AU2003254754B2 - Pharmaceutical compositions for oral and topical administration - Google Patents

Description

AUSTRALIA

Patents Act 1990 COMPLETE SPECIFICATION STANDARD PATENT Applicant(s): IVAX Pharmaceuticals, s.r.o.

Invention Title: PHARMACEUTICAL COMPOSITIONS FOR ORAL AND TOPICAL

ADMINISTRATION

The following statement is a full description of this invention, including the best method of performing it known to me/us: PHARMACEUTICAL COMPOSITIONS FOR ORAL AND TOPICAL

ADMINISTRATION

This invention relates to pharmaceutical formulations including, as the active ingredient, substances which are poorly soluble in water, for example therapeutically active cyclosporins, taxoides and taxanes.

Cyclosporins are a group ofmonocyclic, poly-N-methylated undecapeptides, which are naturally produced as secondary metabolites by certain fibrous fungi; especially of general Tolypocladium and Cylindrocarpon. Some therapeutically useful cyclosporin can be prepared by partial synthesis or by special fermentation procedures.

Ciclosoporin (Cyclosporin A) is the first natural substance having selective immunosuppressive effect on lymphoid cells, especially T lymphocytes. It also influences functions of other cells of the immune system to a great extent.

Systemically administered cyclosporin is used therapeutically in organ transplantations or transplantations of bone-marrow. Cyclosporin can be employed for treating a wide variety of autoimmune diseases with inflammatory etiology and also as anti-parasitic agents.

Certain cyclosporins without immunosuppressive activity exhibit an inhibitor effect towards replication of the HIV-1 virus and can be employed in therapy for treatment and prevention of AIDS or AIDS related complex. The group of cyclosporins also include chemomodulators useful for influencing cross resistance of tumour cells to cytostatics.

Bioavailability ofcyclosporin is influenced, on one hand, by specific properties of this group of substances, but also by the composition and properties of the particular dosage form. An important role in formulating therapeutic compositions containing cyclosporin is played by their high lipophilicity.

Solubility of these active substances in water typically does not exceed 25 /g/ml, which value is approximately 100 times lower than needed for regular absorption in the organism. The marked lipophilicity of cyclosporin is evidenced by the values of their partition coefficients P in the system n-octanol/water. For cyclosporin, values of log P 2.08 to 2.99 have been reported.

To achieve acceptable bioavailability of cyclosporins formulations which are used in practice form dispersion systems and are characterised by the presence of a hydrophilic phase, a hydrophobic phase and a tensoactive component. The resulting dispersions are either classic emulsions or optically transparent microemulsions. Commercially available compositions for oral administration are known under the trade names Sandimunn®, Sandimunn@-Neoral, Consupren@, Implanta@, Imusporin® as described in GB-A- 2015339, GB-A-2222770, GB-A-2270842 and GB-A-2278780.

Modifications of the preceding systems, where the hydrophilic base is omitted and replaced by partial esters of fatty acids with polyols like propylene glycol, glycerol or sorbitol, are described in GB-A-2228198.

DE-A-4322826 discloses, as the carrier system for drugs poorly soluble in water, a composition containing polyglyceryl esters of fatty.acids as a co-tenside to non-ionic tensides having HLB higher than 10, in the presence of a triacyl glycerol as the lipophilic component.

Formulations containing cyclosporins in a vehicle comprising propylene glycol, mixed mono-, di- and triglyceride and a hydrophilic tenside, disclosed in GB-A-2248615, are typical microemulsion preconcentrates of the oil-in-water type.

According to biopharmaceutical classification, cyclosporins belong to class IV, ie substances whose solubility in water is bad and bioavailability is poor (G L Amidon, Biopharmaceutics Drug Classification and International Drug Regulation, Capsgel Library, Bornem 1996, p 15 Taxoides are a group of natural substances isolated from some strains of Taxus.

Taxoides demonstrate antineoplastic effects by influencing cellular mitosis. They are diterpenic substances containing taxanic cyclic grouping with a 4-membered oxitanic ring and an esteric side chain in position Natural paclitaxel and its semisynthetic derivative docetaxel are used for treatment of tumours. Taxanes are even less soluble in water than cyclosporins. Immediately after preparation, paclitaxel solubility in water ranges about gig/ml, however, paclitaxel hydrates which are formed on standing have an equilibrium concentration which is lower by an order of magnitude (0.3 0.6 ug/ml).

Compositions based on polyglycerol acylesters are known from the patent literature, eg W098/05309. Pharmaceutical compositions for internal application containing cyclosporin as active ingredient and a carrier consisting of one or more partial esters of fatty acids with di- to decaglycerol and partial pentaglycerol to pentadecaglycerol acylesters are disclosed. Compositions prepared this way enable a skilled person to make a dispersion of emulsion type with an average particle size about 1 2 Ym after dilution.

The particles are of spherical character as shown in Figure 1. However, achievement of high bioavailability remains a problem.

