(12) Patent Application Publication (10) Pub. No.: US 2014/022012.6 A1 Tygesen Et Al

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(12) Patent Application Publication (10) Pub. No.: US 2014/022012.6 A1 Tygesen Et Al US 2014022O126A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2014/022012.6 A1 Tygesen et al. (43) Pub. Date: Aug. 7, 2014 (54) ABUSE-DETERRENT PHARMACEUTICAL (60) Provisional application No. 61/668,741, filed on Jul. 6, COMPOSITIONS FOR CONTROLLED 2012. RELEASE (30) Foreign Application Priority Data (71) Applicant: EGALET LTD., LONDON (GB) Jul. 6, 2012 (DK) ........................... PA 2012 70405 (72) Inventors: Peter Holm Tygesen, Vaerlose (DK); Karsten Lindhardt, Haslev (DK); Publication Classification Martin Rex Olsen, Holbaek (DK); Gina Engslev Fischer, Vaerlose (DK); Jan (51) Int. Cl. Martin Overgard, Frederikssund (DK); A619/20 (2006.01) Georg Boye, Hedehusene (DK); Nikolaj A613 L/485 (2006.01) Skak, Virum (DK); Torben Elhauge, (52) U.S. Cl. Copenhagen K (DK) CPC ............. A61K9/2031 (2013.01); A61 K3I/485 (2013.01) (73) Assignee: EGALET LTD., LONDON (GB) USPC ........................................... 424/465; 514/282 (21) Appl. No.: 14/249,965 (57) ABSTRACT (22) Filed: Apr. 10, 2014 The present disclosure relates to pharmaceutical composi Related U.S. Application Data tions that are abuse resistant and may also provide controlled (63) Continuation of application No. 13/933,053, filed on release. The present disclosure also relates to the use of phar Jul. 1, 2013. maceutical compositions in the treatment of pain. Patent Application Publication Aug. 7, 2014 Sheet 1 of 20 US 2014/022O126 A1 3. f s ls- iss-se a Ry,------ ---. -&--- res ---Y --- -a- r \Y. t N ^F Fig. 1 Patent Application Publication Aug. 7, 2014 Sheet 2 of 20 US 2014/022O126 A1 Fig. 2 Patent Application Publication Aug. 7, 2014 Sheet 3 of 20 US 2014/022O126 A1 Patent Application Publication Aug. 7, 2014 Sheet 4 of 20 US 2014/022O126 A1 OO . 80 8 . i 8 40 Y --57F-51A 2 O -- 1577-051A coffee grinded 15 sec Time (min) Fig. 4 Patent Application Publication Aug. 7, 2014 Sheet 5 of 20 US 2014/022O126 A1 28: ------------------------- % 80% {u:iative % 24.5% fe.9% Size interva as Fractiles 10% fractile 25% fractile 50% fractile f5% fractile 90% fractile Fig. 5 Patent Application Publication Aug. 7, 2014 Sheet 6 of 20 US 2014/022O126 A1 s - 1577-051B Untampered Buffer pH 6.8 i 4 40% why etiao - 1577-051B ampered Buffer pH 6.8 f 40% ww ethano 2 -o-1577-051B Untampered Buffer ph 6.8 O 2 3 4 O SO SOO f 8O 900 Tine (min) Fig. 6 Patent Application Publication Aug. 7, 2014 Sheet 7 of 20 US 2014/022O126 A1 - 9% 80% 63% i:riate % 37.9% f3.3% 88% Size interfa as Fractiles 10% fractile 25% fractile 50% fractile f5% fractile 90% fractile Fig. 7 Patent Application Publication Aug. 7, 2014 Sheet 8 of 20 US 2014/022O126 A1 --581065 --581-065 Coffee grinder 5 Sec if cus O 2 3. 40 SO SO Time (min) Fig. 8 Patent Application Publication Aug. 7, 2014 Sheet 9 of 20 US 2014/022O126 A1 --- 3: 83% 6% ... A8, * N Freq:ency s:- Citatisfa ; - 285 Size interwat aris) Fractiles 10% fractile 25% fractile 50% fractile A5% fractile 90% fractile Fig. 9 Patent Application Publication Aug. 7, 2014 Sheet 10 of 20 US 2014/022O126 A1 100 90 80 70 60 50 40 30 2 -0-158.066 Untampered 1C -H1583-066 Tampered Time (min) Fig. 10 Patent Application Publication Aug. 7, 2014 Sheet 11 of 20 US 2014/022O126 A1 8% & Fiegency ::iiative 8 779 : 388 88, 8.3% Size interia as Fractiles 10% fractile 25% fractile 50% fractile 75% fractile 90% fractile Fig. 11 Patent Application Publication Aug. 7, 2014 Sheet 12 of 20 US 2014/022O126 A1 100 90 80 70 60 50 40 30 2O --OxyContin OP 40 mg. Jntampered 10 -HOxyContin OP 4.3 mg Tampered 2 sec O 2O: 4. 