throbber
Division of Biopharmaceutics and Pharmacokinetics
`
`Faculty of Pharmacy
`
`University of Helsinki
`
`
`
`
`
`
`
`
`
`
`
`
`
`Biopharmaceutical Evaluation of Orally and Rectally
`
`Administered Hard Hydroxypropyl Methylcellulose Capsules
`
`
`
`
`
`Outi Honkanen
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`Academic Dissertation
`
`To be presented with the permission of the Faculty of
`
`Pharmacy of the University of Helsinki, for public criticism
`
`in Auditorium 1041 at Viikki Biocentre (Viikinkaari 5),
`on April 24th , 2004, at 12 noon.
`
`
`Helsinki 2004
`
`
`
`
`
`
`
`Accord Exhibit 1029
`Page 1 of 73
`PGR2023-00043
`
`

`

`
`
`
`
`Supervisors Professor Martti Marvola
`Division of Biopharmaceutics and Pharmacokinetics
`Faculty of Pharmacy
`University of Helsinki
`Finland
`
`
`
`Docent Sari Eerikäinen
`Faculty of Pharmacy
`University of Helsinki
`Finland
`
`Ph.D. Mia Säkkinen
`Division of Biopharmaceutics and Pharmacokinetics
`Faculty of Pharmacy
`University of Helsinki
`Finland
`
`
`
`Reviewers Professor Jarkko Ketolainen
`
`Department of Pharmaceutics
`
`Faculty of Pharmacy
`
`University of Kuopio
`
`Finland
`
`
`
`
`
`
`
`
`Opponent
`
`
`
`
`
`
`
`
`
`
`
`Professor Jouni Hirvonen
`Division of Pharmaceutical Technology
`Faculty of Pharmacy
`University of Helsinki
`Finland
`
` 
`
` Outi Honkanen 2004
`ISBN 952-10-1079-7 (nid.)
`ISBN 952-10-1080-0 (pdf, http://ethesis.helsinki.fi)
`ISSN 1239-9469
`
`Yliopistopaino
`Helsinki 2004
`Finland
`
`
`
`
`
`
`
`Accord Exhibit 1029
`Page 2 of 73
`PGR2023-00043
`
`

`

`Contents
`
`Table of contents
`
`
`
`Abstract
`
`
`
`
`
`
`
`
`
`List of original publications
`
`
`
`
`
`1. Introduction
`
`
`
`2. Review of literature
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`2.1. Hydroxypropyl methylcellulose capsules
`
`2.1.1. Manufacture
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`i
`
` iv
`
` v
`
` 1
`
` 3
`
` 3
`
` 3
`
`
`
`
`
`
`
`2.1.2. Physicochemical properties compared with hard gelatine capsules 3
`
`2.1.3. In vitro drug release
`
`
`
`2.1.4. Biopharmaceutical properties
`
`2.2. Hydroxypropyl methylcellulose
`
`2.21. Manufacture
`
`
`
`2.2.2. Physicochemical properties
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
` 6
`
` 7
`
` 8
`
` 8
`
` 8
`
`2.2.3. Applications in pharmaceutical formulation and technology 9
`
`2.2.3.1.Hydroxypropyl methylcellulose in controlled-release formulations 9
`
`2.2.3.2. Factors affecting drug release from hydroxypropyl methylcellulose
`
`type 2208 matrices
`
`
`
`2.3. Rectal administration of hard capsules
`
`
`
`
`
` 11
`
` 15
`
`2.3.1. General considerations
`
`
`
` 15
`
`i
`
`Accord Exhibit 1029
`Page 3 of 73
`PGR2023-00043
`
`