Similarly, W097/26003 discloses use ofpolyglycerol acylesters. Besides the above mentioned polyglycerolesters, the vehicle contains glycerol monoacylesters and optional substances selected from anhydrohexosdimethyl derivatives and/or polyethylene glycerols. The formulation can also contain other substances which improve the stability of the vehicle and lipoamino acids which are suitable especially for topical products.

These compositions provide slightly dispersing systems containing spherical particles.

Other systems utilising polyglycerol esters with fatty acids are microemulsions.

In EP-A-670715 or EP-A-334777, esters of fatty acids with polyglycerols are used for pharmaceutical or cosmetic microemulsions or compositions forming microemulsions. As defined in eg Lachman et al; Theory and Practice of Industrial Pharmacy, Lea Febiger, Philadelphia 1970, p 463, a microemulsion is a clear dispersion of oil-in-water or water-inoil having a size of dispersed particles in the range 100 600 A. Dispersed particles in a microemulsion are composed of nanodrops or micellar aggregates of the dispersed phase in the dispersion medium. The shape of dispersed particles is mostly spherical.

Similarly, CZ-A-283516 describes use of polyglycerol acylesters as one of the components of vehicle which forms lyotropic liquid crystals in contact with an aqueous phase. In accordance with this specification and other patents (eg EP-A-314689 or EP-A- 126751), only pharmaceutical compositions based on systems providing lyotropic liquid crystals are suitable and advantageous for formulations of biologically active substances which dissolve in the given system and/or have hydrophobic character. At the same time the capability of formation of a liquid crystal phase in vivo after application into the gastrointestinal tract is associated with high bioavailability of hydrophobic pharmaceutical compositions.

According to a draft of the article Cyclosporine Modified Capsules for USP 23, published in Pharmaceopeial Forum Volume 24, Number 3, 1998, p 6155, high bioavailability of cyclosporin is caused by dispersion of a pharmaceutical composition in the form of a pre-concentrate after administration of a microemulsion into GI tract. The -4draft recommends to test whether the dispersion arising after dilution of such composition

O

CN provides particles of mean size 50 nm in the dispersed phase. This topic is discussed in Sseveral patents which however do not disclose use of polyglycerol esters of higher fatty acids.

The present invention provides a pharmaceutical formulation for oral or topical administration including a) 0.1 to 30.0% of one or more hydrophobic active ingredients; Sb) 0.1 to 60.0% of one or more gelators selected from polyglycerol esters of fatty acids of formula (1) CH20R-CHOR-CH20-[CH 2

CHOR-CH

2 0-]NCH 2

-CHOR-CH

2 0R (1) wherein N is an integer from 4 to 13 and R is H or CO.R' wherein R' is C8- 22 saturated, unsaturated or hydroxylated alkyl and wherein at least one group R is not hydrogen; having a HLB value not less than c) 0.1 to 60.0% of one or more gel-creating substances selected from polyglycerol esters of fatty acids and/or unsaturated fatty acids of formula (2)

CH

2 0R-CHOR-CH 2 0-[CH 2

CHOR-CH

2 0]NCH 2 -CHOR-CH20R (2) wherein N is an integer from 0-10 and R H or CO.R" wherein R" is C8- 22 saturated, unsaturated or hydroxylated alkyl, and wherein while at least one group R is not hydrogen; having a HLB value not greater than 9; d) 1.0 to 60% of one or more co-gelator substances selected-from triglyceride macrogol glycerol esters, partial glycerides or fatty acids or macrogol esters of fatty acids in which the average quantity of reacted ethylene oxide in the synthesis of these substances ranges between 50 to 150 mols and concurrently the ratio between components b) and d) is from 0.1:1 to 10:1; Ne) 5.0 to 30% ethanol;

C",

Swherein the above percentages are selected to total 100%; and wherein upon dilution with water the formulation forms a dispersion of polymorphous gel particles having a dimension of 0.2 to 500 tm.

In preferred formulations a minimum number of excipients are used. This results in economy of manufacture and regulatory requirements. A single compound from each of groups b) to e) is preferred.

It has been surprisingly found out that high bioavailability of cyclosporins and taxanes after oral application can be achieved using a system neither based on liquid crystals nor a microemulsion. It was also found that a system prepared in accordance with the present invention does not result in a dispersion of the emulsion type.

Unexpectedly it has been found that particles which are formed spontaneously or almost spontaneously on mixing of the phases have a non-spherical character. At the same time, no sign of anisotropic grouping of molecules was found even if the particles formed exhibited a dramatic increase in viscosity. From these findings it appears that it is a dispersion in water of particles having gel-like properties.

In this specification particles of gel-like character are to be understood as those whose stable shape or conformation in the dispersion is non-spherical. Non-spherical particles are those having at least two different perpendicular dimensions.

-6- 3 In this specification a gel emulsion (GEM) is to be understood as a dispersion of N particles of gel character in an aqueous phase.

U

SA pre-concentrate of gel emulsion (PRO-GEM) is to be understood as a composition which results in a gel emulsion after dilution or in contact with an aqueous phase.

