US20160166510A1 - Stabilized prolonged release pharmaceutical composition comprising atypical antipsychotic - Google Patents

Stabilized prolonged release pharmaceutical composition comprising atypical antipsychotic Download PDF

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Publication number
US20160166510A1
US20160166510A1 US14/995,559 US201614995559A US2016166510A1 US 20160166510 A1 US20160166510 A1 US 20160166510A1 US 201614995559 A US201614995559 A US 201614995559A US 2016166510 A1 US2016166510 A1 US 2016166510A1
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Prior art keywords
composition
controlling agent
release controlling
paliperidone
mixture
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US14/995,559
Inventor
Sunil Deviprasad Tiwari
Vijayendrakumar Virendrakumarji Redasani
Prasad Shrikantrao Joshi
Vaibhav Narayan Sawarkar
Ankur Janak Shah
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Inventia Healthcare Ltd India
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Inventia Healthcare Pvt Ltd
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Priority to US14/995,559 priority Critical patent/US20160166510A1/en
Publication of US20160166510A1 publication Critical patent/US20160166510A1/en
Assigned to INVENTIA HEALTHCARE PRIVATE LIMITED reassignment INVENTIA HEALTHCARE PRIVATE LIMITED ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: SHAH, ANKUR JANAK, SAWARKAR, VAIBHAV NARAYAN, TIWARI, SUNIL DEVIPRASAD, REDASANI, VIJAYENDRAKUMAR VIRENDRAKUMARJI, JOSHI, PRASAD SHRIKANTRAO
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2027Organic macromolecular compounds obtained by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyvinyl pyrrolidone, poly(meth)acrylates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/2031Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyethylene oxide, poloxamers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/2833Organic macromolecular compounds
    • A61K9/2853Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyethylene oxide, poloxamers, poly(lactide-co-glycolide)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/2833Organic macromolecular compounds
    • A61K9/286Polysaccharides, e.g. gums; Cyclodextrin
    • A61K9/2866Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia

Definitions

  • the present invention relates to stabilized prolonged release pharmaceutical compositions comprising an antipsychotic drug, preferably atypical antipsychotic drug or pharmaceutically acceptable salts thereof, and process for preparation of the same.
  • Paliperidone is an atypical antipsychotic drug, also known as second generation antipsychotic drug and is described in U.S. Pat. No. 4,804,663. It is practically insoluble in water, and sparingly soluble in 0.1 N HCl and methylene chloride.
  • Janssen-Ortho Inc markets extended release formulations of paliperidone, under the trade name of Invega® and are available in strengths of 1.5 mg, 3 mg, 6 mg and 9 mg.
  • the said formulation employs an osmotic drug-release technology (OROS) to provide a “gradual ascending” drug delivery to minimize fluctuation in peak to trough concentration and permits 24 hour dosing interval.
  • OROS osmotic drug-release technology
  • WO2004010981 and EP1539115 disclose extended release formulations and methods for providing ascending rate of release of paliperidone utilizing a capsule-shaped tablet for once a day dosing.
  • the dosage form utilizes a semipermiable membrane surrounding a three layer core: i) the first layer contains drug and an osmotic agent; ii) the middle layer contains higher amount of drug and without osmotic agent and iii) the third layer is a push layer containing osmotic agent.
  • the capsule shaped tablet contains at least one orifice, which is drilled through the membrane on the first drug layer.
  • U.S. patent application 2006034927 discloses a paliperidone dosage form for sustained release of paliperidone comprising:
  • a delay layer comprising (i) a polymeric matrix, and (ii) microencapsulated drug, wherein the delay layer is substantially free of non-microencapsulated drug; a second layer comprising (i) a polymeric matrix, and (ii) non-microencapsulated drug matrix; wherein the second layer is located adjacent to the delay layer.
  • U.S. patent application 20040092534 and U.S. patent application 20090202631 disclose a method for treating a condition responsive to paliperidone.
  • the dosage form comprises:
  • a capsule shaped tablet core comprising plurality of layers wherein at least one layer is a drug composition layer containing an active agent and at least one other layer comprises a suitable fluid-expandable polymer;
  • a semipermeable membrane surrounding the capsule shaped tablet core to form a compartment having an osmotic gradient to drive fluid from an external fluid environment contacting the semipermeable membrane into the compartment; and
  • WO2009025859 relates to an extended release inlay tablet of paliperidone.
  • the inlay tablet comprises at least an inlay core and outer layer wherein the inlay core comprises non-coated paliperidone and at least one polymer capable of swelling upon hydration and delaying the release of paliperidone from the inlay core.
  • the inlay core optionally further comprises coated paliperidone.
  • the outer layer partially surrounds the inlay core and comprises a pharmaceutical excipient which is substantially water insoluble.
  • WO2009109993 relates to extended release matrix compositions of micronized paliperidone, matrix agent and surfactant.
  • the matrix agent is selected from insoluble release controlling agent or hydrophilic release controlling agent or fatty release controlling agent.
  • the surfactant and micronized paliperidone are essentially used to enhance the solubility of paliperidone.
  • the particle size distribution of paliperidone is such that 90% particles of paliperidone are less than 30 micron, preferably less than 20 micron and more preferably less than 10 micron.
  • WO2010009900 relates to a solid pharmaceutical composition
  • a solid pharmaceutical composition comprising monolithic matrix system (MMS) and/or multiparticulate matrix system (MPMS) comprising paliperidone and matrix forming agent.
  • the matrix forming agent is more preferably present in an amount from 60-98% w/w of matrix particles that prolongs the release of paliperidone.