`

`2.3.2. Hard capsules
`
`3. Aims of the study
`
`
`
`4. Materials and methods
`
`4.1. Model drugs
`
`4.1.1. Ibuprofen
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`4.1.2. Metoclopramide hydrochloride
`
`4.2. Additives
`
`
`
`
`
`4.2.1. Hydroxypropyl methylcellulose
`
`4.2.2. Other additives
`
`
`
`4.3. Capsule preparation and composition
`
`4.4. In vitro studies
`
`
`
`
`
`4.4.1. Drug release from capsules (I-III)
`
`
`
` 17
`
` 21
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
` 22
`
` 22
`
` 22
`
` 22
`
` 23
`
` 23
`
` 23
`
` 24
`
` 25
`
` 25
`
`4.4.2. Adherence to isolated oesophageal preparation (II)
`
` 26
`
`4.5. In vivo studies
`
`
`
`
`
`4.5.1. Bioavailability studies (I-III)
`
`4.5.1.1. Procedure
`
`4.5.1.2. Assay methods
`
`4.5.1.3. Data analysis
`
`
`
`
`
`
`
`4.5.2. Gamma scintigraphic studies (IV)
`
`4.5.2.1. Procedure
`
`4.5.2.2. Data analysis
`
`5. Results and discussion
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
` 26
`
` 26
`
` 26
`
` 27
`
` 27
`
` 27
`
` 28
`
` 29
`
` 30
`
`5.1. Biopharmaceutical properties of capsules diluted with lactose (I, III) 30
`
`5.1.1. In vitro drug release
`
`
`
`
`
` 30
`
`
`
`
`
`ii
`
`Accord Exhibit 1029
`Page 4 of 73
`PGR2023-00043
`
`

`

`5.1.2. Oral bioavailability
`
`5.1.3. Rectal bioavailability
`
`
`
`
`
`
`
`
`
` 31
`
` 32
`
`5.2. Biopharmaceutical properties of capsules diluted with
`
`HPMC powder (II, III)
`
`
`
`5.2.1. In vitro drug release
`
`5.2.2. Oral bioavailability
`
`
`
`
`
`
`
`
`
`
`
`
`
` 35
`
` 35
`
` 37
`
`5.2.2.1. Effect of capsule shell material
`
` 37
`
`5.2.2.2. Effect of diluent
`
`5.2.3. Rectal bioavailability
`
`
`
`
`
`5.2.3.1. Effect of capsule shell material
`
`
`
`
`
`
`
` 38
`
` 41
`
` 41
`
`5.2.3.2. Effect of diluent and route of administration
`
` 42
`
`5.3. In vitro oesophageal sticking tendency of the capsule shells (II) 45
`
`
`
`
`
`
`
`
`
` 46
`
` 50
`
` 53
`
` 55
`
`5.4. Gamma scintigraphic evaluation (IV)
`
`6. Conclusions
`
`Acknowledgements
`
`References
`
`
`
`
`
`
`
`
`
`Original publications
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`iii
`
`Accord Exhibit 1029
`Page 5 of 73
`PGR2023-00043
`
`

`

`Abstract
`
`Hydroxypropyl methylcellulose (HPMC) capsules are a new type of hard two-
`
`piece capsules developed as an alternative to classic hard two-piece gelatine
`
`capsules. HPMC capsules have several technical advantages over gelatine
`
`capsules, e.g. lower moisture content, chemical inertness and an ability to
`
`maintain mechanical integrity under very low moisture conditions. In addition,
`
`HPMC capsules are made of plant-derived material, whereas the gelatine capsules
`
`are of animal origin (swine and bovine). This eliminates the problems relating to
`
`religious and vegetarian dietary restrictions.
`
` There is not enough information available about the bioavailability of drugs
`
`from HPMC capsules to be regarded as interchangeable with gelatine capsules.
`
`Therefore, the main objective of the present thesis was to evaluate the
`
`biopharmaceutical properties of HPMC capsules made by Shionogi Qualicaps
`
`S.A. in comparison with hard gelatine capsules. Both in vitro drug release and in
`
`vivo oral and rectal bioavailability of the model drugs, ibuprofen and
`
`metoclopramide hydrochloride, were investigated. The capsules were diluted with
`
`either lactose or HPMC powders of different viscosities.
`
`The overall conclusion of the studies reported here was that the HPMC and
`
`gelatine capsule shells could be regarded as interchangeable for both oral and
`
`rectal administration regardless of the model drug or the diluent used. However,
`
`after
`
`the rectal administration of
`
`the capsules,
`
`the
`
`time
`
`lapse
`
`to
`
`the
`
`commencement of drug absorption was always greater for the HPMC capsules
`
`than for the corresponding gelatine capsules. Therefore, the rectally administered
`
`HPMC capsules could be regarded as an alternative to gelatine capsules if rapid
`
`onset of action is not needed. In addition, the tendency of the HPMC capsules to
`
`stick to the oesophagus turned out to be high, making further investigation of this
`
`phenomenon necessary.
`
`The orally and rectally administered HPMC and gelatine capsules diluted with
`
`HPMC powders fulfilled
`
`the basic requirements of a prolonged-release
`
`formulation. The release of the model drugs could be controlled also by changing
`
`the viscosity grade of the HPMC polymer when the capsules were administered
`
`orally, but not when the rectal route was used. The hard capsules proved to be of
`
`value as a rectal dosage form, although attention should be paid to the technique
`
`of insertion and to the time lapse to the onset of drug absorption, which was about
`
`30 min for the gelatine capsules and about 60 min for the HPMC capsules.
`
`
`
`
`
`iv
`
`Accord Exhibit 1029
`Page 6 of 73
`PGR2023-00043
`
`