The formation of gel particles is caused by interaction between a hydrophilic gelator (an agent which causes formation of gel) and a lipophilic gel-creating phase. Such C-q Sa composition may contain components which participate in the formation of a particulate gel structure and which facilitate spontaneous dispersion in an aqueous medium. It may also contain components which ensure oxidative or microbial stability, mask the taste, adjust the appearance or facilitate dissolution of active ingredients in the mixture. The composition may also contain components which adjust viscosity.

Pharmaceutical compositions in accordance with the present invention may be used to formulate active substances from class IV according to the biopharmaceutical classification. Also advantages are obtained when substances from class II and III are used.

Percentages and amounts used in this specification are by weight unless indicated otherwise.

In preferred formulations the ratio of a c and/or a e is in the range 0.001 1 to 10 1.

In contrast particles in liquid-liquid emulsions are generally spherical in shape.

Particles of the present invention may have a substantial proportion, for example more than half with a non-spherical shape, for example an ellipsoid, rod-like or string-like shape. Preferably more than half of the particles by weight are elongate having a length more than twice their width or diameter. Formulations of this invention may have a -7particle size distribution with a median dimension in the range 1 to 100 preferably to 20 /rm. Formulations may contain individual particles with a dimension up to 10 /um

U

or more, for example 20 to 50 mn.

The formulations of the present invention may be made by mixing for example by manual stirring or shaking in vitro. Liquid formulations may be mixed with water, milk or other drink before administration. Higher speed stirring is less convenient but may be used, particularly to give smaller particle sizes, for example about 200 nm if desired.

Dosage forms comprising a gel-emulsion preconcentrate, eg in capsules, are mixed with aqueous phase in the GI tract. Sufficient shear forces are applied in the GI tract to form the polymorphous particles of the present invention.

Pharmaceutical compositions in accordance with the present invention may be characterised in that after dilution by mixing with an aqueous phase in ratio from approx 1 5 (composition aqueous phase) to approx 1 100, a dispersion of gel particles in water with mean size of particles between 0.2 500 ym is obtained. Such dispersion may be referred to as a gel emulsion (GEM).

Gel emulsion pre-concentrates (PRO-GEM) may be administered in the form of a pre-concentrate or in single-dose dosage forms such as capsules.

Component a) includes biologically active ingredients which are insufficiently soluble in water for conventional formulation and so their bioavailability is low.

According to this biopharmaceutical classification, these are substances of group 2 and 4, with low water solubility. These substances include immunosuppressives, antitumour chemotherapeutical agents, substances influencing saccharide metabolism, peptides and lipids, agents influencing the calcium channel, non-steroidal antiflogistics and vitamins.

Immunosuppressives are hydrophobic compounds and include N-methylated cyclic undecapeptides. Cyclosporins are preferably used, especially ciclosporin (also known as Ciclosporin or Cyclosporin [Nva] 2 ciclosporin (cyclosporin G) and [Melle] 4 ciclosporin. Non-immunosuppressive cyclosporines can also be used, eg [3'ketoMBmt]'- [Val] 2 -ciclosporin. Various pharmacopoeias have referred to these compounds using different spellings. In this specification these compounds and derivatives thereof are conveniently referred to by the name cyclosporin. Other immunosuppressives can be used too, eg macrolides produced by grampositive Streptomyces bacteria (rapamycine, tacrolimus) or their derivatives.

Antitumour chemotherapeutic agents include taxanes, preferably docetaxel or paclitaxel.

Other biologically active ingredients which may be formulated in accordance with this invention may be selected from: diclofenac, ibuprofen, nifedipine, triamcinolone, tocopherol etc. In accordance with the present invention, the compositions can contain as much as 30% of the active ingredient.

Component b) which may be considered as a gelator is selected from polyglycerol esters of fatty acids, of general formula (I) CH2OR-CHOR-CH 2

O-[CH

2

CHOR-CH

2

O-]NCH

2

-CHOR-CH

2

OR

i -9- O where N is an integer from 4 13 and R H or CO.R' wherein R' is C8- 22 saturated, unsaturated or hydroxylated alkyl and wherein at least one group R is not hydrogen; having a HLB value not less than Preferred components b) are polyglycerol esters and partial esters of medium or long chain fatty acids.

in Polyglycerol esters with fatty acids are generally prepared by either partial or full CN esterification ofpolyglycerols by corresponding fatty acids or trans-esterification of vegetable oils with polyglycerol. Each polyglycerol monoester may be characterised by a saponification number. The level of polymerization is best indicated by the hydroxyl number. Polyglycerol esters with HLB value greater than about 10 may be considered to be hydrophilic. Polyglycerol esters with a HLB value less than about 9 may be considered lipophilic. Substances suitable for the components b) include the following: Name (INCI) Polyglycerol-6-monolaurate 6 14.5 10 15.5 Polyglyceryl- 10-monomyristate 10 14.0 10 12.0 10 11.0 Polyglyceryl- 10-diisostearate 10 10.0 Polyglyceryl-6-monomyristate 6 11.0 Polyglyceryl-8-monooleate 8 11.0 10 12.0 O The above mentioned polyglycerols esters are available from Nikko Chemicals Co under the trade name NIKKOL®, Durkee Foods under the trade name SANTONE® and from Th. Goldschmidt under the trade name ISOLAN® or Abitec Corp under the trade name CAPROL®. Commercially available polyglyceryl esters may be mixtures containing predominantly the named ester or a mixture of esters having equivalent properties as determined for example by the hydroxyl value.

