht. abW'fer'ei>aifeg.uou^‘Wsmbout 2mto· about. 'I5$i-0fphetkita,.-about 70 to .about 90% palwinyfecefete, about 5 k about 30 10% pfeyviuylpyrmlidOim, and abtmt 0,1 tn about-1% sutfecump
IB WO 2012/112140 PCT/US2011/024873
QptkwMy, another barrier boaifrig.may selmed,. We. e.g:. (he barrier comibg$.described^ Krifer et &amp;t, U&amp; Pa;IW '6 ,{ΜΑ.334Αύ4 US latent 04077' and Mehta ;et. ai?US-PuMiished Patent Application. Uu»· 00007(-021.551 I'Aj published September 20,7007, pud applicafom WO 2OQ7/1(MH(M, which am Inuorpf^ated hercim
5 .by retemmm, We. fifegq*· W·US lAdent-Nott 6/MO77 ^0/)01.3(¾'MetUbws,OS .Published Patent ApplidattoNa 20(0/009'97.1 .and related .application. WO03/0202¾ Sovereign Pharmaeeutiuals, WO 700/022990.arid minted applicauoiis'USlWhlUhed..'Pdium· ApplMento US2O05a329Sd;tmO05a327^yUS2OG5/2329M;US«WI Ϊ0: Altermamdy. mherknowo. aq^ous Ur hunmqnmus barrio mii.ugs -toe been described in the uteratdm; md/or which are commemisHy wabble sqtddhc-used for theoeatmg. process, but am less desirable· Mr t.hsawasu:n a-described in US Patent PuhlicaHosYNo.-Ud2007-021551 IA.»i iri the lhem&amp;micited In the background therein. Sen, wy.,.Boss, e/ < US Patent.7,0¾1U; (Mede &amp;,. US-Patem H&amp; WO>·Wen w < US· 15 Patent 001,39:2, among others, 'Such coatmg.:.maOalsiM based. extended wOe cOngs, c.g., AqaacoaX^5 eihykelhilosc polymer extended releaseepatmg ^dStimlease®. Swleasedl? &amp; ayalOOziromColomon· as an aqueous OfOlOse dlspcmion cmitOiug water (70.6%W/w)f ethy01MeW(10% W)5.arrnwriufrt hydroxide (4.4¾ w/w),:a sham triglyceride (4,0% vAw), and.oleic 20 sold (2,2% ww).
In one embodiment, the coating may be.a ΙΐίυρΗΑΟΓΠ^brandiacrylamhased'coatmg materials (imMdmip.-e.g,, a-poly (ethyl acjyluumcromethyl meOmyiammo-trim.OyiammmMOyl methacrylate chloride).polymerisystotk]. Edr example,Eudragi0‘M RS 30 [a pHdmkptmduo 3033 ammom dispersion, of poly (ethyl, aeryute- 25 eo-methyl methauryielmuo-trmmtb^dammoirioetliyi methadrybm chloride) 1:2:(1.1)], p.rBudmgiO RI_, MD [a 3(0 aquerms dispersion^ pU Mdependept.polymer, poly (ethylaerylate-mumethyl iuerhasryiainme*trimethy tomonmOyl methacrylate· ebldride) I ϊ2:0..2)|’.may be selected· as the barrier eeating, In one ambOmerit,-a. bleM.bf Budtagii7'M RS 3RD and EudmglO RU MP. may he prepared. io optimise the 30 hydnmhiuoriWhydrophobiiity of the' him· in· ordertn' achieve desirable mUaSe prbillek
IV WO 2012/112140 PCT/US2011/024873
Optiumrily, tteo nW be mixed with arm of tbelMtogiF^ pmdUcts to improve nowduring coating·'and to addmss'iss'iies:ufteOkmess of the product daring· processing.Typically, the coating layer restoring from application· oftbte "blend .b.nutsto^ect to anycaring,
X MBH - Extended Rp&amp;ee powrier Blend fomder to achieve the .desired prrto'to. an oral meihylphemdato powder aceordmg.to the invention is a Metoof to imnwdiaw release mediylphenidate compunum wl ascrimped. rrtaaomutbylpbaMdate' cuw-powm In one· embodiftmut. toe blend contains 10 aboi.it 5 to about "30%f nr about 10% to· about 25 %,.or tonic 2 W mmiorilate wtoace MPH uumpmwut io about 70 tW-boub.'Wte· about 75¼ to·· tonertorito by weight, orultototoMby weight sustained .uricase MPH oompnnenh based on the total weight of theMPT). 'Howaveiy these ratiou canton adjected .to desired..
In one. embodiment, the Immediate release eornpoueto; Is an. thwhated Ϊ.5. methylphenidate >· resin complex and toe sustained release ccrwoneai is a barrier coafedrnstoylphenidate - ie0.ex.pbange minccmipfex ? matrix, Ip-aaotheremtodimemj an··immediate release oomptuient can be a mctoylphenidate Mun exdtongu win pomptexhaving;a wtorm layer as described hereto such that, the layer is either thin enough Or'uncased so font It provides Immediate release^ This layer detes.fK>* interfere with, the 20 Immediate relaaseof the-drug. For example, toto/an immediate releaaemoated metoylpbepldate - ion exchange resin complex may contain toss·than about 10% byweight a entong layer,, oeabm 1¼ to abernv toh, by'·wrighbm W- &amp;. otherembtotototoc, the Immediate release methylphenidate- - ton exchange resmmurnplex maycontain tougher weight percentage of an aquooobastxl coating system- auto as toe 2 5 poly viny I acetate dr e toytea 11 u I use system, to the coat lug iayc r is out cured, C Ipti o md ly, lite immediate, release eomponeaimay be.m.a matrixwithapulym.er which doesnot,signibemtoy uMemto rdw ptorite, i. to., the mmmtoateireiitese.methylphemdate - ionexehtogtowsiu·'tomplto mtritotean immediate release as defatted,above. In-otherwprds, an immediate rcteasto 'MP.H'·.component pre femhly re leases m less· than 1 hour, 30 e.g., as soon to-about 45 mhmtes- bf as soon to aboutMlmmutes, Funher, in.arm 20. WO 2012/112140 PCT/US2011/024873 embodiment, (he MPH immediate release eempenemtelemw at kw abom JOU of tee’WH withiii termt the/fethmu'teltewiagndteftestmfitm, ted. at letet about 04 of theMPK'Withm tewi 90 minutes mlkoteng atefetemfem.
In one embodiment (he powder blend also comaias a. diluent grantee, which 5· .feiiitates,rsccnstiO.ttimi:bf feyarfiOObte MPH - ion exchange resin etonplexypartteulteectetted MPH won exchange fete.cpmptex. - matrixes· andmptemtely alsc'provides· agcmster θηρ wing tee. how of fe powder (e.g,, glitets), Sweeteners dr other fimmrings, Orsuspeudteg^gerds,
In one embodiment, a dikxml gmmte Wti inthednventten.eumtens abidWing1,0 spacies used'to amtrdl pH in fe Uqtedsusfeisfe temtelaitm, GptkmaHy.< the .diluentsgrantee tehy conteifene-mfecre other extepterite mteteing, e.gf!. a gliteum admmrteg·agent, n preservative, a suspending· agent or mixtures nF sueh exmpiems.
StetebIy,Ub0'bn.femg-speutes'h steeetbd'so that- upon being cnmbfed wkhwater and any :btemfempp^fe:ofh plsoeho suspension base., the final- orM aqueous·15 liquid >w§|WB· termteation has a pH in tMnmge ofiabdm 35to 5·, temutd to about4;5,mtermt-4J; 'fheenirfetete'.maytee'h poiuxamer. "Hmbte^rteg^agcte.-may baselected trom oue armure of an acid 'seteuted. item the group cchtesrmg. of ekrte acid,aseprbteaeite aeetm suite (arterite ackt ptetephonc tei4 pharmaceutically ayceptabtesalt te eiiric iw^ascoflftetedd, accficoeM/teyterbe acid, phumhaoe acid, or a: .mixture20 than amdmsfe In one· embedimete, the bpfcteg agent is te minfeebf soteum'titrate-and anhydrous citric· atei As described hurete, the. dlluektgraimtes .tether comprise One.·Of fete of a potexsuxm a. swueteuet timi a preservative.
One-suitable non-ionic pteyuxycteylerm ··· pteyoxy pmpylehe block ep-polymerstpoloxmtters), ^-represented by dte 'tenfeIa:.13{)((;kkO)g(QIteGMC^-H())AM. The25 examples below illustrate the use of Potexamcr 183: tevaliable as Plumnie F6'8 Item BASH; whefen the/termute above Is 86 arid is:2?> However, other suitable·putexamete, or other.ailuehU may he selected. The savtefes· usefid in the pmparatem-of the fini shea, emnposteimxuf the preset ..mo tefencru generally organic· materialswhich ted In tee stehtezmiok-anddispersten oteite mgtedtente te aqueous systems ter.a30. smtebtehmbogeadus·composition Pretembly,.'tee$udhctant3-ofchfee.are nomionie 2.1 WO 2012/112140 PCT/US2011/024873 surihcmpuxuch aOpulyG/xyethylane) (Slfosoffotan ihfofobfoaxe aMomfotapumwmfoatm These· aim dbmmemially ktipwuuB TWEEN Is ondS'lfAINS and' are producedin a wide variety of structures said ..molecular twrights,
Whereas. Uuy dneof a mmiber of mriactantumay be used, pmimabh·- acompmmdo from Ge· group cdmpriring pblyxdrbute :copolyme.m;fsofbimmumnofo-oomdecenOsno poly (pxy4,foeGaxieGyI))'mwpleyed.· Thfe compound malGmddad tmifoionstpheepanyrimmm'andwweetewadiotnugcueoimly dissolved and dispersed-in. soledom
Suitable polysofoafoa include polysorbate 20* po:[ySOrbatO.40,, polysorbate G) add'mixtures thereof Most preferably, polysorbate SO is employed. The- smlacmm. 10 component will comprise from about 0,01 to about TOM wAr of Ge total uompositfonand pwforably wiU comprise about G.1% w/ynf the. total . weight· of the eompositiom A secoud-enuthihbr/Gr-foumut'Uxefid in eombmatioh with polysorbates· may beumpioyeddndixpmGmbly a.poloxameranch as lfofoxmw407.. POlOxameH.07 bos anHLB (liyrimphnm/lipophdm bma.nee)pf about 22' andria. sold under Ge frade/wA15: FiuorOnic-f27 (BASF- N3), The twOAurfhotanU Gn.be empfoysd'-moubstantmlm.<Xinivxleni'smptints,; FTy example, fim..F<rioxamer407'anfijmiysomate;X0 maywmh beemployed. -tugeGer <uleve.lsof appmxbnately from ahom'0.02 to about 4fo% Tv of the·total 'weight of the femmlaxw.
In the insfimav:whom·.auxiliary sweeteners are utifiirsd. the present invention'20 commupbtes the melasma ortlidseswceGUOm well known in the art winding bothndmrai and m'tiGaaf sweetmwm. Thus,· additional .swefonem may be chosen from· thefollowing- wolmutmg·list: Watemsuluble sweetem.ifongeuts Such as monosaccharides,disaucharidesmud polysaccharides such as xylose, ribose, glucose, mannose, galactose,fructose, high fructose, cbm syrup, dextrose, sucm.se, sugar* maltose,. p&amp;rGdly hydrolyzed. 25 starch, nr com xy W solids· and sugar-alcohols such as sorbitol* xylitol,. mannifolandmixtures· thereof'
Imgenepd, the amo unt of sweetener will vary with the. debited amow.tr ofsweeteners selected for a. pawicuhrr liquid formulation. This amount will normally be0.001 foabout UOH.'by weight, per volume pf ihemuaHiqnidmoutpositma, when using an.20' earily smtmcGhie sweetener; 'The waGmsoluble sweeteners described above, are WO 2012/112140 PCT/US2011/024873 pMfomW Used m amounts oftfomri 5 tmabw. 7(Wby welghtpbx vahmm. and mostpmmmbly Emu about lO 'Ur about SOM 'by · weight per ynlmneet'. dm Orml liquidcmuppsfomv in commix the ardimml -sweeteners .'[rig^/snemtab wli^ie· t and·dipeptWM^ sweeteners] ammmd in amows’nhibcm 02)05 to about 10M and mast 5 preferably ebmi 0:01 m about.25%· by weight per volume of foe· liquiddumpusjfeum These ambmW&amp;m opli.nadly:heeesaary w achieve a desired level ofswmmess indqmmmm imm foenaymafevcLaehieved from flavor oils.