`

`List of original publications
`
`This dissertation is based on the following publications, which are referred to in
`
`the text by the Roman numerals I-IV.
`
`
`
`I
`
`
`II
`
`
`III
`
`
`IV
`
`
`
`
`
`
`
`
`
`
`
`
`Honkanen O., Seppä H., Eerikäinen S., Tuominen R. and Marvola
`
`M., 2001. Bioavailability of ibuprofen from orally and rectally
`
`administered hydroxypropyl methyl cellulose capsules compared to
`
`corresponding gelatine capsules. S.T.P. Pharma Sci. 11, 181-185.
`
`Honkanen O., Laaksonen P., Marvola J., Eerikäinen S., Tuominen
`
`R. and Marvola M., 2002. Bioavailability and in vitro oesophageal
`
`sticking
`
`tendency of hydroxypropyl mehtylcellulose capsule
`
`formulations and corresponding gelatine capsule formulations. Eur.
`
`J. Pharm. Sci. 15, 479-488.
`
`Honkanen O., Nordberg M., Eerikäinen S., Tuominen R. and
`
`Marvola M., 2002. Bioavailability of metoclopramide from orally
`
`and rectally administered novel hydroxypropyl methylcellulose
`
`capsules containing different diluents: a comparison with
`
`corresponding gelatine capsules. S.T.P. Pharma Sci. 12, 299-307.
`
`Honkanen O., Marvola J., Kanerva H., Lindevall K., Lipponen M.,
`
`Kekki T., Ahonen A. and Marvola M., 2004. Gamma scintigraphic
`
`evaluation of the fate of hydroxypropyl methylcellulose capsules in
`
`the human gastrointestinal tract. Eur. J. Pharm. Sci. (in press)
`
`v
`
`Accord Exhibit 1029
`Page 7 of 73
`PGR2023-00043
`
`

`

`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`
`Accord Exhibit 1029
`Page8 of 73
`PGR2023-00043
`
`Accord Exhibit 1029
`Page 8 of 73
`PGR2023-00043
`
`

`

`
`
`1. Introduction
`
`Hard two-piece capsules were first invented in 1846 when Parisian pharmacist
`
`J.C. Lehuby was granted French Patent 4435
`
`for “Mes envelopes
`
`médicamenteuses” (Jones, 1987). These capsules were made of starch or tapioca.
`
`Three additions to the original patent were granted in the following four years,
`
`extending the range of raw materials to carragheen, various gelatines (including
`
`animal gelatine) and gums. The sole use of animal gelatine for making hard two-
`
`piece capsules was first described in British Patent 11,937, which was granted to
`
`J. Murdoch in 1848. Nowadays, hard gelatine capsule is a widely popular oral
`
`dosage form due to the relative ease of manufacture and flexibility of size to
`
`accommodate a range of fill weights.
`
`Hard gelatine capsules have some disadvantages owing to the raw material.
`
`Gelatine capsule shells have 13-15% water content and therefore may not be
`
`suitable for water-unstable drugs. They also loose their mechanical strength and
`
`become brittle when the moisture content of the capsule shell is decreased, e.g.
`
`when the capsule contains strongly hygroscopic material (Kontny and Mulski,
`
`1989). Furthermore, some drugs react with amino groups of the gelatine protein
`
`during storage under severe conditions, causing the gelatine to cross-link and
`
`reducing the solubility of the capsule shell (Digenis et al., 1994). Gelatine for
`
`capsules is mainly of bovine origin, which creates a theoretical risk of
`
`transmitting bovine spongiform encephalopathy (BSE) via capsules (U.S.
`
`Department of Health and Human Services, 1997; EMEA, 2001). In addition,
`
`gelatine products from bovine and swine sources are sometimes avoided as a
`
`result of religious or vegetarian dietary restrictions. To overcome these problems,
`
`hard two-piece capsules made of only plant-derived materials, i.e. hydroxypropyl
`
`methylcellulose (HPMC), have been developed by Shionogi Qualicaps S.A.
`(HPMC capsule), Capsugel Division of Pfizer Inc. (Vcaps), Natural Capsules
`Ltd. (Cellulose Capsule) and Associated Capsules Ltd. (Naturecaps).
`
`The physicochemical properties of the HPMC capsules (Shionogi Qualicaps
`
`S.A.) compared with corresponding gelatine capsules have been sufficiently
`
`described in the literature by the manufacturer (Ogura et al., 1998). The
`
`biopharmaceutical properties of the capsules were also described in the same
`
`publication, but to a far more limited extent. No other studies on the
`
`bioavailability of drugs in humans from the two different capsule shells could be
`
`found
`
`in
`
`the
`
`literature. Thus,
`
`there was an evident need for further
`
`
`
`
`
`1
`
`Accord Exhibit 1029
`Page 9 of 73
`PGR2023-00043
`
`

