|
|

Title: Colon-specific drug release system
United States Patent: 6,506,407
Issued: January 14, 2003
Inventors: Watanabe; Shunsuke (Shizuoka, JP); Kawai; Hitoshi
(Shizuoka, JP); Katsuma; Masataka (Shizuoka, JP); Fukui; Muneo (Shizuoka,
JP)
Assignee: Yamanouchi Pharmaceutical Co., Ltd. (JP)
Appl. No.: 952992
Filed: September 14, 2001
Abstract
A system for releasing a drug specifically in the colon of the
gastrointestinal tract, which comprises a drug (b) coated with an organic
acid-soluble polymer material (a), and a saccharide (c) which rapidly
generates an organic acid by the action of enterobacteria in the lower part
of the gastrointestinal tract; a colon-specific drug release oral
preparation, which comprises a composition comprising a drug (b) coated with
an organic acid-soluble polymer material (a) and a saccharide (c) which
rapidly generates an organic acid by the action of enterobacteria in the
lower part of the gastrointestinal tract, said composition being coated with
an enteric coating polymer material (d). The invention provides a drug
release system and a preparation which utilize enterobacteria, which do not
form harmful substances due to the release-starting mechanism, show rapid
degradation, and have higher colon specificity.
DISCLOSURE OF THE INVENTION
In their study on colon-specific drug release systems, the inventors of
the present invention have considered that generation of an organic acid
by taking advantage of enterobacteria, if possible, would make it possible
to release a drug protected by a coat that is dissolved by an organic
acid, thereby providing a colon-specific drug release system which is
unaffected by the pH in the vicinity of the cecum and does not rely on
time control. Carbohydrates, particularly saccharides, are first to be
considered as a material degradable by enterobacteria to generate an
organic acid. Saccharides that have conventionally been used as components
of preparations are degraded by the digestive enzymes in the
gastrointestinal tract or directly absorbed from the gastrointestinal
tract. Hence, the inventors paid their notice to the fact that, among the
saccharides which have scarcely been used as a component of pharmaceutical
preparations, there are saccharides neither digested by digestive enzymes
nor absorbed from the gastrointestinal tract. Such saccharides include
lactulose, raffinose, cellobiose, stachyose, and fructooligosaccharides.
The inventors have first examined whether lactulose is degraded or not by
enterobacteria present in the lower part of the gastrointestinal tract. As
a result, it was found unexpectedly that lactulose is degraded rapidly to
generate an organic acid. The inventors have then found that, when a drug
(b) coated with an organic acid-soluble polymer material (a) is delivered
to the lower part of the gastrointestinal tract together with lactulose,
lactulose is degraded by enterobacteria to rapidly generate an organic
acid, whereupon the polymer material (a) is dissolved to release the drug
(b) specifically in the colon. The present invention has been completed
based on this finding.
As a result of further investigation, the inventors have found that even a
material that is degraded by digestive enzymes or absorbed directly
through the gastrointestinal tract can also be used similarly to lactulose
as far as it is degradable by enterobacteria to easily generate an organic
acid, since it is possible to coat such a material with an enteric coating
polymer material (d) (i.e., a polymer material which is not dissolved in
the stomach but in the small intestine) so that the material can easily be
delivered to the lower part of the gastrointestinal tract. In this case,
in order to deliver the material to the lower part of the gastrointestinal
tract more efficiently, it is preferable that the material be coated first
with the organic acid-soluble polymer material (a) and then with the
enteric coating polymer material (d).
From the structural viewpoint, the material which generates an organic
acid by the action of enterobacteria is considered to include
carbohydrates, particularly saccharides and derivatives thereof such as
sugar alcohols. Taking into account the conditions of the lower
gastrointestinal tract where enterobacteria live, water solubility would
be of importance for the material to generate an organic acid rapidly. As
a result of various studies, it was found that lactose having medium water
solubility and ribose having low water solubility hardly dissolve with
such a small amount of water that has passed through the coating layer of
the organic acid-soluble polymer material (a) and therefore show no rapid
generation of an organic acid. On the other hand, sucrose, glucose, xylose,
fructose, maltose, and galactose having high water solubility were proved
to generate an organic acid rapidly, which is similar to lactulose. With
reference to sugar alcohols, on the other hand, rapid generation of an
organic acid was not observed even with sorbitol and xylitol having high
solubility as well as mannitol having medium water solubility and maltol
having low solubility. Accordingly, it has now ascertained that
saccharides having high water solubility are especially suitable as a
material for rapidly generating an organic acid.
