CA2000881A1 - Oral dosage forms of omega-3 polyunsaturated acids - Google Patents

Oral dosage forms of omega-3 polyunsaturated acids

Info

Publication number
CA2000881A1
CA2000881A1 CA 2000881 CA2000881A CA2000881A1 CA 2000881 A1 CA2000881 A1 CA 2000881A1 CA 2000881 CA2000881 CA 2000881 CA 2000881 A CA2000881 A CA 2000881A CA 2000881 A1 CA2000881 A1 CA 2000881A1
Authority
CA
Canada
Prior art keywords
acid
dosage form
enteric dosage
omega
enteric
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA 2000881
Other languages
French (fr)
Inventor
Roger A. Pluss
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tillotts Pharma AG
Original Assignee
Tillotts Pharma AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tillotts Pharma AG filed Critical Tillotts Pharma AG
Publication of CA2000881A1 publication Critical patent/CA2000881A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/48Preparations in capsules, e.g. of gelatin, of chocolate
    • A61K9/4891Coated capsules; Multilayered drug free capsule shells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/20Carboxylic acids, e.g. valproic acid having a carboxyl group bound to a chain of seven or more carbon atoms, e.g. stearic, palmitic, arachidic acids

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

ABSTRACT

Omega-3 polyunsaturated acids, especially EPA
and/or DHA, in free acid form or as pharmaceutically acceptable salts are presented in enteric dosage forms to overcome the problems of belching and the risk of oxidation in the stomach associated with the oral administration of said acids. The acids can be used alone or with other active principles, especially linoleic acid, gamma-linolenic acid, and/or dihomo--gamma-linolenic acid. Preferably, the enteric dosage form is an enterically coated capsule such as a soft or, especially, hard gelatine capsule.

Description

. 2~0(~8~3~

CiRAL DOSA(iE E~ S (JE' C~ME(iA-3 ~'()L~ ;AIIJRATEIJ AS:ILJS
The present invention rela~es to the oral ';
aaministration of omega-3 polyunsaturatea acids especially, but not exclusively, all-cis-5,8,11,14,17--05 eicosapentaenoic acid (i.e. all-cis-fatty acia 20:5 omega-3; EPA) and/or 22:6 omega-3-docosahexaenioc acid (I,HA). In E~articular, it provides enteric ~osa-je forms of omeya-3 polyunsaturatea acids.
It ~las been known for many ~ears that the low 1() occurrence of aetherosclerotic caraiovascular diseases amon~st ~ireenland Eskimos ana th~ low mortalit~ rate of cardiovascular patients in Scandinavia is attributable to the consum~)tion of relativel~ high amounts of fish oil. Thè relevant active ingredients in fish oil have been i~entified as the omega-3 polyunsaturate~ acids ~ ; ;
;
EPA an~ l)HA, which are present in their triglyceride and/or other esteri~ied forms. The use of EiPA in free acid form or as a pharmaceutically acceptable salt, ester or amide is ~isclosed in (~E~-A-16()4554 and G~-A--20 2033745. Further, Ui~-A-4097602 disclosed the inhibition of blooa platelet aggre4ation by aaministra-tion of EPA in its free acid form or as a salt or lower alkyl ester. ~lore recently, tJi~-A-4526~02 disclosed the prophlyaxis of thrombo-embolic conditions by simultan-25 eous aaminis~cration of E;PA ana/or LlhA with one or moreof linoleic, gamma-linolenic or dihomo-gamma-linolenic ~ '~''''';

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2~0(:~881 ...
acid. The saia acids can be present as the free acid or as pharmaceutically acceptable salts, or esters or amides thereof.
Eormulations used or propose~ for the 05 administration of EPA and/or D~A incluae oral, rectal, to~ical, vayinal, intrapulmonary and parenteral formulations. ~sually, oral formulations have been emplo~ea, es~ecially soft gelatine capsules. ~owever, a problem associatea with such oral aaministration is belching resulting in an unpleasant fishy smell ana taste following disintegration or aissolution of the oral formulation in the stomach. ~uch a problem previously was well established in the administration of coa liver oil capsules which, because of the vitamin A and D content of the oil, have been use~ for many decades as a aietary supplement.
hhen EPA and/or D~A are administered in the form of a derivative thereof, usually an alkyl ester or ~ ;
triglyceride, it must be convertea into the free fatty ;
acid before bein~ absorbed by the body. ~he conversion of ester is carried out in the stomach by the pancreatic enzyme ~ipase. However, not all ~atients produce sufficient Lipase to properly convert the derivative into free fatty acid form. ~or exam~le, the 25 proauction of Lipase may be reduced, or even -eliminated, as a result of aisease or due to alcohol, smokin~, stress etc. Accordingly, there is good reason ~ ;
to prefer to use EPA and/or ~ in the free acid form.