  • the average particle diameter of paliperidone is in the range of 1-250 um, preferably 5-150 um.
  • the composition further comprises surfactant and water penetration enhancer to improve the solubility of paliperidone.
  • WO2009026621 relates to particulates of paliperidone, or pharmaceutically acceptable salts thereof, having D50 particle size distribution of between about 1 micron to about 40 5 micron.
  • the compositions of the above mentioned prior art have one or more of the following essential requirements:
  • the main object of the present invention is to provide stabilized prolonged release solid oral compositions comprising paliperidone or a pharmaceutically acceptable salt thereof without incorporating surfactant and/or water penetration enhancer.
  • Another object of the invention is to provide such stabilized prolonged release compositions that exhibit desired in vitro dissolution profile of paliperidone or a pharmaceutically acceptable salt thereof with or without lag period.
  • compositions comprising paliperidone or a pharmaceutically acceptable salt thereof, wherein one or more release controlling agent (matrix forming agent) is present in less than 55% by weight of composition.
  • lag period means the time period wherein at the most 10% of atypical antipsychotic such as paliperidone or its pharmaceutically acceptable salt is released from the composition.
  • FIG. 1 is a chart depicting the cumulative drug release profiles.
  • the present invention is directed to stabilized prolonged release solid oral compositions comprising atypical antipsychotic such as paliperidone or pharmaceutically acceptable salts thereof without incorporating surfactant and/or water penetration enhancer in the composition and process for the preparation.
  • atypical antipsychotic such as paliperidone or pharmaceutically acceptable salts thereof without incorporating surfactant and/or water penetration enhancer in the composition and process for the preparation.
  • Such stabilized prolonged release compositions are preferably in the form of a matrix wherein one or more release controlling agents are present in and/or on the matrix.
  • compositions further comprise at least one excipient selected from diluent, binder, lubricant, antioxidant, or mixtures thereof.
  • Such stabilized prolonged release compositions are suitable for once a day dosing to a patient in need thereof.
  • the release controlling agent present in and/or on the matrix is selected from at least one water soluble release controlling agent, water swellable release controlling agent, pH dependent release controlling agent, pH independent release controlling agent, or mixtures thereof.
  • the release controlling agent is a water soluble release controlling agent.
  • the release controlling agent is a water swellable release controlling agent.
  • the release controlling agent is a pH dependent release controlling agent.
  • the release controlling agent is a pH independent release controlling agent.
  • composition of the present invention is designed in a manner to exhibit desired characteristics of dissolution profile, lag time, and solubility.
  • compositions of the present invention do not require the use of surfactant and/or water penetration enhancer and yet achieve the desired dissolution profile in vitro. This is in sharp contrast to the prior art compositions that necessarily require surfactant and/or water penetration enhancer to achieve the desired dissolution profile.
  • the particle size distribution of paliperidone or its pharmaceutical acceptable salts thereof is such that 90% of particles are in the range from 1 micron to 250 microns, preferably in the range from 10 microns to 150 microns, more preferably in the range from 20 microns to 100 microns.
  • Paliperidone in the composition is in the range from 0.1% to 20% by weight of the composition, preferably from 0.5% to 15%, more preferably, from 1% to 10%, most preferably, 2% to 5% by weight of the composition.
  • the release controlling agent is selected from ionic release controlling agent, non ionic release controlling or mixtures thereof.
  • the release controlling agent is selected from one or more carbomer (e.g. carbopol 971 P, carbopol 71G, carbopol 934P and carbopol 974P), one or more polyethylene oxide of molecular weight in the range of 1,000,000 to 7,000,000 (e.g.
  • Polyox WSR303 xanthan gum, locust bean gum, guar gum, one or more hydroxylpropylmethylcellulose (of different viscosity grades from 100 cps to 250000 cps for 1% w/v aqueous solution), one or more hydroxypropyl cellulose (of different viscosity grades from 1000 cps to 4000 cps for 1% w/v aqueous solution), one or more hydroxylethylcellulose (of different viscosity grades from 700 cps to 10000 cps for 1% w/v aqueous solution), one or more ethyl cellulose (of different viscosity grades from 3 cps-100 cps for 5% w/v solution in mixture of toluene and alcohol), one or more carboxymethylcellulose, one or more sodium carboxymethylcellulose, one or more calcium carboxymethylethylcellulose, one or more methacrylic acid copolymers (commercially available as Eudra
  • the release controlling agent is selected from one or more carbomer, one or more polyethylene oxide, hypromellose phthalate, ethyl cellulose, hydroxylpropylmethylcellulose, cellulose acetate, or mixtures thereof.
  • the release controlling agent is present in an amount from about 1% to about 55% by weight of the matrix, preferably from about 4% to 40% by weight of the matrix.
  • the release controlling agent is a part of the 15 matrix.
  • the release controlling agent is present on the matrix for example as a coating layer.
  • the release controlling agent is present in and on the matrix.
  • the release controlling agent in the composition is a mixture of two or more release controlling agents.
  • the release controlling agent is the mixture of ionic release controlling agent and non ionic release controlling agent.
  • examples of such mixture include but not limited to the mixture of carbomer and polyethylene oxide, mixture of hydroxypropylmethyl cellulose phthalate and hydroxypropylmethyl cellulose, mixture of hydroxypropylmethyl cellulose phthalate and ethyl cellulose, mixture of carbomer and hydroxypropylmethyl cellulose.
  • the ratio of ionic release controlling agent to non ionic release controlling agent is from 1:0.5 to 1:1.
