CA1222697A - Pharmaceutical compositions containing drugs which are instable or sparingly soluble in water and methods for their preparation - Google Patents

Pharmaceutical compositions containing drugs which are instable or sparingly soluble in water and methods for their preparation

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Publication number
CA1222697A
CA1222697A CA000470876A CA470876A CA1222697A CA 1222697 A CA1222697 A CA 1222697A CA 000470876 A CA000470876 A CA 000470876A CA 470876 A CA470876 A CA 470876A CA 1222697 A CA1222697 A CA 1222697A
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drug
composition according
water
added
beta
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French (fr)
Inventor
Ulrich Brauns
Bernd W.W. Muller
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Janssen Pharmaceutica NV
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Janssen Pharmaceutica NV
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y5/00Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/69Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit
    • A61K47/6949Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes
    • A61K47/6951Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes using cyclodextrin
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08BPOLYSACCHARIDES; DERIVATIVES THEREOF
    • C08B37/00Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
    • C08B37/0006Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
    • C08B37/0009Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid alpha-D-Glucans, e.g. polydextrose, alternan, glycogen; (alpha-1,4)(alpha-1,6)-D-Glucans; (alpha-1,3)(alpha-1,4)-D-Glucans, e.g. isolichenan or nigeran; (alpha-1,4)-D-Glucans; (alpha-1,3)-D-Glucans, e.g. pseudonigeran; Derivatives thereof
    • C08B37/0012Cyclodextrin [CD], e.g. cycle with 6 units (alpha), with 7 units (beta) and with 8 units (gamma), large-ring cyclodextrin or cycloamylose with 9 units or more; Derivatives thereof
    • C08B37/0015Inclusion compounds, i.e. host-guest compounds, e.g. polyrotaxanes

Abstract

Abstract Novel pharmaceutical compositions comprise inclusion com-pounds of drugs, which are instable or only sparingly soluble in water, with partially etherified .beta.-cyclodextrin derivatives having hydroxyalkyl and optionally additional alkyl groups.

Description

l~Z2t~7 Pharmaceutical compositions containing drugs which are instable or s~arinqly solubl~ in water and methods for their preparation The invention relates to pharmaceutical compositions con-taining drugs which are instable or only sparingly solublein water, and methods for their preparation. The compo-sitions are characterized by increased water solubility and improved stability.

A large number of drugs is only poorly or sparingly soluble in water so that suitable application forms like drop solutions or injection solutions are being prepared using other polar additives like propylene glycol etc. If the drug molecule has basic or acidic groups there exists the further possibility of increasing the water solubility by salt formation. As a rule this results in decreased efficacy or impaired chemical stability. Due to the shifted distribution equilibrium the drug may penetrate the lipophilic membrane only slowly corresponding to the concentration of the non-dissociated fraction while the ionic fraction may be subject to a rapid hydrolytic decomposition.

Additional "water-like" solvents like low molecular poly-ethylene glycols or 1,2-propylene glycol are therefore used in the preparation of aqueous solutions of sparingly water-soluble drugs which glycols, however, cannot be considered pharmacologically inert, or the drug is solubi-liæed using surfactants so that the drug molecules are occluded in micells. This solubilization has numerous 69~

disadvantages: The surfactant molecules used have frequent-ly a strongly haemolytic effect and the drug needs to pass out of the micell by diffusion after the application. This results in a retard effect (compare B.W. Muller, Gelbe Reihe, Vol. X, pages 132ff (1983)).

Accordingly it may be stated that there exists no satis-factory and generally applicable method of solubilization.

For solid drugs it is also important to render the sparingly water-soluble drug water-soluble since a good solubility increases the bioavailability of the drug. It has been described that inclusion compounds, e.g. with urea or complexes of polyvinyl pyrrolidone may improve the solubility o~ a compound but in aqueous solution they are not stable. Such inclusion compounds are therefore at best suitable for solid application forms of drugs.

This is different when using ~ , and y-cyclodextrin which can bind a drug in i-ts ring also in a~ueous solution ; tW. Sanger, Angewandte Chemie 92, 343 (1980)). However, it is disadvantageous that the ~-cyclodextrin itself is only poorly water-soluble ~1.8 g/100 ml) so that the therapeuti-cally necessary drug concentrations are not achieved.
If a derivative is formed of the cyclodextrin its solubili-ty and there~ore the amount o~ dissolved drug may be considerably increased. Thus, German Offenlegungsschrift 31 18 218 discloses a solubilization method using methylat-ed ~-cyclodextrin as monomethyl derivative with 7 methyl groups and especially as dimethyl derivative with 14 methyl groups. With the 2,6-di-0-methyl derivative it is for instance possible to inc~ease the water solublity of indometacin 20.4-fold and that of digitoxin 81.6-fold.