`

`
`
`biopharmaceutical studies in human volunteers before the HPMC and gelatine
`
`capsule shells could be regarded as interchangeable. The main objective of the
`
`present thesis, therefore, was to widen knowledge of the biopharmaceutical
`
`properties of the HPMC capsules made by Shionogi Qualicaps S.A. The HPMC
`
`capsules were compared with classic hard two-piece gelatine capsules of the same
`
`size and both the in vitro drug release and the in vivo drug absorption following
`
`oral and rectal administration were investigated. Rectal administration was
`
`evaluated, because it is known that in hospitals commercial hard gelatine capsules
`
`are sometimes used rectally (Storey and Trumble, 1992), although they are not –
`
`contrary to some soft gelatine capsules – officially accepted for rectal use. Both
`
`the HPMC and gelatine capsules contained two model drugs of different water
`
`solubilities,
`
`ibuprofen or metoclopramide hydrochloride, and
`
`lactose or
`
`hydroxypropyl methylcellulose powder of different viscosities as diluents to
`
`obtain immediate-release or sustained-release formulations. In addition, gamma
`
`scintigraphic method was utilised in order to gain a better understanding of the
`
`fate of the HPMC capsules in the human gastrointestinal (GI) tract.
`
`
`
`
`
`
`
`
`
`
`
`2
`
`Accord Exhibit 1029
`Page 10 of 73
`PGR2023-00043
`
`

`

`
`
`2. Review of literature
`
`2.1. Hydroxypropyl methylcellulose capsules
`
`2.1.1. Manufacture
`
`HPMC capsules (Shionogi Qualicaps S.A., Japan) are manufactured by the same
`
`dipping and forming method that is applied in the manufacture of classic hard
`
`gelatine capsules (Pat.U.S. 5,756,123). Shaped pins are dipped into an aqueous
`
`solution comprising 18-28% w/w HPMC 2910 having 28-30% methoxy and 7-
`12% hydroxypropoxy group and a viscosity of 2.4-5.4⋅10-6 m2/s (measured as a
`2% aqueous solution at 20(cid:176) C) as a base, 0.01-0.09% w/w carrageenan as a gelling
`agent, and 0.05-0.6% w/w potassium and/or calcium ions as a co-gelling agent.
`
`Small amounts of carrageenan and potassium and/or calcium ions are added to the
`HPMC solution to enable gelling at 48-55(cid:176) C, since HPMC alone gels at
`temperatures below 60(cid:176) C. After dipping, the HPMC film is gelled, dried, trimmed
`and removed from the pins. The body and cap pieces are then joined. The finished
`
`HPMC capsule shells comprise 79.6-98.7% w/w of HPMC 2910, 0.03-0.5% w/w
`
`of carrageenan, 0.14-3.19% w/w of potassium and/or calcium ions and 2-5% w/w
`
`of water.
`
`2.1.2. Physicochemical properties compared with hard
`gelatine capsules
`
`HPMC capsules are odourless and flexible (Pat.U.S. 5,756,123). Their appearance
`
`corresponds to that of gelatine capsules, except that the surface of HPMC capsules
`
`is matt, whereas the surface of gelatine capsules is lustrous. The physical
`
`properties of HPMC capsules compared to gelatine capsules are presented in
`
`Table 1 (Ogura et al., 1998). The main differences in the physicochemical
`
`properties between HPMC and gelatine capsules are related to their moisture
`
`content, which is 2-5% for HPMC capsules and 13-15% for gelatine capsules
`
`(Table 1). The relationship between the brittleness and moisture content of HPMC
`
`and gelatine capsules has been demonstrated using a hardness tester (Ogura et al.,
`
`1998). The percentage of broken gelatine capsules increased to almost 100% as
`
`the moisture content of the capsule shell decreased below 10%. In contrast,
`
`HPMC capsules remained undamaged even at moisture levels of only 2%. This
`
`
`
`
`
`3
`
`Accord Exhibit 1029
`Page 11 of 73
`PGR2023-00043
`
`