C Polyglycerols esters of components b) and c) for use in the compositions of this Sinvention preferably meet the following purity requirements: acid no max 6; heavy metals content max 10 ppm; water content max content of Na salts of fatty acids max 2% (as Na stearate); total ash max 1%.

Preferred gelator compounds b) are selected from polyglyceryl esters of C 1 2 2 2 saturated, unsaturated or hydroxylated fatty acids including myristate, laurate, oleates, stearate, linoleate and linolate. C 1 6- 22 acids are especially preferred. Most preferably C 1 6- 18, that is stearate, oleates, laurate, linoleate and linolate. Mixtures may be used. Oleate esters or mixtures thereof are most preferred.

Triglyceryl esters of these acids, in which N 1, have been found to be particularly suitable, especially for formulation of cyclosporins.

Component which may be considered as a gel-creating substance, is selected from polyglycerol esters of fatty acids and/or unsaturated fatty alcohols of general formula (2)

CH

2 0R-CHOR-CH 2 0-[CH 2

CHOR-CH

2 0]NCH 2 -CHOR-CH20R (2) -11wherein N is an integer from 0 -10 and R H or CO.R' wherein R" is C8- 22

C

I saturated, unsaturated or hydroxylated alkyl, and wherein while at least one group R is not hydrogen; having a HLB value not greater than 9.

SPreferred components c) are polyglycerol esters and partial esters of fatty acids and/or fatty alcohols. Substances suitable for components c) include the following: C Name (INCI) Number of glycerol

HLB

Sunits Polyglyceryl-3-monooleate 3 Polyglyceryl-6-dioleate 6 Polyglyceryl- 10-tetraoleate 10 6.2 10 Polyglyceryl-2-monostearate 2 10 The above mentioned polyglycerols esters are available from Nikko Chemicals Co under the name NIKKOL®; or Abitec Corp under the trade name CAPROL®.

Preferred components c) include gel-creating substances selected from polyglycerol esters of fatty acids and/or unsaturated fatty alcohols is in accordance with the present invention a substance especially selected from Cs-22 unsaturated fatty alcohols.

Preferably oleyl alcohol (9-octadecen-1 ol) can be used for example meeting the following purity requirements: -lla- SMr 268,49; refractive index 1,458 1,460; acid no 1; hydroxyl no

O

N 205 215; iodine no 85 _Preferred gel-creating components c) are selected from polyglyceryl esters of C 8 22 saturated, unsaturated or hydroxylated fatty acids, including myristate, laurate, oleates, stearate, linoleate and linolate. C 8 1 8 acids are preferred, C 8 -1 6 acids being more preferred, including laurate, oleates and myristate. Mixtures may be employed. Oleate is the most 0 preferred.

of these acids, in which N 8, have been found to be particularly suitable, especially for formulation of cyclosporins.

Component which may be considered to be a co-gelator, is selected from triglyceride macrogol glycerol esters, partial glycerides or fatty acids or macrogol esters of fatty acids in which the average quantity of reacted ethylene oxide in the synthesis of these substances ranges between 50 to 150 mols. Macrogolglycerol esters of fatty acids include esters of C 8 -2 2 saturated or unsaturated fatty acids with macrogol glycerols.

Especially preferred are macrogol glycerols with vegetable oils eg ricine oil, both hydrogenated and unhydrogenated, almond or maize oil. They are generally prepared by reaction of various quantities of ethylene oxide and the appropriate type of oil under -12known conditions. Especially preferred are the following substances characterised by the number of reacted ethylene oxide mols (1 m n x y z) and HLB value.

macrogol(1540) ricine-oleic glyceride macrogol(1760) hydrogenated ricine-oleic glyceride macrogol(2200) hydrogenated ricine-oleic glyceride macrogol(2640) hydrogenated ricine-oleic glyceride macrogol(3520) hydrogenated ricine-oleic glyceride macrogol(4400) hydrogenated ricine-oleic glyceride macrogol(2640 almond-oleic glyceride macrogol(2640) maize-oleic glyceride (1+m+n+x+y+z) 35 40 50 60 80 100 60 60

HLB

12-14 12.5-16 13.5 14.5 16.5 Characteristic physical and chemical parameters of the above mentioned substances are: acid no a 2; hydroxyl no 40 60; iodine no saponification no 70; water content 3%; for macrogol(1540) ricine-oleic glyceride 28 32).

These substances are commercially available under the trade names eg Cremophor@, Nikkol®, Simulsol®, Mapeg@, Crovol@.