Saimbfe. flavimn^dudumtah hatumi midaniftcml.Hayom, ntfo mmtesmcfc as.peppermint. menthol, rnimmte vamEK dsnwn>vanrms hmUlavnrs. bote mm visual 10 and nfexafo .essendte dih (Its th^tmpLeikxUyptuLnwuthol and methyl sfeicyUte)nnddlm. likeam contemplated. IMatnmmt.qf flavoring employed is nommllyd matter ofpreference subject io smdh .team ayOmmr typm 'mdMdiml fever, and strength desired.Thus. the arnxmm,: may be varied· in order to ohtamths result desired itetlrn dpul prndact.Such varitemMam within Ute dapsmHttesthose skilied in the/art widmut themeed for IS undue experhnmimtmn. The-fevormgs am g^mmlly utilised in ammmm that will varydepending upon foefedividmu ilsvoq. and may< for exam pie, nmge ip nnmunfs of about0.,01 to. abfem 3$-y by. weight pervolume of tM.'dnaioompositwvmight.
Usefhipreser^mtlyes mdude, btore not limited tfo sodlpm bernmate,. benzoicacid, pomasium wrbtrte. sfotsmf efethte (nbu Mmwu. agsaim of' 20 etkytenedianfeemtmacefe acid, ar.EDd'A,vnnh'as disod:h$nt. fefl'A), parabens' (s.&amp;>methyl ethyl, propyl or butylfoydmxyhemfoatefo etc,},.and sorbic.acid. Amongst uscfolpmseMfoves mefude agents’some :of which am: listed above and other dteiatmg agents,. teg:, mtrikmmeetk acid (NTAi); efoytenediamiiteWtracetieneid (EDTA),b ydm zyethyl ei by ,1 enedbm metr i acetic acid (HlfeTA fe' di ethyl enetri aminepentaaeetfe acid 25 (D.PTA1 l,2d5ia;mmGpmpametmeectie acid (lAADTA); 1,3“ 1 Aammppxppmmteimacteia .add ί I (3~PDTA); 2,2-efoyIenedi(mybfefetbylimi.nad ifoeefeacid}] (ΕΜΓΑ}; 1,1 Gfeisfe'ssyrtdylmedlyi)- Ifey ,.1fe4etm&amp;zadeGaxm"(BP'ni1 r\);uthyfepedmmw.(EDAMINEfe Trans-1 Amiamlxtuoynldhexmte-M N, N\ NMetmtefefeacid (CD'IA); ethylenediamittedfe φ1Κ)Α); phenamine medmsnJphate
30 (PMS)p2, feDtchfot'O-mfephenol .(DCPfF); BisfoaxbuxyjnethybdiazmlS-cmwttM 23 WO 2012/112140 PCT/US2011/024873 (CIhOWW)t'pprp'hiU0; phlorophyH· .3-DiiWcapio^l.AntqmUrk. citric idd: tartaric add; fumaric acid: made acid: and mid thereof ThepreMMMwes listed-above.ere exemplary. :but .aaeh/jX-ew^'fivq;riwi be: eyahuihxl-iq each. fiwumlMion. -to.assure the Chmpatfbihty nndmfficacy ufthe ]WWfe&amp; Methods for avaleating the 5 efficacy, of preservatives tuphamweodbal tbmmlations0re known m those skilled bt the art. Prdbnvd pmervMiws are-the paraben pmservariyes:mdudeanethyk.elhyk; pmpyhand bdyI parfcn. Methyl end propyl paraben are must pmhnabM PmfijinbHg both:msthyl and propyl pamben are. present in. the ibnnahtioh hi a ratio of meihyd'dambnuto.propyl.paMbeh of Rom ahmn.2,S:I io. about 16: h preiWhly Mb
10 Qp&amp;wUy, these dilusMsgmnulee; as .tacribed. herein, may form part of the MPH extended j*dease' powder blend formula dun. WhenpteterM the di meats grntmles-.may bein amount of about 1% by weight to Mote MM. or about I GM to about 8546. or about.MM toabout 75%’by weight of the twTMPH extended rdeas&amp;puwddr blend.
In on.0 tmlbodimchi, the invention provides a methylphrndateBH powder blend'15· oomahimg a·barrier·coaied MPH ion exchange resin complex - matrix which provides·· a susle.mnd.reiease MPH Profile fbltowmg admmWMion, MupcbatHi MPH Monexchange resin, complex, or another immed iate release MPH onmpdtteM and an .optionalplf adjuster which is.a cmnpmmd. selected ta&amp;ljust the pH of UMqxmwn formdd.bycombining water and the methyl phenidate' BR powder IM.ud io about '3·,5 to- about 5, 0' about 4 to about 5, about 4 to about 4.5, or abonl.4,2. Suitable pH'adiusteu includingvarious excipients, may be selected, A pH adjuster may be a buffering agent- amdescribed .hhmjn,
The ratio of immediate release MPH component to sustained'release MPHcomponent may bo adjusted as desired by One of skill m the ib.mmlatkm art. hr one·
5 embodiments the powder blend yoaUms about 5 to· about SOparte W 'wdght'MPH inImmediate release form and about 9’5.to about fiO-parh by weight.MPH in the sustainedrelease Gamer coated MPH- km cxdhiMgerasm complex -matrim .bused the· total weight·of MPH in thehlerid (0e..t cxdwding the other components such as-the Mu exchangeresin, matrix .ibrming polymer and coanbg), In/auother ehMxxlmM; the MPH BR 0 powder blend cop tarns-about IfitO about 30 parts by weight MPH in immediate release: 24 Μ ί?,> WO 2012/112140 PCT/US2011/024873
Bw feahaut tern about 70 purfe/by wmgbpMFHdn xusmite.:refease'barrier-coatedMP'H'. - km..0X0hsilge msiu complex - matrix, based ΰροό. toe total weight MFlL Ip:t4illa ferifeembudimfett the MPH ER powderblead contains about 20 parts by weightMPH in Immedlmemfeasetem to. about pans by WelgMsitelte
5 based upcm the fetal Weight raefey jpbemdMwm the powder blhnd. Ip .one partetelypreferred embodiment, the immediate release M?H h in a complex with an ion exchangemrines described herein,Optltmlly riteerin commteicm with a.m.ferix· fernring agentAs described Oemife the'MPM - ion exchange ms complex. amithe barrier· eOaicd-MPH - wn.exchangu msm complex - matrix are:m,^moute'.fem..anu-.haya been pnteWdo. 10 ensum that they have a tee OfaboUt 50 feUbouHIO microns, preferably beam· ahnnt410 mferoitw dypfeahy, teteiage size .of tepMiteatete m the range of abcmt 1.00mirusw to aboxd.250 microns in tern
Ih'mwefebudmmm, thmMPH extended tetensepowder blend h tbmmlafed in. a·dosage unit which comprises a mixture of gnmtep barrier coated M'FH - iori exchange15 resin complex - matrix arid uneMfedMPM-.fentehattge .fesm 0ppyplexe%.sMd .granatermatrix and complex "fewlriga papite, ste mngtetem about-40.miemax tonbout 410'misruns 'to eahanemmoaih feel fee:< tex.mm)te abeut.5'0 rterimd to SbqUr250.micr<m.fe.These parrictee may he either mgteriy of teguferiy shaped. )h some em.bodimeu.fe, -theaverage particle size, of the .unvoted MPH - Itm exchange msm·complex matrix Or the20 avemge panfele size.of the .coated WH -fen exchange resin complex - rna iri x is'milled (ό a size of .about·' 100 to dbOut:200 miternc These|wtiele.ri»mmy be fetemteusing sipye analysis through axieve skate hategUSP tetefe .wire: mOsh: sievescotemteg to ASTM speeirications. Because die $Ineni,gtopte lit Werteluhle·, the.average tee of these grimufes m.ay be larger than those ef teuncuated MPIfe ion25 exchange. rate compl ex and the teri er coaled· MPH -. ion exchange msm complex - matrix. In fedg .a larger gtwfe slzemay be.dntebtea the larger, anrtoee area, of such,granite fecfelatesdlssuhtoon of the dllaent gmmdn upon being 'cOmbhed with water.Inmne embudlnmn:t the difeOnt juries are mikedfetough a f ifemill or other.similardevice fitted wife a.20.fete towr, Thus*, in orxzembudiment, the.diluent-.gmnides'tos a.30 size below feoutBSQ microns (pm), orbefew about 540 pm. However, -diluent granite. 25 WO 2012/112140 PCT/US2011/024873 maybe milled tq.· a smaUersize., about IfeO-p-m to aht>Ot200 prig or to a buffer size·,s..y< up to abbot WOO. pm;. In'onc fenbodipfetfe the ΜΤΉ extended release powder'bfendis a hdwio^enons mUiufenf the granular; barrier amted MW - ion-exchonge resihcomplex -ma.trix..partidcs and/thegrrnmlat imewMMWttou exehaugti’wsm 5 complex. particles having a· rixe ranging from, about WO gm to about 41Q gpu in ajkmiogmms admixture wW-dimeni granules·, which may mgelnsike fwn about ΠΧΙpm to about 1400 pm.
The MBH extended release'powder; 1$ stable 0W ^.period oFat least tihum 1Smomhsfe room .feiupmtu.ro. and has been tested for least 6.mfe under amelemled10 eoadhions which are predictive unstable shelf-tile lor at least about 24 months. As isllhiMmted in the examples hereby the potency of feM'BR (feaciw component of the·compositions oftfe invummn) is.not dkeOil'y related id the primary degrifetitiori productIn sumu smbodifeetik the ΜΡΙΊ extended misuse powder.feehd.hss less than 5% loss inpotency, prefemblylesa than ubf.fessmf potency* over a period, felat least about I8 15- .mouths wfeer-smbfeM ennditions. Whife· useful Mr fennulatioh as a solid. the.'MfTIextended, rdew powder blend: ean'bb prepared as a ^nspensiou For oral deb-very at the.time the product .wxfem be used. This W.H. suxiwfem has· aistabfe shfeftiferinder'ambfem: conditions iwsr a period of at least atat fbm mouths at ..room iempeniuuocfell.owing admlxfeg with warns to· ferm the aqueous extended,release MPH suspenriou. 20 Imsume embodimem, an aqueous M.PH So^)etisi<m:cmdfem.dg the'MFHEIdpowfer·blend has fess than 5% loss in potency^p^ferably a. fess, than 3% loss ofpoteney, over a·period of at. least abmd dsmonitio-t room fempemtuiw
In omrembodiment;.the MPH extended felefefeppowcfeobleud is formed'ink &amp;Solid writ dose or a solid prepamtiop. Smfe solid preparations may .take the form, of the25 powder,· optionally with further excipients, loaded hue'a mil packet, sachet ortho like, orother solid pmpsrati:nns.such..as tablets or capsules, etw la tine-embodiment, a tablet oflife imfenfimr is fermuUted as aueraife·disintegrating.tablet. Such orally dissolvingtablets :may disintegrate'in the mouth in less than'Ahum 6(1 seconds,
In amtiier. embodiment' the-MPH extendedfeleaae powder whlch-wm be readily30 prepared as a rxispensmmlbr nraldfeh-w, Once prepared:as an ami aqueous 'Suspensmfe. 26 WO 2012/112140 PCT/US2011/024873 the wfoing wspmfon pmvMesm'pfuddct which ebi bexfemd for st least about ®emonth, or at: least about tour months, as oospensm,
OraHy Adnf nletrsble Aqueous MPH Extended Helsaso Suspensions 5 In: one ssptfopibe invent mniprosddua a metbyiphemdate.aqueous'eXlandcd rdlem
omhsuspenxiQn comprising id least :50H'by weight wal.ee baaed on the total weight of theliquid component of the suspension, wherein. extended relearns· as denned herein. (wg<,.providesa thampimtlcady όΠοαΙνο plasma prdlile tor about 12 boms). In oneembodiment^ the...aMspension coWins· at least about 3()% by weight based dri the tmM I d weiglU-Of ths suspension'. hi one cmbodlmcm, the Stispepaibn has .a pH of about 3,5 to about' 5> In another em.Wrimenh the suspmmbnhas. &amp; pH of abmO toabout.4,. or about4tonbmd.4H,.'tn' about 4.2. Μ one embodhricifo whom the. meth yip hemdaie aqueous extended release umlsuspension qmttmns at '.least oq&amp; coaled rirethyipharndme - tun exchange resin complex ····13' matrix'eomprifing nwibylphemdatebouhd· iOnphsrmacsutlcally aeteptabie .ion exchange resin mtd havhrgahlgh.Umsi'ie strength waterqjermeablegWatWdnAthihie, num.ionic polymeric bartier Coating, the stwenmonyoniaihs atdOasi one ufoec smneo cma.drug hmm meihylphsmddic or a di Went: drag), In queembodtment, Ihc high· terisxfestiwMh wider-'pcweable, watcrdnsoluble, nonrionic polymeric· barrier driatmg lit a20: cured, coxtedtlwIEcnat^SiO'OI). - girfemer) 'bmricrdpetmg.