That is, the present invention relates to a system for releasing a drug
specifically in the colon of the gastrointestinal tract. More
particularly, it relates to a colon-specific drug release system, which
comprises a drug (b) coated with an organic acid-soluble polymer material
(a) and a saccharide (c) which rapidly generates an organic acid by the
action of enterobacteria in the lower part of the gastrointestinal tract.
The system of the present invention is preferably embodied by coating the
polymer material (a)-coated drug (b) and the organic acid-generating
saccharide (c) with an enteric coating polymer material (d) in order to
deliver them to the lower gastrointestinal tract. More specifically, there
are two embodiments that the drug (b) and the saccharide (c) can be
formulated separately or in the same composition as follows.
1) Formulation in Separate Compositions
A system for releasing a drug specifically in the colon of the
gastrointestinal tract, which comprises a composition (1) in which an
organic acid-soluble polymer material (a)-coated drug (b) is further
coated with an enteric coating polymer material (d), and a composition (2)
comprising a saccharide (c) which rapidly generates an organic acid by the
action of enterobacteria in the lower part of the gastrointestinal tract,
which saccharide may optionally be coated with an enteric coating polymer
material (d). [The compositions (1) and (2) can be administered as a
single preparation or separately prepared preparations.]
2) Formulation in One Composition
A system for releasing a drug specifically in the colon of the
gastrointestinal tract, which comprises a composition containing an
organic acid-soluble polymer material (a)-coated drug (b) and a saccharide
(c) which rapidly generates an organic acid by the action of
enterobacteria in the lower part of the gastrointestinal tract, the
composition being coated with an enteric coating polymer material (d).
[In this composition, the saccharide (c) can be used either as a mixture
with the drug (b) or as a coating layer on the drug (b). The latter system
includes an embodiment in which the polymer material (a)-coated drug (b)
is coated with the saccharide (c), an embodiment in which the saccharide
(c)-coated drug (b) is coated with the polymer material (a), and an
embodiment in which the drug (b) is coated with the saccharide (c) and the
polymer material (a).]
The present invention also relates to a colon-specific drug release oral
composition, more particularly to a colon-specific drug release oral
composition, which comprises a composition comprising a drug (b) coated
with an organic acid-soluble polymer material (a), and a saccharide (c)
which rapidly generates an organic acid by the action of enterobacteria in
the lower part of the gastrointestinal tract, the composition being coated
with an enteric coating polymer material (d). In the composition, the
saccharide (c) can be used either as a mixture with the drug (b) or as a
coating layer on the drug (b). The latter composition includes an
embodiment in which the polymer material (a)-coated drug (b) is coated
with the saccharide (c), an embodiment in which the saccharide (c)-coated
drug (b) is coated with the polymer material (a), and an embodiment in
which the drug (b) is coated with the saccharide (c) and the polymer
material (a).
More specifically, the present invention relates to the following
compositions.
1) A colon-specific drug release oral composition in which a drug (b) and
a saccharide (c) which rapidly generates an organic acid by the action of
enterobacteria in the lower part of the gastrointestinal tract are coated
with an organic acid-soluble polymer material (a), and the coating polymer
material (a) is further coated with an enteric coating polymer material
(d).
2) A colon-specific drug release oral composition in which a drug (b) is
coated with an organic acid-soluble polymer material (a), the coated drug
(b) is further coated with a saccharide (c) which rapidly generates an
organic acid by the action of enterobacteria in the lower part of the
gastrointestinal tract, and the coating saccharide (c) is further coated
with an enteric coating polymer material (d).
3) A colon-specific drug release oral composition in which a drug (b) is
coated with a saccharide (c) which rapidly generates an organic acid by
the action of enterobacteria in the lower part of the gastrointestinal
tract, the coated drug (b) is further coated with an organic acid-soluble
polymer material (a), the coating polymer material (a) is further coated
with an enteric coating polymer material (d).
4) A colon-specific drug release oral composition in which a drug (b) is
coated with an organic acid-soluble polymer material (a) and a saccharide
(c) which rapidly generates an organic acid by the action of
enterobacteria in the lower part of the gastrointestinal tract, and the
coated drug (b) is further coated with an enteric coating polymer material
(d).