6~7 However, for therapeutical use the methyl derivatives of ~-cyclodextrin show serious draw backs. Due to their increased lipophility they have a haemolytic effect and they further cause irritations of the mucosa and eyes.
Their acute intravenous toxicity is still higher than the already considerable toxicity of the unsubstituted ~-cyclo-dextrin. It is a further serious disadvantage for the practical application that the solubility of the dimethyl ~-cyclodextrin and its complexes suffers a steep decrease at higher temperatures so that crystalline dextrin precipi-tates upon heatingO This phenomenon makes it very diffi-cult to sterilize the solutions at the usual temperatures of 100 to 121C.

Quite surprisingly it has now been found that certain other ~-cyclodextrin derivatives can form inclusion com-pounds which also considerably increase the water-solubili-ty of sparingly water-soluble and instable drugs without showing the advantages described above.
Sub~ect of the invention are therefore novel pharmaceuti-cal compositions comprising i~clusion compounds of only sparingly water-soluble and in water instable drugs with a partially etherified ~-cyclodextrin of the ~ormula (~-CDtOR (I)l in which the residues R are hydroxyalkyl groups and part of the residues R may optionally be alkyl groups, the B-cyclodextrin ether having a water-solubility of more than 1.8 g in 100 ml water~

A partially etherified ~-cyclodextrin of formula I is : preferably used in which the residues R are hydroxyethyl, hydroxypropyl or dihydroxypropyl groups. Optlonally part of the residues R may for instance be methyl or ethyl ~Z226~7 groups; the use of partially methylated ~-cyclodextrin ethers with 7 to 14 methyl yroups in the ~-cyclodextrin molecule, as they are known from German Offenlegungs-schrift 31 18 218 do not come under the present invention.
Partial ethers of ~-cyclodextrin comprising only alkyl groups (methyl, ethyl) may be suitable in accordance with the invention if they have a low degree of substitution (as defined below) of 0.05 to 0.2.

~-cyclodextrin is a compound with ring structure consist-ing of 7 anhydro glucose units; it is also referred to as cycloheptaamylose. Each of the 7 glucose rings contains in
2-,3-, and 6-position three hydroxy groups which may be etherified. In the partially etherified ~-cyclodextrin derivatives used according to the invention only part of these hydroxy groups is etherified with hydroxyalkyl groups and optionally further with alkyl groups. When etherifying with hydroxy alkyl groups which can be carried out by reaction with the corresponding alkylene oxides, the degree of substitution is stated as molar substitution (MS), viz. in mole alkylene oxide per anhydroglucose unit, compare US patent specification 34 59 731, column 4. In the hydroxyalkyl ethers of ~-cyclodextrin used in accor-dance with the invention the molar substitution is between 0.05 and 10, pre~erably between 0.2 and 2. Particularly preferred is a molar substitution of about 0.25 to about 1.

The etherification with alkyl groups may be stated direct-ly as degree of substitution (DS) per glucose unit which -as stated above - is 3 for complete substitution. Partial-ly etherified ~-cyclodextrins are used within the in-vention which comprise besides hydroxyalkyl groups also alkyl groups, especially methyl or ethyl groups, up to a ; 35 degree of substitution of 0.05 to 2.0, preferably 0.2 to 1.5. Most preferably the degree of substitution with alkyl groups is between about 0.5 and about 1.2.

~L~2269~

The molar ratio of drug to ~-cyclodextrin ether is preferably about 1:6 to ~:1, especially about 1:2 to 1:1.
As a rule it is preferred to use the complex forming agent in a molar excess.

Useful complex forming agents are especially the hydroxy-ethyl, hydroxypropyl and dihydroxypropyl ether, their corresponding mixed ethers, and further mixed ethers with methyl or ethyl groups, such as methyl-hydroxyethyl, methyl-hydroxypropyl, ethyl-hydroxyethyl and ethyl-hydroxy-propyl ether of ~-cyclodextrin.