In oheWdxKliment, tvhmw the methylphenidate 'aqueous extended rfomummlsuspension. comamsmxthe. sustained release Ur nmdifxxl.release· eqtqpotmnrm: least onecoated methy.iphgnida.te - ion exchange resin.complex,comprising methylphenidatebound te a pwmauentieaHy acceptable mn exchangc resin and having I* high tensile25 strength wuter-peribetfnle; waten'innomblc, ndm-ioulepolymcrsc barrier' ooaiing, thesusputismu also cohtairisim immediate rekass. methymhenidam eompmwt.
In one embmUment a metliyfohcrndMe aqUecusextended .ikleaseu>.mI’niXptet§iqu. has a plxmmaeukinetie'.psOrik irrwh'ieh iAmhthylphemdamlmc'wAlK;^ of about 114ngfopfette.about: 180 ngforimL, of abm.it '11 ngdnL to about 17 rtgfmU T-^ of 30 abour 4 hours'to about. 5/25 houm and Tm of about 51 urnm tri about'7 homx fol 1 owing a.. up WO 2012/112140 PCT/US2011/024873 mgfomd Man aqdaotm;HqunbstiSptaIous.t a-riusewgdyafent to 6dmg taeeiuie MPH in. adultsy: In.ouewqfoodihfoliv the wthyfeefodiawaqUCOus exmtadWleiW oral suspension has a phamaoukwtiwpiu^fe· of Figdm 3 and/or aphatmaeoklnerie pmfoem which d-;methylphenldate Iw.w Al/£W Mahout 143.65 ng- 5 m/mL, of abodt 43fol tau/fe of about 5.fem and Ί3- of about 5.05 hoursMowing a single era! ad.mfoi&amp;tratmti MWaqueouS liquid eMpmtamta dose·equivalent to 60 mgtaenric ΜΡ,Η.ΐη. adults..
In ou.u-embodiment, foe methylphenidate aqueous extended feleasu bmliirispeMfeu bus aptamucosttadO profile .in which fMfoyipttadate.haxan AUQ,.S. M"10 about 137/2t0aMut.214.4 0gAHniL,a.Cm;J<imf afeauMxfrte taut 21/3 ugdnh/lfo^df·about 3 to abta'5 hours.,, orabout ·3;5' to ahum 4- tank or about. 3 :bom; feloww a .smgle oral admlnlslmtM of an aqueous liquid. susptaimi at atae equivalent io 73: mgrataue MFH in addfe For mtampleMc suspension may,have dfofoiariutakmeueproikuof Figure. 1 hi sMubh'dmiefoylphealdam.lwan. AU<M of taut 1.71,5 ngfor/mL. 15- and a C^tfoaboutniO pg/mb foUowifetangfo oral admifeirtan Man aqueousliquid suspefeou at a dose equivalent to 72 mg raetau MPH tri adulfo.
In oiw embodiment, ihe methyiphefodate aqueous extended release oralmtataus conuta nwthylpbenkte qeleclud fonn revenue· mefoylphcnMateandfordexmethy Iphem date. ”20 In another efobmMta the wta'cm provides an aqueous liquid susptamn fommltfen recunsriumd fem a powder blend. The powder blend '.typically 0feta.msgranules of.a sbm ranging fem-taut 50 toabout 410pm A size, which granules are a.blend of uuOOated mefoyfohemdaie- ion exchange resin complex, a.barrier coated.methyIphmtaM ion tatage ream complex - matrix., and, qpfenaUy, a diluent 25 granule. Where a· dtamt grwde Is present in foe MP.H KR. powder blend/ uponadmixmg· with the aqtwtw liquid suspansiomfoe diluent granule is dissolved .tafefoss xohdi.ou,.wfew:ea$ the utaated MFH - km exetage· resin ta).pfe,ta feuoatedMFR - inn exchange resin complex -- matrix arc suspended. Optional .1¾ a: pH adjusterw be provided by the diluent granule or this flmeiM may he prpvided.by afewrate30' exponent when· the powMr-w combined to form the tapefeon. Such a. pH adjustor is WO 2012/112140 PCT/US2011/024873 a.cpmpowd whichmbpsfe the pH ofthnsnspatem tothe rangs^of-about.''3,5 to ahum 5,about 4 te-aboUt '5,ab0nt 4 to abbot A A. or about 4m, 0ptmhany,mterkmoredesi.mdwxcmwb> mehtdmg; fltemteweeknerA or'prc&amp;urvaiiwte other exeipfetSmay be added to the smipensmn.. 5 In one emhudimemi. anoraHy'ddmmtefeblh aqnetms·suspomkm issfotamed by dispersing the MR4 extended tease powder bkml m a amiable aqueous; vehicle (bn-.,water). When reference is made to an oral aqaete'tepansmri, lire ienn.:eecpmpasses;pfoduetS'Crintefohtgrhe MMH ER powder bteadsuspeimed inn liquid base whichcohtaiik mum tel. about 50% water, teome ejnbodnnemx,foe: ilqwls in the aqdeups 10 Suspension, base conUute least ah-uni ten water, at least about '90% water, at least about. 93%: water, at kast sbrnu 99% water, .pr'1()0% water, Suitably, theteuspmtem ban a pHkrhe.wnge of about XS.to aboutpretetbly> about 4 k abeut.4,5'add tweprefeablynbrmt 4.,-2, k some embodiimte, the liquid suspension epmamsut least 80% water andthe resulting krumlatw is stable for at least· shunt-une mnn'foibilowing combination of 15 the components of the M PH powder blend and the aqueous suspension. In someembodimema, foe MPH aqueous ER sttspensma· is stake, for at least about four months,· ' TheMPH.extended release aqueous suspension product permits ready dosetfotfoon, mm adjuring the dose of a rnedteathm based on recommended dwrange andI wquemw until foe domed thmpeutk effect Is achieved. :With- the MEH ER aqneons 20 suspension, physician. ew ti tram as' rapidly or slowl y > desired,wring any du se merement; in. contrast, with tablets and <nw shnikr solid formulafoms, foeteuseinu.mment.kS: limited.. In addition, a physician can readily ctiStoute ilk dose so it isprecisely right for the patient. This is particuhrly .desmfoly, as many patients·experience some side effects 0%.,. diftehy sleeping .or loss of .appetite} as they approach 25 o.r slightly exceed life thmpeetk dose,. Bmec most doetrns prefer extended teasedosage forma for those pattents (so they dmVt need to lake c k^'dose during fcday)se-u4tem.nri.ftg dose-and good dose tftmtfon we difricwt usmg the products teteio priorto this invmteiM 'Hie present prodnctwill provide· aft exfoted mleasc aba-iecfesuspension MPH medfeifou, making itusefol for titration and once daily dosing, 29· WO 2012/112140 PCT/US2011/024873 m (momfedimeiit, the MEH. HR. powder btefe pwxlex a· pfedn&amp;fekmfeopmuie in which d-muthyipfeni.date has AU(X.,-: (ng-hr/mL) of about I.14 ug-hr/mb toaboni 180 ngferML,. (Am LwUxL) is about 11 (ug/mL) A about 17 (ng/mE)MAs«c. (Er) isabout4 hmfe to about 5,2.5 hemafe TM (hr) b about 5 feum to about -7 fenrs· 5 Mowing a single, oral admimWfeon wf an aqueous liquid suspension fedfemfe-tfe MFH'ER poWder blfed suspended therem nt a dofefeuiyalem· m about .60 mg racemicmethylphemdaie hydroch.bri.de in adulfe hr cpe emfedimefe the MPH ERpowderWfe. coifeinx rdc-embmefbyipheBida1.e. hi afetfer embodiment, the MPH ER powderblend cohtama dexmethyIpfemdafe ba still afetfer ambodimefe the MPH. ER powder 10 blend confoius"feth mcernm methylpbunidhteafe dexmcthyiphenidme. In ofeembodiment, an MPH ER powder bfefecmferfepg an ifefedim rHegw.mMylpfemdWeontppnent, a sustained release barrier coated methylphenidate - ion: exchange fem. oompiex - nuttrfe and M Opfefel water "sofefe Mfemgafefe providethis pharMcokMfe prolec, In erne embodiment the bipnd cofoafe about 5 to afeutί 5’ 30%, er about 10% m about 2535, about 2053 immediate mlefea MPH' fefeoneat io afent 70· to about. Wfe about 76% to about POLL by wigfefe about SC%..by weigfosiifefeed .release MPH component baaed <>n tfeufeR weight efthe MPH. In uno'embodiment· the imwdiate mhfee component is-an fecofed MPH--Ion afehange. remcdmpteX. may pruv'ifethe femedtete ..release fe'mpoUent Howeyer,· optmnaby, other20· immediate fefewp terms· oftfe IMPH may be Mixed in. a- MnuMon· of themvantkuuVffefehe immediate release mMytphenidam.cpmponentis felmemfedmethylphenidate * km exchange resin’ complex. It is· pptlenaliy Imcombmfen with· ahydrophilic or hydrophobic polymeric matrix' fomimg component ax fefmmi herein. Thewfexfe'feeaae MPH efefemfet is a barrier coated MPH ~ ion exchange resin complex 25 - matrix. In one embodiment. fhe brntiereoafegife watewpemiefeiefeigh tensile strength, water maohfofe barrier coating femprfeng a poly vinylacetate·polymer and aplasfefem In anuther emfedlrfeut, the barrier coating is anfehyIfelhdoae bamercoming. In stlO. imoihmwmfedlmenL.tfe coating ts a px>ly (ethyl acrylate- -fe-merhylmethaciyiate-cu-irimMyfenrmmimnmh'yknedmcfyfecchlbridM'pQlytPVF, Depending 30 upon tbs barrier coating selected, curing ia optional,. as.described tn mere detail in thin 30 WO 2012/112140 PCT/US2011/024873 sferfetem. white 4iwsionby retemte herein. Ik one embadi.mekt,the barrier coMmg cured and eomprises a pblyvmyfeetaie, a. stahifey a soriaetanfand a.plate riser. In onejembodimanf teg barrier eoate.omfeses about 2,5m about i 5%of .phaMe.feri.abrmtwOm· abte 00% polyviny'Ucemte^ubbui 5 mmbum 10% 5 pmwfepym.ddbfe and about 01 Wo about .1M sUrtecmnt, Iu a furthercmbodxntettbrite plfeeter ia triacetiu and the smteetant is sodium Iwyi suW-s·. In Stih-ateriher'emhudiment the barrier coat composes about'20%m aboui.45% by weight of the coated'methyiplienidats - ion exchange mein eompfe-uiairix. Im anotherembod imerit thecoated nWthylpwidiko ion .exdwigu re$lu·.complex.- .matrix temprites a' hydrophilic 10 telnet in. amamount ofabmri 5 to about 20% by' weight based cm the weight'· .d -he imeoarndteeihylphteidate tern exchange· feheomplex~ matrix. In std'I a tertterumbodimetrn the hydmphihu polymer is polyyinylpyrrulidone. kt another embodiment,the coated methylpteul.date' ion exchange rete complex - .matrix -comprises· ahydrophobic pblymerorte-putym.ei:in an. arrmmam about -5 io ahont:20% by weight, 15 based' on the· weight of the (mWl or' precoatdh methylphenidate - km exchangetrosin. complex - matrix. In site. a. .feher embodiment., the hydmphoblb polymer comprisespolyyitwhcekte·. Gpuimrihg m any of the embodlmmusikteribad hfem the MM ERpowder-blend mte teuaih .wet-soluble diluent grantees hrorderto krilitatentepensionand. pmride a powder blend io which only water need-be added to provide a final 20: suspension otetabk lur'iteministmthn m a pattern The pH aiptetur may be &amp;· bprieringagrim which may include oteof the. fipHowingm’-rnay be satectedteom the group,mmsistmg of one armure of n pharmaceutically accepmbie aOid.scteeted'hom'ttegrOupconsisting of curie acid, ascorbic atet acetic acid, temriteaoid, phosphoric acid, a.pharmauCutmaHy acceptable sah of term add,· ascorbic amm acedc add, m.rtariic- acid,. 25 pb.usphoric-.aeid, or a mixture of stelpharmateteritey teeeptablu acid or salt In one embodiment the .buiTerln^ apte eemtmus aateyture of sodium citraMand anhydrous,citric aeid. In another embodiment, the dilute, granules fediercomprise-mteOrmompf.a sorihetant, a aweemnaf- cud apresertetee, ip a. further embotemeiri, tee diluentgranules comprise a pukmsmon WO 2012/112140 PCT/US2011/024873
Inqua-ernbmhmenh. the powder'blend· hnemstitutfed Into an aqueous liquidMPH extended teteasu susiXmaiOn foxmtdatkm haying: a pharrnacokmmk pmkw mwhich d'anetFylpltemdate/hasAlJCis.^ is .about 141¾ .¾^ (ng/n-L) Is about 13.6 L2¾ (M is about 5 and T&amp;’M is' about 5.65. 5 .krone embodiment an MFH ER powder blend, haviag-tbe following fommld has.