The present invention also relates to a composition according to an
embodiment in which separate compositions according to the above-described
system are administered as a single preparation, and more particularly to
a colon-specific drug release oral composition, which comprises a
composition comprising a drug (b) coated with an organic acid-soluble
polymer material (a) and a saccharide (c) which rapidly generates an
organic acid by the action of enterobacteria in the lower part of the
gastrointestinal tract and which may optionally be coated with an organic
acid-soluble polymer material (a), the composition being further coated
with an enteric coating polymer material (d).
The invention further relates to a colon-specific drug release oral
composition, which comprises a composition comprising a drug (b) coated
with an organic acid-soluble polymer material (a) and a saccharide (c)
which rapidly generates an organic acid by the action of enterobacteria
and which may optionally be coated with a water-insoluble
release-controlling material (e), the composition being coated with a
water-insoluble release-controlling material (e) and optionally with a
hole-making material (f) and further coated with an enteric coating
polymer material (d). In this composition, a coating layer comprising a
water-permeable release-controlling material (e) (optionally with
coexistence with a hole-making material (f)) is optionally provided on the
inner side of the coating layer comprising an enteric coating polymer
material (d) so as to increase the efficiency of organic acid generation
by the action of enterobacteria, dissolution of the polymer material (a),
and release of the drug (b). Provision of the coating layer (e) on the
inside of the coating layer (d) is applicable to any composition of the
present invention.
The present invention furthermore relates to a method for releasing a drug
specifically in the colon of the gastrointestinal tract, more particularly
to a method for releasing a drug specifically in the colon of the
gastrointestinal tract, which comprises coating a composition comprising a
drug (b) coated with an organic acid-soluble polymer material (a) and a
saccharide (c) which rapidly generates an organic acid by the action of
enterobacteria in the lower part of the gastrointestinal tract with an
enteric coating polymer material (d).
The present invention will now be illustrated in more detail.
The basic concept of the colon-specific drug release system of the present
invention is diagrammatically explained by referring to FIG. 1.
The system of the present invention consists of (1) a unit comprising an
organic acid-generating saccharide (c) and (2) a unit comprising a drug
(b) coated with an organic acid generated by enterobacteria (a), which are
further coated with an enteric coating polymer material (d), i.e., a
polymer material which is not dissolved in the stomach but in the small
intestine. If desired, a saccharide (c) which is degraded and generates an
organic acid by the action of enterobacteria may be coated with an enteric
coating polymer material. When orally administered to humans or mammals
simultaneously, these two units pass the stomach almost unaffectedly and
reaches the small intestine since the pH in the stomach is generally 6 or
lower. In the small intestine having a pH of 6 to 7, the outermost coating
layer which dissolves at pH 6 or higher, i.e., the coating layer made of
the enteric coating polymer material (d) dissolves. Since the drug (b) in
the unit (2) is protected by an inner coating layer which dissolves at a
pH lower than 6, i.e., the coating layer made of the organic acid-soluble
polymer material (a), the drug is not released in the small intestine. On
the other hand, a saccharide (c) which is degraded and generates an
organic acid by the action of enterobacteria and which is a component of
the unit (1), dissolves in the small intestine. The saccharide (c) thus
dissolved moves from the ileum, to the cecum, and then to the colon, it
undergoes degradation by the action of drastically increasing
enterobacteria to generate an organic acid. With respect to the unit
containing the drug (b), the organic acid thus produced dissolves the
membrane which dissolves at a pH of lower than 6, i.e., the organic
acid-soluble polymer material (a), whereby the drug (b) is released
specifically in the colon.
That is, the present invention provides a colon-specific drug release
system characterized in that it specifically and rapidly releases a drug
in the colon and that it comprises a combination of a saccharide (c) which
generates an organic acid on decomposition by enterobacteria in the lower
part of the gastrointestinal tract, a polymer material (a) which is
dissolved by an organic acid, i.e., at a pH of lower than 6, an enteric
coating polymer material (d), i.e., a polymer material which is dissolved
at a pH of 6 or higher, and a drug (b).