Special mixed mono- and d- macrogolesters of mono-, di- and triacylglycerol commercially available under the trade name Gelucire® are also preferred. Especially preferred products are available under the name Gelucire® 50/13 and 44/14. Preferred physicochemical properties are: acid no 2,00; saponification no 65 95; iodine no 2; hydroxyl no 36 56; peroxide no 6; alkaline impurities 80 ppm; free glycerol 3,00 n -13- SAlternative compositions preferred for use as compound d) are macrogolesters of CNi O fatty acids eg macrogol(660)-12-hydroxystearate commercially available under the trade name Solutol® HS 15 having an acid no.< 1; water content saponification no 53 63 and hydroxyl no 90 110.

Component d) is present in the compositions in an amount of 1 preferably in the range 5 50% and most preferably 15 50% and most preferably 15 N SComponent e) is ethanol.

Other excipients which can be employed in compositions of the present invention are those which influence physicochemical and microbial stability (eg antioxidants, anti-microbial additives such as tocopherol, methyl paraben), organoleptic properties (eg taste correctors based on natural or nature identical aromas) or physical properties which may limit processing (eg viscosity or melting point). The following can be included among such substances: water or other pharmaceutically acceptable solvents, hydrophilic colloids eg selected from derivatives of cellulose, chitosans, alginate, polycarbophile etc.

Compositions based on a gel pre-concentrate may be characterised in that they disperse into particles of gel character primarily of irregular shape after application into an aqueous medium. High bioavailability of such compositions is associated with bioadhesion. As a result of their amphilicity, these particles are less liable to coalescence and may be homogenously dispersed in an aqueous medium. In contact with a lipophilic surface they remain on the surface and so provide a sufficient concentration gradient to enable drug penetration through the membrane due to their viscosity and adhesivity.

The invention is further described by means of example but not in any limitative sense with reference to the accompanying drawings of which: -13a- Figure 1 is a photomicrograph of a dispersion in accordance with W098/05309; c Figure 2 is a photomicrograph of a dispersion in accordance with the present Sinvention; Figure 3 is a graph showing blood levels of cyclosporin in Example 6; and Figures 4 to 8 are photomicrographs of further dispersions in accordance with this invention.

Example 1 Cyclosporine-Containing Solution for Oral or Topical Application: The following ingredients were employed.

a) cyclosporin A 3600 g b) polyglycerol- 10-mono-dioleate 7200 g c) oleyl alcohol 7200 g d) macrogol(1760) hydrogenated ricine-oleic glyceride 14400 g e) ethanol 4000 g f) D-a-tocopherol 180 g Composition a) was mixed with compositions e) and The whole mixture was then homogenized until the active ingredient was dissolved. Then, compositions b) and d) and any other auxiliary ingredients were added. After complete homogenization the resulting solution was filtered through a hydrophobic membrane GVHP (Millipore) of porosity 0.2 5.0 Im into a gasproof vessel under an inert atmosphere. When required for use the filtered solution was packed under an inert atmosphere into 50 ml bottles equipped with gas-proof stoppers.

Example 2 Hard Gelatin Capsules of Size "Elongated 0" The following ingredients were employed.

a) cyclosporin A 50.0 mg b) polyglyceryl- 10-monooleate 100.0 mg c) polyglyceryl-3-monooleate 15.0 mg d) macrogol(2640) hydrogenated ricine-oleic glyceride 140.0 mg e) ethanol 80.0 mg The fill for hard gelatin capsules .was prepared using working procedure identical to that of Example 1 and filled into hard gelatin capsules of size "EO".

Example 3 Cyclosporine Containing Solution for Oral Application The following ingredients were employed.

a) cyclosporin 5.00 g b) polyglyerol(10) oleate 9.50 g c) polyglyceryl(3) oleate 15.50 g d) POE(40) hydrogenated castor oil 1 4.00 g (macrogol(1760) hydrogenated ricine-oleic glyceride) e) absolute ethanol 6.00 g Components were mixed and homogenised until the active ingredient was dissolved, followed by filtration and packaging in 50 ml bottles as described in Example 1, to provide an oral solution with 100 mg/ml dosage.

Example 4 Soft Gelatin Capsules The following ingredients were employed.

Composition of Fill: a) cyclosporin 100,00 mg b) polyglycerol(10) oleates 210,00 mg c) polyglycerol(3) oleates 350,00 mg d) POE(40) hydrogenated castor oil 315.00 mg e) ethanol 135,00 mg The fill for soft gelatin capsules was prepared by a procedure similar to that of Example 1. The gelatin capsules were prepared by mixing purified water, glycerol, sorbitol and gelatin. Homogenisation of the solution, addition of the colouring agents and production of 100 mg dosage capsules in conventional manner.