The preparation of the hydroxyalkyl ethers of ~-cyclo-dextrin may be carried out using the method of US patent specification 34 59 731. Suitable preparation methods for ~-cyclodextrin ethers may further be found in J. Szejtli et al., Starke 32, 165 (1980) und A.P. Croft and R.A.
Bartsch, Tetrahedron 39, 1417 (1983). Mixed ethers of R-cyclodextrin can be prepared by reacting ~-cyclodextrin in a basic liquid reaction medium comprising an akali metal hydroxide, water and optionally at least one organic solvent (e.g. dimethoxyethane or isopropanol) with at least two different hydroxyalkylating and optionally al-kylating etherifying agents (e.g. ethylene oxide, propy-lene oxide, methyl or ethyl chloride).

Drugs exhibiting a significantly increased water-solubili-ty and improved stability, respectively, after having been transferred into inclusion compounds with the above-men-~ioned ~-cyclodextrin ethers are those having the required shape and size, i.e. which fit into the cavity o~ the ~-cyclodextrin ring system. This includes for instance non-steroid anti-rheumatic agents, steroids, cardiac glyco-sides and derivatives of benzodiazepine, benzimidazole, piperidine, piperazine, imidazole or triazole.

~22269~

Useful benzimidazole derivatives are thiabendazole~ fuberi-dazole, oxibendazole, parbendazole, cambendazole, mebenda-zole, fenbendazole, ~lubendazole, albendazolet oxfenda-zole, nocodazole and astemisole. Suitable piperadine deri-vatives are fluspirilene, pimozide, penfluridole,loperamide, astemizole, ketanserine, levocabastine, cisa-pride, altanserine, and ritanserine. Suitable piperazine derivatives include lidoflazine, flunarizine, mianserine, oxatomide, mioflazine and cinnarizine. Examples of suitable imidazole derivatives are metronidazole, ornidazole, ipronidazole, tinidazole, isoconazole, nimora-zole, burimamide, metiamide, metomidate, enilconazole, etomidate, econazole, clotrimazole, carnidazole, cimetidine, docodazole, sulconazole, parconazole, orconazole, butocona-zole, triadiminole, tioconazole, valconazole, fluotrimazole,ketoconazole, oxiconazole, lombazole, bifonazole, oxmeti-dine, fenticonazole and tubulazole. As suitable triazole derivatives there may be mentioned virazole, itraconazole and terconazole.

Particularly valuable pharmaceutical compositions are ob-tained when converting etomidate, ketoconazole, tubulazole, itraconazole, levocabastine or flunarizine into a water-so-luble f-orm using the complex forming agents of the invention. Such compositions are therefore a special subject of the present invention.

The invention is further directed to a method of preparing pharmaceutical compositions of sparingly water-soluble or water-instable drugs which is characterized by dissolving the ~-cyclodextrin ether in water and adding thereto the selected drug as well as optionally drying the solution of the formed inclusion compound using methods known per se.
Formation of the solution may take place at temperatures between 15 and 35C.

~Z6~7 The drug is suitably added batchwise. The water may further comprise physiologically compatible compounds such as sodium chloride, potassium nitrate, glucose, mannitole, sorbitol, xylitol or buffers such as phosphate, acetate or citrate buffer.

Using ~-cyclodextrin ethers in accordance with the in-vention it is possible to prepare application forms of drugs for oral, parenteral or topical application, e.g.
infusion and injection solutions, drop solutions (e.g. eye drops or nasal drops), sprays, aerosols, sirups, and medical baths.

The aqueous solutions may further comprise suitable physio-logically compatible preserving agents such as quarternaryammonium soaps or chlorbutanol.

For the preparation of solid formulations the solutions of the inclusion compounds are dried using conventional methods; thus the water may be evaporated in a rotation evaporator or by lyophilisation. The residue is pulverized and, optionally after addition of further inert ingre-dientsl converted into uncoated or coated tablets, supposi-tories, capsules, creams or ointments.

The following examples serve to illustrate the invention which, however, is not restricted to the examples.