`

`
`
`difference between HPMC and gelatine capsules could be of significance in
`
`practice if the drug filled in the capsule is strongly hygroscopic.
`
`Table 1. Physical properties of HPMC and gelatine capsules (Ogura et al., 1998).
`
`Capsule material
`
`Moisture content
`
`Water vapour permeability
`
`Substrate for protease
`
`Maillard reaction with drug fill
`
`Deformation by heat
`
`HPMC
`
`Gelatine
`
`2-5%
`
`13-15%
`
`Low
`
`No
`
`No
`> 80(cid:176) C
`
`Low
`
`Yes
`
`Yes
`> 60(cid:176) C
`
`Water dissolution at room temperature Soluble
`
`Insoluble
`
`Static
`
`Light degradation
`
`
`
`Low
`
`No
`
`High
`
`Possible
`
`The stability of a water-unstable drug in HPMC and gelatine capsules has been
`
`tested with acetylsalicylic acid (Ogura et al., 1998). HPMC and gelatine capsules
`filled with acetylsalicylic acid alone were stored at 60(cid:176) C for two weeks. The drug
`content did not decrease to less than 95% of its initial concentration when stored
`
`in the HPMC capsules, whereas it decreased to 85% of its initial concentration
`
`when stored in the gelatine capsules, apparently as a result of hydrolysis. Thus,
`
`due to the naturally low moisture content of the HPMC capsule shells, they are
`
`more suitable than gelatine capsules for use with formulations containing water-
`
`unstable drugs.
`
`Another notable difference between HPMC and gelatine capsule shells is that
`
`HPMC capsule shells are compatible with most filling materials, since the only
`
`incompatibility known for HPMC is the interaction between some oxidizing
`
`agents (Harwood, 2000). Gelatine, on the other hand, has chemically reactive
`
`groups. Ogura and co-workers (1998) filled HPMC and gelatine capsules with
`
`ascorbic acid and packed them in polyethylene bottles without a desiccant, and
`stored at 40(cid:176) C/75% relative humidity for two months. The gelatine capsules were
`dyed brown, whereas the colour of the HPMC capsules did not change. In both
`
`cases the colour of the ascorbic acid in the capsules did not change, indicating that
`
`the discoloration was the result of a reaction between the ascorbic acid and the
`
`gelatine shell (called Maillard reaction).
`
`The dissolution of gelatine capsule shells can be incomplete and slow if the
`
`capsules contain drugs having aldehyde groups or producing aldehydes on
`
`
`
`
`
`4
`
`Accord Exhibit 1029
`Page 12 of 73
`PGR2023-00043
`
`