  • the coating layer on the matrix optionally includes one or more excipients selected from plasticizer, pigments, glidants, or mixtures thereof.
  • Plasticizer in the coating layer is selected from sorbitol, dibutyl sebacate, polyethylene glycol, triacetin, triethyl citrate, diethyl phthalate, dibutyl phthalate, miglyol, acetyl tributyl citrate, propylene glycol, hydrogenated oils, meglumine, cetyl alcohol, and mixtures thereof.
  • Plasticizer in the coating layer is present in an amount from 2.5% to 30% by weight of the coating layer, preferably from 5% to 20% by weight, more preferably from 7.5% to 15% by weight, and most preferably from 9% to 11% by weight of the coating layer.
  • Coating layer is deposited on the tablet composition using a solvent selected from water, methanol, ethanol, isopropanol, acetone, dichloromethane or mixtures thereof.
  • Diluents are selected from lactose, sugar, starches, modified starches, mannitol, sorbitol, inorganic salts, cellulose derivatives (e.g. microcrystalline cellulose, cellulose), calcium sulfate, calcium silicate, xylitol, lactitol, dibasic calcium phosphate, or mixtures thereof.
  • Diluent is present in an amount from 10% to 90% by weight of the composition, preferably, from 20% to 70%, more preferably from 30% to 60% by weight of the composition, most preferably from 40% to 50% by weight of the composition.
  • Lubricants are selected from magnesium stearate, zinc stearate, stearic acid, palmitic acid, calcium stearate, talc, carnauba wax, hydrogenated vegetable oils, mineral oil, polyethylene glycols, sodium stearyl fumarate, or mixtures thereof.
  • Antioxidants are selected from butylated hydroxyl toluene, butylated hydroxyanisole, tocopherols (e.g alpha tocopherol), propyl gallate, ascorbates, ascorbic acid, sodium ascorbate, potassium or sodium salts of sulphurous acid (e.g. sodium sulphite, sodium bisulphite, sodium metabisulphite), or mixtures thereof.
  • tocopherols e.g alpha tocopherol
  • propyl gallate ascorbates
  • ascorbic acid sodium ascorbate
  • potassium or sodium salts of sulphurous acid e.g. sodium sulphite, sodium bisulphite, sodium metabisulphite
  • Pigment if present is selected from titanium dioxide, iron oxide (e.g iron oxide yellow, iron oxide red, iron oxide brown, iron oxide black) or mixtures thereof.
  • iron oxide e.g iron oxide yellow, iron oxide red, iron oxide brown, iron oxide black
  • Glidant is selected from talc, magnesium stearate, starch, colloidal silicon dioxide, or mixtures thereof.
  • the process for preparation of stabilized 25 prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof involves steps of:
  • the prolonged release solid oral pharmaceutical compositions prolongs the release of paliperidone or a pharmaceutically acceptable salt thereof over a period of at least 12 hours, preferably up to 24 hours.
  • composition comprising release controlling agent exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof with or without lag period.
  • compositions based on one of the embodiments of the invention exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof without any lag period.
  • the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 2 hours.
  • the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 3 hours.
  • the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 4 hours.
  • the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 5 hours.
  • the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 6 hours.
  • the prolonged release tablets comprising paliperidone or a pharmaceutically acceptable salt thereof were subjected to accelerated stability testing and were found to be stable at least for the period of 3 months at 40° C. and 75% RH.
  • Paliperidone, butylated hydroxytoluene, microcrystalline cellulose, polyethylene oxide and carbopol and colloidal silicon dioxide were sifted and mixed in an octagonal blender for 20 minutes at 24 RPM. Magnesium stearate was added to and the resulting mixture was compressed into tablets.
  • Ethyl cellulose and hypromellose phthalate were dispersed and dissolved in the mixture of isopropyl alcohol and methylene chloride. Dibutyl sebacate and talc were added to the solution to obtain dispersion. The resulting dispersion was filtered and sprayed on the tablets.
  • Paliperidone, mannitol and lactose were sifted and mixed for 10 minutes.
  • the resulting mixture was granulated with povidone solution in isopropyl alcohol to obtain granules.
  • the granules were dried at 50° C. in fluid bed processor.
  • the dried granules were sifted and lubricated with colloidal silicon dioxide, magnesium stearate and talc for 10 min.
  • the lubricated mixture was compressed into the tablets.
  • Cellulose acetate and polyethylene glycol was dissolved in the mixture of methylene chloride and methanol. Sorbitol was dissolved in purified water and was added to the above solution. Talc was added to the resulting solution to obtain dispersion. The resulting dispersion was sprayed on the tablets.
  • Paliperidone, butylated hydroxytoluene, microcrystalline cellulose, colloidal silicon dioxide, polyethylene oxide and carbopol (Ex. VIII) or hypromellose K4M (Ex. IX) were sifted and mixed in an octagonal blender for 20 minutes at 24 RPM. Magnesium stearate was added and the resulting mixture was compressed into tablets.
  • the tablets prepared as per example I were packed in HDPE container containing molecular sieve and were subjected to accelerated stability conditions at 40° C./75% RH.
  • the dissolution profile and the impurity profile at the end of three months of accelerated stability testing were as follows:
  • Impurity Initial 3 Month Impurity A ND ND Impurity B ND ND Impurity H 0.08% 0.11% Single maximum 0.01% 0.45% unknown impurity Total unknown 0.03% 1.2% impurity Total impurity 1.03% 1.31%

Abstract

The present invention provides stabilized prolonged release pharmaceutical compositions comprising atypical antipsychotic drug like paliperidone or pharmaceutically acceptable salts thereof without incorporating surfactant and for water penetration enhancer. Such compositions are preferably in the form of a matrix wherein one or more release controlling agents are present in and/or on the matrix. Further, such compositions comprise one or more release controlling agent and exhibits desired in vitro release of drug with or without lag period. The invention also provides a process for the preparation of such compositions.