The phosphate buffer solution mentioned in the examples had a pH of 6.6 and the following composition:

2P4 68,05 g NaOH 7,12 g Aqua demin. ad~ 5000,0 g i22Z697 All percentages are percent by weight~

Example 1 Starting from a 7% master solution of hydroxyethyl ~-cyclo-dextrin (MS 0.43) in phosphate buffer solution a dilution series was prepared so that the complex forming agent concentration was increased in steps of 1%. 3 ml of these solutions were pipetted into 5 ml snap-top-glasses contain--lO ing the drug to be tested. After shaking for 24 hours at 25C the solution was filtered through a membrane filter (0.22 microns) and the dissolved drug content was determin-~~ ed spectrophotometrically. Figures 1, 3 and 4 show theincrease of the drug concentration in solution in relation t~ the concentration of the complex forming agent for indometacin (figure 1), piroxicam (figure 3) and diazepam ~figure ~). The maximum drug concentration is limited by the saturation solubility of the cyclodextrin derivative in the buffer which in case of hydroxyethyl-~-cyclodextrin (MS 0.43) is reached at 7.2 g/100 ml.
When comparing for instance the results obtained with indometacin to those given in German Offenlegungsschrift 31 18 218 for 2,6-di-0-methyl-~-cyclodextrin (figure 2) it will be observed that the hydroxyethyl derivative has a significantly higher complex ~ormation constant (compare the different slopes in figures 1 and 2).

Example 2 A. The saturation solubility at 25C of different drugs was determined using a 10~ hydroxypro-pyl-~-cyclodextrin solution (MS 0~35) in phosphate buffer solution under the same conditions as in example 1~ The saturation solubilities S1 in phosphate buffer solution and ~22697 S2 in phosphate buffer solution and 10% added hydroxypropyl-~-cyclodextrin are given i.n tahle 1.

Table 1 Drugs S1 (mg/ml) S2 (mg/ml) Ratio S1:S2 Indometacine 0,19 5,72 1: 30,1 Digitoxine 0,002 1,685 1: 842,5 Progesterone 0,0071 7,69 1: 1083,0 Dexamethasone 0,083 14,28 1: 172,0 Hydrocortisone 0,36 21,58 1: 59,9 Diazepame 0,032 0,94 1: 29,4 B. The solubility of drugs in a 4%- aqueous solution o hydroxypropyl-methyl-~-cyclodextrin (DS 0.96;
MS 0.43) was determined in a similar manner. The results obtained are summarized in the following table 2 in which the ratio R of the saturation solubility in water or at the stated p~l, re~
spectively, with an without addition of ~-cyclo-dextrin deri~ati~e is stated for each drug~ The solutions prepared according to the invention were further found to be significantly more stable when compared with aqueous solutions~

:lZZ269~7 Table 2 Druq R
Itraconazole at pH 5 96 at pH 2~5 75 Flunarizine 18 Levocabastine at pH 9,5 81 at pH 7,4 8 Ketoconazole . 85 Flubendazole 30 Tubulazole 43 Cisapride 3 Loperamide 62 Etomidate 8,5 Cinnarizineat pH 5 28 at pH 3 12 Example 3 In 10 ml phosphate buffer solution 0.7 g hydroxyethyl-B-cy-clodextrin (MS 0.43) were dissolved together with 0.04 g indometacin at 25C until a clear solution was formed.
This solution wa~ filtered through a membrane filter (0.22 microns) and filled under laminar flow into a pre-steriliz-ed injection bottle which was stored at 21C (B). In a parallel test a saturated indometacin solution in a phosphate buffer solution (0.21 mg/ml) was stored under the same conditions (A). The drug concentrations determin-ed by high pressure liquid chromatography are given intable 3. The great improved stability of the composition according to the invention is apparent.

- \
~2~97 Table 3 Storing time Indometacin content (%) in weeks A B

0 100,1 99,7 2 91,2 99,9 4 79,1 98r1 6 69,8 98,6 8 64,8 98,4 Example 4 (Injectable formulation) 0.35 g hydroxypropyl-~-cyclodextrin (MS 0.35) were dissolv-ed in 5 ml of physiological sodium chloride solution and warmed to about 35C whereafter 3 mg diazepam were added.
After storing for a short time a clear solution was obtained which was filled into an ampule after filtration ~0 through a membrane filter (0.45 microns).