this profile w$s (KolnonatB SR3® - plasticizer) harrier ernned (30% weightgain)'methylphenidate - ion exchange resin complex - polyvihytpyrrobdune .(about· Bfo.matrix-i) anmhctaed'mathylphemdate- ion. exchange:resmcomplex? in whteb-.dte·· weightratib of.immediate.extended··release MPH: to.sWaiued-.release.MFH is apptabuatcly SO 10 parts by •weight te approximately 20% pans, .In. one <wfow.knejk the powder bfond is tCcoitetitfocd'mfo an aqueous ,Hquid:.MPH'. extended reteasoteuspewort 'forxtmtefiori.having a pharmauukmetteptate in which ddrtethxdifosmdate has A-Uftais about·H3A5. (ng/mL) is 13.6.1 (42.5(¾ Ti>1;;x (bn is.5.66 (I .67-6.06) and.T,^ (¾ is 5.650..5101¾ ata dose pqplvalmfo about 60 mg meemfo· methylphenidate bydmehforide in 15.' aidis. m still anotherembpdmfebE tbepmsent rnvenifon..prn:vufes..a singbMWextended' release product which provides imutedlate reimc arid further provides the.'plumnaeuMnette: protite of atwelvedmtte Wiaiimd retease cemptatfom feoneembodiment, the extended retease contains art immediate, setease component which is 20 biocqulvatent to acommctcmUy avalJable immediate releaseforqmtaxtfego Meihytm)and a uonm^teBpr0Vidmg.a. sustained mfeane MPB profile.
Ip one embodiment, the oral ,MPH aqtwts.’BR suapmlrm has p pi t id the· mageof about 3.5 to about 5?: preferably; about .4 m about 4.5' and more preferably about 4,2.Imsome embbdmtents. the aqueoua suspension contents.al least· 46¾ water and· the· 25 .resulting formulation is- stable .for at.Ieauralwi^obe'nurnth following foimbinarion .of the.MPH BR powder bleed and the spspente oft .base; In other umbpdlmenteAbeAqueous suspension la etabteat a pH:of aboatAm about 4,5 for·at least about fourmoniba· fol lowing· preparmfonof the -suspension containing the MPH ER. powder blend.u$e$.. 3.2 WO 2012/112140 FCT/US2011/024873
An aqueous MPH extended reUa^uompasitiiam Of the invenmm may be orahy:admmistered to a patienthaylog a disorder'treatable By MPH. These mchtdp disordersibr which· regmatury approval has been granted m tire US nr other jurisdiction hi whichdm dwg fr. bdngmdmm.iMered..and':which require regtilmury approval For example, 5 Μ.1ΊΙ is currently upproverltbt ueatnieut cl Attention Deildi nypemothuiy Disorder(ADHD), pqsWral orthostatic tachycardia syndrom^ and narcolepsy: MPH has alsoBeen described m parent .applications and· in the. HreraWre as 'being wRltl Ibr tfeMmenpofsuch -disorders· Mudfriip. but are not llmtretl' to, behavioral dkowlers, treatmennmisiamcases of lethargy,. deprcastum nepral msuh, owlt^ wdiarelyuihdppaycitlaxriu disOrdere10' wch.as oltsesstacomptdsivedisnuta Atiemion Deficit Disorder, .depression,; spwiHhdyslexi'ay, brain dyafrmcdmy epgnithre decline in AIDS and AIDtS rdated canditiwwaleripw in geriatric, .Alzheimer's pAtatS Jmrecovery io strobe' victims.
Tims, the invention provides a-metlmd of treating, one urmore.-qfi1w· abovediwders for a peiyod of atleast twelve hours by administering an'-tiquCimanrel liquidIT MPH extended release composition bused oil the reredsMmed: MPIT extended releasepowder blend Ufa barrier corned iPdthylpheuidate-' w exchange .ream complex v matrixamf.MPFri.mn.wdiare rebase. component (opf animctwd MPH - ion exchange resincomplex), Ag,; a liquid suspension pred0ct''havibg 'aphr 'm-.thc.sauge nf abmsOA toabout 5; about.4 k about A abouH to about 4;5 or about 4/Z FoIIuwing-admhimtrathm20 of.omgle dosqof the oral MPH'compOs-itiory a therapeutically efreciive amount of MPH m reached aS soon aa. ubtmt 45 .minutes or .earlier. lu one umbodimem%the.ave:mgwpeak.plasma cunceutmion .from: a single oml doss of the MPH extended release aqueopssuspension is reached abrnn two io about'bye hottra ane.r admhrihtmdon,
The concentration of met'hyI plmmdale is variable and may be determined by the
25 desired dosage and. vuhmre, For example, an ammmt ofmethylphenkkre equivalent to I mg/mlmrretbylphenidate HCl way be used w previde a 5 mg oral dose per teaspoom and.an ammiutof methylphenKb.ierequivaient to 2 mg/mh.methyip hem date IK· I suspensionmay yield m id mg, oral dose per reaspoom These concentrations correspond to.hvodosages currently available, butcan gahighen However, since the mefrtyipirenidste is 20 denvered in· a sAtim% the-dosage can he wliy numpalsted'to prescribe a nolyaxamtal 33· WO 2012/112140 PCT/US2011/024873
dbsage. The enmeurndfon. of msSihylphehidato tuay be eqmyafent'fo/about.O. I mg/mwtoabout KM) mglniLiimthylpheaidpte. HOL A eompuslvton of dw cweutton to tottouluted. to deHver MPFi ix nktotde;wb:ly. hi dosagto ranging hmm aboto 1 mg up toabout KHhng per day. pretombly Rom about 5. rd foab<tot.75:'mgpm' day. ormabmd. 1A 25. or 60 mg dimes [based' dri bemtofonce to,rwtmu methyl phcUidato HCK ahhough vuritotonawrU· .tmctowily·totour dependingupim the weight andtofonditibnofthe subject bring treated hud the partieuhr' rctoe of.administmiion.uhusetr. Actual· dosages of dexmetoy'iphefridatemm.y be at half the.ambumeof fadamfc'.tnmbyiplteni.diito; VaFiutibns'ptay hgyerthriesa occur depending K> Upon, ths weight and condiitou of the persons being, treated and their individual respomesto said medicament;
As described hereim the MPH extended release compuaitton.of the itounriaapermitothc cotupounds to-be dosed madly twlcetotlayat 12to0ur intotoaM. Huwvep.depending, upon the pa.thmt./§malter doses may be delivered at intomri during:the day. 15· Other patients may take, a.sfogto dose in the morning and forego duauga-m ihe·evening.
The Mboforg examples are.ilmsrative only and w not Intended to be alimitation an the present jpyettdon.
KAWLBS
Exam pies· 1 to Examples 5 ilfeafmtoprepamtionof ppwdej's which Utemcnnsthutatoe tor methylphenidate·- ion· exchange msm oral suspension, equivalent to25' mg:MathyIphenidam H'CI per 5 mL. 25
Example '1 - Methylph^nidato ER Powder for Aqueous-Otto Susponsion
Extunpfe 1 idustratos pfophratiou of up-oral suspension: cempestohn:mcoasfototod from a m.rihytphexddafo (MbH) extended mlease.fBR) powder;, m thisexample, the MPH ER powder blend is a cumbimpioh of (I) , an moated 30 methylphemdato - Ιού exchange tofoV(h) $ bored. coated; (pelyvinykcemto - ptostidw.
<img img-format="tif" img-content="drawing" file="IL227734AD00021.tif" id="idf0001" />
WO 2012/112140 PCT/US2011/024873 30%. weight gaiu}methyiphanida.te- Ιόΰ. exohange:mri.n complex, - hyrlmphiilo. pulymotmatrix, and Go) dilnem gramdex. zt. fombmW - Am femo;u^e ..tom ffompte "ΐ hmmi butts I Methyfohenidam H€l j Amboriifo^ i.RP69·
. Sodium IfofosiyttamSafofotelfoW
Purified Water'· ί Cbumfoh· i j'wogj ' w ? ' Removed during· processing
The lamented nwthymhemdme mesm complex was prepared by fim adding SO E10; ufoforifmd Waler in to the. ve$sei-mid.nmthy^MPida:te HCi was dissolved by eorfouwis. mixing. Sfodhim Polystyrene Sidfonam inn whangcresfo (AmtaSte® IR.P 69: Ruhm:and Haas] tea-dispersed in the snhrimn· with cwirmuim mixfog, xvhmhvfos eomimrndfor 60: minutes to pmmttte 'for the mteylphemdte and fon- exchange resin to-form a.cohipiex. Waterwfo.mrimvod'hyfotearfompraeess.foiiuwed'by rinsing, twice using·15 purified water; during which process displaced saltfops (Item the MPH or the ream) arealso removed. Wet resin bompiex’xtes tfou dried udUi.m.pteim-coomm· was 2H· to 7 %.iFhis dried methylphenidate - fon exchange resin complex wasp&amp;ted fomfofo 6 CG-MILdo woe ntW-wh a standard 40 mesh screen (/. fo thegmmfe swring through have wpsrtmuhfo rifo below abtMAiO put), Tlria wax the pamefow mmoated Q· hfothylphentafo -.resin complex (m.ethyfohehMafopuHstii'ex), $. temte - Zo.u .tofo. GiPfo/cx - Afote
i IdneoZed Mothylpbetudmie: - foa Bfohmga Rerih.Compfox-of tert. A
Kohidofob K30 polyyinylpyufoidone (FVP)................