Description

    CROSS REFERENCE TO RELATED APPLICATIONS
  • This application claims the benefit of U.S. patent application Ser. No. 13/634,476, filed Sep. 12, 2012, which is a national phase filing of PCT/IB2011/000539, filed Mar. 11, 2011, which claims the benefit of Indian Patent Application 684/MUM/2010, filed on Mar. 15, 2010, the contents of which are incorporated herein by reference in their entirety.
  • FIELD OF THE INVENTION
  • The present invention relates to stabilized prolonged release pharmaceutical compositions comprising an antipsychotic drug, preferably atypical antipsychotic drug or pharmaceutically acceptable salts thereof, and process for preparation of the same.
  • BACKGROUND OF THE INVENTION
  • Paliperidone is an atypical antipsychotic drug, also known as second generation antipsychotic drug and is described in U.S. Pat. No. 4,804,663. It is practically insoluble in water, and sparingly soluble in 0.1 N HCl and methylene chloride.
  • Janssen-Ortho Inc markets extended release formulations of paliperidone, under the trade name of Invega® and are available in strengths of 1.5 mg, 3 mg, 6 mg and 9 mg. The said formulation employs an osmotic drug-release technology (OROS) to provide a “gradual ascending” drug delivery to minimize fluctuation in peak to trough concentration and permits 24 hour dosing interval.
  • WO2004010981 and EP1539115 disclose extended release formulations and methods for providing ascending rate of release of paliperidone utilizing a capsule-shaped tablet for once a day dosing. The dosage form utilizes a semipermiable membrane surrounding a three layer core: i) the first layer contains drug and an osmotic agent; ii) the middle layer contains higher amount of drug and without osmotic agent and iii) the third layer is a push layer containing osmotic agent. The capsule shaped tablet contains at least one orifice, which is drilled through the membrane on the first drug layer.
  • U.S. patent application 2006034927 discloses a paliperidone dosage form for sustained release of paliperidone comprising:
  • a delay layer comprising (i) a polymeric matrix, and (ii) microencapsulated drug, wherein the delay layer is substantially free of non-microencapsulated drug;
    a second layer comprising (i) a polymeric matrix, and (ii) non-microencapsulated drug matrix; wherein the second layer is located adjacent to the delay layer.
  • U.S. patent application 20040092534 and U.S. patent application 20090202631 disclose a method for treating a condition responsive to paliperidone. The dosage form comprises:
  • (a) a capsule shaped tablet core comprising plurality of layers wherein at least one layer is a drug composition layer containing an active agent and at least one other layer comprises a suitable fluid-expandable polymer;
    (b) a semipermeable membrane surrounding the capsule shaped tablet core to form a compartment having an osmotic gradient to drive fluid from an external fluid environment contacting the semipermeable membrane into the compartment; and
    (c) an orifice formed through the semipermeable membrane and into the capsule shaped tablet core to permit the active agent to be released from within the compartment into the external fluid environment;
    wherein the dosage form releases the active agent at a substantially ascending release rate for a prolonged period of time.
  • WO2009025859 relates to an extended release inlay tablet of paliperidone. The inlay tablet comprises at least an inlay core and outer layer wherein the inlay core comprises non-coated paliperidone and at least one polymer capable of swelling upon hydration and delaying the release of paliperidone from the inlay core. The inlay core optionally further comprises coated paliperidone. The outer layer partially surrounds the inlay core and comprises a pharmaceutical excipient which is substantially water insoluble.
  • WO2009109993 relates to extended release matrix compositions of micronized paliperidone, matrix agent and surfactant. The matrix agent is selected from insoluble release controlling agent or hydrophilic release controlling agent or fatty release controlling agent. In these compositions the surfactant and micronized paliperidone are essentially used to enhance the solubility of paliperidone. The particle size distribution of paliperidone is such that 90% particles of paliperidone are less than 30 micron, preferably less than 20 micron and more preferably less than 10 micron.
  • WO2010009900 relates to a solid pharmaceutical composition comprising monolithic matrix system (MMS) and/or multiparticulate matrix system (MPMS) comprising paliperidone and matrix forming agent. The matrix forming agent is more preferably present in an amount from 60-98% w/w of matrix particles that prolongs the release of paliperidone. The average particle diameter of paliperidone is in the range of 1-250 um, preferably 5-150 um. The composition further comprises surfactant and water penetration enhancer to improve the solubility of paliperidone.
  • WO2009026621 relates to particulates of paliperidone, or pharmaceutically acceptable salts thereof, having D50 particle size distribution of between about 1 micron to about 40 5 micron. The compositions of the above mentioned prior art have one or more of the following essential requirements:
    • 1. Use of surfactant and water penetration enhancer;
    • 2. Use of excipient like osmogent;
    • 3. Use of release controlling agent (matrix forming agent) which is preferably at least 60% by weight;
    • 4. Additional process step of drilling an orifice through the semipermeable membrane to enable the release of drug from the system.
    OBJECTS OF THE INVENTION
  • The main object of the present invention is to provide stabilized prolonged release solid oral compositions comprising paliperidone or a pharmaceutically acceptable salt thereof without incorporating surfactant and/or water penetration enhancer.