Example Soft Gelatin Capsules of Size Oblong The following ingredients were employed.

a) cyclosporin A 100.0 mg b) polyglyceryl-6-monolaurate 120.0 mg c) polyglyceryl- 10-tetraoleate 410.0 mg d) Gelucire 50/13 300.0 mg e) ethanol 170.0 mg The fill for soft gelatin capsules was prepared by a procedure identical to that of Example 1. The fill was filtered into a 20 1 stainless-steel vessel equipped with a gasproof stopper. The fill was kept in inert atmosphere between filtration and encapsulation.

Encapsulation was carried out using a conventional procedure into standard type of gelatin mixture.

Example 6 Hard HPMC Capsules (Shionogi Oualicaps) of Size 3: The following ingredients were employed.

a) cyclosporin A 25.0 mg b) polyglyceryl- 10-myristate 50.0 mg c) polyglyceryl- 10-pentastearate 70.0 mg d) macrogol(2640) almond-oleic glyceride 75.0 mg e) ethanol 30.0 mg Composition a) was mixed with compositions e) and The mixture was heated to 40 50°C and homogenised until composition a) was dissolved. Then, composition d) was added. Finally, composition c) was added. The mixture was continuously mixed.

The temperature of the mixture did not exceed 60 C during preparation. After complete dissolution and homogenization of all ingredients the product is filtered through a pre-filter and filled into hard cellulose capsules (eg supplied by Syntapharm) of size 3.

Example 7 Visualisation of Gel Emulsion Pre-concentrates in accordance with patent application W098/05309 Example 1 and as disclosed in Example 1 of this invention were each diluted with water in ratio 1 (product: water) and dispersed on a laboratory shaker (IKA HS B20) for 10 minutes at temperature 25 1 Pictures of the dispersed samples were taken by means of a COHU camera connected to an optical microscope. The pictures were evaluated by means of software LUCIATM (Laboratory Imaging Inc). Photomicrography of a dispersion of the emulsion type in accordance with W098/05309 is shown in Figure 1. Photomicrography of a dispersion of the type of gel emulsion arising from a pre-concentrate according to Example 1 of the present invention is represented by Figure 2.

Example 8 Verification of Bioavailability of Medicinal Products on Base of Pre-concentrate of Gel Emulsion The composition according to Example 1 was compared with the commercially available microemulsion product Neoral® oral solution. The composition according to Example 1 was given clinical code L363, Neoral® oral solution was tested under code L352.

Pharmacokinetics were compared after single-dose administration of 100 mg cyclosporine to five beagle dogs in a two-phase experiment. Males of 12 36 months of age and weight 9 15 kg were fed using a standard pellet diet in quantity 300 g per day with water ad libitum. The product was administered after 18 hour fasting. Blood samples were collected from the antebrachial vein in intervals of 0, 1, 2, 3, 5, 8, 12 and 24 hour.

The blood samples were stabilized using complexone and kept in a refrigerator until analysis was performed by non-specific radioimmunoassay. Comparison of mean bioavailabilities represented by mean values of cyclosporin A blood concentration is shown in Figure 3. It is clear from the comparison that bioavailability of products based on a gel emulsion pre-concentrate which created a dispersion of non-spherical particles of mean size 0.2 500 ,m after dilution with water, was comparable or higher than that of products forming microemulsion of average size of particles about 100 nm.

-19- Example 9 Fills for Soft Gelatin Capsules Containing Paclitaxel: The following ingredients were employed.

a) paclitaxel 78.75 mg b polyglyceryl- 1 0-mono-dioleate 205.00 mg c) polyglyceryl-3-monooleate 129.50 mg c) oleyl alcohol 205.00 mg d) macrogol(I 760) hydrogenated ricine-oleic glyceride 302.00 mg e) ethanol 129.50 mg Example Composition of Soft Gelatin Capsules The following ingredients were employed.

a) paclitaxel 78.75 mg a) [3'ketoMBmt] '-[Val] 2 -CyClosporin 52.50 mg b) polyglyceryl- 1 0-mono-dioleate 187.50 mg c) oleyl alcohol 187.50 mg c) polyglyceryl-3-monooleate 112.50 mg d) macrogol( 1760) hydrogenated ricine-oleic glyceride 302.00 mg e) ethanol 129.50 mg Example 11 Fill for Soft Gelatin Capsules Containing Nifedipine The following ingredients were employed.

a) nifedipine b) polyglyceryl-10-mono-dioleate c) polyglyceryl-3-monooleate c) oleyl alcohol d) macrogol(1760) hydrogenated ricine-oleic glyceride e) ethanol 20.00 mg 2 05.00 mg 129.50 mg 205.00 mg 302.00 mg 129.50 mg Examples 12- 17 Table 1 gives further examples of preparations illustrating the invention. The method of preparation was identical to that of Example 1.