Puriried wtiter'. W.g j Pariimd Water................................ s Removed during· processing3B;
<img img-format="tif" img-content="drawing" file="IL227734AD00022.tif" id="idf0002" />
WO 2012/112140 PCT/US2011/024873 hi aseparate eomainer pfeyemylpywHdiw ( purchased asKoUidon^ OO-fmm·BASF) ws-dimcWd iit26.29:gmS of Fariried- Water (FVp solmiuri). Imeoatedmethylplmuidate ~ resin, complex prepared according te Part A was heated with the 5- povMbne mmrion until a. 7.73· %. polymer weight gateway achieved mid With mmilnueusmixing to· term auhi'term masm The wet maos was pried until the mpWmwcmttent ws·:between 15-25 HWmFdried mfeife was ihen passed; through a (WMIL deyfeu driedvdVhq.mdndatd 4d .mash semen (aboitHH) pm). Milled 'material Wxferiher dried tmWmmsfum cOritem was 3%. W %> Med material was again.passed thmtighm CO-MFL10· device feed'with ampndard 40 .mexh screen (abeutdW μοί liis w theprecnated. mdhyiphenidaie - ion exchange.mrimWmplex -(FVF) matrix. C Gmted >- Fm-teteauriga Farm Gteqp/ek - Mfe-m . t lug.redkmts Qmmtriy Fmcoated Meihylprmtedate - km Exchange Resin 3«δΤ Complex ·· Matrix of Part B RoUiooat^0>R3()ll (3076 wAv aquomistekperslmri· ~~ 3714 g 'lyiaceiin.fptehtici.zer) do g. Purified. Wateri Xvtsfi g 15' ^Renmved during' pmbassteg
’The preepated mefeylphenidhte - ion IvxekangdReri0’complex - matrix wascoated as foHows; 2-'hecoaiing,soIurion was prepared by mixing 7:riaeetin¥. Purified·Water and KdlhcteW SR30D '(W$K aqueous .dispersion wife. 30% solids umkritt,20 e(mta:iuing.27%Pulyvinyiaceteteg2.740 puiyvhiylpymdidone^th.l^i ^ditmilam-ylsuhhte) in -a. separate ctmteineri.The coating process was perimmed in a tmid bedprecesw equipped with Wurster column by applymgiWmg- sohitmn mt td 3900 gramaof the pmcuatedmiettiyipheriidatU" ionmxchrmge msm complex-· matrix prepared· asdescribed in Pari B: above, ttelU 30 % weight gam was achieved. The. (ΚοίimuafeC 25 SR30D - triacette) coated methylphenidate - .Ion exemmgaWm comptex - matrix we WO 2012/112140 PCT/US2011/024873 mifed ip a hoi air oven at 60 ";C fit? 5 homs/ibe. cured eoai&amp;d. meth.yl0'emdafe·" Anexchange iw complex - matrix was passed through a standard 40 mesh screen. I). DWmnrdhwmWs
<img img-format="tif" img-content="drawing" file="IL227734AD00023.tif" id="idf0003" />
I IWurnamar 188ϊ ' Purified water*
IngnuHfe
Qnauriiy . Sugar
Sdihm difata.Anhydmas- fem acid.
Sodium benzaafe
Simtakw
<img img-format="tif" img-content="drawing" file="IL227734AD00024.tif" id="idf0004" />
^Removed. daring· pmfeamg .......Sigil Ί®ϊ1 .......®S'gj 200 g. j
In a separate aamakmr, FoWamef® 188 [BA^FJ was dissolved in periled water(pdloxawereelwon); Sugar, sodium fefe. tmhydhm fem aet<l-sodium blwaiA 10 and. sucralose· were added met high shear gmmilaw ahdgfea.hHian pnme-s.s. was· performed using Poioxaumr soluUmu Wet grannies w dried using-.rimd bed drietnntilrrmiemrelfevel, was below '150%. Dded.gmafe werefenndHad' fhrougn Htx mill,equipped with- 20'mesh 'Screen· (opbnMgspf about 850 gm), Thk- was the DiluentGranules. 15' WO 2012/112140 PCT/US2011/024873 .Wethy/prisn/Mus MwWr .fc?
<img img-format="tif" img-content="drawing" file="IL227734AD00025.tif" id="idf0005" />
Ingredient I Diluent G0muk$;
Stamh
Xanthan gum
Talc
i Quantity I
<img img-format="tif" img-content="drawing" file="IL227734AD00026.tif" id="idf0006" />
itaW u aver
Silicon /diwodfe
Sugar C Wed. Sethylplmnidaie - Itm exchange
Resin CMmplex - Matrix1 I Uncomed ^uhylpheaklme - Ion |· ExeMdgo''Rnmn· Complex.
Diluent.gwules pmparsdacoordmg'-to'Parl D were haded in te a (V' blender. 5' Mardvxamhm gam, talc, banaueRavbryiiHeun dimddm sagm, scatedmothyipinmidak. - jbmexuhahge ream complex * matrix prepared; aceemhm to Part'-Cs-aud-uneeamdM^thylpbenMam ion exchange resin complex pmpwd as de^oribedm Bari Afwlghirutw of appmxi'MblyRQ'.pni%;.lry wdgm coated· to appmm.msmly:20%.parta by weightmuWed methylphenidate ~ ion exchange min complexe based on the Wght fade pf the W methylphenidstemuaeh sp.ippen.ent) were loaded mica 4:W blunder and mixed for 10minutes.
Following mixing, the bfend'of.the micoamd Methylphenidate - mu exchangeresin complex and Wied. meihylphemmde ion. exchange resin complex- matrix{Pohstbcx ER. Powder· blend) wasnlfed intow· appropriate cumamar whichy when 15 reconstituted: with· yurlried vwi.tep achieved gemmenriaumt nqmwtW h M mg
WchylpWWte hydrochloride per 5'mL· When wr is added, the msidtmgomi.liquid suspension. has a pH In the· mugs of about 4.2.-
<img img-format="tif" img-content="drawing" file="IL227734AD00027.tif" id="idf0007" />
WO 2012/112140 PCT/US2011/024873 to an mitten study, the pharmacdkwdc parameters of 0χ·25 mgmethy^toenida.te/5foL sUSpemM foxmMaima:of this exampie werustedied from Oto 24heum. The mean plasma d-methylphepMiite conoentotooiris· shown m ftgmu 1. Thistommdatfon was· admimsterudtas. a single oral dose of 72 mgf and compared tom 3 cohnnemtolly· axaUable solid extended jeimcmelhylphomdiite· fomahdob :(Gobi#ta$t atomniwred.as a 72 mg’dusef four 13. rhgtabtete), The mean n;^.fbr tote fowidatom is3-.77 Item's, 10 [W Geomsirle £ ;Ssr dean .....;.................... Ret T/R Ratio. .(%) 90%- Confidence Itow tatM-$isbiCV 0«; tower : Upper’ i CiftSSi [ (ngML) 17,02 173:0 98.03 ” ..... ΊΟΓ™ ”10512 :9.89 AU 0((^(ngrivnto) 100.1.3 ww 87.55 8144 .92198 7.67 Z\· W Cd O^h/i^L) ' 171,50 1,88.54 90190 85,38 902 8.09 loS'“..... At4;.|iX 91.50 188.54 12124 119.20 135 M....... (pgritouh) :. . l· AUQ>R is the ana Under ihd emwe fo· the population median 'Imax.of foetefommpefumrttoteom 15 A:UC<h is the·area.·under’ the ptesmatesrum/hmpd ecneuntraiiomdms eurveiUrm.timd zero.tetime h whew th the last time point.with.mehsumbte'Cttecodfeinon fortodiyidunlformulariun. TZR ratio refers to the wt.form’tdarion'fmettoylifoeaidtee pOhsdrex 25:tog/5mt lERlumf20. suspeumon). to teforenea (R) fomtolteimn· mtrateubhet CVH mfars to the geometric (CV) cctetlkierif of vamfhm betweenso Meets, WO 2012/112140 PCT/US2011/024873
The average-peak plaamn.eqndfefetlm:i iws ringleerai dose muder fearing.cmndiuPas is reached m 2 hours, The LAbraa plasma consehimtfehws 5 qg/mfeBased on dm pbarmaeohmetm study;. rapid cued of action was observed at the font 5 measwddimb pbiM 05 minutes):^nd anWendedreleaxepmrik'(0W? about 12 hours)wa,.ubsei'y cd; in adult- A DHL1 patlaatn. A C7?i?pyq«| MfedAg
The ehendW lability rif the inethylphenmdate. ER powder of the 10- wsnlmm prepared aS described ,m thfe IskafeplA ib&amp;wing admixing In water’at tbuvarying eanecnUtdttmasfwnm the table hdow todbrm a xu$pe0wn.haye-a.pM' of 4,2way assessed. The mating MefeylpheaMate 'ER, ifeapeusmtr χύη^Α·0^·0;θ..^$ίΐϊ;Εη^pwdimt.maiittAnsmbotu.E'BbMf "Rs mitial, potency· with':itsprimaAdegrielu0t'(tbeu-a·'phenyl-l-piperidiuaacetiu acid hydrochloride} of rmtmum than 0.7%affer 4 JWribs.ofIS ridrags of the reubnstjtwd' pwder bfend &amp;t nmMeui ounfetbm Ifechemicai stabilitydata A dhow m rhe Mowing table.
Condition hri'daf | % Pirfsiicy T".............si.................. % Imp.uripA "”ΈΓ.............. : 2/months· J 99 O.c 3 mOmhri T ~.....s................ ........... 4. months ' Γ : '·'·.......97 ...........0:7.............. 25. :ϊ: ThewmphenyRZ-pIperidmeeeetie acid bydrwdoride·
These results show that th£ Atmpdsitieb Of increase hi i mpnriHes is out directlylinked to fetw of potency; 40 WO 2012/112140 PCT/US2011/024873
Example 2 - Methylphenidate ER Powder for Aqueous Oral Suspension
ExampleZiUufette oreparaUonafan utel.suxpenslpnteu.mpotetien feOriteite'tedfrom a' metbylybamdate CMPH) extended.·release (ER) powder fid md saspCrMon. Infids example, dm MPH ER. powder btend is acombifiatiou of (i) an. oncoamd 5 utefiiyiphmndate- feex'tefega mfimffi) a awl* uoated.Xpteyviny.teeteate« plasticize^458¾ weight galp) 'm<pWphe4.ndatew Im: exchange refiπ complex - bydmphifie pcfewmatrix, and'(id) dilLterd· females! A. (fewtek .TfehfetemfesB - Zen .fefemy fem .temtefite
<img img-format="tif" img-content="drawing" file="IL227734AD00028.tif" id="idf0008" />
TOO g
W/sJ
Meteylpta.mfe HCl
Amitedfte^ &amp;P69 f Sodlw 'Folysteitete>d.fbuate Resin- | Pended Whtef * 'Removed dunug.pfoetetette
QiA
The metlyfehenidate. - ion exchange referuompiex was prepared by first adding .2,L ofpurified water ink), dm vessel and dfeClvmgnfebylphetedete’HCHu the water byanhhraws mixing; Tim ArnberMte^) lRPb9spdtem.poiyety:reite uteteuate refin was .1'5 .dispersed .into the sulution. whhmmfewus mixing, which wns edntmued for 120.minutes, Afitter.w;as teinaved by filttekml· process telkrwed by dtedng. twice usingpurified wafer. The wet resin complex wax then dried in:rfil..thnmoisterp content way 3 to7 %; Thin dried methylptaitte - ion:exchange item complex was passed.through aGO-MIL device· fitted with a standard 40 mush:semen, ThA wastbeparttetdateunuoated'20 hdeth.yl.pbemdate - km exchange resin (mtehylphCnidate pubsiitex),· WO 2012/112140 PCT/US2011/024873 - fortRGfo Cwp/ex vMpm
<img img-format="tif" img-content="drawing" file="IL227734AD00029.tif" id="idf0009" />
Methyl plmhidateffod i 650 g i { y < -j, λ X .4·.< Anfberi’ffo 1RP 00 Sodium. PolystyreneSulfimate Resin 1613 Mg .................................. Purified W’ate/ fciiWwKsp ' W<W 2 Purified wateri' w .........:.......................... Purified Water .................................................................................. (Μ ^Removed during-pmcwfog 5' A meGylphenidafo - km exchange msih complex was prepared by fimtadfiing; W L of Purified Water into the:vessel andaddmg inniethy-lphemfiMe HC.l Mirich waxdissolved by con&amp;iutms mixing. SOd.fomJkfiysiymhe.Sujfonam>rexm..[Amberiite ΙΡΡ/ΜRehm &amp; .HW.1 waudWxused inm the Glufion with contmrnwnrixihgx which was.cemtinued for ’60 minutes. Water wasrumnyed byfilimtina· process followed- by riusiug. 10 twwv u-Mng purified water. Wet ream. complex was then driwftmfil· mtuStam. content’Aus.15 to 2d In a sppamte.eom.ainer feulfidnn^ OOXfiA.SF)· Wa&amp;dtasOf^djn 547,09gms of Purified Water (P VP solution), The pdrriafiy dried methylphenidate. - fonenchangeweMn coifipkx. was^tmcied vaththel^VP 'Sumtion witk'coiifimmtw. mixing to.fornyri mnibrm· wet maus of thc methylphenidate - ion- exchange resin - PW mairix. The IS .uniform wet mass was dried until the moisfom· contem was-15 to'S’S Wi. Semedriedmeihylpltmdafo^ ion exchange main complex matrix was then passed .through a COdevice fitted with 0 standard 40’ w$h.screen. 'Mined methylphenidate amexchange, ream .matrix was further dried umil moisture mitem"was 3 to 7 %Λ Dried,material was again.passed.thwgh a CO-MII,’n· device’fitted with a. standard. dfimesh IO screen, TW was Ge particulate pfoepafed methylpiwmdafo km. sxdnmge reriu matrix. WO 2012/112140 PCT/US2011/024873 ' C (TwPif Mn/yM tori tote' -to.toto MW MM? Ctotowe. · Itoto
Pmcptodatohylphtodate - to exchange msincomplex - matrix (tom Pari B) ^ShSSFmi®^................................""'.................... 'ttoccrin
Purified WteP *’ Rwovadtormg processing' (tog sssi’· '’καμ 533,4 g ** 3054 tow'squeotodtoemto
Itopwcamd methyl phenidato··* to exchange tout complex·' * matrix was coMedas iblkW.. The soaring estoto was preparctoy· nuxmg triaeetm,. pari tod vawr and .theKoikoaat < SR30H ptriyvmyltecetMe disptomn- (BASF} in a Separate contow Thenothing process) was performed m a fluid Ito processor equipped with. Wussteruohmm10 by appltog eaatog toutto onto precoated methylphenidate - ion exchange resinComplex - matrix prepared awarding to Pari B that resulted hv45 % weight gain, :I toQtoltoaHb bRdOD - triacetin) coatto utohyiphentote -ion exehtnge,tom tompto -matrix was cured, in a hot. air oym at 60 ’C far 3'horn,· The cured coaledmethyl phenidate - inn excharige ton complex - matrix w«iwed tbroughustatorddri15 ntesh screen, 4).· ZWeur Gtonto Ingredient QuaMity j Foloxamer 188 i Purified wateM co gj Sugar 625,97 g | ΐ $<kkto ebmte· .Anhydrous citrioacid 2122 a· I Andium. benzoate 9gi
Remoyed dating’ processing PCT/US2011/024873 WO 2012/112140
In a sdpamw etmtaimr. thePohmamer W wm dissolved m. purified"Water(peloxtewsofedcm). Sugar, Aadinfo fotmte, anhydrous aide iteid,W sodium benmoafo.weteadded mtOXhigh shear gr^Wria grimuMioii prdceas was performed udng5· the Pofoxamer auhfoom Wet g.rswrries were dried Msfogdlhid bed drier until moisturefevd- was bdow 1.3%,Dried granules were then miffed through w Fite milt equippedwith 20 nmsb. scmmvio form· the Ddueht'Grariutes.