`

`
`
`decomposition, which promote cross-linking between gelatine proteins and form a
`
`thin insoluble membrane called a pellicle (Carstensen and Rhodes, 1993; Digenis
`
`et al., 1994). This has been demonstrated with spiramycin, a macrolide antibiotic
`
`known to cause insolubilisation of gelatine capsules (Ogura et al., 1998).
`Spiramycin was filled into HPMC and gelatine capsules and stored at 60(cid:176) C/75%
`relative humidity for ten days. After storage, the disintegration properties of the
`
`HPMC capsules remained unaffected, whereas the properties of the gelatine
`
`capsules changed and they did not disintegrate.
`
`Chiwele and co-workers (2000) studied the shell dissolution properties of
`
`empty gelatine and HPMC capsules after storage under humid tropical conditions
`(37(cid:176) C/75% relative humidity) for 24 h and after storage under ambient room
`conditions. They used the method described by Jones and Cole (1971), which
`
`consists of placing a steel ball bearing inside the capsule, suspending the capsule
`
`body in the test solution and measuring the time for it to fall from the capsule. The
`
`dissolution medium was artificial gastric or intestinal juice (BP). The temperature
`of the medium was in the range of 10(cid:176) to 55 (cid:176) C. Storage under humid tropical
`conditions did not affect the dissolution properties of the gelatine capsules
`
`regardless of the dissolution medium, whereas the dissolution time of the HPMC
`
`capsule shells was unaffected only in artificial gastric juice. In artificial intestinal
`
`juice the shell dissolution times of the HPMC capsules were significantly reduced
`for temperatures between 10(cid:176) and 30(cid:176) C, whereas above 37(cid:176) C the shell dissolution
`times were increased. It was suggested that the HPMC capsules were hydrated
`
`during storage, which might have caused the slower water penetration through the
`
`hydrated material and, thus, slower dissolution time of the capsule shell. The
`
`reason for the different shell dissolution times of the HPMC capsules in the
`
`different dissolution media and at different temperatures was not discussed.
`
`Nevertheless, the authors pointed out that care should be taken when the HPMC
`
`capsules are exposed to hot and humid conditions.
`
`As was mentioned earlier, Ogura and co-workers (1998) did not notice any
`
`effect on the disintegration properties of the HPMC capsules filled with
`spiramycin when stored at 60(cid:176) C and 75% relative humidity for ten days.
`However, they used a standard pharmacopoeial disintegration test, which is fairly
`
`drastic and does not determine the shell dissolution time and the disintegration of
`
`the powder plug separately (Chiwele et al., 2000). In the method used by Chiwele
`
`and co-workers (2000), on the other hand, the filling material (steel ball bearing)
`
`did not affect the shell dissolution time.
`
`The study of Chiwele and co-workers (2000) further revealed that the HPMC
`
`capsule shells dissolved rapidly in water (pH 5.8) and 0.1 M hydrochloric acid
`
`
`
`
`
`5
`
`Accord Exhibit 1029
`Page 13 of 73
`PGR2023-00043
`
`

`

`
`
`(pH 1.0) in the temperature range of 10 to 55(cid:176) C. The gelatine capsule shells, on
`the other hand, did not dissolve at temperatures below 30(cid:176) C in the same
`dissolution medium, and the dissolution time was dependent on the temperature.
`
`2.1.3. In vitro drug release
`
`Three studies (other than those included in this thesis) describing the in vitro drug
`
`release properties of HPMC capsules (Shionogi Qualicaps S.A.) compared to
`
`corresponding gelatine capsules can currently be found in the literature (Ogura et
`
`al., 1998; Podczeck and Jones, 2002; Wu et al., 2003). Ogura and co-workers
`
`(1998) studied the release of cephalexin from HPMC and gelatine capsules in
`
`solutions having pH 1.2, 4.0 or 6.8. The procedure applied was the paddle method
`
`described in the Japanese Pharmacopoeia (JP) and the speed of rotation was 100
`
`rpm. There were no differences in the dissolution profiles between the HPMC and
`
`gelatine capsules when the pH of the solution was 1.2 or 4.0. When the
`
`dissolution medium was the JP “second test fluid” with pH 6.8, the dissolution
`
`times of cephalexin were approximately 5 min longer from HPMC capsules than
`
`from gelatine capsules. This was supposed to be due to the presence of potassium
`
`in the medium, which promotes the gelation of carrageenan. Thus, the HPMC
`
`capsule shell formed a persistence gel membrane around the drug fill. When the
`
`dissolution medium was changed to potassium-free buffer pH 6.8, there were no
`
`differences between
`
`the
`
`two different capsule shells. Since
`
`the cation
`
`concentration in the gut is low, it was suggested that pharmacopoeial buffer
`
`solutions that do not contain potassium ions could be considered acceptable
`
`alternatives for determining in vitro drug dissolution rates from HPMC capsules.
`
`Podczeck and Jones (2002) investigated the release of theophylline from
`
`HPMC capsules compared with hard gelatine capsules. The capsules contained
`
`either the model drug only or the drug and lactose or microfine cellulose as a
`
`diluent, and different fill weights and tamping forces were utilized. The
`dissolution tests were carried out using distilled water at 37(cid:176) C and a paddle speed
`of 50 rpm. The amount of theophylline released after 60 min from the different
`
`HPMC capsule formulations was always greater than from the corresponding
`
`gelatine capsules. Also the release rate was generally greater from the HPMC
`
`capsules than from the gelatine capsules. This was suggested to be due to the
`
`dissolution properties of HPMC capsule shells. HPMC capsule shells dissolve
`
`evenly and simultaneously across the whole shell, whereas gelatine capsules
`
`dissolve first from the shoulders, and only later across the whole body. Thus, the
`
`whole powder plug filled in an HPMC capsule will be subjected to the dissolution
`
`
`
`
`
`6
`
`Accord Exhibit 1029
`Page 14 of 73
`PGR2023-00043
`
`