The saccharide (c) used in the present invention, which is degraded by
enterobacteria in the lower part of the gastrointestinal tract to generate
an organic acid, is not limited by whether it is a monosaccharide or a
polysaccharide as long as it is rapidly degraded by enterobacteria to
generate an organic acid. Di- or polysaccharides which are not degraded by
digestive enzymes in the gastrointestinal tract or not absorbed directly
from the gastrointestinal tract are preferred. It is preferable for the
saccharide which rapidly generates an organic acid to be rapidly dissolved
and degraded to generate an organic acid. Accordingly, those having high
water solubility are preferred. Specifically, the amount of water which is
required to dissolve a 1 g portion of saccharides is preferably less than
5 ml, that is, saccharides having a water solubility of higher than 20
weight (w)/volume (v) % are preferred. Examples of such saccharides
include lactulose, raffinose, cellobiose, stachyose, and
fructooligosaccharides (which are synthetic disaccharides which show a
high rate of degradation by enterobacteria). The fructooligosaccharides
preferably include lactosucrose, such as Nyuka Oligo LS-55p (Hayashibara
Syoji K. K.).
Saccharides which are degraded by digestive enzymes or directly absorbed
from the gastrointestinal tract are also employable similarly to the
above-described lactulose, etc., if coated with an enteric coating polymer
material (d) which does not dissolve in the stomach but in the small
intestine.
In order to deliver this type of saccharides to the lower part of the
gastrointestinal tract more efficiently, it is preferable that the
saccharide be previously coated with an organic acid-soluble polymer
material (a) and then coated with an enteric coating polymer material (d).
Examples of saccharides of this type are sucrose, glucose, xylose,
fructose, maltose, and galactose.
As noted above, bacteria which live within the body are abundant in the
oral cavity, rare in the stomach due to the acidicity, and also scarce in
the upper part of the small intestine. Enterobacteria are increasing
dramatically in the order of the ileum, the cecum, and the colon. A
remarkable feature observed is an increase of anaerobic bacteria. In
humans, Bacteroidaceae, Bifidobacterium sp., Eubacterium sp., Clostridium
sp., and Peptococcaceae constitute main microbial flora, and
Enterobacteriaceae sp., Streptococcus sp., Lactobacillus sp., and
Veillonella sp. are detected next. The intestinal microbial flora does not
so change within a healthy individual but varies among individuals or with
stress, a diet or a disease. The variation is limited to specific bacteria
and is not so large that all the microbial flora contributing to
degradation of saccharides cannot be detected. While the bacteria absorb
and metabolize saccharides, various organic acids are generated. The
organic acids generated mainly include acetic acid, propionic acid, and
butyric acid, while varying according to the saccharide. These organic
acids are absorbed from the intestinal tract and become an energy source
for humans or animals.
In the present system, the enteric coating polymer material (d) (a polymer
material that dissolves at pH 6 or higher) dissolves in the vicinity of
the duodenum, and enterobacteria enter the inside of the preparation
together with water. The organic acid-generating saccharide (c) dissolves
in water, and the enterobacteria degrade the saccharide to generate an
organic acid. The pH thus decreases, and the organic acid-soluble polymer
material (a) (a polymer material that dissolves at pH lower than 6)
dissolves. As water enters, the saccharide (c) exudes and undergoes
degradation by the action of the enterobacteria. If the enteric coating
polymer material (d) is solely used, the organic acid-generating
saccharide (c) may dissolve and diffuse and there is a fear that the
organic acid generated does not produce sufficient effects as expected. It
is recommended therefore that a composition containing the organic
acid-generating saccharide (c) and a drug (b) is coated with the organic
acid-soluble polymer material (a) or a composition comprising a drug (b)
coated with the polymer material (a) and the organic acid-generating
saccharide (c) are coated with a water permeable release-controlling
material (e). If the water permeability is insufficient, the saccharide
cannot dissolve sufficiently, and organic acid generation is retarded,
tending to fail to manifest sufficient effects. In order to accelerate
dissolution of the saccharide, the water permeable release-controlling
layer (e) may contain a hole-making material (f), or the organic
acid-soluble polymer material (a) may contain a substance having higher
water permeability than the polymer material (a), i.e., the water
permeable material (e). Where the organic acid-generating material (c) is
present between the coating layer of the organic acid-soluble polymer
material (a) and the coating layer of the enteric coating polymer material
(d), the preparations include an embodiment in which the organic
acid-generating saccharide (c) is coated with the organic acid-soluble
polymer material (a) and may optionally be further coated with a water
permeable release-controlling material (e) and an embodiment in which a
composition containing the organic acid-generating saccharide (c) and the
organic acid-soluble polymer material (a) is coated.