Mtfoyfoimmfote O Awter .iffepd 1 n. A w
Quantity
Pfowl Gtenfotte
Starch
XardhaoAhim
Coated Sfuthyiphemdate- . km Exchange fominΐ Complex - Matrix.
Chewed Mathyipheuidate;-i km. Exchange Rrisiri ( Complex cokg
<img img-format="tif" img-content="drawing" file="IL227734AD000210.tif" id="idf0010" />
0.424 g IMhtent ,G»fe. prepared aceording to Part I) wemked whh.swh, xW.htmgum, coated metbylphenkWe· - ion exchange·resin complex - matrix prepared asdescribed m part. C ofthfoExampfe, and ImuoatedMefoyfphenklqte - Imi'Exah&amp;nga 1.5· fondri. Complex prepared us described In Part A of this example,. The powder Mendobnkmted q weight ratio ofaboutAdfA by weight methylphenidate, in. sustainadWteaseform foxyetedeomptex- matrix) to mfout IWby weight methyl phemdate fo .immediaterd-mms- form rimcoaicd mefoyphenhte - foil exchange, teaib. complex^ baaed upon foe.Win weight' of dw methylphenidate itr the 'formufetfote 44 WO 2012/112140 PCT/US2011/024873 71fe.Methyiphemdafe Powder blend was rilled into an appropriateeon(mumwhkhy when rcconstl tuted: wi th puriri ed wafer, sehfeved a. copcentrsfom tuibvafoni to .25:hg metiiylphenidate.· hydrochloride per 5" mL, 5 Example 3~ Wthylphenfoate ER.Powder for Aqueous Oral Suspension ha tbs example, teMPH ER. poWder'blendrs wcombinhfom qf ii) tm imwhed.mefoylphemdafe^’ttfo exchange .rosin,, (ii) a c.mf few eoaiad (polyvlnyhmeiate -plastteer, 3 5.%· weight, $ώ) .n wthylphenmkne - ion »kmge-mfo· complex ™-hydrophobic polymer matrix, and (Hi) dHimmfoWfeei.
<img img-format="tif" img-content="drawing" file="IL227734AD000211.tif" id="idf0011" />
* Removed during, processing
The m'ethylpherririate-· (on. ttebauge·· resin complex. was prepared hy fom adding 1,5 L m purified .wafer Into the vessel and diseohnug methylphenidate HC1. therein byT5 ermtimmes mixing. AmherhteW IRP6.9 ion. exchange rest ή wasdiepemad iufothesplpriqu with puritimfens. mixing, which mixing·tesnontinued·for (fo minufos,. Waterwas removed by .Bttatkm process foifowedby. riming twice'.esmg. purified water;. The·:wetmte complex was.then dried until moisture cunmm was 3% to 7%. Dried drug-resin.complex passed through R QiLMIL device ftped with a stnndnrd' 40 mesh 20 scream ‘This was the- parHcubtfe nncoated Methylphenidate - km exchange· redo complex. WO 2012/112140 PCT/US2011/024873
<img img-format="tif" img-content="drawing" file="IL227734AD000212.tif" id="idf0012" />
Axu- tixtomya lump Xtofeto*· Mt/Hx.
Quantity
<img img-format="tif" img-content="drawing" file="IL227734AD000213.tif" id="idf0013" />
I 650 n
Sodium Polystymne Suiwnate Resin 1613.03 g- Purified Wateri KoIhcoatASR SOD ** 606.7 g ' Purified water": |' otiS g
Purified Wate? Qs*
Raiimid.dmihg.pRK-essing 30% w/W· aqueous dispersion A methylphmtidate - wh exchange fesmethnplak Wprepared by fust adding.10LofPurified Water in to thevessel mm dDbolvfegmetbylphenMfeeHCI therein bycuMinunnswx.mg. A.mfetiW>IRIW was. dmp'twd m the solution with. etmtiwms.mixmgf which ws. continued iiwti.6 rtiiriUf.es; Water Whs rennwedbY filtration process10 followed byrmdng^ Wet. resin complex was then dried until
ntolstum .content· was.15% to:2ii%., In a sepurtite.contmn.sr KollkoatSSR SOD [27%.Pidywylamatm %?% polyYmy|pyrrutidoik.03% eodiunr lauryl a?We:] wgs .mixedwith 505. gms of pmitieti wter (^nllRxntt DispersWX· T^e- purMy dried resin wupBxwas ermubmud· with tho R.oifmoat.DIspersw with. c<wfhu0ii.s.mixmg· to form n cmfbrm15 wet.mass ofthe methylphenidate * km exchange resin complex ~ KoHicoatW$R30D matrix. The :wet .mass was dried until the moisture content was· 1.0% to 15 %.· Semlvdriedmethylphemtiate - ion. exchange,resin complex - matrix was. then passed through· s. CO-.MIL.device -tmll fated with, a standard 40 meslr sereem The nulled ntMuylphemdaie -mnuxchangejrasm complex - matrix was further dried until mnixtiiw^Wmtiwas3% to20 7 %: Dried'methyjphsmdam - km excimhge.mfericompiex - matrix was passed·through a WO 2012/112140 PCT/US2011/024873 CG44IL fiited with a. stwtaf 40 mesh screen: This was die prccoated methylphnmdatn-· fon exchange refen complex - matrix. C, » fen .ΖΑΜη/ίρο dewy 0 tompfex - .Mdm i
Ingredients Qwmhy Pweoated Methylphenidate - Ion Exchange Resin 600 g. Complex - Matrix (from. Fart B) KfoiicoaWSfeoH^ 76«*· TriaCrtm ii.-Wg Purified fecund 4M72g *' RamcOi cd-d aririg: processing·**30% WA-v aquedux dispersion
The pmeoamd femdiy IpbOmd a to - ton exctage resin complex ·· matrix was.coated10 as Mows. The coating solution was prepared by mixing triacetin, parincd water andKollkoaW’SRdQD {aqueoiw dfspmwm, 3iri4':su'jid.s]i.uwwsparaie'coufehwr;?rhe eoatmgprocess· twpfedbrmed ma fluid bed processor cqmpperi with Rtetef coimtm byapplying- c-uatmg Colodun unt0.precotoed mrihylphewdate - Itm exchmtge resin complex- -matrix of pari B.thai resuHed in .3.5% w<d|?ht:gam; Tlie-coatoil methylphunldatP - inn15 exchange resm. complex -matrix •was cured In a hot ah άνθη at 60 *C for· 5 hCum/Tha-cmpd'.spa.ted.M^WI-PWidbto· - inn exchange tesla complex ·* matrix was again passedthrough a standard 40 mesh screen. 47 WO 2012/112140 PCT/US2011/024873 ingredient Qmmtity ' PokiXWer4b 188- 2M g Pcrified water*· 50 g Sugar 02x97 g Sodium citrate l73Rg Anhydrous citric acid 23,22 g ΐ.Sodium benzoate ..............................................H : *Rewwd 'daring processing. 5. In a.sepateU* container, RplOWWT^ WM.diWhed in purified waWfpOlpxamer· sdutkm), Vugar. sodium'citrate, anhydrous eltrie acid, aud sedmm berixoaic'wore' addedIntOte high shear gnmulater cud a grafiulhtmn process was periboned asmg theMoxswr suMon,. Wei-gramtles· warn dried uaing:.fiuidbed drier·nodi nwaturclevelwaxhelnw t5%. Dried gra&amp;fe wemtheumihMtanteh'FkxtniH equipped whh 201'0 mesh screen, This waS'ibc Diluent Gmuies. &amp; Afexfi;foher?afo/eZ>R /Mob' Mwd t Ingredient i Quantity i Diluent Oraridle.§· : 75;45.g ΐ hwch 11.43 g j Sxntta. GUm L256 g .................................1 i Cmtd i Methylphenidate -ion | Exchange; Resin- 10,144- g i . : GontpiCoi - Matrix WO 2012/112140 PCT/US2011/024873 [ Ifoeoated i 1,724 g | I Metbylpifetdate Mon. Ϊ: j: 'Exchange Ream.
(Rimntex iI
Hiluem granulesprepumdas' described in Part D were mixed whh starch* xa.mhangum. coated·methylphetridaie -urn exchange main cumpiex - matrix prepared as.described in Part.0-anduucoated/Methylpb.fedafeu' fou .Exchange' torn Cowptex •5 /prepared-eS.desc^ The mtlo ufimmedtate release methylphenidate (tmccaied cfeplex) and sastamudretease methylphenidate· temted complex - matrix)was .1 O pans by wfelri. inimedW rcteaseanethyl'phenida.te to 90 parts by weightsuSkmOd release .ntethylpbamdafe bated'on the- total. Wright of mcthylplmmdate.in the'fornmlmicm, libs Mefhyiphenidate Pnmmrex ER Powder bfend was rilled into arttd 'appmpriate cu.mmw which, whsamooifeWedfetli purlfred.wateq achtexed-aemwemrntkm equivalem to 25 mg methylphenidate hydmehkxide per 5 mL.