Table 1 Example No/Component A B C C D E 10.0 19.0 19.0 12.0 28.0 12.0 11 10.0 23.0 19.0 15.0 28.0 12 10.0 13.0 19.0 8.0 28.0 20.0 13 0.1 5.0 19.9 15.0 50.0 10.0 14 10.0 37.0 19.0 12.0 10.0 12.0 10.0 1.0 19.0 30.0 28.0 12.0 16 0.1 21.1 34.7 31.1 13.0 17 30.0 10.0 15.0 6.0 22.0 17/0 -21- The following raw materials were used in Examples 10 17: A -cyclosporin A B -polyglyceryl-10-mono-dioleate (mixture of mono dioleates) C, -oleyl alcohol

C

2 -polyglyceryl-3-monoleate D -macrogol(1760) hydrogenated ricine-oleic glyceride E -ethanol Example 18 Assessment of Bioavailabilitv and Size Distribution of Particles A bioavailability study on 12 healthy volunteers was compared bioavailability of two different formulations in soft gelatine capsules each containing 100 mg of cyclosporine (Formulation A-GEM101 and Formulation B-GEM304). These gave a dispersion within the range 1 150 gm with Noreal® 100 mg capsules (Formulation C).

Visual observation of the novel drug delivery system and precise evaluation of the particle size distributions were carried out.

Based on the visual observation the novel system was referred to as GEM (Gel based Emulsion).

Composition of Cyclosporin Containing Capsule Fills: Formulation A GEM 101: a) cyclosporin A 1 020 g b) polyglyceryl-10-monooleate 2 040 g c) polyglyceryl-3-monooleate 3 380 g d) macrogol (1760) hydrogenated ricine-oleic glyceride 3 000 g e) ethanol 1 330 g -22- Formulation B -GEM 304: a) cyclosporin A 1 020 g b) polyglyceryl-10-monooleate 2 630 g c) polyglyceryl-3-monooleate 1 580 g c) oleyl alcohol 1 105 g d) macrogol (1760) hydrogenated ricine-oleic glyceride 2 450 g e) ethanol 1 300 g Particle Size Distributions The particle size distributions of the novel GEM formulations were valuated using a Mastersizer Micro, version 2.18 (Malvem Instruments Ltd). Histograms of particle size distribution of Formulation A (GEM101) and Formulation B (304) showed that the effective diameter of Formulation A (resp. B) deduced from the histogram was 92.05 4m (36.23 zm).

Bioequivalence Study Design An open-label, randomised 3-period crossover study was designed for 12 healthy Caucasian male volunteers, 18 45 years of age and with body weights 10% of their ideal weights. The test medications and the reference medication were administered in a randomised sequence as single oral doses in the fasted condition. Each dose contained 200 mg cyclosporin (two capsules of 100 mg). The duration of the washout period between treatments was at least 7 days. In each study period, 14 blood samples were to be taken before administration and 20, 40, 60 min, and 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12 and 24 hours after administration. Adverse events were monitored during the entire study.

Blood was taken from the antecubital vein into EDTA plastic tubes (Sarstedt Monovettes). The samples were deep-frozen (-20 Cyclosporine whole blood concentrations were determined by means of a specific RIA. AUC(O,) and Cmax were defined as the primary variables for the evaluation of bioavailability. AUC(ot, tmax, tl/2, were secondary variables.

-23- From the concentration/time data of the parent compound, the pharmacokinetic parameters were determined for each individual data set by means of non-compartmental analysis using TopFit Cmax and tmax were to be taken directly from the observed concentration-time data. The elimination rate constant (kel) was calculated by log-linear least squares regression analysis of the terminal part of the plasma concentration-time curve. The area under the concentration-time curve (AUCO-t) was calculated up to the last measurable concentration-time point by the linear trapezoidal rule. Extrapolation to infinity (AUCO-t, AUCO-) was done by dividing the last observed concentration by elimination rate constant.

Summary of pharmacokinetic data: Parameter T1/2 Tmax Cmax AUC(O-t) AUC(O-inf) [hi Ing/mi] [ng*h/mIJ Ing*h/ml] Formulation: A Arit.Mean 6.24 1.33 1372.69 4631.75 4861.85 S.D. 1.3. 0.33 351.28 1204.56 1241.87 Geom.Mean 6.12 1.3 1329.84 4483.35 4712.35 Minimum 4.06 1 908.1 2635.32 2873.57 Maximum 8.24 2 1930.3 6432.76 6684.33 Formulation: B Arit.Mean 6.41 1.5 1196.49 4430.33 4696.56 S.D. 1.3 0.48 308.26 1032.91 1143.13 Geom.Mean 6.29 1.43 1161.84 4326.15 4576.94 Minimum 4.21 1 851.8 3130.66 3254.08 -Maximum 8.93 2.5 1785 6206.13 6643.15 Formulation: C /Reference Arit.Mean 6.13 1.33 1358.95 4647.01 4887.55 S.D. 1.32 0.33 380.35 1358.41 1430.5 Geom.Mean 5.99 1.3 1307.19 447208 4705.55 Minimum 3.92 1 1820.7 12953.47 13028.58 Maximum 7.87 2 11805.3 17330.08 17686.89 Example 19 Visualisation of Different Formulations Different shapes of particles can be obtained by dispersal of formulations disclosed in this application. The following compositions when diluted gave dispersions of polymorphous gel particles. The visualisation technique was as described in Example Formulations A and B from Example 18 were visualized. A discrepancy between the measured (Mastersizer Micro: example 18) and observed particle sizes was caused by use of different dispersal techniques and by averaging of the measured values..-Whilst the sample measured by Mastersizer Micro is continuously mixed by high speed mixer, a sample observed by an optical microscope was softly shaken by hand before putting under optical microscope.