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. .

~owever, because of their polyunsaturation the free fatty acids are prone to rapid oxi~ation, which problem is not encountered with the esters. Although antioxiaants, e.g. gamma-tocopherol, are used to 05 prevent or at least reduce oxidation, the ~resent Inventor suspects that significant oxi~ation of the acia takes place in the stomach thereb~ reaucing the availability of the fatty acids.
The teaching ana practice in the art to aate has been that the free acia is administerea orally in the same manner as the esters.
The present Inventor has appreciatea that the long 8tanding problem of belching with the accompan~ing fishy smell an~ taste associatea with the oral lS administration of EPA and/or DHA and the risk of oxidation in the stomach can simpl~ an~ rea~ily be overcome by use of an enteric dosage form (i.e. a dosage form which, when taken orally, will pass through the stomach substantially without release of the active principle but which will release the active principle in the intestine). Although enteric dosage forms are widely used, there~was, to the best of our knowleage, ~;
no previous ~roposal that omega-3 polyunsaturated free acias should be presentea in enteric dosage form ana it had not been appreciated that thers was any re3son or ':

: ~ ^,."

;~ r : '': ' ' ~i~ 2r~0(~881 aavanta~e arising from the use of that form. lhus, the present invention resiaes in the enteric presentation of omega-3 polyunsaturatea free acids as aistinct from enteric dosage forms in general.
05 lhe present invention provi~es an enteric aosa4e form containing as an active principle an omega-3 polyunsaturated acia in free acid form or as a pharmaceuticall~ acceptable salt thereof. Eurther, the invention provides the use of said enteric aosage forms in the treatment or prophylaxis of thrombo--embolic conditions. It also provides said enteric dosaye forms for the treatment of other conditions for which omega-3 polyunsaturatea acids in their free or precursor form, such as their ~lyceride or alkyl 15 esters, are indicatea. ~uch conaitions incluae ~;
rheumatoid arthritis, diabetes mellitus, mi~raine, psoriasis, cancer, ana hypercholesterolaemia ana as a dietetic.
As indicated ~reviously, it i~ preferred that the ~ ~`
. .
20 omega-3 polyunsaturated acid i5 EPA, DHA or a mixture : ;
thereof. It is present in free acid form or as a pharmaceutically acceptable salt thereof and can be present as the sole active principle or with other active principles, especially linoleic acid, gamma-- ~
25 linolenic aci~ and/or dihomo-gamma-linolenic acid in -;;;~ ;
free acid or salt form. ;~

.,'; '':','',.'''~' .' ,:, ' ;;'. ~

Z~00881 , ~' Omega-3 polyunsaturatea acias are readily oxiaisea and hence an antioxidant usually will be present. The presently preferred antioxidant is gamma-tocopherol but other pharmacologically acceptable antioxidants can be 05 used, tor example butylatea hydroxy anisole, butylatea hydroxy toluene, pro~yl gallate or a quinone. ;
..., ~. .
lhe enteric aosage ~orm may also contain one or 1~;
more pharmaceutically acceptable excipients ~epending upon the precise nature of the dosage form.
i~uitabl~, the enteric dosage form can be an enterically coatea tablets containing the omega-3 polyunsaturated acid in a microencapsulated form or loaded on a suitable absorbent. ~owever, it i6 preferred that the enteric dosage form is an entericall~ coated capsule, especially a soft or, more especially, hard gelatine capsule.
Enteric coatings are wiaely usea in the pharmaceutical industry and are formed of substances ;
which are relativel~ insoluble in the acid medium of 20 the stomach but disintegrate in the medium of the small~ ;
intestine. Suitable enteric coatings inclu~e cellulose acetate phthalate and polymethacrylate. ~i ,, , . , . , - , . :
Usually, the omega-3 polyunsaturatea acia will be a~ministered in a daily dosage of 20 to 50 mg/kg, 25 especially 30-40 mg/kg. The actual dose will vary ~ ;
' ', ,~:: ,,, . . .
' ;, '~.~',.