Example· 4 - Methylpheriteafe ER. Powderfbr Aqueous-Oral Suspensionin this example, the MbH ER powder is a wxnbmariun of u) an tmcuated 15 mcfelphfedafo ~ ion exchange reri.n: (hnm.edmfe uricase MPH cumponwfeXu) &amp; curedy
Coatediethy WlnluaOs 30% weight-gam) methyl phenidate -ion exehangwresm complex·-' hydrophilic polydter matrix, femmed. tefeafo M'PH component),, and fill) diluent granules,
A 20 (mrwte^fe:ritfeAdnZdi;te'“ id? tfe&amp;omfe Resm Cwfex
Qs entity
Ingredients. Quantity ; Methylphenidate HOI Amberlite# IRP09 Sodium· Polystyrene Sulfonate· Rew 7feg Purified Water Q# 'Removed daring processing WO 2012/112140 PCT/US2011/024873 ’the methyIphemdate - imi exchange .mrinwm.yleK. Waa ptepared foy Amt addmg; 30 L dfTWlted Water in io the vessel and meth yIphenidate· HClWas dissolved· thereinbyenfeinuous mixing, Amberlite™ IP.P69 kmexebimge mamwaadhpersed with 5- ooteinumte'.mixing which mixing wammtmued for &amp;0 mirmtete Water way .mmoved byfeteatkm profess followed By rmring twico.tesing purified' water (40I.fo The wetmethylphenidate. - km exdrange resin complex rvas then dried until moisture ecnteut.ms3 IB 7¾. I dried methylphenidate cfoteCMltemte resfo" complex. was pmwdlhm;MMheCG-MIL device feted with a standard. 40 mesh swwen. This was foe Uncoated 10 Oihyfohemdaie - fonaxehange.msfecom.pfe. &amp; .Zfoeaom’eAfeef/wfoheiikkne Ofemgv .^esprCp/uptex - Λ/mtex I'Bgfetl tents Quaifoty tlrtefeted-Mefoylpitemdate·- km. Ekphadge BesmComplex. (.From Part A) prflitoWKSO 657 g purified water* 2.629 g? P-mried Wateri i : Qs* 'femwsd. during proce&amp;smg. 'in a separate eqntefedr Kculkfon O) was mmol ved in 2629 gins' of Purified 15 Water(WPsohnkfe), lincaatH'Methyl’pbebldate--'fonexchanga-resmcomplexpreparedaa described ih Part Awms. treated wife the PVP mdutmnmntU a 7.73¼polymerweight-gain was achieved and with' ueutmuous mixing to formatmifonn mass. Wot masswas dried untiPthe m.testime coniem was 15% to 25 %. Setmwiried material was themmHIedusiug a CO-MIL.device feted with amandafo'dOnxwh screen. Milled material .20 was fofther dried until m'fostmteOmterd .was· 3: fo 7 %. Dried material wfeagaln passedthrough a C0-M IL device feted with &amp; standard 40 mesh screen. This· was the preocaindmethylpitehidale ion exchange resin complex·- matrix. WO 2012/112140 PCT/US2011/024873
Ch tferitori"- hm .tetefee Mate .CVwipfex · Mate lugmtmuis Quantity .Frecaated 'Methylphemdaw - Ion. Exchange ResinComplex. Manix (From PaltB) 6.00/g Sublease® eihylcelhdose dispersion 1. ;...,.. ....... ............................... 780 g Purified Water'' 320' g L.......... L.......... *' Removed on pmeaseidg wte aqnoons dl-SpetoMu'
Ife ptscoated metoyiphentoato -ton exchange «ton complex -matrixwa&amp;coatod as' tblkmt The costing snkmon w?asp.fepa.tod bymixtepwhed. wMerandSurete^kn sepanUa container. Suteddfee^ l$ wH&amp;bk from (Raorcun assnaqueous ethyl ceihdase.dfepersiun combining water (70,6% wAy)f..eihyfe<riinte$eRl..t;S%10 w7WXam.morumri hydroxide (4,4% w/wg smtodirnw cheiu fegiyceride (4.0% w/w), and ulelPted (2:.23¾ w/w). with a viscosity O ops. Theeofengpw^eas-wasperiiuwd hi a fluid bed prueesw equipped. with W'ursfer· uolamn by applying coating.solution,on.to die preuOstedMetoylpltonidafe tan bxchahgofe^W comptex- maMp, prepared asdescribed in FartB'above that resulted in 30 % wght:gain,.Ths. coated. Methylphenidate15 Ion exdange msin complex. - matrix was curedriu a te am oven at.60'°Cte 5 hours.
The cured Coated Methylphdndte - ice Mdtohge rerirrantoptex ~ matrix wssmgampassed iteugh.amPtodardMQ ?nesh screen.. (2 Z).i&amp;w Gmnuh?.<
<img img-format="tif" img-content="drawing" file="IL227734AD000214.tif" id="idf0014" />
51 WO 2012/112140 PCT7US2011/024873
Anhydrous eitrie add Sodium- fexoate .W$$ ~"·' 1WF Sucmiose ·’ ' w
Removed during processing; tea separate cmatel'nei; ite&amp;W was dimfemd nfpwtnb<iwaiut'(feox.anmrsolmibu). Sugar., sodmm dtmm<nnhydrous teribarid, sodium Ixmxuteefete sucralose 5 were added ifes hfe teeaf gxmudWr ami.gfanuhtmn sms perimmed.using thePuloxamersoferium WM-gmnteeu were dried usmgfeid-bud drier until m.oiMam. levelwas below I J(fe Dried grannies were, then-ihEted temugh Rte mill equipped with SOmesh safeem This was the -Oilotet Grannies.
10 .&amp; Mtewfetefem Ελ* EmferEhmE
<img img-format="tif" img-content="drawing" file="IL227734AD000215.tif" id="idf0015" />
Coated· Methylphenidate. km fexommge I Resm Complex -'Matrix J UumWd·Methylphenkkte - Ion ί : iteehange Resh Comfex i ό/'οΓρ' .......................tUgl
I .........................................ί I’WpUmmi gnmde$ of:PariD; above were leaded A to s ?y- Mender, Starfexnmlwgum^mlc/hmwa. Haemo siurimteomdm sugar. coated methytphanidaie· - ibn WO 2012/112140 PCT/US2011/024873
Exchange Ream comprix- matrix prepared tw described. in PMEyand tmeuatedHlethylphenidate Ιού Exclwga Resh 'Complex prepared as' degcribedin Fan. A Of thisExample, were' Madcd/mfo- the *T blender and mixed for .10 mhwes.. The tesuhmgblend ecntemed. B‘3 pa rts by wight of snfemfe .folmse 'MFEi (eoated matrix) to 20 pads'5 by Wright immediate release 'MPH ( mcoated complex), based on the foial Weigh! of MPH in the.BuU ER powder bknd formulation. The Methylphenidate"ER:'Puww blendseas fdhd into an .appropriate container which. whmwccmsthuted with.purified wuter,tetfeted a concentration equivalent: to 25. mg methylphenidate hydrochloride per .5 mF. 10 Examp te 5 - ’Methylphenidate, HR Powder· for Aqueous Oral S uspen$ tenIn "fols example, the MFH ER. powder / a. comb/atem of (i) an. uncnatedmethylphenidate - i.on exchange rerin,(ii) a coated (Budrngit IWRL poly acrylate baced-coat 30% weight fein) methylpheriiddte - mu exchange mate compkw- hydtephllic".polymer matrix, and (ilri-diluent grannies-
B A.. -fe-w Zriferigf Efefo Coripfeb·
Ϊ' Ingredients Quantity Methylphenidate· HCI -3¾ Ambeditefo HfPri) Strimtn Polystyrene Sulfonate Resin 7®lg __________________ Purified Watef Q'M "Removed. dmfog'p.roccMhfo- 20 The methylphenidate -·. ten. exchange resin complex' was prepared by fust Uddrng SO. L of pprifted. writer mte: tlte Vessel and teethylphun'foafe HCI. w dissolved therein bycontinuum; mixing, .Ar/ferfite^IRP® ion. nxritenge.resin was;, di spewed in .the solution·with continuous· mixing, which mixing waxemformed for 60 mhitifM Water. wayremoved· by foteform pxwcsr followed by rinsing· twice using purified water (401-.).. Wet 25 meihylphemdste- icm exchange .resin· texuplex· wasibeu'dried'until the moistwcumeni S3 WO 2012/112140 PCT/US2011/024873 wa.s3%:hr 7 M Drmd methylphenidate." ion exchange mih complex· was namedUmnmli ύ-GO^MIL demowfeedwfea. sUudutd40 niessh·Ws was the uneoatedMathylpherhdate: ~ km exchange resin complex. 5 B< fow mM ma/kphriwnh^Ut?· - fon Eza Mnge Akwm (C.w/'fex Mum·
I&amp;geedfemW Q rm miry ' Untmated WfehylphenidatO" Ion Exchange· Resin Complex (from. Pan A ) 830Q g. 657 g· Purified water" «u .Purified Water" QM ^Removed during gfoc^Ming·
In .a.unparam.-ao.n.tai.tinrihelPVP was Waived, in 2629gnU of purified water(Pcwi.dune solution), EhcOa.tedM.ethyIptaidaic:~con ekdhsmge wm complex pfoparedas:described M A was mixed with theFcwidrme.salfenn. until a polymer weight grin ofW 7/73% waa-aulumd, wiih uontmuous mixing to k.wm aamifbnn nwsofprecoatedmethylphenidata- ion eMhtmgptwn "PVPmtfex. Wet mass was driadtmtii themoisture when owns 1 $% to 25 %, Sam Rd ried. materia I was then passed through a CO-MIL device fitted with a standard-.40- mesh. Screen. Milled methylphenidate >.· maexchange .resin matrix was· fedW dried urfol. moisture content wri45% Ip 7 %. .Dried 15 methylphemdatc - teexchtmgwmstu matrix was passed, through: a f X)-M1L device feedwife 4-Standafo'femesh screen, .This, was the precomed Mathyfohemdme·· -km exchange.resin. complex ~ matrix. C, dxuawLAfefefofoerinMc 5m ExcMugeReW (fonfeex'·- Afem | ingredient 1 Pxacoatad Methyiphetridata - Itm Exchange Resin I Complex - Fmirix (Frmn Pari B)[EuSigi^R§·^............................................................................ CMafeiy
AMM ,376.3'Og· 54 WO 2012/112140 PCT/US2011/024873 E«fagit« RE « i |...........................SI" iwthyi chnrib 'late 1 sw Emitted Wateri j 694.56 "g·
Removed during processing; (30% w/w aqueous
The. prwoated :melltyiuhc.mdate xm exchange resin. complex matrix 5 was ’ coated as tel lo:Ws. The·' coatm g. sol ted on was' prepared. hy Zhfeieramg tri ethy I. citm te amTudc in guriued water using a nigh shear :mixer(Tate dispersion). In a separatecontainer Eudr&amp;gitM* dispersion· was prepared by miXing.Eudmgit'w RS 30N [&amp; pH-Independent, 30% aqmmm diSpcrsirin ofpidy'(«feyltferytetriniethykuumanioathyl methacryla.fe chloride)· 1:2 :0/1)} and Endmgh:TM RE 30D [a 30% 10 aqueous .dispemlotp pH independent polymer,. poiy(ethyl aery ktritece wthyl. metbaosylate'cu-urimethylammouioeihyj methacwlate chloride) 1:2:(/2)). The Talcdispersion was- mixed with the· EudmgiE^ RS/RL dispmwm. The. coating· process wasperfmnmd in a thud bed processor equipped with. Wurster column by applying cowrwsolution imtwthe pteeqated Methylphenidate·"ion exerteuge..msm:eomptex -matrix from 15 Part B until-in 30 %: weight gain waXteuhkved..The coated ' Methylphenidate · ionexchange tesm complex - matrix was passed through Sieve No. 40 mesh semen aiw'coating, No curing at elevated temperature was periqrmed, :. Ζλ D/htent Got idhs.
Ingradient Quantity Pbloxamer’™· 188 30 g Purified water* ...................................... .............. .............. 6Wg Sugar 82b$43g Sodium.· c-iimtn ..............................................................................................: 231 M;g Anhydrous citric ack 309.bg ....................................’..............3..? 55·· WO 2012/112140 PCT/US2011/024873 ' j Sodium benzoaw | Swta)® 'Removed daring prooes-drm
<img img-format="tif" img-content="drawing" file="IL227734AD000216.tif" id="idf0016" />
in a xcpamm com&amp;dnori Folnxamer.aarkcmnt was dissolved, hi priri Bed waler(ppkxkmw Mlutmri), Sugar, sodium citrate, a.ohxdrus.is citric acidModmm beuzusrie, ami 5 ximmksa.'werea.d.dadintuhigh shear grannisWaudgmaiilatWnprocess.waspcrtanedliring.Pnloxawr solatium Wei.granules were dried'using fluid bed driermmil moisimelevel was ,Ww 1Dried granules were then milled ilmmgh Flu mill equippedwith 20.meshACmem Thisxw. Um Diluent <hxmelee.
10 K
Ingredient Quantity ..Diluent Crannies (Pert D) 4io g Stated 443((1 g. 7 ·.. iXhmhtm· gum.. 4.S g : Tale W g· Bmna· flavor 4M g .Silicon dioxide- Sugar β 'Λ g " ..................................“IgWg" Coaled Methylphenidate - Ion exchange M-72 g ream complex -matrix ' Uncudfed Methylphenidate ~ ion 11.23 g exchange resin· complex.