The saccharide for use in the present invention, for example, lactulose
that is a synthetic disaccharide, is degraded by enterobacteria mainly
comprising Bifidobacterium, Lactobacillus, and Streptococcus in the lower
part of the gastrointestinal tract, i.e., the colon to produce lactic
acid, acetic acid, etc. Diabetics show a slight reduction in
Bifidobacterium and Streptococcus, but such does not seem to have large
influence on the degradation of lactulose because no change is observed in
Lactobacillus. Raffinose, cellobiose, stachyose, maltose, and
fructooligosaccharides are rapidly degraded by the main microbial flora in
the colon similarly to lactulose, while there are slight differences in
enterobacteria by which they are degraded. Accordingly, it is considered
that their degradation is not subject to large variation with slight
variation of the microbial flora. The same seems to apply to sucrose,
glucose, xylose, fructose, maltose, and galactose.
The organic acid which is generated by the action of enterobacteria serves
to intentionally decrease the pH to dissolve the inner coating layer of
the polymer material (a) and also to contribute to improvement in drug
absorption.
The amount of the saccharide which is degraded by enterobacterial to
generate an organic acid to be used in the present invention is not
particularly limited as long as it is in the range for general use as
excipients of preparations. A suitable amount is 1 to 99.9%, preferably 5
to 99.9%, still preferably 10 to 99.9%.
The organic acid-soluble polymer material (a), which is used in the
present invention, is not particularly limited as far as it is
pharmaceutically acceptable. Polymer materials which dissolve at pH lower
than 6 are preferable, and those dissolve at pH 5.5 or lower are more
preferable. Specific examples of such polymer materials include a
dimethylaminoethyl methacrylate-methyl methacrylate-butyl methacrylate
copolymer (product name: Eudragit E), polyvinyl acetal diethylaminoacetate
(product name: AEA, by Sankyo Co., Ltd.), and chitosan. If desired, the
polymer material (a) may contain a water permeable release-controlling
material (e). While not limiting as far as pharmaceutically acceptable,
examples of the water permeable release-controlling material include a
copolymer of ethyl acrylate, methyl methacrylate, and
trimethylammonioethyl methacrylate chloride (product name: Eudragit RS,
produced by Rohm & Haas Co.), ethyl cellulose (product name: Ethocel,
produced by Dow Chemical Co., Ltd.), hydroxypropylmethylcellulose (product
name: TC-5, produced by Shin-Etsu Chemical Co., Ltd.),
hydroxypropylcellulose (product name: HPC, produced by Nippon Soda Co.,
Ltd.), polyethylene oxide, and polyvinylpyrrolidone. These materials may
be used either individually or as an appropriate mixture thereof. If
desired, it may contain a plasticizer. While not limiting as far as
pharmaceutically acceptable, the plasticizer includes triacetin, Macrogol
400, triethyl citrate, Tween 80, and castor oil, etc.
The water-insoluble and water-permeable release-controlling material (e)
serves as a protecting layer for controlling the release of the organic
acid-generating saccharide (c) from tablets or granules containing the
same or for preventing diffusion of the tablets or granules contained
therein. In this case, this layer may be provided between the coating
layer of the organic acid-soluble polymer material (a) and the coating
layer of the enteric coating polymer material (d).
The hole-making material (f) is used for acceleration of water permeation
or for making holes through which enterobacteria can pass sufficiently in
the release-controlling membrane. The hole-making material is not
particularly limited as long as it is water-soluble and has a particle
size greater than the size of enterobacteria (about 4 .mu.m) when
laminated. Salts (e.g., NaCl) and easily water-soluble saccharides (e.g.,
glucose) are preferred.
The coating amount of the organic acid-soluble polymer material (a) to be
used is not particularly limited as long as it is within the range for
general use as a polymer material in pharmaceutical preparations. Such an
amount is usually 1 to 50%, preferably 2.5 to 40%.