The following formulations were also observed and visualised: Formulation C a) cyclosporin A 9.5 b) polyglyceryl-10-monooleate 40.0 c) polyglycerol-3-isostearate 10.0 d) macrogol (1760) hydrogenated ricine-oleic glyceride 28.0 e) ethanol 12.5 Formulation D a) cyclosporin A 10.0 b) polyglyceryl- 10-monolaurate 10.0 c) polyglycerol-3-oleate 40.0 d) macrogol (1760) hydrogenated ricine-oleic glyceride 28.0 e) ethanol 12.0 -26- Formulation E a) cyclosporin A 10.0% b) polyglyceryl-10-monolaurate 27.0 c) polyglycerol-3-heptaoleate 31.0% d) macrogol (1760) hydrogenated ricine-oleic glyceride 20.0 e) ethanol 12.0 Example Assessment of viscosity of arising gel phases.

Compositions disclosed in this specification may exhibit an increase in viscosity in contact with water or aqueous solutions. This feature is particularly important for ensuring bioavailability of an active substance incorporated in such formulation. The viscosities of compositions from Examples 18 and 19 evaluated experimentally.

The rheological properties of chosen compositions were studied on a rotary viscometer Brookfield DV-II under constant conditions (temperature 30 0 C, spindle SC 4 27, ultrathermostat Brookfield TC 500, Rheocalc program, 1.3 version).

A standard dilution was used to compare the ability to form a gel phase. Each sample was diluted 1 1 (by volume) with water. The viscosity of the diluted sample was evaluated using an up/down symmetric rheological program. All diluted samples were found to be non- Newtonian liquids. Undiluted samples had characteristics of standard (Newtonian) liquids.

The samples were compared at the same Shear Rate. Findings are summarised in the table below: Rheological parameters at the constant Shear Rate 1.70 sec": Formulation Shear Stress Viscosity (dilution status) (N/m 2 (mPa.s) Formulation A (undiluted) 0.34 200 Formulation A (diluted) 3.91 2300 Formulation C (diluted) 6.97 4100 Formulation D (diluted) 17.2 10100 Formulation E (diluted) 1.53 900 It was conclude that viscosity of the novel systems could be increased by at least 5x when contacted with water or aqueous solution. Such viscosity increases may have positive impact on the adhesion of the nascent phase and consequently provide an improved bioavailability.

It is to be understood that a reference herein to a prior art document does not constitute an admission that the document forms part of the common general knowledge in the art in Australia.

Claims (10)

1. 2. A formulation as claimed in claim 1, wherein the ratio of a:c and/or a:e is in the range of 0.001:1 to 10:1.
2. 3. A formulation as claimed in claim 1 or 2, wherein R' is C 1
3. 6- 18 saturated or unsaturated alkyl. 4. A formulation as claimed in claim 3, wherein R is selected from the group consisting of oleates, linoleate stearate, linolate, myristate, laurate and mixtures thereof. A formulation as claimed in claim 4, wherein component b) is selected from: of fatty acids. 6. A formulation as claimed in claim 5, wherein R" is C 1 6- 1 8 saturated or unsaturated alkyl.
4. 7. A formulation as claimed in claim 6, wherein R is selected from the group of oleate, linoleate, stearate, isostearate, linolate, myristate, laurate and mixtures thereof.
5. 8. A formulation as claimed in any one of claims 1 to 7, wherein component c) is selected from: polyglyceryl-3-esters of oleic acid.
6. 9. A formulation as claimed in any one of claims 1 to 7, wherein component d) is macrogol glycol hydrogenated caster oil. A formulation as claimed in any one of claims 1 to 9, wherein component b) is selected from: polyglyceryl-10-esters of oleic acid; component c) is selected from polyglyceryl-3-esters of oleic acid; and component d) is macrogol (1760) glycerol hydrogenated caster oil.
7. 11. A formulation as claimed in any one of claims 1 to 10, wherein the component a) is selected from cyclosporins, and wherein the ratio of components a:c+e is 1.001:1 to 1.5:1.
8. 12. A formulation as claimed in claim 11, wherein the component a) is selected from cyclosporin A, cyclosporin D or cyclosporin G.
9. 13. A formulation as claimed in any one of claims 1 to 12, further including excipients to modify the physical, chemical, microbial stability, organoleptic or physical processing properties of the formulation. 4'
10. 14. A pharmaceutical dosage form comprising a gelatin capsule containing a formulation as claimed in any one of claims 1 to 13. Dated this 5 h day of January 2004 IVAX PHARMACEUTICALS, S.R.O By their Patent Attorneys GRIFFITH HACK