Diluent gwdles. prepared .as m Fart Dvmre seeded in. to a: ;W binder, Stmelg
Xamliau gnm..Talc·, "Banana flavor, SriicOh dioxide, Sugar, coated Mcthylplwidaw MonIS exchange· msm-complex matrix primed as in Pert C, mnfThmoafed Metlrylphenkiate
<img img-format="tif" img-content="drawing" file="IL227734AD000217.tif" id="idf0017" />
WO 2012/112140 PCT/US2011/024873 irm exchange resin remplre prepared as described in Part A ware k>a.ded into dte "V"blender an d mixed Ibr .10 mintdere ' hhe resuming methy Iphenl date· ER" powder blendcontain^ a raise of SO parts by weight MKft » susaitwd teleae form (coatedmethylphenidate. ion exchange resin complex „maW) to 20 parts by-weight MPtlin 5 immediate release' Rmn .{uncoaied MPH inn exchange resin complex), based tm the-total,wmgfrtrti· MPH h the MPH ER prewisr blend.
The Mctby|^em<Uie EWowder blend was filled into an appropriate ecmtmnerwhich. wiwu'reconsiurtted with plMried wteri achieved a conceutretiun eqmvs.kmt Ιό25mg..repthyIykemdW hydrpehlntideper 5 ml, ,10’
Example 6> pH-Chemmal Stability of Methylphenidate· Extended ReleasePowder.'blend in an Aqueous Oral Suspensien, 25 mg/5mL
Methylphenidate shows pHMependem stability rn aqueous media, and its primary.1S' degre<tei ihwH'wphen yl 2Z-piperi.d waeeti c. :aoM, .is pri m ujmy generated, threugh. hydrolysis. A.pH stability' study was conduuredohsaspenaldns Eased on therecg.nsritmed methylphenidate ER powder blend prepared as described in Example I(Methy I phenidate - mnexchauga resin remp; ex prejmred as described ip, Example 1,,- PartA (Wight redo of approximMiy Sb parts by Weight reread to appreximately 20%· park2() by weight imcsWod,irretltyl.pbenirtam.-'.ion exchange,am complex in ExwpIe-1 -.-basedon the weight ratio ’of the methylphenidate in each component) Were loaded 1 uto a " V*Mender fad' mixM.fbr 10 minutes. The mefhylpkenklatd ER puWder'bkud Ib.rtmspenukm was· added with pnrified water to yield a.snspensicm coiUammgmcthylphemdniemqiuvakmtR> 25 mg per 5 m.L metbylphenldare hydrochloride. 25 The· aqueous suspension cdnUmmg the methy I phenidate extended release powder
blend of Example 1 wax adiusted with .either HOI. or'MaOH io obtain various campleswith diiTerempIfs ranging flPrn 2 tn 6. The samples were placed at <0 / 75% RH (relative humidity) Ek 1 month and tested for their potency umi impurity; The stabilityofthe wpensitm? wasassresed. based cm the percent (%> potency remaining when WO 2012/112140 PCT/IJS2011/024873
compared tb thedmmd ptapcyaf taaaspnntamAnd its :primdry'degradata -taxncophenyltapiperidtatetedo acM
The results are.priwided mfoe'fonOwMg'ttae'aud Figure 2. ' P« : taFotweyta Iawnth 0ό Imptaty* 2d 44.5 . 3.0 Mi .15.0 .. 15. 9Ϊ4 5.6 44 90:5 2.7 4.5. 161.2 . 19 4.9 9,19 o s.3 sis 15.1 5.7 66,5 3M 5.9 4<>v6 '43.1
Hrnpumy,: Threo^PhenyiTmiperldmeaceiic Acid
These msuhs snow the produci is most state at pH between k'5 and Xfo andbecomes, l ess stable when pH is above 5,0 orhalow 15, Hi is noted tat tare, is no direct10 cmvtatta between the percentage of ta ImpurityAud loss of potency.
Example 7 - Single .Dose Phama^cokmethos of an Extended RefeaseMethyphenkfote Suspension
To determtaitastaimtase.pbitemacukirta.es of an aqnerm xuspnnsta 15 fbnrmlatap ta MPH-feR powder blend of Example I was uombiwi with 'water w achieve a concuritata of about 2-5 hlg/S ntL and the rotating suspensta was dosed: atan amount equivalent to 60 mg/nwemle methybheuidtee HC1. This suspension wascompared. with two doses of a commerctafiy available 30. tng: Immediate release liquidMEH (Methylln^j .tafreuce immediate, release (IRfMPHE which was dosed at hours 020 and 6 in tatdte. 'lire -todowtugwetats slruwtata.srhgfe dbssof a 60 mg-aqucuus suspteteiunfowetetta of ta. iuvmtta tebioeqmvtanito two 30~mg dosesuf referenceOR MFH, WO 2012/112140 PCT/US2011/024873 •amitfes· 60 nig foueooa atrspemslrm· formulalkm Of the hwenttow tow a lower .peak plasmaepjscahtmtqn: than, the reference IR MPH product. 3P healthy su^ems.aped 1S to 60 yeamfoSmen, 5.wmem. mean 36.5 years)were enrolledin thisopen~labck crossover study and randomly assigned, to receive die 60
5 mgmeihylphemdste aquepua. snspanslpn-formulaiion. of the Invetofon or the yetomnce JR MPH after an overnight. fast Blood samples were colfected' prior to- teemthrnm (} and to posvtee hours 0.5,1 s L33, 1,67,.2,2,5,3, 4,5,fo 6.5, 7,7.33, 7,67,8, 9,5,9, U), 12, 14,16< .24 and3(x Ftoxma <B and· PMPH were detrrntinedwnd pharmacokinetic.pammwm wsrvcaleufeite Iwtntwerghi aubjeetoomupted the 10 .sfody. ,.4, /toc/wumotomumt
The. pbarmacPkinetie·· ptorila is provided mFig; 3. IfoHowmg. admi nisi ration of the 60 tng: aqubte Oral .xhsptefon fonntoafom: of the inventium themean plasma drMFH .concenWkm Increased rapidly for shout 1 tom? and then. 15 continued to a slower mcreasc until peakmg at 5 hoars, atter which a gradual decline Inplamycowutmtipn was Observed.. Sec Fig. 3.
Parameters nd mg Test IR kBTd Reference ALKfow. (nfonld
Itoax(hr)
Tvs (hr) .......... 143.65·'(SOtoT)· 13,61 (42A6) 5.00(1 ΑΜ,ύΟ) 5.65 (15.01) fotoiS....................... 151.31004): 20.94 (6I.S9) 733 W- W) 3.74(16.29) 25 Τί/2 * Thrmfosl phase ehmmafiun half life
Ifox Time to peak (msiftorum.) observed plasma, drug coucMmtkm -Peak (maximum) observed plasma drug concemtouon
AllCo.-.g-'· Ama undenheemmatoraritm- time curve Ram rimcyemtodnl'mlty
Thefosnlto for AMCy^ ahd Tfo are presented as geomebfo wm (percent 30 w-Bmmnt of variation) and wsunsfor: Τ{^; presented as median (mnge). 59 WO 2012/112140 PCT/US2011/024873 WAUCyfeMM-PH: fur the aqwvas-snsftensta of th© invention mid tefetetten1R MFH were 1,43.65 and 155,31. .ng-feasL, tetspectively,
A 5' Fofewg a smgfe 60;mg:oral dose of the/MPH extended mtease suspensinn prepared as hi Example L in:2R:hehhhy adult subjects under feting,cohdifipn^ mmelhylpfemdate menu te SD) peak plasma qommuirati.ans (C^gxf of 13..6 (45.8) ng/mL aueurred at.a median time.ofSA) hours-alerdfeng, The Cim Mg/mL) was20:94 for theratew&amp;a IRWPB product· Thfe-fealte are illustrated in Figure 4. 10 C AfeefLL5?iwW Awtefet
Fallowing a s ingle 69 mg oral dose of the MFH extended refese· liquid,suspension prepared as- in Example'1 in 28 healthy adult aubfels under fetingconditions» thcmean plasmatermfel elfefeHou hm'Mifb.wh&amp;meihyiphenidtee waste. 6,(v Ofhmnn and "Ife was-5 hours. Fur the mterenee IR MPfl^the halfdrin was 3.741'5' hours andTfe was'733 fimfe in .humans, methylphenidate: Is.metaboiUedprimnrijy via deestenfieafirmto alpha-|dtedyfeipbndine acetic acki ΠΨΑA). The metabolite Ife little or nopharmaoclogio aufeife
After oral dosmg.of radiolabeled trisdiylpitetndate. in hnmam, about 00%20· of thc,mdfeaetivHy· w&amp;$ wbwred in urfe Tfemferbnnary metabolite tw FFAA»accounting for appteximately 80% of the.dpse, ,Z>. ZteWAmrnte *>r·
In a study in. adult volunteers to investigate, the ctfeels of a .brgh.Aatm.eaIon the bmavaliability' of tlte nretbyIpbamdate at a dose of CO mg»· tbxvpfesettee of fed 25 reduced the time, w pcak concentmtiod by approximately 1 hour (5 hours* feted andAhours, fed)j: Overall, a high-fat meal increased the average Cm&amp;x.u.f ife methylphenidate-ER. liquid, suspension. of the. femfion by about 28%· and the AUCby about l-9%. 60 WO 2012/112140 PCT/US2011/024873
Example 8 ™ Clmicfe studies
TbemiBcacy af:ihs'meflty|)dmn(datu· BR lfemdmuxpAteionprt?dUet.prq?ared.as·described in Example 1. was evaluated in a randomized, d(vdde~bmd, phwsbo-cpdfeifed, mwmw, .naildeenfer, labomtery cfemmom sfedy conducted, is-45..pediatric 5 patfeufe (ages-6 to 12 .years), wife ADHD, Tlmte was anoyemlabel dose Opiimfeatienperiod (4 tn 6 weeks) with an indial 2d mg dose of MPH ER Uquid suspensnm once dailyin the murufeg. Thu. dose cutddbc.tilratedweekly.m imenwta cT 10;or2O. mg until anoptimal dose or maximum. dose of 60· mg/dhywas re&amp;dfefe SnbjuuA thnn enfered a 2"week randomized, doubWbl.md, m^suver treatment tWhe iudl vidua Uy optimized dose 10 olhihelested MPH EReuspmtsimror placebo.. At the end of eadrweesu sohoolteachenand raters ewlmtted the mfeutfen and .behaWaroffePTUbfeom inafeboratdry dasaroomusing the Swammm Kutin, Agfer. Mwlymi, and Pelham - SR AMP; rating, scad. Resultsofthestadymmsummarized mFigureS; SK.AMP scOyeswem.statistleany.-s;igmricaMlylower (improved) during treatment with the Midi ER suspension of fee invention as- IS compared to placebo. The oWiofdWaey deUmfehed tohe 0.75' hours posHtbseand e^eapy-wn.s,maWainud·feroughom the'entire l2-hour:periofe AU. patents,·patent publieatfemg and. other pdblicatipnaRated In this spedrieaUpnare meu^ommd herein by reference:. While fee invention has· been described with;. 20 reference to a.)Wie0l.arly preferred embodiment it will be:a^recmtedth.M·muddicatiom. can ba made without^depanirigwmdm spirit of tlmdnvemium Suchmo-diricatious· are -intended to M within the· scope of feu appended claims.
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| Document | Office | Kind | Date |
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| PCTUS2011024873 | – | – | – |
| WO2011US24873 | – | – | – |
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| US2014004160A1 | United States of America | A1 | |
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| Patent renewedKB | KB | |
| Patent grantedGrantedFF | FF |
Numbers
- Publication
- 227734
- Publication, DOCDB
- 227734
- Publication, EPODOC
- IL227734
- Application
- 227734
- Application, DOCDB
- 22773413
- Application, EPODOC
- IL20130227734
Titles2
- English
- Extended release powder and aqueous suspension comprising methylphenidate
- Hebrew
- ???? ???? ????? ????? ?????? ???? ????? ??????????
Classification
- CPC, 3
- A61K9/5084
- A61K9/0095
- A61K31/4458
- IPC, 1
- A61K