The enteric coating polymer material (d), i.e., the polymer material which
does not dissolve in the stomach but in the small intestine, is not
particularly limited as far as it is pharmaceutically acceptable. Polymer
materials which dissolve at pH 6 or higher are preferred. Examples thereof
include methyl methacrylate-methacrylic acid (1:1) copolymer (product
name: Eudragit L, produced by Rohm & Haas Co.), a methyl
methacrylate-methacrylic acid (2:1) copolymer (product name: Eudrogit S,
produced by Rohm & Haas Co.), an ethyl acrylate-methacrylic acid (1:1)
copolymer (product name: Eudragit LD-55, produced by Rohm & Haas Co.),
hydroxypropylmethylcellulose (JPXII), cellulose acetate phthalate (JPXII),
and shellac (JPXII). These materials may be used either individually or as
an appropriate mixture thereof. If desired, the enteric coating polymer
material (d) may contain a plasticizer. Useful plasticizers include
triacetin, Macrogol 400, triethyl citrate, Tween 80, and castor oil, etc.
The term "the lower part of the gastrointestinal tract" as used herein
means the part from the ileum to the colon. The term "colon" as used
herein means the part of the large intestine of from the cecum to the
rectum. The "cecum" is a cecal pouch from which the large intestine starts
and at one side of which the ileum is open.
The term "the upper part of the gastrointestinal tract" as used herein
means the part from the stomach to the duodenum, inclusive of the jejunum.
The drug (b) which can be used in the present invention is not
particularly limited.
Representative drugs which can be used effectively as a main active
ingredient of the preparation include various polypeptides, proteins and
derivatives thereof which are easily degraded in the upper part of the
gastrointestinal tract and are absorbed in the lower part of the
gastrointestinal tract to exhibit pharmacological activities. Examples of
the drugs include insulin, calcitonin, angiotensin, vasopressin,
desmopressin, LH-RH (luteinizing hormone-releasing hormone), somatostatin,
glucagon, oxytocin, gastrin, ciclosporin, somatomedin, secretin, h-ANP
(human artial natriuretic peptide), ACTH (adrenocorticotropic hormone),
MSH (melanocyte-stimulating hormone), .beta.-endorphin, muramyl dipeptide,
enkephalin, neurotensin, bombesin, VIP (vasoacive intestinal polypeptide),
CCK-8 (cholecystokinin-8), PTH (parathyroid hormone), CGRP (calcitonin
gene-related peptide), TRH (thyrotropin-releasing hormone), endocerine,
hGH (human growth hormone), cytokines (e.g., interleukin, interferon,
colony-stimulating factor, and tumor necrosis factor), as well as
derivatives thereof.
The above peptides and proteins include not only naturally occurring
substances but pharmacologically active derivatives thereof and analogues
thereof. For example, calcitonin used in the present invention includes
not only naturally occurring products, such as salmon calcitonin, human
calcitonin, porcine calcitonin, eel calcitonin, and fowl calcitonin, and
also includes analogues, such as [Asul,7]-eel calcitonin (Elcatonin).
Further, insulin includes human insulin, porcine insulin, bovine insulin
as well as their analogues, such as recombinants.
Drugs effective on diseases of the lower part of the gastrointestinal
tract, such as Crohn disease, ulcerative colitis, irritable colitis, and
colic cancer, are also useful in the present invention. Examples of such
drugs include salazosulfapyridine, 5-aminosalicylic acid, cortisone
acetate, triamcinolone, dexamethasone, budesonide, tegafur, fluorouracil,
and derivatives thereof.
In addition to these physiologically active substances, other various
physiologically active substances can be used as a main active ingredient
that is absorbed efficiently from the lower part of the gastrointestinal
tract. For example, antitussive expectorants, such as theophylline;
vasodilators, such as nicardipine hydrochloride and nifedipine; coronary
vasodilators, such as isosorbide nitrite; antipyretic analgesics, such as
acetaminophen, indomethacin, hydrocortisone, ibuprofen, and salazopyrin
can be used.
In order to make these drugs easily absorbable in the colon, it is
possible to add one or more pharmaceutically acceptable additives to the
drug. Suitable additives include surface active agents, such as sucrose
fatty acid esters (e.g., Sugar Ester L1695, produced by Mitsubishi
Chemical Foods Co., Ltd.), sodium laurylsulfate, polyoxyethylene
hydrogenated castor oil (e.g., HCO-60), and polyoxyethylene sorbitan
higher fatty acid esters (e.g., Tween 80); cholic acids and salts thereof,
such as sodium glycocholate and chenodeoxycholic acid; organic acids and
salts thereof, such as citric acid, tartaric acid, benzoic acid, and
capric acid; dissolution aids, such as .beta.-cyclodextrin; pH adjusters,
such as sodium citrate, meglumine, and MgO; trypsin inhibitors, such as
camostat mesilate; enzyme inhibitors, such as aprotinin; antiinflammatory
agents, such as salicylic acid, aspirin, sodium dichlofenac; aromas, such
as peppermint oil; and antibiotics, such as bacitracin and amphotericin B.