.. ,,,. ... - ~ . , 2~ 88~

depending inter alia on the identit~ of the omega-3 polyunsaturated acid and the nature and degree of the aisorder being treatea. Usually, each unit aose will contain 250 to 1000 mg, especially 40() to 800 mg.
05 lhe ~ollowing is a ~escription, by wa~ of example onl~, of a presently preferred embo~iment of the invention.
Example lransparent hard gelatine capsules (size 0), consisting of 14% water ana ~6% gelatine were each fillea with 500 my of a fish oil concentrate (~PAC~L
600) supplied by ~essrs. ~A Limitea (~inasor, Ontario, ~anada). The concentrate contains about 32~ by weight free ~P~, about 28~ by weight fr~e D~A ana o.~% by 15 weight gamma-tocopherol. It does not contain any ~;
cholesterol, cetoleic acid or saturatea fatty acias ana , is an oily liquid of brown colour having a ~ ~
.: "" ,.,:
characteristic oaour. It has the following ~
, physico-chemical properties:-acid value 160 iodine value 340 :
peroxide value 3 saponification value 190 -saponifiable matter 1.25 .
relative density 0.935 ~ i~
refractive inaex 1.4 The filled gelatine capsules were placed in a -~
.,: "
' ''',','';,:

,:. :, -,.

z;nQ~ssl coating tower where they were carried in a heatea ~55C) air stream whilst being sprayed with an enteric coating solution. lhe coating solution had the following composition by weight~
05 cellulose acetate phthalate ~PC 40 ethyl phthalate ~PC 12 ~g methylene chlori~e 616 m~ :
ethyl alcohol ~5% I.~. 128 ~g.
Sufficient coating solution was applied to provi~e a theoretical coating of 6 mg/2, which is an excess of that theoretically required in order to allow for losses auring the coating process.

1 5 ' "~

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Claims (4)

1. An enteric dosage form containing as an active principle an omega-3 polyunsaturated acid in free acid form or as a pharmaceutically acceptable salt thereof.
2. An enteric dosage form as claimed in Claim 1, wherein said acid is EPA, DHA or a mixture thereof.
3. An enteric dosage form as claimed in Claim 1, wherein said acid is present in free acid form.
4 An enteric dosage form as claimed in claim 1, wherein said acid or salt is present as the sole active principle.
An enteric dosage form as claimed in Claim 1, wherein said acid or salt is present with at least one other active principle selected from linoleic acid, gamma-linolenic acid, dihomo-gamma-linolenic acid, in free acid form, and pharmaceutically acceptable salt thereof.
6 An enteric dosage form as claimed in claim 1 containing an antioxidant amount of gamma-tocopherol.
7 An enteric dosage form as claimed claim 1 which is an enterically coated tablet containing the said acid or salt in a microencapsulated form or loaded on an absorbent.
8 An enteric dosage form as claimed in Claim 1 which is an enterically coated capsule.

9 An enteric dosage form as claimed in Claim 8, wherein the capsule is a soft gelatine capsule.
An enteric dosage form as claimed in Claim 8, wherein the capsule is a hard gelatine capsule.
11 An enteric dosage form as claimed in Claim 1, wherein each unit dose contains 250 to 1000 mg of said omega-3 acid or salt.
12 An enteric dosage form as claimed in Claim 11, wherein each unit dose contains 400 to 800 mg of said omega-3 acid or salt.
13 The use of an omega-3 polyunsaturated acid in free acid form or as a pharmaceutically acceptable salt thereof in the manufacture of an enteric dosage form for use in the treatment or prophylaxis of any one of the following conditions, namely:
thrombo-embolic conditions, rheumatoid arthritis, diabetes mellitus, migraine, psoriasis, hypercholesterolaemia; or as a dietetic.
CA 2000881 1988-10-21 1989-10-17 Oral dosage forms of omega-3 polyunsaturated acids Abandoned CA2000881A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB8824709A GB2223943A (en) 1988-10-21 1988-10-21 Oral disage forms of omega-3 polyunsaturated acids
GB8824709.3 1988-10-21

Publications (1)

Publication Number Publication Date
CA2000881A1 true CA2000881A1 (en) 1990-04-21

Family

ID=10645593

Family Applications (1)

Application Number Title Priority Date Filing Date
CA 2000881 Abandoned CA2000881A1 (en) 1988-10-21 1989-10-17 Oral dosage forms of omega-3 polyunsaturated acids

Country Status (4)

Country Link
AU (1) AU4485689A (en)
CA (1) CA2000881A1 (en)
GB (1) GB2223943A (en)
WO (1) WO1990004391A1 (en)

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Also Published As

Publication number Publication date
WO1990004391A1 (en) 1990-05-03
AU4485689A (en) 1990-05-14
GB2223943A (en) 1990-04-25
GB8824709D0 (en) 1988-11-30

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