`

`
`
`medium earlier. The authors concluded that a change from gelatine hard shell
`
`capsules to HPMC hard shell capsules should not pose problems with respect to
`
`drug absorption and bioavailability.
`
`Wu and co-workers (2003) studied the release of an investigational drug, BMS-
`
`309403, (poorly water-soluble weak acid) from size 0 gelatine and HPMC
`
`capsules. The capsules contained either 50 or 200 mg of the granulated drug and
`
`the total fill weights were 90 and 360 mg, respectively. It was estimated that a 90
`
`mg fill weight only occupied a volume of about 20% of the capsule body, whereas
`
`360 mg occupied about 80%. The dissolution tests were carried out using the USP
`
`paddle method (60 rpm). The dissolution medium was 0.5% sodium lauryl sulfate
`in 0.1 M sodium phosphate buffer, pH 6.8 (37(cid:176) C). The results showed that when
`the capsule shell was gelatine, the 50 mg capsules surprisingly dissolved at a
`
`much lower rate than the 200 mg capsules. It was observed that the shells of the
`
`50 mg gelatine capsules softened and collapsed during the first 10 min of the
`
`dissolution test, occluding the granules and retarding the drug release. This was
`
`not observed when the gelatine capsules contained 200 mg of the drug; the
`
`capsule shells burst open within the first 10 min. When the capsule shell type was
`
`changed to HPMC, the 50 mg capsules dissolved slightly faster than the 200 mg
`
`capsules and the HPMC capsule shells did not collapse onto the granulation.
`
`However, both HPMC capsule strengths dissolved more slowly during the first 10
`
`to 20 min than the corresponding gelatine capsules, which was due to the swelling
`
`and expansion of the HPMC capsule shells without leaking much granulation
`
`during the first 10 min.
`
`2.1.4. Biopharmaceutical properties
`
`Studies describing the bioavailability of drugs from HPMC capsules (Shionogi
`
`Qualicaps S.A.) compared to gelatine capsules are limited to that of Ogura and co-
`
`workers (1998) determining the oral bioavailability of cephalexin from HPMC
`
`capsules compared to gelatine capsules. The study was conducted with 6 healthy
`
`volunteers under fasting conditions. Concentrations versus time curves were
`
`similar between the HPMC and gelatine capsules and there were no significant
`
`differences in the pharmacokinetic parameters (AUC, Cmax and tmax) between these
`capsules.
`
`
`
`
`
`7
`
`Accord Exhibit 1029
`Page 15 of 73
`PGR2023-00043
`
`

`

`
`
`2.2. Hydroxypropyl methylcellulose
`
`2.2.1. Manufacture
`
`The European Pharmacopoeia describes hydroxypropyl methylcellulose
`
`(hypromellose) as partly O-methylated and O-(2-hydroxypropylated) cellulose.
`
`The structural formula of HPMC is presented in Fig. 1.
`
`
`
`
`Figure 1. Structural formula of hydroxypropyl methylcellulose. The substituent R
`represents either a -H, -CH3, or a -CH2CH(CH3)OH.
`
`HPMC is an odourless, tasteless and inert hydrophilic polymer with no ionic
`
`charge. It is manufactured from purified cellulose, which is obtained from cotton
`
`linters or wood pulp (Harwood, 2000). The cellulose is first treated with sodium
`
`hydroxide solution to produce swollen alkali cellulose, which is chemically more
`
`reactive than the untreated cellulose. The alkali cellulose is then converted to
`
`methylhydroxypropyl ethers of cellulose by treating with chloromethane and
`
`propylene oxide. Finally, the fibrous reaction product is purified and ground to
`
`powder or granules.
`
`
`2.2.2. Physicochemical properties
`
`The physicochemical properties of HPMC (e.g. solubility, glass-transition
`
`temperature and viscosity) are affected by
`
`the ratio of methoxy and
`
`hydroxypropoxy groups and the molecular weight. The molecular weight of
`
`HPMC is approximately 10,000 to 1,500,000 (Harwood, 2000). There are several
`
`grades of HPMC polymers available on the market, which vary in viscosity and
`
`extent of substitution. The grades may be distinguished by a number indicative of
`the apparent viscosity, in mPa⋅s, of a 2% w/w aqueous solution at 20(cid:176) C. The
`apparent viscosity serves as a measure of the average chain length of the polymer.
`
`
`
`
`
`8
`
`Accord Exhibit 1029
`Page 16 of 73
`PGR2023-00043
`
`