Without depending on whether a drug is acidic or basic, it is possible to
adjust the pH of the system at the time when tablets dissolve, by using an
organic acid or a basic substance. The organic acids include citric acid
and tartaric acid, and the basic substances include solid bases (e.g., MgO),
basic amino-sugars (e.g., meglumine), and basic amino acids (e.g., lysine
and arginine).
Where a drug has low solubility at pH 6 or lower, a dissolution aids can
be added. The dissolution aid is not limited as far as it is
pharmaceutically acceptable. Examples include nonionic surface active
agents, such as sucrose fatty acid esters, glycerol fatty acid esters,
sorbitan fatty acid esters (e.g., sorbitan trioleate), polyethylene
glycol, polyoxyethylene hydrogenated castor oil, polyoxyethylene sorbitan
fatty acid esters, polyoxyethylene alkyl ethers, methoxypolyoxyethylene
alkyl ethers, polyoxyethylene alkylphenyl ethers, polyethylene glycol
fatty acid esters, polyoxyethylene alkylamines, polyoxyethylene alkyl
thioethers, polyoxyethylene polyoxypropylene copolymers, polyoxyethylene
glycerol fatty acid esters, pentaerythritol fatty acid esters, propylene
glycol monofatty acid esters, polyoxyethylene propylene glycol monofatty
acid esters, polyoxyethylene sorbitol fatty acid esters, fatty acid
alkylolamides, and alkylamine oxides; bile acid and salts thereof (e.g.,
chenodeoxycholic acid, cholic acid, deoxycholic acid, dehydrocholic acid
and salts thereof, and glycine or taurine conjugate thereof); ionic
surface active agents, such as sodium laurylsulfate, fatty acid soaps,
alkylsulfonates, alkylphosphates, ether phosphates, fatty acid salts of
basic amino acids; triethanolamine soap, and alkyl quaternary ammonium
salts; and amphoteric surface active agents, such as betaines and
aminocarboxylic acid salts.
For the purpose of controlling the drug release from tablets,
water-soluble polymers, such as polyethylene oxide, hydroxypropylcellulose,
hydroxypropylmethylcellulose, and polyvinylpyrrolidone, may be added.
In addition, pharmaceutically acceptable excipients, such as stabilizers
and bulking agents, may also be added.
The kind of these additives may be altered according to the drug.
The colon-specific drug release system of the present invention is a
preparation comprising, as basic constituents, a saccharide (c) which is
degraded by enterobacteria to generate an organic acid, a polymer material
(a) which is dissolved by an organic acid generated on degradation of the
saccharide by the action of enterobacteria, and an enteric coating polymer
material (d). The preparation may have any dosage form, such as tablets,
granules, fine granules, powders, and capsules.
Claim 1 of 56 Claims
What is claimed is:
1. An oral drug delivery system for releasing a drug specifically in the
colon of the gastrointestinal tract, wherein said system comprises a drug
(b) coated with a pharmaceutically acceptable acrylic or cellulosic
organic acid-soluble polymer material which dissolves at a pH lower than 6
(a), in an amount of from 2.5% to 40% and a saccharide (c), which rapidly
generates an organic acid by the action of enterobacteria in the lower
part of the gastrointestinal tract in an amount of from 10% to 99.9%,
wherein said composition comprising the drug (b) coated with the organic
acid-soluble polymer material (a) and saccharide (c), is further coated
with a pharmaceutically acceptable enteric coating polymer material which
dissolves at a pH not lower than 6 (d) and wherein said composition when
orally administered, is delivered to the lower part of the
gastrointestinal tract without releasing the drug (b) at the upper part of
the gastrointestinal tract and, at the lower part of the gastrointestinal
tract, the polymer (a) coating the drug (b) is dissolved by organic acids
generated by degradation of the saccharide (c), by the enterobacteria.
____________________________________________
If you want to learn more
about this patent, please go directly to the U.S.
Patent and Trademark Office Web site to access the full
patent.
|