  • Another object of the invention is to provide such stabilized prolonged release compositions that exhibit desired in vitro dissolution profile of paliperidone or a pharmaceutically acceptable salt thereof with or without lag period.
  • It is yet another object of the invention to provide such compositions suitable for once a day administration.
  • It is yet another object of the invention to provide such compositions comprising paliperidone or a pharmaceutically acceptable salt thereof, wherein one or more release controlling agent (matrix forming agent) is present in less than 55% by weight of composition.
  • It is yet another object of the invention to provide a process for the preparation of such compositions comprising paliperidone or a pharmaceutically acceptable salt thereof.
  • DEFINITION
  • The term “lag period” as used herein means the time period wherein at the most 10% of atypical antipsychotic such as paliperidone or its pharmaceutically acceptable salt is released from the composition.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a chart depicting the cumulative drug release profiles.
  • DETAILED DESCRIPTION OF THE INVENTION
  • The present invention is directed to stabilized prolonged release solid oral compositions comprising atypical antipsychotic such as paliperidone or pharmaceutically acceptable salts thereof without incorporating surfactant and/or water penetration enhancer in the composition and process for the preparation.
  • Such stabilized prolonged release compositions are preferably in the form of a matrix wherein one or more release controlling agents are present in and/or on the matrix.
  • The compositions further comprise at least one excipient selected from diluent, binder, lubricant, antioxidant, or mixtures thereof.
  • Such stabilized prolonged release compositions are suitable for once a day dosing to a patient in need thereof.
  • The release controlling agent present in and/or on the matrix is selected from at least one water soluble release controlling agent, water swellable release controlling agent, pH dependent release controlling agent, pH independent release controlling agent, or mixtures thereof.
  • In an embodiment of the invention, the release controlling agent is a water soluble release controlling agent.
  • In another embodiment of the invention, the release controlling agent is a water swellable release controlling agent.
  • In yet another embodiment of the invention, the release controlling agent is a pH dependent release controlling agent.
  • In yet another embodiment of the invention, the release controlling agent is a pH independent release controlling agent.
  • The composition of the present invention is designed in a manner to exhibit desired characteristics of dissolution profile, lag time, and solubility.
  • Compositions of the present invention do not require the use of surfactant and/or water penetration enhancer and yet achieve the desired dissolution profile in vitro. This is in sharp contrast to the prior art compositions that necessarily require surfactant and/or water penetration enhancer to achieve the desired dissolution profile.
  • The particle size distribution of paliperidone or its pharmaceutical acceptable salts thereof is such that 90% of particles are in the range from 1 micron to 250 microns, preferably in the range from 10 microns to 150 microns, more preferably in the range from 20 microns to 100 microns.
  • Paliperidone in the composition is in the range from 0.1% to 20% by weight of the composition, preferably from 0.5% to 15%, more preferably, from 1% to 10%, most preferably, 2% to 5% by weight of the composition.
  • The release controlling agent is selected from ionic release controlling agent, non ionic release controlling or mixtures thereof.
  • The release controlling agent is selected from one or more carbomer (e.g. carbopol 971 P, carbopol 71G, carbopol 934P and carbopol 974P), one or more polyethylene oxide of molecular weight in the range of 1,000,000 to 7,000,000 (e.g. Polyox WSR303), xanthan gum, locust bean gum, guar gum, one or more hydroxylpropylmethylcellulose (of different viscosity grades from 100 cps to 250000 cps for 1% w/v aqueous solution), one or more hydroxypropyl cellulose (of different viscosity grades from 1000 cps to 4000 cps for 1% w/v aqueous solution), one or more hydroxylethylcellulose (of different viscosity grades from 700 cps to 10000 cps for 1% w/v aqueous solution), one or more ethyl cellulose (of different viscosity grades from 3 cps-100 cps for 5% w/v solution in mixture of toluene and alcohol), one or more carboxymethylcellulose, one or more sodium carboxymethylcellulose, one or more calcium carboxymethylethylcellulose, one or more methacrylic acid copolymers (commercially available as Eudragit E, Eudragit NE, Eudragit L, Eudragit S, Eudragit RL, Eudragit RS and Eudragit FS), mixture of polyvinyl acetate and polyvinyl pyrrolidone (commercially available as Kollidon SR or Kollicoat SR), one or more sodium alginate, hypromellose phthalate, polyvinyl acetate phthalate, hypromellose acetate succinate, cellulose acetate, cellulose acetate propionate, shellac, polyvinyl alcohol, polyvinyl acetate, or mixtures thereof.
  • Preferably, the release controlling agent is selected from one or more carbomer, one or more polyethylene oxide, hypromellose phthalate, ethyl cellulose, hydroxylpropylmethylcellulose, cellulose acetate, or mixtures thereof.
  • The release controlling agent is present in an amount from about 1% to about 55% by weight of the matrix, preferably from about 4% to 40% by weight of the matrix.
  • In one of the embodiments of the invention the release controlling agent is a part of the 15 matrix.
  • In another embodiment of the invention the release controlling agent is present on the matrix for example as a coating layer.
  • In yet another embodiment of the invention the release controlling agent is present in and on the matrix.
  • The release controlling agent in the composition is a mixture of two or more release controlling agents. Preferably, the release controlling agent is the mixture of ionic release controlling agent and non ionic release controlling agent. Examples of such mixture include but not limited to the mixture of carbomer and polyethylene oxide, mixture of hydroxypropylmethyl cellulose phthalate and hydroxypropylmethyl cellulose, mixture of hydroxypropylmethyl cellulose phthalate and ethyl cellulose, mixture of carbomer and hydroxypropylmethyl cellulose.