`

`
`
`The USP presents four different types of HPMC polymers. They are classified
`
`according to their relative methoxy-group and hydroxypropoxy-group contents:
`
`HPMC 1828, HPMC 2208, HPMC 2906 and HPMC 2910. The first two numbers
`
`indicate the percentage of methoxy groups, the last two numbers the percentage of
`hydroxypropoxy groups, determined after drying at 105(cid:176) C for two hours. The
`exact limits for the degree of substitution defining the respective HPMC types are
`
`given in Table 2.
`
`Table 2. USP specifications for different types of HPMC, classified according to their
`degree of methoxy and hydroxypropoxy substitution.
`
`Substitution type
`
`Methoxy (%)
`
` Hydroxypropoxy (%)
`
`
`
`1828
`
`2208
`
`2906
`
`2910
`
`Min.
`
`Max.
`
`16.5
`
`19.0
`
`27.0
`
`28.0
`
`20.0
`
`24.0
`
`30.0
`
`30.0
`
`
`
`
`
`
`
`
`
`
`
`Min.
`
`23.0
`
`4.0
`
`4.0
`
`7.0
`
`Max.
`
`32.0
`
`12.0
`
`7.5
`
`12.0
`
`2.2.3. Applications in pharmaceutical formulation and
`technology
`
`HPMC is an extremely versatile material, which is widely used in pharmaceutical
`
`products. HPMC is primarily used as a binder, film coating and as a controlled-
`
`release matrix in solid dosage forms (Rowe, 1980; Banker et al., 1981; Krycer et
`
`al., 1983a, b; Alderman, 1984; Harwood, 2000). Concentrations of 2-5% w/w may
`
`be used as a binder in either wet or dry granulation processes (Harwood, 2000). In
`
`film coating, concentrations of 2-20% are used, depending on the viscosity grade
`
`of the HPMC. In controlled-release matrix formulations, concentrations of 10-
`
`80% may be used. In liquid dosage forms HPMC is used as a suspending and
`
`thickening agent and as an emulsifier.
`
`2. 2. 3. 1. H ydroxypropyl m ethylcellulose in controlled-release
`form ulations
`
`Controlled-release
`
`formulations have several benefits over conventional
`
`immediate-release formulations: controlled administration of a therapeutic dose at
`
`a desired delivery rate, constant blood levels of drugs, reduction of side effects,
`
`maintenance of therapeutic concentration also during the night, minimization of
`
`dosing frequency and enhancement of patient compliance (Ritschel, 1989). On the
`
`
`
`
`
`9
`
`Accord Exhibit 1029
`Page 17 of 73
`PGR2023-00043
`
`

`

`
`
`other hand, controlled-release formulations also have some disadvantages, e.g.
`
`loss of efficacy when one or two doses are skipped and poor dosage form for
`
`drugs with inactivation by first-pass metabolism, extremely short or long
`
`elimination half-life and instability in the gastrointestinal environment.
`
`Hydrophilic matrix formulations are the most widely used of the numerous
`
`controlled-release dosage forms currently available and they have been employed
`
`in the pharmaceutical industry for over 40 years (Wichterle and Lim, 1960;
`
`Alderman, 1984; Ranga Rao and Padmalatha Devi, 1988; Ferrero Rodriguez et
`
`al., 2000). Of hydrophilic polymers, hydroxypropyl methylcellulose is the most
`
`popular material for the preparation of controlled-release dosage forms and it has
`
`been employed since the 1960s (Pat.U.S. 3,065,143; Lapidus and Lordi, 1966,
`
`1968; Huber et al., 1966; Huber and Christenson, 1968; Colombo, 1993; Hogan,
`
`1989; Ferrero Rodriguez et al., 2000). One of its most important characteristics is
`
`high swellability, which has a significant effect on the release kinetics of an
`
`incorporated drug. Also its ease of compression, non-toxic nature, ability to
`
`accommodate a large percentage of drugs, and the minimum influence of
`
`processing variables on the release of drugs from matrices are some of the reasons
`
`for its popularity (Vázquez et al., 1992).
`
`When the HPMC-based matrix formulation comes into contact with a
`
`thermodynamically compatible aqueous solvent, the solvent penetrates into the
`
`free spaces on the surface between the macromolecular chains. When the solvent
`
`h

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket