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Last Updated: March 28, 2024

Claims for Patent: 8,377,863


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Summary for Patent: 8,377,863
Title:Peptide pharmaceutical for oral delivery
Abstract: Acid-containing oral pharmaceutical compositions are provided wherein the pharmaceutical active agents are peptide compounds (i.e., those that include a plurality of amino acids and at least one peptide bond in their molecular structures). Certain barrier layers and/or particulate coated acid are used to reduce any adverse interactions that might otherwise occur between the acid of the compositions and other components of the composition. Use of these barrier layers and/or use of particulate coated acid is believed to promote a more simultaneous release of the components of the composition than is achieved by prior art acid-protection techniques, thus enhancing, and making more consistent, the bioavailability of the active peptide compounds.
Inventor(s): Stern; William (Tenafly, NJ), Consalvo; Angelo P. (Monroe, NY)
Assignee: Unigene Laboratories Inc. (Boonton, NJ)
Application Number:12/128,210
Patent Claims:1. A single dosage form for oral delivery of a physiologically active peptide agent, comprising the active peptide agent intermixed with pharmaceutically acceptable acid particles that are coated with a pharmaceutically acceptable protective coating to separate the acid particles from the active peptide agent, wherein the protective coating has a solubility in water of at least one gram per 100 milliliters of water at room temperature, and wherein, if the dosage form were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

2. The single dosage form of claim 1 wherein the protective coating is maltodextrin.

3. The single dosage form of claim 1 wherein the protective coating is glucose.

4. The single dosage form of claim 1 wherein the protective coating is sodium citrate.

5. The single dosage form of claim 1 wherein the acid particles are maltodextrin-coated citric acid particles.

6. The single dosage form of claim 1 further comprising an absorption enhancer.

7. The single dosage form of claim 6 wherein the absorption enhancer is an acyl carnitine.

8. The single dosage form of claim 6 wherein the absorption enhancer is L-lauroyl carnitine.

9. The single dosage form of claim 1 wherein the acid has a pKa no higher than 4.2 and has a solubility in water of at least 30 grams per 100 milliliters of water at room temperature.

10. The single dosage form of claim 1 wherein the acid is selected from citric acid, tartaric acid and an acid salt of an amino acid.

11. The single dosage form of claim 6 further comprising a pharmaceutical binder and, uniformly dispersed in the binder, the acid particles, the absorption enhancer, and the peptide active agent.

12. The single dosage form of claim 1 wherein the active peptide is selected from calcitonin, natural parathyroid hormone, a parathyroid hormone truncate, and an amidated parathyroid hormone truncate.

13. The single dosage form of claim 1 wherein the active peptide is calcitonin.

14. The single dosage form of claim 1 wherein the active peptide is salmon calcitonin.

15. The single dosage form of claim 1 wherein the active peptide is PTH 1-31-amide.

16. The single dosage form of claim 1 further comprising a cellulose filler, wherein the single dosage form has been compressed into tablet form such that the maximum weight loss during friability testing is no greater than 1%.

17. The single dosage form of claim 1 further comprising a pharmaceutical binder for dry compression.

18. The single dosage form of claim 1 wherein average particle size of the coated acid particles is between 30 mesh and 140 mesh.

19. The single dosage form of claim 1 wherein the single dosage form composition is a single tablet or capsule.

20. A pharmaceutical tablet for oral delivery of a physiologically active peptide agent comprising: (A) the active peptide agent; (B) L-lauroyl carnitine; (C) coated citric acid particles intermixed with the active peptide agent, wherein the coating separates the citric acid from the active peptide agent in the composition, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (D) a cellulose filler; (E) a pharmaceutical binder for dry compression; (F) an outer layer of an acid-resistant enteric coating effective to transport the pharmaceutical tablet through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (G) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone and being present in an amount higher than three percent by weight relative to the total weight of the pharmaceutical tablet, exclusive of the outer layer and the barrier layer; wherein, if the tablet were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

21. The pharmaceutical tablet of claim 20 wherein the coating is maltodextrin.

22. The pharmaceutical tablet of claim 20 wherein the average particle size of the coated citric acid particles is between 30 mesh and 140 mesh.

23. The pharmaceutical tablet of claim 20 wherein the peptide agent is selected from calcitonin, natural parathyroid hormone, a parathyroid hormone truncate, and an amidated parathyroid hormone truncate.

24. The pharmaceutical tablet of claim 20 wherein the active peptide is calcitonin.

25. The pharmaceutical tablet of claim 20 wherein the active peptide is salmon calcitonin.

26. The pharmaceutical tablet of claim 20 wherein the active peptide is PTH 1-31-amide.

27. A pharmaceutical tablet for oral delivery of a physiologically active peptide agent comprising: (A) the active peptide agent; (B) L-lauroyl carnitine; (C) coated citric acid particles intermixed with the active peptide agent, wherein the coating separates the citric acid from the active peptide agent in the composition, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (D) a cellulose filler; (E) a pharmaceutical binder for dry compression; (F) an outer layer of an acid-resistant enteric coating effective to transport the pharmaceutical tablet through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (G) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone, and being present in an amount higher than three percent by weight relative to the total weight of the pharmaceutical, exclusive of the outer layer and the barrier layer, wherein the tablet has been compressed into tablet form such that the maximum weight loss during friability testing is no greater than 1%, and wherein the tablet reduces the activity of neutral to basic-acting proteases upon dissolution in the small intestine by reducing intestinal pH.

28. A pharmaceutical tablet for oral delivery of calcitonin comprising: (A) calcitonin; (B) a lauroyl carnitine absorption enhancer; (C) coated citric acid particles intermixed with the calcitonin, wherein the coating separates the citric acid from the calcitonin, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (D) a cellulose filler; (E) a pharmaceutical binder for dry compression; (F) an outer layer of an acid-resistant enteric coating effective to transport the pharmaceutical tablet through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (G) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone, and being present in an amount higher than three percent by weight relative to the total weight of the pharmaceutical tablet, exclusive of the outer layer and the barrier layer; wherein the tablet has been compressed into tablet form such that the maximum weight loss during friability testing is no greater than 1%; and wherein, if the tablet were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

29. The pharmaceutical tablet of claim 28 wherein the calcitonin is salmon calcitonin.

30. The pharmaceutical tablet of claim 28 wherein the coating is maltodextrin.

31. A single dosage form for oral delivery of an amidated parathyroid hormone truncate comprising the amidated parathyroid hormone truncate intermixed with pharmaceutically acceptable acid particles that are coated with a pharmaceutically acceptable protective coating to separate the acid particles from the amidated parathyroid hormone truncate, wherein the protective coating has a solubility in water of at least one gram per 100 milliliters of water at room temperature, and wherein, if the dosage form were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

32. The single dosage form of claim 31 wherein the protective coating is maltodextrin.

33. The single dosage form of claim 31 wherein the protective coating is sodium citrate.

34. The single dosage form of claim 31 wherein the acid particles are maltodextrin-coated citric acid particles.

35. The single dosage form of claim 31 further comprising an absorption enhancer.

36. The single dosage form of claim 35 wherein the absorption enhancer is an acyl carnitine.

37. The single dosage form of claim 35, wherein the absorption enhancer is L-lauroyl carnitine.

38. The single dosage form of claim 31, wherein the acid is selected from citric acid, tartaric acid and an acid salt of an amino acid.

39. The single dosage form of claim 35, wherein the single dosage form further comprises a pharmaceutical binder and, uniformly dispersed in the binder, the acid particles, the absorption enhancer, and the amidated parathyroid hormone truncate.

40. A single dosage form for oral delivery of a physiologically active peptide agent, comprising the active peptide agent intermixed with pharmaceutically acceptable citric acid particles that are coated with a pharmaceutically acceptable protective coating to separate the citric acid particles from the active peptide agent, wherein the protective coating has a solubility in water of at least one gram per 100 milliliters of water at room temperature, and wherein, if the dosage form were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

41. The single dosage form of claim 40 wherein the protective coating is maltodextrin.

42. The single dosage form of claim 40 wherein the protective coating is sodium citrate.

43. The single dosage form of claim 40 wherein the citric acid particles are maltodextrin-coated citric acid.

44. The single dosage form of claim 40 further comprising an absorption enhancer.

45. The single dosage form of claim 44 wherein the absorption enhancer is a surface active agent.

46. The single dosage form of claim 44 wherein the absorption enhancer is an acyl carnitine.

47. The single dosage form of claim 44 wherein the absorption enhancer is L-lauroyl carnitine.

48. The single dosage form of claim 44 wherein the single dosage form further comprises a pharmaceutical binder and, uniformly dispersed in the binder, the citric acid particles, the absorption enhancer, and the peptide active agent.

49. The single dosage form of claim 40 wherein the active peptide is selected from calcitonin, natural parathyroid hormone, a parathyroid hormone truncate, and an amidated parathyroid hormone truncate.

50. The single dosage form of claim 40 wherein the active peptide is calcitonin.

51. The single dosage form of claim 40 wherein the active peptide is salmon calcitonin.

52. The single dosage form of claim 40 wherein the active peptide is PTH 1-31-amide.

53. A single dosage form for oral delivery of an amidated parathyroid hormone truncate comprising the amidated parathyroid hormone truncate intermixed with coated citric acid particles so as to separate the citric acid particles from the amidated parathyroid hormone truncate, wherein the protective coating has a solubility in water of at least one gram per 100 milliliters of water at room temperature, and wherein, if the dosage form were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

54. The single dosage form of claim 53 further comprising an absorption enhancer.

55. The single dosage form of claim 54 wherein the absorption enhancer is L-lauroyl carnitine.

56. The single dosage form of claim 53 wherein the dosage form is a single tablet or capsule.

57. A single dosage form for oral delivery comprising: a physiologically active peptide agent; pharmaceutically acceptable acid particles that are coated with a pharmaceutically acceptable protective coating to separate the acid particles from the physiologically active peptide agent; and an absorption enhancer, wherein the dosage form reduces the activity of neutral to basic-acting proteases upon dissolution in the small intestine by reducing intestinal pH, wherein the protective coating has a solubility in water of at least one gram per 100 milliliters of water at room temperature, and wherein, if the dosage form were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

58. The single dosage form of claim 57 wherein the protective coating is maltodextrin.

59. The single dosage form of claim 57 wherein the absorption enhancer is a surface active agent.

60. The single dosage form of claim 57 wherein the absorption enhancer is an acyl carnitine.

61. The single dosage form of claim 57 wherein the absorption enhancer is L-lauroyl carnitine.

62. The single dosage form of claim 57 wherein the acid is selected from citric acid, tartaric acid and an acid salt of an amino acid.

63. The single dosage form of claim 57 wherein the active peptide is selected from calcitonin, natural parathyroid hormone, a parathyroid hormone truncate, and an amidated parathyroid hormone truncate.

64. The single dosage form of claim 57 wherein the composition is a single tablet or capsule.

65. The single dosage form of claim 57 wherein the active peptide is calcitonin.

66. The single dosage form of claim 57 wherein the active peptide is salmon calcitonin.

67. A pharmaceutical tablet for oral delivery of a physiologically active peptide agent comprising: (A) the active peptide agent; (B) coated citric acid particles intermixed with the active peptide agent, wherein the coating separates the citric acid from the active peptide agent, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (C) a cellulose filler; (D) a pharmaceutical binder for dry compression; (E) an outer layer of an acid-resistant enteric coating effective to transport the single dosage form through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (F) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone and being present in an amount higher than three percent by weight relative to the total weight of the single dosage form, exclusive of the outer layer and the barrier layer; wherein, if the tablet composition were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

68. The pharmaceutical tablet of claim 67 wherein the coating is maltodextrin.

69. The pharmaceutical tablet of claim 67 wherein the average particle size of the coated citric acid particles is between 30 mesh and 140 mesh.