  • The ratio of ionic release controlling agent to non ionic release controlling agent is from 1:0.5 to 1:1.
  • The coating layer on the matrix optionally includes one or more excipients selected from plasticizer, pigments, glidants, or mixtures thereof.
  • Plasticizer in the coating layer is selected from sorbitol, dibutyl sebacate, polyethylene glycol, triacetin, triethyl citrate, diethyl phthalate, dibutyl phthalate, miglyol, acetyl tributyl citrate, propylene glycol, hydrogenated oils, meglumine, cetyl alcohol, and mixtures thereof. Plasticizer in the coating layer is present in an amount from 2.5% to 30% by weight of the coating layer, preferably from 5% to 20% by weight, more preferably from 7.5% to 15% by weight, and most preferably from 9% to 11% by weight of the coating layer.
  • Coating layer is deposited on the tablet composition using a solvent selected from water, methanol, ethanol, isopropanol, acetone, dichloromethane or mixtures thereof.
  • Diluents are selected from lactose, sugar, starches, modified starches, mannitol, sorbitol, inorganic salts, cellulose derivatives (e.g. microcrystalline cellulose, cellulose), calcium sulfate, calcium silicate, xylitol, lactitol, dibasic calcium phosphate, or mixtures thereof. Diluent is present in an amount from 10% to 90% by weight of the composition, preferably, from 20% to 70%, more preferably from 30% to 60% by weight of the composition, most preferably from 40% to 50% by weight of the composition.
  • Lubricants are selected from magnesium stearate, zinc stearate, stearic acid, palmitic acid, calcium stearate, talc, carnauba wax, hydrogenated vegetable oils, mineral oil, polyethylene glycols, sodium stearyl fumarate, or mixtures thereof.
  • Antioxidants are selected from butylated hydroxyl toluene, butylated hydroxyanisole, tocopherols (e.g alpha tocopherol), propyl gallate, ascorbates, ascorbic acid, sodium ascorbate, potassium or sodium salts of sulphurous acid (e.g. sodium sulphite, sodium bisulphite, sodium metabisulphite), or mixtures thereof.
  • Pigment, if present is selected from titanium dioxide, iron oxide (e.g iron oxide yellow, iron oxide red, iron oxide brown, iron oxide black) or mixtures thereof.
  • Glidant is selected from talc, magnesium stearate, starch, colloidal silicon dioxide, or mixtures thereof.
  • The process for preparation of stabilized prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof, wherein the process involves steps of:
    • a) mixing paliperidone or pharmaceutically acceptable salt thereof, diluent and optionally at least one ingredient selected from antioxidant, lubricant, glidant, release controlling agent, or mixtures thereof;
    • b) optionally converting the mixture of step a) into granules;
    • c) optionally mixing the granules with release controlling agent;
    • d) compressing the mixture of step a) or b) or c) to obtain a matrix;
    • e) optionally coating the matrix of step d) with at least one release controlling agent. The matrix in step d) is preferably a tablet.
  • In one of the embodiments of the present invention the process for preparation of stabilized prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof involves steps of:
    • a) mixing of paliperidone or pharmaceutically acceptable salt thereof one or more of diluents and optionally at least one excipient selected from binders, lubricants, antioxidants, or mixtures thereof;
    • b) granulating the mixture with suitable solvent followed by drying and grading to obtain granules;
    • c) mixing of the granules obtained in step b) with at least one release controlling agent;
    • d) lubricating the mixture obtained in step c) with lubricants;
    • e) compressing the lubricated mixture obtained in step d) into matrix tablets;
    • f) optionally coating the compressed tablets of step e) with at least one release controlling agent.
  • In another embodiment of the present invention the process for preparation of stabilized 25 prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof involves steps of:
    • a) mixing paliperidone or pharmaceutically acceptable salt thereof, at least one release controlling agent, and at least one excipient selected from one or more of diluents, binders, antioxidants, or mixtures thereof;
    • b) granulating the mixture of step a) with a suitable solvent followed by drying and grading to obtain granules;
    • c) lubricating the granules obtained in step b) with lubricants;
    • d) compressing the lubricated mixture obtained in step c) into tablets;
    • e) optionally coating the compressed tablets of step d) with at least one release controlling agent.
  • In yet another embodiment of the present invention the process for preparation of stabilized prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof involves steps of:
    • a) mixing paliperidone or pharmaceutically acceptable salt thereof, at least one release controlling agent, and at least one excipient selected from one or more of diluents, binders, antioxidants, or mixtures thereof;
    • b) lubricating the mixture obtained in step a) with lubricants;
    • c) compressing the lubricated mixture obtained in step b) into tablets;
    • d) optionally coating the compressed tablets of step d) with at least one release controlling agent.
  • In yet another embodiment of the present invention the process for preparation stabilized prolonged release solid oral pharmaceutical compositions of paliperidone or a pharmaceutically acceptable salt thereof involves steps of:
    • a) mixing of paliperidone or pharmaceutically acceptable salt thereof, at least one release controlling agent and at least one excipient selected from one or more of diluents, binders, antioxidants, or mixtures thereof to obtain mixture;
    • b) compressing or compacting the mixture to form a matrix followed by milling to obtain granules;
    • c) lubricating the granules obtained in step b) with lubricants;
    • d) compressing the lubricated mixture obtained in step c) into tablet;
    • e) optionally coating the compressed tablets of step d) with at least one release controlling agent.