Example 5 (Tablet~

In 100 ml water 7 g hydroxyethyl-~-cyclodextrin (MS 0.43) and 0.5 g medroxyprogesterone acetate were dissolved. The water was then evaporated in a rotation evaporator. The residue (75 mg) was powdered and after addition of 366 mg calcium hydrogen phosphate.2H20, 60 mg corn starch, 120 mg cellulose powder (microcrystalline), 4.2 mg highly dispers-ed silica (AEROSILR 200) and 4.8 mg magnesium stearate tablets with a weight of 630.0 mg and comprising 5 mg drug per unit dose were made. The dissolution rate of the medroxyprogesterone acetate from this formulation is 21 times higher when compared to a tablet comprising the same inert ingredients without addition of the ~-cyclodextrin ether.

~22'~7 Example 6 5 g hydroxyethyl-B-cyclodextrin (MS 0,43) and 14 mg vitamin A-acetate were dissolved with stirring in 100 ml water or sugar solution (5% aqueous solution) within 2.5 hours under a nitrogen atmosphere. After filtration through a membrane filter (0.45 microns) the solution was filled into ampules and sterilized or filled into dropper bottles with addition of 0.4~ chlor butanol as preserving agent.

Example 7 5 or 7.5 g hydroxyethyl ~-cyclodextrin (MS 0.43) and 0.5 or 0.75 g Lidocaine were dissolved in 100 ml of physiologi-cal sodium chloride solution at 30C (B). Injection solutions, eye droplets and solutions for topical use were prepared therefrom as described in example 6. When compar-ing the anaethesic efect of these solutions in animal tests with an aqueous lidocain HCl solution (A) one observes an extension of the duration of the effect by 300%. Test: rats, injection of 0.1 ml into the tail root in the vicinity of the right or left nerve fillaments and electrical irritation. The test results are summarized in table 4 ~2ZZ69'7 Table 4 Drug concentration Duration of effect (min) Extension ~%) A B (%) . . _ _ . _ . . .
0,5 56 163 291 0,75 118 390 330 Example 8 6 mg dexamethasone and 100 mg hydroxyethyl-~-cyclodextrin (MS 0~43) were dissolved in 5 ml water, sterilized by filtration through a membrane filter (0.22 microns) and packed into an aerosol container allowing to dispense 0.1 ml per dose.

Example 9 The acute intravenous toxicity of some ~-cyclodextrins was tested on rats with the following results. It was sur-prisingly found that the toxicity of the derivatives used ; according to the invention is lower by an entire ordsr of magnitude.

: 35 ~222~
- 14 ~

Table 5 LD50 in rats (i.v.) in mg/kg bodyweight _ _ ~-cyclodextrin 453 dimethyl-~-cyclodextrin 200-207 (DS 2.0) hydroxypropyl-methyl-~-cyclodextrin ~ 2000*
(DS 0.96; MS 0.43) * a higher dose has not been tested. In mice the value was > 4000 mg/kg.
The haemolytic effect of the methylether according to German Offenlegungsschrift 31 18 218 was compared to that of an ether used according to the invention~ To this end 100 ~1 of a physiological sodium chloride solution with a cyclodextrin content of 10%, 800 ~l of a buffer (400 mg MOPS, 36 mg Na2HPO4 . 2 H2O, 1,6 g NaCl in 20a ml H2O) and 100 ~1 of a suspension of human red blood cells (three times washed with sodium chloride solution) were mixed for 30 minutes at 37C. Thereafter the mixture was centrifuged and the optical density was determined at 540 nm.

Controls:
a) 100 ~l sodium chloride solution + buffer ) 0~ haemo-lysis b) 900 ~l water ~ 100% haemolysis The results obtained are summarized in the following table 6 in which the concentrations are stated at which 50% and 100% haemoLysis occurred.

lZ2Z697 Table 6 Substance C50% C.l00%

. _ . .

Dimethyl-~-CD 0,33% 0,5%
(DS 2.0) Methyl-~-CD 0,53 0,8%
(DS 1.79) Hydroxypropyl-methyl-~-CD 1,5% 4 %
(DS 0.96; MS 0.43%) The results show that the haemolytic effect of the hydroxypro-pylmethyl ether is about 5 to 8 times weaker than that of the dimethyl ether according to the prior art. Animal tests have further shown that the hydroxyalkyl ethers do not cause irritation of the mucosa and eyes in contrast to the methyl ethers.

ugs/Lsch

Claims (56)

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE PROPERTY OR
PRIVILEGE IS CLAIMED ARE DEFINED AS FOLLOWS:
1. Pharmaceutical composition comprising an inclusion compound of drugs which are instable or only sparingly soluble in water with a partially etherified .beta.-cyclodextrin of the formula (.beta.-CD?OR (I), in which the residues R are hydroxyalkyl groups and in which part of the residues R may optionally be alkyl groups, the .beta.-cyclodextrin ether having a water solubility of more than 1.8 g in 100 ml water.
2. Composition according to claim 1, characterized in that it comprises a partially etherified .beta.-cyclodextrin of formula I, in which the residues R are hydroxyethyl, hydroxypropyl or dihydroxypropyl groups and in which part of the residues R may optionally be methyl or ethyl groups.
3. A composition according to claim 1, wherein the partially etherified .beta.-cyclodextrin of formula (I) has a molar substitution by hydroxyalkyl groups in the range of 0.05 up to 10 and a degree of substitution by alkyl groups in the range of 0.05 up to 2Ø
4. A composition according to claim 2, wherein the partially etherified .beta.-cyclodextrin of formula (I) has a molar substitution by hydroxyalkyl groups in the range of 0.05 up to 10 and a degree of substitution by alkyl groups in the range of 0.05 up to 2Ø
5. A composition according to claim 1 wherein the drug and the .beta.-cyclodextrin ether are present in a molar ratio in the range of 1:6 to 4:1.
6. A composition according to claim 2 wherein the drug and the .beta.-cyclodextrin ether are present in a molar ratio in the range of 1:6 to 4:1.
7. A composition according to claim 3 wherein the drug and the .beta.-cyclodextrin ether are present in a molar ratio in the range of 1:6 to 4:1.
8. A composition according to claim 4 wherein the drug and the .beta.-cyclodextrine ether are present in a molar ratio in the range of 1:6 to 4:1.
9. A composition according to claims 1-3 wherein the drug is a non-steroid anti-rheumatic agents a steroid, a cardiac glycoside or a derivative of benzimidazole, piperidine, piperazine or triazole.
10. A composition according to claims 4-5 wherein the drug is a non-steroid anti-rheumatic agent, a steroid, a cardiac glycoside or a derivative of benzimidazole, piperidine, piperazine or triazole.
11. A composition according to claim 7 wherein the drug is a non-steroid anti-rheumatic agent, a steroid, a cardiac glycoside or a derivative of benzimidazole, piperidine, piperazine or triazole.
12. A composition according to claim 8 wherein the drug is a non-steroid anti-rheumatic agent, a steroid, a cardiac glycoside or a derivative of benzimidazole, piperidine, piperazine or triazole.
13. A composition according to claims 1-3 wherein the drug is etomidate.
14. A composition according to claims 4-6 wherein the drug is etomidate.
15. A composition according to claim 7 wherein the drug is etomidate.
16. A composition according to claim 8 wherein the drug is etomidate.
17. A composition according to claims 1-3 wherein the drug is ketoconazole.
18. A composition according to claims 4-6 wherein the drug is ketoconazole.
19. A composition according to claim 7 wherein the drug is ketoconazole.
20. A composition according to claim 8 wherein the drug is ketoconazole.
21. A composition according to claims 1-3 wherein the drug is itraconazole.
22. A composition according to claims 4-6 wherein the drug is itraconazola.
23. A composition according to claim 7 wherein the drug is itraconazole.
24. A composition according to claim 8 wherein the drug is itraconazole.
25. A composition according to claims 1-3 wherein the drug is levocabastine.
26. A composition according to claims 4-6 wherein the drug is levocabastine.
27. A composition according to claim 7 wherein the drug is levocabastine.
28. A composition according to claim 8 wherein the drug is levocabastine.
29. A composition according to claims 1-3 wherein the drug is flunarizine.
30. A composition according to claims 4-5 wherein the drug is flunarizine.
31. A composition according to claim 7 wherein the drug is flunarizine.
32. A composition according to claim 8 wherein the drug is flunarizine.
33. A composition according to claims 1-3 wherein the drug is tubulazole.
34. A composition according to claims 4-6 wherein the drug is tubulazole.
35. A composition according to claim 7 wherein the drug is tubulazole.
36. A composition according to claim 8 wherein the drug is tubulazole.
37. A method of preparing a pharmaceutical composition according to claims 1-3, characertized in that the .beta.-cyclo-dextrin ether is dissolved in water and that the selected drug is added whereafter the solution of the inclusion com-pound thus obtained is optionally dried using methods known per se.