70. The pharmaceutical tablet of claim 67 wherein the active peptide agent is calcitonin

71. The pharmaceutical tablet of claim 67 wherein the active peptide agent is salmon calcitonin

72. A pharmaceutical tablet for oral delivery of a physiologically active peptide agent comprising: (A) the active peptide agent; (B) coated citric acid particles intermixed with the active peptide agent, wherein the coating separates the citric acid from the active peptide agent, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (C) a cellulose filler; (D) a pharmaceutical binder for dry compression; (E) an outer layer of an acid-resistant enteric coating effective to transport the pharmaceutical tablet through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (F) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone, and being present in an amount higher than three percent by weight relative to the total weight of the pharmaceutical tablet, exclusive of the outer layer and the barrier layer, wherein the tablet has been compressed into tablet form such that the maximum weight loss during friability testing is no greater than 1%, and wherein the tablet reduces the activity of neutral to basic-acting proteases upon dissolution in the small intestine by reducing intestinal pH.

73. A pharmaceutical tablet for oral delivery of calcitonin comprising: (A) calcitonin; (B) coated citric acid particles intermixed with the calcitonin, wherein the coating separates the citric acid from the calcitonin, wherein total citric acid, exclusive of coating, exceeds 200 milligrams per tablet; (C) a cellulose filler; (D) a pharmaceutical binder for dry compression; (E) an outer layer of an acid-resistant enteric coating effective to transport the pharmaceutical tablet through the stomach of a patient while preventing contact between the active peptide agent and stomach proteases; and (F) a water soluble barrier layer beneath the outer layer of enteric coating that separates the enteric coating from the coated acid, the barrier layer comprising a compound selected from hydroxypropylmethylcellulose, hydroxypropylcellulose, methylcellulose and polyvinylpyrrolidone, and being present in an amount higher than three percent by weight relative to the total weight of the pharmaceutical tablet, exclusive of the outer layer and the barrier layer; wherein the tablet has been compressed into tablet form such that the maximum weight loss during friability testing is no greater than 1%; and wherein, if the tablet composition were added to ten milliliters of 0.1 M aqueous sodium bicarbonate solution, the pH of the solution would be lowered to no higher than 5.5.

74. The pharmaceutical tablet of claim 73 wherein the average particle size of the coated citric acid particles is between 30 mesh and 140 mesh.

75. The pharmaceutical tablet of claim 73 wherein the calcitonin is salmon calcitonin.

76. The pharmaceutical tablet of claim 73 wherein the coating is maltodextrin.

77. A pharmaceutical composition for oral delivery of a physiologically active peptide agent comprising said active peptide agent intermixed with pharmaceutically acceptable citric acid particles that are coated with maltodextrin to separate the citric acid particles from the active peptide agent in the composition.

78. The pharmaceutical composition of claim 77 further comprising an absorption enhancer.

79. The pharmaceutical composition of claim 78 wherein the absorption enhancer is L-lauroyl carnitine.

80. The pharmaceutical composition of claim 77 wherein the active peptide agent is selected from calcitonin, natural parathyroid hormone, a parathyroid hormone truncate, an amidated parathyroid hormone truncate, glucagon-like peptide-1 (GLP-1), desmopressin (DDAVP), leuprolide, 2,6-dimethyltyrosine-D-arginine-phenylalanine-lysine amide (DMT-DALDA) and analogs thereof.

81. The pharmaceutical composition of claim 77 wherein the active peptide agent is calcitonin.

82. The pharmaceutical composition of claim 77 wherein the active peptide agent is salmon calcitonin.

83. The pharmaceutical composition of claim 77 wherein the pharmaceutical composition is a single tablet or capsule.

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