  • The prolonged release solid oral pharmaceutical compositions prolongs the release of paliperidone or a pharmaceutically acceptable salt thereof over a period of at least 12 hours, preferably up to 24 hours.
  • The composition comprising release controlling agent exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof with or without lag period.
  • Compositions based on one of the embodiments of the invention exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof without any lag period.
  • In another embodiment, the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 2 hours.
  • In yet another embodiment, the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 3 hours.
  • In yet another embodiment, the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 4 hours.
  • In yet another embodiment, the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 5 hours.
  • In yet another embodiment, the composition exhibits desired in vitro release of paliperidone or a pharmaceutically acceptable salt thereof after the lag period of at least 6 hours.
  • The prolonged release tablets comprising paliperidone or a pharmaceutically acceptable salt thereof were subjected to accelerated stability testing and were found to be stable at least for the period of 3 months at 40° C. and 75% RH.
  • The invention is illustrated with non limiting examples.
  • Examples (I-III)
  • Paliperidone, butylated hydroxytoluene, microcrystalline cellulose, polyethylene oxide and carbopol and colloidal silicon dioxide were sifted and mixed in an octagonal blender for 20 minutes at 24 RPM. Magnesium stearate was added to and the resulting mixture was compressed into tablets.
  • Coated Tablets of Ex. I-II
  • Ethyl cellulose and hypromellose phthalate were dispersed and dissolved in the mixture of isopropyl alcohol and methylene chloride. Dibutyl sebacate and talc were added to the solution to obtain dispersion. The resulting dispersion was filtered and sprayed on the tablets.
  • Coated Tablets of Ex. III
  • Cellulose acetate and polyethylene glycol was dissolved in the mixture of methylene chloride and methanol. Sorbitol was dissolved in purified water and was added to the above solution. Talc was added to the resulting solution to obtain dispersion. The resulting dispersion was filtered and sprayed on the tablets.
  • The examples following above mentioned process is given in table I.
  • TABLE
    Ex. I Ex. II Ex. III
    No. Ingredients % w/w % w/w % w/w
    1. Paliperidone 2.86 2.82 2.86
    2. Polyethylene oxide (PEO 19.05 18.78 19.05
    WSR 303 LEO)
    3. Carbopol 71 G 19.05 18.78 19.05
    4. Microcrystalline cellulose 49.48 48.78 49.48
    5. Butylated hydroxytoluene 0.05 0.05 0.05
    6. Colloidal silicon dioxide 2.38 2.35 2.38
    7. Magnesium stearate 2.38 2.35 2.38
    8. Hypromellose phthalate 2.60 3.33
    9. Ethyl cellulose 1.30 1.67
    10. Cellulose acetate 3.78
    11. Dibutyl sebacate 0.49 0.62
    12. Polyethylene glycol 0.38
    13. Sorbitol 0.38
    14. Talc 0.38 0.49 0.23
  • Example IV
  • Paliperidone, mannitol and lactose were sifted and mixed for 10 minutes. The resulting mixture was granulated with povidone solution in isopropyl alcohol to obtain granules. The granules were dried at 50° C. in fluid bed processor. The dried granules were sifted and lubricated with colloidal silicon dioxide, magnesium stearate and talc for 10 min. The lubricated mixture was compressed into the tablets. Cellulose acetate and polyethylene glycol was dissolved in the mixture of methylene chloride and methanol. Sorbitol was dissolved in purified water and was added to the above solution. Talc was added to the resulting solution to obtain dispersion. The resulting dispersion was sprayed on the tablets.
  • The example following above mentioned process is given in table II.
  • TABLE II
    Ex. IV
    No. Ingredients % w/w
     1. Paliperidone 3.95
     2/ Mannitol 39.47
     3. Lactose anhydrous 44.47
     4. Povidone 4.47
     5. Talc 0.99
     6. Colloidal silicon dioxide 0.39
     7. Magnesium stearate 0.99
     8. Cellulose acetate 398-10 4.17
     9. Polyethylene glycol 400 0.41
    10. Sorbitol 0.41
    11. Talc 0.26
  • Example V-VI
  • Paliperidone, butylated hydroxytoluene, microcrystalline cellulose, polyethylene oxide and carbopol and colloidal silicon dioxide were sifted and mixed in an octagonal blender for 20 minutes at 24 RPM. Magnesium stearate was added and the resulting mixture was compressed into tablets. Ethyl cellulose and hypromellose phthalate were dispersed and dissolved in the mixture of isopropyl alcohol and methylene chloride. Dibutyl sebacate and talc were added to the above solution to obtain dispersion. The resulting dispersion was filtered and sprayed on the tablets.
  • Examples following above mentioned process are given in table III.
  • TABLE III
    Ex. V Ex. VI
    No. Ingredients % w/w % w/w
    1. Paliperidone 8.45 12.68
    2. Polyethylene oxide 18.78 18.78
    3. Carbopol 71G 18.78 18.78
    4. Microcrystalline cellulose 43.10 38.87
    5. Butylated hydroxytoluene 0.09 0.09
    6. Colloidal silicon dioxide 2.35 2.35
    7. Magnesium stearate 2.35 2.35
    8. Hypromellose phthalate 3.05 3.05
    9. Ethyl cellulose 45 cps 1.53 1.53
    10. Dibutyl sebacate 0.57 0.57
    11. Talc 0.45 0.45
    12. Titanium dioxide 0.51 0.51
  • Example (VII-VIII)
  • Paliperidone, butylated hydroxytoluene, microcrystalline cellulose, colloidal silicon dioxide, polyethylene oxide and carbopol (Ex. VIII) or hypromellose K4M (Ex. IX) were sifted and mixed in an octagonal blender for 20 minutes at 24 RPM. Magnesium stearate was added and the resulting mixture was compressed into tablets.