66 3CO OO 1200 Time (min) Fig. 12 Patent Application Publication Aug. 7, 2014 Sheet 13 of 20 US 2014/022O126 A1 & Faciency Fractiles 10% fractile 25% fractile 50% fractile f5% fractile 90% fractile Fig. 13 Patent Application Publication Aug. 7, 2014 Sheet 14 of 20 US 2014/022O126 A1 110 100 -------------------------- 90 -- 80 70 60 50 ----2-QQ60-Q67, buffer pH 6.8 40 30 - 2-0.066-067, buffer phi 6.8, 20 40%, wif wethano 10 O 2 3) & S SO SO 9 11 Time (min) Fig. 14 Patent Application Publication Aug. 7, 2014 Sheet 15 of 20 US 2014/022O126 A1 100.0 A ------------------ ----------- ?' - a 8O,O : ,' ar - & OxyContin CP 40 mg, ampered r -- St Continus 60 mg, ampered s ? f * - Morphine 230 mg, ampered 60,0 f are OxyContin OP40 mg, Jrtarr pered ,' ? --MS: Continus 60 mg, Untampered 40, -: f --Morphine 230 mg, Untampered 20, O. 10,0 200 30,0: 400 50,0 6O, O. Time (min) Fig. 15 Patent Application Publication Aug. 7, 2014 Sheet 16 of 20 US 2014/022O126 A1 100 80 d O --Opana ER 40 mg, Tampered 20 --OxyContin OP 80 mg, Tampered -e-Morphine 200 mg, Tampered -HMST continus 60 mg, Tampered O 2O 30 40 5 6. Time (min) Fig. 16 Patent Application Publication Aug. 7, 2014 Sheet 17 of 20 US 2014/022O126 A1 12-COSS-OS ŠFrixus. 8:8:umulaifi Size interslum) Fractiles 10% fractile 25% fractile 50% fractile A5% fractile 90% fractile Fig. 17 Patent Application Publication Aug. 7, 2014 Sheet 18 of 20 US 2014/022O126 A1 MST Continus &Fury uulsati's Sirts) Fractiles 10% fractile 25% fractile 50% fractile 75% fractile 90% fractile Fig. 18 Patent Application Publication Aug. 7, 2014 Sheet 19 of 20 US 2014/022O126 A1 ŠFuse :Currhulsif's Frequency Cumulativ Naša. aiaasa Sieterial Fractiles 10% fractile 25% fractile 50% fractile A5% fractile 90% fractile Fig. 19 Patent Application Publication Aug. 7, 2014 Sheet 20 of 20 US 2014/022O126 A1 SFreunity & Cumultifs Seiteral) Fractiles 10% fractile 25% fractile 50% fractile f5% fractile 90% fractile Fig. 20 US 2014/0220 126 A1 Aug. 7, 2014 ABUSE-DETERRENT PHARMACEUTICAL 0010 FIG. 5 shows particle size reduction results of one COMPOSITIONS FOR CONTROLLED embodiment of a ground (tampered) pharmaceutical compo RELEASE sition, as disclosed herein, comprising PEO 400,000 daltons. 0011 FIG. 6 shows in vitro dissolution results of the RELATED APPLICATIONS release of oxycodone (%) versus time (minutes) in phosphate buffer solution pH 6.8 with and without 40% V/v ethanol. The 0001. This application claims the benefit of U.S. Provi release of oxycodone is shown for intact tablets (untampered) sional Application No. 61/668,741, filed on Jul. 6, 2012, the and ground tablets (tampered) of one embodiment of a phar contents of which are incorporated herein by reference. maceutical composition, as disclosed herein, comprising 0002 All patent and non-patent references cited in the PEO 600,000 daltons. application are hereby incorporated by reference in their 0012 FIG. 7 shows particle size reduction results of one entirety. embodiment of a ground (tampered) pharmaceutical compo sition as disclosed herein comprising PEO 600,000 daltons. FIELD OF INVENTION 0013 FIG. 8 shows in vitro dissolution results of the 0003. The present disclosure relates to pharmaceutical release of hydromorphone (%) versus time (minutes) in phos compositions. In certain embodiments, the pharmaceutical phate buffer solution pH 6.8. The release of hydromorphone compositions according to the present description are abuse is shown for intact tablets (untampered) and ground tablets (tampered) of one embodiment of a pharmaceutical compo deterrent and may provide controlled release. sition, as disclosed herein, comprising PEO 2,000,000 dal BACKGROUND OF INVENTION tOnS. 0014 FIG. 9 shows particle size reduction results of one 0004 Increased attention has been drawn to the abuse of embodiment of a ground (tampered) pharmaceutical compo prescription pharmaceutical compositions. The abuse, or sition, as disclosed herein, comprising PEO 2,000,000 dal non-medicinal use, of prescription pharmaceutical composi tOnS. tions has been reported to be an increasing problem. In North 0015 FIG. 10 shows in vitro dissolution results of the America, abuse of prescription pharmaceutical compositions release of oxymorphone (%) versus time (minutes) in phos has become an important issue for the U.S. Food and Drug phate buffer solution pH 6.8. The release of oxymorphone is Administration (FDA), and the pharmaceutical industry is shown for intact tablets (untampered) and ground tablets striving to develop abuse-deterrent pharmaceutical composi (tampered) of one embodiment of a pharmaceutical compo tions in order to reduce the potential for misuse of prescrip sition as disclosed herein comprising PEO 10,000,000 dal tion pharmaceutical compositions. Prescription pharmaceu tOnS. tical compositions that are typically misused fall, primarily, 0016 FIG. 11 shows particle size reduction results of one into three groups: 1) Opioids prescribed for pain; 2) Central embodiment of a ground (tampered) pharmaceutical compo Nervous System (CNS) depressants prescribed for anxiety or sition as disclosed herein comprising PEO 10,000,000 dal sleep problems; and 3) Stimulants, prescribed, for example, tOnS. for attention deficit hyperactivity, narcolepsy, or obesity. 0017 FIG. 12 shows in vitro dissolution results of the 0005 Methods for abusing prescription pharmaceutical release of oxycodone (%) versus time (minutes) in phosphate compositions are varied and can include, for example, extrac buffer solution pH 6.8. The release of oxycodone is shown for tion, melting, Volatilization, physical tampering (e.g., grind intact tablets (untampered) and ground tablets (tampered) of ing, grating, crushing, etc.), or direct administration. For pur OxycontinR OP40 mg. poses of abuse, methods of administering active drug 0018 FIG. 13 shows particle size reduction results of a Substances obtained from prescription pharmaceutical com ground OxycontinR OP40 mg tablet. positions or of the pharmaceutical compositions themselves 0019 FIG. 14 shows in vitro dissolution results of the are similarly diverse and include, for example, injection, release of morphine (%) versus time (minutes) in phosphate Smoking, Snorting, Swallowing, Sublingual or buccal admin buffer solution pH 6.8 with and without 40% V/v ethanol.
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