38. A method of preparing a pharmaceutical composition according to claims 4-6, characterized in that the .beta.-cyclo-dextrin ether is dissolved in water and that the selected drug is added whereafter the solution of the inclusion com-pound thus obtained is optionally dried using methods known per se.
39. A method of preparing a pharmaceutical composition according to claim 7, characterized in that the .beta.-cyclodext-rin ether is dissolved in water and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
40. A method of preparing a pharmaceutical composition according to claim 8, characterized in that the .beta.-cyclodext-rin ether is dissolved in water and that the selected drug is added whereafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
41. A method of preparing a pharmaceutical compound ac-cording to claims 1-3, characterized in that the .beta.-cyclodext-rin ether is dissolved in water and that the selected drug is added whereafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se and whereafter the residue is pulverized and, optionally after addition of further inert ingredients, transferred into a solid application form.
42. A method of preparing a pharmaceutical compound ac-cording to claims 4-6, characterized in that the .beta.-cyclodext-rin ether is dissolved in water and that the selected drug is added whereafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se and whereafter the residue is pulverized and, optionally after addition of further inert ingredients, transferred into a solid application form.
43. A method according to claim 39, wherein the residue obtained after removal of the solvent is pulverized and, optionally after addition of further inert ingredients, transferred into a solid application form.
44. A method according to claim 40, wherein the residue obtained after removal of the solvent is pulverized and, op-tionally after addition of further inert ingredients, trans-ferred into a solid application form.
45. A method of preparing a pharmaceutical compound ac-cording to claim 1, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
46. A method of preparing a pharmaceutical compound ac-cording to claim 2, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
47. A method of preparing a pharmaceutical compound ac-cording to claim 3, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
48. A method of preparing a pharmaceutical compound ac-cording to claim 4, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
49. A method of preparing a pharmaceutical compound ac-cording to claim 5, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
50. A method of preparing a pharmaceutical compound ac-cording to claim 6, characterized in that the .beta.-cyclodextrin ether is dissolved in water whereto further physiologically acceptable substances are added and that the selected drug is added wherafter the solution of the inclusion compound thus obtained is optionally dried using methods known per se.
51. A method according to claim 39 wherein further physiologically acceptable substances are added to the water.
52. A method according to claim 40 wherein further physiologically acceptable substances are added to the water.
53. A method according to claim 45, 46 or 47 wherein sodium chloride, glucose, mannitol, sorbitol, xylitol or a phosphate or citrate buffer are added to the water.
54. A method according to claim 48, 49 or 50 wherein sodium chloride, glucose, mannitol, sorbitol, xylitol or a phosphate or citrate buffer are added to the water.
55. A method according to claim 51 wherein sodium chloride, glucose, mannitol, sorbitol, xylitol or a phosphate or citrate buffer are added to the water.
56. A method according to claim 52 wherein sodium chloride, glucose, mannitol, sorbitol, xylitol or a phosphate or citrate buffer are added to the water.
CA000470876A 1983-12-21 1984-12-21 Pharmaceutical compositions containing drugs which are instable or sparingly soluble in water and methods for their preparation Expired CA1222697A (en)

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EP0149197A2 (en) 1985-07-24
NO2000007I1 (en) 2000-09-21
FI86140B (en) 1992-04-15
EP0149197B1 (en) 1990-03-21
AU3835285A (en) 1985-07-12
FI853198A0 (en) 1985-08-20
JPS61500788A (en) 1986-04-24
AU565966B2 (en) 1987-10-01
CY1689A (en) 1994-01-14
DE3481680D1 (en) 1990-04-26
DE3346123A1 (en) 1985-06-27
DK359585D0 (en) 1985-08-07
DK359585A (en) 1985-08-07
ATE51145T1 (en) 1990-04-15
LU90283I2 (en) 1998-11-03
HU200943B (en) 1990-09-28
DK175288B1 (en) 2004-08-09
WO1985002767A1 (en) 1985-07-04
JPH0570612B2 (en) 1993-10-05
NL980009I1 (en) 1998-05-06
SG24893G (en) 1993-08-06
HUT40561A (en) 1987-01-28
ZA8410042B (en) 1985-09-25
HK131293A (en) 1993-12-03
FI86140C (en) 1992-07-27
FI853198L (en) 1985-08-20
EP0149197A3 (en) 1985-08-14
EP0149197B2 (en) 1997-01-08

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