  • The examples following above mentioned process are given in table IV.
  • TABLE IV
    Ex VII Ex VIII
    No. Ingredients 70 w/w 70 w/w
    1. Paliperidone 3 3
    2. Polyethylene oxide 20 20
    (PEO WSR 303LEO)
    3. Carbopol 71G 20
    4. Hypromellose K4M 20
    5. Microcrystalline cellulose 51.95 51.95
    6. Butylated 0.05 0.05
    7. Colloidal silicon dioxide 2.5 2.5
    8. Magnesium stearate 2.5 2.5
  • Dissolution Profile:
  • The tablets prepared as per examples 1-VIII were analyzed in vitro using USP II paddle apparatus, at 50 rpm, Volume: 500 ml, using 0.2% w/w NaCl and 0.0825 N HCL (pH 1.2) at 37° C. The cumulative drug release profiles of these tablets are depicted in FIG. 1:
  • Stability Data:
  • The tablets prepared as per example I were packed in HDPE container containing molecular sieve and were subjected to accelerated stability conditions at 40° C./75% RH. The dissolution profile and the impurity profile at the end of three months of accelerated stability testing were as follows:
  • Dissolution Profile:
  • Time Cumulative % drug release
    (Hrs.) Initial 3 Month, 40° C./75% RH
    1 0 0
    6 10 4
    14 51 44
    24 84 77
  • Impurity Profile:
  • Impurity Initial 3 Month
    Impurity A ND ND
    Impurity B ND ND
    Impurity H 0.08% 0.11%
    Single maximum 0.01% 0.45%
    unknown impurity
    Total unknown 0.03%  1.2%
    impurity
    Total impurity 1.03% 1.31%
  • The above data reveals that there was no appreciable change in the drug release profile and impurity profile at the end of three months at accelerated stability conditions of 40° C./75% RH and the tablets were stable at least for the period of three months.

Claims (14)

We claim:
1. A stabilized prolonged release surfactant free solid oral pharmaceutical tablet composition comprising a matrix core and a coating layer, wherein the matrix core comprises a mixture of:
(a) a paliperidone or pharmaceutically acceptable salt thereof;
(b) at least one release controlling agent;
(c) at least one diluent; and optionally,
(d) at least one excipient selected from a binder, an anti-oxidant, and a mixture thereof; and
a coating layer comprising a mixture of ionic release controlling agent and non-ionic release controlling agent coated on the said matrix core;
wherein the release controlling agents in and on the matrix core ranges from 1% to 55% by weight of the matrix core.
2. A composition as claimed in claim 1, wherein the release controlling agent in and on the matrix core is selected from the group consisting of carbomer, polyethylene oxide, ethyl cellulose, xanthan gum, hydroxypropylcellulose, hydroxypropylmethylcellulose, hydroxyethylcellulose, sodium carboxymethylcellulose, carboxymethylcellulose, calcium carboxymethylethylcellulose, locust bean gum, methacrylic acid copolymers, polyvinylpyrrolidone, mixture of polyvinyl acetate and polyvinyl pyrrolidone, sodium alginate, hypromellose phthalate, polyvinyl acetate phthalate, hypromellose acetate succinate, cellulose acetate, shellac, polyvinyl alcohol, polyvinyl acetate, and mixtures thereof.
3. A composition as claimed in claim 1, wherein the release controlling agent in and on the matrix core is selected from the group consisting of carbomer, polyethylene oxide, hydroxypropylmethylcellulose, hypromellose phthalate, cellulose acetate, ethylcellulose, and mixtures thereof.
4. A composition as claimed in claim 1, wherein the mixture of ionic release controlling agent and non-ionic release controlling agent is in the ratio from 1:0.5 to 1:1.
5. A composition as claimed in claim 1, wherein the release controlling agent in and on the matrix core is selected from the group consisting of a mixture of carbomer and polyethylene oxide, a mixture of hypromellose phthalate and hydroxypropylmethyl cellulose, a mixture of hypromellose phthalate and ethyl cellulose, and a mixture of carbomer and hydroxypropylmethyl cellulose.
6. A composition as claimed in claim 1, wherein the release controlling agent in and on the matrix core is from 4% to 40% by weight of the matrix.
7. A composition as claimed in claim 1, wherein paliperidone or a pharmaceutically acceptable salt thereof is from 0.1 to 20% by weight of the composition.
8. A composition as claimed in claim 1, wherein the antioxidant is selected from the group consisting of butylated hydroxytoluene, butylated hydroxyanisole, tocopherols, propyl gallate, ascorbates, ascorbic acid, sodium ascorbate, potassium or sodium salts of sulphurous acid, and mixtures thereof.
9. A composition as claimed in claim 1, wherein the release controlling agent in the matrix core is a mixture of ionic release controlling agent and non-ionic release controlling agent.
10. A composition as claimed in claim 1, that upon dissolution testing releases 10% or less of paliperidone in two hours.
11. A composition as claimed in claim 1, that upon dissolution testing releases 10% or less of paliperidone in three hours.
12. A composition as claimed in claim 1, that upon dissolution testing releases 10% or less of paliperidone in four hours.
13. A composition as claimed in claim 1, that upon dissolution testing releases 10% or less of paliperidone in five hours.
14. A composition as claimed in claim 1, that upon dissolution testing releases 10% or less of paliperidone in six hours.
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WO2011114213A1 (en) 2011-09-22
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